HomeMy WebLinkAboutCAG2019-204 - Change Order - #1 - C.A. Carey Corporation - S. 212th St Bridge Deck Resurface - 08/14/2020 Agreement Routing Form
• For Approvals,Signatures and Records Management
KE N T_17 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:
> 8/31/20 N/A
0
L.
aAuthorized to Sign: Date of Council Approval:
,d 0 Director or Designee ❑Mayor N/A
Budget Account Number: Grant? ❑Yes ID No
R20075.64110.120
Budget? El Yes ❑ No Type: N/A
Vendor Name: Category:
C.A. Carey Corporation Contract
Vendor Number: Sub-Category:
C 2024948 Change Order#1
0
Project Name: South 212th Street Bridge Deck Resurface
to
`0 Change= Project Details: g the method of bridge deck surface preparation from diamond grinding grinding
-- to hand chipping due to the amount of exposed and close to the surface rebar.
C
41
E Agreement Amount: $30,899.83 Basis for Selection of Contractor: Bid
h.i Start Date: N/A Termination Date: 30 Working Days
Q
Local Business? ❑Yes ❑ No*
*If meets requirements per KCC 3.70.700,please complete"Vendor Purchase-Local Exceptions"form on Cityspace.
Notice required prior to disclosure? Contract Number: CAC 201 q_ ;Z
❑Yes El No "�
9-284
Date Received by City Attorney: Comments:
C
N
C
Date Routed to the Mayor's Office:
i7i
Date Routed to the City Clerk's Office:
Visit Documents.KentWA.gov to obtain copies of all agreements
e
KENT
CHANGE ORDER NO. #1
NAME OF CONTRACTOR: C.A. Carey Corporation ("Contractor")
CONTRACT NAME & PROJECT NUMBER: South 212111 Street Bridge Deck Resurface
ORIGINAL CONTRACT DATE: April 15, 2019
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:
Change the method of bridge deck surface preparation from diamond
grinding to hand chipping due to the amount of exposed and close to
the surface rebar.
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, $597,680.00
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $0.00
(incl. applicable WSST)
Current Contract Amount $597,680.00
(incl. Previous Change Orders)
Current Change Order $30,899.83
Applicable WSST Tax on this Change $0.00
Order
Revised Contract Sum $628,579.83
CHANGE ORDER - 1 OF 3
Original Time for Completion 30 working days
(insert date)
Revised Time for Completion under 30 working days
prior Change Orders
(insert date)
Days Required (f) for this Change Order 0 calendar days
Revised Time for Completion 30 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 KENT:
By: By;
(signatu ) l (Sig ature) i
I
Print Name:_ i2174ea e4-xec Print Name: Timothy J. LaPorte, P.E.
Its %Jit�c 1,('3 f — Its Public Works Director
(rri p ri7e—
DATE: (� C9%) DATE:
vs
s v '
5: n
fit,
CHANGE ORDER - 2 OF 3
ATTEST: APPROVED AS TO FORM:
(applicable if Mayor's signature required)
44)
Kent City Clerk Kent Law Department
J.
'In this geld,you may enter the electronIc tflepath where the contract has teen saved)
CHANGE ORDER - 3 OF 3
KENT FILE NO: 200.2
wI I T.N
CHANGE ORDER WORKSHEET NO. �-
Construction Engineering Division — Public Works
Project: 2121" Bridge Deck Project No.: 18-3004
Contractor: C. A, Carey Inc. Acc. No.: R20075
Date: 7/22/20
I. PROPOSED CHANGE
This change revises the method of bridge deck surface preparation from diamond grinding to
hand chipping.
II. REASON AND BACKGROUND FOR CHANGE
The more time consuming and more expensive hand chipping was necessary due to the
extensive amount of exposed and close to the surface rebar. The bridge deck was so bad that
customary planning by diamond grinding was not feasible. Diamond grinding would have
indiscriminately cut or saved the rebar. Intact rebar is a crucial component of the overall
structural integrity of the bridge.
III. METHOD OF PAYMENT
Sch. No. Item Description Total Qty this Unit Unit Price Total Estimated Cost
Est. Qty I PE
----.. _..--- --...._........r..._.. ....
......_._._._.....r...._... ......
_ ...__.._......._.._..__Hand Chip
pin.g - ..._.___... ... -..'...._....._...1 -= .._......_...................1L ......... $30,899.83................._..... ......_!.
TOTAL ESTIMATED CHANGE ORDER COST $30,899.83
*Total of the Cost of Item Columns
THIS PAY ESTIMATE $30,899.83
IV. WORKING DAYS
Original Contract 30 Due This Change Order* 0 Previous Total 30
........ _. _.........................._._.... ........_. _. ........ ....._.............
DATE: DATE: �.....a...
........................ __._...._._... ......_... .... .... . .... . .. ................................---............
.
* Ex lanation Justification Re uired:
TOTAL WORKING DAYS* 30
*This Change Order + Previous Total
1
KENT FILE NO: 200.2
w,..,.....o,
Capital Construction
Supervisor:
Construction Manager: Date:
2
COST SUMMARY
ADDED WORK TO HAND CHIP AROUND EPOSED REBAR
TOOLS(not on FA sheets) INVOICE PRICE
PLANER HERC RENTALS 2,694.72
SCABBLER PACO 170.66
BUSHING TOOLS PACO 301.45
BUSHING TOOLS PACO 448.71
BUSHING TOOLS PACO 323.25
CHIPPING HAMMERS PACO 396.36
MARK-UP AT 21% 910.38
$5,245.53
FORCE ACCOUNT SHEETS
8/14/2019 3,363.54
8/15/2019 4,927.43
8/16/2019 4,244.31
8/19/2019 4,999.75
8/20/2019 4,319.66
8/23/2019 $3,799.61
MARK-UP INCLUDED
$25,654.30
TOTAL $30,899.83
C.A.CAREIPS REPORT Foft "TIME AND MATERIAL:WORK
Project Name: SOUTH 212TH STREET BRIDGE DECK RESURFACE EW
Contract No. Caret#1295 Date:
Work Description: BRIDGE DECK TAPER REMOVAL-HAND CHIP 10%4W_At EACH END OF BRIDGE APPROACH
Labor Costs
Labor Rtgular Overtime Amount
Name Code Hours Rate* Hours Rate* Re gular Overtime
Cue 7-1s P1-r*r,s $0.00 $0.00
xy4cje ___ $0.00 1, $0.00 $0 on $0.00
$0.00 1 $0.00 50 __$0.00
.00
$0.00 $0.00 $0.00 SLO.00
$0.00 $0.00 $0.00 , �0-00
$0.00 t $0.00 $0.001 $0.00
$0.00 $0.50_ --k.-00 $0.00
$0.00 $0.001 $0.00 $0-00
$0.00 $0.00l $0.00
i $0.00
$0,00 $0.001-- $0.001 $0.00
Including fringe benefits 11 Labw Total: $0.00
Equi mant Codes,Rates and Hours
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Regular Standby
FORD F-350 SERVICE TRUCK POO $o-00 3"a $0.001 $0.00
FORD F150 P/U TRUCK P13 $0.00 00
_��-00
SMALL TOOLS Moll $O,DO
$0-W 50.00 $0.00
$0.00 $0.00 $0.001 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $-6-00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
Equipment Total: $0.00
Material or Rental Costs
Kind Unit Quantity Price Amount
IR COMPRESSOR WITH HOSE AND HAMMERS DAY
$0.00
$0.00
Y TRAFFIC CONTROL DEVICES DAY $0.00
$0.00
LL OTHER TRAFFIC CONTROL PAID BY BID-ITEMS $0.00
LIMP FEES $0.00
$0.00
$0,06-
Material Tobill: $0.00
Subcontractor
Name Inv# Unit Price quantity Grand total
$0.00
$0.00
Subcontractor Total: $omoo
I hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used In the work.Labor rates Include all benefits,taxes and insurance costs otal Lab" $0.00
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark-W:-299E $0.00
Specialized services will be marked up at 21%per 1-09.6(4) otal Eq��"At Rental $0.00
Equilipiewit Markup: 211% $0.0101
Inspector Data Total Materials $0.00
Materials Markup: 21% $0.00
Contractor yr /Oal'e General Contractor Total 0-00
//d '-f $
Subcontractor Total - $0.00.
