HomeMy WebLinkAboutPW18-335 - Change Order - #4 - Quigg Bros., Inc. - Upper Mill Creek Dam Improvement & Diversion Structure Replacement - 01/09/2020 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.
WASHIHGTOH (Print on pink or cherry colored paper)
Originator: Department:
S. Anderson PW Engineering
Date Sent: Date Required:
> 2/24/20 N/A
0
3..
0. Authorized to Sign: Date of Council Approval:
Q0 Director or Designee ❑ Mayor N/A
Budget Account Number: Grant? L-3 Yes 0/No
Budget? 0 Yes ❑No Type: 1 /
Vendor Name: Category:
Quigg Bros., Inc. Contract
Vendor Number: Sub-Category:
160288 Change Order
0
Project Name: Upper Mill Creek Dam & Diversion Structure Replacement
E
L
0
Project Details: Add bid items to furnish and installed hatches and covers for structures,
guardrail, sloped barrier and associated installation items.
C
W
E Agreement Amount:$30,796.54 Basis for Selection of Contractor: Bid
Start Date: N/A Termination Date: N/A
Q
Local Business? ❑Yes IZI No*
*If meets requirements per KCC 3.70.700,please complete"Vendor Purchase-Local Exceptions"form on Cityspoce.
Notice required prior to disclosure? Contract Number: + q0
❑Yes ID No PW18-335
Date Received by City Attorney: Comments:
�1
C
7
3 0
a,
p� Date Routed to the Mayor's Office:
v1
Date Routed to the City Clerk's Office:
adaw71373_1_I0 Visit Documents.KentWA.gov to obtain copies of all agreements
•
KENT
W A 5 H I N G T O N
CHANGE ORDER NO. #4
NAME OF CONTRACTOR: Quiga Brothers, Inc. ('Contractor")
CONTRACT NAME & PROJECT NUMBER: Upper Mill Creek Dam & Diversion Structure Replacement
ORIGINAL CONTRACT DATE: August 21, 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:
Add bid items to furnish and installed hatches and covers for structures,
guardrail, sloped barrier and associated installation items.
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, $5,951,037.95
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $77,233.75
(incl. applicable WSST)
Current Contract Amount $6,028,271.70
(incl. Previous Change Orders)
Current Change Order $27,996.85
Applicable WSST Tax on this Change $2,799.69
Order
Revised Contract Sum $6,059,068.24
CHANGE ORDER - 1 OF 3
Original Time for Completion 190 working days
(insert date)
Revised Time for Completion under 195 working days
prior Change Orders
(insert date)
Days Required (f) for this Change Order 5 calendar days
Revised Time for Completion 200 working days
(insert date)
In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard
Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this
Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor
agrees to waive any protest it may have regarding this Change Order and acknowledges and
accepts that this Change Order constitutes final settlement of all claims of any kind or nature
arising from or connected with any work either covered or affected by this Change Order, including,
without limitation, claims related to contract time, contract acceleration, onsite or home office
overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the
Contractor from strict compliance with the guarantee and warranty provisions of the original
contract, particularly those pertaining to substantial completion date.
All acts consistent with the authority of the Agreement, previous Change Orders (if any),
and this Change Order, prior to the effective date of this Change Order, are hereby ratified and
affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this contract modification, which is binding on the parties of this contract.
3. The Contractor will adjust the amount of its performance bond (if any) for this project
to be consistent with the revised contract sum shown in section 2, above.
IN WITNESS, the parties below have executed this Agreement, which will
become effective on the last date written below.
CONTRACTOR: CITY OF KENT:
(
By. Z
L G-
� B y
(signature) ign ure)
Print Name: Print Name: Timothy J. LaPorte, P.E.
Its 7►' Sec-7- Its Public Works Director
(title) / (title
DATE: /- y- oo DATE:
CHANGE ORDER - 2 OF 3
ATTEST: APPROVED AS TO FORM:
(applicable if Mayor's signature required)
&A
Kent City Clerk Kent Law Department
CHANGE ORDER - 3 OF 3
KENT FILE NO: 200,2
W.,Hi.oroH
CHANGE ORDER WORKSHEET NO.
