HomeMy WebLinkAboutPW18-480 - Change Order - #2 - Prospect Construction, Inc. - 640 Pressure Zone Booster Station - 02/07/2020 Agreement Routing Form
• For Approvals,Signatures and Records Management
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
WASHINGTON (Print on pink or cherry colored paper)
Originator: Department:
S. Anderson PW Engineering
Date Sent: Date Required:
> 2/24/20 N/A
0
L
aAuthorized to Sign: Date of Council Approval:
Q El Director or Designee ❑Mayor N/A
Budget Account Number: Grant? ❑Yes O No
Budget? 0 Yes ❑No Type: N/A
Vendor Name: Category:
Prospect Construction, Inc. Contract
Vendor Number: Sub-Category:
C 102445 Change Order
0
Project Name: 640 Pressure Zone Booster Station
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L
Project Details: Additional work required to bring PSE Power into the site which was
omitted from the contract.
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a,
E Agreement Amount: $18,185.86 Basis for Selection of Contractor: Bid
W
1 Start Date: N/A Termination Date: N/A
Q
Local Business? ❑Yes I] No*
*If meets requirements per KCC3.70.700,please complete"Vendor Purchase-Local Exceptions"form on
Cityspace.
Notice required prior to disclosure? Contract Number: � o
❑Yes 0 No PW18-480
Date Received by City Attorney: Comments:
a1
C
7
H
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C
tm Date Routed to the Mayor's Office:
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Date Routed to the City Clerk's Office:
adccW72373_1_20 Visit Documents.Kenfflkgov to obtain copies of all agreements
•
KENT
W n 5 H I N G T O N
CHANGE ORDER NO. #2
NAME OF CONTRACTOR: Prospect Construction, Inc. ("Contractor")
CONTRACT NAME & PROJECT NUMBER: 640 Pressure Zone Booster Station
ORIGINAL CONTRACT DATE: December 27, 2018
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:
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, $2,728,427.90
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $35,619.33
(incl. applicable WSST)
Current Contract Amount $2,764,047.23
(incl. Previous Change Orders)
Current Change Order $16,532.60
Applicable WSST Tax on this Change $1,653.26
Order
Revised Contract Sum $2,782,233.09
CHANGE ORDER - 1 OF 3
Original Time for Completion 200 working days
(insert date)
Revised Time for Completion under 215 working days
prior Change Orders
(insert date)
Days Required (f) for this Change Order 15 calendar days
Revised Time for Completion 230 working days
(insert date)
In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard
Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this
Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor
agrees to waive any protest it may have regarding this Change Order and acknowledges and
accepts that this Change Order constitutes final settlement of all claims of any kind or nature
arising from or connected with any work either covered or affected by this Change Order, including,
without limitation, claims related to contract time, contract acceleration, onsite or home office
overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the
Contractor from strict compliance with the guarantee and warranty provisions of the original
contract, particularly those pertaining to substantial completion date.
All acts consistent with the authority of the Agreement, previous Change Orders (if any),
and this Change Order, prior to the effective date of this Change Order, are hereby ratified and
affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this contract modification, which is binding on the parties of this contract.
3. The Contractor will adjust the amount of its performance bond (if any) for this project
to be consistent with the revised contract sum shown in section 2, above.
IN WITNESS, the parties below have executed this Agreement, which will
become effective on the last date written below.
CONTRACTOR: CITY OF KENT:
By:- BY:
(signature) signature)
Print Name: Print Name: Timothy J. LaPorte, P.E.