Project Engineer DAte Prime markup on Sub: -14% $01.00
Grand Total 1 $()0.00
C.A.CAREY°S REPORT it m 'TIME AND MATERIAL"WORK
Project Name: Ey 1
' ontract No, �_^ -_Carey#1295 _ Date: August 14,261
Work Description: BRIDGE DECK TAPER REMOVAL-HAND CHIP 10'X 48 AT EACH END OF BRIDGE APPROACH
Labor Costs
Labor Regular Overtime Amount
Name Code Hours Rate' Hours Rate' Regular Overtime
UTRIS PITTS FM 3.00 $70.29 $0.00 $210.871 $0.00
LER BUSH 1 5.00 $67.74 $0.00 $288.70 ; $0,00
MIKE JOHNSON 1 5.00 $57.74 $0.00 $28a.70 '- $O.op
_ _ _ _ _ - _ _
ATHEW REVIS 1 5.00 $57.74 - $0.00 i288.70 $0 00
-- - _
$0.W $0.W $0.00 ! $0.00
E0.00 $0.00 $0.00I $0.00
- - - -_�_-
-._ $0,00 - $0.00 $0.00 $0.00
-
_- $0.00 $0.00 $0.00! $0.00
- - ---
-
r "50.00 50.00V
S0.00 $000
$0 $0.00 KOO _ $0.00
including fringe benefits
Labor Total: $1,476.97
E ui ment Codas,Rates and Hours
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Regular Standby
FORD F-3S0 SERVICE TRUCK P08 _5.00 $27.05 $0.00 $136.25 $0.00
- _ - - ---+--- _---
FORD Fi'.i0 PN TRUCK P13 S.Oo- -rt $15.26 $0.00 $76.30 $0.00
MALL TOOLS M01 5.00 $10.50 1 $0.00 $52.50 + $0.00
S0_00 ! $0.00 $0.00 $0.00
$0.00 T $0.00 i $0.00 I $0.00
$0.00 j $0.00 $0.00 $0.00
_ 1 $0.00 1 $0.00 $0 00 $0.00
_ . 00
--
$0.00 $0.00 $0.00 $0.00
Equipment Total: $264.05
Material or Rental Costs
Kind Unit Quantity Price Amount
IR COMPRESSOR WITH HOSE AND HAMMERS DAY 1 1.00 $352.90 $352.90
ABBLER PACO RENTALS _ 1.00 $170.66 $170.86
MPORARY TRAFFIC CONTROL DEVICES DAY-- 1.00 $844.00 $844.00
_ F _ - $0.00
L OTHER TRAFFIC CONTROL PAID BY BID ITEMS i �,00
-- _�- -
- $0.00
$0,00
$0.00
Material Total: $1 367.56
Subcontractor
Name Inv# Unit Price qua Grand total
Subcontractor Total: $0.00
1 hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used in the work.Labor rates include all benefits,taxes and insurance costs Total Labor $1,076.97
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark : 29% $312.32
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $264.05
Equipment Mirk . 21% $55.45
Inspector Date otal Materials $1,307.56
Materials Ma : 21% $287.19
ontractor Date ral Contractor Total $3,363.54
ubcontractor Total $0.00
Project Engineer Date Prim ma on Sub: 14% $0.00
GrandTotal $3,363.54
t C + t �t'l.e-A
Csi-CARRVS REPORT FOR "TWE AND MATEPJAL"WORK
Project Name: EW 2
Contract No. Care #1295 Date: August 15,201
Work Descriptim BRIDGE DECK TAPER REMOVAL-HAND CHIP 10'X 48'AT EACH END OF BRIDGE APPROACH
Labor Costs
Labor R ular Overtime Amount
Name Code Hours Rate' Hours Rate' Reg ular Overtime
1 YLER BUSH M $0.00 $0.00 $0.00 $0.00
MIKE JOHNSON 1 $0.00 $0.00 $0.00 $0.00
DARRYL HAMILTON 1 $0.00 $0.00 $0,00 ; $0,00
MATHEW REVIS 1 $o.00 $0.00 $0.00 $0.00
$0.00 $0.06 $0.00 $6.00
$0.00 $0.00 $0.00 $0.00
$0,00 $0.00 $0.00 $o.00
�•� $0.00 $0.00 : $0.00
--
_ $0 00 $0,00 $0 00 $0 00
$0.00 $0.00 $0.00 $0.00
•including fringe benefits Labor Total: $0.00
E ui mant Codes,Rates and Hours
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Regular Standby
FORD F-350 SERVICE TRUCK Poe $0.00 $0.DO $0.00 $0.00
FORD F750 PIU TRUCK P13 $0.00 �0.D0 $0.� $0.00
_-_- _
MALL TOOLS TO - _
M01 � ; $0.00 ' $O.DO $000 50.00
S0.00 ;0.00 $0.00 $0.00
$0.00 $0.00 $0.00 f $0.00
-T-$0_00 $0.00 -$O.O() l $0.00
; $0.00 $0.00 $0.001 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 1 $0.001 $0.00
Equipment Total: $0.00
Material or Rental Costs
Kind Unit Quantity Price Amount
IR COMPRESSOR WITH HOSE AND HAMMERS M ER DAY $0,00
T
PLANER HERTZ DAY iO.00
MPORARY TRAFFIC CONTROL DVOCES DAY -_ $0.00
$0.00
LL OTHER TRAFFIC CONTROL PAID BY BID ITEMS -"
- . $0.00 j
DUMP FEES ._._ .___.___ ___
$0.00
_ - - $0.00
Material Total: $0.00
Subcontractor
Name Inv# Unit Price quantity Grand total
$0.00
$0.00
Subcontractor Total: $0.00
1 hereby certify that the above is a true and correct statement of labor,equipment. and Cost Summa
.aterials used In the work.Labor rates include all benefits,taxes and insurance costs Total Labor $o.Do
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark-up: 29% $0.00
Specialized services will be marked up at 21%per 1-09-6(4) Total Equipment Rental $O.Do
Equipment Markup: 21% $0.00
inspector �. i -�a e I Total Materials $0.00
Materials Marku : 21% $0.00
Contractor General Contractor Total
$0.00
Subcontractor Total io.00
Project Engineer Date Prime markup on Sub: 14% $0.00
Grand Total $0.00
CAXARE)ft REPORT mit-ME AND MATBUALN WORK
PTI!q-Name:d SOUTH 212TH STREET BRIDGE DECK RESURFACE EW 2
Contract No. 0 1295�C�
Work ---'6R- _ Date: August 15,201 o rk Des�ii�n.' BRIDGE DECK TAPER REMOVAL-HAND CHIP 48'AT EACH ikl)OF BRIDGE APPROACH
