HomeMy WebLinkAboutCAG2019-084 - Change Order - #19 - Scarsella Brothers, Inc. - LID 363: S 224th Street Project - 03/26/2021KENT
Agreement Routing Form
For Approvals, Signatures and Records Management -
This form -ombines & replaces the Request for Mayor's Signature and Contract Lover 5neet rorms'
(Print on pink or cheny colored paper)WASHINOTON
Department:
PW Engineering
Originator:
S. Anderson
Date Required:
N/A
Date Sent:
5lw'l
Date of Council ApProval
N/A
Authorized to Sign:
EI Director or Designee E MaYor
Grant? EYes E No
Type: N/A
Budget Account Number:
R9010'1.64110.'120
Budget? ElYes E No
Category:
Contract
Vendor Name:
Scarsella Bros, Inc.
Sub-Category:
Change Order #19
Vendor Number:
34547
Project Name: LID 363: S 2241h St Project
project Detaits:Compensation for restoration of the parking lot illumination at the Ramada
lnn that was removed for the installation of the bridge approach in Phase 1
Basis for Selection of Contractor: $id
Termination Date: 225 Working DaYS
Agreement Amount $1 0,51 6.46
srart Date: N/A
Local Business? E Yes E No*
*lf meets requirements per KCC i.70.100, ptease complete "Vendor Purchase-Local Exceptions" form on Cityspace'
Contract Number:
cAG2019-084
Notice required prior to disclosure?
trYes E No
Comments:Date Received by CitY AttorneY:
Date Routed to the MaYor's Office:
Date Routed to the CitY Clerk's Office:
rd(W22173-l-20 Visit Documents.KentWA.gov to obtain copies of all agreements
KENT
WasHrrdTon
CHANGE ORDER NO. #L9
NAME OF CONTMCTOR:
CONTMCT NAME & PROJECT NUMBER:
ORIGINAL CONTRACT DATE:
Scarsella Bros. Inc. ("Contractor")
Lid 363: S 224th Street Project
February 19, 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:
Compensation for restoration of the parking lot illumination at the
Ramada Inn that was removed for the installation of the bridge approach
in Phase 1.
Z. The contract amount and tirne for performance provisions of Section II "Time of
Completion," and SeCtion III, "Compensation," are hereby modified as follOws:
Original Contract Sum,
(including applicable alternates and
WSST)
$8,423,301.67
Net Change by Previous Change Orders
(incl. applicable WSST)
$619,333.08
Current Contract Amount
(incl. Previous Change Orders)
$9,042,640.75
Current Change Order $10,516.46
Applicable WSST Tax on this Chanqe
Order
$o.oo
Revised Contract Sum $9,053,157.21
CHANGE ORDER " 1 OF 3
Original Time for Completion
(insert date)
130 working days
Revised Time for Completion under
prior Change Orders
(insert date)
225 working days
Days Required (t) for this Change Order 0 calendar days
Revised Time for Completion
(insert date)
225 working days
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
agreel to waive any protest it may have regarding this Change Order and acknowledges and
aicepts 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 orlginal
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.
(signature)
Print Name: Chad Bieren. P.E.
Its Public Works Director
CITY OF KENTI
7DA
ck
(tttte)
CONTRACTORT
(title)
DATE
Print Na e
By
N
CHANGE ORDER . 2 OF 3
ATTEST:
(;(-&
Kent City Clerk
APPROVED AS TO FORM:
(applicable if Mayar's signature required)
Kent Law Department
ltn thlg field, you nray ente. the electronic fllepath wh€€ the aontrad has been 6aved]
CHANGE ORDER - 3 OF 3
FILE NO: 2OO.2
KENT
wAsHrNoroN
CHANGE ORDER WORKSHEET NO. 19
Construction Manage ment Division - Public Works
Project:LID 363 224th St ImProvements Project No.:
Fed-Aid No.;
Contractor:
14-3010
Project Engineer:
Owners Rep:
Stephen Lincoln
Jason Bryant Scarsella
Date:2/23/2021
X. PROPOSED CHANGE
Compensation for restoration of the pa rking lot illumination at the Ramada Inn.
