HomeMy WebLinkAboutCAG2019-477 - Change Order - #3 - Tapani, Inc. - GRNRA South Stormwater Pump Station - 03/11/2021Agreement Routing Form
KENT For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper)WaSHtNGToN
-to
oLo.ed. '; : ]
Originator:
S. Anderson
Department:
PW Engineering
Date Sent:
3129121
Date Required:
NiA
Authorized to Sign:
E Director or Designee E Mayor
Date of Council Approval
N/A
Budget Account Number:
D20047.641 10.330
Budget? EYes EI No
Grant? E Yes EI No
Type: N/A
Category:
Contract
Vendor Name:
Tapani, lnc.
5ub-Category:
Change Order #3
Vendor Number:
35124
Pro.lect Name: GRNRA South Stormwater Pump Station
project Detaits:Additional work necessary to supply gas and power service to new garage'
Basis for Selection of Contractor: $id
Termination Dare: 240 Working Days
Agreement Amount: $52,060.64
Start Date: November 22,2019
Local Business? E Yes E No*
*lf meets requirements per KCC 3.70.100, please complete "Vendor Purchase-Local Exceptions" form on Cityspace'
Contract Number:
cAG2019-477
Notice required prior to disclosure?
EYes E No
Date Received by City Attorney:Comments:
Date Routed to the Mayort Office:
Date Routed to the City Clerk's Office:
iddV2llTl_l_20 Visit Documents.KentwA.gov to obtain copies of all agreements
KENT
WA5HINGTON
CHANGE ORDER NO. #3
NAME OF CONTRACTOR:
CONTMCT NAME & PROJECT NUMBER:
ORIGINAL CONTMCT DATE:
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:
Additional work necessary to supply gas and power service to new
garage'
Z. 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,
(including applicable alternates
wssT)
and
$4,836,590.00
Net Change bY Previous Change Orders
(incl. applica ble WSST)
$52,204.r8
Current Contract Amount
(inct. Previous Change Orders)
$4,888,794.18
Current Change Order $47,284.87
Applicable WSST Tax on this Change
Order
$4,775.77
Revised Contract Sum $4,940,854.82
TqPanin Inc. ("Contractor")
GRNRA South Stormwater Pump Station
November ?2, 2019
CHANGE ORDER - 1 OF 3
Original Time for ComPletion
(insert date)
240 working daYs
Revised Time for ComPletion u nder
prior Change Orders
(insert date)
0
D a ys Req u red (+)fo r th I s c ha n ge Order 0 calendar daYs
Revised Time for ComPletion
(insert date)
240 working daYs
In accordance with sections L-04.4 and 1-04.5 of the Kent and wsDor standard
specifications, and section VII of tne ngreement, the contractor accepts all requirements of this
Change order by signing below. Asol pursuant to the above-referenced contract, contractor
agrees to waive any protest it may niuL re-garding. 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 connectid with any *ort 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 chang" oid.r, uni.s otherwise provided, does not relieve the
contractor from strict compliance wiln the guarantee and warranty provisions of the original
contiact, 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 e*ective date oithls change order, are hereby ratified and
affirmed, and the terms of the ngree.ent,-frevious change ordels (if any), and this change order
shall be deemed to have aPPlied'
The parties whose names appear ^below swear under penalty.of perjury -th.at they are
authorized to enter into this contracl iloaiRcation, 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 pafties below have executed this Agreement' which will
become effective on the last date written below'
Print Name: Chad Bieren, P.E'
Its Publlc Works Director
CITY OF KENT:
n -.^
DATE , S/tt
ilt
(tiile)
(signaturQ
CONTRACTOR:
DATE:
Print N
By:
CHANGE ORDER. 2 OF 3
fr,S
(applicable lf NayorE slgnature required)
Kent Law Depaftment
APPROVED AS TO FO RM:ATTEST:
Kent City Clerk
\
[tn thb neld, ygu mly enbrthr el€ctpnic flllpath wigc thc @ntoct has bien savrdl
CHANGE ORDER - 3 OF 3
FILE NO: 2OO.2
KENT
GRNRA PumP Station Project No.:
Fed-Aid No.:
Contractor:
c HANGE ORDER WORKSHEET NO. 3
Co nstruction Management Division - Public Works
L7-30L2Proiect;
Project Engineer:Stephen Lincoln Tapani U nderqround
Ow ners Rep:Ja son Bryant
Date: 2/2 5/2021
T. FROPOSED CHANGE
d power service to new garage
Additional work necessarY to supplY gas an
II-REASON AND BACKGROUND FOR CHANGE
FA L#5 I nsta g a S se rvi ce p p e to th e M a n t e n a nc e Ga ra g e
fro m rh eatifothesiteSpOWer
A &8 B A si on to t h e p o n t o f co n n ecti o n o c o n r
FA T
1+s I re Ite d i d d iti o n tre n ch I n Iof64rhAtthSouthSdeofJameSStresuna
W est s d e VE o e
d th d d iti of 2 a d d I ti o n p OW e r
d t,d cti n a d n n g a cro S S J a m e S St a n e a o n
a d d ti on a c o n u re o
te d n a dd it o n a si n a o o re a ce m e nt W o r k
a u ts T h s a SO re SU
III, METHOD OF PAYMENT
NEW PAY Not oNt vUSEACCOUNI'NGFOR
Chan$e Order No.Total Estimated Cost of
Item
Unit PrioeUnitQty this
PE
Total Est.
Qtv
Item DescriPtionSch. No.
4 202.964202.96FA11FArcerkWOSeSrV5Ga1 $43,081.91$43,081.91FA1tFA #'s BA & BB -
Power Service Point of
Revised
Connection
1
PAY THIS PAY ESTIMATEeadtombentPayme
ofudaa
Independent Estim ate Attached
NoNew Sub Req rd?