Its , ' ^'A 'e Its Public Works Director
(title) of title)
DATE: Xl S/ Z1:2-0 DATE: �7�Z -r,
CHANGE ORDER - 2 OF 3
ATTEST: APPROVED AS TO FORM:
(applicable if Mayor's signature required)
r
Kent City Clerk Kent Law Department
[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. 2
Construction Engineering Division — Public Works
Project: 640 Zone Booster Pump Station Project No.: 17-7999.4
Project Engineer: Gray & Osborne Fed-Aid No.: N/A
Capital Projects Phil McConnell Contractor: Prospect Construction
Manager:
Date: Various
I PROPOSED CHANGE
Additional work required to bring PSE Power into the site
IT. REASON AND BACKGROUND FOR CHANGE
PSE Power work not shown on the plans, omitted from the contract and required to supply
power to the building
III. METHOD OF PAYMENT
NEW PAY ITEM(S) Not Applicable
Change Order No. - FOR ACCOUNTING USE ONLY
Sch. No. Item Description Total Qty this Unit Unit Price Total Estimated Cost of
Est. Qty PE Item
i
......................... . . _ ......... ........................................., . ......_......_..........._.....................,. . ....... ........ . ._......... ........ ..............
1 Additional work for PSE 1 1 LS $16,532.60 $16,532.60
Ppower service
...... _.... ---_ ..................................._....__................_.......................__.._._.................................. -........... . ......................................... ..._.
❑ y 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 Regrd7 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
............................................. ............................._......._............._............................
P...................................................................................................................................................................................._............................................................................................................................................ .....
.....................................
I
t
......................................................._........................................._..__...._............_........._......................................................................... ....................._ . ..
...... .
I
Independent Estimate Attached -REQUIRED ❑ i
INCREASE/DECREASE TO EXISTING PAY ITEM(S) Not Applicable
Change Order No. - FOR ACCOUNTING USE ONLY
Sch. No. .. Description_.............p......................................................,..........__......._.._ty...................,.................... ...................
1 REV. DATE:
3/27/18
/�• FILE NO: 200.2
KENT
WA= r ....................................... ....................................................................................................................................................................... ...................................................
Independent Estimate Attached -REQUIREDEl
TOTAL ESTIMATED COST OF CHANGE ORDER * $16 532.60
*Total of the Cost of Item Columns
THIS PAY ESTIMATE $16 532.60
IV. WORKING DAYS
Original Contract 200 Due This Change Order* 15 Previous Total 215
.......... ... ............................................_... ... ............. ..........:_.......—............... ........ ........................................... ...--.................. .............._....................................................
DATE: DATE:
_....:.... ..... _.......... ................ ........ .. ............................................................................................................................. ................._._..._.............. _...._..__._
* ; Explanation/Justification Required: Additional work directly impacted the critical path
TOTAL WORKING DAYS* 230
*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.
Capital Projects Manager: Date:
Construction Engineering ' Date:
Supervisor:
7
Construction Manager: G ��72G Date:
2 REV. DATE:
3/27/18
PSE Force Account Tally
Kent Prospect
org. propsal 4492 4492 4492.00
11/20/2019 5426.72 5426.72
11/21/2019 1411.35 1411.35
11/22/2019 2331.79 2331.79
9169.86 9169.86 9169.00
TBD
spoils haul 180 180
dipping fees 640 640
load spoils EQ 91.74 91.74
load spoils lab 72 72 983.74
10153.E _ --- 153.6
bollards Q65
87 1 7 1887.00
Grand Total 2.6 16532 1653 4
McConnell, Phillip
From: Kevin Yoakum <kyoakum@prospectconst.com>
Sent: Tuesday, February 4, 2020 7:21 AM
To: McConnell, Phillip
Subject: RE: PS1 - PSE Change Order
EXTERNAL EMAIL
Phil,
Looks good, I agree. Thanks
Kevin Yoakum, PE
ROSPECT
CONCTR(kCTiON, INC,
Cell (425)985-9636
Ph. (253)446-1600
Fx. (253)446-1601
From: McConnell, Phillip <PMcConnell@kentwa.gov>
Sent:Tuesday, February 04, 2020 6:45 AM
To: Kevin Yoakum <kyoakum@prospectconst.com>
Subject: PS1 - PSE Change Order
Kevin,
I've attached my tally of the PSE change order including the bollards. Please review, comment
and or approve.