II. REASON AND BACKGROUND FOR CHANGE
The parking lot illumination system at
bridge approach in Phase 1. Additiona
lighting (FA #'s L76, L77, and 181)
the Ramada Inn was
I trenching and new I
removed for the installation of the
ights were necessary to restore the
IfT. METHOD OF PAYMENT
NEW PAY Not
FOR ACCOUNT'NG USE ONT.YChan$e Order No.
Total Estimated Cost of
Item
Unit PriceUnitTotal Est.
Qtv
Qty this
PE
Item DescriptionSch. No.
$ 10,516.46FA$ 10,516.4611Restore the Ramada Inn
Parking Lot Illumination (FA
L76 177 181
PAY THIS PAY ESTIMATEdebetomaPayment
WO rkofmcoUaa
Independent Estimate Attach ed
NoNew Sub Reqrd?
DELETE D(ISTING PAY 1-O9.5 Not
FOR ACCOUNT'NG USE ONI.YChan$e Order No.
Cost of ItemUnitUnit PriceQtvItemB.l. No,Sch, No.
chedAttandeIn REQUIREDEstimatetpende
FOR ACCOUNT'NG USE ONIYChan$e Order No.
4/otlrc
TO EXISTING PAY
I
Not
REV. DATE
FILE NO: 2OO.2
Cost of ltemUnit PriceQtvUnitItem DescriptionSch. No.B.l. No.
Independent Estimate Attached' REQUIRED
NT
I\f. WORKING T}AYS
TOTAL ESTIMATED COST OF CHANGE ORDER *
*
THIS PAY ESTIMATE
Tota I of the Cost of Item Columns
$1 L6.46
$1 516.46
130Previous TotalDue This Change Order*130Original Contract
*letionforOn criti
TOTAL WORKING DAYS*L40
xThis Change Order +Previous Total
All work, materials and measurements to be in accordance with the standard specifications
and Coniract Special Provisions for the type of work described.
Prepared BY:Date:7-€/.7 /
Jason nt
Construction Engineering
Supervisor:
Construction Engineering
Manager:
/n/ '^ne
c Connor
,<7
Date:
Date:
2
4/otlro
REV. DATE:
224th Ph 2 - Change Order #19
Item Descri on Amount
Change Order #19 Tota l: $ 1Or516.46
$ 2,633.72
West Coast Signal - Ram ada Inn parking lot
i I lu mination restorationFA t76
$ L,064.25
Excavation for West I during Ramada
lot illumination
Coast Signa
Inn rkin m restorationFA L77
$ 6,818.49
Completion of the Ramada Inn Pa
m restorationillumination s
rking lot
FA 181
FA Sheet No.:1./>\/ KENT
DAILY REPORT OF
FORCE ACCOUNT WORKED
Work by Subcontractor?: nO
Prime
STRAIGHT TIME
OCCUPATION
Scarsella
Rate HrsHrsCODENAME
LID 363 224th St Phase 2 1+3010
OVERTIME
OT Rate
the the Ramada lnn
DOLLAR
AMOUNT
Project Name:
Item No.:
Description of Work:
Project No:
Date:
107.75 $80.43ForemanKent H
$100.5580.43ForemanDave J
$100.5574.95OoeratorEddie D
79.35 $Truck Driverlvan C
$59.96
100.55 $
STANDBYOPERATED
Rate
LABORTOTAL $
$
EOUIPMENT OR ATTACHMENTS
Equipment #
DOLTAR
AMOUNT
SUBTOTAL. LABOR:
LABOR OVERHEAD & PROFIT @ 29%
$27.07F-450*122
$130.96PC35 John Deere17-269