DELETE EXISTING PAY 1-O9.5 Not
IN'REASE/DEcREAsE To ExrsrNc pAy rrEM(s) ffi NotAppticabte
t
YONT.USEFOR
ChanEe Order No.Cost of ltemUnit PrioeUnitItem DesB.l. No.Sch. No.
ched REQUIREDmateAttaEstidnentIndepe
4/OL/to
REV. DATE
oNtvUSEFORACCOUNT'NG
Chan4e Order No.Cost of ltemUnit PriceUnitQtvItem DescriPtionB.l. No.Sch. No.
IREDedREQUAttachmateEstiInddentnepe
FILE NO: 2OO.2
KENT
XV. WORKING DAVS
TOTAL ESTIMATED COST OF CHANGE ORDER
*Total of the Cost of Item Columns
THIS PAY ESTIMATE 47,284.87
*$4 7 .28'4.87
240Previous TotalDue This Change Orderx240Original Contract DA
DA for
A, work, materiars and measurements to be in accordance with the standard specifications
and Contract speciai provisions for the type of work described'
TOTAL WORKING DAYS*240
*This Change Order + Previous Total
Date:a)tlL/
Prepared BY:
Construction Engineering
Supervisor:
Construction Engineering
Manager:
Jason nt
Pau Kuehne
c Connor
-/*
Date:
Date:
z/v/zt
>,/zAt
2
4lor/to
REV. DATE
GRNRA S PumP Station - CO #3
Item Descri ion Total
$47 t28,4.87
4 202.96Install gas serv ice pipe to the
Maintenance GaraFA #5
10 959.76Power service Po int of connection
location revision -Ta ni CostsFA #8A
32 t22.L5
Power service Po
location revision - Subcontractor
int of connection
CostsFA #88
FA Sheet No.:5./>\-/ KENT
DAILY REPORT OF
FORCE ACCOUNT WORKED
iU
Project Name GRN RA Pump Station
Prime Contractor:
Project No:17-3012
Work by Subcontractor?: nO
Description of Work: lnstall service conduil.
Item No.:Date: 711412020
d lnc Sub-Contractor:
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTOT RateRateHoHrsHrsOCCUPATIONCODENAME 597.92a10774.8neth 620.32100 5577IForemanDavid 446.00$100.5555ILaborerJason 459.52$79.3557dJ59.96
$100.55
LABOR OVERHEAD & PROFIT @ 29%
LABOR TOTAL
123.76
739.65
615.89
SUBTOTAL - LABOR: $
STANDBYOPERATED DOLLAR
AMOUNTrsRateHou
EQUIPMENT OR ATTACHMENTS
Equrpment DescriPtionEquipment #
605.284151Cat Excavator1 1 30086 466.1 3$667Cat Loader1 530051 137.94$22.bCrew Truck5240067
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
e
U
209.35
253.96
SUBTOTAL - EQUIPMENT
DOLLAR AMOUNTUnit PriceUnitsQuantitYMATERIALS / SERVICES
sea
$ea
$ea
Qea
SUBTOTAL
oVERHEAD&PROFIT@12%
TOTAL
$
$
$
of Hours Worked:
oa.2125121
Owner's Representalive Date
12% MARKUP (for Prime when
subcontract work)
4,202.96
SHEETTOTAL: $
TOTAL
Pay
Date
By:
rder WorksheeteForce AccounU Chan
Description: Gas service to Maintenance Garage
Ran gas service to maintenance garage building - gas service was needed but not shown in the contract
Date:
StationName:
#
17 12
GRNRA South Water
TaPani Inc.
PO Box {$QQ o 1904 SE 6th Place Battle
Ground, WA 98604
360.687.{ 1 48
OvetTime
TotalUnil
Class
n
HouF Rata
$ 112.12
$ 112.12
$ 116.31
$ 83.63
llourgRaie
74
77
.132.49
Pi
RatgUnltsRate#
LaborOverhead & Profit 29%
Labor Total
Total
$ 151 .32
$ 66591 1 30086 998.85HRS$ 22.0415
1 530051 HRS155$ 22.99 $ 270vdtYr Plrror wrerY' Lvqev,
Crew Truck
411.742',l
Total
Equipment Overhead & Profit
ipment
$
$
$
Material Overhead & Profit
Material
$1s '1.059.00
$
Subcontractor Overhead & Profit 12%
Subcontractor Total
unit UntlQu.ntltY
$
$
changesfoalldoesandnormalmarkupsmaterial,assuchsualUcostonbased theandIScosts;n mpactnd/oracceleratioovertime)overhead,(unless specifiedextendedling,rescheduofdisruptions,work,delays,the thsequenceconsiderPleasethisofcontract.fito completionnalrelatedtheseitemsallandofpnorforclaimany)(iftoreservedmakeanyexpressly
malnand/or contract.subcontractnedinas"notice"defiofflcial $
Other Overhead & Profit 2
34.52$
94
increases the time to the
General Liability lnsurance
Bond
Total
Accepted bY
Date
O.4o160/o
1.5%
oT,!iER
/"1
''4 "ULt t/-!
nl,,1 vlf
t-4
a\-. KENT
DAILY REPORT OF
FORCE ACCOUNT WORKED
Prime Contractor;
HrsOCCUPATIONCODENAME .54
Project Name:GRNRA Pumo Station
d lnc Sub-Contractor:
107.75 $
Project No: 17-3012
Date:10t1912024
Description of Work: Bore PSE Tie in PSE vaults
Item No
Work by Subcontractor?: nO
OVERTIME
OT Rate
STRAIGHT TIME
RateHrs
74.721
lnstall
DOLLAR
AMOUNT
2,248.66$77.54
26.