Di
Construction En ineeriIj vision — Public Works
Project: Upper Mill Creek Dam Project No.: 09-3030
Project Engineer: Stephen Lincoln Fed-Aid No.: N/A
Capital Projects Phil McConnell Contractor: Quigg Brothers
Manager:
Date: Various
I. PROPOSED CHANGE
Furnished and installed hatches and covers for structures, guardrail, sloped barrier and
associated installation items.
II. REASON AND BACKGROUND FOR CHANGE
These bodies of work were preformed but bid items to cover the work were omitted from the
contract in error
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 i Item
i
1 Missing bid items - guardrail 1 1 FA $11,761.88 $11,761.88
_._ and sinc7 le slope b...... .... ........... :i
......._.._.._._._._ ........__i
.__..._-----._......_._. ._..___.._....----...:. ..._........... ._._...._i.—_..._ ..
4 Missing bid items - Hatches & 1 1 FA $16,234.97 $16,234.97
_.._......................... ............casti_n9...._i.. structu_res_......................._........._.........._.. ..........__..........._............_.......
:__..................................._.....--..... ............ ..............._................._..._...._._...............
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 Reauired - CC: Construction Coordinator New Sub Reqrd? No
DELETE EXISTING PAY ITEM(S) per 1-09.5 Not Applicable
Change Order No. - FOR ACCOUNTING USE ONLY
Sch. No B I No. I Item Description Qty Unit Unit Price Cost of Item
i ........._
! i
--.._.:......._........._........._.......
__......_....... _.___....................._....-_-._...__._.......__...._......_._.... --.-...---.........._.................................._._.._..T-._-------......._........_..._...............----....._...-....._.......__ —-- -------------
Independent Estimate Attached -REQUIRED
INCREASE/DECREASE TO EXISTING PAY ITEM(S) Not Applicable
Change Order No. - FOR ACCOUNTING USE ONLY
Sch No .8 I No Item Description Qty Unit Unit Price _ Cost of Item ___�.__ . ... __._ ._._f......--
_.. ............._ . _............................... _....._..._................ ......_........._..._._............_..{.._—_.._ __ ..:....__ ....._. .......__ .._.._. ..-...�_
i ...... __ .._.._.__ .._.._.. __..._
............_...........___.............
1 REV. DATE: 3/27/18
KENT FILE NO: 200.2
�
_...._--.........
............
.....
........._W..._s�,.—. ro_�.,..... --....._..-_.._.._...-_..................._._...__..__._........__...._.._..._-.__..._..__...---.....-.-------......._......,_.... ....._.._._.._. . _....._..... ....._............._._ _..__._...__..----.._........._...................
I ❑ j Independent Estimate Attached -REQUIRED ❑
TOTAL ESTIMATED COST OF CHANGE ORDER * $27 996.85
*Total of the Cost of Item Columns
THIS PAY ESTIMATE $27 996.85
IV. WORKING DAYS
Original Contract 190 Due This Change Order* 5 Previous Total 196
_ ...............__..._._.__........_......_-_-___.__.-........-.._..-.........__....-...........__....._.._—�_._...__ _ _...._._ . ...---...._...................................._....................
.....
DATE various DATE: Various
.._... ....... .. ....... ...... ..... ........................ .......... .........
ir* Explanation Justification Re wed: Additional work impacted the critical path
TOTAL WORKING DAYS*
*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:
AIM ell
Construction Engineering Date: _
Supervisor: re !