$17.83F-1 502-284
$82.01Mack Dump Truck91M
$
SUBTOTAL. EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL $
$
$
DOLLAR AMOUNTUnilsUnit PriceQuantityMATERIALS / SERVICES
2,351.54$ea s 2,351.541west,Coast signal
$
$
$
$
SUBTOTAL
oVERHEAD&PROFIT@21%
TOTAL
2,351.54
282.18
$
2,633,72
$
t
of Hours Worked
DaleContractor's
OateOwner's
12% MARKUP (for Prime when
subcontract work)
sHEEr TorAL: $ 2,633.72
$
'2)
TornL: $ 2,633.72
1915FSCARSELLAP.O. Box 68697seatlle, wA s168-o697Office: (253)a72-7173Fax (253)s9t12mSUBCONTRACTOR ONSITE REPRESENT\:\OWNER / COMTRACTOR REPRESENTATIVERECORD OF WORKSUBTOTAL LABOR:SUBTOTAL VERIFICATION SUBCONTRACTORS:CONTRACT NAME, NO.:OWNER / CONTRACTOR:SUBCONTRACTORSTARTWORKEND WORK8ID ITEM OR CHANGE ORDER DESGRIPTION:AID |TEM OR CHANGE ORDERDESCRIPTION OFDATEDATE0)/apReoair the liqhi at the Ramada lnn6124nO2ACitv of Kent143010 - S 2241h ST ProiectWest Cmst Sianal#3068SECOND NER SUBCONTRACTORo/TlREGIo/TlREGIo/TlREGIorrlo/rlREGIonlREGIonlREGIofilREGIHOURLY RATE$ 2.351_54$$$$s$ 2.351.54$$$$$s$I$e$$$$$a$$EXTENDEDAIIOUNTSHATERl,ALSUETOTAL EQUIPMENT:EOUIP.NO,EQUIPMENTOtr${ 6REf,T[?STDBYOPERSTDBYOPERSTDBYOPERSTDBYOPERSTDBYOPERSTDBYOPERSTDBYOPER)IUPIOPERQTY.HOURSUNITcosTHOURLYRATE$$$$$sEXTENDEOAlrouNTs0"00$$$$s$$$$s$$$$$sEXTENDEDAilOUNTSSUBTOTAL MATERIALTOTAL THIS REPORT:1270 PRIME MARKUP:SUBTOTALj21% MARKUP MATERIAL:SUBTOTAL MATERIAL:21% MARKUP EQUIPMENT:SUBTOTAL EOUIPMENT:2 MARKIJPLABOR:SUBTOTAL LAAOR:12% MARKUP FOR SUBCONTRACTOS:SUBTOTAL SUBCONTRACTORS:$2_63i1.72$s2.63€.77Is$$$l$282.1A$?,351.54ifaso n
lnvoice
Bill To
West Coast Signal, Inc.
20111 208'tAvc sE
Renton,WA 98058
Qa6) 579-167s
LID 363
Ramada Inn EW 6/24120
Labor
Equiptnent cost
Matelial costs
SUBTOTAL
Amount of Retainage
Remit To:
201I I 208th Ave SE
Renton, WA 98058
143oto ?n *\*
Date
7/912A20
623.79
68.1 4
r,659.6t
lnvoice #
3068
Rate
623.79
68.14
|,659.6t
-5.00%
2,35 | ,54
-l 17,58
Total $2,233.96
Balance DUe n?.,t33e6
Scarsella Drothers, Inc"
PO Box 6869?
Seattle, WA 98168-0697
P,O. No.Terms Project
8000?Net 45 8000? LID 363 S.224th St
AmountDescriptionQuantity
ACCOUNINC@WESTCOAS]'SlGN.,.
E-mail
for your business
Payments/Credits $o.oo
FA No.177
./;\-./ KENT
DAILY REPORT OF
FORCE ACCOUNT WORKED
Work by Subcontractor?: nO
Sub-Contractor:Prime Contractor: Scarsella
Date:6t24t2020
Project Name: LID 363 224th St Phase 2
Description of Work: Repair the llghts at the Ramada lnn
Project No: 14-3010
Excavate for West
Item No.:
LABOR
OVERTIMESTMIGHTTIME DOLLAR
AMOUNTHourly Rale Hrs OT RateOCCUPATIONHrsNAMECODE