1 00.55
100.55Laborer
J
Jason $
$
79.35
59.96
57.44PioeLaver
1,535.72
STANDBY
$
H
SUBTOTAL LABOR: $
LABOR OVERHEAD & PROFIT @ 29o/o $
EQUIPMENT OR ATTACHME NTS OPERATED
$
LABOR TOTAL
744.52
317.64
742 11
Equipment DescriPtionEquipment #
Deere Excavator1 105078
Crew Truck5220049
Deere 50 Excavator1203119
Rate
26.59
25.59
az
DOLLAR
AMOUNT
EOUTPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
2,261.95
475.01
2,736.96
U
$
SUBTOTAL - EQUIPMENT
Units
959.76
Veriflcation of Hours Worked
SHEET TOTAL
Quantity
1
ea
I
76
Date
Representative
$ 10
b
$
$
o
$
$
$
2o/14./a
1 150.00
1 1 50.00
1 .50
I 150 00
DOLLAR AMOUNTUnit Price
MATERIALS / SERVICES
Old castle
241.50
TOTAL:
12olo MARKUp (for prime when
subcontract work)
SUBTOTAL
OVERHEAD &PROFfi @21o/o
TOTAL
Pay
Date:
By:
FA Sheet No 8B->\/ KENT
DAILY REPORT OF
FORCE ACCOUNT WORKED
lnstall
iU
al
Project Name RNRA PumP Station
Pri me Contractor: Ta
Work by Subcontractor?: nO
lnc Su b-Contractor:
Project No:17-3012
Date: 1 9,2024
Description of Work: Bore PSE conduit in PSE
Item No.
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTHrsOT RateRateHrsOCCUPATIONCODENAME
10774.74
$100.5577.54Foreman
U100.5555.7Laborer 70 ?457
$59.96
$100.55
LABOR OVERHEAD & PROFIT @ 29o/o $
LABOR TOTAL $
SUBTOTAL. LABOR:
STANDBYOPERATED DOLLAR
AMOUNTRatersEOUIPMENT OR ATTACHMENTS
Equipment DescriPtionEquipment #
52.94Deere Excavator1 1 05078 $25.59Crew Truck5220049 $Deere 50 Excavator1203119
54.Komatsu Loader1530047 @64ForkliftS4410007$IJCrew Truck5220042
$
$
$
EQUIPMENT TOTAL
SUBTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD &PROFIT @21%
DOLLAR AMOUNTUnit PriceUnitsQuantity
MATERIALS / SERVICES 2,612.50$612.50cea1Provac '15 602.271ea1NE Electric 964.93$o?ea1NE 500.79o$ 500.791Streak
$
SUBTOTAL
oVERHEAD&PRoFlT@12%
TOTAL
U
$
28,680.49
32,122.15
1.66
Verification of Hours Worked:
o"t"2125121l-/Att/e
Date
12% MARKUP (for Prime when
subcontract work)
122.15SHEET TOTAL:
$
122.15TOTAL: $ 32
Pay
Date:
By:
Order Works heetForce AccounU C han
Water PumRNRAName:
1217
04002ob#
TaPani lnc.
PO Box {$QQ o 1904 SE 6rh Place Battle
Ground, WA 98604
360.687.1 148
#
installed that were not included on the contract plans
sand LoopsVauPSEBore,It,ignalDescription:howeverstreet,64thsidewestoftheontooutintotieThecalledpowerSrectionalDibore.planSUndworkbforaFlagging,Excavation boreirectionalItsvaudandtwoofonaladditiinstallationISThiredtheofsideJames.requonbesouththetntietoSEthepointPchanged it.toreturned Signal loopsthebutreparruitcondofway,outstalledincuticationsnewlytheNorthmuncomstreet.skvtheunderneath
UnttHouG
841$$
11
112.17421 77526
Labor Overhead & Profit
Labor Total
Total
29%
TotelUDits*15.00
85D 11
52$59$Deere2031 62.42I54.71 530 116.
10k 'l1
21
Total
Equipment overhead & Profit
133
11'le
101 ',U4.4 D
$
Material Overhead & Profit
Material
tiBlt ToltlRab
1
1
1
500.79sand
5Subcontractor Overhead & Profit 12%
S
Unit
Other
Other Overhead & Profit 21
itionalfoallcosts changesnotandmarkupsaslaborusuelemenlscosttheontsandthecosts;proposal and/or impactacceleration,overtimeoverhead,specified)(unlessreschedulextendeding,ofuence work,disruptions,the delays,thisseqconsiderPleaseofetioncontract.thisfinaltoitemsatedcompltheseofrelpflorforanmaketoclaimany(if any)reservedisexpressly
contract.matnbcontractSUandlordefinedastn"notice"official .4
199$
95$
General Liability Insurance 0 4016%
Bond 1 5o/o
Total Amount
This theincreasesthe time to
Sub
Accepted bY:
Date:
NORTHEAST
=l-€E-I-FIlE,."
CHANGE ORD E R PROPOSAL
NE COPf
PROJECT:
OWNER:
PRIME:
2 nrv*
2O4OO2GRNRA PUMP STATION PROJECT
CITY of KENT
TAPANI, INC.