Labor Costs
Labor R22ular Overtime Amount
Name Code Hours Rate' Hours Rate* Regular Overtime
ER BUSH FM 8.00 $70.29 $0.00 $562.32 $0.130
KEJOHNSON 1 8.00 $57.74 $0.00 $46L92 $0.00
DARRYL HAMILTON 8,In- $57.74 $0.00 $461.92
MATHEW REVIS
00 __$57.74 $0.00 $461-92 , $0.00
$0.00 $0.00 $0.00 i $0.00
$0.00 $0.00 $0.00 $0.00
$0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 KOO So.00 $O.DO
including fringe benefits Labor Total: $1,948.()8
Equipment Codes,Rates and Hours
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Reg lar Standby
FORD F350 SERVICE TRUCK Poe 8.00 $27.05 $CU 00 $216.40 $0.00
FORD F150 PIU TRUCK P13 8.00 $15.26 _
$0.00 $122.08 $0.00
LLTOOLS M01- 8,00 $10.50 $0.00 $84.00-L- $0.90
$0.00 $0.00 $0,001 $0.00
$0.00--- $0.00 $0.00 -$0-00
$0.00 $0.00 $0.00 $0-00
$000 $0.00^ $0-00-t--- -$0,00
$0.00 $0.00 .00 $0.00
$0'
$0.00 -$0.00 $0.00 $0,00
�Total�. �$422-48�
Material or Rental Costs
Kind Unit i Quantity Price Amount
AIR COMPRESSOR WITH HOSE AND HAMMERS DAY 1.00 $352.90 $352.90
PLANER HERTC RENTALS DAY 1.00 $336.-00 $336.00
EMPORARY TRAFFIC CONTROL iliVidES; DAY 1.00 $884.00 $884.00
$0.00
OTHER TRAFFIC CONTROL PAID BY BID ITEMS -1 -T_100 $0-00
$0.00
$0.001
1 1 $0.00
Material Total: $1,572.90
Subcontractor
Name Inv# Unit Price quantity Grand total
1 $0.00
$0.00
Subcontractor Total: $0.00
1 hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
atenals used In the work.Labor rates include all benefits,taxes and Insurance costs Total Labor $I,W.08
[Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 - Labor mark-up: 29% $564.94
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $422.48
Equipment Markup. 21% $88.72
Inspector Date IT-otal Materials - $1,572.90
MaterialsaOk -, 21% $330.31
Contractor Date General Contractor Total $4,927.43
Subcontractor Total $0.00
Project Engineer Date Prime mark-up-on Sub: 14% $0.00
Grand Total S4,927.43
F),
ei 1 01 _c i
d..l
C-A-CAR£Y`S REPORT ma"Tihl£ AND MATERIAL"WORK
Project Name: SOUTH 212TH STREET BRIDGE DECK RESU EW 3
ontract No. __ Carey#1295 Date: August 16,201
Work Description BRIDGE DECK TAPER REMOVAL-HAND CHIP 10%48'AT EACH END OF BRIDGE APPROACH
ds
Labor Costs
Labor Regular Overtime Amount
Name Code Hours Rate* Hours Rate" Regular Overtime
_ ' so. -- - $0.00 $0.00 $0.00
1MIKE_j0_HNSON 1 _- $0.00 r- $0.00 $0.00 : $0.00
DARRYL HAMILTON __- 1 - $0.00 _ - $0.00 $0.00 $0.00
MATHEW REVIS 1 $0.00 $0.00 $0.00 $0.00
vANIEL JONES 1 rG uv $v.flv $0.00 ' $0.00
- $0.00 $0.00 i $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 KOO
- - -
Rra nr> sn no $O M i $n.n_n
$0.00 $0.00 $0.00 �T $0.00
including fringe benefits Labor Total: $0.00
Equipment Codes,Rates and Hours
Raguiai Standby A t;Cii�i
T Code Hours Rate Hours Rate Regular Standby
FORD F-350 SERVICE TRUCK a P08 $0.00 $0.00 $0.00 , $0.00
FORD F180 P/LI TRUCK P13 $0.00 $0.00 $0.00 $0.00
SMALL TOOLS ---- _.__.. M01 p, so 00 + $0.00 $0.00 ` $0.00
- - -
$0.00 $0.00 $0.00 : $0.00
$0.o0 + $0.00 $0.00 . $0.00
_ -_-- $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 ` $0.00
Equipment Total: $0.00
Material or Rental Costs
Kind Unit Quantity Price Amount
IR COMPRESSOR WITH HOSE AND HAMMERS DAY $0,00
_ - __-
PLANER HERTZ DAY $0.00
TEMPORARY TRAFFIC CONTROL DEVICES DAY $0.0o
$0.00
L OTHER TRAFFIC CONTROL PAID BY BID ITEMS 1 '-J $0.00
$0.00
DUMP FEES - --
---------__ $0.00
Material Total: $0.00
Subcontractor
Name Inv# Unit Price quantity Grand total
$0.00
$0.00
Subcontractor Totat: $0.90
I hereby certify_ that the above is a true and correct statement of labor equipment,and Cost Summary
materials used in the work.Labor rates include all benefits,taxes and insurance costs Total Labor _ $0.00
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 - Labor mark-up. 29% $0.00
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $0.00
__.__-_-- -_--. ---------__-- Equipment Markup: 21% $0.00
Inspector jjff � Datte Total Materials_ $O.00
Materials Markup: 21% $0.00
Contractor Date General Contractor Total $0 00
I S_ubco_ntra_ctor Total _ $0.00
Project Engineer `Date Prime marrcup on Sub: 14% $0.00
Grand Total $0.00
C.k.CAItRRY'S R>Rf;F Foft 7 M£AND MATERIAL"Iffof K
Project Name) SOUTH 212TH STREET BRIDGE DECK RESURFACEW S
' Contract N0. _ 2Carey#1295 Date: August 16,201
Work Ban: BRIDGE DECK TAPER REM0VAL44AND CHIP 10'X 48'AT EACH END OF BRIDGE APPROACH
Labor Costs
Labor Regular Overtime Amount
Name Code Hours Rate* Hours Rate' Regular Overtime
fAT':A
ER BUSH FM 1.00 $70.29 $0.00 $70.29 $0.00
- - -
