HomeMy WebLinkAboutCAG2019-477 - Change Order - #8 - Tapani, Inc. - GRNRA South Stormwater Pump Station - 11/10/2021KENT
Agreement Routing Form
For Approvals, Signatures and Records Management -
This form Lombines & replaces the Request for Mayor's Signature and Contract Cover Sheet forms'
(Print on pink or cheny colored paper)W^SHINGTON
T
oLcc
Originator:
S. Anderson
Department:
PW Engineering
Date Sent:
11t16121
Date Required:
N/A
Authorized to Sign:
E Director or Designee [1 MaYor
Date of Council APProval:
N/A
Budget Account Number:
D20047.641 1 0.330
Budget? EYes ENo
Grant? EYes E No
Type: N/A
Eo
tyG
ELorhg
p
tro
Eoolrl'|
Vendor Name:
Tapani, lnc
Category:
Contract
Vendor Number:
35124
Sub-Category:
Change Order #8
ProjectName: GRNRA South Stormwater Pump Station
project Details:FA #26-Added a washer and dryer hookup in the Maintenance Garage'
lncludes plumbing, electrical, naturalgas piping, ventilation, and drywall repair
Agreement Amount: $7,298.56
Start Date: N/A
Basis for Selection of Contractor: $id
Terminarion Date: 240 Working DaYs
Local Business? ElYes @ No*
*lf meets requirements per KCC 3.70.100, ptease complete'vendor Purchase-Local Exceptions" form on cityspace'
Notice required prior to disclosure?
EYes ENo
Contract Number:
cAG2019-477
Date Received by clty Attorney:
Date Routed to the MaYor's Office:
gtca-lPa
E$o=EEocgl.-UI
Date Routed to the City Clerk's Office:
adcw22l7l 1 20 Visit Documents.KentwA.gov to obtain copies of all agreements
KENT
wAsHr{GioN
CHANGE ORDER NO. #8
NAME OF CONTMCTOR:Tapani, Inc. ("Contractor")
CONTRACT NAME & PROJECT NUMBER:GRNRA South Stofmwater Pump Statio-tt
ORIGINAL CONTRACT DATE :November 22. 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 :
FA #26 - Added a washer and dryer hookup in the Maintenance Garage.
Includes plumbing, electrical, natural gas piping, ventilation, and
drywall repair.
FA #27 - Irrigation system and RPBA system backflow testing,
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 and
WSST)
$4,836,590.00
Net Change by Previous Change Orders
(incl. applicable WSST)
$115,8s1.01
Current Contract Amount
(incl, Previous Change Orders)
$41952,441.01
Current Change Order $6,629.03
Applicable WSST Tax on this Change
Order
fi669.s4
Revised Contract Sum $4,959,739.58
CHANGE ORDER - 1 OF 3
Original Time for Completion
(insert date)
240 working days
Revised Time for Completion under
prior Change Orders
(insert date)
0
Days Required (+) for this Change Order 0 calendar days
Revised Time for Completion
(insert date)
240 working days
In accordance with Sections I-04.4 and 1-04,5 of the Kent and WSDOT Standard
Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this
Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor
agrees to waive any protest it may have regarding this Change Order and acknowledges and
accepts that this Change Order constitutes final settlement of all claims of any kind or nature
arising from or connected with any work either covered or affected by this Change Order, including,
without limitation, claims related to contract time, contract acceleration, onsite or home office
overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the
Contractor from strict compliance with the guarantee and warranty provisions of the original
contract, particularly those pertaining to substantial completion date.
All acts consistent with the authority of the Agreement, previous Change Orders (if any),
and this Change Order, prior to the effective date of this Change Order, are hereby ratified and
affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this contract modification, which is binding on the parties of this contract.
3. The Contractor will adjust the amount of its performance bond (if any) for this project
to be consistent with the revised contract sum shown in section 2, above.
IN WITNESS, the parties below have executed this Agreement, which will
become effective on the last date written below.
Its Public Works Direc
CITY OF KENT:
Print Name : Chad Bieren- P-F.
