HomeMy WebLinkAboutCAG2020-133 - Change Order - #4 - Northwest Cascade, Inc. - 76th Ave S Improvements - 05/17/2021Agreement 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
Department:
PW Engineering
Originator:
S. Anderson
Date Required
N/A
Date Sent:
6t t21
Date of Council Approval
N/A
Authorized to Sign:
E Director or Designee E Mayor
Budget Account Number:
R20082.64't10.120
Budget? ElYes E No
Grant? EYes E No
Type: N/A
Category:
Contract
Vendor Name:
Northwest Cascade, lnc.
5ub-Category:
Change Order #4
Vendor Number:
72783
Project Name: 76th Ave. S. lmprovements - S. 220th St. to S. 214th St.
project Details: Compensation for raising vault, repairing fire hydrant and water service to improve
area near driveway. This includes extra work numbers 44, 45, 49, 51,52,53, and 59
Basis for Selection of Contractor: Bid
Terminarion Date: 146 Working Days
Agreement Amount: $1 6,433.86
Start Date: N/A
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:
cAG2020-133
Notice required prior to disclosure?
EYes E No
Comments:Date Received by City Attorney:
Date Routed to the Mayor's Office:
Date Routed to the City Clerk's Oflice:
id(W2237f_20 Visit Documents.KentWA.govto obtain copies of all agreements
r1 y
KENT
WAsHINGTON
CHANGE ORDER NO. #4
NAME OF CONTMCTOR: Northwest Cascade' Inc' ("Contractor")
CONTRACT NAME & PROJECT NUMBER:76rh ve. S. Im vements - s. 220th t. to S. 21 4th st.
ORIGINAL CONTRACT DATE; MaY 5' 2020
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 raising vault, repairing fire hydrant and water service
to improve area near dr-iveway. This includes Extra Work numbers 44,
45, 49, 5L, 52, 53, and 59.
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,
(including applicable alternates
WSST)
and
$4,472,667.25
Net Change bY Previous Change Orders
(incl. applicable WSST)
$108,447.15
Current Contract Amount
(incl. Previous Change Orders)
$4,581,114.40
Current Change Order $14,926.30
Applicable WSST Tax on t his Change
Order
$1,507.56
Revised Contract Sum $4,597,548.26
CHANGE ORDER - 1 OF 3
,
Original Time for Completion
(insert date)
120 working days
Revised Time for Completion under
prior Change Orders
(inseft date)
L6 working days
Days Required (+) for this Change Order 10 calendar days
Revised Time for Completion
(insert date)
146 working days
In accordance with Sections L-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, pafticularly 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 pafties below have executed this Agreement, which will
become effective on the last date written below.
CONTRACTOR:
DATE:
Print ame:
By:
Its Public Works Direct
CITY OF KENT:
Print Name:Chad Bieren Dtr
(signature)
DATE:
(tttle)
CHANGE ORDER - 2 OF 3
,{
ATTESTI
I
Kent City Clerk
APPROVED AS TO FORM:
(appltable lf Mayor's signature requlred)
Kent Law Depaftment
lh thE nd4 lDU mry qrter the eledronlc tll€path ryhm ihe ontnd iE brsn iledl
CHANGE ORDER.3 OF 3
File No. 2OO.2
I
KENT
w^SHrxoron
CHANGE ORDER WORKSHEET NO.4
Construction Engineering Division - Public Works
Project: 76th Ave S ImProvements Project No: 19-3006
Fed-Aid No: N/A
Contractor: Northwest Cascade
Project Engineer:
Capital Projects
Manager:
Mark Madfai
Phil McConnell
Date: 4/20/2O2I
I. Pro d Chan e
Raised vault, repaired fire hydrant, and repaired water serv
entrance. These changes created a better turning radius at the driveway. Includes Extra Work numbers
44, 45, 49, 5I, 52, 53 and 59.
ice at Mill Creek Distribtuions southern
II. Reason and Ba round for Cha
III. Method of Payment
N EW PAY ITEMS I t',tot applicable
construct the driveway without creating a drop-off next to
trucks that are regularly cutting the corner on the driveway
radius. This change order allowed us to create a better turning radius.
Existing vault grade was too low to properly
the driveway. This driveway is used by semi
Sch.
No Item Description Total Est.
Otv Unit Unit Price
Total Estrmated cost or
Item
2
Raise vault, repair fire hydrant and water
service 1 LS $L4,926.30 $t4,926.30
$
$
New Pay Items Total: $L4t926.3O
DELETE EXISTING PAY ITEM(S) per 1-O9.5 E Notappricabre
Sch
No.Bid Item No.Item Description Qtv Unit Unit Price Cost of Item
$
Page 1"
$
Delete Existing PaY ltems Total: $
TNCREASE/DECREASE TO EXTSTTNG PAY rTEM(S)[ ruot applicable
Bid ltem No.Item DescriPtion Qtv Unit Unit Price Gost of Item
$
Increase / Decrease to Existing Pay ltems Tota l:$
*TOTAL ESTIMATED COST OF CHANGE ORDER:L4 926.30
x Total of the Cost of Item Columns
IV. WORKING DAYS
216Previous Total10Due This Change Order200Original Contract
Workdontia DaysforronAdngnustificatJxnaoatiE/pl
XTOTAL WORKING DAYS:226
x This Change Order + Previous Total
e Date:
Date:
Date:
4'M,Capital Projects Manager:
Construction Engineering
Supervisor:
Phi l,l
Paul Kuehne
<J-zl.Lt
Construction Manager:
Eric Connor
Page 2
McConnell, Phil
From:
Sent:
To:
Cc:
Subject:
Clint Myers <ClintMyers@nwcascade'com>
Thursday, APril 15,2021 5:06 PM
McConnell, Phil
Joseph Hawks
RE:76 lmp - CO4
Phil,
For settlement purposes, NWC accepts the City's CO#4'
Thanks,
Clint
From: McCon nel l, Phil <PMcConnell @ kentwa'gov>
Sent: FridaY, APril 9,2021L0:18 AM
To: Clint Myers <ClintMyers@nwcascade'com>
Cc: Joseph Hawks <JosephHawks@nwcascade'com>
Subject:76 lmP - CO4
Clint,
change order 4 is attached for your review, comment and or approvar. It covers Extra work #'s
44,45,49,5L,52,53 and 59. I',ve attached a synopsis tally sheet of the force account' These
are related to the third party damage and associated work to raised the vault and make the
driveway access safer at Mill creek Distribution center.
Phil McConnell, Capital Projects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856'5542 | Cell 253-261-5685
pmccon nell @ KentWA.oov
CITY OF KENT, WASHINGTON
KentWA.gov Facebook '? !'ri{l!}i YouTube
pl.Itjh$fr cc)lv$T$$:R Tl{f [N\t:*$$tf4f,NT mFFCtRm pRrilI.IP{s rl{fs *-MArl-
EXTERNAL EMAILT
EW 44
EW 45
EW 49
EW 51
EW 52
EW 53
EW 59
Flohawks Electrical trouble shooting
dig and rePair fire hYdrant
Raised vault rePlace bollards
Completed vault raise and assoc repairs
removed old ladder and installed new or
Complete fire hYdrant rePair
Water service rePair
NWC
962.86
2799.39
4275.64
2523.4L
L470.82
Kent
962.86
22LL.86
4275.64
2523.37
L273.0L
NWC had lr
loader and
10 rolls of
loader, bac207L.35
2L6L.5
L6265
1518.05
2L6L.5L
L4926.3
EW 44
EW 45
EW 49
EW 51
EW 52
EW 53
EW 59
Flohawks Electrical trouble shooting
dig and rePair fire hYdrant
Raised vault rePlace bollards
Completed vault raise and assoc repairs
removed old ladder and installed new or
Complete fire hYdrant rePair
Water service rePair
207L.35 1518.05
2161.50 2161.51
16264.97 L4926.30
NWC
962.86
2799.39
4275.64
2523.4L
L470.82
Kent
962.B6
22LL.86
4275.64
2523.37
L273.0t
FA Sheet No
TgK
DAILY REPORT OF
FORCE ACCOUNT WORKED
Project Name:
Item No.:
Description of Work:
Prime Contractor:
a turn
nts76th Av S lm
Trouble shoot electrical as rt of third
Project No: 19-3006
and creatinvehicle
radius at the
Work by Subcontractor?:
Sub-Contractor: FlohawksNorthwest Cascade
Dale'. 1213112A24
LABOR
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTOT RateHrsHrsHourly RateOCCUPATIONCODENAME
$
$
$
LABOR OVERHEAD & PROFIT @29% $
LABORTOTAL $
SUBTOTAL - LABOR: $
EQUIPMENT
STANDBYOPERATED DOLLAR
AMOUNTRateHo
EQUIPMENT OR ATTACHMENTS
Equipment DescriPtionEquipment #
$
$
$
$
$
SUBTOTAL. EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$
$
MA
DOLLAR AMOUNTUnit PriceUnitsQuantityMATERIALS / SERVICES
859.70$LS $ 859.701Flowhawk invoice 661 26564
$
$
a
SUBTOTAL
OVERHEAD&PROFIT@21%
TOTAL
859.70
859.70
$
$
Verification of Hours Worked:
Contractor's Date
Owner's Date
12% MARKUP
prime when subcontract work)
(for
TOTAL: $859.70
962.86
103.16
SHEET TOTAL: $
NORTEWEST CASCADq INC.NWC PROJECT#4255DESCRIPTION: Troubleshoot Cut Underground WiresLOCAfiON: 76th Ave South ImprovementsEW#Billto: COK44WORKLABOR2'/. SICK LEAVE:29'/I MARKUP:I,ABORTOTAL:$0.00$0.00$0.00s0.00$0.002\N/C MARKUP:EQUIPMENTTOTAL:${t.002lt/a MARKUP:MATERIALTOTAT:$0.00fi,.00FloHawksAMdJNT70I.ATEST RE\,'6ION 1 I I S NOziI2A/C MARKUP:SUBCONTRACTORTOTAL:$103.15TOTA,L$962-85$162.E6
Fld{aw{$
Plumfing + tuptk
i l$rtt rm..t grl,rcs Oc.lt
Billino Addresspnorf crrurun t *
10412 John Bananola WaY East
Puyallup, WA 98374 USA
PO BOX 73399
PUYALLUP. WA 98373
P:253-446-8485
F:253-848-2399
Description of Work
lnvoicc 66126564
lnvoice Dale 12131 /2020
com pleted D ate 1 zl31 /2020
Customer PO
Job Address
orofitcenter 1 #4255
21441 T6thAvenuc South
Ken! WA 98032 USA
Disoatch to troubleshoot cut wires underqround after inspection I found multiple.spices.buried under the gro-und I
removed all soices and made it qood conirections color to color and then hooked up color to color to the PIV more worl(
i;'ib1fi wiit 6JIo ilintili cuiidmaithen ihgt are open and see if the system is oferating properly because I was unable
io tone out the wires due to locked fire box wifl also deed a Sinch cap fiof round Caison box.