402.15$80.43 107.75Foreman5Davis J
$295.90E59.18 100.55PiDe La\rerTvW
100.55 $74.95Eddie D 0perator
$79.35Truck Driverlvan C
59.96 $
100.55 $
202.43
LABORTOTAL
'
698.05
900.48
LABOR OVERHEAD & PROFIT @ 29olo $
SUBTOTAL-LABOR: S
EOUIPMENT
STANDBYOPEMTED
Hourly Rate Hrs slanooy Kate
DOLLAR
AMOUNTHTS
EQUIPMENT OR AfiACHMENTS
Equipmenl # Equipmenl Description
27.07 't35.35$5,122 F-450
s130.96PC35 John Deere17-265
$17.832-2ffi F-150
$82.019-104 Mack Dump Truck
$
SUBTOTAL. EOUIPMENT
EOUIPMENT OVERHEAD & PROFIT @ 21olo
$135.35
t6:t.77
28.42
ENTTOTAL T
Unit Pric€DOL1ARAMOUNTQuantityUnitsMATERIALS / SERVICES
$
$
$
$
s
SUBTOTAL $
oVERHEAD&PROFTT@21% $
TOTAL t
Verification of Hours Worked:
R€pressnlative
DanZ .(
12% MARKUP (for Prime when
subcontract work)
SHEETToTAL: $ 1'064.25
$
v
rorAL: $ 1,064.25
Date:
By:
Pay
P.O. Box 68697seatfle, wA 9816&0697Ofiice: (253) 872-7173Fax (253)39$1209SUBCONTRACTOR ONSITEOWNER / CONTRACTOR REPRESENIATI\,ERECORD OF WORKSUBTOTALSUBTOTAL VERIFICATION SUBCOT.ITMCTORS:ATIVECONTRACT NAME, NO.:OWIIER / CONTMCTOR:SUACONTRACTORSTART WORK DAEND WORKBID ITEM OR CHANGE ORDER DESCRIPTION:BID ITEM OR CHANGE ORDERDESCRIPTION OFDATEDATESUBTOTAL MATERIAL:TOTAL THIS REPORT:12% PRIME MARKUP:SUBTOTAL:21% MARKUP MATERIAL:SUBTOTAL MATERIAL217o MARKUP EQUIPMENTTSUBTOTAL EQUIPMENT:29olo MARKUP IAEOR:SIJBTOTAL LABOR:1270 MARKUP FOR SUBCONTRACTOS:SUBTOTAL SUBCONTRACTORS:$'1,064.265$1.0er.26$$28.42$135.3s$202.43669E.OscExc€vate of West Coast at Ramada lnnRepair the lioht at the Ramada lnn6t?4t2020Citv ot Kent143010 - S 224th ST ProieclDERSCARSELLASECOND TIER SUBCONTRACTORTv Williams -Pioe LaverDavis Ja@bs-FocmanClrsmcadonofilREGIonlREGIonlonlREGIonlIEGIonlRECIo/TlREGI 5.oooiTlReGl 5.oo$ 59.18$ 80.43HOURLY RATE$ 698-0s$$$$$$$ 698.05$$$$$o$$$$$es$ 295.90s$ /tO2,15EXTENDEDAUOUNTSTATERIALSUETOTAL EOUIPMENT:o!122EQUIP.NO.Ford F450 FlalbedEOUIPUENTot^rN 6RENIAL?STDBYOPERSTDBYOPERSTDBYOPERSTDBYOPERSTDEYOPERSTDEYOPERSTDBYOPERSTDEYOPEROTY500HOURSUNITcosr$ 2707IIOURLYRATE$$$aI$EXTENDEDA]TOUNTS135.35$$$$d$$$$$$s$$13s.35EXTENDEDAilOUNTS
FA Sheet No 181
DAILY REPORT OF
FORCE ACCOUNT WORKED
Project Name: LID 363 224th St Phase 2 Project No: 14-3010
Item No.;Date: 711412020
Description of Work West Coast work
Prime Contractor: Scarsella
Work by Subcontractor?: no
Sub-Contractor:
STRAIGHT TIME OVERTIME DOLLAR
AMOUNTNAMECODEOCCUPATIONHrsHourly Raie Hrs OT Rate
lasev N Foreman 80.43 107.75 $
David J Foteman 80.43 100.55 $
Eddie D Operator 74.95 100.55 $
Jon G Laborer 59.18 79.35 !
