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HomeMy WebLinkAboutPW16-165 - Change Order - #2 - Scarsella Bros., Inc. - Mill Creek Side Channel / Leber Homestead - 10/24/2016 I µ . c� r�� s Man err�� r W WA9111H aTON '�'` `-s- Document ° ^ent f J CONTRACT COVER SHEET This is to be completed feted by the Contract Manager parrianr to submission to City Clerks Office. All p arrUons are to be completed. Xf you have questlons, please contact Duty Clerk's ®fflceo Vendor M urnberr; 7D Edwards Number Contract Number, �W1t9 ItDS C?C} � This is assigned by City Clerk's Office Project N araae: 001 CYf-V1- 5f(-,U C,WWMl it Ln�'Ci/ HOWC3 Ana ®esvrlpation: Interlocal Agreement ❑ Change Order ❑Amendment ❑ Contract Other: isatAf () V 4 Contract Effective bate. I's} ff LP Termination Bate Contract Reraeimal Notice (Days); Number of days required notice for termination or renewal or amendment Contract Marrnagen Department. P -_ EIlq . Contract Amount, 2 Approval Authority. ❑ Department Director ❑Mayor Acity Council COIL lu Detail: (i.e. address, location, parcel number, taN id, etc.)-. adccwi0877_8_14 I- KENT CHANGE ORDER NO. #2 NAME OF CONTRACTOR: Scarsella Brothers. Inc. ("Contractor") CONTRACT NAME & PROJECT NUMBER: 72Id Avenue South Extension ORIGINAL CONTRACT DATE: February 28, 2016 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: Emergency water main and bridge wingwall repair--repair water main on the Mill Creek (Auburn) 14 Bridge on West Valley Highway including sheet pile placement, guardrail reapir, and new water services to adjacent property. 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, $2,692,813.01 (including applicable alternates and WSST) Net Change by Previous Change Orders $44,153.98 (inch applicable WSST) Current Contract Amount $2,736,966.99 (incl. Previous Change Orders) Current Change Order $133,382.23 Applicable WSST Tax on this Change $12,671.31 Order Revised Contract Sum $2,883,020.53 CHANGE ORDER - 1 OF 3 I Original Time for Completion 220 working days (insert date) Revised Time for Completion under 0working days prior Change Orders (insert date) Days Required (f) for this Change 0 calendar days Order Revised Time for Completion 220 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' 'F KENT: By: 11 By: - ature) (signature) Print Name: c��✓1.PllCL.�� Pint Nam( i�vv�(I/ �J- L "k4e, �F Its y Its G�tA))�iC (title) DATE: DC,• c7d�6 DATE: l'{1/ 25V// CHANGE ORDER - 2 OF 3 APPROVE® AS TO FORM: (applicable if Mayor's signature required) '.... Kent UlAf Department +.+ B+ hf[In this Feld,you may enter the electronic filepath where the contract has been saved] i III CHANGE ORDER - 3 OF 3 • T FILE NO: 200.2 KEN CHANGE ORDER WORKSHEE'T NO. 2 Construction Management Division — Public Works Project: 72nd Avenue South Extension Project No.: 08-3004C Project Engineer: Ken Langholz Fed-Aid No.: N/A Owners Rep: Jason Barry Contractor: Scarsella Bros., Inc. Date: 9/27/2016 I. PROPOSED CHANGE Emeregency Water Main and Bridge Wingwall Repair II. REASON AND BACKGROUND FOR CHANGE i Repair the Water Main on the Mill Creek (Auburn) 14 Bridge on West Valley Highway incuding Sheet ile placement, guard rail repair and new water services to adjacent property. III. METHOD OF PAYMENT NEW PAY ITEM(S) Not Applicable Change Order No. _ FOR ACCOUNTING USE ONLY Sch. No, i Item Description Total Qty this Unit Unit Price Total Estimated Cost of j Est. Qty PE i Item 4 Emer enc Water Repair y p 1- 1 LS133,382 23 $100,000.00 ---- --- -_ -_ __. I -- ------ .,. -... ® Independent Estimate Attached ❑ CREATE PAY ITEM ONLY - Payment to be made ® PAY THIS PAY ESTIMATE _ REQUIRED ( at a later-date upon completion of work Material Submittals Required - CC: Construction Coordinator New Sub Reqrd? No DELETE EXISTING PAY ITEM(S) per 3.-09.5 ® Not Applicable Change Order No. FOR ACCOUNTING USE ONLY Sch. No. 6 1 No. Item Description ------- Qty Unit-[ .Unit Price Cost of Item ❑ Independent Estimate Attached - REQUIRED ❑ INCREASE/DECREASE TO EXISTING PAY ITEM(S) ® Not Applicable i Change Order No. i i FOR ACCOUNTING USE ONLY g - ; I Sch. No. S.I. No. _-_Item Description Qty__ -Unit_ _ Unit Price Cost of Item - - -- --._ -- -- -- -1 - i - -- -- - _ _ Z i Independent Estimate Attached -REQUIRED ' ❑ 1 REV. DATE: 4/01/10 • FILE NO: 200.2 TOTAL ESTIMATED COST OF CHANGE ORDER L $133,382.23 *Total of the Cost of Item Columns THIS PAY ESTIMATE $133,382.23 IV. WORKING DAYS Original Contract_L2N 1Due This Change Order* 1_0 1Previous Totall 220 D7 E., _ E DATE: ---------------------- x lanation justification Re wired: TOTAL WORKING DAYS* 220 *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: Date: Construction Supervisor: Date: ' Pauiruenne Construction Manager: Date; Eric Connor " 2 REV. DATE: 4/01/10 I, Scarsella Bros., Inc. PO Box 68697 Seattle,WA 98168-0697 Ph:253-872-7173 INVOICE a, Invoice#: Date: 8/11/2016 Billed To: City of Kent 2454 Occidental Ave.So.#2-D Seattle,WA 98134 Payment due upon receipt Description Quantity UOM Unit Price Amount Repair Bridge and Waterline on West Valley Highway Scarsella Bros. Inc. 1.00 LS 83,503.79 83,503.79 SIB Structures 1.00 LS 43,649.15 43,649.15 Petersen Brothers 1.00 LS 6,229,29 6,229.29 Amount Billed: $133,382.23 A service charge of 18.00%per annum will be charged Total Tax: $ - on all amounts overdue on regular statement dates. Total Due: $133,382.23 City of Kent-72nd Ave S Extension S 196th St to S 200th St Project 408-3004 West Valley Bridge Emergency Repair I Date Subcontractor Labor Equipment Materials Total 6/13/2016 $ $ 6,639.87 $ 2,160.81 $ $ 8,800.67 6/14/2016 $ $ 2,059.74 $ 788.32 $ $ 2,848.06 6/15/2016 $ $ 3,292.65 $ 1,674.97 $ $ 4,867.62 6/16/2016 $ $ 2,758.48 $ 1,054.07 $ 1,458.79 $ 5,271.34 6/2 012 0 1 6 $ $ 2,956.98 $ 1,760.90 $ - $ 4,717.88 6/21/2016 $ $ 2,749.45 $ 1,392.20 $ $ 4,141.66 6/2212 0 1 6 $ $ 2,471.38 $ 1,223.79 $ - $ 3,695.18 6/24/2016 $ $ 1,613.22 $ 817.05 $ 766.62 $ 3,196.89 6/27/2016 $ $ 1,439.85 $ 659.55 $ - $ 2,099.39 6/28/2016 $ $ 1,680.28 $ 829.19 $ $ 2,509.47 6/29/2016 $ $ 1,111.57 $ 385.19 $ $ 1,496.76 7/7/2016 $ $ 2,471.38 $ 1,174.55 $ $ 3,645.93 7/8/2016 $ $ 3,680.65 $ 1,819.96 $ 178.89 $ 5,679.50 7/11/2016 $ $ 3,931.88 $ 1:150.71 $ 319.61 $ 5,402.20 7/13/2016 $ $ 3,344.79 $ 1864.84 $ 423.79 $ 5,633.42 7/14/2016 $ $ 3,034.43 $ 1,301.36 $ 15.162.04 $ 19,497.82 11 $ $ 45,236.60 $ 19,957.45 $ 18,309.73 $ 83,503.79 it I : r § ! � , . 2 . . . . . . . � , r . . . , . ! / / _ ( \ ) \ \ \ � \ \ \ \ \ § § 4 § 0CY ( t / / ( ! ! ! 0 0 ! � \ \ j \ e } 0 3 ; ■ k $ ) = f . 2 j j § { - \ z � o o � ! er § mm § ! 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INVOICE NO, PAGE 400 VALLEY AVE NE ^ PUYALLUP,,WA 98372-2516 • (253)833-3705 www.MitesSanciand0ravel.com 049605 06/16/2016 1478090 1 CONCRETE ORDERS CONCREEORDERS SAND L GRAVEL ORDERS 5ANW.GRAVEL ORDERS AXWNi1WU41E5 MnS,eneA Wlsap C InuV±n,kneE Ms.m C R.96 n[ttsfn 1M1vz;oglwrt.AMason C± I259�6C3JI05 (253)B333fQC PON49'-7777 (253)53"u-9100 (360)491-7777 SCARSELLA BROTHERS 4 PO BOX 68697 SEATTLE, WA 98168 !R JOB NVMBER-JOB LOCATION-_ADDRESS:: PEA e DATE PRICE UN TAX TOTAL, ! TICKET NO. QUANTITY UNIT DESCRIPTION �l - f� 000387 PICKED UP - RM FOR KENT JOB 06/16 203-169491 10 . 00 CY 11DRY /"65 . 000 61 . 75 711 . 75 06/16 203-169491 10 . 00 CY ENVIRONMENTAL COMPLIANC JOB TOTAL LINE 711 . 75 PRODUCT RECAP 10 . 00 11DRY 11DRY C 10 . 00 5300 ENVIRONMENTAL COMPLIANCE - RM COPY (-00 83 " Y' Po //1,00- 001 /All AMOUNT DUE P.. 111 . 75 Form No F4147 OOS 253-939-3131 Pvlvk lAcF. S AND & GRAVEL COMPANY ! CUSTOMER NO.. DATE INVOICE NQ. PACE 400 VALLEY AVE NE • PUYALLUP.WA 98372-2516 • (253)833-3705 L www.MilesSandandGravel.com 049605 06/16/2016 1478091 1 00NCm CCFUsN% WNCRETEOROERS SWj04GMrL0RDFRS S &GMVELWM0 WWN1W184LES Ya 5,F:'1e d '.'