DATET LOlLgl2oZO
WORK DESCRIPTION:ADDITIONAL ROADWAY WORK CONSISTI NG OF: REMOVAL OF 1J-BOX, INTERCEPT
EXISTING CONDUIT 1.5 , FROM OLD LOCATION, SUPPLY AND INSTALL 1 TYPE 1J-BOX, INSTALL 2 LOOPS AND ONE
NEW LOOP STUB OUT, INSTALL 135' NEW WIRE FROM NEW J-BOX TO CABINET. R EPLACE 23O,WIRING TO EXISTING
ADVANCE LOOPS IF DAMAGED WHEN INTERCEPTIN G THE EXISTING CONDUIT
EQUIPMENTTOTALSHEET 2
MATERIALTOTALSHEET 2
RATEHOURSIABOR
Labor
SubtotalOVERTIMEREGULAROVERTIMEULARDESCRIPTION5 4,289.t7L28.67$85.78s0.0050.00ELECTRICIAN s7L2.to574.73s0.000.00ELECTRICIAN ATTP - 6
5113.93s75.9550.000.00BORE OPERATOR
5113.06s75.37s0.000.00BORE LOCATOR s 1s0.011.12.50s75.00s0.002.00PROJECT MANAGEMENT $ 4439.11
RATEHOURSEQUIPMENT
Equipment
SubtotalREGULARSTANDBYREGULARDESCRIPTINs 929.s037.18s0.0025.00#58 2009 F450 GAS 4X2 3521'lP
s0.000.00
s
S gzg.so
MATERIAT& RENTATS
Material
SubtotalUNITUOMs 2,soo.oos 2,soo.ooLS1.00MISC MATERIALS )5LS0.00
)LF0.00
s
s 2,5oo.oo
SUBCONTRACTORs
Subcontractor
SubtotalUNIT COSTUOMDESCRIPTION
5sLS0.00
s
$ s,81s.24
5 1,124.70
s 3,o2s.oo
LABOR MIUP 3LYO
EQUIPMENT MIUP 2Lo/o
MATERIAL MIUP 2T%
SUBCONTRACTOR MIUP L2o/o
s
5
s
5
L,376.L3
19s.20
s25.00
IABORTOTAL
EQUIPMENTTOTAT
MATERIAL TOTAL
SUBCONTRACTOR TOTAL
S gBs+.ge6RANDTOTAL
NORTHEASTFt-=ETFllE*
1 REV#
2O4OO2GRNRA PUMP STATION PROJECT
CITY Of KENT
CHANGE ORDER PROPOSAL
DATE: 9191202O
NE COPf
PROJECT:
OWNER:
PRIME:
NEW TRANSFORMER
DOES
TAPANI,INC.
WORK DESCRIPT|ON : INSTALLATION OF (21 4 ,, RED POLY CONDUIT BY DIRECTIONAL BORING FROM
LOCATION ACROSS W JAMES STTO JBOX LOCATION PER
NOT INCLUDE EXCAVATION FOR VAULTS AND WORK PITS, NOR TRAFFIC CONTROL.
EQUIPMENTTOTALSHEET 2
MATERIALTOTALSHEET 2
PSE PLAN
LABOR HOURS RATE Labor
Subtotal
DESCRIPTION REGULAR OVERTIME REGULAR OVERTIME
ELECTRICIAN 0.00 0,00 s 85.78 s 128.67 s
ELECTRICIAN ATTP.6 0.00 0.00 5 74.73 s 7r2.L0
BORE OPERATOR 45.00 0.00 5 75.95 s 113.93 5 3,477.90
BORE LOCATOR 45.00 0.00 5 75.37 s 113.06 s 3,391.8s
PROJECT MANAGEMENT 0.00 0.00 s 75.00 S 112.s0 5
s 6,809.75
EQUIPMENT HOURS RATE Equipment
Subtotal
DESCRIPTION REGUTAR STANDBY REGULAR
#E192 VERMEER BORE 25.00 0.00 s to7.46 s 2,686.s0
2OA7 PSVAC TRUCK WDWFX 60 20.00 0.00 s 66.37 5 t,327.40
s
$ 4,013.90
MATERIAL& RENTATS Material
Subtotal
DESCRIPTION QUANTITY UOM UNIT COST
4'' RED POLY, MISC MATERIALS 1.00 LS s 1,s08.00 s 1,so8.oo
0.00 LS s )
0.00 LF s
5
s 1,508.00
SUBCONTRA TORS Suhcontractor
Subtotal
DESCRIPTION qUANTITY UOM UNIT COST
0.00 LS 5 s
s
5 8,920.77
s 4,8s6.82
s 1,824.68
5
LABOR MIUP 3LYO
EQUIPMENT MIUP 2L%
MATERIAL MIUP 2L%
SUBCONTRACTORMIUP L2%
s
s
s
s
2,LLL.O2
842.92
315.68
LABOR TOTAL
EQUIPMENT TOTAL
MATERIALTOTAL
SUBCONTRACTOR TOTAL
5 L5,6O2.27GRANDTOTAT
NOTES
WITHIN 30 DAYS FROM DATE of RECEIPT by OWNER
THIS COP PRICE iS GOOD fOT ACCEPTANCE
MATERIALSLY
oMlssloNsandERRORScoPforthistoandCORRECTEXTENSIONTIMECONTRAfiESTtoouREQURIGHTRESERVEWE
INSTRUCflONSOWNERScoPthisperWITHINandENTALLALLEQUIPMandNSTLABOR,WIWE SUPPLL
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Billing Address
TAPANI lnc.
PO Box 1900
Battle Ground, WA 98604 USA
ET to Hydro Excavate
Pro-Vac
PO Box 24351
Seattle, WA 98124
253-435-4328
Description of Work
lnvoice 94363
lnvoice Date 12/9/2020
Completed Date 12/9/2020
Customer PO
Job Address
Taoani #204002
6248 South 242ndPlace
Kent, WA 98032 USA
Task # DescriPtion
PWOP '12/9 #94363 PW - OPerator OnlY
#4OO 12/9 #94363 DisPosal
QuantitY
7.50
2.00
Your Price
$23s.00
$425.00
Your Total
$1,76250
$850.00
Sub-Total
Tax
Total Due
$2,612.50
$o.oo
$L61?:sO
Balance Due $2,612.50
Thank you for choosing Pro-Vac
confirm that the work performed by Pro-Vac was of quality and in a timely mannerI hereby
12/9/2020
INVOICE
Tax exemPt number: A15 5675 19
Site: Auburn
Page 1 of 1
ts Oldcastle I nf rastructu re-
PO Box 588
Auburn, WA 98071
A CRH COMPANY
TelePhone:
Fax..........:
253-839-3500
253-735-4201
SHIP TO:
SOLD TO:
Tapani Plumbing, lnc.