Task #
MP
PPEICOVID
L-ELR
L-EL2R
Oescription
CONSUMABLES
PPElSANITIZATION
ELECTRICIAN SERVICE CALL ( First 30 minutes )
ELECTRICIAN (After lst 30)
Quantity
1.00
1.00
1.00
3.00
Your Price
$14.7s
$s.95
$239.00
$200.00
Your Total
$14.7s
$s.9s
$239.00
$600.oo
Sub-Total
Tax
Total Due
i8s9.70
$o.oo
$8srJo
Bslance Due $859.70
please pay from thb invoice Termst due 30 deys trom invoice date. Delinquency Charge 1% Per month.
FloHawks is hereby authorized to furnish all materials and labor required to complete the requested work/servicc at21441 76th Avenue
South, Kent WA 98032 USA
fid i;itiided heriin ihe estlmatcd cost to perform this work is $859.70 at ttre tirne of inspection and with the information available at
itr" timioittre inipiaion. if cosi chanses, tlie customer will be made aware prior to invoicing. lf you Have any questions about this job
please ask your seivice Expert MATT SfulTH, he or she will be happy to help!
the work at21441 76th Avenue South, Kent WA 98032 USA has been
complete to my satisfaction.
\/\
12/31/2020
FA Sheet No./A\../ KENTFORCE ACCOUNT WORKED
DAILY REPORT OF
a safe
Project Name 76th Av S lmprovements
Prime Contracto r: Northwest Cascade
Description of Work:Di and reset rant as
turn radius at the
Proje ct No: 19-3006
Item No.
of third
e
vehicle da and
Work by Subcontractor?:
Sub-Contractor:
Dale'. 1212312A21
LABOR
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTOT RateHourly Rate HrsHrsOCCUPATIONCODENAIVlE 405.05$90.01Foreman
376.97$oJ., I
367.52$81.674.5
$
$
149.54
356.36
505.90LABORTOTAL $
LABOR OVERHEAD & PROFIT @ 31 %
SUBTOTAL. LABOR: $
EQUIPMENT
STANDBYOPERATED DOLLAR
AMOUNTHourly Rate
EQUIPMENT OR ATTACHMENTS
Equipment # Equipment Descri ption
152.28s4.5 33.84F350 foreman truck
86.27$19.17JD35G
281 .97bz.ooCAT 950 G SE Loader
$
$
SUBTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
$
$
$
EQU IPMENT TOTAL
520.52
629.83
109.31
DOLLAR AMOUNTUnit PriceQuantityUnits
MATERIALS / SERVICES
$invoice form EW 53HD Fowler 62.92$$ 62.92LS1HD Fowle.- lnv 15668093
$
$
$
SUBTOTAL
OVERHEAD & PROFIT @ 21%
TOTAL
$
$
$
62.92
76.13
13.21
Verification of Hours Worked
DateContractor's
Owner's Representative Date
m
12% IVARKUP
prime when subcontract work)
1.862
2 211.86$
$
TOTAL:
(for
SHEET TOTAL: $
NORTEWEST CASCADq rNC.NWC PROJECT#4255DESCRIPTION: Excavate Raa over fire hydrant and fix.LOCATION: 76th Avo South ImpmvementsBill to: COKEW#45IABDQAOFore,manOperatorGroup3-LightOper:atorGroup I - Heavy/Heavyo.To.TBFSo.T.REG04.5$122.96 $0.00 "-REG 4.5$81.67$l 10.69$83.77hrz.sz$0.00$376.99-.--.-.---$0:00$o.00- broz.sr$0.00 '"04.5000tYo$0.00SICKI.EAVE:MARKUP:LABORTOTAL:149-54s22.99$333.3729Yo$1505.90HOI.]RS4.5AMOUNTREG 4.5D233 2OI8 JOHNDEERE 35G0D179 2006 JOHNDEERE 31OSGI.OADERSTNBYREG 4.5Dz04. 2005 CATERPILU,R 950GSe$7.621.97I'ADER STNBYF35O FOREMANTRUCKsrrqnY4.5s33.84$6.?6cs24 2008 FORD$0.000$0.00o $o.ooEQUIPMENTSUBTOTAL: $672.75216 MARKUP: $t41.28EQUIPMENTTOTAL:0$814.03fuat€nalsRepair KitIIRS/I.]MTS$333.331F726MJKitHD2MATERIAL21VO MARKUP:MATERIALTOTAL:$83.21$479.46S{JBCONTRACTOR ST]BTOTAL:I2VO MARKUP:SUBCONTRACTORTOTAL:AMOI.JNT$0.00$0.00r-A,TESr REVTSTON 1 1il9l2020TOTAL*2799.39
lh" Ne RTH,W_E_$I _c-A$Q-AD-E lNe,-
\.} ' post orFtce Box 733e9. PUVALIUP, wAsHlNeToN 983t3 / ToLL FREE 800'562'4!42
DAILY FORCE ACCOUNT SHEET
EW#:WEef X en,f g- (,eTL-rJ/e'l
PAGE:
START TIME:n * tg:*t"f*L+z4'\2""hffif ,L#
DATE:
END TIME:
tQ- * L#"t-+$*OWNERS REP;
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LABOR NOIIBI F TIMFWORKER'S NAME REG TIME
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iOUIPMENT
FOI'IPMFNT NUMBER -*--6UIPMEM D Esc R IPTIO N HOURS STANDtsY
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MA"TFRIAI S OR SERVICES
VENDOR & INVOICE #z " M{1sr+11-l&r E*r k*z-r
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REPRESENTATIVE TITLE:
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REPRESENTATIVE:
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Northwest Cascade Co nstructionJob Name: Gity of Kent 76th Ave S lmprovJob Code4255Daily ReportCold-(32-45);Sunny;Normal Ground;Ground Wet - WorkablePicked up 10 rolls of 1 inch mastic from Oldcastle lndustries will call in auburn at 7AMFinish graded PozziBrothers north driveway (12:4S3:30)- rolled and passed compaction-covered with plastic to protec{ from weatherRernoved gravel ramp from both ends of sidewalk from 27+50 lo 28+22 and sweetened grade to set forms. Compacted prior to sidewalk pour. (1 1 :4$1 2:00)Revised Traffic from Mill Creek north driveway to Blue Origin south drivev'tay to alloat OCO to cut joints in the east road panelsReturned C524lo shop for Exhuast sysiem issues, and picked up 665Extra Work:Excavated Ran over Fire Hydrant around 1'l+84. Removed lower hydrant assembly ffom valve completely. Gasket on valve side was shredded due to being prshed over. Had topurchase 2 additional 6" mega lug gasket kits and completely re.do hydrant. Hydrant repair kitwas lhe in proper kit, and new kit will be delivered to HD FowlerThursday 124.11:45)(12:00to 12:45)Tunneled sidewalk around 19+40. 2 feet deep and installed 8LF Scfr 80 conduit. Backfilled with Pea gravel to fill void.Workers used: (4.5 HOURS)LeaCorkeryWortmanEquipment Used: (4.5 HOURS)35G D242D179D204c524'c'- indicates acompleted item.lR)' - indicata. vwo* quantitY.Date:Printed on: fn021 0833:A4Page
Job Code4255Northwest Gascade ConstructionJob Nams City of Kent 76th Ave S lmprovEQUIPMENT STANDBY: (4.5 HOURS)GPS GRADERDUMPTRUCKWATERTRUCKM317 ROLLERDaily Report77885694743901031410534010503LEA, ROBERTOPERATOR L 3.5/2CORKREY,JOSHUA OPER.FOREWORTMAN,WILLIAM OPERATR HHHANSON,JOHN APPR.LABRDEMELLO,JOEL APPR. LABRWAGNER,ELZADA FLAGTCSTotals for LaborTotals for EquipmentHours: 50Hours: 0Worked:50Worked:0Broken Out:Broken Out:4.54.54.5000(482/4)(0/0/0)3.53.581288I8IIIICodeTt885694743901031410534010s03NameLEA, ROBERTCORKREY, JOSHUAWORTMAN,WILLIAMHANSON, JOHNDEMELLO, JOELWAGNER,EIZADABegin EndStart07:0007:3007:3007:3007:30O7:30Ereak (1) Luneh Break (2) Meal (2)Diem SubsistEnce NotesEnd17:0015:3015:3015:3015:3015:30'c' - lndicates a completed item.TR)' - indhata" e. work quanlitY.\IDate:Printedon: jlnozt 08:33:(MPage
Northwest Gascade GonstructionJob Name: City of Kent 76th Ave S lmprov1000.11 See diarylnspector Note50052 See diarylnspector Note50153 See Diarylnspeetor NoteEW-o434 See Diary / force account sheetInspector NotePC1LABOR-o001 5 SEE DtARy (GRADTNG POZZ DRWAY)lnspector Note'c'- indicates aDaily ReportJob Code4255I'(R)'- indicates ework quantity.Date:Printed on: :'7nO21 O8:33:04Page
H.D. FOWLER
COMPAI.IV
REMIT: PO Box 84368, Seatttg, WA 98124
Corporate Office
3633 138tfr Pl SE, Ste 100, Bellevue, WA 98006
PO Box 160, BEllevue, WA 98009-0160
Phone 425-654-8800' Fa)( 425-641-8885w
lnvoice
Number 15670203 PAWH
Psclflc Branch
1417 Thomton Ave SW
Pacllic, WA 98047
(253) 863-8600 Fax (2s3) 86s€681
HD Fotrder Gompany - Paelfie
NW CASCADE
JAN O \ 2UI
a2
Order Writer:
MichaelOwens
PolJoB: TRAFFIC KIT
Aty Atv Psrt #Unit Extended
1
lllllrlhr;h,l,lltl'llhltl'll"hlllll'111,'l1llrlr,rllll,lllll
NORTHWEST CASCADE
PO Box 73399
Puyallup WA 98373-0399
T-1
Order#
o6899246
lnv Date:
1U29120
Due: 01l10l21
*hln via' Wll I (iAI I
Terms: NET 10TH PHOX
FoB: H. D. FOWLER
333.33
333.33
0.00
0.00
333.33
10 EA Ns-z2szs-140s R16206s3 sFTy FLe RK s 1/4 MED,
TRAFFIC REPAIR KIT FOB CLOW MED HYDRANT
333.330
PLEASE APPROVE
JAN I 8 2021
^[L
tn
** Flemittance Address *" EFT Routing: 121000248
PO Box 84368, Seattle, WA 98124-5668 EFT Bank No:418 545 3362
Sub total
Freight
Tax
Grand TotalServing the Pacific Northwest since 191 I
www. hdfowler,comRUBSIDEBOB.