59.96 D
100.55 $
SUBTOTAL. LABOR:
LABOR OVERHEAD & PROFIT @ 29%
LABORTOTAL $
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
AMOUNTEquipmenl #Description Rate
2-297 F-150 22.96 $
17-271 JD-35 19.08 $
3-126 F-350 30.16 D
15-74 Cat 938 Loader 58.23 $
$
SUSTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$
$
MATERIALS / SERVICES Quantity Units Unit Price DOLLAR AMOUNT
West Coast #3091 1 ea $ 6,087.94 $6,087.94
$
$
$
$
SUBTOTAL
OVERHEAD&PROFIT@12%
TOTAL
$ 6,087.94
$ 730.55
$6,818.49
Verification of Hours Worked rorAL: $ 6,818.49
12% MARKUP (for Prime when
subconlract work)$
SHEETTOTAL: $ 6,818.49
Lc
>I
Date
P O. Box 68697S€ttle. WA 981684697Arfie: (2531872-7173Fa: (253) 39$1209SUBCONTRACTOR ONSITE REPRESENTATIVEOWNER I CONTRACTOR REPRESENTATIVERECORD OF WORKSUBTOTALSUBTOTAL VERIFICATION SUBCONTMCTORS:CONTRACT NAME, NO.:OWNER / CONTRACTOR:SUBCONTRACTOR ITAIIESTART WORK DATEENO WORKBID ITEM OR CHANGE ORDER DESCRIPTION:BID ITEM OR CHANGE ORDERDESCRIPTION OFDATEDATEol\\\143010 S 224th SlreetWork done at the Ramada lnn7114t20207t14120?AWesl Coast Siqnal f3O91SECOND TIER SUBCONTRACIORLABOR - Name- Cla$ificatlonofiREGonREGCJ/TREGo/TREGo/TREGo/TREGotToirREGHOURLY RAT€$ 6,087.940$L$ 6.087.94$s$$$$$s$$$$$$$$€XTENDEDAMOUNTSMATERTALSUBTOTAL EAUIPMENT:EQUIP.NO-EOUIPMENTOYlril orREilTAL?STDBYOPERSTDBYOPERSTOBYOPERSTDBYOPERSTDBYOPERSTDBYOPERSTDBYOPEROTYHOURSUNITcosTHOURLYRATE$$$$$sFXTENOEDAI'OUNTS0.00Q$$$qs$$$ea$$EXTENDEDAJI'OUNTSSUBTOTAL MATERIAL:TOTAL THIS REPORT:1270 PRIME MARKUP:SUBTOTAL:21% MARKUP MATERIAL:SUBTOTAL MATERIAL:21% MARKUP EOUIPMENT:SUBTOTAL EQUIPMENT:29olo MARKUP LABOR:SUBTOTAL LABOR:12% MARKUP FOR SUBCONTMCTOS:SUBTOTAL SUBCONTRACTORS:$6.8't8.49$6.818,49s$D730 55$6.087.94
West Coast Signal, Inc.
20ll I 208thAvc SE
Renton, WA 98058
{206) s7e-367s
BillTo
Scarsella Brothers, Inc.
PO Box 68697
Seattlc, WA 98168-0697
Remit To:
201 I | 208th Avc SE
Relton, WA 98058
lnvoice
Dale lnvoice #
8/11t2024 309 t
Balance Due $5,7s3.54
P.O. No Terms Pro.iect
80007 Net 45 80007 LtD 363 S.224rh St
Quantity Description Rate Amount
LID 363
Ramada Inn EW 7ll4l2$
Labor
Equiprncnt cost
Material costs
SUBTOTAL
Amount of Retainage
I "53 8.92
t 55.?5
4,393.2"1
-5.00%
t,538.92
155.15
4.393.2'l
6.08"1 "94
-304.40
Total $5,?83.54
Tlrank you lor your business.