PO BOX 1900
BATTLE GROUND, WA 98604 19OO
GRNRA
West James & 64th Street
Kent, WA 98064
Remit to:
Oldcastle lnfrastructure
P.O.gox742387
Los Angeles, CA 9007 4-2387
lnvoice No.
010243926
Date
121312020
Customer No.
01 0002334
Order No.
s1 77856
Customer PO
204002
Delivery Terms
FOB Job Site -
|'tode or oetivery
Oldcastle/UV Truck
Packing sliP(s)sP212730
Group: 8X10 PAD
QtY Unit Description Mark Unit Price Amount
1,150.00
Item
1,150.00
1.00 Ea 0090600 77-2460 8' x 1 0' Pad
TOTAL AMOUNT DUE BY: O1lO2t21 US 1'150'00
The Customer Agrees- -i"+s{id"RRilE.'Brxhb'Japi Bv."ll{?l&ii?,.u!l#uiffialiiSfi{lfiJis-'iil$38ryr- -^.^--
3. TO pAy COLLECION COSTS, |NCLUDTNG REASONneie niiSh'r'r:Ei FEe's Arrrn orrnuLT BY THE CUSTOMER
KAIIGLFV
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SILVE R STREAK, INC.
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Start Time:
Stop Time:
Total Hours:
Job Site:
Eill By
Lunch Time:
Down Time:
Ton:3" Yard: J Job #
DriverTotal Hours:
Begin Mileage:
Total Miles:
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- ',, j\Driver Name:
Fuel:
Date;
TRAVELTIME
Begin
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Total Travel:
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State ofTravel:out-of-5tate Mileage:
Total Miles:# Trips:
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TIME
ARRIVE
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TIME
ARRIVE
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AcCOUNTING: 91 25 TENTH AVENUE SOUTH
SEATTLE, WA 98108 t (2061 762-2566
Krngley Rock ll Recycling Locations
KANGLEY PIT (Ptant t 21'l
325@ SE K€d-Ksngloy Rd.. Raven8dalo, WA 98051
BL CK RIVER {Planl,?2) - (206) 85&0912
510 irorcler Rd. R8nlon, W 98055
LAKE FRANcls lPlanl # 23) ' (206) 858'0872
Zldi b-e Liki rr"n",s Rd Maprs vallev wA e8o3a
I RY TI
A DIVISION OF GARY MERLINO CONSTHUCTION COMPANY INC'Cedar
17877 Cedat
Mountain Reclamation
Grovs Rd. SE, Maple Valtey,wA 98038
Plant tQO 658.09r3
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D'IIVER
'ISPATCHER
]USTOMER SIGNATURE
HOLD HARMLESS KANGL€Y ROCK & RECYCUHC. A DIVISION
FOF ANY DAMAGE TO HIS REAL OH PERSONAL PROPERW
9ETAILS ON FEVEFSE.
DATE
'RINT NAME
NG
-2566.*sB{306!
{206)
762
SALES &
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PROJECTOFOER NO.DATE CUSTOMER NO.
JOB NO.
.,,:"'::i "CUSTOMER NAME
JOB ADDRESS '/r\rr:1 .-F*r.h_+.!1.J u
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COLLECT ON D ELTVERY (c.o'o')
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SPECIAL INSTRUCTIONS
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9125 101h AVE. S
SEATTLE, WA 98108
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Change Order #3
FA #5
FA #8A
FA #88
DescriPtion
Gas Service
Power Service
Power Service
Total
4202.96
ro959.76
32,L22.L5
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EI9e?Ee{@Tffiv |'oaa-,,. I "- bRENd IA. acr"*^**uru&"*u*A*$Jpffi 'T;*)?ix-lri.fl.*CUS'OMER SUP4'Otu c@cYAM 66'CNSffi RM@SY S'BOTTOM SKIRT ON iOP OF MTIVE $tr,SOR€WHPSGSTEGA@!o^ . 1$1n dE FdsIECNIdESFG€NNNSIMST 6]&SILT FENCE DETAILG;GE----------ctmVAULT & EXCAVATION DETAIL @ VO1VAULT & EXCAVATION DETAIL @ JO1ffi.10!NEWCONDUIT DIAGRAMWll midin 5 Mh deDb dile dte&.al di[inqCROSSINGS CONDUIT TABLEr-**,1;fifiifrffi@@R.mrb eF 6r c6ds)Ituary,&s.s@.$=4SL&6*YPrc@$CUSTOMER APPROVALOdom?s SigEtuGTYPICAL BORE COVERTYPICAL BORE NOTE6hs shilH d.r s6 wi $ rhd.n ol$c dh d hy rn 60 em. dldon.J. BOX CABLE ENTRY DETAILNEW CABLE DIAGRAMTABLEE@RD PHNE TPPED & ACIW fuTAGE INMDos6N(s)*NS*SGN@{N)CLEAR WORKING SPACE FOR J-BOX]610tMMddltW)APPROVEOTRNSFORMERAR410'EPRESNTNE IIUST BE ONSM IOR DUUTON O! BOE16"TIfIRNGMntrNIM!'M !!OOT VERtrCdSUCruECOVEUGE IN PUBUCANV UCAVANON TO ?EVAV& AIOIDSDILY NSRI.PROVIDE ITTOM! PSEDOE@COMIIENCING NI UORf,BT NSTMD ilR 'SE STAND.ADSMINI!III SEPARAION.l-_-ltLh--;;l-rsdN_r iTRANSFORMERFROM COMBUSTIBLE SURFACESI\4INIIVIUM CLEARANCES FOR PADMOUNT TRANSFORMER AND VAULT
EnveloPe lD: 648056.c5'A 227 -4EE8-9F 45-5AC09D655D52
i$frfio coMMERCIALELEcTRICFACILITIEScoNTRAcT
ENTR6Y
o"'u BllTlzo
Conkact is subjed to
revision afler 90 daYs
"lf the above Permitting Fees are associated with service work only'those costs will be billed with the applicable service
By signing this contract you are authorizing psE to continue with all the needed elements to complete your project' Upon
receipt of a signed contiaci FsE *itt biil y6u fo,tn" r*ount indicated on the "rofal Amountto Be Billed underThis
contract,line. The bill will sent to the billing aodress listed on this contract. PSE requires payment of these line extension
chargespriortoschedulingconstruction.eaymentscanbemadeviap""."o'(feesmayapp|y),bymail,orataPSEPay
station. Deraying payment may resurt in a construction deray for your project. iustomer requested changes in the scope
oiir," Jroiu"t'mJy'reiult in add-itionat charges, and/or delays to your project.