DA : tt/to/u
tu
(signature)
(title)
CONTRACTOR:
Name:
DATE:
Prin
By
CHANGE ORDER .2 OF 3
ATTEST:
Kent Clerk
APPROVED AS TO FORM:
(applicable if Mayor's slgnature requlred)
Kent Law Department
[In thls tleld, you may enterthe electMlc filepath whsr€ thB contract has bee savedl
CHANGE ORDER - 3 OF 3
File No. 2OO.2
KENTW^SirrotdB
CHANGE ORDER WORKSHEET NO. 8
Construction Engineering Division - Public Works
Project: GRNRA S PumP Station
Project Engineer: Stephen Lincoln
Capital ProjectsManaoe* Jason Bryant
Project No:
Fed-Aid No:
Contractor:
17-30t2
Tapani Inc
Date: LO/28/2021
I. Pro osed Chan e
FA #26 - Added a washer and dryer hook up in the Maintenance Garage. Includes p
natural gas piping, ventalation, and drywall repair.
FA #27 - Irrigation system and RPBA system backflow testing.
lumbing, electrical,
II. Reason and Ba round for Cha e
III. Method of Payment
NEW PAY ITEMS E Notapplicable
and fleet crews. When these uniforms become contaminated the City is required to provide laundry
service. The addition of the washer and dryer hookups in the Maintenance Garage are for future
installation of a washer and dryer that will meet the Union agreement requiremens for our Sewer staff
- The City of Kent required premise isolation on all irrigation systems and testing on all RPBA devices.
is requirement was not included in contract documents
is obligated to provide uniforms for sewer- Through the Teamsters Union agreement, the City Kent
Sch.
No Item Description Total Est.
Qty Unit Unit Price Total Estimated Cost of
Item
IV FA #26 - Maintenance Garage Washer
and Dryer Hookup 1 LS $6,489.03 $6,489.03
VIII FA #27 - Backflow Testing 1 LS $140.00 $140.00
$
New Pay ltems Total: $6,629.03
DELETE EXISTING PAY ITEM(S) per 1-O9.5 E Notappricabre
Sch
No.Bid ltem No.Item Description Qtv Unit Unit Price Cost of Item
Page 1
$
$
Delete Existing Pay Items Total: $
INCREASE/DECREASE TO EXISTING PAY ITEM(S) I ruotappricabre
Sch
No.Bid Item No.Item Description Qtv Unit Unit Price Cost of ltem
$
$
$
Increase / Decrease to Existing Pay Items Total: $
*TOTAL ESTIMATED COST OF CHANGE ORDER:$6,629.03
* Total of the Cost of Item Columns
IV. WORKING DAYS
Original Contract:240 Due This Change Order:o Previous Total 240
Explanation/Justification for Additional Working Daysl
XTOTAL WORKING DAYS: Z+O
"ffrirCffi
DateCapital Projects Manager:
Construction Engineering
Supervisor:
Construction Manager:
Jaso
0"e Date:
Date:
)l r,1
rr/t/zt
Paul Kuehne
Eric Connor
Page 2
FA Sheet No zo
DAILY REPORT OF
FORGE ACCOUNT WORKED
Project Name: GRNRA PumP Station Project No: 17-3012
Item No.:1At2812021
Description of Work: lnstall washer and drye r hook up,lnstall Gas supplv line and vent
Patch walls
Prime Contractor:
Work bY Subcontractor?: no
i Underqround lnc Sub-Contractor:
LABOR
NAME CODE OCCUPATION
STRAIGHT TIME OVERTIME DOLLAR
AMOUNTHrsHourly Rate Hrs OT Rate
Kenneth Operator 74.74 107.75 s
Brad Foreman 77.54 '100.55 $
TonV Welder 43.05 100.55 $
Jarrod Welder 43.05 79.35 $
cliff Welder 43.05 59.96 $
Neal Welder 43.05 100.55 $
SUBTOTAL. LABOR:
LABOR OVERHEAD & PROFIT @ 29% $
LABORTOTAL $
EOUIPMENT
EOUIPIVENT OR ATTACHMENTS
Equipment # Equipment Description
OPERATED STANDBY DOLLAR
AMOUNTHrsHourlv Rate Hrs standby Rate
1 1 05078 Deere Excavator 52.94 $
5220049 Crew Truck 25.59 $
12031 19 Deere 50 Excavator 26.59 $
1530047 Komatsu Loader 54.14 $
1 2Guage stock 850.00 $
5040076 Crew Truck 25,46 $
SUBTOTAL - EOUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$
$
MA
MATERIALS / SERVICES Quantity Units Unit Price DOLLAR AMOUNT
Columbia Allied Services 1 ea $ 1,728.93 $1,728.93
Bob Oates Plumbing 1 ea $ 3.129.00 $3,129.00
DNC Drywall I ea $ 935.85 $935.85
$
$
SUBTOTAL
oVERHEAD&PROFIT@12%
TOTAL
$5,793.78
$ 695.25
$ 6,489.03
Verification of Hours Worked TOTAL: $6.489.03
12% MARKUP (for Prime when
subcontract work)s
sHEETToTAL: $ 6,489.03Date
Date:
By:
Pay
Date
Force Account/ Change Order Worksheet
Date:Tapani lnc.