E JOHNSON - -`-� 1 8.00 - $67.74 t $0.00 $461.92 $0.00
RRYL HAMILTON 1 8.00 $57.74 $0.00 $461.92 , $0.00
HEW REVIS1 8.00 $57J4 $0.00 $461.92 $0.00
NIEL JONE3 1 8.00 $0.00 $0.00 $0.001 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 i $0.00 $0.00 $0.00
$0.00 $o.00 $0 00 $0.00
$0,00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
including fringe benefits Labor Total: $1,456.05
Equip ent Codes,Rates and Hours
Equip Regular StandbyAmount
T Code Hours Rate Hours Rate Regular Standby
FORD F-350 SERVICE TRUCK Poe 8.00 $27.05 $0.D $216.40 $0.00
fORO F150 P/U TRUCK P13 8.00 $15.26 $o 00 $122.06 $0.00
- - _ - -
LL TOOLS_ M01 8.00 $10.50 $0.00 $84.00 $0.D0
- - _._
_ $0.00 $0.00 _ $0.0_0 $0.00
$0.00 - $0.00 $0.00 $0.00
-_ $0.00 + $0.00 $0.00 50.00
_ $0.00 i $0.00 $0 00 ( $0.00
$0.00 $0.00 $0.00 ' $0.00
$0.00 - _
$0.00 $0.00 $0.00
E ut Total: $422.48
Material or Rental Costs
Kind Unit QuantityPrice Amount
R COMPRESSOR WITH HOSE AND HAMMERS DAY 1.00 $352.90 $352.90
_ - -- -
NER HERTC RENTAL$ DAY 1.00 $336.00 $336.00
EMPORARY TRAFFIC CONTROL DEVICES DAY 1.00 $844.00 $844.00
_--
____ $0.00
OTHER TRAFFIC CONTROL PAID BY BW REMS 1 1.00 $0.00
$0.00
-- $0.00
$0.00
Material Total: 1.532.90
Subcontractor
Name Inv# Unit Price quantity rand total
$0.00
$0.00
Subcontractor Total: $0.00
I hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used in the work.Labor rates include all benefits,taxes and insurance costs Total Labor $1,456.05
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark-up: 29% $422.25
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $422,48
Equipment Markup: 21% $88.72
inspector Date Total Materials $1,532.90
Materials Marku : 21% $321.91
Contractor Date General Contractor Total $4,244.31
Subcontractor Total $0.00
Project Engineer
of n9 Date Prime markup on Sub: 14% _ $0 00
Grand Total $4,244.31
rt, e- / I-S 1, q;X'd -P t�--
C-A-CARETS REPORT FOR "TIME AND MATEIUAL"WORK
Project Name: EW 4
act No. ----j -�.-_-
i _ Carey#1295 Date: August 19,201
+n►ork Description: BRIDGE DE6K TAPER REMOVAL-NAND CHIP WX AW AT EACH END OF BRIDGE APPROACH
Labor Costs
Labor Regular Overtime Amount
Name Code Hours Rate" Hours Rate` Regular Overtime
TYLl BUSH FM
i $0.00 $0-W 50.00 i Wuo
KE JOHNSON 1 7 $0.00 $0.00 $0.00 KOO
DARRYL HAMILTON_._ 1 $0.00 $0.00 $0.00 $0.00
THEW REVIS 1 �- $0.00 $0.00 $0.00 $0.00
DANIEL JONES SO-00 --- ;w SOW $0.00
A ES BOMPREZZI _ --- t I $0 00 - $0.00 $0.00 $0.00
_ - -- 50.00 $0.00 $0.00 $0.00
$0 00 -- $0.00 $0.00 $0.00
$n on en r?f+ 1.0 nn rxi
$0.00 $0.00 $0.00 $0.00
including fringe benefits Labor Total: $0.00
Equi ent Codes,Rates and Hours
y u'h' RC- U6 utdr Fu:." n TiOUllt
Type Code Hours Rate Hours Rate Regular
FORD F-350 SERVICE TRUCK JP131
$0.00 $0.00 $0.00 IV-
$0
FORD F1SO P/U TRUCK I $0.00 $0.00 $0.00 SMALL TOOLS 7 I $0.00 SO.uo $0.00
.00 ^; $0.00 $0.00 $0.00
-_---..__- $0.00 ?- $0.00 $0.00 $0.00
_ $0.00 r $0.00 $0.000 i0.00
i so.00 $0.00 $0.00 $0.00
! $0.00_ $0.00 $0,00 _ _ _$0.00
$0.00 $0.00 $0.00 + $0.00
Equipment Total: $0.00
Material or Rental Costs
Kind Unit Quantity Price Amount
AIR COMPRESSOR WITH HOSE AND HAMMERS DAY $0.00
PLANER HERTZ - DAY $0.00
RA EMPORY TRAFFIC CONTROL DEVICES- DAY _ $0.00
_ _ I $0.00
ALL OTHER TRAFFIC CONTROL PAID BY BID ITEMS 1 $0.00
$0.00
DUMP FEES _-.-
Wou
Materlal Total: $0.00
Subcontractor
Name Inv# Unit Price quantity Grand total
$0.00
Subcontractor Total: $0.00
1 hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used in the work.Labor rates include all benefits,taxes and insurance costs Total Labor $0,00
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark : 29% $0.00
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $0.00
-----. _ q� - ---
_ $0.00
Equipment ent Markup: 2196
Inspector Date Total Materials $0.00
- " l -ZO -I I Materials Marla,p. 21% --$0.00
Contractor Date General Contractor Total 50.00
Subcontractor Total $0.00
Project Engineer Date Pnme markup on Sub: 14,701 $u.0u
Grand Total $0,00
C.A.CAREft REPORT f oft "TIME AND MATERIAL"WORK
Project Name: BUMMTH STREET BRIDGEDECK RESURFACEEW 4
Contract No.PV ;Carey#1295 Date: A ust 19,201
- --- --
Work Description: BRIDGE DECK TAPER REMOVAL-HAND CHIP 10'X 48'AT EACH END OF BRIDGE APPROACH
Labor Costs
Labor R ular Overtime Amount
Name Code Hours Rate` Hours Rate' Regular Overtime
LER BUSH FM 1.00 $70.29 $0.00 $70.29 $0.00
KE JOHNSON 1 7.00 $57.74 $0.00 $404.18 $0.00
DARRYL HAMILTON 1 7.00 _$57.74 ! $0.00 $404.18 $0.00
THEW REV_IS_ 1 7.00 + $57.74 _R $0.00 $404.18 $0.00DANIELJONE3 - __. _ f
1 7.00�j >~57.T4 $0.00 $404.18 $0.00
-
AMES BOMPREZZI 1 7.00 $57.74 i $0.00 $404.18 $0.00