.Cn 1Mrs1m,4.'rs I C q'a L5v u IhTh.SW.Lnf's&NSMfA (2M)ft1'R--9705 (m)0a .Wcu (3601491-7777 (250)50091W (360)491-7777 p SCARSELLA BROTHERS PO BOX 68697 SEATTLE, WA 98168 7 2101l um Ifa., _ JOB NUMBER-JOB LOOAVON•ADDRESS PER DATE 'PliIC� ON TAX TOTAL _ _TICKCT NQ. _( - gUANTlIY �UMTT�-- � DESORIPTION 000388 W VALLEY & 262ND KENT )6/16 202-164526 2 . 50 CY 04C4A 113. 000 26. 84 309 . 34 )6/16 202-164526 1 . 00 EA MIN LOAD CHARGE 150 , 000 14 . 25 164 . 25 )6/16 202-164526 1 . 00 LD FUEL SURCHARGE—READY MI 5. 000 0 . 48 5 . 48 )6/16 202-164526 2 . 50 CY AIR ENTRAINMENT 0. 400 0 . 10 1 . 10 )6/16 202-164526 2 . 50 CY ENVIRONMENTAL COMPLIANC 5. 000 1 . 19 13 . 69 JOB TOTAL LINE 493 . 86 PRODUCT RECAP 2 . 50 O4C4A O4C4A l 1. 00 5100 MIN LOAD CHARGE 1. 00 5401 FUEL SURCHARGE—READY MIX 2 . 50 4000 AIR ENTRAINMENT 2 . 50 5300 ENVIRONMENTAL COMPLIANCE — RM I I daF30ay. o%j00y,(go I taJdCtio.AP-0T('i9.8� � — 71zi3:8f, I Fnrm Nn 93167 flifi 951_110.(lnt i INVOICE SAND & GRAVEL COMPANY `I CUSTOMER N0.� DATE INVOIOE-�.N17. � PA6F 400 VALLEY AVE NE • PUYALLUP,WA 98372-2516 • (253)833-3705 www.MilesSaodandGravel.com 049605 06/24/2016 1480148 1 COlG momfn 301FSELEC30EF9 5AOO&6MWLOAOEFS Wll)& WLOAMIIS AO JMIWIIS4ES Fog,PRtpdY.Fsry Co iM1pAm LMad Naa.Ca ISy 6NM 3o hu4atlA'h6WUNo (9s9)333-3703 F i (25D)3M 3700 PW)491-77?1 (233)smgin (M)4917177 1 ✓ -���; SCARSELLA BROTHERS U 1) PO BOX 68697 SEATTLE, WA 98168 SCARSE L_A. 13190 r JOe NUMSEti-JOR I,QG'AT10N`A�f?RE93 DATE � - I PRICE (jN� � 7AX TOTAL TIDiI{FT NO. 1 QUANTITYUNIT DESCRIPTION OD0388 W VALLEY & 262ND KENT 06/24 202-165053 4 . 00 CY 0442A 113. 000 42 . 94 494 . 94 06/24 202-165053 1 . 00 EA MIN LOAD CHARGE 100 , 000 9. 50 109. 50 06/24 202-165053 1 . 00 LD FUEL SURCHARGE-READY MI 5 . 000 0. 48 5 . 48 06/24 202-165053 4 . 00 CY AIR ENTRAINMENT 0. 400 0. 15 1 . 75 06/24 202-165053 4 . 00 CY ENVIRONMENTAL COMPLIANC 5. 000 1. 90 21 . 90 JOB TOTAL LINE ++ 633. 57 PRODUCT RECAP 4 . 00 0442A 0442A 1 . 00 5100 MIN LOAD CHARGE 1 . 00 5401 FUEL SURCHARGE-READY MIX 4 . 00 4000 AIR ENTRAINMENT 4 . 00 5300 ENVIRONMENTAL COMPLIANCE - RM t AtA b S I07 t$��� I I'I CST j AMOUNT DttE �- -� ---- DUPLICATE - Invoice # F786380 Invoice Date 7/08/16 ro INVOICE Account # 113813 WATERWORKS 5alea Rep THOMAS WALDMAN Phone # 253-840-5505 1830 Craig Park court Branch #302 Puyallup, WA St. LOui., MO 63146 Total Amount Due "47.84 Remit Tor HD SUPPLY WATERWORXS, LTD. P.O. BOX 6039 CYPRESS, CA 90630 Shipped To: SCARSELLA BROS INC 19460 - 84TH AVENUE SOUTH ACCOUNTS PAYABLE KENT, W PO BOX 68697 SEATTLE WA 98168-0697 __-•-------------------------...........--------.„._._:.--------..._........ ......----------------- -.---- Thank you for the opportunity to serve y.ul He appreciate your prompt payment, Date Ordered Date Shipped Customer PO # Job Name Job # Bill of Lading Shipped Via Invoice# 7/07/16 7/07/16 SEE BELOW FED WAY 356TH n TOM W F786380 Quantity Product Code Description Ordered Shipped B/O Price UM Extended Price i I CU5TOMER PO#- 15015 - FED WAY 65PLUGHAND12 12 HANDTITE MECH TEST PLUG 1 1 13s.00000 EA 135,00 REWRITTEN WITH TAX FROM _ - SO# F301831 Jer- jwA Freight Delivery Handling Restock Misc Subtotal: 135.00 Other, .00 Tax: 3.2,84 Terse: NET 30 Ordered By: JAY - 12" PIPE PLUG Invoice Total: $147.84 This tr.....tion in 9.v.r..d by and subjoet to He Snpply Waterworks- standard term. no condition., which ere incorporated by reference end aa.epted. To review these Loran and ronditiona, please visiti H:r.vrrterworko.hdaupply.com/TandC. V I 3 ) 00000 Page: 1 r J' 0 L Paco Ventures L L C RENTAL INVOICE i 250 S. Webster St Invoice Number: RI-38518 SEATTLE, WA 98108 Invoice Date: 07/11/16 oa�rN+r�� United States of America Page: 2 Phone No.: 206-762-3550 772 hip To Address: Bras Inc Scarsella Bros, Inc r Nancy Pomeroy.,AP t Emergency) PO aox 68697 ebster St. Seattle, WA 98168 A 98108 United States of America tates of America Customer Pickuia Paco Reference Information Customer Reference Information Customer ID C14960 Phone No: 206-762-3550 PO#: 80031 ITEM#9004 Our Order No. RO.16665 Fax No: 206-763-4232 PO Date: 07/08/16 Salesperson Darrel Joh Email: AR@PacoEquip.com Items Rented Rental From/ Unit Item Description Quantity Tenn Thru Price Total Price �I Item Shipped:5100.10.010,Qty.2 -----Tax Breakdown----- Subtotal: 241.00 1 WASHINGTON 15.67 Tax: 23.14 SEATTLE 5.30 Total: 264.14 KING 0.00 ', SEATTLE, RTA TAX DIST 2.17 Terms Net 30 Days Due Date 08/10/16 Cyr Y I Customer No: 60467 '.. Invoice No: 2289821 pay Inv Date; 07/13116 Page: Page 1 of 1 1508 Valentine Ave SE S. Pacific,WA 98047 Return Service Requested=# iss++ '�}1j Customer Job: 83004 ,.,. F. 2622000330 PRESORT 330 1 SP 0 466 P201<> ;-��, ICON Materials IIIIr�IrI��rInIIIIIII��I�l�lrlllldd'IIIIII�IILIIJ)dll�ll)�I 1508 Valentine Ave BE SCARSFLLA BROTHERS,INC. Pacific,WA 98047 PO BOX BMW 208-676-3200 SEATTLE WA 961a6 0697 Delivered To: KENT Date Material QTY UM Unit Price Matt Total Tax Total Plant:01500 Auburn 5&G 07113/16 21/2'PERMEABLE AGGREGATE 17.15 TON 10.60 180.08 17,11 197.19 07113/16 518'-O'CRUSHED ROCK 15.11 TON 9.25 139,77 13.28 153.05 Total lnvolce: 32,26 219.65 30.39 350.24 Ticket number(s)shipped from plant 01500-Auburn S&G *16075313 *15075314 Involee Taxing Authority Summary: I/1702 AubumlKing County 9.59 WA0001 ICON-WA State Tex 20.80 E-INVOICING IS AVAILABLEI PLEASE CONTACT US TO GET YOU STARTED. /.1,0 00`(. oo�9ouy. do��w ncl , t9 All payments are due and payable by the due date shown on the lnvolce. We will assess up to the state's legal maximum rate for finance charges on delinquent accounts Invoice Amount: 360,24 Amount Paid: Customer Name: Scarsella Brothers,Inc. Customer No: 60467 Invoice#: 2289621 Date: 07113/16 Remit Payment To; ICON Materials Customer Job: 83004 PC Box 742421 Los Angeles,CA 90074 Due Date: 06/12M6 Plea.e Wovlde your...I1 eddrsa"low If you would Ilk.to.4n pc.ivina your Involn.via enull ��_� page 1 01 6)oolNN `•• f7pN N Z lfl 8 �k H"V N O � C7 v�v C tiUC). 4 M\�l0 fr)t-rOt r f�.1 c-Urn coaDi 2� Y A V '7HWtZ .5,k -k t a a FAO . 2 a;aW H wn coa7> H f-']U E-N F :�,:ra z W W I El 0 -1 U � r-1 ry0 iF: W E E a W a1 T E-E O D a 0 W U u) in H N N a rC w w ro W 5 W O o) h Z ®Ifi N ai O OlV H a+ H F4 lD �W00 N Hb x; Hen ar 2 Y' ,. » � w X H f�.iCJ `JN vi 7 m, b z cv� + �X W D W o ra UE W H Nr'') W C] �/zE- Ra ® ° d > yxy�� rH', tro .. H UDC O� n U �rW wa xx u wow'na wa �C oU aw rov w Fy�X�r Ez x fl, Z H a7 _ H h W to.''C m D Pa Pi . H F>CH m rn E W CJ rn cn aO E �a FI ,F a N U)m n `'w urhoz U na'W y H H A _ H YH a Invoice # F825897 ..�= pp�®,p Invoice Date 7/20/16 SUPPLY RI\O OIC Account # 113813 WATERWORKS KS Sales Rep THOMAS WALDMAN Phone # 206-722-4800 1830 Craig park Court Branch #301 Seattle, WA St, Louie, no 63146 Total Amount Due $10,088.24 HE' (r.' ErvEn Remit To: - JULn 0 g:p� HD SUPPLY WATERWORKS, LTD, UL ( P.O. BOX 6039 CYPRESS, CA 90630 i SCARS^gp ( xg PR,t.DFr�+. ON�r'. Shipped To: I, S CARSELLA BROS INC i�T/U(IA 19460 - 84TH AVENUE SOUTH ACCOUNTS PAYABLE 00000 KENT, WA PO BOX 68697 SEATTLE WA 98168-0697 i _____________ _._.._____________-- ______ ___ _______ _ Thank you for the y opportunity to serve goal We apprediate your prompt Bayment. Date Ordered Date Shipped Customer PO # Job Name Job # Bill o£ Lading Shipped Via Invoice# 7/15/16 7/15/16 SEE BELOW KENT REPAIR BDS TRK FS25B97 Product Code Description Ordered Shipped - B/0 Price UM Extended Price CUSTOMER PO#- KENP EMRRGENC'Y REPAIR 24AFTR07GALV 3/4 GALV(ZINC PLT)ALL THRD ROD 60 60 2.00000 FT 120.00 BID SEQ# 120 9607RC80 3/4 #80 PLATED ROD CBLO 6 6 1.00000 EA 6.00 BID SEQ# 130 24AFE1307409 3/4X4 90 DEG OFFSET EYEBOLT 16 16 3.50000 BA 56,00 BID SEQ# 140 24AFHN07ZII 3/4 ZINC PLATED HEAVY HEX NUT 16 16 .30000 EA 4.80 BID SEQ# 150 24AFF'W07Z 3/4 ZINC PLATED FLAT WASHER 16 16 .20000 EA 3.20 SET-UP FOR WEDNESDAY 6/15 DELIVERY TO JOBSITE WEST VALLEY HIWAY & APPROX SOUTH 262ND STREET KENT, WA SITE. CONTACT - JAY KRIER 253-954-6754 RICK KRIER 253-261-3716 BID SEQ# 160 THIS IS TO FIX TAX ISSUE ON SO# F677125 /. 