Phil McConnell, Capital Projects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-5542 1 Cell 253-261-5685
pmcconnell@KentWA.QOV
CITY OF KENT, WASHINGTON
KentWA.gov Facebook YouTube
PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS E-MAIL
1
FA Sheet No.:
DAILY REPORT OF
FORCE ACCOUNT WORKED �_ T
Project Name: 640 Pressure Zone Booster Station Project No: 17-7999.4
Item No.: Change Order 2 Date: 11/20/2019
Description of Work: Existing conduit intercept point incorrect bid rice ....sawcut and excavate into
driveway to intercept conduit at new point
Work by Subcontractor?: NO
Prime Contractor: Prospect Construction Sub-Contractor:
LABOR
STRAIGHT TIME OVERTIME DOLLAR
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate AMOUNT
Tyler operator 4 76.03 1 101.77 S 405.89
Skip carpenter foreman 4 77.01 1 105.6 $ 413.64
Blaine carpenter apptrentice 2 56.21 $ 112.42
$
S SUBTOTAL-LABOR: S 931.95
LABOR OVERHEAD&PROFIT @ 29% $ 270.27
LABOR TOTAL $ 1,202.22
EQUIPMENT
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
Equipment# Equipment Description Hrs Hourly Rate Hrs Standby Rate AMOUNT
Forklift 2 48.01 $ 96.02
JD 50 mini excavator 4 25.03 $ 100.12
$
S -
SUBTOTAL-EQUIPMENT S 196.14
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 41.19
EQUIPMENT TOTAL $ 237.33
MATERIALS/SERVICES/RENTALS
MATERIALS/SERVICES Quantity Units Unit Price DOLLAR AMOUNT
Best Parking Lot Vacotr 1 EA $ 2.795.00 S 2,795.00
cutoff saw rental AA Rentals 1 EA $ 126.50 S 126.50
steel sheet rental Sunbelt Rentals Inv#96268365-0001 1 EA S 373.68 S 373.68
S -
SUBTOTAL $ 3,295.18
OVERHEAD&PROFIT @ 21% $ 691.99
TOTAL $ 3,987.17
Verification of Hours Worked: TOTAL: $ 5,426.72
12%MARKUP (for
prime when subcontract work) $ -
Contractor's Representative Date SHEET TOTAL: $ 5,426.72
Owner's Representative Date
Comments
FA Sheet No.:
DAILY REPORT OF
FORCE ACCOUNT WORKED �_ T
Project Name: 640 Pressure Zone Booster Station Project No: 17-7999.4
Item No.: Change Order 2 Date: 11/21/2019
Description of Work: Supply and install shoring. Begin backfilling addition dig area
Work by Subcontractor?: NO
Prime Contractor: Prospect Construction Sub-Contractor:
LABOR
STRAIGHT TIME OVERTIME DOLLAR
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate AMOUNT
Tyler laborer 5.5 76.03 $ 418.17
Skip carpenter-foreman 6 77.01 $ 462.06
$
SUBTOTAL-LABOR: $ 880.23
LABOR OVERHEAD&PROFIT @ 29% $ 255.27
LABOR TOTAL $ 1,135.50
EQUIPMENT
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
Equipment# Equipment Description Hrs Hourly Rate Hrs Standby Rate AMOUNT
JD 50 4 25.03 $ 100.12
compactor 4 6.95 $ 27.80
Is
Is -
SUBTOTAL-EQUIPMENT $ 127.92
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 26.86
EQUIPMENT TOTAL $ 154.78
MATERIALS/SERVICES/RENTALS
MATERIALS/SERVICES Quantity Units Unit Price DOLLAR AMOUNT
sand 3.79 tns $ 26.40 $ 100.06
Is
Is -
SUBTOTAL $ 100.06
OVERHEAD&PROFIT @ 21% $ 21.01
TOTAL $ 121.07
Verification of Hours Worked: TOTAL: $ 1,411.35
12%MARKUP (for
prime when subcontract work) $ -
Contractor's Representative Date SHEET TOTAL: $ 1,411.35