L I Paul Kuehne
Construction Manager: ate:
Date:
Eric Conti-or
2 REV. DATE: 3/27/18
Force Account Total
Barrier FA 11761.9
Hatches FA 16235
27996.9
Cross Checks
13210.51
3108
10102.51
384.5 Bid items
9718.01
5500 Bid items
4218.01
Invoice Total 13210.51 Quigg 3108
grail removal -384.5 4218.01
Bid items -5500
7326.01 7326.01
FA Sheet No.:
DAILY REPORT OF
FORCE ACCOUNT WORKED �_ T
Project Name: Upper Mill Creek Dam Project No: 09-3030
Item No.. Date: 10/31/2019
Description of Work: Furnish and install stilling basin barrier and guardrail installed during as
main remove and reinstall
Work by Subcontractor?: NO
Prime Contractor: Quigg Brothers Inc. Sub-Contractor:
LABOR
STRAIGHT TIME OVERTIME DOLLAR
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate AMOUNT
Operator 2 62.91 $ 125.82
Carpenter 6 60.13 $ 360.78
Laborer 6 49.52 S 297.12
teamster 2 54.81 $ 109.62
$
SUBTOTAL-LABOR: $ 893.34
LABOR OVERHEAD&PROFIT @ 29% $ 259.07
LABOR TOTAL $ 1,152.41
EQUIPMENT
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
Equipment# Equipment Description Hrs Hourly Rate Hrs Standby Rate AMOUNT
Skytrak Forklift 2 52.36 $ 104.72
Dump Truck 2 32.00 $ 64.00
Tilt Trailer 2 24.40 S 48.80
$
SUBTOTAL-EQUIPMENT S 217.52
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 45.68
EQUIPMENT TOTAL $ 263.20
MATERIALS/SERVICES/RENTALS
MATERIALS/SERVICES Quantity Units Unit Price DOLLAR AMOUNT
single slope barrier 40 LF $ 77.70 $ 3,108,00
3/4"SS threaded rod 13 EA $ 12.89 S 167,57
Simpson Epoxy 2 EA $ 40.34 $ 80.68
Concrete Patch 1 EA $ 16.38 $ 16.38
Efate core drill for slope barrier anchors 1 EA $ 960.00 S 960.00
Pdersen Brothers Invoice 1 EA $ 4,218.01 S 4,218.01
SUBTOTAL S 8,550.64
OVERHEAD&PROFIT @ 21% $ 1,795.63
TOTAL $ 10,346.27
Verification of Hours Worked: TOTAL: $ 11,761.88
12%MARKUP (for
prime when subcontract work) $ -
Contractor's Representative Date SHEET TOTAL: $ 11,761.88
Owner's Representative Date
Comments
FA Sheet No.:
DAILY REPORT OF
FORCE ACCOUNT WORKED E�_ T
Project Name: Upper Mill Creek Dam Project No: 09-3030
Item No.: Date:
Description of Work: Furnish & install access hatches on stilling basin and outlet structure
Work by Subcontractor?: NO
Prime Contractor: Quigg Brothers Inc. Sub-Contractor:
LABOR
STRAIGHT TIME OVERTIME DOLLAR
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate AMOUNT
Operator 4 62.91 $ 251,64
Carpenter 12 60.13 $ 721.56
Laborer 8 49.52 $ 396.16
SUBTOTAL-LABOR: $ 1,369.36
LABOR OVERHEAD&PROFIT @ 29% $ 397.11
LABOR TOTAL $ 1,766.47
EQUIPMENT
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
Equipment# Equipment Description Hrs Hourly Rate Hrs Standby Rate AMOUNT
Skytrak 4 52.36 $ 209.44
$
$
SUBTOTAL-EQUIPMENT $ 209.44
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 43.98
EQUIPMENT TOTAL $ 253.42
MATERIALS/SERVICES/RENTALS
MATERIALS/SERVICES Quantity Units Unit Price DOLLAR AMOUNT
42x60 H2O dbl acces hatch HD2 1 EA $ 3,031.00 $ 3,031.00
42x60 H2O dbl acces hatch HHD2 2 EA $ 4,243.00 $ 8,486.00
24"locking manhole cover 1 EA $ 231.00 $ 231.00
$
$
SUBTOTAL $ 11,748.00
OVERHEAD&PROFIT @ 21% $ 2,467.08
TOTAL $ 14,215.08
Verification of Hours Worked: TOTAL: $ 16,234.97
12% MARKUP (for
prime when subcontract work) $ -
Contractors Representative Date SHEET TOTAL: $ 16,234.97
Owner's Representative Date
Comments
819 West State Street
QUIGG BROS., INC. P.O.Box1707
Work Order Aberdeen,WA 98520
Project: Upper Mill Creek Dam Improvements Date: 10/31/2019 W.O.#Missing Bid Item
Brief Description: Furnish&install access hatches on stilling basin&outlet structures.