PO Box 1900 r 1904 SE 6th Place Battle
Ground, WA 98604
360.687.1 148
Project Name:GRNRA South Water Pump Station
Contract #17-3012
Job #204002
c.o. #
Description: Washer & Dryer HookuP
llme . -
Class Houra Total
Labor Sub
Labor Overhead & Profit
Labor
Rale Unlts
$
t
Tolal
ub Total
Equipment Overhead & Protit 21%
Total
Rate
s
s
$
$
$
$
$
Sub
Material Overhead & Profit 21%
Material Total
Unlt Rato
o
$
Columbia Allied Services $ 1,728.93 1 LSU $1.728.93
Bob Oates Plumbinq $ 3,129.00 1 LSU $3,129.00
$ 93s.85 1 LSU s 935.85
$
Sub
Subcontractor Overhead & Profit
Subcontractor
Unlt Rale
$5,793.78
$
s
$
Other sub Total
Other Overhead & Profit 21%
Other TotalStipulations
e
$
$
lmarkupsanddoesnotincludeallcostsforadditionaIchanges
in the sequence of work, delays, disruptions, rescheduling, extended overhead, overtime (unless specified), acceleration, and/or impact costs; and the
right is expressly reserved to make claim for any and all (if any) of these related items prior to final completion of this contract. Please consider this
language official "notice" as defined in subcontract and/or main contract.
Accepted by:
Sub Total
General Liabilitylnsurance 0.0000%
Bond 0.0%
Total AmountDate:
-rhis
change increases the time to complete the project by:
$
$
$6,489.03
Day(s)
cEs
c0L[MBtt ItuEnsrB$cts
COLUMBIA ALLIED SERVICES
1315 SE Grace Avenue, Ste. 130'Battle Ground, WA 98604
Ph: (360) 256-1024. E-Mail: office@columbiaallied.com
Change Order Request
Proj ect: GRNRA REQUEST DATE: August 1 6,2021
lNlTlAT0R: Citv of kent
co#
From: Columbia Allied Services, lnc.
Contractor: Tapani lnc
ATTN: Derek Kempainen
2
Description Gas line to dryer from existing line.
Core 4" hole thru exterior wall for dryer vent,
lnstall 4" dryer vent duct and hood.
This change order will require a time extension of 1 days to complete.
This modification constitutes compensation in full for direct costs only which are attributable to the changes ordered herein' We reserve our rights to
time extensions, time-related costs and any indirect costs that result or flow from the changes ordered herein'
We will proceed on the above uPon receipt of written authorization to do so'
Pricing void if not accepted in 30 days
Authorization to proceed
We are quoting you an extra to contract in the amount of
material on the above referenced project, as outlined below
$ t ,728.93 for additionallaborand/or
LABOR
HVAC Technician
lnstaller
CLEAN-UP
STOCKING/HOISTING
DELIVERY
DOCUMENT PREPARATION
Em ployees
1
2
1
I
1
I
Hours
@
8.00 @
0.16 @
0.24 @
@
0.50 @
$
$
$
$
$
$
125.00 /hr
70.00 /hr
65.00 /hr
60.00 /hr
65.00 /hr
60.00 /hr
$1 ,120.00
$10.40
$14.40
LABOR SUBTOTAL
$30.00
_41,1?4.99__
MATERIALS
1l2" black iron pipe, 4" duct I @ $ 11e.oo $11e.00
MATERIAL SUBTOTAL
OF MATERIALS
OF LABOR
OF LABOR
$11e.00
MATERIAL WARMNTY
CONSUMABLES
SAFETY
CONCRETE CUTTING
PERMIT FEES
BACKFLOW TEST
TRUCK TRIPS
2.00%
5.00%
2.00o/o
$2.38
$58.74
$23.50
I
@ $ 41,60 /fixture
@ $ 50.00 /device
@ $ 125.00 /TRIP
MISC. SUBTOTAL
TOTAL LABOR AND MATERIALS
$125.00
$328.62
$t 503.42
OVERHEAD & PROFIT 15%$225.51
TOTAL ADD $1,728,93
eeX74P8]RM/riR
Bill to
Tapani lnc.