PaymentslCredits $o'oo
ACCOUN'r'lNC€DWESTCOASTSIGN
80007 Near Ramada lnn
Poles/Lu m inaires/wire
Date Namelltem Description Hours/Qtv Rate per Total Rate Notes
Labor
7 11412020 Brandon Lester
7 I 3,412020 Jamus Waters
Labor Mark-uP
Labor Total
Equipment
7 / L4/2A20 L-21 Service Truck
Equipment Mark-up
Equlpment Total
Materials
29% m/u
Electrician
Operator
2Lo/o m/u
2L% mlu
8.0
8.00
8.00
83.71
65,41
16.09
3,040.00
260.73
669,68
s23.28
1,1"92.96
345.95
L538.92
L28.72
128,72
27.O3
155.75
3,040.00
264.73
3,300,73
330.07
3,630.80
762.47
4,19?"27
6,A87.94
G raybar lnv.#93L67 2A287
Platt lnv.#ON27464
Matls Use Subtotal
Material use tax 10%
Materialmark-up
Materials/l nvoice Totals
GrandTotal
1
L
WEIGHTEDWAGE NAT$wESrcoAsTSlGNAl, INCXIN6 COUNTYl.abor CLassPrevailinEWage Rate*g$**fl s$elr'!ur.i*qr,{l6ide Joumey Leyel}fiFf,g,Elstrb fles nr.$q#m "$71J0",(lnside Jorrmey Levell6hqtsuy'-&rqnsJ!tr+t'.{S{* Sfefg(lnside Journey Levellg lglltolrr,nattnsraG5tillo irfudtlnsideJoumey Level)FICA - 5oc. SecfiCA. MedicireFUTASUTAWA Paid LerveTctal137,700.007,m0.005?,700.00nedrement6.2M1.45%o.6wo0.37%0.40969,a%t&rState/F€dTaxesApprentkeFundsWeightedTotalForc€ AcctTotalsL.2247Medl.:al & Worke/sDbability €ompEquiprrtrntL-1 PDleTrailetMF.tFQt PF,{?t.qr r trtitt'Group 3 (po$/er equipment)Time BaseRatet'.OTDTBOTDTc:OTDTROTDTd:OTOTFOTDTIOTDTIOTDTnOTDTiOTDTFOTDT,$s4€'',i\*#:;i.::-.:lsp.l..]::itii;"ri].;*?.]{ii,i.....#d!5102.86 59.28 57"23 50"00 50.10 S1"u24! S1z);59 535.00s137"14 s1t37 s7.23 50.00 $0.10 5u241 s158.06 s4s.84:Sc{i' , i,:,S$;i*-" 3::}i"#:.tf,1$ffiffi,fr}fli!,i1iik}Sf;ffii,,,i":,,'.*ab';,'.'i,;:'igx!-4ss96.06 s8.66 s7"23 s0.93 s0.10 s1-2241 $114.21 s33.12S128.08 S1r55 57.23 Sos3 $0.10 51-z.r4x t149"12 s43.?{$.f, *,. **f.:'' , rpffi'.,r'5;i:tddp'i;,lr.irl:lsliit'.:.,il$:mL", ,; " $rX.sig":" " ":t-jilc597.46 lg.Zg $?.23 $0,00 s0.x0 sr.?24x 5u4.80 933.29s1L4S4 SU.72 57.73 $0.!O S0l! 512241 51s0:1 543.s6W& ,, S'si, ,- :b-Plt,: :r:.r, i',:,".:'i ,-".**ii.,.. ,.1.$&l?€*" 'fl&ll $e?-sf59336 58.48 57.23 fOSr 5150 5:.?141 S[3.3: t31,865U5-:8 51130 S7J3 50"53 51.50 9XJ2{r 5147.46 54?.75rffiqt-* ,, L*b" ,i ,i$#f,l'i. ,:':r_.,iffi[jji::ti:ii:*F$,rr,,,r':"l$*iF*: .$.S*$ $rCs318.06 57.04 53.95 5f,.00 51.s0 51.2:41 593.?8 527.205104.08 $9.39 55.95 50.00 $150 91.2241 t1?2.x4 9'35.4:9p*5.l, . -s{'Fl, lss.,S:- ,, ";:*.!9. -, -: . -{!i'00.-,: '$*{tltl .${s5! .1p",9:$80.31 s7.24 ss.ss 50.00 so.00 s1.2241 se4.73 5n.47s107,08 5S.65 5s.95 50.m 90.00 31224! 51:331 515.94t+l$r s""sr- .$*ls"li .::..:,$ilN:., ,' $15+, ',i#1 tf+q-6 $15{qs63.7 ss.7s 5439 50.00 $1"50 51.2241 St.13 $22.37!19"09$tsi6I52237S29.09", -$r{.F}S22.37s29.09'.S5;68S22.635:S,57,$5eo,522.31$29.09S"lf"r"rqs155.69$199.34ttgel0$147.335139-34.slcrrs148.09s199.34$plr3S146.185199.34ts+3t9120.97$165.3359At:$122.20$165.319tr,7$999.s05r?9.39$&)irs599.so5119.39. $Pil.t$99.50c1 fg to3i*'3S1oo.55913L5?,ct'F(ao ss12939tn$"nmil gpennr - l*u*nan"r ,S5C{C.Group 3 (power equipment)$.F!StBFii:rntjqrllGroup 3 (general laborlS*t&:"loii.