0093004 00/ 9ao oo�r Freight Delivery Handling Restock Misc Subtotal: 9,213.00 Other: .00 Tex: , 1IE 875.24 Tarme: NET 30 — Ordered By, JAY - 12- WATER MATERIAL - Invoice Total: $10,088.24 .- Thda tram action ix governed by and ouJil.et to IM GOPPly Wat—darks' standard torea and eoaditione, which are incorpovated by reference and aaaopted. To review these forma and conditions, plaene vioit: www,watarworke.hdnopply.com/Tando, 00000 Page: 2 I Invoice 41 F825937. SUPPLYyqpg� Invoice Date 7/20/16 R N VOI`oeE Account # 113813 AT EPWORKS Sales Rep THOMAS WALDMAN Phone 0 206-722-4800 1830 cralg Park court Branch -#301 BeaLLle. ..WA dt. Lgnis, uo 6146 Total Amount Due $246.39 Remit To: p .# `�� v r HD OUPPLY WATERWORXS, LTD. 7 H (Y� V ;� P,O, BOX 6039 ' + 5 7 qfi -CYPRESS, CA 9.0630.,. SCARSELLA BROS INC 00/00002 1 2016 19 60na T84TH AVENUE SOUTH ACCOUNTS PAYABLE 00000 KENT, WA PO BOX 68697 9 SEATTLE WA 8168-0697 SCARSELLA BROS. MO. ------------'---------' -----"------' --"-'--'----------------------`------------------ Thank you for the opportunity to serve you] We a9Dreaiate your prompt payment. Date Ordered Data shipped Customer PO It Job Name Job B Bill. OR Lading Shipped Via Invoice{j 7/15/1( 7/15/16 SEE BELOW KEPIT P.EPAIR $Rp'P'I'Lf7 TRUCK F825937 Quantity Product Code Description Ordered Shipped 13/0 Price UM Extended Price CUSTOMER PO#- KENT W VALLEY REPAIR 092OE200I1 2X100-IPS PE TUBING 20OPSI 100 100 2.25000 FT 225.00 SET-UP FOR FRIDAY 7/8 ' DELIVERY TO JOBSITE JOBSITE IS ON WEST VALLEY HIWAY - APPROX 1-MILE SOUTH OF KENT-DES MOINES ROAD SITE CONTACT - JOHN AT 206-571-7277 THIS IS TO FIX TAX ISSUE ON SO# F789328 I . 00S36a -(. 00 004. c)otfm FreighL Delivery Handling Restock Mine Subtoltalt 225,00 Other: .00 Tax: Tems; NI+`y 30 Ordered fy] JOHN -. 711 POLY PIPE, invoice Dotal.:. $246,39 ` Thin tce..a.tian in governed by and eubje.t to m aupPly WatenaorkO standnrd tenon and conditions, wbiah are incorporated by reference and accepted. To review thee. to.. ..a condici..n, plena. vi.1t, xww.wat erwoxke.hdeugpiy.acm/TaodC. �v p0a0p Page; 1 Invoice !# F825799: - SUPPLY INVOICE �� � Invoice Date 7/20/16 Account # 113813 WATERWORKS Sales Rep THOMAS WALDMAN Phone # 206-722-4800 10i0 only Vnch curl Branch 1001 'Seattle, WA at. N0.633.4e Total Amount Due 094.59 R..i t To, gg 69 qq QQ� HD SUPPLY WATERWORKS, LTD. �0.l 21 2016 CYPRESS, SBOXS, 6039 �'1��� YPRG'�9r -0A Y0630 ed TO: SCARSELLA BROS INC SCAR BRM INC.�NC CUSTOMER PICK-UP ACCOUNTS PAYABLE 00000 PO BOX 68697 SEATTLE WA 98168-0697 _-----------____...._......_..-----------------------.--------------------___.------_____------------------ Thank you for the opportunity to nerve youl We appreciate your prompt payment. Date Ordored Data Shipped Custoolar. PO #I Job Nama Jab 11 Bill of Lading Shipped Via Invoicell 7/15/16 "1/15/16 SEE BELOW BMERGANCY WILL CALL F825799 !i QuestitY Product Cede Description Ordezed Shipped S/O Price UM Extended Price !'! CUSTOMER POM- EMERGENCY REP-W VALLEY 21112C20T 12X2 MJ TAPT CAP(I) CP DI C153 2 2 95.00000 EA 190.00 21IAMF712JMPM 12 MJ DI LUGGED RESTR PACK (I) 2 2 95,00000 EA 190,00 312ON040 2X4 STD GALV NIPPLE 2 2 3,00000 EA 6.00 33.209 2 STD GALV 90 BEND FIPXFIP 2 2 6.00000 EA 12.00 !!i 312ON480 2X48 STD GALV NIPPLE 2 2 27.50000 EA 55.00 3420759TOBLF 2 BALL VLV FP MATCO 759T08LF 2 2 45.0000o EA 90.00 FIPT NO LEAD TAX CORRECTION FOR SO# F661908 (. bC1 `a'.5ar�'-I. C�6! `104�1 C�ol�Y�1 Freight Dolivory Handling Reatock Mien subtotal: I 545.00 Other: DO Tax: 0 ( S 53. 9 Terms: N2T 30 Invoice Total: *5..94..59 This traneaation L. governed by and aubjo.t to We supply Natervorke' etendard torte end geuditlonar Which are Incorporated by reterance and ecceptad. To review thee. to. and e.nditionei plea.. viaiti WwW.wat arwarka.hdeupply.aot/TflndC. 00000 Page: 1 �� I Invoice # r825518 Invoice Date 7/20J16 � SUPPLY, INVOICE Account # 113813 WATERWORKS Sales Rep THOMAS WALDMAN Phone # 206-722-4800 ' 1830 Cra1g var:k ceurc. Branch 1001 Seattle, WA at, Leyio, NU 611j$: T�� Total. Amount Due a145.61 I�7 Remit Ta; HD SUPPLY WATERWORKS, LTD. JUL15 2 J.9 2010° P.O. BOX 6539 41 �y1U CYPRESS. C1�-- 9P61(1 - i Shipped Tot SCARSE,LLA BROS INC aSCA U BROS, INC. CUSTOMER PICK-UP ACCOUNTS PAYABLE 00000 PO BOX 68697 SEATTLE WA 98168-0697 ------------------------------..-___-----------------------------...____-___----______-_---_____.-__-_-__.___-. Thank you Ear the Opportunity to serve yowl we appreciate your Prompt PAyma¢t, Date Ordered Date Shipped Customer PO if Job Name Job It till of Lading Shipped Via Invoicelt 711511. 7/15/16 SEE PELOW EMERGENCY WTR 1-1114Lc'ALL F02�518 ' Product Code DeaclipLion Ordered Shipped 13/0 Price UM Extended Price CUSTOMER PO#- EMERGENCY WTR/POS 3 L70N240 2X24 STD GALV NIPPLE 1 1 30.27000 GA 30.27 1120N48U 2X48 STD GALV NIPPLE 1 1 5w.29000 EA 53.29 312.08 2 STD GALV CPLG 3 3 4,77000 EA 14.31 96PTDQT QT. TEFLON PIPE DOPE 1 1 35.11000 EA 35.11 J 009wo4. C96 scat j. ool lryl Freight Delivery Handling Raotook Miec Subtotal: 132.98 OthO±: ,00 Text 12.63 Texme: NET 30 orderad by;. CANEY 4OLSON. Invoice Total:. $145.61 Tate traneee tioa Se pavarned by end subject to 3m 6epply weterworkal standard torme and eooditione, which are incorporated by reference and aeeeptod. To review thaee terms and aanditione, pleeae visit; MM.wacerworke.haaupply.com/TaadC. 00000 Page: 1 C,Yt 1�1�- Invoice # F860954 SUPPLY Invoice Date 7/27/16 INVOICE Account # 113813 WATERWORKS Sales Rep THOMAS WALDMAN Phone # 253-640-5505 1930 Craig Park Court Branch #302 Puyallup, WA St. LouiB, MO silos -Total Amount Due $1,429:53 Remit To HD SUPPLY WATERWORKS, LTD. P.O. BOX 6039 CYPRESS, 'CA 90630 Shipped Tc: SCARSELLA BROS INC 000/0000 19460 - 84TH AVENUE SOUTH ACCOUNTS PAYABLE 00000 KENT, WA '.. PO BOX 68697 SEATTLE WA 98168-0697 ----------------------------------__.._._____.---------__----------_---------------------------_.______---_...,_._a Thank you Pot the opportunity to nerve youl We appreciate your prompt payment. Date Ordered Date Shipped Customer PO # Job Name Job # Bill of Lading Shipped Via Invoice# 7/26/16 7/26/16 SEE BELOW ICENT W VALLEY HDS TRK F880954 '.. Quantity Product Code Description Ordered Shipped 13/0 Price UM Extended Price CUSTOMER PO#- KENT EMERGENCY REPAIR 70FSD2021320IP4 FSD202-1320-IP4 12X1 SADDLE 4 4 115,00000 RA 460.00 BID SEQ# 170 3610FB50ONL FB500-4NL 1 BALL CORP STOP 4 4 50.00000 EA 200.00 MIPXMIP NO LEAD BID SEQ# ISO 391OC1644GNL C16-44GNL 1 CPLG FIPXGJ(PE) 4 4 22.50000 EA 90,00 (NO LEAD) BID SEQ# 190 391012IS372 #53 - #72 SS INSERT 1" IPS 4 4 2.25000 EA 9.00 SDR-7 OR 1-1/4 CTS SDR9 INSERT-53-72 BID SEQ# 200 391OPTM2NL PTM-2NL 1" DES INSERT MIPXRIB 4 4 13,50000 EA y4.0u F/PE IPS PIPE (NO LEAD) BID SEQ# 210 65071S8SHC ID-DIV 6816 .75-1.50 SS HY-GR 10 10 1.00000 EA 10.00 CLAMP BID SEQ# 220 091OF200I3 IX300' IPS PE TUBING 200 PSI 300 300 ,65000 FT 195,00 BID SEQ# 230 9614TWSBLSOO 14GA COP WIRE SOLID BLUE 500' 1 1 65.00000 EA 65.00 BID SEQ# 240 3110C 1 STD GALV CAP 4 4 1,25D00 EA 5.00 21T12AF 12 MJXFLG ADPT (I) CP DI C153 1 1 190.00000 EA 190,00 24AFBNKZ12 12 ZINC PLTD HEX BOLT&NUT KTT 1 1 21,00000 EA 21.00 24AFGFR12A 12X1/8 FLG FF RR GASKET 1 1 6.50000 EA 6.50 i CONTINUED. . . Page: 1 00000 k invoice ik. 11880951 SUPPLY Invoice Date 7/27/16 INVOICE ACcount fk 7.1397.3 WATERWORKS Salem Rep THOMAS WALDh1AN Phone 4 25.3-840-5505 lu30 Craig Park caPrt Branch 11302 Puyallup, WA sr. ,.Quia, 11.0 63145. Total Amount Due. $1,429,53.: Remit Tp: RD 9OPPLY WATERWORKS, LTD. (ski }3 p,0. BOX 6039 !