6 H.D. FOWLER
COMPANY
REMIT: PO Box 84368, Seattle, WA 98124
Corporate Office
3633 136th PISE, Ste 100, Bellevue, WA 98006
PO Box 160, Bellevue, WA 98009-0160
Phone 42$'654-8800 * Fax 425-6|1|W€ASCADE
Paclflc Branch
1417 Thomton Ave SW
Pacific, WA 98047
(253) 863-8800 Fax (253) 869-868'l
HD Fowler Company - Pacilic
JAN 0 tl 2021lnvoice
Number 15668093 PAWH
3t4
Order Wrlter:
Flnd Srrllivan
Ordar#
o68s87st
lnv Date:
't2l2u2a
llllplhrll,,Llllhlllll;hllnlrlllll,l1l,,lgll,;,,r;lll,lllll
NORTHWEST CASCADE
PO Box 73399
Puyallup WA 98373-0399
T-t
PO/JOB: PO:4255
*^.lEE ?arLt Arrc er.\t t'rl.t litE'c}r.l\tE
Due: OlnAl?l
clta lr!-. lAfill-tiall lJara /flrr{ar
Terms: NET 10TH PROX
enn, lJ n trnlr\ri trP
Unlt-Part #Extendeda$ ory
62.92
62.92
0.00
0.00
62.92
20 EA IFz26, coMPAcT BoDY MJ ACCESSORIES KIT
ooMPLETE WrrH GLAND, GASKET AND (6) 3/4',X3.
1/2" T-BOLTS
31.460
PLEASE APPROVE
JAN 13 2021
rlu tn
'* Remittance Address *" EFT Routing: 121000248
PO Box 84368, Seattle, WA 98124-5668 EFT Bank No:418 545 3362
Serving the Pacific Northwest since 1911
www.hdfowler.com
Sub total
Frelght
Tax
Grand Total
1
FA Sheet No.49
T<€NTFORCE ACCOUNT WORKED
DAILY REPORT OF
and
Project Name:76th Av S lmProvements
Prime Contractor:Northwest Cascade
Description of Work asrdslaboreandRaItSEvau
dtheatradiusturninsafeacreati
Project No:19-3006
Item No
rt of third vehicle d
Work by Subcontractor?:
Sub-Contractor:
Dale: 111212a21
LABOR
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTOT RateHrsHourly RateHrsOCCUPATIONCODENAME 450.05$90.01Foreman 491.10$81 .85o 408.35$81 .67
320,95$64.195eneral Laborer
$
SUBTOTAL - LABOR:
LABOR OVERHEAD & PROFIT @ 31 %
1,670.45
LABORTOTAL $
$517.84
1 88.29
EQUIPMENT
STANDBYOPERATED DOLLAR
AMOUNT
H Rate
EQUIPMENT OR ATTACHMENTS
Equip ment DescriPtionEquipment #
225.54$37.59oF 450 foreman truck
135.32$33.834JD 310 SG tractor laoder
331,38$55.236CAT 308 E2 Excavator
12.89$12.89,1 85 cFMAir
$
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL $
$
$
705.13
853.21
148.08
SUBTOTAL. EQUIPMENT
MA
DOLLAR AMOUNTUnit PriceUnitsQuantity
MATERIALS / SERVICES 1.101.91$$1 101.91LS1FloHawks lnv 66126904
$
$
$
$
SUBTOTAL
OVERHEAD&PROFIT@12%
TOTAL
$
$
$
1.'101.91
1,234.14
132.23
Verification of Hours Worked
Contractor's Date
Owner's RePresentative Date
12% MARKUP
prime when subcontract work)
275.64
$4 275.64
SHEET TOTAL: $
TOTAL:
(for
NORTHIYEST CASCADq INC.NWC PROJECT #4255DESCRIPTION: Fix PIV for Fire AlarmLOCATION: 76th Ave South improvanentsBlllto: COKEW# 49WORKllr2Dozt5Iaborer Group 3 - General IaborerForemanoperatorUroup J - LlghtOperatorGroup2-Heavyo.T-*RE-C-o.T.REGo.t."---REC- 6550506l9$64.19- - - ca0.0r912L96$81.67..-$-!!0.5ts81.85$450.03$orql$40-_8:36$0.00$491.1 1o.T..85LABOR2O/O SICKLEAVE:29O/O MARKIJP:I.ABORTOTAL:$33.41$484.43$21E8.29D224 2014CATERPILLAR 308E2D179 2006 JOHNDEERE 31OSCT3O4 2OO2 SULLAIRSTNBYLOADER.380$7.36$0.00EQUIPMENTSUBTOTAL: $705.132lo/o MARKUP: $148.08EQUIPMENTTOTAL: $853.214.62RATE2IVO MARKUP:MATERIALTOTAL:$0.00$0.00FloHawks 1 $1101.91 $1101.91SIJBCONTRACTOR SUBTOTAL: $1101.91l2o/o MARKUP:STJBCONTRACTORTOTAL:$132.23$1234.14I-ATEST REVISION I 1/I 9I2O2OTOTALvns.64
Northwest Gascade ConstructionJob Name: City of Kent 75th Ave S lmprovJob Code4255Daily Reportfrary: &b -fri{ilVin FueediviCool- (45 - 60);Heavy Rain;Rain;Ground Wet - WorkableForeman.77ii6Extra Work 0800 to 1500LF).Roe$chline - 6Lea-5Deustrabeck - 5Wyatt- 5D246-6/1D179-4f2c665 - 6/1T304-110Cleaned up site, picked up garbage and desbrisReinstalled 3 existing vrfieel stops in the Republic drivatay and replaced one broke Wheel stop (broken during construdion)Hauled away 1 load of Traffic Control back to the yard and put awayRaised Water blomff (site of future fire hydrant) in Pozzi Planterto grade, added Traffic rated box and lid.Finish muddled 3 CB's on ihe east side of the road.Hauled off 1 load of material back to the yard and put away'Time eard: 6ab - ifiRmdfi FuesdayiCostGodesDescdptlonPrcd.Aty.Code Name5926 LEWIS, JoDl010503WAGFIER,ELZADA FLAGTCS010512DEMAI{KO, JESSICA FIAG TCS'c'- indicates a campleted item.'(R)' - indicates a rework quantity.1005.1Cleanup Cr€$,1 DAYForernan - ?TE RevJsi6h,'2' Sffi .i5015 5005 Ew{48TraifcConffi Supervie TcdffioContri Labq Flx plvffre dafm d€ctl22.5 HR 6 HR 16.588ClassFLAG TCS1000.1Slte Supervision1 DAYTotala6.5IDate:Pintedon: B/A8AA21 16:16:51Page 1I
Norfirwest Gascade eonstructionJob Name: City of Kent 76th Ave S lmprov'Time eard: 6aie - oiiiEzdli FuesdayiCostCodesD,escripfionProd. CEy.Code Name1053 DEMELLO,JOEL7916WYATT,MATTHEW APPR.LABR3416DUESTERBECK, CHRI LAB-FORE6590ROESCHLEIN,JOE OPERATORH7788LEA, ROBERTOPERATOR L 3/1.5D224CRAWLER MOUNTEDD179TRACTOR LOADER BAT304c665PORTABLE ROTARY SONE TON FOREMANONE TON FOREMAI'IDaily ReportJob Code4255Foreman -?f,dO Refrsion -I Sft-l5005 EW4$TfdcCqnfrd kbor Fix PVnrs alam ddl6HR IGlassAPPR. LABRNameLEWIS, JODIWAGNER, ELZADA FLAG TCSDEMANKO, JESSICA FT.AG TCSDEMELLO, JOEL APPR. LABRVVYATT,MATTHEW APPR. LABR 2DUESTERBECK, CHRI LAB-FORE 3ROESCHLEIN, JOE OPEMTOR HLEA, ROBERTcontptetea itemi.1000.1Sile Supervision1 DAYffiil.IfriffimlPCI IABOR PAYtLsr005.'lCl€anpCrew1 DAY5015Trdccontol Supewls22.5 HR06Totals68II8/1.564160Totals6.5II6881525b56416c66610534eo*CodesDeecriflionProd. Qty.Code5926010503010512cEsqFLAG TCS7916341665907788'c'- indicates aI'{R)'- indicates a rework quantity.OPERATOR LDate:Printed on: 03/08f2021 16:16:51Page 28/1.5