Customer lnitials:
DR
COOWNER NAME (lF APPLICABLE)
cusroMER (owNER) NAME clry oF kENT (ATTN: STEPHEN LINCOLN)
''o g8o32STATE
WA"'tt KENTsERVrceADDRESS 6316 S 24OTH ST t't
98032SIATE WA"'tt KENTBTLLING ADDRESS 4oo w GowE sr
PsE woRKoRoER No .t OS09+228EMAILslincoln@kentwa.govtno*t 253.8s0.5552
Brief DescriPtion of Work:
Primary line extension from J01 to J02, install (2) 4" red
poly conduit supplied by PSE for road crossing, install new
J-box (575) install (1) 4" conduit from J-box to new
transformer vaulVlid, install new 1000kva transformer
1201208, connect customer wire (3) runs of 300mcm'
Road crossing by city of Kent with Potelco inspector' All
trenching along property can be open trench, all pits for
vaults provided bY CitY of Kent,
Brief DescriPtion of Other Costs:
Permit fees, flagging cost, traffic police, transformer
difference due to high LRC.
'**Please note below charges will be applied after service
connection is comPleted"*'"
Construction Costs:
Transformation Charges:
Less Applicable Margin Allowance:
SuFrJo$aJ frotenliqlReJU ndablq Cosls) : .
Permitting Fees*:
Relocation/Removal of Existing Facilities:
otherNon-Refundableconstructioncharges: $-1s'zll-o!-
$.ub-Total(Non-Refundphle.cost$: $-L9s3e'47-
Tgt?l.Aqrount to be Billed Under ThiS'O-onLra-qt:* $Sg@1!gg-
Customer lnitials DR
Summary of Charges:
s 50.278.5S
$ 37.570.34
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S o.oo
s 1.918.19
$ooo
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1
$140.60
1
$182.67 '----.--..--additio
rate lor
run
1
itional
or
to
le wire
Each
$1,039,47ch
Signature:Name:
Dana Title:Mayor, -Datei 0910412020
Docusign Envelope lD: 648056A5-A227 -4EE8-9F 45-5AC09D655D52
TERMS AND CONDITIONS
PROJECT INFORMATION
1. The psE drawing shows the proposed scope of your project including the location of permanent, above ground
electrical facilities required to provide electrical service to your project. Fault current information for transformers
associated with your project is noted on the work sketch drawing, Fl""t" review this drawing as soon as possible
to ensure there are no unforeseen conflicts between PSE's design and your project' lf you determine there are
conflicts or if you identify a discrepancy while reviewing the drawing for your project, please contact me at the
number below. This is attached as Exhibit A'
2. Additional construction-related information and information on metering and service entrance requirements
areprovided in PSE',s Electric service handbook for commercial projects' lf you would like a copy of the
handbook please contact me at the number below. lt is your responsibility to provide your project manager' site
superintendent, and/or subcontractors with any relevant information from this correspondence that apply to their
work in suPPort of Your Project'
3 The Excavation Requirements & Final Grade certification must be signed oy tle q1o-r.e$ owner or designee and
returned to me atong witn " "ign"o
copy of this contract' This is attached as Exhibit B'
4. Transformers have been sized for diversified commercial loads only, and shall not be used for high load factor
(continuous) temporary power uses, such as electric heaters for dry-out Fault currents for non- residential
transformers in your project are noted on the attached PSE design drawing' Please notify the PSE representative
listed on this contract immediately if you believe there are conflicts between this design and your project' lt is
your responsibility to provide your project manager, site superintendent, and subcontractors with any information
iiom this correspondence and it's attachments that apply io their work'
5. The requirements for trenching by customers on public right-of-ways and/or on Puget sound Energy easements
must be signed by the project owner or designee and returned along with a signed copy of this contract' This is
attached as Exhibit G.