§ 3, r 4'' d,�16 CYPRF&9, CA 90630 ShiSCARSELLA BROS INC SCAR Ed B S, INC. 19400®a T84TH AVENUE SOUTH r ACCOUNTS PAYABLE 00000 RENT, WA PO BOX 68697 SEATTLE WA 98168-0697 ---------------_____..--------------------.,___-______._-______--____-_----_--_______--____-___--._____"_-., Thank you for the opportunity to Serve youl We appreciate your prompt payment. Date Ordered Date Shipped Cuatomer PO It Job Name Job it Bill of Lading Shipped Via Iuvoicelk 7/2G/16 7/26/16 SCE ❑GLOW Y.CNT V1 VAI,WY 11AA TRK PI180954 Quantity Product Code Deecription ordered Shippad ❑ O Price U14 Extended Price CUSTOMER PON- KENT EMERORNCY REPAIR I. 00 4i3�c3y,C�a � 9ooy.nokl Freight Delivery Handling Restock Mina Subtotals 1 ,305.50 Other, .00 TaX, 124,03 Term., NET 90 Order ui by, 'ZAY - SiBIVxCE 14ATERT_AI. Invoice Total: $:1,.429.53.:_ Thin tt.neaatip. in governed by and oubjoet to M supply W®terworkaP ataxderd terms and conditions, which are incorporated by reference and excepted. To review these terms and conditions, ploaee vioite www.wetarvorka.hdanpply.com/Tande. J naonn Page; 2 � J. City of Kent-72nd Ave S Extension S 196th St to S 200th St Project#08-3004 West Valley Bridge Emergency Repair Date Subcontractor Labor Equipment Materials Total 6/9/2016 $ $ 457.64 $ 25.23 $ $ 482.87 6/10/2016 $ $ 2,175.91 $ 1,315.98 $ $ 3,491.90 6/13/2016 $ $ 8,583.63 $ 4,839.43 $ 17,563.76 $ 30,986.82 6/14/2016 $ $ 2,197.89 $ 913.96 $ - $ 3,111.85 6/15/2016 $ $ 356.19 $ 36.95 $ $ 393.15 6/16/2016 $ $ 1,353.78 $ 128.60 $ $ 1,482.38 6/17/2016 $ $ 1,028.08 $ 321.19 $ $ 1,349.27 6/20/2016 $ $ 445.24 $ 43.11 $ $ 488.36 6/22/2016 $ $ 285.84 $ 73.91 $ $ 359.75 6/23/2016 $ $ 363.37 $ 100.70 $ $ 464.06 6/24/2016 $ $ 706.51 $ 332.24 $ $ 1,038.75 $ $ 17,954,08 $ 8,131.31 $ 17,563.76 $ 43,649.15 I I lll \ r< � � , , , , , ) : ® ) � \ \ ) ) � � � ) \ & G : j § IX » � (� � } \ � � � � � ) § OWO [ o ) § \ k \ - b ; k \ ( ) \ w § § » _ - 0 \ 0� ( ° § / . . . . , . . . . . § . , . . . } / ~ 2 ) . . , , . . . \ 0 \ � � \ , , , � - , _ , , , , , , � � . . � , \ , , , , � § \ ( : § ) ) \ v 7 } } / � k \ T : K : 5 : 5aOWOMW5WOWOWO \ ) \ 0 ` } | 0 ) \ f 2 , z } k ) \ § ) \ _ w ) ( \ \ / ) j0 f2 „ ) � � \ \ \ \ \ } � \ \ § § K F— 0 \ ( \ ( \ ( \ ( \ \ \ ( \ ( \ ( \ ( \ ( \ ` � \ _ z i! § \ ! { ( ) ) ) , / \ ! } 2 ! 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One Chase Manhattan Plaza, New York,NY 10005 Overlillr i]PMorclIanChase, 131 S.Dearborn 6th Floor, Chicago, IL 60603 Attn:Skyline Steel, LLC,Box247Y1, (312)-336.2744 Ship-To Scarsella Bros,19440 84th Ave S,Kent,WA 96032 Our Order 203613 Your PO 38161 (6/9/2016) Trade Terms Freight Included Packing List 12429-1 On 6/15/2016 From LON By Common Carrier Item 1-1 AZ Double Hot Rolled SSP A572 Gr.50 Bare 6 PCS 19,354LBS Price Amount AZ19.700 x 30' 75.00/CWT 14,516.50 CHandling Holes .. . , .............................. ................................_-.......,..........,.......................... 2.1 onnector ASTMTM A572 Gr.50 Bare 1 PCS 291 LBS 14F x 30'1" 0 45.00lFT 0.00 Totals 19,646 LBS Amount `, 14,51.5.50 WASHINGTON 6.50% 943.61 WA-NO TAX2 0.00% 0:00 WA-NO TAX3 0100% 0,00 III Pmt Check KENT 3.00% 435.47 Payment Due On 7/15/2016 Total Due (USD) 15,894.48 Inside Katie Mitchell -- — fD Outside Nam Nguyen p$ (253)248-4760 4i(253)922-2728 Taken-by Sip Katie Mitchell ',. C11F)) � 3eoo83onH.onooY, 00( Customer Copy /201201601:49 PM ❑ 1 1 Petersen Brothers, Inc. 2008 East Valley Hwy ° Sumner,WA 98390 (253)863-8136 f t.j-,1 Scersella Brothers, Inc. INVOICE ID: 1611201 P.O. Box 68697 DRAW ID: 1611201 Seattle, WA 98168-0697 DATE: July 16.2016 SALESPERSON: CONTRACT ID: 16-112 CUSTOMER ID: SCARSELLAB 261 st&W Valley Hwy FA Rpr PO#: LOCATION: 1715 Kent/Use Tax Item Description Units Unil of Unit Total Units Units in Curcant Contracted measure Pdce in Place Place this Billing Period 1 East&West Side Repairs FA 1.00 LS 5,624.37 1.00 1.00 6.624.37 Total 5,624.37 Invoice Sub-total 5,624.37 Amount due this Invoice $5,624.37 Billed to date: 5,624.37 Paid to date: 0.00 Retainage Total amount due: $5,624.37 Current week quantities are estimated and subject to verification and adjustment at contract completion. For questions regarding this billing please contact Jean Denison at 253-863-8136, ext. 126. Pet li" baeffww, Sae, 2008 FAST VALLEI'HIGHWAY 50MNER,WASHINGTON 98390 (953)833QBA(26318038130 FAX(253)903 5951 For Week Ending In ly 16,2016 Petersen Brothers Inc,would appreciate your timely response on force accounts. Termst Net 30 Days Somalia Brothers,Inc. P.O,Box 68697 Seattle,WA 98168 '•1'Iravc rrviro'vus110ed lw)rn0 taunt'dhrpu'rriOnr Dinv. ' RE:261s1 and W.Vnlley Hwy PBI9 16-112 j 7/1916 East end West Side Rapids Fore.Accovol I ' Lahor Regulnr Ovenme, Double Time -- Michael Miller-ForemaNOperetar 3,50 Q $ 63.59 Q (a) § 222.57 Michael Miller-FOrem WOpemlor 5,00 Q S 66.97 Q Q S 334.85 Ralph Stanley-Laborer 8.50 Q $ $138 Q Q $ 436,73 Brandon Premock-Laborer 700 Q § 5138 Q Q $ 359.66 Justin McDonald-Laborer 2.00 Q S 51.38 Q (u) $ 102476 $ 1,456.57 29% S 422.40 S 1.878.97 Eoulomeee Regular _ titaudhv 2001 Mask'frad.r W Aager S Punch 219 8,50 Q § 183.94 Q $ 1,563.49 1989 Mack Tractor w/Creme 71 8.50 Q $ 85.15 ® $ 723.78 2010 Chev Crewiruck 212 8.50 Q S 24.00 ® $ 204.00 2001 Chev Csbaver 166 8.50 Q $ 25A3 Q $ 219.36 1990 Soundline FB Trailer 19'T-32 8.50 Q § 298 Q $ 25.33 $ 2,736,15 21% $ 574.59 $ 3,310.74 material 'I'rm,41 nu Repair parts 6x8x6'Wood Post(RA) 2.00 Q S 21.00 S 42.00 6x8n14"Wood Block(EA) 4.00 Q $ 9.50 $ 39.00 8x8x22"Block(EA) 1,00 Q $ 7.00 S 7.00 5/8"x 14"Moslerbolt(EA) 5.00 Q $ 1.80 $ 9A0 5/8x4-1/4"Splice Bolt(EA) 52,00 Q $ 0.42 $ 21.84 5/8"Nut(EA) 52.00 Q S 0.38 S 19.76 Ouardmil Steel 6'3"(RA) 1.00 Q S 30,82 S 30.82 Guardrail Radius B'Sleel(EA) 1.00 Q $ 50.20 S 50.20 Terminal"G"End(EA) 1.00 Q $ 62.00 $ 6200 6xa.14"Woad Block(EA) 1.00 Q $ 9.50 $ 9.50 5/8"Washers(RA) 10.00 Qa S 0.19 $ 1.90 5/8AA/4"Splice Bolt(EA) 29.00 Q $ 0.42 $ 12,18 5/8"Nut(EA) 29.00 Q $ 0.38 $ 1 LID Anchor Post(EA) 1.00 Q S 15.50 $ 15.50 CRT Post(EA) 1.00 Q $ 28.50 S 28,50 $ 359.22 LI% $ 75,44 'Please forward WSDOT force account paperwork. S 434.66 'a W hen paying on force account please send WSDOT paperwork With check. TOTAL S 5,624.37 Thank you, Jean Deal... AIR Department cc:file uwimi,m veaan nwaen ee.�acsa rims mmo-mv... svuvaan.Dame,.aomcr Inrr�n Petersen Brothers, Inc Scarsella Brothers Inc. 261at&W.Valley Hwy PROJECT LABOR LIST Payroll one a per nour ns W of Wa o PacHoUr SS Rare Per our WageRater of Work '7.65% 0.60% 5,72% 758RD before 29Y=Mark-u Fm OT OT Fringe Safety_ Health FICA FUTA SUTA L&I on. 'OT DT Group 2-2uardrall Punch Au ar 36:4A 70.00 - 2.134 0.23 2.20 159 s" 6340 .-- 67.88 18.00 4.41 0.35 3,30 159 5,,.= 85.3 7tl.88 1800 - 5,88 0.46 4.40 1.69 ..` 107.21 Y 3 3 kd.3Hr�::.• V.si }"t ::"(ei " -''J: �' 1sLIY Y}•p'�v`d' Grove,2-Guardrall Punch/Au ar Foreman 0.671 3.18 025 2.38 1.69 66.97 62.36 18.00 4,77 0.37 3.67 1,69 , .r;;r 90,65 83,14 MOD ___.-... 6.36 0.60 4.76 1159 7_1 _ _. 114.35 Grour,3-Crane under 19 Tvvl Attach 3890 18.00 - + 2.91 0.23 2.17 159 "i: 62.90 _ 57.00' 18A0..^ - 43A 6,39 3.26 169 8445' _78.00 _18.00. - - 5.81 0.46 4.36. 169 ,-,--- 106.21 Groea-3-Crone Under l9 Tw/Attach(Foreman) _ -_ 40.00 78,00 - :. 3.06 0.24 2.29 1.59 85.18 60.00 10.00 - 4.59 0.36 3.43 1.59 07.97 00.00 18.00 6,12 0 8 4.68 1.59 +%. 110.77 Group y draw Ic Boom Truck Over 10 Ton 38 00 18 00 2.91 0.23 217 1.69 02.90 57.00 1 0 4.36 0.94 3,28 159 '04m 760U 18 UO 681 0.48 4$6 iG9 �. .