Northwest Cascade ConstructionJob Name: City of Kent 76th Ave S lmprovnme Cart: oaie . oiiTf[Oii FueedaviGostGodetleecrlptionProd, Clty.Code Nama GlaesD224 CRAWLER MOUNTEDD179TRACTOR LOADER BAbrAiw s__-- -*T304c665ONETON FOREMANc666ONE TON FOREMANDaily ReportJob Code4255Foreman-fTd Rwiaion-I Shm;'t -(60.5/1.5/o)(17lOtO)Foreman -??lFPerDiem Subsistence NotesPClt-480R{001FCT I,ABOR PAYlLSTohls6460nme eard froies: 6aie - iii?itr26f{ ffueudaviTotals for LaborTotals for Equipmentf,leter.Begin EndHouns: 62Hours: 17Worked:62Worked:17Broken Out:Broken Out:Code592601050301 051 2105347916341665907788Start07:3007:3007:3007:3007:3007:3007:3OO7:30NameLEWIS,JODIWAGNER, ELZADADEMANKO, JESSICADEMELLO, JOELWYATT, MATTHEWDUESTERBECK, CHRROESCHLEIN, JOELEA, ROBERTBreak (l) Lunch Break (2) Meal(2)End14:0015:3015:3t)13:3015:3015:3015:3017:00CosiGoi"e ltoies: bab - ffiffiIi Fu"e&viCode Slot NoEs1000.1 1 See diarylnspector Note1005.1See diaryI'C;- rnoidates a compiete} itemlR/- indicates a rcwotu guantitY.2Forbman -??66'Date:Printed on: A3/08n021 16:16:51Page 3
lNo rthwest Gascade Constru ctionJob Name: Cityof KentT6thAveS lmpnrvJob Gode4255Daily ReportlnsFctorNote5fi154 Seediarylmpector Hote50r53 Seedtarylnspector t{oGEW4485 Seediarylnspector NotePCILABOR.ffiI 6 Seefdbrylr,epectorHotex .. Daie:'C - indicates a camfreted item-'(R)' - indiqtes a rewo* quufly-Prtdedon: $fr8n021 16:16:51Pa-ge 4
r*
Ptulnffing+&pdc
r* l*rd laaqaxr r.lfr -. Ols-l'
Billing Address
PROFIT CENTER 1 #
10412 John Bananola WaY East
Puyallup, WA 98374 USA
PO BOX 73399
PUYAILUP, WA 98373
P:253-446-8485
Fr 253-848-2399
Description of Work
lnvoice 66125904
lnvoice Dale 1/12/2021
Completed Dare 1 /12/2a21
Customer PO
Job
profit
21441
1 #4255
Kent W
Task #
L-EL2R
M-3/4 CARFLIX
M.3/4CARFLEXSRT
M-3/4ECOUP
Description
ELECTRICIAN (After 1st 30)
3/4 INCH CARFLEX (sold bY the foot)
3/4 CARFLEX SRAIGHT
3 14 PVC CON DUIT COUPtING
Quantity
5.25
9.00
2.00
2.00
Your Price
$200.00
$3.e3
$7.08
$1.19
Your Total
$1,050,00
$35,37
$14.16
$2.38
5ub-Total
Tax
Toial Due
$ 1,1 o1 .91
$o.oo
$ 1,101.e1
Ealance Due $1,101,91
Please pay from this lnvoice. Terms: due 30 days from invoice date. Delinquency Charge 1% per month'
AI
tul 7
PLEASH '*
JANE, I 1
fuBv-+'t
1/12/2021
Ac[nbwteaoement of Work/Service to be performed,ffi'ffi;ii'#;;;fitd;;1-iir:i irireUllcrnoiiias"thattheworkat214417lthAvenuesouth,KentwAe8032USAhasbeen;fip];fii;;f;;;d;n. I nave inipea6a the work ina it is complete to my satisfaction,
I
1112/2021
FA Sheet No 51{>>\.-Z KENTFORCE ACCOUNT WORKED
DAILY REPORT OF
Item No
Project Name 76th Av S lmmP rovements
Description of Work.danvaultRaise
creati safeaand
mdairedassociated
dritheusatturninrad
Proj ect No: 19-3006
Prime Contractor:
eas of third vehicle
Dale'. 1212812Q20
Work by Subconiractor?:
Sub-Contractor:
LABOR
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNToT RateHrsHRateHrsCODEOCCUPATIONNAME 418.85$83.77Ao 408.35o
81 .675Operator 320.95$64.1 I5Laborer
$
$
148.15
LABOR OVERHEAD & PROFIT @ 31% $
1,504.08
355.93
LABORTOTAL $
SUBTOTAL. LABOR: $
STANDBYOPERATED DOLLAR
AMOUNTHourly Rate
EQUIPMENT OR ATTACHMENTS
Equipment DescriPtionEquipment #4a1 0q$37.59F450 Foremans truck
267.70$53.545CAT 308 Excavator
313.30$62.666CAT 950G Loader
$
$
SUBTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
$
b
$
EQUI PMENT TOTAL
768.95
930.43
161 .48
DOLLAR AMOUNTUnit PriceUnitsQuantity
MATERIALS / SERVICES
73.44$$ 73.44LS1Tacoma Screw lnv 15559982
$
$
$
SUBTOTAL
ovERHEAD&PROFIT@21%
TOTAL
$
$
$
73.44
88.86
15.42
Verification of Hours Worked
Date
Owner's RePresentative Date
12% MARKUP
prime when subcontract work)
3.37
523.37
2
$
SHEET TOTAL
TOTAL:
(for
NORTHVYEST CASCADE, INC.NWC PROJECT#4255DESCRIPTION: Water Vault Replaced BollardIOCATION: 76tb Ave South LnproverrrentsEW#Billto: COK51WORKlaborer Gmup 3 - General labserOperatorGroup 3 - LightoT.BPGo.T.55l9$64.19$s1.67'g. -_Q!!0_6e505$408.16_ _q0.90$418.87REC 5Operator Group I - Heavy/HeavyLABOR SIJBTOTAL:2o/o SICK LEAVE:29o/o MARKUP:LABORTOTAI:s22.96$332.97$ls{H.12D239 2OI9 CATERPILLAR 308Dl79 2006JOHNDEERE 3IOSGRECRATE00LOADERSTNBYD204 2005 CATERPILI-AR 950GS€3-30$?.36s0.00EQUIPMENTSUBTOTAL: $768.952lo/o MARKUF: $161.48EQUIPMENTTOTAL $93{t.4350Mat€rialgTacoma ScrewI.ATEST REVISION 7 I I I 9 IaO2O2lo/o MARKUP:MATERIALTOTAI:$15.42TOTALstt.t6$2523.41
G-NORT HWEST CASCADE INC,
73399, PUVALLUP,wAsHrNcloN 90!73 / TOLL FRE€ 600-S2-4442
DAILY FORCE ACCOUNT SHEET
EW#:WEATHER:
STARiTNE: 16:e.r^::d-^,?s*
OWNER:PAGE:
$r i-xfxaf zn
DATE:
END TIME:13'" u) q)
4a) "
6 ilt"trs
ll*
€.ffi t
drd"d
d
I*^{"#- E'5
13
ch.{"^.M"s",wtP V09&c\"i^?-;
I-ABOR
WORKER'S NAME
-Wb-FKEFISECCOFATION
REG TIME
F-e:,e:set-ueN&{ *{*a)fr$)tr 6 6
bF.s,*&-&L i2 lK 6
-Cpeet+4ift- { L / itfr:t,tf-*4 .q {6
EOUIPMENT
-EduitrMtrhl'iDESCRIPTION'r)'e*q 43
n'2-rlq.4 *n&#e#*L^
{ {at"g*$*gat*x*g- *fg:**"e*4\
fi'2*w';W:LL&* ,*-r ,t, ,-8 il ,'- f
t 5 .' Ig M3\4 t*"*
P* {sq&Aw {
Tlcar"a
4-\)-l.\
\
s
{qx
L{ x
6WNER REPRESENTATIVE:NWC REPRESENTATIVE:
W-*Wem;q' f-e4t
AhN {r*t-{6lrtf ..,.-J .Aeg JWF-Frc
v