$0.00 $0.00 $0.00
R.�
$0.00
$0.00 $0.00 $0.00 $0.00
$0.001 $0.00 - $0.00
including fringe benefits Labor Total: $2,091.19
-Equip ent Codes,Rates and Hours
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Regular Standby
FORD F�350 SERVICE TRUCK P08 7.00 $27.05 1 $0.00 $180.35 $0.00
FORD F150 P/U TRUCK - P13 7.00 1 $15.26 - .00 i106.82 $0.00
_ _ _
MALL TOOLS M01 7.00
4 $10.50 $0.00 $73.50 $0.00
$0.00 _ $0.00 $0.W i0.00
-- -----__-__ $0.00� i $0.00 $0.00 , $0.00
0
i $0.00 $0.00 $0.00 , _50.00
- _ $0'00 $0.00 $0.00 1._ $0.00
$0.00 _ -- $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
Equipment Total: $369.67
Material or Rental Costs
Kind Unit Quwft Price Amount
AIR COMPRESSOR WITH HOSE AND HAMMERS DAY 1.00 $352.90 $352.90
PLANER HERTC RENTALS DAY 1.00 $336.00 $336.00
TEMPORARY TRAFFIC CONTROL DEVICES _ DAB 1.00 $844.00 $844.00
$0.00
OTHER TRAFFIC CONTROL PAID BY BID ITEMS 1i 1.00 $0.00
- _ -- $0.00
$0.00
-- - $0.00
Malarial Total: $1,532.90
Subcontractor
Name Inv# Unit Price quantity Grand total
- -- - -- -
$0.00
Subcontractor Total: $0.00
[Mark
hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
atenals used in the work. Labor rates include all benefits,taxes and insurance costs otal Labor $2.091 9
up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark-u : 29% $606.45
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $W9.67
Equipment Markup: 21% $77.63
Inspector Date Total Materials $1.632.90
Materials Markup: 21% $321.91
Contractor Date neral Contactor Total $4,999.75
Subcontractor Total
Project Engineer Date Prime markup on Sub: 14% $0.00
Grand Total $4,999.75
r
C.A.CAREeS REPORT Foa-rW>E AND MATERIAL"WORK
Project Name: SOUTH MTH 3TREET BRIDGE DECK RESURFACEW t5
Contract No. Carey#1295 __- Date: August 20,201
Work Description: BRIDGE DECK TAPER REMOVAL-HAND CHIP 10'X 48'AT EACH END OF BRIDGE APPROACH
da
Labor Costs
Labor Regular Overtime Amount
Name Code Hours Rate' Hours Rate' Regular Overtime
LER BUSH FM 5.00 $0.00 $0.00 $0.00 I $0.00
MIKE JOHNSON 1 7.00 $0.00 $0.00 $0.00 $0.00
DARRYL HAMILTON 1 7 00 $0.00 $0.00 $0.00 $0.00
MATHEW REVIS 1 7.00 $0-00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 1 $0.00
-�.- -_ $0.00 Saw $0.00 ' $0,00
$0.00 $0.00 $0.00 $0.00
--_-___ $0.00 $0.0o $0.00 $0.00
$D.00 $0.00 $0.00 $0.00
$0.00 - _ $0.00
including fringe benefits Labor Total: $0.00
Equipment Codes,Rates and Hours
Equip Regular Standby Amount
T Code Hours Rate Hours Rate Regular Standby
FORD F-M SERVICE TRUCK P08 7.00 $0.00 $0.00 $0.00 ; $0.00
FORD F150 PIU TRUCK P13_ 7.00 $0.00 �-$0.00 $0.00 ' $0.00
SMALL TOOLS M01 7-a 00 uT $0.00 - - $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 ! $0.00
$0.00 $0.00 $0.00 ' $0.00
$0.00 $0.00 $0-00 $0.00
_ __ $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 50.00 $0.00
$0.00 $0.00 $0.00
Equipment Total:
Material or Rental Costs
Kind Unit Quantity Price Amount
R COMPRESSOR WITH HOSE AND HAMMERS DAY 1.00
PLANER HERTZ DAY 1.00 - -- $0.00
_ - $0.00
EMPORARY TRAFFIC CONTROL DEVICES DAY 1.00 $0.00
-- _ $0.00
LL OTHER TRAFFIC CONTROL PAID BY BID ITEMS 1 j 1.00 $0.00
--- --
__ $0,00
DUMP FEES -
1 $50•00 $0.00
Material Total: $0.00
Subcontractor
Name Inv# Unit Price quanti Grand total
$0.00
$0.00
Subcontractor Total: $0.00
[Mark
hereby certify that the above is a true and correct statement of labor.equipment,and Cost Summary
aterials used In the work.Labor rates include all benefits,taxes and insurance costs Total Labor $0.00
up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark-up: 29% $0.00
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $0.00
E u ment Markup:- 21% $0.00
inspector 1/� pate (� Total Materials $0.00
Materials Markup: 21% $0.00
Contractor {� Date General Contractor Total $0.00
C4- "//" O -CX/-//q Subcontractor Total $0.00
rn
gineer Date Prime markup on Sub: 14% $0.00
Grand Total $0.00
L! t-
C.A.CARR S REPORT Fm"TIME AND MATEMAL"WORK
Project Name: SOUTH 212TH STREET BRIDGE DECK RESURFACE EW 5
d& Contract No. Carey 01295 Date: Ayourpt 20,201
Work Description: BRIDGE DECK TAPER REMOVAL-HAND CHIP 10'X,4 AT EACH END OF BRIDGE APPROACH
Labor Costs
Labor Regular Overtime Amount
Name Code Hours Rate" Hours Rate' Regular Overtime
LER BUSH FM 5.00 1 $7029 $0.00 $351.45 1 $0.00
MIKE JOHNSON 1 7.00 j $57.74 $0.W $404.18 $0.00
-- -.._ _ -
DARRYL HAMILTON 1 7.00 $57.74 $0.00 $404.18 $0.00
THEW REVIS 1 7.00 $57.74 $0.00 $404.18 ! $0.00
$0.00 $0.00 -_ $0.001 $0.00
$0.00 $0.00 $0.00 ( $0.00
$0.00 -- $o.ao $0.00 $0.00
$0.00 $0.00 $0.00! _ $0.00
$0.00 ___- $o.00 $0.00 _ $O.oO
_.