POTENTIAL REFUNDS
Margin Allowance:
lf psE has not provided a Margin Allowance or if your Margin Allowance exceeds $75,000' PSE agrees to
calculate and refund the Margin Allowance, suolect to schedule 85, up to two (2) years afier the line extension
is energized. Customers are responsible for making the refund request'
DIM Refund:
other refunds associated with the line extension charge may be available if additional permanent service hook-ups
are made to your line extension. These service hook-ups must be made within five (5) years of the date on which
your project is initially energized Customers are responsible for making all refund requests' A refund may be
requested one (1) time withln six (6) years of the date on which your line extension is initially energized' lt is the
custome/s responsibility to make the refund request. Your refund request should be directed to PSE',s customer
Accounting Coordinators at ScheduleS5refundrequests@pse'com'
RATE SCHEDULE 85
All terms and conditions, costs, and refunds are in accordance with PSE',s Rate schedule 85' and any
discrepancies between this contract and the Rate schedule will be resolved in favor of the Rate schedule' Rate
schedule 85 contains more detailed information covering costs, refunds, rights' and obligations than is reflected in
this contract. The entirety of Rate Schedule 85 can be viewed at PSE's website www'pse'com'
This cost information is valid for g0 days from the date of this contract. should we receive your contract after this
period, the costs will be subject to changes'
The amount noted on this contract is an estimated cost; however PSE's Schedule 85 line extension tariff requires
customers to pay the actual cost of construction. psE will determine the actual cost of the job once construction is
complete. lf the actual cost of the job is more than 10% above or below the estimated cost, an additional billing or
refund will result to account for the difference
"
* "ry"' r#ff;*7 - 4EE I - eF 4s'sAc 0 e D6s s D s 2
The following oulines most local governmental guidelines and company standards for trenching on a public right-of-way
or puget Sound Energy, lnc. (PSE) easement, iny trenching performed by the customer, or their contractor' under a PSE
permit or easement must comply with these requirements'
1. All trench construction must be performed by a washington state licensed and bonded contractor'
2. Trench excavation, backfill, restoration, and facility placement must be coordinated with a PsE designated
representative, and receive on-site approval by that representative, and local jurisdiction'
3. Right-of-way easement trenching and backfill must be performed during normal business hours, Monday through
Friday. same day excavation and backfill is required for all trenching. Job start notification to the localjurisdiction
is the responsibility of potelco, lnc. customer shall notify Potelco Project Manager three working days prior to
trenching. Penalties for failure to comply with this requirement will be borne by the customer'
4. lf the job scope requires excavation beyond a single day, fencing and barricading must be installed around utility
facilities exposed above the trench, if allowed, must be in accordance with local regulatory requirements'
5. PSE, all participating utilities, and one-call Locate, must be notified a minimum of 72 hours in advance of the
date and time for right-of-way trenching and facility placement. The one-call Locate number is 1'800-424-5555'
State law requires locating service notification'
6. Excavated material must remain clear of the roadway whenever possible. Excavation material, spoils, and debris
shall be removed off-site each day, in accordance with local regulatory requirements, All erosion control
requirements in accordance with local regulatory requirements are the responsibility of the customer'
7, Material excavated from the shoulder of the right-of-way shall be properly disposed, and replaced with select
backfillmaterialinaccordancewithlocalregulatoryrequirements.g. proper compaction is required to comply witn locat regulatory specifications. lf the permit requires compaction
testing,thecostofsaidtestingistheresponsibilityofthecustomer'
9. All permit requirements, traffic control plans, traffic control and flagging shall meet local regulatory specifications
and satisfaction.
10. ln the event of failure to abide by the above requirements, PSE reserves the right, at its sole discretion' to assume
trenching. ln the event of delays due to equtpment failure, PSE may assume trenching to meet regulatory and
joint construction requirements. The customer is responsible for all trenching costs, and will reimburse the
company for costs should PSE perform the trenching'
REQUIREMENTS FOR TRENCHING BY CUSTOMERS ON PUBLIC RIGHT-OF-WAYS AND/OR ON PUGET
SOUND ENERGY, INC. EASEMENTS
.11. The customer agrees to indemnify, defend and hold harmless PSE from all liability (including reasonable
attorneys,fees) arising out of, or in connection with, the above mentioned trenching activities'
customer lnitials: DR
Customer ln DR
I AGREE TO ADHERE TO THE ABOVE CONDITIONS
Service Address: 6316 Work Order Number: PqP-9J72q ..
Signature:
S 24OTH
Name
Dana h Title: Mayor Date: 0910412020
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Envelope lD: 648056A5-A227 -4EE8-9F 45-sAC09D655D52
YUQE I
SOUND
ENERGY
PSE ELECTRICAL FACILITIES
EXCAVATI O N REOi, I RETtAE-rurS A r.rO r I ruA L G RADE c E RTI F I GATI ON
PURPOSE
This document is an agreement between Puget sound Energy (PSE) and the oylglfpeveloper (Developer) who is
providing excavation.f&"iF!"i'.ii!r[iffi; idE:.: rE.iiii".linii'od"rmi,nt d'oes not provide an-easement for operating
riohts. tf psE determrnes that a recordabte ""lJr"'it-on
tne.oJueiopeil piJ;trgi oltiel property is necessary' it shall be
th! Developer,s responsibility to obtain sucn eJs-em$ti in a form acieptabte io PSE prior to construction'
EXCAVATION REQUIREMENTS
The requirements and conditions outlined below apply wh.en you provide the excavation for PSE's electrical facilities as a
condition of receiving electricat service ro, yJu, iI5i6"i. ri v6u nbeo
'IJoliionii-inioimation' please call the PSE contact
person listed below.