- 10G21 j 7777 i F.., ,' 77717 _^j: x t - `@f .1• Groupe Bo om Truck Over 10 Ton Foreman _ •10,00 18.00 3 06 -�� "29 1.69 �j 65-18 B0.00 18A0 1 4.69 0.30 3.43 1.59 ,"*_:' 87X 80.00 18,00 6.12 0.48 4.50 .59 ' v 110.77 77777 Group4-A9aletant Engineer :c 35,67 18.00 2,72 0.21 2.03 1.59 ; -I` 80.12 63.36 18.00 4.08 0.32 3.05 1.59 °' 80.39 7L14 16,00 5.44 0.49 4.07 1.50 100.67 .n§S�zr'+'=:f :3+rnm .. - Grou p4-Assistant En sneer.Foreman _ 38.G1 18.00 All 2.21 159 °P,e+ 63.59 67.92 1B.(m 3,31 1.69 1-;.5 85.69 M00 4.42 1.69 {,'a` 107.60 'A 777777 PayYOIITaxeb ins J x f ¢ -,T-^'• '_ ono to par es%of se Par Hour #Rate perI our Wage Rates Hour of Work ,7.05% 0.60% -5.72% 158650 My before 29%Mark-u Ro OT I OT Fringe I Sales yoallh FICA FUTA SUTA L&I ;,"7 Ro OT DT Grou 3 penerat Laborer " ... 34.42 f0.5G - 2.83 021 1.97. 1.59 �! 51.38 61.83 10.50 - 3.95 0.31 2.95' 1.59 '3�t 70.99 68.84 D.Gfi - - 5,27 0.41 3,04 .59 -_s: 90.61 Group77 3-Genoral Laborer Foreman Inc ._ BA,30 10.58 - 2.63 D-21 1,97 159 _�. 5135 -- 51.59 10.56 3,95 0.31 2.95 169 ="` 70.94 08.7fl 10.56 5.26 0.41 3.93 159 :#aa; 90.63 Group 2G• rnh"lo Control Su ervisor_ Y9,28 10. 66 2.24 0.18 1.67 169 46.62 43.8'1 10.56 - - 3.36 026 2.61 1.69 62,20 58,66 10.66 - - 4.48 0.35 3.36 7 9 777 78.09 Grou 2A.Fla er 10.56 - - 3.0 0. L53 159 *xn 42,68 40.05 10.56 3.05 0.2424 2.29 1.59 57.78 53.40 19,56 4.09 0.32 3.05 1.59 73,01 � _ 1 i Apprentice Project Labor List Paytoll Tees one per as%ol Wage nor Hour WkAl URele er our Wage Role$ Hour of Work 7,65% 0.60%1 6.72%, 153050 befor920%Markin Re.. OT OT Frin a Safety Health FICA FUTA I SUTA L&I Reg. I OT DT v-. t „e . j.ia.�^d» N a'-vN.k 60%Ap ronlice IMMI I _ 20.03 _ _ 10.56 --�_ 1.63 0.12 1. 6 1,68 34.96 30.05 10,56 210 0.16 1,72 1 SA ""„'':fn 46,39 _40,06 1066 - 3.06 0.24 2.29 159 iAFi 57.80 TIE= 5 70%Ap rentice 23.38 10.58 1.79 0.14 7.34 159 s. 38.80 -3507 .6 2.68 0.21 "2.01 1,69 - 52.12 4078 1066 36U 028 267 159 AM 5544 8 e'Aporentloo 26.72 10.56 - 2 04 0.16 1.53 1.59 40.08 10.56 3.07 0.24 -2.29 159 a 57.83 63.44 0.56 4.U9 U.32 '3.06 1.59 ?-'x,:-„ 7300 ,, ,s.x.. 90%Aporentice I nml 10.56 2.30 0.18. 1.72 159 •>! 46.41 45.09 10.66 3.46 0,27. 2.68 1 69 M= 63.54 60.f2 -TO.56 4.60 0.36 3.44 159 ::- 00.87 Full Rate 333E Goneral Laborer-Group III i Employment Security Department WASHINGTON STATE Tax Date Notice ESD number: 000-345832-00-2 2083 UBI number: 600-072-474 PETERSEN BROTHERS PETERSEN BROTHERS INC Mailing date: December 30, 2015 2008 E VALLEY HWY E If you want us to review your SUMNER, WA 98390-9579 tax rate, the law says you must send us a request in writing by January 29, 2016. I Your tax rate for 2016 will be 5.72%. Your new tax rate is lower than last year. Your tax rate is a regular taxable employer experience rate calculation. Unemployment Insurance(UI)tax rate based on experience 5.40% N You pay tax on an Uf social cost rate 0.30% bemployee's wages � Trust Fund solvency surcharge 0.00% only up to the n 2016 taxable UI limit deduction(This deduction reduces your rate to the maximum rate.) 0.00/o wage base: Subtotal of unemployment insurance rate 5,70% S Employment Administrative Fund(EAF) 0.02% $44,(!00 Totab of the above tiur rates 5.72% Your tax rate 1'or 2016 is based on the following benefit charges and taxable wages. Experience Year Benefit Charges* Taxable Wages" 07/01/14- 06/30/15 $175,186.06 $1,931,802.48 07/01/13- 06/30/14 $155,179.95 $2,498,163.89 07/01/12- 06/30/13 $206,070.57 $2,433,560,09 07/01/11 -06/30/12 $369,016.55 $2,033,187.76 Total $905,453.13 $8,896,714.22 — 0.101773 Benefit Charges divided by Taxable Wages equals Benefit Ratio Based on your benefit ratio,you were assigned rate class 40. *Benefit charges are your share of unemployment benefits that wu paid to your former employees. **Taxable wagon are the total amount ofpyour employees' wages (in which you paitl taxes. Please contact us if we can assist you. To learn more about how your tax rate is determined,please visit asil.v a.go-,tax-rates. For tax rate questions and corrections: For account questions: Employment Security Department Employment Security Department Experience Rating Unit AMC Olympia (Seattle) PO. Box 9046 PO Box 9046 Olympia, WA 98507 9046 Olympia, WA 98507-9046 360-902-9670 360-902-9202 fax 855-829-9243 800-794-7657 fax ID 1026(12/31109)EMS 174 Tax rate notice Rate,Notice: wA WOrKers r,orn cMauvu � THIS IS ' t ' ee° Stain ofWashloglon NOTA January 1, _2016 0. 7670 ® '� Oeperimam of Lolfar and induslrlesHE BILL ® pO nos 44140 ® Olympia WA eOSO4-4140 12-03-15 July 1, 2011 - June 30, 9014 w r _ 600 072 474 m policyholder o PETERSEN BROTHERS 698,436-00 71999017 ® 2oa0 E VALLEY HWY E in® SUHNER WA 98390 ® CHRI57YRA SUiOlERS IQn _ (360)902-5140 w N M What went into Calculating your 2016 workers' comp rates? t. Change in Lkl average 'base' rate: 2% general rate increase for all 324 risk classifications, 2, Changes in Industry costs: Changes in claim costs compared to premiums collected for your industry ( 'risk class') in which some or all of your employees worked. Based on the medical, wage replacement and disability benefit costs S. Your Experience Factor: for worker claims on your account, during the experience period listed above, 4. A claim-Pram discount: You don't have a claim-Prme discount. Learn how to earn a discount at www.Lni.we,govlcfalmfreeDiscount. Pay your premiums online:xww.Lni.wa.gov/ouarterlyReparts Haveapayrogservke? Need hall;understanding this nolkel call your account manager at the phone number shown above. Sendthemacopyalthlsnotice, 6201-0Y Brddsalatn® Crossing Cansfla®r 2,6694 0.9426 0.0490 6.0952 02.5375E BB.43465 MOM 0201-02 11ed1otJaef Wslls - aoatixsys 2.2491 0.9all 0.0356 0.0952 62.1"45 69.416a5, 02.6950 6219-90 H18hkN' LtentKl� lost !!aC 1.6106 0.6435 0.0242 0.0952 01.50559 U.51060 01.a971 . a.1952 00.07050 16.05616 06.15M 4904-00 Cilws"l Office Mc a omffewr 0.9261 ( 12 0.6064 4911-06 Construotlen Estla®tsrs 0.1013 0.41166 0,0015 0.6952 00.11l"D 00.07059 0e.agaa Wzo6-79 Contractors Pore Yard er ShOP 0.6273 0.5160 9.0993 4.8952 110.66995 te.t7575 08.0457 Ail All&� 1,0000 This is the Withhold this On the .9001 employer's amounthom Quarterly fi .7a7B. contribution employee Report,the r ' . loworkers' pay lot each employer will " comp coverage. hoUrMrii it is mumberply this e work His their number by the contribution to houre miked What's an eX/70r(enCe(aCfOr7 base t01s tots workers'mmp to calculate Factor Factor Faster Morava, premlums. See back for an explanation. ,. Equipment atc " www.equipmentwetch.com All prices shown In US$ Rental Rate Blue Book® June 14.2016 On-Highway Truck Tractors Miscellaneous Models !, Size Class: Gross Vehicle Weight 46,001-60,000 GVW Configuration for On-Highway Truck Tractors Power Mode Diesel Horsepower 400 Axle Configuration 6X4 Maximum Gross Vehicle Weight 50,000 Ibs ! Horsepower 400.0 Equipment Notes: Non-Sleeper Cab Blue Book Rates "FHWA Rate Is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate`" Operating Coats Monthly Weekly Daily Hourly Hourly Hourly Published Rates $3,670.00 $1,030.00 $260.00 $39.00 $49.80 $70.65 Adjustments Region ($62.39) ($17.61) ($4.42) ($0.66) 9$,((yVyyashinglow Model Year(2001: ($436.52) ($122.51) ($30.93) ($4.64) 87.0%) Ownershlp(100%) - Operating(100%) Total: $3,171.09 $880.96 $224.05 $33.70 $49.60 $67.82 Rate Element Allocation Element Percentage Value Deprede0on(ownership) 44% $1,614,801 mo Overhaul(ownership) 43% $1,576.101 mo CFC(ownership) 4% $146.801 mo Indirect(ownership) 9% $330.301 mo Fuel(operating)Q$SA6 68% $33.91/hr Revised Dale: 2nd Half 2015 i All telfal herein 0 2003-2016 Penton All rights reserved. Page 1 of 1 EquipmentWWW viww.equlpmentwetch.wm Al prices shown In US$ Rental Rate Blue Book® June 14,2016 Guardrail Post Driver/Augers For Truck Mounting Miscellaneous Models Size