$0.00 $0.00 $0.00 ! $0.00
`including fringe beneffts 1F Labor Total: $1,563.99
E ui ant Codes,Rates and Hours
Equip R ular Standby Amount
Type Code Hours Rate Hours Rate Regular Standby
FORD F-330 SERVICE TRUCK _ P08 7.00 $27.05 $0.00 $189.35 ; $0.00
FORD F150 P/U TRUCK P13 7.00 ! $15.26 $0.00 $106,82 $0.00
SMALL TOOLS M01 7.00 1 $10.50 $0.00 $73.50 $0-W
$0.00 l $0.00 $0.00 ,
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00_ $0.00 $0.00
$0.00 $0.00 $0.00 j $0.00
$0.00 $0.00 $0.00 ' $0.00
$0.00 --- $0.00 -$0.00 . $0.00
Equipment Total: $369.67
Material or Rental Costs
Kind Unit Quantftyi Price Amount
R COMPRESSOR WITH HOSE AND HAMMERS DAY 1.00 $352.90 $352.90
_ _ -_- -_-
PLANER HERTC RENTALS - --- - - OAY 1.00 $336.00 $336.00
EMPORARY TRAFFIC CONTROL DEVICE8 - DAY ' 1.00 $844.00 S844.00
$0.00
LL OTHER TRAFFIC CONTROL PAID BY BID IT EMS 1 i._.._ 1.00 $0.00
--- -
- - - $0.00
_ $0.00
i $0.00
Material Total: 11.532.90
Subcontractor
Name Inv# Unit Price quantity Grand total
$0.00
$0.00
Subcontractor Total: $0.00
1 hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used in the work. Labor rates include all benefits,taxes and insurance costs Total Labor $1,563.99
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark : 29% $453.56
Specialized services will be marked up at 21%per 1-09A(4) Total Equipment Rental $369.67
Equipment Markup: 21% $77.63
Inspector Date otal Materials $1,632.90
Materials Markup: 21% $321.91
Contractor Date General Contractor Total $4,319.66
Subcontractor Total $0.00
Project Engineer Date -- Prime markup on Sub: 14% $0.00
Grand Total $4,31g.66
ked
C.A.CAR£Y'S REPORT;Fop. "TIME AND MATEMAL"WORK
Project Name: SOUTH 212TH STREET BRIDGE UIECK RESU EW
` ontrw No. _ _ _ Care _01285` Date_ $ !
Work lion. BR16GE DECK TAPER REMQYAL-HAND CHIP IWX 4V AT EACH END OF BRIDGE A ROACH
Labor Costs
Labor R ular Overtime Amount
Name Code Hours Rate' Hours Rate' Regular Overtime
d $0.00 I $0.00 $0.00 i $0.00
i4v _ _ _- -_ $0.00 +t $0.00 $0.0o I $0.00
��I i..TO til _ i �.__.Y so.00 $0.00 $o.00 j $0.00
�- - - --- -
---- $0.00 $0.00 $0.00 $0.00
_ $0.00 $0.00 $0.00 i $0.00
_. $0.00 $0.00 $0.00 , $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $o 00 _ $0.00
$0.00 $0.00 _$o-oo?� $0.00
- -
$0.00 $0.00 $0.00 $0.00
'including fringe benefits Labor Total: $0.00
E ui ment Codes,Rates and Hour
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Regular I Standby
ORD F-350 SERVICE TRUCK _ PO8 $0.00 $2.93 $0.00 $0.00
FORD F150 PAJ TRUCK P13_ _
_8 -�-50.00 $1.53 $0.00 $0.00
SMALL TOOLS M01 $0.00 $2.50 $0 00_ $0.00
$0.00 i $0.00 $0.00 - $0.00
$0.00 $0-00 $0,001 $0.00
-__- $0.00 --� $0.00 $0.00 ! $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 so.0o $0.00 ' $0.00
Equipment Total: $0.00
Material or Rental Costs
Kind Unit Quantity Price Amount
IR COMPRESSOR WITH HOSE AND HAMMERS DAY $200.00 $0.00
EMPORARY TRAFFIC CONTROL DEVICES DAY $68400 $0.00
$0.00
LL OTHER TRAFFIC CONTROL PAID BY BID ITEMS 50,00
--
- $0.00
DUMP FEES $60.00 $0.00
- $0.00
Material Total: $0.00
Subcontractor
Name Inv# Unit Price quantity Grand total
j/t/LLj - :Ivy i 7 Z 2 ' _
i
---_
Subcontractor Total: $0.00
I hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used in the work. Labor rates include all benefits,taxes and insurance costs Total Labor $0.00
ct
Mark up rates are based on the 2004 WSDOT standard specations section 1-09.6 - Labor mark-up: 29% $0.00
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $0.00
Equipment Markup: 21% �- $0.00
Inspector ate Total Materials $0,00
__ __
b J I Materials Markup: 21% $0.00
Contractor ate General Contractor Total $0.00
` /f Subcontractor Total $0.00
Project Engineer Datfi Prime markup on Sub: 14% $0.00
Grand Total $0.00
V--
C.A.CAREIN REPORT Foft -ME AND MATEMAI:WORK
Project Name: SOUTH 212TH STREET BRIDGE DECK RESURFACEEyy-
daContract No. 295 -Date: A
'RMWF workb�� ER REMOVAL-HAND CHIP 10'X 4V AT EACH END OF BRIDGE APPROACH 111400111"F c�tion: -dR-IDGIf-DECK TAPER
Costs
Labor Regular Overtime Amount
Name Code Hours Rate* Hours Rate* Regular Overtime
LER BUSH FM 2.00 $70.29 $0.00 $140.58 $0.00
THEW REAVIS -.1 8.00 1 $57.74 $0.00 $461.92 $0.00
DARRYL HAMILTON $57.74 $0.00 $461.92 $0.00
-7-$0.06 ---
$0.00 000
$0.00 $0.00 $0.00 $0.00
4-
$0.00 $000 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$000 $0.00 $0.00 , $0.00
$0.00 $0.00 $0.00 $0.00
APPROACH t R
2 0 us I
A,2 C
H
Amount Overtime
$0 0()
MA
$0.i)o$0.00$0.00
$0.00$0.()o
$0.001 $0.001 $0.00 , $0.00
including fringe benefits Labor Total: $111 064A2
Egul ant Codes,Rates and Hours
Equip Regular Standby Amount
Type Code Hours Rate Hours Rate Regular Standby
FORD F-350 SERVICE TRUCK P08 8.00 $27.05 $0,(?0 $216.40 $0.00
Ra
te d $2
le 16
0 0 0
0 0 0 0 0 0 0
40
$0.00
FFOR"011 g6'P16'fRUCK P13 8.00 $15.26 - $0.00 $ 2 08
$�122.08 $0.00
LL TOOLS Moll 8.00 $10.50 W.W 00
$0.00 $84.00 $0.00
W 00
$0.00 $0.00 $0.00
$0.00
$0 W W
00 $0.00
$0 $0.00 $0.001
00 ,
$0.00 $0.00 $o.001 $0.00
V� "W
--1--$0.00 $0.00 so.00 , --S0.00
$0.00 1 $0.00 1 $0.00 $0.00
T $O.00 $0.00 1 $0.00 $0.00
Equipment Total: $422.48
Material or Rental Costs
Kind Unit Quantity Price Amount
1111 COMPRESSOR WITH HOSE AND HAMMERS DAY 1 1.00 $352.90 $352.90
PLANER HERTC RENTALS DAY 11.66----s33e.00 $336.00
TEMPORARY TRAFFIC CONTROL DEVICES -'---_.__DRY i11.00 $8466 . $844.00
$0.00-
L OTHER TRAFFIC CONTROL PAID BY BID ITEMS 1 1.00
$0.00
DUMP FEES 1 1.00 $50.00 $50.00
1-- $0.66
MatedW Toilet: $1,682.901
Subcontractor
Name Inv# Unit Price quantity Grand total
$0.00
$000
===4Subcontractor Total: $0.00
I hereby certify that the above is a true and correct statement of labor,equipment,and Cost Summary
materials used in the work. Labor rates include all benefits,taxes and Insurance costs Total Labor $1,064.42
Mark up rates are based on the 2004 WSDOT standard specifications section 1-09.6 Labor mark-up: 299E $308.68
Specialized services will be marked up at 21%per 1-09.6(4) Total Equipment Rental $422.48
Equipment Markup: 21% $88.72
Inspector Date Total Materials $1,582r90
Materials Markup; 21% $332.41
Contractor Date General Contractor Total $3,799.61
Subcontractor Total $0.00
Project Engineer Date Prime-narkWon-Sub: 14% $0.00
I it Grand Total $3,799.61"
�,. d
Page 1
HerPentals' CUSTOMER COPY
ORIGINAL INVOICE
Res/Quote Number_:52399841 8/26/19 Invoice Number: 30952201-001
PAYMENT TERMS ARE DUE UPON RECEIPT AMOUNT DUE: $ 2694.72
LATE CHARGES MAY APPLY AMOUNT ENCLOSED: $
Customer Is responsible for FUEL, FLATS,
DAMAGE and CLEANUP FEES.