1. Developer is responsible for acquiring-utility locates by calhng--one-call, 1-800-424'5555 at least 48 hours (two full
workins week days) prior to digging. The'rixcavation must .b"i'ti"-r",iuirJments of the Washington Administrative
6Jo"' ;"i s;i;iv-bii'io a'0"
2. Developer shall cail the psE contact person noled below for trench and route approval prior to starting excavation'
3. The electrical primary trench shall be excavated to provide. a minimum of 36 inches of facility coverage, to a maximum
trench depth of +g'i'rf.ilJr."ir.',iEbliriJ ifric*i trenin-strarr oe e;;av-aiJ io ptoyioe a minimum of 24 inches of facility
coveraqe, to a maximum trench depth of 56'r-"6"9:A i) incn n#L".lirrr"pJt"tion-i"required between PSE electrical
t"cititiel and other utilities within a joint trench'
4, All back fill must be free of sharp objects and construction debris, Developer shallprovide and install sand bedding and
shadino for etectricat facitity protection asiilit#u psE; .oni""t dJiiSn. oeuetbper is responsible for any damages
caused'by improper backfill or compaction'
5. Developer agrees to maintain a minimum of 2 feet of horizontal clearance between PSE conduit, pipe or conductors and
any fodndati6n on Developer's property'
6. The vault excavation shall be dug to the dimensions noted on the attached work sketch' Vault holes shall have a solid
revet-uottom witn a o incn deep la-yer of crushed rock bedding.
T. Developer shail provide the excavation for psE electricat facilities within the deslglred.location' Developer shall identify
and provide finat grade, property tines, and ;tiiily;;;il;rii piior to insiallation of?sE's electrical facilities'
g, Developer will be financially liable for the relocation of PSE's facilities which are inadequatelv covered, located outside
tt jiii-*n"ie pse nai itequate "0"','t';;E'i,i:i le*m:l"if*?*:fl'lti"'flgru*2;.flSiT.frf,ldamasesresulting from dig-ins due to changes or vt
FINAL GRADE CERTIFICATION
By my signing below, I certify that the electrical facilities work area shall be at final grade prior to excavation' I assume full
responsibility for my excavation work and tne resurting iocation of.these facilities. I also agree to indemnify' defend' and hold
harmless puget sound Energy from ail riauiritv arisin! out of, o, in connection with my wort<, including but not limited to all
craims, rosses, damages, and expenser, in.irJing ieasonabre attorney's fees, which resurt from my failure to excavate
w1hin easement areas oi'rights-of-wa', o,. iro,.',.' Jig[ing without adequate rights on adjoining properties'
Service Address:6316 S 240TH ST . - - rENT 98032 work order Number:
Signature:
2806 08/15
ame:09 2020 Title:Oale: 991941 2020
Brya nt, Jason
From:
Sent:
To:
Cc:
Subject:
Attachments:
Lincoln, StePhen
Thursday, SePtember 10,2020 1:39 PM
Honeysett, Dave
Bryant, Jason
FW: PSE - Signed Contract
PSE-GRNRASPS.Pdf
Hi Dave,
The Mayor of Kent has signed the service agreement for the GRNRA south Pump station Electrical Service connection' A
copy of the signed agreement is attached to this message for your use'
lf you have any questions, we will be happy to answer them'
Best Regards,
Steve
Stephen Lincoln, PE, Engineer III
Environmental Engineering I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Main 253-856-5500 | Direct 253-856-5552
slincoln@KentWA'oov
CITY OF KENT, WASHINGTON
KentWA.qov Faqebook l"-ytiri,lll Yo-uTube
PLgASf; CON$Tg}trR Y*iS NHVIRSNMENY E[:iFON'f PIIXNTTNffi TI'ICS *'MAT!'
From : Yoshita ke, Na ncy < NYoshitake @ ke ntwa'gov>
Sent: Thursday, September I0,2O2O 1:26 PM
To: Lincoln, Stephen <SLincoln@kentwa'gov>
Subject: PSE - Signed Contract
Hi Steve - attached is the PSE agreement that has been signed by the Mayor'
Nancy
From: Lincoln, StePhen
Sent: Wednesday, September 02,2020 B:10 AM
To: Yoshitake, NancY
Subject: RE: Attached Image
Hi Nancy,
Here,s Exhibit A. Dave Honeysett from PSE sent it as a Separate attachment for some reason
-Steve
From: Yoshitake, Nancy <NYoshitake@kentwa'gov>
Sent: Wednesday, September 02,2020 8:07 AM
1
From: Lincoln, StePhen
Sent: Tuesday, September 01, 2020 1:31 PM
To: Yoshitake, NancY
Subject: RE: Attached Image
Hi Nancy,
rt needs to be circurated for signature, my name is present throughout because r'm the person that submitted the
service application, and psE apparently auto generates the service contract based on the application from' Throughout
the agreement, my name shouid be struck and replaced by the Mayor's Name'
To: Lincoln, Stephen <SLincoln@kentwa'gov>
Subject: RE: Attached lmage
Hi Steve,
I don,t see Exhibit A, Exhibit B looks like the last page but isn't referenced as such, is that
correct?
I nanKS,
Nancy
Thank you for checking in on this'
Best Regards,
Steve
Stephen Lincoln, PE, Engineer III
Environmental Engineering I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Main 253-856-5500 | Direct 253-855-5552
slincoln@KentWA.oov
CITY OF KENT, WASHINGTON
KentWA,oov Eacebosk,..'lirjqii'iJl YoqTube
fILEA$E ssr,!$108R T*{xa sNvt*onlMf NT 8gF{}Ku PSrN {rf{€ t'tlrs E*MAIL
From : Yoshita ke, Na ncy <NYoshitake@kentwa'gov>
Sent: Tuesday, Septem b er OI, 2020 1:12 PM
To: Lincoln, Stephen <SLincoln@kentwa'gov>
Subject: FW: Attached lmage
Hi Steve,
I received the attached request. Am I to circurate it for signature? I was a little confused
because it has your name throughout the contract'
Nancy
From: CanonCoPie
Sent: Tuesday, September 0L,2020 B:05 AM
2
To: Yoshitake, NancY
Subject: Attached Image
3