*Group 3 {general labor}q*-n*cr"tmprGroup 3 (generll labor!Fctr!*Hi,Fs.td6Group 3 (general labor)wr,.l#d1f r.'..lf *elrrmGroup 3 {general labor)t4tilosfpso$rs$${&9q.-**g".fps85.0r 57.67 $4.89 50.00 5150 51.2241 Sr00,30?,lr*r. ,' S,s--l, , , .l*#'. 'r, ; ,$$* '1, -,1; :,tl*0. - ' i$1J*{1 $s+e6563.77 55.75 $4.89 50.00 51^50 51:2{t" 5n.:.}SE5.0z 5?.6? S4.BO So.00 $1-:0 91.2241 5100.30.S!tl., , ,9i,s!_;,, ,j .,,*l#iii, ,r,:,,i*itq:i i. S$* -.,.i$:**rf . $Sfgl563.2/ 55.75 $4.8e s0.00 s1.50 51.224r sn.1358s.02 57.67 54.39 50.00 51-50 Sr.ZZar 5$030*t€1i" S$.,,.' ' ,Sgj.,,,:..r1{Liiil-'i" .,,'19fi* ,' '-hi?i€' a5$&''s65-8? $S.ga 54.39 $0.00 s0.10 9r.224L 578.02s8?.82 57.92 s{.89 50.00 so-10 51.n41 s10rs6l*" .,, : '",:.$l#i: , , l:{*!&ii rlr:;l$*ffr;i::r,:rr."-{tffi'*:,:,,:li},l...?p^il,'.., $.Irt965A.77 ss,7s 9+:g 50.00 $1.s0 $r.zzn Sn.L3s8s.o2 s7.67 $4.89 s0.00 s1.50 51.2241 5100302L%MU0.88Total4.r75.05
L-2 & L-22 AugerTrucksL-3 ManliftL-4 Arrow BoardL-7 One Ton FlatbedL-8 Dump TruckL-9 Ore Ton Flatbedl-10 utility TrailerL-11 Uobcat 331E mini112,f18,125 mini excavLLA,176,A7 3/4'lan Light DutyL-15 Utility TrailerL-16 Seruice TruckL-1.7 Air Compress0rL-19 Arrow BoardL-20 & L-21 Seruice TrucksGeneratorwacker69.7745.212.0524.4636.2824.97?qo19.07L9.7713354.4815.7818.932.2415.094.4L6.5584.4254,70ZN29.6043.9030.213.1323"0723.9216.8E5.41r9.0922"9L2-77t9.475.347.9314.659.490.435.147.525.240.544.004.152.930.943"313.984.473.380.931.38
II:tt]itIijd0Iil1II1i1i!iiE\Al:T%t-()CUOaE(U(J-cf3!q.)croOU)Job NameJOB TDATE5TARTINGTMESHIFTFOREMANK,"v.").. inr'-I or:sWE5T CCASTStGt{AtS:.,r,.V/EATHEREQUIPt\4Et{TBIO ITEMS......!Srilfl.4IBID MMs' l:v:.]il.tofatwohrsequlpment*---!gcipttonequlp#Serylce Truckf",kJ.lrKgt5_Ystd Atr6-RR0RoRRRRRoRoEMPTOYEETitlelester EiectricianWatersrat0rAnderson OLabar.erThesenvieLaborerMattJonesl.-aborerStan Adamski{.absrerAnderson flectricianElecrricianEddyCastillo Rulr
WEST C0ASISl6l'lAtsocoOaE(trC).g3€q)$OU)DAILYjob $QUANNIES( r'o oYlDate.l-FORTMANS OIARYperformed, lnJuder, equlpme nt dama6e, equlpmern malntenanceor repalr needed, oitnercoversallont,..d* f"xl-J* {*& Gr ^ d*\ 'ntt*Jro-_-{ r:*{ {c, Pl-1l {,.. rnt**iq\s{ S*.$ t-*q1H or{ 5.-', L"rvr h-*Asfuft; pr.t frrr,at* czr PU W 3lf6f,"l Ptgjb#insJoltwl.- 5 I*uJ r*a-d.s's for trafFc conrol, watch out for llve tralficJltA's for digging and setting poles wllh auger truclc *arch out for orrerheadlines maintaln 10ft clearance, watch out for pinch points wirb boom, makestrap is ln good :hape no cuts or abrasipnsHA's uslng dump truqk, alold plnch polnls, u5€ spotte r when backirg toavold runnln6 over personnel or obstructlons, be ereful lo avoid overloadingand tie down all loads.T-l,{.tf\ai\. invstctdlftriptionlocalion/statlonbtdItem
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INVOICE
25&77S3600 or
lnvcica No: 93167m287
lnvoiceDate: 07tO9nA2O
Account Number: 0000469213
Accouni Name: WEST COAST SIGNAL, INC
GRAYBAR ELEGTRIC COMPANY, INC.