LABOR DESCRIPTION HOURS RATE
Trade Name QTY- ST OT DT ST OT DT Extension
Operator 1 4 $62.91 $84.74 $101.01 $ 251.64
............................................................................................... ........................................................................................... .......................:..........................................
.......
Carpenter 1 12 $60.13 1 $80.57 $101.01 $ 721.56
............................. ............................................... ................. ........................'s........................ ....................... ........................:........................:........................
Laborer 1 8 i $49.52 $65.23 $80.94 $ 396.16
0 ................................................................................. ................. ........................:........................ ....................... ........................I........................1........................
m $ -
g ..................................... ....................... -...................... ......................
...........................I................... ............................................... ................. ........................j........................p....................... ........................i........................5........................
$ -
............................................... ............................................... ................. ........................L.......................F....................... .......................;........................:........................
Total Labor Costs $ 1,369.36
EQUIPMENT DESCRIPTION QTY. Regular Standby Regular Rate Standby Rate
Hours Hours Extension
Skytrak fork lift 1 4 52.36 $ 209.44
...................................._..........................................................t..................s........................;........................a....................... ........................:........................:............
............
r $
w i
................................................................................................0..................{........................F.......................y....................... ........................1........................i........................ $
d $ _
� ................................................................................................ ..................F................................................p....................... ........................1........................1..........
...........
Cy $
I.0 ..........................................................................................
......q..................i........................i........................t....................... ........................i........................1........................ Y
Total Equipment Costs $ 209.44
MATERIAL DESCRIPTION Code QTY. UNIT TAX Rate Tax Extension
42"60"H-20 double LW access hatch 1 1 EA 3031 $ 3,031.00
.. ..... ..... ................................................................ ..................;........................ .......................:....................... ...........I...........;..............................................._
42" 60"H-30 double LW access hatch 2 EA 4243 $ 8,486.00
........................................................................._.................:........................ .......................:....................... ............................_...............................
...........
42"x60"H-30 double LW access hatch i 1 EA 1835 $ 1,835.00
................................................................................................:..................I........................4..................... ................. ....................t.................................................
or .:
Shipping 1 LS 378.37 's $ 378.37
................................................................................................o..................i........................j........................4....................... ........................i........................................
......
................................................................................................i i i ................. .. -
S
.......................................................................................... ............ .................. .................. ................. .................. ........................................... $ -
Total Material Costs $ 13,730.37
OTHER DESCRIPTION Code QTY. UNIT TAX Rate Tax Extension
................................................................................................i..................
;................................................. .......................
cc $
LU ....................................................................................... ..................i........................i........................a....................... ........................;...................................
............
.. .....................
F- ................................................................................................ ................. ................................................ .................. ..............................................
o $ -
........................._.................................................................;..........................................;........................ ....................... ........................ ...........................................
......................................................................................... ..................i................................................ ....................... .........I........ ...........................................
Total Other Costs $ -
Subtotal $ 15,309.17
Contractor's Representative Markup Labor 29% $ 397.11
Markup on Equipment 21% $ 43.98
Subcontractor's Representative Mark up on Material 21% $ 2,883.38
Service 12% $
Owner's Representative
TOTAL THIS EXTRA WORK ORDER S18.633.64
819 West State Street
QUIGG BROS., INC. P.O.Box1707
Work Order Aberdeen,WA 98520
Project: Upper Mill Creek Dam Improvements Date: 10/31/2019 W.O.#Missing Bid Item
Brief Description: Furnish&install barrier on the stilling basin and Guardrail on the road way
LABOR DESCRIPTION HOURS RATE
Trade Name QTY. ST OT DT ST I OT DT Extension
Operator 1 2 $62.91 $84,74 '1 $106.57 $ 125.82
............................................................................................... ..........................................:........................:....................... .......................:.