1904 SE 6th Pl
Battle Ground WA 98604
Quote Q9391
Item
C-BO-904 General Plumbing
Bob Oates Sewer Rooter, LLC
1817 Queen Anne Ave N
Suite 312
Seattle, WA 98109
Phone: (206)789-4944
Fax: (206) 789-1794
lnfo@boboates.com
wvwv.boboates.com
Prlce
$3,129.00
Ship to
Gity of Kent
6315 S 240th St
Kent WA 98032
Phone Number: (253) 261-5663
DescrlPtlon
Estimate to add a washer machine box
in utility room.
QuantitY
1
Sales Rep: Corey M Whitmire
Transaction Date: 7 I 28 12021
Amount
$3,1 29.00
Subtotal:$3,129.00
$316.03
$3,445.03
Tax;
We will remove sheet rock from the
main stack to the desired location of
the new washing machine box. We will
open the sheetrock approximately'12
, inches up and up to 8 feet long.
, Connect 2in drain line into the existing
stack.
Tee off ll2inhoI and cold supply water
from tankless water heater, run them
: into new washer machine box up to 6
feet.
Run 3/4 black iron gas line over up to 4
feet, Tee off existing 3/4 gas from the
tankless water heater.
: Add a 3/4 gas l 14lurn shut off valve.
We are not responsible for sheet rock
repairs.
: Warranty will be one year parts and
labor.
A 50% deposit will be required to
schedule work
Terms: CODPending
Page 1 of4
Total
DNCDrpudlllO
3'1811 Pacific HWY South Ste B #216
FederalWay, WA 98003
(206)856-e735
dncdrywall@yahoo.com
dncdrywall.com
$NV#$trF
BILLTO
Mr Nick Moreno
TEPANI INC
1904 SE 6th PL Battle Ground
wA 98604
DIUG i:: ',:,':,::1
r;iiJl{1:n'1 :i'rlak A \r.irll Al /: l:rr.
INVOTOE # 2445
DATE 1012212021
DUEDATE 1111012021
IERMS Due on receipt
JOBLOCATTON
GRNRA
DATE
1012212021
ACTIVII'Y
€ervices
THERE WILL BE A $1 5 CHARGE FOR ALL RETURNED CHECKS.
1.5 % INTEREST WILL BE ASSESSED ON ALL UNPAID BALANCES
AFTER 15 DAYS FOR EVERY WEEK AFTER.
DESCRIPTION
- DRYWALL PATCH, MUDDING AND TEXTURE
FINISH, OUT SIDE OF CONTRACT WORK
. REQUESTED BY CHRIS BECKER
SUBTOTAL
TAX (10.1%)
TOTAL
BALANCE DUE
RATE
850.00
AMOTJNT
850.007
850.00
85.85
935.85
$935-85
Thank you for your business
Bryant, Jason
Eric
From:
Sent:
To:
Cc:
Subject:
I talked this over with Chad. Please proceed.
Thank you,
Kelly
Get Outlook foLIOS
Peterson, Kelly
Tuesday, September 7, 2021 6:14 PM
Connor, Eric
Bryant, Jason; Bieren, Chad
Re: GRNRA Pump Station- Washer and Dryer
From: Connor, Eric <EConnor@kentwa.gov>
Sent: Tuesday, September7,2021' 2:36:01 PM
To: Peterson, Kelly <KPeterson@kentwa.gov>
Cc: Bryant, Jason <JBryant@kentwa.gov>
Subject: FW: GRNRA Pump Station- Washer and Dryer
Good Afternoon KellY,
operations staff has requested that our contractor set up the building at the GRNRA S Pump
Station for a washer and dryer. This will require HVAC work, electrical work, gas work, and
waterwork. Total cost, less wall restoration, will be $5,794.84. Attached are 2 separate quotes
that have been provided to complete the work. Also attached is an email from Dave Brock
describing the reason this addition is desired.