FILE 57073
LOS ANGELES CA 90074.7073
Ship to:
WEST COAST SIGNAL, INC
20111 zOBTH A\18 SE
RENTON WA 98058-0208
SO#: 372155699
Rt. To
oW 1414 CENTER ST
TACOMA WA 9840$,82'11
--:t-
ffE:GII
G*
WEST COAST SIGNAL, INC
z1f 12O8TH AVE SE
RENTON WA 98058-0208
#:-22
Ordered
SUBJECT TO THE STANDARD TERMS AND CONOITIONS LISTED ON
0001r0t)01
ffi
Anroun
Wl/',W.GRAYBAR.C:-OM.
Pag€
3,040,00
0,00
0.00
3,040.00
.30.40
Ca
Date Shipped Sh From F.O.B.Del. Doc. #:PRO #Rouling
Price I Unit*l
07to612020 FACTORY0372155699
4 PRODUCTS
J
Tolal Due
Cegh Discount (if paid within torms)
,1
Tax
Sub fotal
Freight & Handling
a condition of the sales agreemen! a monthly service cherge ot the lesser of
1-112o/o or the maximum pern:itted by law may be added to all accounts not paid
by nei due date. Visa. MasterCard. American Express, and Discover credit cards
are accepted at point of purchase only.
1% 1oth Prox., net 15th Frox,
of Payment
1of '
LtrrT
platt.com
REMIT TO:
P.O. Box 418759
Boston, MA 02241-8759
West
20111
SOLDTO
Coasi Signal Inc208 Ave Sa
RerrboD, f,)A 9805s
SHIP TO
customer PlckuF
ORDERED BY: BRAND T.'
HldDm otr Aaotl4d tblud,
INVOfCE #
INVOICE DATE
119 Ke::tl2s3l 872- 55s5
0[I2?46d
7 /15/20
rngr119@p1.atl- - com
PAGE !
7 /L3 /20 7 lL4l2A 9iekup RAMADA INN
CUSTOMER PO#BILL OF LADINGSHIPPED VIAOATE SHIPPEDDAIE ORDERED
206045 A40 RE\B3TiI
N
N
N
N
N
0
0
0
02L8.286
73
3235,
564.
L755.
lil
M
c
1A7.67
5.65
17.55
2.L8
Pay
500
1
L
.t
500
1
r
f,
0
0
0
0070231
XHTIW' 10.GREEN. $TR- CU 5OO!'T
s999680 "
RAe 5320-0 1A r/2 3rt
0339380
Rac 5333-0 2c r/2 ltt
o297542
RAC 5173-0 1G IrP BI,AlitK CVR
02955 39
? days/week
- 1.eM MS" Every sillgile day
& Stacements 24/? 14'lt'w,plat.t-coEr
STI,-5OOFT
SUB TOTAL
260.73 .}THER 00$
260.7n$
CUSIOMER ACCT.',JOB NAME JOB# sALEs PLATT SALESPERSON
",iill|'"o
SUIPPUO BAc( cii)'EDP #/DESCRIPTION UNIT FRICE ENIT DISC 9i TOTAL TAX TER},4
lr;\ta;lajF
f:-i: .it"
lrlAlL R€MITTANCE tO;i o Box 416750. 6f)sTcN, ffA
{503i G.11.0J21
OVER 1OO BRANCHES THROUGHOUT THE WEST