Owner's Representative Date
Comments
FA Sheet No.:
DAILY REPORT OF
FORCE ACCOUNT WORKED �••� �_ T
Project Name: 640 Pressure Zone Booster Station Project No: 17-7999.4
Item No.: Change Order Date: 11/22/2019
Description of Work: backfilling of PSE trench
Work by Subcontractor?: NO
Prime Contractor: Prospect Construction Sub-Contractor:
LABOR
STRAIGHT TIME OVERTIME DOLLAR
NAME CODE OCCUPATION Hrs Hourly Rate Hrs I OT Rate AMOUNT
Tyler laborer 5 76.06 $ 380.30
Skip carpenter-foreman 5 77.01 $ 385.05
Blaine carpenter-apprentice 2 56.21 $ 112.42
$
$
SUBTOTAL-LABOR: $ 877.77
LABOR OVERHEAD&PROFIT @ 29% $ 254.55
LABOR TOTAL $ 1,132.32
EQUIPMENT
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
Equipment# Equipment Description Hrs Hourly Rate Hrs Standby Rate AMOUNT
JD 50 4 25.03 $ 100.12
compactor 4 6.96 $ 27.84
$
$
SUBTOTAL-EQUIPMENT $ 127.96
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 26.87
EQUIPMENT TOTAL $ 154.83
MATERIALS/SERVICES/RENTALS
MATERIALS/SERVICES Quantity Units Unit Price DOLLAR AMOUNT
Gborrow(19x2.5x5=237.5CFx120=28500/2000=14.25 tons 14.25 tons $ 22.05 $ 314.21
Gborrow 15.5x2.5x1.5=58.13x120=6975lbs/2000=3.49 3.49 tons $ 22.05 $ 76.95
Shoring Rental Cascade 1 EA $ 472.18 1 $ 472.18
Is -
SUBTOTAL $ 863.34
OVERHEAD&PROFIT @ 21% $ 181.30
TOTAL $ 1,044.64
Verification of Hours Worked: TOTAL: $ 2,331.79
12%MARKUP (for
prime when subcontract work) $ -
Contractor's Representative Date SHEET TOTAL: $ 2,331.79
Owner's Representative Date
Comments
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SIB Betltlin 3.00 5).301 1.
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CowtlMM MLooalioruDalWery wkh PSE .W M 2.000 11636 Mr 116 - - - - 116
Vaults Work Pb for PSE Vault 14.000 B80 397 164 too 2,241
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9antl 30Y324n20'D 5.50 52a0 290 - - - 290
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INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS, INC. INVOICE NO. 96268365-000 1
po Box 409211
ATLANTA, GA 30384-9211
LT 316076
SUMBIE
RENTALS 11/22/19
1 of 1
INVOICE TO
WAYNE, WAYNE 96268365
1 oz•5383•6677
PROSPECT CONSTRUCTION INC
ATTN A/P
116 23RD ST SE 175
PUYALLUP WA 98372-4116
nll�il��l��ll�ll��llil�lil�l�rlil�nllilrlllil�llhl���ll�lrl�
640 BOOSTER STATION
JOB ADDRESS
640 BOOSTER STATION PACIFIC WA SHORING PC1302
11300 SE 236TH PL 799 VALENTINE AVE SE
KENT, WA 98031 PACIFIC, WA 98047 2124
360-481-8293 253-987-7555
QTY EQUIPMENT # Min Day Week 4 Week Amount
13 22" - 36" HYD VERTICAL SHORE CYLINDER 13.00 13.00 33.00 98.00 169.00
Billed from 11/21/19 thru 11/22/19
5 34" - 55" HYD VERTICAL SHORE CYLINDER 13.00 13.00 39.00 117.00 6N%00
26 1 1/2' VERTICAL SHORE ALUMINUM RAIL N/C
10 1 1/2' VERTICAL SHORE ALUMINUM RAIL
9 STRUCTURAL BOARD 4FT X 8FT 8.00 8.00 54.00 62.00 14.00
1 5 GALLON PLASTIC HAND PUMP 18.00 15.00 14.00 145.00 15.00
1 REMOVAL HOOK - 48 5.00 5.00 15.00 45.00 5.00
1 RELEASE TOOL - 48" 5.00 5.00 15.00 45.00 5.00
24.00
4 4'x6' 3/4" FINNFORM 6.Rental sub-total :
54.00 340.00
Re
FINAL BILL: 11/21/19 11:00 AM THRU 11/22/19 08:47 AM.