Class: All Configuration for Guardrail Post Driver/Augers For Truck Mounting Horsepower 100 Power Mode Diesel Horsepower 1100.0 Driver Type 8"x8"x10'Drophammer Maximum Auger Size 24 Blue Book Rates "FHWA Rate Is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate"" Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $4,105.00 $1,160.00 $290.00 $44.00 $16.90 $40.22 Adjustments Region ($65.68) ($16.40) ($4.64) ($0.70) 98(Washington: Model Year(2007: ($662.45) ($185.58) ($46.80) ($7.10) 63.6%) Ownership(100%) - - Operating(100%) Total: $3,376.87 $iM8.02 $238.G8 $38.20 $16.90 $36.09 Rate Element Allocation Element Percentage Value Depreciation(ownership) 64% $2,627,20/mo Overhaul(ownership) 4% $164.201 mo CFC(ownership) 9% $369A5I mo Indirect(ownership) 23% $944.151 mo Fuel(operating)0$3A6 77% $13.081 hr Revised Date: 2nd Hall2015 I P�II mated l h�rjn 4 2003-2016 Penton All rights reserved. Page 1 of 1 h I l`e�g, 1 I JAV 14 w .equlpmenlwatch.com All prices shown In US$ Rental Rate Blue Rook® June 14,2016 Reedrill TEXOMA 330 Vertical Earth Drills For Truck Mounting Size Class: Kelly Bar Size Under 6"(O.D.) Weight: 17,000 lbs. Configuration for TEXOMA 330 ! Power Mode Diesel Average Drill Depth 1201n Kelly Bar Diameter(O.D.) 3.0 In Horsepower 115.0 Transmission 4Speod - Equipment Notes: Rates do not Include augers.NOTE:The average rates listed for vertical earth drills are representative of typical rigs.Actual costs will vary widely according to specific setups and equipment usage. _ Blue Book Rates '•FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rats" Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $7,130.00 $1,996.00 $500.00 $75.00 $45.95 $86.46 Adjustments Region ($1D6.95) ($29.92) ($7.50) ($1.12) (Washfngton: 98.6%) Model Year(2007: ($1,025.37) ($286.90) ($71.91) ($10.79) 85.4%) Ownership(100%) - - - Operating(100%) Total: $6,997.60 $11678,16 $420.69 $63.09 $45.95 $60.03 Rate Element Allocation Element Percentage Value Depredation(ownership) 54% $3.850.201 me Overhaul(ownership) 28% $1,996.401 me CFC(ownership) 7% $499.101 mo Indirect(ownership) 11% $764.301 me Fuel(operating)ijp$3.73 36% $16.91 1hr Revised Date: isl Half 2016 All materialltilr�ijQ 2003-�01I6 4entpn All rights reserved, Page 1 of 1 -1 1 117 �, �oc� c-1v ,0 www.eq uipmentwatch.ccm All prices shown In US$ Rental Rate Blue Book® June 29,2016 On-Highway Truck Tractors Miscellaneous Models Size Class: Gross Vehicle Weight 60,001 GVW&Over Configuration for On-Highway Truck Tractors Power Mode Diesel Horsepower 400 Axle Configuration 6X4 Maximum Gross Vehicle Weight 76,000 the Horsepower 400.0 Equipment Notes: Non-Sleeper Cab Blue Book Rates FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate" Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $3,945.00 $1,105.00 $275.00 $41.00 $51.05 $73.46 Adjustments Region ($67.07) ($16.79) ($4.69) ($0.70) rashington: 8.3%) Model Year(1988: ($822.12) ($230.28) ($57.31) ($8.64) 78,8%) Ownership(100%) - - Operating(1000%) Total $3,066.81 $865.93 $213.01 $31.76 $51.061 $68.41 Rate Element Allocation Element Percentage Value Depreciation(ownership) 44% $1,735.80!me Overhaul(ovmershlp) 43% $1.696.351 me CFC(ownership) - 4°% $167.60lme Indirect(ownership) 9% $356.051 me - Fuel(operating)Q$3,46 66% $33.91!hr Revised Dale: 2rA Half 2015 I i i All material herein 0 2003.2016 Penton All rights reserved. Pag9 1 tilt, f 47 uipmentWatch" I1 Co www.equipmentwetch.com All prices shown In US$ Rental Rate Blue Book® June 29,2016 National Crane 205-34 Articulated Cranes For Truck Mounting Size Class: Max.Lift Capacity 18,001-24,000 Ibs Weight: 12,500 Ibs. Configuration for 205.34 Power Mode PTO Maximum Boom Length 413.0 In Lift Capacity 22,000 lbs Equipment Notes: Fuel costs are not Included. Blue Book Rates FHWA Rate Is equal to the monthly ownership coal divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate`" Operating CostsII Monthly Weekly Daily Hourly Hourly Hourly Published Rates $2.225.00 $625,00 $155-00 $23,00 $5.95 $18.59 Adjustments Region ($42.27) ($11.87) ($2.94) ($0.44) (Washington: 8.1%) Model Year(1997: ($283.75) ($79.71) (319.77) ($2.93) 87%) Ownership(100914) - - - - Operating(100%) - Total: $1,898.98 $533.42 $132.29 $19.63 $5.951 $16.74 Rate Element Allocation Element Percentage Value Depreciation(ownership) 45% $1,001.25/mo Overhaul(ownership) 397. $867.75/mo CFC(ownership) 8% $178.00/mo Indirect(ownership) 8% $178.00/mo Fuel(operating) Fuel cost data is not available for these rates. Revised Date: l al Half 2016 All material}rereln m 2003-2016 Penton All rights reserved. Page 1 of 1 Z 12-, irl'�f (aft-e.�1 Equdpmentatch" www,equlpmentwetch.com L4 L,-)D All pdces shown In US$ Rental Rate Blue BOOM) June 13,2016 On-Highway Light Duty Trucks Miscellaneous Models Size Class: ', Not Hp 300 HP 6 over Configuration for On-Highway Light Duty Trucks Power Made Diesel Horsepower 340 Cab Type Crew Axle Configurallon 4$4 Ton Rating 1 Horsepower 340.0 Blue Book Rates F14WA Rate is equal to the monthly ownership cost divided by 176 plus the hourly eslimated operating cost, Ownership costs Estimated FHWA Rate" Operating Costs Monthly Weekly Dally Hourly Hourly Hourly Published Rates $1,090.00 $305.00 $76.00 $11.00 $18,25 $24.44 Adjustments Region ($18.53) ($5.19) ($1.29) ($0.19) (Washington: 98.3%) Model Year(2D09: ($58.93) ($16.49) ($4.11) ($0.59) 94.5%) Ownership(100%) - - - - Operating(100%) - Total: $1,012.64 $283.32 $70.60 $10.22 $18.25 $24.00 Rate Element Allocation Elenwnt Percentage Value Depreciation(ownership) 56% $610A0/mo Overhaul(ownership) 27% $294.301mo CFO(ownership) 7% $76.30!mo Indlreol(ownership) 10% $100.00!mo Fuel(operating)0$3A6 77% $14.12/hr Revised Dale: 2nd Half2015 All matelSal i,erfdn 0 2003-2016 Penton All rights reserved. Page 1 of 1 quipmentWatch" www.equipmentwatch.corri ���" AJ All pdms shown in US$ Rental Bate Blue Book® June 13,2016 On-Highway Flatbed Trucks Miscellaneous Models Size Class: Gross Vehicle Weight 19,601-26,000 OVW Configuration for On-Highway Flatbed Trucks Horsepower 200 Power Mode _ Diesel Axle Configuration 4X2 Maximum Gross Vehicle Weight 20,000 Ibs Horsepower 200.11 Blue Book Rates FHWA Rate Is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Coats Estimated FHWA Rate" Operating Costsi Monthly Weekly Daily Hourly Hourly Hourly Published Rates $1.350.00 $380.00 $95.00 $14.00 $19.60 $27.17 Adjustments Region ($22.95) ($6.46) ($1.62) ($0.24) ashington: ��yyyy W3%) Model Year(2001: ($212.33) ($59.77) ($14.94) ($2.20) 84%) Ownership(100%) - - - - Operating(100°%) Total: $1,114.72 $313.77 $78.44 $11.56 $19.60 $26.83 Rate Element Allocation Element Percentage Value Depredation(ownership) 49% $661,501 mo Overhaul(ownership) 30°% $406.001 mo CFC(ownership) 9% $121.501 mo Indirect(ownership) 12% $162.001 mo Fuel(operating)@J$3.46 70% $13.661 hr Revised Date: 2nd Half 2015 f i Al material herein©2003-2016 Penton All ri (e re erved. j I Page 1 of 1 i� uipmnVUatchm _ i �r ww,v.equlpmsntwatch.com 6 1 All prices shown In US$ Rental Rate Blue Book® June 14,2016 Non-Tilt Deck Utility Trailers Miscellaneous Models Size Class: All Configuration for Non-Tilt Deck Utility Trailers Number of Axles 2 Number of Tires 4 Hitch Type Tow Capacity 6.0 t Blue Book Rates FHWA Rate Is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate" Operating Casts Monthly Weekly Dally Hourly Hourly Hourly Published Rates $276.00 $77,00 $19.00 $3.00 $1.70 $3.26 ',.... Adjustments Region ($4.68) (s1.31) ($0.32) ($0.05) ((yyyyashinglon: 98.30.6) i Model Year(1990: ($44.60) ($12.49) ($3.08) ($0.49) 83.5%) Ownership(100%) - - - - Cperaling(100%) - Total: $225.72 $63.20 $15.60 $2.46 $1.70 $2.98 Rate Element Allocation Element Percentage Value