Northwest Cascade GonstructionJob Name: City of Kent 76th Ave S lmprcvDaily ReportJob Gode4255and put 1 yard of topsoil into road way. Picture were taken.Shoveled topsoil out of roadr,rlay.Sweetened the driveway grade in Blue Origin center driveway now that curbs were installed. Mudded both casting in the curb line.Supported Subs: fence guys, landscapers by prwiding traffic control as requested.Extra Wortc 8am to 1Pm-Removed Ladder in vault attached to the lid (vault around 11+30)-Went to Tacoma Screw to purchase Eye Bolts because the vault lid was an odd size.-Removed lidlnstalled 2 - 1'risers using mastic-reset lid on top-skaightened PIV-Repaired 2 - 1-114' inigation lines destroyed by the truck- re installed 1 Ballard that still had an extremely large concrete base poured around it, and plumbed it up.-dug hole to replace second Ballard, but concrete will be necessary to put it back into place and will be poured when hydrant pads and valve pads are poured.-compacfed around both the water vaull and nearby hydrant.77886590791601051210534010314010503'c' - indicates a completed item-'(R)' - indicates a rewoft guantity.LEA, ROBERTOPERATOR L 811.5ROESCHLEIN, JOE OPEMTOR HWYAfi, MAfiHEW APPR. LABRDEMANKO, JESSICA FLAG TCSDEMELLO, JOEL APPR. I.ABRHANSON,JOHN APPR. LABRWAGNER, EIZADA FLAG TCS8t18t18t18/155338/1.5I8t18t18t1IDate:Printedon: O1n7nO21 0S):25:O5Page I8t1
Northwest Gascade ConstructionJob Name: Clty of Kent 76th Are S lmprovDaily ReportJob Code4255D224D20/.c66sCRAWLER MOUNTEDARTICUI-ATED WHEELONE TON FOREMAN555555Totals for LaborTotals for EquipmentHours: 61.5Houns: 15Worked:61.5Worked:15Broken Out:Broken Out:(56/5.5r0)(15O/0)Code7788659079160r051210534010314010503NameLEA, ROBERTROESCHLEIN, JOEWYATT, MATTHEWDEMANKO, JESSICADEMELLO, JOELHANSON, JOHNWAGNER, ELZADABegin EndStart07:0007:3007:3007:3007:3007:3007:30Break (l) Lunch Bre,ak (2) Meal (2)End Diem Subsistence Notes16:3015:3015:3016:3016:3016:30f 6:301000.150051 See Diarylnspector Note3 See Diarylnspector Note'c'- indicabs a compbted item-lR)' - indicates a rcwotk quantity.Date:Pinted on: O1n7nA21 09:25:OSPage 2
Northwest Cascade GonstructionJob Name: Gity of Kent 76th Ave S lmprovDaily ReportiJob Code425550152 See Diarylnspector NoteEW-0334 See Diarylnspector NotePC1LABOR-0OO1 5 See Diarylnspector Note'c'-a completed item.'(R)'- indicates a rewoft quantity.Date:Pinted on: O1n7nA21 A9:25:05Page 3
Tacoma Screw Productso Inc.lnvoice
slfl(c l9l(t
REMIT TO
lQtomQscrcht eom
Screw Products, lnc
Attn: Accdunts Receivable
P,O. Box 35165
Ssattle. WA 98.124-5165 U.S'A'
I iltill llill lllll f,lll llill llll lll llll I lllilil ffi llil lllll lllll lffi lllil llll llll llll
BILL TO
I ostgos
NORTHWEST CASCADE INC
ATTN ACCOUNTS PAYABLE
PO BOX 73399
PUYALLUP, WA 98373-0399
-l-l SHIP TO
| ruontuwesr cAScADE lNc
ATTN ACCOUNTS PAYABLE
PUYALLUP, WA S8373-0399
TNVO|CE # 15559982
LOCATION KENT
DATE 12128120
PAGE 10F1faslenem . Tools ' Maintenance & Shop Supplies
ORDER
KEOsl 549
ORDER DATE
12128t20
ORIGINAL OUOTE CUSTOMEff PiO NUMBER
4255
PAYMENT TERMS
1o/o IOTH, NET 30 DAYS
WRITTEN BY
RSP
SALES REP
H
CUST RELSASE#JOB NUMBER SHIP VIA
CUSTOMEH PICK.UP
o 18.3601 EA F 73.4444160-108-1
FORGED STL MACHINERY EYE BOLT
718" x 2-114" PLAIN 146A2
Thank you tor your order,
be any questions, or if we
MERCHANDISE
TOTAL
Please note thst all sales are subject to Tacoma Scr€w Products, lnc.'s Terms of Sale and Conditions of Sal€' lf there should
can be of further service, please call (253) 5
INVOICE TOTALDEPOSITDEPOSIT
AMOUNTFREIGHTTAXMISC CHARGEHANDLING
o.ooo.ooo.00o.oo0.00o.oo
\r*?5.tt(-PICK-UP SIGNATURE:
ROBERT LEA
73.44
72-3444 or (8OOl 562-8192' We appreci ate and value Your continued business
FA Sheet No 5?
DAILY REPORT OF
FORGE ACCOUNT WORKED
./A*\-/ I<ENT
Project Nam e: 76th Av S lmprovments Project No: 19-3006
Item No.:
Description of Work:
Prime Contractor:
Date
Removed ladder and installed new full AS rt of third vehicle
and a safe turni radius at the d
NW Cascade
Work by Subcontractor?:
Sub-Contractor:
LABOR
STRAIGHT TIME OVERTIME DOLLAR
AMOUNT
CODE OCCUPATION Hrs Rate Hrs OT Rate
NAI\4E
operator heavy-heavY 2 83.77 167.54$
operator light 2 81.67 o 163.34
laborer 2 64.1 I $128.38
$
$
SUBTOTAL - LABOR: $459.26
LABOR OVERHEAD & PROFIT @ 31% $142.37
LABORTOTAL $601.63
EQUIPMENT
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
AMOUNT
Equipment #Equipment DescriPtion rs Hourly Rate
F450 foremans truck 2 37.50 $75.00
$
$
$
$
SUBTOTAL - EQUIPMENT $75.00
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$15.7 5
$90.75
QuantitY Units LJnit Price DOLLAR AMOUNT
MATERIALS / SERVICES
a Screw lnv 15560094Tacom 1 LS s oJ., I 63.71$
Oldcastle
1/2 rotohammer bit
1 LS $ 315.95 $315.95
I LS $ 8.20 $8.20
$s2.00
1 $ 92.00
$
SUBTOTAL
OVERHEAD&PROFIT@21%
TOTAL
$475.86
$100.77
$580.63
TOTAL: $I 73.01
Verification of Hours Worked (for12% MARKUP
prime when subcontract work)
SHEET TOTAL: $1 273.01
Contraclor's Date
Owner's RePresenlative
m
Date
NORTHWESTCASCADq rNC.NWC PROJECT #42J5DESCRIPTION: Pumped outwaterr.auft installed new LadderLOCATtrON: 76th Ave South ImprovementsBillto: COKEW# 52Laborer Gmup 3 - General IaborerOperatorGmup 3 - LightOperator Group I - Heavy/Heavym39 2019CATER"III.AR 308D179 2006 JOHNDEERE 31OSGD2O4 2OO5 CATERPILLAR 95OGc665 2015 FORDF450o.T.REC--_-z -. -ora.REG 2S1NBY0$1 12-82$0.00LABORSIJBTOTAL: $459.2?2Vo SICKLEAVE: $9.1929% MARKUP: Sl33.l9LABORTOTAL: S60r.650MOUNTEDLOADERTRUCK220STNBYl8$?.36$0.00EQUIPMENTS{JBTOTAL: $230.452to/o MARKUP: $48.40EQUIPMENTTOTAL:$278.86TacomaAnchors12" Rotohammcr Bit$8.20nolbdfdonseal 10 '- 10- $10.00 - $l00.0iioracan"rraaa.i -_ r -- - -T- Srij.ij- $ljss5MATERIALSUBTOTAL: $487.862lsh MARKUP: $102.45MATERIALTOTAL: 559031LATEST REVISION I V I 9 NOZOTOTAL$1{?0.E2
il
G-NOR THWEST CASCADE INC.
POS] OFFICE BOX 73399, PUYALLUP,WASHTNGTON 98373 /r TOLL FPEE 800-56?-4442
DAILY FORCE ACCOUNT SHEET
#:60#PAGE:OF
$:3e>.Sts ,,^, tft-!'Lb*fut$\€ft- lzs I s***1 : '3e
&
LABOR
-woRRERlsoc.UPATION
REG TIME TIME & A HALF DOUBLE TIME
4$e f>?G€.errq)&. { S /')t6 {
4 6 {
L*/n @ms""{a.){su 2*d {
FoIiIpMENT
ffi:"dlt+&*ka
L6&€S*ede{-€,
^!/"/ -'4-\ 4 2.44 {'l
{} , 14',? -'" {n ,lv r?.