�
9q
- Gr v
34 0.00
33.68
REMIT TO: _ e � .
SUNBELT RENTALS, INC. NET DUE UPON RECEIPT • • 373.68
PO BOX 409211 Invoices not paid within 30 days may be subject
INVOICE
���17Y ear�cr�t�
Srftce 1945 PO Box 487
CORS LIS Sumner,WA 98390 Invoice#: 229422
Date: 11l22l19
RES0URC�S �,� 253-826-8010 18191
,5O AR@CorlissResources.com Customer No: 640 PRESSURE ZONE
�"?r` GAT S 0 TOt Job 000037: BOOSTER
PO#:
Delivered To: 11300 SE 236TH PL
Sold To: PROSPECT CONSTRUCTION INC KENT,WA
AP@PROSPECTCONST.COM
PUYALLUP.WA 98372 US
Mad Tax
SKU Description Qty UOM Unit Price Total Code Tax Total
-.. -a.-. m_ .. Sale Date: 11122/2019
PO#: 30.39 TN 22,0500 670.10 Resale 0.00 670.10
5002970 2 SCR GRAVEL BORROW SOLO 670.10 0.00 670.10
Total: Cust Job: 000037
Total Invoice: 670.10 0.00 670.10
Tickets; 101-240427. 101-240445
I
S J> 0't 0 31,E
C70, G
Payment Type: On Account
Total: 670.10
2 Pay Terms Net 46 days
..
Seattle Yard: (206) 624-1422
4ci!�
Admin Office: (503) 363-0906
Cascade ety LLC Fax: (503) 485-0823
Remit to: PO Box 17847 Salem, OR 97305 www.cascadetrenchsafety.com
companygpformation FINAL INVOICE
Prospect Construction Inc Print Date: ^11/26/2019
116 23RD St Se Invoice Date: 1 1/26/201 9
Puyallup WA 98372 Invoice Number: 603738
Start Date: 11/20/2019
Start Time: 11:00 AM
Returned: 11/22/2019
Job Information , Terms: Net 30
175/Kent Booster Pump Station Shipped Via: Best Way
11300 Se 236TH PI
Kent WA 98031
Wayne 253.261.0756
Price Per Unit Totals
City Item Description Item# Weight Total Wf Day Week 4 Week Ext Amt Discount Total
2 8X10 STEEL PLATE P810 3268 6536 29.60 62.40 125.60 156.00 •31.20 124,80
From: 11/20/19 11:00 AM
Off-Rent Date;1 1122119 5:00 PM
'""Sn#018,629•"
1 PLATE LIFT TOOL PLFT a 0 9,60 23.20 57.60 29.00 -5.80 23.20
From: 11/20/19 11:00 AM
Off-Rent Date:11/22/1 9 5:00 PM
Safes Items:
1.00 Cts Delivery CTS DELIVE 125.00 125.00 125,00
1.25 Cts Pickup CTS PICKUP 125.00 156.25 156.25
-•-Payments-�•--
4-of 0- oil
Rentals 148.00
Sales 281.25
Delivery/Other 0.00
• Rental Charges accrue from On-Rent date,except for minimum billing terns. Damage Waiver 0.00
• Effective January 1st,2016 all rentals are billed at a 1 week minimum. Env.Charges 0.00
• All equipment called OH-Rent must be out of use and gathered all in one place for pick up. Sales Tax 42.93
Customer Representative's signature ackrlcwledges that instructions have been given by Cascade Trench Total 472.18
Safety,LLC,on We methods of operation and that Cascade Safety Guidelines or Tab Data have been
received for each type of equipment included on this order. Amount Billed 472.18
This agreement is subject to all terms and conditions stated on the reverse side hereof. I have read these
terms and conditions and agree thereto.