Carpenter 1 6 $60.13 $80.57 $101.01 $ 360.78
....................................._....................... ........................:........................:........................
cc Laborer 1 6 i $49.52 $65.23 $80.94 $ 297.12
....................... ....................... ........................................_......,.......I................
g Teamste",er 1 2 $54:81 $72.59 i $90.37 $ 109.62
..............t .......................... ................................................ ................. ........................h.......................0.
......................................... .......................................... ............ .................. .................. ....................... ........................j........................
i........................
.............................................. .........................................I...... ................. ............................................... ....................... ....................... ........................i........................
Total Labor Costs $ 893.34
EQUIPMENT DESCRIPTION QTy Regular Standby db St Ra
te
l Reguar ae any Rate
urs Hours Extension
Ho
Skytrak fork lift 1 2 52.36 $ 104.72
...........................................................................................;..................;................................................ ....................... ........................
i........................;........................
Dump Truck 1 2 32 $ 64.00
z ............. .................i................................................_....................... ................................................;.....................
Uj Tilt Trailer 1 i z. .24:4.... I $ 48.80
................................................................................................:. ........�...... ..........o-.......................i....... ... ... ..i... ...............................
a_ $ _
...................................................................................................................j........................j........................t....................... ........................i........................j.....................
d $
Total Equipment Costs $ 217.52
MATERIAL DESCRIPTION Code QTY. UNIT TAX Rate Tax Extension
20'Slingle sloop barrir 40 LF 77.7 $ 3,108.00
.......................................... .................................................. ..... ... _ ................. ........... ...........................................
3/4 SS Threaded rod 13 LF 12.89 $ 167.57
....................................................................................................
...............a........................s......................._....................... ........................:................................._..............
Simpson Epoxy 2 's Tube 40.34 $ 80.68
.............................>..................i........................i..........
.............i....................... ..................................
...................
....................
or Concrete patch 1 Bag 16.38 $ 16.38
Lu ................................................................................................j..................i........................j........................a....................... ........................i.................................................
Q $
...............
................
..................................................................j..................j........................ .......................�....................... .......................j.............................................. _
$
Total Material Costs $ 3,372.63
OTHER DESCRIPTION Code QTY. UNIT TAX Rate Tax Extension
Efate Construction 1 LS 960 $ 960.00
..................j........................:........ ..... ... _ ................. ................. : ...........................................
Petersen Brothers 1 LS 4218.01 $ 4,218.01
................................................................................................s..................i........................i........................a....................... ..................:......................................................
cc $
ty, ................................................................................................ ..................i........................
i........................e....................... ........................i.....................................
.........
_ $
F— ................................................................................................ ...' .................. ........
................................................................................................i..................:..................................................:........................ ........................:.................................................
$
Total Other Costs $ 5,178.01
Subtotal $ 9,661.50
Contractor's Representative Markup Labor 29% $ 259.07
Markup on Equipment 21% $ 45.68
Subcontractor's Representative Mark up on Material 21% $ 708.25
Service 12% $ 621.36
Owner's Representative
TOTAL THIS EXTRA WORK ORDER S1129 .86
Petersen Brothers, Inc.