T"/lX4 .. l$')*s/"t--)-r
b4 % ttr&
ffi@% {ne*a s ed*(f2
{?x,nn ?*
NJU&,u*,'4t&e{)lrlt4#
tF V-orc
$t
a'
h\ba^t
NWC REPRESENTATIVE:
€'*w*r Wn"
WE(V Vrf#r\r-.--r,l * ,,Lon 9(9 Jdq P *v *)
Northwest Gascade ConstructionJob Name: City of Kent 76th Ave S lmprovDaily Reportrfrary: Eab - itrItrId'to ffueodayiCold-(32-45);Overcast;Ground Wet - WorkablePicked Up 8'galvanized vault ladder and mounting brackets from Oldcastle in Auburn: Ticket #SP213409Picked up 1/2" anchor bolts and 1/2" rotohammer bit from Tacoma Screw in Kent Order# KE051681Extra Work 7:30 to 9:30. ( 2 Hours)-Pumped out water vault-Cut out and removed old 6'vault ladder-Cut and trimmed new ladder to fit-rotohammered new anchors and installed new ladder.-lnstalled new plastic water rneter box to replace box destroyed by truckMatthewWyattJoe RoeschlineRobert LeaD20/.c665Raised existing Manhole to linish grade in Blue Origin center driveway at 19+70Graded 571 Sq Yards of roadway HMA section, to correcl work done by AES as part of a separate project. (North west HMA ramp)Sent Wyatt around with backhoe to clean iob site of garbage and debris'fime eard: Date - if,z5lfr'6 (TueedayiCoBtCod€sDeecrlpdonProd. Qty.Code ilame7788 LEA, ROBERTClasgOPERATOR LROESCHLEIN,JOE OPERATORHWYATT,MATTHEW APPR.LABRDEMANKO,JESSICA FLAGTCSDEMELLO, JOEL APPR. LABR5015T.fifFcConM Supewb25 HR808/.5Job Code4255Friremaii.ffiffiForemin-??6 Rsvlslbn-0 $fin-tEW.{t33 PCll,ABOR.(xlOrBhnkEdrawork.Wdl8 PCI IJqBOR PAY1t-s 1LS22t0(n.1Eite Supervlsbn1 DAY8t2.55005Trafice,onbol lsbor8.5 HR6590791601051210534'c'- indicates a2Totalr812.5I88'(R)'- indicates a rework quantity.Date:Printed on: 02/11f2021 10:41:034Page I8/0.5
N orthwest Cascade Constru ctionJob Name: City of Kent 76th Ave S lmprov'Time eard: Daie - iffiF61d (?ueedayiGostCodsstleecrlptionProd. Qty.CodeDaily ReportJob Code4255' Frireman-ff6'0-Rivieion -6 Shift -rEW{XB PCil.ABOR4mlBlank Edra Wolk - Wiite PCi IABOR PAYlLS lLS1000.1Sib Ssper$Bion1 OAY5015TrffcGanhd Superu's25 HR5005TrdfficCanbd l€bor8.5 HRD224D204c6655926010503or-az-Name ClassCRAWLER MOUNTEDARTICULATED WHEELONE TON FOREMANLEWIS,JODIFLAG TCSWAGNER,ELZADA FLAGTCSARTICULATED FRAMESINGLE DRUM VIBRATTRACTOR LOADER BANamELEA, ROBERTROESCHLEIN,JOE OPERATORH 4WYATT,MATTHEW APPR.LABRDEMANKO, JESSICA FLAG TCSDEMELLO, JOELAPPR. LABRCMWLER MOUNTEDARTICULATED WHEELONE TON FOREMANLEWIS, JODIFLAG TCSWAGNER,ELZADA FLAGTCS8/.58/.5{ffi6.t - I6sIFineG.a&lsconcr€ta CleanupcrB,U571 SY 1 DAY222Totals2228/0.58/0.5412Totals812.5III8/0.52228/0.5M194D1796oei6odegtlescriptionProd. Glty.Code77886590zsl-6ClasBOPERATOR L01051210534D224D204c6655926010503'c'- indicates a completed item-'(R)'- indicates a rcwotu quantity.2Date:Printed on: AAfin021 10:41:03Page 28/0.5
)Northwest Cascade ConetructionJob Name: City of Kent 76th Ave S lmprovJobCde4255Daily ReportD182M19+D179ARTICUIATED FRAMESINGLE DRUM VIBRATLOADER BA44122Totals for l-aborTotals for EquipmentHours: 60Houns: 13llllorked:60Wodcd:13Broken Out:Broken Out:(56/4n)(13/0/0)Code7788659079160105121053r592601m3NameLEA, ROBERTROESCHLEIN, JOEVVYAfi,MATTHEWDEMANKO, JESSICADEMELLO, JOELLEWIS,JODIWAGNER, ELZADABegin EndStart06:@07:3007:3()07:3007:3007:3007:30Break {1) Lunch Brcak (2} lleal (2)End Diem Subsistence Notes16:3015:3015:3015:3016:S16:tX)16;001000.11005.1Y1 See DiarylnspectorNob7 See Diarylnspeotor Note'c'-acompleted item.TR)'- idicates a rewa*.guanftY.Date:Printed an: W1nA21 fi:41:03Pagp 3
Northwest Cascade Constructio nJob Name: City of Kent 76th Ave S lmprovDaily ReportJJob Code42551096.16 Seed'rarylnspector Note50053 See DiarylnspectorNote50152 See Diarylnspector NoteEW{334 See Diarylnspector NotePCIIABOR-0@I 5 See Diarylnspector Note'c'-indicatesaitem.'(R)'-indicates a rcwo* quanti$.Date:Mntedut: 0A11n021 10:41:03Page 4
Taeoma Screw Products, fnc.lnvoice
Slilc{, l9l('
REMIT TO
ldc0moscfew.com
Tacoma Scraw Products, lnc.
Attn: A.ccounts R€ceivable
P.O. Box 35165
s€attle, wA 98124-5165 U.S.A.
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NORTHWEST CASCADE INC
ATTN ACCOUNTS PAYABLE
PO BOX 73399
PUYALLUP, WA 98373-0399
_l-l SHIP TOrI NoRTHWEST CASCADE INC
ATTN RECEIVING
162c7 SOUTH MENIDIAN
PUYALLUP, WA 98371
109.3887 C F 54,69041-309-1
STEEL WEDGE ANCHORS
1/2" x3'3/4" 74225D1
tNvotcE # 15560094
LOCATION KENT
DATE 1?t29120
PAGE 10F1Fasteners ' Tools ' Maintenatrce & Shop SuPplies
ORDER NUMBER
KEO51 68 1
ORDEF DATE
12t29120
ORIGINAL OUOTE CUSTOMER P/O NUMBER
4255
PAYMENT TEFMS
17o IOTH, NET 30 DAYS
WRITTEN BY
RAB
SALES RFP
AL
CUST RELEASE#JOB NUMBER SHIP VIA
WILL CALL KENT
o 8.1956 EA 8.20
333-008
BOSCH HC2081
SDS-PLUS BIT 1/2' X €'
K€f,a6q7
Thank you for your order'Please note that all sales are subject to Tacoma Screw Products, lnc''s Terms of Sale and Conditions of Sale' lf thsr€ should
be uestions, or if we
MERCHANDISE
L
INVOICE TOTATDEPOSITDEPOSIT
AMOUNTFREIGHTTAXMISC CHARGEHANDLING
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PICK-UP SIGNATURE:
boh
62.89
can be of further service, please call (263)572-3444 or (8OO) 562-8192. We and value r continued businees,
sOtd FUe lnfrastructurd\:1ACnilcol|PANYwrtr oldcasfr€irgra*ucGts.co$r2808 A ST SE AUBURN, WA 98002 7501 Phone .: 251839-3500 Fax . . . . : 253-73U201Sold To : Norttwest Cascade, lnc.PO BOX 73399PUYALLUP,WA 983730399Packing slipBill of LadingContachSales Person: Kai JohnsonShip To: NW Cascade-76th ave S Kent21441 76th ave SStaging area, not PozziyardKENT, WA 98030 4928County: KINGSite: AuburnPhone:Reference :Customer PO4255Mode of DeliveryWillCallDelivery termsFOB Job SiteCustomer No000206Order No.s177008Terms of PaymentNet 30 DaysDate12t29t2020Packing Slip No.sP213409-.. Atv KitaSI UnitItem1.00 Kit 32000401.00 Ea 2291O8O2.00 Ea 2291000Total Freight in lbs.: 0.00Special No.Description8'Ladderwl 8" Standoffs8'Bolt-On Ladder8" Ladder Stand-off (Pair)nsnsnsGroup . . .Mark A$ Unit Weight1.00 Kit 0.001.00 Ea 54.312.00 Ea 3.98Shipping instructions: Paddy worthington 253 405 6891 call firstfteyand&fresned,attorneydrenibetr{€ssrroonablewdiliorr,inddtstggoodacc0snt$Jntsduedilallonco$edlonc[lllrcassssedbesi0twillcfrargesassociatedrndaiallisted on ftb Blll d kd*rg ha6 besn received in gcod coodition and'*ill bethr "St$ io" addt$s specified, urks otherwisa noted.toDated:IlrivcrLe{tJob SitesA$eestc lnvoice:0ktoAiliv€d atJob Site:LeftPlantLoadVsined:lnternal Usefic*hfta$nrcturd
sOil Filc lnfrastructurdACNfiCOMPAI{Ytwh.olfu silleirffi rchneiom2808 A ST SE AUBURN, WA 98002 7501 Phone .: 253-839-3500 Fax ....: 253-7354201Sold To : Northwest Cascade, lnc.PO BOX 73399PUYALLUP, WA 983730399t i:1Packing slipBill of LadingGontact:Sales Person: Kai JohnsonPhoneReferenceShip To: NW Cascade-76th ave S Kent21441 76th ave SStaging area, not PoaiyardKENT. WA 98030 4928County: KINGSite: AubumGustomer PO4255Mode of DeliveryWillCallDeliverytermsFOB Job SiteCustomer No000206Order No.s177008Terms of PaymentNet 30 DaysDate12t29t2020Packing Slip No.sP213410arY _ {i!,9ry unitItemSpecial No-10.00 Ea 5130015 nsTotal Freight in lbs.: 0.00Shipping instructions: Paddy worthington 253 405 6891 call firstDescriotiohROLLS of Conseal 1" x 14.5 (CS-102)(8 Rolls/ctn)9joJp -MasticMar*Aty Unit Weight10.00 Ea 0.00Drivor Adurorledgrunt The piodu€t firbd on lhls Bill d Ladiqg haB been received h gmd condilion and wili bE delivered t<rlhe .Ship to" addess spec$fied, urrless o&reruise noted.llivsShnd: {PrHlDatod: -Curfufirr Agptr: Thd afl rt#r*d r€cdrred on thb paddrrg $fip ie !! good oondittm, triessr o*nm,ke nst€d, and try winindemrsi sdler for all costs assorinbd wifir tre coledion of this purc*rce iduding reconatb attomey k &finance cflarges. (Finanee ciarBes wflf be assessdon allpa$dae accourts-,}Rocafuod bY{skn}:lPrintlDatad: __--sib:LefiAgre6to lnvoice:CIN< iofurir/ed atJob $ite:LoadVeri$ed:lnternal UseOHc*k{rastucfi.:rc-U,l-Rlg18
t
Oldcastle lnfrastructu re"
A CRI{ COMPANY
Telephone: 253-839-3500
INVOICE Page 1 of 1
Remlt to:
Oldcastle lnfrastructure
P.O. Box 742387
Los Angeles, CA 90074-2387
Tax exempt number: A17 4189 '19
Site: Aubum
PO Box 688
Aubum, WA 98071 253-73fu'4W GA[, ['""." :
JAN 0 6 2021
Fax..........:
SOLDTO:
8681 I A80.419 E0070x 1011707032618223S2P7938271 0001:0001
l'1ll'lllhrhl,ll1h,,ll,;llllhlllllllllsll/111rlllllltl111s1
NORTHWE$T CA$CADE, INC.