Page Number.1
Accepted By:_.- �..._— �.�...-m.-..�,. 1 I/26/19 14:32:48 RCH
(Authorized Customer Representative's Signature)
Date
(Print Name)
BEST PARKING LOT CLEANING INC Invoice Number:
2 412 INTER AVE V1857 94
PUYALLUP, WA 98372
Invoice Date:
Nov 21, 2019
Voice: 800-310-7406
Fax: 253-770-0724 Invoice Page: 1
Bill To: PROSPECT CONSTRUCTION, INC. Job Site: 177
116 23RD ST SE LOWER RUSS ROAD
PUYALLUP, WA 98372 KENT
Customer ID Customer PO Payment Terms Due Date
PROSPECTI9 Net 30 Days 12/21/19
Job Slip#/ Description Hours Price Net
EEDUCI 8.00 210.00 11680.00
OVERTIME 1 & 1/2 EDUCTOR & OPERATOR EDUC` 1.00 250.00 250.00 E
DISPOSAL OF MATERIALS $178.20 PER YARD <Eac 4 .00 178.20 712.80 i
($110.00/ton)
DISPOSAL OF LIQUID BY GALLON-STORM DISP 400.00 0.38 152.00
Subtotal 2, 794.80
TERMS: NET 30 DAYS MONTHLY FIN CHRG = 1.75%
Sales Tax
Total Invoice Amount 2,7 94.8 0
PLEASE SHOW INVOICE NUMBER WITH YOUR PAYMENT Payment/Credit Applied
ALL INVOICE DISPUTES MUST BE SUBMITTED
TOTAL 2,794. 80
IN WRITING PRIOR TO INVOICE DUE DATE
KENT EX 0.00
-
Seattle 206-382-9340
�,�ittuw�xt Tacomp 253-863-3330 JOB SLIP# V
Puyallup 253-841-7406
www.bestparkinglot.com EDUCTOR AND CAMERA TRUCK
CUSTOMER NAME: JOB NAME:
WATER UP LOCATION: LOCATION:
DUMPING LOCATION : CITY: ,
DISPATCHED BY: JOB PHONE:
REQUESTED BY: ON DATE:
JOB NUMBER PO NU BER-------------E-D—U-C-70 R OPEFFATOR '-L/VB0 RER
PORTAL ZONE ON JOB OFF JOB P P" "ZONE 7571 3 HOUR MIN
DESCRIPTION OF SERVICES: t,' V\ I ,r 77 Circle Site Portal charge
Yard Puyallbp,, Woodinville
Zone Charge 1= 1 .5/.5
3=2 (1.0/1.0)
4=2.5 (1.25/1.25)
5= 3 1.5/1.5)
6= Outside
EDUCTORS: CAMERA TRUCK NUMBER: SPILL RESPONSE:
SPECIALTY HEADS PUSH BIO DEGREASER
POTHOLING LATERAL LAUNCH BIO ABSORBENT
TYPE 2 CBS DYE SPILL KIT
TYPE 1 CBS CD PPE
CONFINED SPACE ENTRY THUMB DRIVE BOOMS
CB SOCKS REPORTS OTHER PRODUCTS
HOSE PER FT
POND CLEANING
ROOTCUTTING
BOOMS
OTHER SERVICES
ALL DEBRIS HAULED OFF IS SUBJECT TO A PER YARD FEE$45-$178.20 AND UP r<
Loads of Fresh water to Bill:
{{ }} t
Dump location r l € #t Type of Matenalt #_ r (So4ids)Yards a!OiTposal (Liquids)Gallons of Disposal_ C
(If available)SIGNED BY:
VACTORS"CCTV' SWEEPERS'VACUUMS• WATER TRUCKS'PRESSURE WASHING DE-ICING`PLOWING'DISPOSAL'SPILL RESPONSE
After 30 days 1.75%per month interest will be charged.'Signature of this invoice will be considered your notice of our intent to lien,
Office use only:
Credit Card COD On Account T&M Quote Sales Person
Best Parking Lot Cleaning Inc. 2412 Inter Ave Puyallup, WA 98372 1-800-310-7406
White-Original Yellow-Remittance Pink-Contractors Copy