C A CAREY CORPORATION CUSTOMER NUMBER: 1091845
PO BOX 1006 MAIL PAYMENT TO:
ISSAQUAH, WA 98027-2412 HERC RENTALS INC.
PO BOX 936257
ATLANTA, GA 31193
To Insure accurate and timeiy posting,detach and send top portion with your payment
RENTED FPX M: SHIPPING ADDRESS: RENTAL DAYS/HOURS: 10/22.73
'2_ i WILL CA:.= 9'2_ _4v0ICE FROM CA"_: 3 _5 1 :9 9:C:
:O-;Z 17H AVE. S. 5C5: 47: A'Y' INNC!:F THRU CA:-. _'25 _9 7:44
NA 98:14 SEA'_': " WA 98:3424^.;
P: 2^6-934-57OC
'ax:2C5-'S'-8�7j o icinal Ad,4acments Total
3C' '295 &ENT-AL CHARGES 2400.00 2400.00
JOB N CTSER C.ARGES 47.52 47.52U? .
TAXABLE CHARGES 2447.52 2447.52
e2EtTdi START --A"-: B:OC
TAX 247,20 247,20
CE_I`/ RE By. CUSTOMER .CTAL CHARGES 2634.12 2694.72
CRDE:= 5Y: CURTIS PITTS
Si�NE 3Y: WET SIGNATURE
SA:.7-S REP: COLTON RESPONT=
CICS=0 Sy: GABRIEL D. TORAES
NET DUE 2594.72
-.7Y EQU:PIQEN' # F.RS/ M I\1 Y-OUP. JAY WEEK 4 WEEK AMOUNT
1 CONCRETE PLANER 8_N GAS 4/ 200.00 50.00 300.00 1200.00 2700.00 2400.00
800142748 Mace: EZ�'-O Model: CPM-8-9H Ser 1: 161210402
004370
EMISSIONS S ENV SURCEARGE EMLSS_ONS 47.52
Customer Number: 1091845 Res/Quote Number: 52399841 Invoice Number: 30952201-001 Invoice Date: 8/26/19
For GREAT DEALS on USED EQUTPMENT•Visit us at HQrcRtntsls-Com
Paco Ventures LLC RENTAL INVOICE
;4 25C S Webster St
(PACOSEATTLE WA 98108 Invoke Number: RI-51279
) United States of America Invoice Date. 081519
- Phone No 206-762.355C Page: 1
Send Payments to
=ac
ic:C :.e,stf- S+
SeaWo f A 981.D`
Ship To Address:
C A Carey Corp
C A Carey Corp Cur is C 206 718-6845
Melody She;.-:-AP Paco-Will Cai1
PO Box 1006 250 S Webster St
Issaquah. WA 98027 Seattle, WA 98108
United States of America United States of America
_--- .Ship Via Customer Pickup
Paco Reference information Customer Reference Information
Customer ID C10860 Phone No 206-762-3550 PO# 1295
Our Order Nc RO-21906 Fax No 206.763-4232 PO Date 08 14 19
Salesperson Da-e! .lc, Erna AP,@PoceEq�Jp
Items Rented
Rental From t
Item/Description Quantity Term Thru Unit Price Total Price
Scabbiers - Upright-5 Head 1 FFnal 08114/19 55 0c 155 uG
'w 4•1 C.I^ Eaco 08/14119
Rental Rates: • At 4s Day
Item Shipped: SU3916
------Tax Breakdown------ Subtotal: 155 00
WAShINGTON ?0,08 Tax: 15.66
SEAT-LE 3 4' Tota! 170.66
KING 0.00
SEAT-LE RTA TAX DIST 2 17
Terms Net 30 Days Due Date 09114.119
Paco Ventures LLC RENTAL INVOICE
250 S. Webster St
)JI q Co', SEATTLE,WA 98108 Invoice Number: RI-51276
United States of America Invoice Date: 08/15/19
Phone No. 206-762.3550 Page: 1
Send Payments to:
Paco Ventv,es LLC
250 S Wehster$I
Seattle.WA 98108
Ship To Address:
C A Carey Corp
C.A. Carey Corp Curtis @ 206r718-6845
Melody Shew-AP Paco -Will Call
PO Box 1006 250 S. Webster St.
Issaquah, WA 98027 Seattle, WA 98108
United States of America United States of America
Ship Via Customer Pickup
Paco Reference information Customer Reference Information
Customer ID C10860 Phone No: 206-762-3550 PO#1 1295
Our Order No RO-21906 Fax No: 206-763-4232 PO Date 08/14/19
Salesperson Darrel Joh Email: ARfo-)PacoEquip.com
Items Sold .-
Item /Description Quantity Sale Date Total Price
Bushing Tool 4 08/14/19 63.50 25400
9L-L07J00 Each
.680 Rnd Shank/Oval collar
SPRING RETAINER 10 08/14/19 1,98 19.80
AJ-300 Each
lgodo
C ,P
----Tex Breakdown----- Subtotal: 273.80
WASHINGTON 17.80 Tax: 27.65
SEA77LE 6.02 Total: 301.45
KING 0.00
SEATTLE, RTA TAX GIST 3.83
Terms Net 30 Days Due Date 09/14/19
Paco Ventures LLC RENTAL INVOICE
250 S.Webster St
SEATTLE,WA 98108 Invoice Number-. RI-51277
United States of America Invoice Date: 08/15/19
Phone No.: 206-762-3650 Page: 1
Send Payments to:
Paco vent,,es.I_'_C
250 S Webster St
Soattie.WA 98108
Ship o Address:
C A Carey Corp
C.A Carey Corp CURTIS @ 206-718-6845
Melody Shew-AP Paco- Will Call
PO Box 1006 250 S. Webster St.