PO BOX 73399
PUYALLUP WA 98373.0399
SHIP TO;
ffi NW Cascade-76th ave S Kent
21441 76th ave S
Staging area, not Pozzi yard
KENT, WA 98030 4928
l./Delivery Torms
FOB Job Site
Modo of Dellvery -
Will Call
'ord6r-.No,
s'177008 I 4255
Dat9
1U29t2020
Customsr-No.
010000206
.lnvolc€-No,
010244439
Packlng slip(r) .-.: SP213409,SPz13410
Oty Unlt Item Descrlptlon
1.00 Kit
Group: MASTIC
QtY Unlt
10,00 Ea
3200040
liem
I'Ladderw/ 8" Standoffs
Descrlption
ROLLS ofConseal 1" x 14.5'(CS-102)
Rolls/ctn)
Mark
Mark
Unit Price Amount
315.95
Amount
100.00
315.95
Unlt Prlce
10.0051 3001 5
,L 0]i
TOTAL AMOUNT DUE BY: Oll28l21 US 415.95
The Cuslm€r Agre€g
1. THAT THE ASOVE TOTAL lS PAST DUE lF NOT PAIO WTIIN 30 DAYS OF OATE OF Ttlls INVOICEi: iii ihv;inNANcd aHARitd bF i E* pEn Morlrn t18.o4PER ANNUM) oN ANY PAsr D-uEA!,ouNr.
3. io FAV Colr.ecirorq cbSfsJi{cltjbiNA.NiqsciNneLE AnonNEY FEES, AFTER DEFAULT BY THE CUSTOMER
tX]01:0001
FA Sheet No.
DAILY REPORT OF
FORCE ACCOUNT WORKED
a safe
turn radius at the
Prime Contracto r. Northwest Cascade
rant ir as of third
Project No:19-300676th Av S lmProvements
vehicle d and
Project Name:
Item No.:
Description of Work:
Work by Subcontractor?:
Sub-Contractor:
Dale: 121302A24
LABOR
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTHrsOT RateHourly RateHrsOCCUPATIONCODENAME 251.31$83.77
245.O181.67ht
192.57$64.1 9neral Laborer
$
$
LABOR OVERHEAD & PROFIT @ 31% $
688.89
902.45
213,56
LABORTOTAL $
SUBTOTAL - LABOR: $
EQUIPMENT
STANDBYOPERATED DOLLAR
AMOUNTndbyRate
EQUIPMENT OR ATTACHMENTS
Equipment DescriPtionEquipment #
112.7737.59JF450 foreman truck bz.bo$62.66195OG SE
$
$
$
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL $
$
o
175.43
212.27
36.84
SUBTOTAL - EQUIPMENT
DOLLAR AMOUNTUnitsUnit PriceQuantitY
MATERIALS / SERVICES
333.33$$ 333.33LS1HDFowler - lnv 15670203
$
$
$
$
SUBTOTAL
ovERHEAD&PROFlr@21%
TOTAL
$
$
$
JJJ. JJ
403.33
70.00
Verification of Hours Worked
DateContractor's
DateOwner's
12% MARKUP
prime when subcontract work)
I ,518.05TOTAL
(for
$
1 518.05SHEET TOTAL: $
NORTEWEST CASCADE, INC.NWC PROJECT #4255DESCRIPTION: RepatuFireHydnntTOCATION: 76th Ave South Inprovem€ntsBillto: COKEW# 53WORKtu30f20203Iaborer Gron 3 ; -fenml IaborerOperatorGrorp3-LightOperator Group I - Heavy4leavyD204 2005CATEMILI,,AR 95OG SEDl79 2006 JOHNDEEp.E 310SGo:.I'..-- .---REc.... f -" .o.T.REG 3o.T.REGLOADERSTNBY 31919 $0-00 __$192.s7.-***s21s.0200 $il2.82$l$83.77I,,ABOR SIJBTOTAL:2O/O SICK LEAVE:29Vo MARKIJP:I.,ABORTOTAL:14-44$0.00s2s1.32$0.00$688.91$r3.78$r99.78$902.4730.98C7O7 2OO7 KENWORTII TSOOB TOCYDUMPTRKD24O 2O2O DEERE772GPELEVATINGM317 N/ACATCB24Bc665 2015 FORDF450FOREMANTRUCKD239 2A19 CATERPILLAR 308CRAWLERMO1JNTED$61,1?_$9.35$0.00$28.05 - - --STNBY 303t$37.59$0.00$r12.77REGREG 3STNBY3 _._ -_3STNBY 0 $7.36 $0.00s53.54$r60.620 ""__ ....._$1+.98 _-___ $0.00 _EQUIPMENTSIJBTOTAL; $632.69zlyoMARKUF: $132.86EQUIPMENTTOTAL:$76s.55L"ATEST REVTSION 1 7 I I 9 DOzO21o/oSUBTOTALMARKUP:MATERI,ALTOTAL:$333.33$70.00TOTALs40333$20?135
/h^, NORTHWEST CASCADE INQ--
t>u" rost orrrc,'i,a";soe.TuvrLLiii'"wiisfiGioH ci;;;;t;tr'.;;;6 slt€'62'atA
DAILY ACCOUNT SHEET
#:PAGE:i)#s#4-7 t)f4 */sden
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MATFRIAI S OR SERVICES
VENDOR & INVOICE #
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5-.-,t
Daily Report6iary: 6ab - {F5"dmA SietinesdaiiCool- (45 - 60);Rain;Heavy Rain;Ground Wet -WorkableFdremin -7f66ExtraWork-3hoursRepaired Fire hydrant around 1 1 +30 with Clow repair kit from HD Forv,ler. Removed 50SQ FT of sidewalk (1 8+28 to 18+38) Reset 2 water vahes in the sidewalk panel to finish grade-Sawcut 10 LF of sidewalk and r,nall. Raised traffic bearing water box lo grade that was ran over by truck. Backfilled 10LF of electrical trench wilh 1-1/4 crushRceschline - 3Wyatt - 3Lea-3D239 - 3D204 - 3c665 - 3Swept and cleaned entire roadway surface using street sweeper, shovels and brooms. Moved all traffic control devices and coordinated trafc stops to allow the whole street to becleaned.Supported subs: Castinada continued to topscil the planters with their cad truck.Northwest Cascade ConstructionJob l{ame: Gity of Kent 76th Ave S lmprov'fime eard': 6ab - {136ffi0 FedhesdayiCostGodesDencrlptionProd. Q$.Gode Narne7788 LEA, ROBERT6s90ROESCHLEIN,JOE OPERATCIRH7916WYATT, MAfiHEW APPR. LABR010512DEIvIANKO, JESSICAFLAG TCS10534DEMELLO, JOEL APPR. LABRD224CRAWLER MOUNTED*.ARTAULATED WHEELD204c665ONE TON FOREMANI8Job Code4255Foreman ;TiEA Rivielon -6 Shift -iEw.fit3 1375BhnkE*rawbrll-wib Sbe€tCleanlngI LS 4.5 HR34.5ClassOPERATOR Lt000.1Sile Supenidon1 DAY8/1.55015TraficConbol Superds24 HR6005Tfiatfccontd l€bor16 HRTotals8/1.57.57.58I54.533'(R)'- indicates a reonrk quantitY.Date:Printedon: OA11nO21 1a:44:04Page 13
N orthwest Cascade ConstructionJob Name: Gity of Kent 76th Ave S lmprovTimeeard: 6ab-{rymifo} ffiedn}s&tiCoEtGodeeDescdpfonPtod. Qty.Code Nams5926 LEWIS, JODID182ARTICULATED FRAMEM194SINGLE DRUM VIBRATD179TRACTOR LOADER BA010503WAGNER, EIZADA FLAG TCS010314HANSON, JOHNAPPR. LABRM316}WHEEL SWEEPERTDaily ReportJob Gode4255-7?6t Rivision-6 ghffi-i13766005TraficCarnrd tabq{6 HRForcmanETSO331rxto.1SiesuperUstn1 DAY5015TrafhCqlbd supetvb24 HRBlanl(ExfaWm-Wdb $fe€tCleaningI LS 4.5 HR4.5(63/1.s/0)(13.5/0/0)ClaseFLAG TCSTotals for LaborTotals for EquipmentBegin End88TotalsI00084.588Hours: 64.5Hours: 13.5Worked:64.5Worked:13.5Broken Out:Broken Out:Time 6ard iloieb: 6aie . iilf,dn0m ffledneiridvi -tlleterBreak {l} Lunch Break (2) Meal (2)Foreman -7?EiiPerDiem Subsistence NotesCode778865907316010512105345926010503010314NameLEA, ROBERTROESCHLEIN, JOEWYATT, MATTHEWDEMANKO, JESSICADEMELLO, JOELLEWIS,JODIWAGNER, ELZADAHANSON, JOHNStart06:0007:3007:3007:3007:3007:3007:3007:30End15:3015:001S:fi)15:3015:3015:3015:3015:30'i - indicates a completed item.'(R)'- indicates a rewok quantitYDate:Printed on: OA11nO21 10:44:04Page 2
)Job Code4255Northwest Gascade ConstructionJob Name: City of Kent 76th Ave S lmprovDaily Report10m.1137550055015Bi\t-033I See diarylmpeetor Note5 See diarylnspector Note3 SeediarylnspectorNote2 Seediarylnspector Note4 See diarylnspector NoteE{ffidsaW'(R)'- indicates a rcwo* quanffiY.Date:tuintedon: 0A112021 10:44:04Page 3