2008 East Valley Hwy
Sumner,WA 98390
(253)86M136
Quigg Brothers, Inc. INVOICE 0: 1915701
P.O. Box 1707 DRAW ID: 1915701
Aberdeen, WA 98520-0281 DATE: November 9.2019
SALESPERSON:
CONTRACT ID: 19-157 CUSTOMER ID: QUIGGBROTH
Upper Mill Creek PO#:
LOCATION: 1715 Kent/Use Tax
Item Description Units Unit of Unit Total Units Units in Current
Contracted measure Price in Place Place this Billing
Period
1 1004-Remove Guardrail 100.00 LF 15.38 25.00 25.00 384.50
2 1310-NF Term Type 1 SKT TO 1.00 EA 4,131.93
3 1312-Type 31 NFT MSKT TL3 1.00 EA 4,460.39
4 Al-SS Vert Back 42"CCB 30.00 LF 173.23
Al SS Vert cle Bade PC Barier 48" 40.00 LF 77.70 40.00 40.00 3,108.00
Cla Non-Flared Terminal Ty 31 TL2 1.00 EA 3,475.62 1.00 1.00 3,475.62
C1b Gurdrail Transition Type 1 1.00 EA 3,009.64 1.00 1.00 3,009.6.4
C1c Guardrail Transition Type 4 1.00 EA 1,783.37 1.00 1.00 1,783.37
C1d Guardrail Type 1 18.75 LF 77.30 18,75 18.75 1,449.38
Total 13,210.51
Invoice Sub-total 13,210.51
Retainage Held -660.53
Amount due this Invoice $12,549.98
Billed to date: 13,210.51
Paid to date: 0.00
Retainage 660.53
Total amount due: $12,549.98
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.
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We do not assume responsibilrty for damage caused by curling buried pipe, conduit, voids. wood and steel �_ams. All
material is guaranteed to be specified. All work to be completed in a workmanlike manner according 'to standard practices.
Any alteration,or deviation from above specifications involving extra costs will be executed only upon written orders, and
will become on extra charge over and above the estimote. Late fees and legal fees will be added for accounts over 30 days
past due. If this matter should proceed, to -oilections, reasonable ottarriey fees and the cost of the S1.11t will be add?a
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QUIGG BROTHERS INC ATTENTION RECEIVING
ATTN ACCOUNTS PAYABLE 1021 RIVER ST
PO BOX 1707 ABERDEEN, WA 98520
ABERDEEN, WA 98520-1707
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MERCHANDISE I DEPOSIT DEPOSIT
TOTAL HANDLING MISC CHARGE TAX FREIGHT AMOUNT APPLIED INVOICE TOTAL
43.50 0.00 0.00 0.48 0.04 0.00 ; 0.00 43,9>3
PICK-UP SIGNATURE:
ERIK
QUIGG BROS., INC. �3 M����� � �� ��������
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818VK State St. Pu Box 17O7
Aberdeen Washington V852O
Phono380-555'1530 Fax360-532-3448
The following number must appear nn all related
correspondence,shipping papers, and invoices:
P.O, NUMBER: 10055
TO: SHIP TO:
Mary Ted Franco
LVY. Products Company QuiggBmo.. Inc.
8333-218*SNGE Building A 3701 Taylor Way
Woodinville,VVASOUT2 Tacoma YYA9O421
Pkone425-4O3-03OO Phun°3OO'5S1'52O3
P.O.DATE nEQummowsn SHIPPED VIA F.o.a. PmNT rsnMe
0-10-13 Truck WA Net3V
CITY um|T osmuR/pT|ow UNIT PRICE TOTAL
1 Each 42^X60^ double leaf H'2VUN access door(HD'2) 3.031.00Ee $3.031,00
2 Each 42^X60^double|eafH'30 LW access dnor(HHD'2) 4.248.00 Ea *8.206.00
1 Each 42^X42~single leaf H-1OUm access door(S'4) 1.83500Ea 1.835.00
SUBTOTAL $15.152.00
SALES TAX
SHIPPING&HANDLING TBD
OTHER
TOTAL
1� Please send two copies of your invoice.
o Enter this order in accordance with the prices,terms,
delivery method,and specifications listed above.
o Please notify uo Immediately o you are unable m ship ao
vpe*moo
4 Send all correspondence to:
Ted Franco
3701 Taylor Way
Tacoma WA
poonenoo'no1'0000
ToufCqu|onumx.com
L W Products Co. RE C E I V1 r Invoice
j i
ce
8333 219th St. SE, Building A
Woodinville WA 98072 AUG 0 7 2019 DATE INVOICE#
(425)483-0300 fax(425)485-2058 7/24/2019 739949
Quigg Bros., Inc.