Depreciation(ownership) 46% $126.501 mo Overhaul(ownership) 36% $99.001 mo CFC(ownership) 5% $13.751 mo Indirect(ownership) 13% $35.76/mo Fuel(operating) Fuel cost data Is not available for these rates. l Revised Dale: 2nd Half 2016 I' All ma`e4l herein 0 2003-2016 Penton All rights reserved. Page 1 of 1 i SUPERIOR WOOD TREATING INVOICE �.. {Lrri A DIVISION OF MANKE LUMBER,INC. 301461 Superior Woad Trebling 13702 Stewart Road,Sumner,WA 98390-9612 ' " Swunor(253)803-4405 800 422-3120 MAKE CHECK ;kYAB f4ND REMI :Menke Lumber-1717 Marino .dew Dr.,Tacoma WA 98422 SOLD TO:PETERSON ' SHIP TO PETERSEN BROTHERS, INC, J AN 1 2016 Custcnter P�ckyp 2008 EAST VALLEY HWY pp 13702 SteWart�ogidi�` !I SUMNER, WA USA 9839Ugr '—_ Sumner, WA i i Date: 1212212016 Ship Date: 12/18/2015 Routine: PICKUP Terma: 1.5%30 Days Salesman: Tom Cleary Cust.Pos: 9984 Cars: Yardorders: 99442E Treating S-1075 Destination: Sumner, WA Instructions DESCRIPTION FOOTAGE PRICE AMOUNT 6"X 8" 1 Hole Guardrail Post CCA 6,336 $21.00 $5,544.00 264/6 6"X 12" 1 Hole Guardrail Blocks CCA 4,480 $9.50 $6,080.00 640/14" LUMBER SUBTOTAL 10,816 $11.624.00 i i Tax-0% TOTAL 10,816 $11,624.00 If invoice Is paid on or before 1/21/2016,you may deduct$174.36 and pay$11,449.64 MANLUM INVOICE Page: 1 of 1 301461 SUPERIOR WC JD TREATING INVOICE 3r a e. A, A DIVISION OFMANKE LUMBER,INC. 301624 supadar weed Tmagng 13702 Stewart Road,Sumner,WA 98390-9612 Sumner(263)863-4496 800 422-3120 , MAKE CHECKS PAYABLE AND REMIT TO:Menke Lumber-1717 Marine View Dr.,Tacoma WA 98422 SOLD TO:PETERSON SHIP TO PETERSEN BROTHERS, INC. Customer Pickup 2008 EAST VALLEY HWY 13702 Stewart Road SUMNER, WA USA 98390 g Sumner, WA Data: 1/11/2016 Ship Date: 1/8/2016 '' "uthrtl: PICKUP Terms: 1.5a/30 Days vev _,-_ _ salesman: Tom Cleary Cust.PON: 9984 car W ! Yard Order M 103130A Treating#: 5.292E Daatmagen: Sumner,WA '... Instructions DESCRIPTION T FOOTAGE PRICE AMOUNT �! 6"X 8" 1 Hale Guardrail Post CCA 144 $21.00 $126.00 6/6 6"X 8"2 Hole Guardrail CCA 1,188 $7.00 $1,134.00 162/22" LUMBER SUBTOTAL 1,332 $1,260.00 I i i I r i I li Tax-0% TOTAL 1,332 $1,260.00 If invoice Is paid on or before 2110/2016, you may deduct$18,90 and pay$1,241.10 MANLUM INVOICE Page: 1 of 1 301624 TRINITY HIGHWAY PRODUCTS, LLC REMIT TO: voice: HS564388 2525 Sternmons Freeway -Dallas,TX 75207 Highway Products Inv Date:6/2114 Tel:800-772-7976 Fax:801-292-2145 P.O.BOX 951716 DALLAS.TX 75395.1716 Ship To Cost H Order 0 PLG Plant ROL 0 2008 EAST VALLEY HIGHWAY 565109 1221238 3 33 73108 Carrier CarrierComnt PRIME INC i SUMNER,WA98390- Freieht Ship Date Included 6/2/14 Terms: Net 60 Days Sold To Credit Remark: PETERSEN BROTHERS,INC. Cred'j`:'h.. S55083 2008 EAST VALLEY HIGHWAY Cu 'i/ie1'f0:. 3091 Pro er4'tl r r STOCK a i SUMNER,WA 98390 `i Sales Person: 0,RATFIEL➢ Unit Ordered Bal Due Shipped Description Price Amount (USD) (USD) 25 0 25 3000G CBL3/4X6'6/DBLSWG/NOHWD 65.00 1,625.00 140 0 140 3490G 5/8"X9"OR BOLT A307 1,15 161.00 800 0 800 35000 5/8"XIO"OR BOLTA307 1,30 1,040.00 50 0 50 3540G 5/8"X14"OR BOLTA307 1.80 90,00 Subtotal 2,916.00 Sales Tax-Authority 47 0.00 Tax Rate 0.000000% A17 1938 15—RESALE Total Invoice(USD) 2,916.00 CUSTOMER COPY 1 of i PO Box 699 - Pleasant Grove, UT 84062 'A Phone (801) 785-0505 a FAX (801) 785-1710 Universal Industrial Sales www.universalindustrialsales.com Invoice Invoice Number; 109076 Invoice Date; 07/2D/15 Date Shipped: 07/02/15 Customer: Ship To: Petersen Brothers Petersen Brothers 2008 East Valley Highways - 2008 East Valley Highway Sumner W1 ' ' 98390 Sumner WA 98390 Customer PO Number: 3424 Our Order Number: 58987 Project ID; 1506-GR-WA-28031 Project State: WA Project Description: Category: GR (GR) Washington, Stock Material •{per' j�t t :{ Q ,.M%T'*J f{ T �'°P�S 'X 10 {I TRUCK Amanda Heusser Jobsite Net 30 Days F101 s 07,000 EACH 5/8 x 1 1/4 Guardrail Bolt Galy. $.42I $2,940.00 F110 48 EACH 5/8 x 10 Guardrail Bolt Galy, $1.41 $67.68 F134 7,000 EACH 5/8"Guardrail Nut Galy. a $.38 $2,660.00 G114 10 EACH 12/ 12'-6"/6'-3" Std. Panel W/A 15'CONVEX RADIUS $51.88 $518,80 G114 10 EACH 12/ 12'-6"/6'-3" Std. Panel W/A 20'CONVEX RADIUS $51.88 $518.80 G114� T 2 EACH 12 / 12'-6"/6'-3" Std, Panel W/A 10'CONVEX RADIUS $51.88 $103.76 G153 24 EACH T 12/ 12'-6"/3'-1 1/2"Thrle Beam $85.52 $2,052.48 KA030.31 4 EACH WA Type 10 End Anchor(T-31 MGS) Ind: 12'-6"Anchor Panel, $329.90 $1,319.60 3/4 Wrap,Soil Tube, Soil Plate Cable Aseembly&Hrdwre(All Posts/Blocks Excluded) P160 481 EACH W6 x 15 x T-0" Post Std.� $104.24 $5,003,52 Total Items Cost $15,184.64 Freight (not taxed): Tax: $0,00 Total Invoice: $15,184.64 All bills and indebtedness, present and future, are due and payable at our office In Pleasant Grove, Utah together with interest from maturity at maximum legal rate and all expenses of collection, Sign Structures, Bridge Rail, Steel Fabrication, Anchor Bolts, Hiohwav Construction Products i PO Box 699 - Pleasant Grove, UT 84062 Phone (801) 785.0505 • FAX (801) 785-1710 ww•un iversal industrialsales.com invoice vv m 1/1 Invoice Number: 111042 Invoice Date: 02/18/16 Date Shipped: 02/16/16 Customer Ship To: Petersen Brothers Petersen Brothers 2008 East Valley Highway 2008 East Valley Highway i Sumner WA 98390 Sumner WA 98390 Customer PO Number: 3528 Our Order Number: 60874 Project ID: 1601-GR-WA:30683 Project State: WA Project Description: Category: GR (GR)Washington, MGS Panels for Yard Stock TRUCK Scottee Mace Jobsite Net 30 Days i_ _ { a "RO B... E.. W .` t� . 1 k -�"NN h'&.t IG110 ' 251 EACH 112/V-3"/T-1 1/2" I $30.821 $770.SOI Total Items Cost: $770.50 Freight(not taxed): $0.00 a'T �.•- � Tax: $0.00 Gh pb�� Total Invoice: $770.50 A MAR 1 7 201G Per All bills and indebtedness, present and future, are due and payable at our office in Pleasant Grove, Utah together with Interest from maturity at maximum legal rate and all expenses of collection. Sign Structures, Bridge Rail,Steel Fabrication, Anchor Bolts, Hiahwav Construction Products PO Box 699 - Pleasant Grove, UT 84062 Phone (801) 785-0505 • FAX (801) 785-1710 Universal Industrial Sales wvrye,universalindustrialsales.com Invoice 1/1 Invoice Number: 108093 Invoice Date: 03/31/15 Date Shipped: 03/27/15 Customer: Ship To: Petersen Brothers ZQi`� Petersen Brothers p 2008 East Valley�Highw �`\ 2008 East Valley Highw �� Sumner 1, 1. '' WA 98390 Sumner WA 98390 Customer PO Number: 3381 Our Order Number: 58169 Project ID: 1503-GR-WA-26880 Project State: WA Project Description: Category: GR (GR) Washington, Stock Material TRUCK Dan Albaugh Jobsite Net 30 Days NNNW}}t' ,"'. r - ffi �t:. ,.." u `� :�... F418 40 EACH 1/2"x 1 1/4"A325 Special Shoulder Bolt(SKT 350 and FLEAS $3.04 $121.60 w/2ea 1/2"A325 FW, and lea 1/2"A325 Nut. G112 7 EACH 12/ 12'-6"/T-1 1/2"W/A 60'CONCAVE RADIUS(4"Rise) $50.20 $351.40 G112 10 EACH 12/12'-6"/T-1 1/2"W/8'CONVEX RADIUS(28"RISE) $50.20 $502.00 G112 10 EACH 12/12'-V'/3'-1 1/2" W/ 10'CONVEX RADIUS(22"RISE) $50.20 $502.00 G112 6 EACH 12/12'-6"/T-1 1/2"W/5 CONVEX RADIUS(41"RISE) $50.20 $301.20 G251 10 EACH 10/6'-3/T-1 1/2"Transition A Sym. Left (WA RIGHT) $182.85 $1,828.50 G269.31 5 EACH 12/15'-7 l/2"/2@6'-3"&1 @ T-1 1/2" FLEAT/SKT Panel for MGS ® m$111.00 $555.00 SKT KA030.31 10 EACH WA Type 10 End Anchor(T-31 MGS)Incl: 12'-6"Anchor Panel, $298.60 $2,986.00 3/4 Wrap, Soil Tube,Soil Plate Cable Aseembly&Hrdwre(All Posts/Blocks Excluded) 1`A063 15 EACH SKT 350 TL3 End Anchor-2 Tube System (Complete 50'-0" $1;289.74 $19,346.10 System)(V-0"Soil Tubes)w/Timber Posts KA063.32 10 EACH (Washington)MGS SKT-SP 40'-7 1/2"Terminal (7 Post Systems) $1,383.74 $13,837.40 Includes: 15'-7 1/2"Anchor Panel,Standard Panels, Steel Posts, MGS Plastic Blocks, Impact Head,Cable Assbly, Bearing Plate& Hdwr.