Issaquah, WA 98027 Seattle, WA 98108
United States of America United States of Amenca
Ship Via Customer Pickup
Paco Reference Information Customer Reference Information
Customer ID C10860 Phone No: 206-762-3550 PO* 1295
Our Order No RO-21911 Fax No: 206-763-4232 PO Date: 08/14/19
Salesperson Darrel Joh Email- AR@ParoFn+,ip corr.
Items Sold
Item 1 Description Quantity Sate Date Total Price
Bushing Tool 6 08/14i19 63.50 381.00
BL-L07JO0 Each
.680 Rnd Shank/Oval collar
■
SPRING RETAINER 10 08/14/19 1.98 19.80
AJ-300 Each
Rando ISO 15 AIR OIL 1 08/14/19 6.7375 6.74
LU•ATOIL Quan
1 '?'Oo0
C ,p.
-----Tax Breakdown-- Subtotal: 407.54
W ASHI N GTON 26.49 Tex: 41.17
SEATTLE 8.97 Total: 448,71
KING 0.00
SEATTLE,RTA TAX DIST 5.71
Terms Net 30 Days Due Date 09/14/19
Paco Ventures LLC
250 S Webster St INVOICE
P�CO SEATTLE, WA 98108 Invoice Num SI-49613
Un:ted States of America
Invoice Date: 08116i19
Send Payments to: Paqe: 1
Paco Ventures. LLC
250 S kt,'ebste,St
Seitt,e tVA 98108
Shipping Address I Information
CA Carey Corp C A Carey Corp
Aleiody Shew - AP Curtis
PO Box 1006 Paco -%Nil, Ca,l
Issaquah. WA 98027 250 S. Wetwer St.
Un:ted States of America Shipping Date 08116.'19
Snip Via Customer Pickup
Our Reference and Contact Information Customer Reference
Customer ID C10860 Phone No. 206-762-3550 P O Number 1295
Our Order No SO-50539 Fax No 206-763-4232 P O Date 08116 19
Sa esPerSOn Darre!Johnson Emari AR@PacoEquip com
! Charge Description
Qty oty Curren
!
item Description Unit Ord Inv. Unit Price Total Price I
�
A.,-3,,-ii; 5PRiNG RETAAE,R Ea-,h 23 2-Z ' 98 39 6^
8t•�i�7 i0G Sushi g Tool Each 4 4 63 50 25a 00
660 Rnd Shank i Ova! coiiar
g0ov
c ,P
Amoun;Saoject Amour:Exempt Subiotal: 293.60
to Sales Tax from Sales Tax Invoice discount: 0.00
293.60 0.00 Total Saes Tax 2965
Total: 323.25
Due in US S unless
Terms Net 30 Days Due Date: 09115M9
noted above
Paco Ventures LLC RENTAL INVOICE
•° `'* 250 S Webster St
SEATTLE, WA 98108 Invoice Number RI-61390
(PA C 0) U-iited States of America Invoice Date: 0812619
,,, ....;,. Pone no. 206-762-3550 Page 1
Send Payments to:
SaatGe t':A gg ;g
Ship To Address
C A Carey Corp
C A. Carey Corp CURTIS C 206-718-6845
Melody Shew -AP Paco - WWII Call
PO Box 1006 250 S. Webster St
Issaquah, WA 98027 Seattle, VIA 98108
United States of Amenca Urnted States of America
Shia Via Customer Pickuc f
Paco Reference Information Customer Reference Information
CL:s:arer ID C10860 Phone No 206-762-3.5,50 PO# 1295
CDur Oroer Nc RO.21911 Fax No 206-763-4232 PO Date 08 14 19
Salesperson Dam-- .1nh Email AR@PacoEquip con? —�
Items Rented — -
Rental From t
Item/Description Quantity Term Thru Unit Price Total Price
Chipping Hammers-4 Bolt Final 08r14119 154 05 154 03
,020 04 020 Each 08&23r 19
Rental Rates: 0 A`t-;ee., 2 v"reeas 0 Days
ai 2Y OC a:77 00 at 26 00
Item Shipped- 6400
Chipping Hammers -4 Bolt Final 08/14/19 154.00 15400
7020.04 020 Each 08/23/19
Rents/Rates: 0 4 Week 2 Weeks 0 Oays
at 230 OC at 77 00 at 26 00
Item Shipped: 1708019
Line Oiler-1.4 FI Oz wlwhip Final 08/1419 26.00 26.00
5?00 17 015 Each 08/23/19
TXOL
Terms Net 30 Days Due Date
Paco Ventures LLC RENTAL INVOICE
250 S.Webster St
SEATTLE, WA 98108 Invoice Number: RI-51390
Un ted States of Amenca Invoice Date: 08%26%19
Phone No.: 206-762-3550 Page: 2
Send Payments to.
P'acc - ..-c
'._ J ..ecs:c O.
S2att? bwAy6�C6
Ship To Address:
C A Carey Corp
C A. Carey Corp CURTIS @ 206-7-8-6845
Melody Shew -AP Paco- Will Cali
PO Box 1006 250 S. Webster St.
Issaouan WA 98027 Seattle, WA 98108
United States of America United States of America
_Ship Via Ciis:om— Pickup
Paco Reference Information Customer Reference Information
Customer ID C10860 Phone No 206-762-3550 PO 4 1295
Our Order No RO-21911 Fax No 206-763-4232 PO Date 08;14 1.9
Salesperson Darrel Joh Email AR@PacoE4uip corr i
(toms Rented
Rental From 1 Unit
Item 1 Description Quantity Term Thru Price Total Price
Rental Rates: 0 4 Wee, ? /eeks 0 ')a vs
a: 37 00 a! 13(10 at 5 3
Item Shipped: 5100.18.01 S
Line Oiler-1.4 FI Oz wlwhip Final 0&14/19 26.00 26,00
5100.17.015 Each 08/23/19
TXOL
Rental Rates. 0 a V eek 2 Neeks 0 Days
a:37 00 at 13 00 at 5 00
Item Shipped: 6100-18.015
-----•Tax Breakdown----•- Subtotal j 360.00
WASHINGTON 23.40 Tax: f396.36
SEATTLE 7.92 Total:
KING coo
SEATTLE, RTA TAX DIST 5 04
Terms Net 30 Days Due Date 09/25/19
4 - ,)--