BILL TO SHIP TO
Quigg Bros., Inc, Quigq Bros.
PO Box 1707 3701 Taylor Way
Aberdeen WA 98520 Tacoma WA 98421
Attn: Ted Franco
P.O.NO. TERMS SHIP DATE SHIP VIA PROJECT OUR ORDER#
16055 net 30 7/10/2019 Peninsula 119603
DESCRIPTION OTY RATE AMOUNT
42" x 60" H-20 Double LW access hatch 1 3,031.00 3,031.00
42" x 60" H-30 Double LW access hatch 2 4,243.00 8,486.00
42" x 42" H-10 Single LW access hatch 1 1,835.00 1,835.00
Shipping 378.37 378.37
For: Ciry of Kent -
Upper Mill Creek U_am,,.�p== ----''
t
7 1 __
f aPROVED BY:
Thank you Total
S13,730.37
Past due invuim 1 50,;scr%clip per month. lrpuruhascr fails to
pad within terms&seller retatn<an attorney to collect.purchaser
agrvcs to pay attamn fens&atltcwtion costs whether ur not a
Corporate Office
3633 136th PI SE, Ste 100, Bellevue, WA 98006
H.D. FOWLER PO Box 160, Bellevue, WA 98009-0160
_ COMPANY Phone 425-654-8800 " Fax 425-641-8885
—•-- REMIT: PO Box 84368, Seattle, WA 98124 Olympia Branch
7520 Evelyne Lane
Invoice
Number 15297874 OLDS Lacey,WA 98516
(360)459-7300 Fax(360)438-2986
# 171750
To: Ship to: HD Fowler Company-Olympia 113
T-0 QUIGG BROS INC LACEY WA 98516
PO BOX 1707 Order# Inv Date: Order Writer:
ABERDEEN WA 985200281
06451821 10/03/19 Eric OBryan
Terms: NET 10TH PROX Due: 11/10/19 PO/JOB: UPPER MILL
FOB: FACTORY 7 Ship Via: WILL CALL UPPER MILL CREEK DAM IMPROVE
Qty Qty Part# Unit Extended T
Line Ship'd BO'd UoM Description Price Price X
Please note:our Corporate phone number
has changed. If you have any questions
regarding payables or receivables call
Corporate at 425-654-8800,
1 1 0 EA 48" X 4' MH SECTION WITH STEPS. 438.250 438,25
............
2 1 0 EA 48" FLAT TOP WITH 24" ROUND OPENING, OFFSET. 231.000 \ 231.00 1,
,!E�OOR CODE:
BODE: AMOUNT
APPROVED BY:
TOTAL: -
Sub total 669.25
Freight 0.00
Tax 0.00
Grand Total 669.25
ERIK HEGG Serving the Pacific Northwest since 1911
NVOICE
. SVPPLY _ _
CONSTRUCTION & INDUSTRIAL BRANCH ADDRESS INVOICE NUMBER
WHITE CAP 030-KENT 10011461087
HO Supply Construction Supply.Ltd. (253)518.0306
501 W Church Street. Orlando FL 32805-2247 7820 SOUTH 210TH STREET.SUITE 10 INVOICE DATE
KENT WA 98032 10/28/2019
KING CUSTOMER PO NUMBER
18056
ENROLLMENT TOKEN: HXD KDB TPP
TERRITORY: PLEASE REMIT PAYMENT TO:
SOLD TO: 8787000 SHIP TO: 10002442752 HID SUPPLY OUSTR ALC WHITE CAPON AND
P.O.BOX 6040
CYPRESS,CA 90630-0040
QUIGG BROS INC #18056 UPPER MILL CREEK DAM
PO BOX 1707 104TH AVE
ABERDEEN WA 98520-0281 WOODMONT BEACH WA 98032
ORDER DATE ORDER NO. ORDERED BY ACCOUNT MANAGER TAKEN BY
10/28/2019 35290746 ERIC HEGG NIKSICH, MICHAEL MUNRO,ALEX W
BRANCH ACCT JOB NO. TERMS SHIP VIA I ROUTING CUSTOMER JOB NO.