-Galv ® Total Items Cost: $40,331.20 Freight(not taxed): Tax: $0,00 Total Invoice: $40,331.20 All bills and indebtedness, present and future, are due and payable at our office in Pleasant Grove, Utah together with interest from maturity at maximum legal rate and all expenses of collection. Sign Structures, Bridge Rail,Steel Fabrication, Anchor Bolts, Hlahwav Construction Products ;` TR TY C i P � a JC' `S, C REMIT TO: Invoice: IRS548109 2525 Stemmons Freeway-Dallas,'rX 75207 Highway Products Inv Date;l l/14/13 Tel:800-772-7976 Fax:801-292.2145 P.O.BOX 951716 DALLAS.TX 75395-1716 0 To 208 EAST VALLEY HIGHWAY Plant Cost# Order# PLG BOL# 200 565109 1203029 3 33 70975 Carrier CarrierComnt ROMNEY BUCK SUMNER,WA 98390- Freipht Ship Date Included 11/14/13 l ` Terms: Net 60 Days Sold To r i_ _ Credit Remark: PETERSEN BROTHERS,INC. Credit#: B31014 2008 EAST VALLEY HIGHWAY Customer PO; B/0 9993 Project SUMNER, WA 98390 i Sales Person: G.HATFIELD Unit Ordered Bal Due Wooed Description Price Amount (USD) (USD) 800 0 0 LF 1) 12 GA GALV 1216 G/R FOR 31" 5.25 0.00 4 0 2 EACH 2)TERMINAL END,TYPE G C-10 62.00 124,00 4 0 2 923C BRONSTAD 98"W/O GUS C-10 Subtotal 124.00 Sales Tax-Authority 47 0,00 Tax Rate 0.000000% C600072474--RESALE Total Invoice(USD) 124.00 CUSTOMER COPY 1 of 1 r SUPERIOR WOOD TREATING INVOICE A DIVISION OF MANKE LUMBER,INC. sunmtnr vtpod tr,rafmg 13702 Stewart Road,Sumner,WA 98390-9612 300785 s.a Sumner(253)863.4495 800 422-3120 1 MAKE CHECKS PAYABLE AND REMIT TO:Man its Lumber-1717 Marine View Dr.,Tacoma WA 98422 SOLD TO:PETERSON SHIP TO PETERSEN BROTHERS, INC. Customer Pickup 2008 EAST VALLEY HWY 13702 Stewart RDac�., SUMNER, WA USA 98390 Sumner, WA � '1 Date: 10/30/2015 We Date: 10/29/2015 Routing: PICKUP !! Terms: 1.5%30 Days Salesman: Tom Cleary Cuat,POM 9984 Car Yard Order#: 994421 Treating S-1075 Destination: Sumner,WA Instructions DESCRIPTION FOOTAGE PRICE AMOUNT 6"X 8" 1 Hole Guardrail Post CCA 144 $21.00 $126.00 6/6 6"X 8"Guardrail Anchors CCA 1.512 $15.50 $1,674.00 108/3'6" 6"X 8" Guardrail CRT Posts RGH 576 $28.50 $684,00 24/6 LUMBER SUBTOTAL 2,232 $2,484.00 I Tax•0% TOTAL 2,232 $2,484.00 If invoice is paid on or before 1112912015,you may deduct$37.26 and pay$2,446.74 MANLUM INVOICE Page: 1 Of 1 300785 PO Box 699 - Pleasant Grove, UT 84062 Universal industrial ���S Phone (801) 785-0505 e FAX (801) 785-1710 www.universalindustrialsales.com r Invoice 1/2 Invoice Number: 109000 Invoice Date: 07/14/15 Date Shipped: 07/07/15 Customer: Ship To: Petersen Brothers Petersen Brother 2008 East Valley Highway 2008�t-V8� I ` way r^� � Sumner WA 98390 �u Mner WA 98390 Customer PO Number: 3426 Oiir p er Number: 59079=--� Project ID: 1505-GR-WA-27838 , Project State, WA ' Project Description: Category: GR (GR)Washington, TRUCK Amanda Heusser 3obsite Net 30 Days G xf 'ax x 1 ? ty� '+s r '•1 '. ,XI"� id' F102 4 EACH 5/8 x 2 Guardrail Bait Hot DIP Galy. $.52 $2.08 F134 4 EACH 5/8"Guardrail Nut Galy. $.38 $1.52 F179 4 EACH 5/8"USS Flat Washer(F844)Galv. $,19 $0.76 G109 2 EACH 12/12'-6"/4 @ 3'- 1 1/2" Rubrail Panel w/Kink $98.72 $197.44 G281 25 LF Additional Cost For Radius W Beam Guardrail 11'or greater $1.50 $37.50 (priced per LF) KA029.1 2 EACH WA Beam GR Buried Terminal Type 1 Includes: 121-6"Anchor $246.85 $493.70 (Type31) Panel(Punched at 3'-1 1/2"),WB x 18 x 6'Post, post Plate,and Hardware. (Timber Posts&Blocks Excluded) KA030.31 1 EACH WA Type 10 End Anchor(T-31 MGS)Ind: 12'-6"Anchor Panel, $329.90F$21,365.40 3/4 Wrap,Soil Tube, Soil Plate Cable Aseembly.&Hrdwre(All Posts/Blocks Excluded) KA063.31 15 EACH (SKT-MGS-W-US)MGS SKT 53'-1 1/2"(TII(Wood Post)Inch $1,424.36 6 CRT Posts w/ Blocks, 2 BCr Posts,Impact Head, Cable Assembly, 1T-7 1/2"Anchor Panel + (3) 12'-6"Panels KGF092 66.75 LF 72/6'-3"/3'-1 1/2"MGS Guardrail w/(14"PB)(1 1/4"SB) $6.71 $161.31 (Excludes Posts&Blocks) KGF100. 4,40D LF MGS Guardrail (Wood Post Hdw),Includes: 12/12'-6"/3'-1 1/2" $5.17 $22,748.00 9 W-Beam, 22"PB's, 1 1/4"SB's, Hdw-Galvanized(Posts& Blocks Excluded) 1 @ 1216 PANEL W/A 30'CONVEX RADIUS, 1 @ 12'6 PANEL @ 15'CONVEX RADIUS KGF102 43.75 LF 12/12'-6"/6'-3"Guardrail w/(2"PB)(1 1/4SB)Galy. (Posts& $4.77 $208.69 Blocks Excluded) _ Total Items Cost: $45,846.30 All bills and indebtedness, present and future, are due and payable at our office in Pleasant Grove, Utah together with Interest from maturity at maximum legal rate and all expenses of collection. Sign Structures, Bridge Rail,Steel Fabrication, Anchor Bolts, Hiahwav Construction Products KENT W� ... Agenda Item: CONSENT - 7H TO: City Council DATE: October 4, 2016 SUBJECT: Change Order with Scarsella Brothers, Inc. for Mill Creek (West Valley Highway Water Line and Bridge Repair - Authorize MOTION: Authorize the Mayor to sign a Change Order with Scarsella Brothers, Inc. in an amount not to exceed $133,382.23 for services related to the water line repair of the Mill Creek (Auburn) 14 Bridge on West Valley Highway, subject to final terms and conditions acceptable to the City Attorney and Public Works Director. SUMMARY: Staff briefed the Committee earlier this summer on the need for repairs to the water main that crosses over West Valley Highway. The main serves the south part of the valley and was at risk for failure due to issues with the stream bank protection near the bridge. Scarsella Brothers Construction installed steel sheet piles and made permanent repairs to the water line, Scarsella Brothers mobilized work on Friday, June 10, and completed their work on July 14, 2016, at a cost of $133,382.23 EXHIBITS: Invoice from Scarsella Brothers, Inc, RECOMMENDED BY: Public Works Committee YEA: Fincher, Ralph NAY: BUDGET IMPACTS: Repairs will be charged to the Water Fund, as the main support for the water line was at risk. I i i Scarselia Bros.,Inc. '.,...i .. ,. PO Box 68697 1 l Seattle,WA 98168-0697 Ph:253-872-7173 INVOICE Invoice#: Date: 8/11/2016 Billed To: City of Kent 2454 Occidental Ave.So.#2-D Seattle,WA 98134 Payment due upon receipt Description QuantitV UOM . Unit Price Amount Repair Bridge and Waterline on West Valley Highway Scarsella Bros.Inc. 1.00 LS I ,83,503.79 83,503.79 1 SB Structures 1.00 LS 48,649.15 43,649.15 Petersen Brothers 1.00 LS 6,229.29 6,229.29 I Amount Billed: $133,382.23 A service charge of 18.00%per annum will be charged Total Tax: $ - on ail amounts overdue on regular statement dates. Total Due: $133,382.23 REQUEST FOR MAYOR'S SIGNATURE , Print on Cherry-Colored Paper � � r, 'Routing Information. (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) ApPro ved by Director- Originator: Stephanie Anderson, PW Eng Phone (Origtnaorj: 5651 Date sent: October 21, 2016 Rate Required: October 26, 2016 Return Signed Document to: Stephanie Anderson Contract Termination Date: December 31, 2016 VENDOR NAME: Date Finance Notified: (Only required on contracts September 19,,2016 Scarsella Brothers, Inc 20 000 and over or on any Grant) DATE OF COUNCIL APPROVAL: Date Risk Manager Notified: October 4, 2016 (Required on Non-city Standard Contracts Agreements Has this Document been S ec-ficaljly Account Number: W9®105.64� O.J3d Authorized in the Budget? a YES NO Brief Explanation of Document: Change Order#2-Emergency,water main and bridge wing-wall repair on the Mill Creek (Auburn) 14 Bridge on West Valley Highway. Received Council approval on October 4, 2016. All Contracts Must Be Routed Through The Law Department - � ) (This area to be completed by the Law DepartPY I p Received. tr " S J Approval of Law Dept.: Law Dept. Comments: _ Date Forwarded to Ma or: Shaded Areas To Be Completed By Administration Staff 'Received: Recommendations and Comments: F Disposition: r°'i-"f�"'-- �'f. .i ''� -"� r A' 7OV Date Returned: V;vlvl( IU EpI V! n9lRepueA mr y nnlwe.OocY —