H.D. FOWLER
eorpora{e Sffie*
3633 136th Pl SE, Ste 100, Bellevue, WA 98006
P0 Box 160, Bellevue, WA 98009-0160
Phone 425-654-8800 . Fax 425-641-8885
Pacific Branch
1417 Thomton Ave SW
Pacific, WA 98047
(253) S63-8600 Fax (253) 863-8681
Page I of 1
COMPANY
Seattle, WA 98124P0 Box 84368,
15670243Packing
Slip
1417 Thornton Ave SW
Pacific WA 98047
to:
Michael Owens12t2W2Ao6899246
NORTHWEST CASCADE
PO BOX 73399
PUYALLUP WA 98373'0399
(2531848-2371
o
#,4;255 76TH AVE SOUTHWILL CALLFoB: H. D. FOWLER
Aty OtY
$hip'd BO'd
Part#
UoM Description
Extended T
Price X
Line
Unit
Price
333,33
333.33
NS-72875-1
R1620653 SFTY FLG RK 5 1/4 MED, TMFFIC
REPAIR KIT FOR CLOW MED HYDRANT
Sub total
Freight
Tax
Grand Total
Serving the Paeific !{stthlir€st sin{€ 191 'l
www.hdfowler"conr
BOB - CRUBSIDE
FA Sheet No
/>.>\--l I<E,NTFORCE ACCOUNT WORKED
DAILY REPORT OF
a safe
76th Av S lmProvem ents
broken water setter due to the truck crossin Part of
turni radius at the dri
Prime Contractor: No rthwest Cascade
Proj ect No: 19-3006
Date: 412 and 512021
e
Project Name:
Item No.:
Description of Work:
Work by Subcontractor?:
Sub-Contractor:
OVERTIMESTRAIGHT TIME DOLLAR
AMOUNTHrsOT RateHourly RateHrsCODEOCCUPATIONNAME 192.57$64.19Jlaborer 128.38$2 64.19operator 90.01$90.011foreman
$
$
LABOR OVERHEAD & PROFIT @ 31%
LABOR TOTAL
410.96
538.36
127.40$
SUBTOTAL - LABOR: $
EQUIPMENT
STANDBYOPERATED DOLLAR
AMOUNTRateHou
EQUIPMENT OR ATTACHMENTS
Equipment DescriPtionEquipment #a
$
$
$
$
SUBTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
a
$
$
DOLLAR AMOUNTUniisUnit PriceQuantityMATERIALS / SERVICES AE
1$$ 1,341.45LSIHD Fowler - lnu 15737272
$
$
$
SUBTOTAL
OVERHEAD&PROFIT@21%
TOTAL
a
$
$
341.45
1,623.15
281.70
Verification of Hours Worked
DateConlractor's
Owner's RePresenlalive Date
12% MARKUP
prime when subcontract work)
2,161.51
161.51
$
TOTAL:
(for
SHEET TOTAL: $
NORTTTWEST CASCADE, INC.
NWC PROJBST #4255
DESCRIPTION: Hild Dig Aroud watet Meter uf Setttr to t€plaoe later
LOCATION: 76ih Avo Souih Inprcveocnts
Laborer Gtorry 3 - Gcnral laborer
BIU to:
EW#
coK
59
SICKLEAVE: $8.22
MARKUP: Sl19.18
LABORTOTAL:
o.T.
REG
o.T.
tFoftm
29o
29o/o
$538.35
2t%MARKI,P: S0.00
EQIJIPIv{ENT TOTAL:$0,00
MATERTAL 31341 .45
zto/e MARKUP: 3281.?0
MATBRIAL TOTAI:$t623.rs
t2vo MARKIJP: $0'00
STJBCONTRACTOR TOTAL:
't(JlAr
90.00
$2161.50LATEST R.EVISION O9 B I NOI I
NORTHW T CASCADE INC.
POSI OFFICE BOX 73399, PUVALLUP. WASHINGION 9E373 / TOLI- FREE 800. 2-u42
DAILY FORCE ACCOUNT SHEET
if)UIPMENT
EOUIPMENT NUMBER
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NORTHWEST CASCADE INC.
POSI OFFTC€ 80x 73399, PUYA|IUP,loLL FREE 800-562-{442
DAILY FORCE ACCOUNT SHEET
IIPMFNT
EOUIPMENT NUMBER fii"FfiffiDE5eFiPrdtr-
eq4ut *,r^ '|0" I Sr*.ck
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#:OWNER:PAGE:
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)Northupst Gascade GonstructionJob Nanre: Gig of lGnt 76*r Arre S lmprovJob Code4255Daily ReportXTRAGlean GB's, install ladders, and regrout CB's per punch list**"Note lndex Notes*KIRAI -E:dra Work / Force Account- Hand drg arcund broken water meter for swap out on Monday2laborers 2 hours01ffi677916c594010314HILL, JEFFREY OPER.FORE 8WYATT,MATTHEW APPR,LABR 6ONETON FOREMANIHANSON, JOHN APPR.I.ABR 6Totals fior LaborTotals for Equipnent288II2Hours: 24Hours: IWorked:24Worled:8BrokenBrckenOutOut (8/0/0)Code0106677916010314NameHILL, JEFFREYWYATT,MATTHEWHANSON, JOHNBegin EndStart07:0007:0007f0Brcak(1!Lunch Break(2)12:0S12:3012:0O'12:3012:0&12:30End Diem Subsistence Notes15;3015:3015:30Itleal {2)a'(R)'- indicates a rewokquantity.Dete:Printedon: Untr2021 11:01:19Page I
)Northwest Gascade ConstructionJob Narne: Crty of Kent 76th Ave S lmprovJob Gode4255Daily Report1005.1Eln/-038E - idicates a completed item.'(R)'- indicates a rewo* quadity.1lnspectorNoteRegrout CB's install ladders and dean out CB's per punch list2lnspectorNobHand dig around broken uater meterMe:Printedon: U/06'2421 11:01:19Page 2
Northwest Cascade ConstructionJob Name: City of Kent 76th Ave S lmpovJobG*4255Daily ReportXTRAPaint airvac eandycaneFtxWzi padcing lotReplace meter setterFh storks on hyd.*Note lndex Ndes*"IXIRAI -Extra Work I Force Account- Replace meter setter d address 21840 2" seMceJeff hill t hourJohn Hansn t hrurlton tooltruck t hour010667010314c594HILL, JEFFREYOPER.FORE 9.5HANSON,APPR.LABR 4ONETON FOREMANoETotals forlaborT@lsforEquipment1110.5510.5Hours: 15.5Hours: 10.5Worked:15.5Worted:10.5Broken OuhBroken Out:(15.5/0e)(10.5/0/r))Go&010667010314c594NameHILL, JEFFRFTHANSON,JOHNONETON FOREMANBegh EndStart07:607:0007:$))Arcak{{) Lunch Break (2} Meal (2}1200-12:3012:0O12:306.5@000End Diem SubsiEtence Nobe18:0012:3018:00E{ffi6;@dEm.*TR)'- indieates a rewo* quantity.Date:Prirrtedon: 04n0n021 11:(N:09Page 1
Northwest Gascade ConstructionJob Name: City of Kent 76th Ave S lmprov1005.1EW{43'c'- indicates a1lnspector NotePaint air vac candy caneReplace meter sefrerFix pozi parking lotFix storks on hydTwo loads recycle tickets 721ffi8ft21502 35.38 ton2lnspector NoteReplace meter setter at address 28140 2" serviceOne ton t hourJefi hill t hourJohn Hanson thourDaily ReportJob Code4255lR)'- indicates a rewo* quantity.Date:Printedon: O/U06/2021 11:@:09Page 2
4t8t2021 H.D. Fowler Company Proof-of-Delivery
corporate office
3633 136th Pl SE, Ste .l00, 8€llsvu€' WA 38006
PO Box 1€0. 8€llevue, WA 98009-0'160
Phone 425-654'8800 ' Fax 42S41-8885
COPY ffi
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neMlT: po Box 84368. Ssettla, atA 981?4
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Page 1 of I
IN.HOUSE
PAWH
# 143940
1417 Thornton Av€
Pacilic WA 98047
to:
Ben Pimentelo6960s2904t05r21
NORTHWEST CASCADE
PO BOX 73399
PUYALLUP WA 98373-0399
(253) 848-2371
#4255 76TH AVE SOUTHWILL CALLFoB: H. D, FOWLER
Fart #
Uottl Dosctiption
Unlt
Prics
Extended T
Price Xaryatv
Line ShlCd BO'd
1,341.45
1,341.45
FOVBH7615NL
VBI.f76.1 S1 1-66-NL 1.1/2" ANGLE BALL VALVE X
ANGLE CHECK VALVE FIP IN AND OUT LESS
BYPASS METER SETTER 15" HIGH NO-LEAD FORD
RECEIVED BY
SIGNATURE:
servlng the Pacitlc Notthwett since 1 91 1
ioshPRINTED NAME:
Sub total
Freight
Tax
Grand Total
https ://ww5. hdfowler.com/POD.as px?inv oice=157 37 27 2 1t1