Are you okay with proceeding with a change order and the work? Please let us know if you need
any additional information or have any questions'
Thank you,
Eric
Eric Connor I Construction Engineering Manager
Phone 253-856-5533 | Cell 253-797-0693
CITY OF KENT, WASHINGTON
Pt-#A$ig c{)t$stxpti$& Y$e ENvxtS$NMSSIY tsEp$Re pRIS{T{NG THr$ [-MAIL
From: Bryant, Jason <J Bryant@kentwa.gov>
Sent: Tuesday, September 7,202L 9:32 AM
To: Connor, Eric <EConnor@kentwa.gov>
Subject: GRNRA Pump Station- Washer and Dryer
1
Eric,
Attached are the quotes for the washer and dryer hook up at the GRNRA pump station' The total
is g5, L73.96. This does not include the L2o/o mdfk up. we may need some drywall work as well
but I can't get a quote until the other work is done. Please let me know if we want to proceed?
Thank you,
Jason Bryant, Capital Proiects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-5541 | Cell 253-261-5663
JBryant@KentWA.oov
CITY OF KENT, WASHINGTON
KentwA.gov Facebook r :r'ir'..i::i' YouTube
Pt.f;ASr COll$IllH*. Tl'{n fr fdvl}l$l{lsfr f'*T Efi FSRf r'R.B-t"lTISI{i ?i"llS fi-MAIL
2
Bryant, Jason
From:
Sent:
To:
Subject:
Attachments:
Bryant, Jason
Wednesday, September B,2021 B:53 AM
Derek Kemppainen
FW: GRNRA Pump Station- Washer and Dryer
co 2 Gas d ryer. pdf; Ta pa n i I nc_wo29464_Qu oteQ939 1 _20 21 07 281 607052 1 .pdf
Derek,
Attached are the two quotes for the washer and dryer hook up. We would like to proceed with
the installation. I think it would be wise to have the plumbing done first then the HVAC' Let me
know when the plumber can be on site and I'll have someone there.
Thank you,
Jason Bryant, Capital Projects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-5541 | Cell 253-261-5663
lBryant@KentWA.qov
CITY OF KENT, WASHINGTON
KentWA.gov Facebook :, .'::' YouTube
Ft-drl$E {:$}*$:f$rft Yx.t$ ff{lJ}lt$$lMtiN"r B*p$*.fr $}RlllYItas Ttlx$ f;^}4ari"
From: Bryant, Jason
Sent: Tuesday, September 7,202! 9:32 AM
To: Connor, Eric <EConnor@kentwa.gov>
Subject: GRNRA Pump Station- Washer and Dryer
Eric,
Attached are the quotes for the washer and dryer hook up at the GRNRA pump station. The total
is $5,L73.96. This does not include the L2o/o ffi"rk up,We may need some drywall work as well
but I can't get a quote until the other work is done. Please let me know if we want to proceed?
Thank you,
Jason Bryant, Capital Projects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-5541 | Cell 253-261-5663
JBryant@KentWA,qov
crrY oF KENT, WASHTNGTON
KentWA.gov Facebook i',:i'i r i,,' YouTube
PLfiA$S €$N${UHR THE 8I.*VIR$NM*:ruT BCFOR* PRIIiII'T8EG Ti{T$ fi"M'tTl-
1
Bryant, Jason
From:
Sent:
To:
Cc:
Subject:
Brock, David
Thursday, August 5,2021 6:52 AM
Connor, Eric
Peterson, Kelly
RE: GRNRA Pump Station- Washer and Dryer hook up
Good morning Ericf
My apologies for the delay in getting back to you.
A bit of background......The City is obligated via our contract with the Teamsters union to provide
uniforms to our staff. The City meets this obligation in two ways: either providing an annual
uniform allowance, or for specific work crews (sewer and fleet) uniforms are provided and
laundered with a contracted vendor. Regardless which method an employee receives uniforms
from the City, the City is obligated to launder employee garments that get contaminated' With
sanitary sewer, this does happen from time to time. A laundry service does not want to launder
garments soaked in sewage (can't blame them). We do have a washer and dryer currently at the
5perations building. There is a yuck factor to non-sewer staff if they need to launder one of their
contaminated garments, and they are using the same washer/dryer as someone who laundered
something coated in sewage (this is also understandable).
With the construction of the new garage, staff brought up the idea of adding a washer and dryer
for garments contaminated in sewage - this was not brought up until after the project had been
advertised and construction was well underway. It makes a lot of sense, and I support the idea.