030 10002442752 NET 30 DAYS 5.WALK IN #18056 UPPER MILL
LINE PART NUMBER DESCRIPTION QTY ORD UNIT PRICE QTY BKO QTY SHP EXPTECEEO TAX
1 433JSCR50B 50LB BAG JETSET COMPLETE REPAIR 4 31.22 BAG 0 4 124.88 0.00
2 10354 5"X1-1/2"MARGIN TROWEL WOOD HANDLE 1 13.69 EA 0 1 13.69 1.37
MARSHALLTOWN
I f
qc sG_ jlvo P,
/ 0- .
THESE ITEMS ARE CONTROLLED BY THE U.S.GOVERNMENT AND AUTHORIZED FOR EXPORT ONLY TO THE COUNTRY OF
ULTIMATE DESTINATION FOR USE BY THE ULTIMATE CONSIGNEE OR END-USERS)HEREIN IDENTIFIED. THEY MAY NOT BE
RESOLD,TRANSFERRED OR OTHERWISE DISPOSED OF TO ANY OTHER COUNTRY OR ANY PERSON OTHER THAN THE
AUTHORIZED ULTIMATE CONSIGNEE OR END-USER(S).EITHER IN THEIR ORIGINAL FORM OR AFTER BEING INCORPORATED INTO
OTHER ITEMS.WITHOUT FIRST OBTAINING APPROVAL FROM THE U.S.GOVERNMENT OR AS OTHERWISE AUTHORIZED BY U.S
LAW AND REGULATIONS.
For questions regarding this invoice please call 1-866-857-0295. TOTAL GROSS 138.57
NO REFUNDS OR EXCHANGES ON NON STOCK MERCHANDISE TOTAL TAX 1.37
Visit https//vnnv whitecap com/shop/wc/terms-and-conditions-of-sale to view TOTAL SHIPPING
complete terms andconditions. AND HANDLING j 0.00
RECEIVED BY SIGNATURE COPY ON FILE TOTAL INVOICE 139.94
Please verify that the remit to address you are using agrees to the address shown at the top of this Invoice. Page 1 of 1
ENMore saving.
Moredoinjj.',
4602 CENTER STREET TACOMA, W?, '?$w!(.`.:
STORE MA4:LGFP• !TM KAISER >� `iE`i ''•::;�4
4720 00001 25997 09/09/19 10:56 AM
CASHIER JASIAH
i
761542002609 2X4-96 KD—HT -A>
2X4-96" PRIME KD—HT WHITEK)OD STUD
1092.25 22.50
876504000668 3/4 RTD SHTG -A>
23132 OR 3/4 4X8 CDX PLfW6OD
3@23.38 7u.14
044315533402 HI STR EPDXY <A-
SET22 2207. HIGH—STRENGTH EP0,-. 1 E i
3640.34
820909574644 FTNTROWEt_ -A> 1u.47
ANVIL 8 IN / 3 IN TROWEL WOOD fibl
084305355546 HOMER BUCKET -A> .s.25
5GAL HOMER BUCKET
SUBTOTAL
SALES TAX 2%.30
TOTAL $25r.18
XXXXXXXXXXXX5306 HOME DEPOT 251 16
t 'TH CODE 009265/1010517 TA
uulGG BROS INC
PATRICK RON
PRO XTRA MEMBER STATEMENI
PRO X1RA 044N N-1530 SUMMARY
THIS PF('EIPI' P,3/JOB NAME: 19050