With that, even though it seems like a lot of money, we need to proceed and have the contractor
perform the work. In reviewing the proposed work, I did not see any core drilling to vent the
dryer, That will need to be added to the scope'
Thanks to you and your staff for moving this forward'
Dave
From: Connor, Eric <EConnor@kentwa.gov>
Sent: Tuesday, August 3,2021- 9:37 AM
To: Brock, David <DBrock@kentwa.gov>
Cc: Peterson, Kelly <KPeterson@ kentwa.gov>
Subject: FW: GRNRA Pump Station- Washer and Dryer hook up
Good Morning Dave,
Jason was requested to have our contractor provide a washer and dryer hook-up in the new
pump station. Is this something you would like to see us proceed with and are you okay with the
added cost to the project. In addition to the $3,445.03 included in the attached quote/ there will
be general contractoimarkup and misc. general contractor labor charges. The final cost will
likely be in the neighborhood of $5,000.
Please let me know if you need any additional information or have any questions.
1
FA Sheet No 27
DAILY REPORT OF
FORCE ACGOUNT WORKED
.->\-/ KENT
Prolect Name: GRNRA Pump Station Proj ect No: 17-3012
Item No.10t28t2421
Description of Work: Backflow testing
Prime Contractor: Tapani Underg
Work by Subcontractor?: no
roundlnc Sub-Contractor:
LABOR
NAME CODE OCCUPATION
STRAIGHT TIME OVERTIME DOLLAR
AMOUNTHrsHourly Rate Hrs OT Rate
Kenneth Operator 74.74 107.75 $
Brad Foreman 77.54 100.5s $
TonV Welder 43.05 100.55 $
Jarrod Welder 43.05 79.35 $
cliff Welder 43.05 59.96 $
Neal Welder 43.05 100.55 $
SUBTOTAL- LABOR: $
LABOR OVERHEAD & PROFIT @29% $
LABOR TOTAL
ENT
EQUIPMENT OR ATTACHMENTS
Equipment # Equipment Description
OPERATED STANDBY DOLLAR
AIVIOUNTRate
1 1 05078 Deere Excavator 52.94 $
5220049 Crew Truck 25.59 $
12031 19 Deere 50 Excavator 26.59 $
1 530047 Komatsu Loader 54.14 $
1 2Guaqe stock 850.00 $
5040076 Crew Truck 25.46 $
SUBTOTAL - EOUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$
$
MATERIALS / SERVICES Quantity Units Unit Price DOLLAR AMOUNT
Backflow Systems ea $ 50.00 $50.00
Backflow Systems 1 ea $ 75.00 $75.00
$
$
$
SUBTOTAL
oVERHEAD&PROFIT@12%
TOTAL
$125.00
$15.00
$140.00
Verification of Hours Worked:rorAl: $ 140.00
12% MARKUP (for Prime when
subcontract work)$
SHEETToTAL: $ 140.00Contractor's Representative po.znl Ko*rt prparu* oate 1 0 128 | 21
Owner's Representative
Date:
By:
Pay E
Date Zl
Backflow Systems LLC.
22620 SE 184TH ST
MAPLE VALLEY, WA 98038 US
(42s) s69-92s2
Manny @B ackfl owsys tems. net
backflowsystems.net
BILL TO
City of Kent - New Pump
Station
64thAveS&WJamesSt
Kent, WA 98032
SHIP TO
City of Kent - New PumP
Station
64thAveS&WJamesSt
Kent, WA 98A32
3tg2
DATB 04i2ePA21 TERMS Nct 30
DTIEDATT O5:2W2A21
X}ATS DESCRPTIOI\I QTY RATE AMOTATT
04121 1202t Irrisation System Backflow Test I s0.00 s0.00
Hi Jason,
Here is the invoice for the Irrigation backflow test for the
new pump station. I have attached both reports for your
recor:ds, and will send it off to Debbie @the city of kent
since she handles these reports.
Thank you! !
'lto'l'At D,tJt:$50.00
Thank you for your Business!
"l
Backflow Systems LLC.
22620 SE I84TH ST
MAPLE VALLEY, WA 98038 US
(42s) s69-92s2
Manny@Backfl owsystems. net
backflowsystems.net
BILL TO
Tapani Inc
64thAveS&WJamesSt
PO#204002
Kent, WA 98032
SHIP TO
Tapani Inc
64thAveS&WJamesSt
PO# 204002
Kent, WA 98032
Ih[voIcD 3101
DATB 0479/2A:21 T,ERIW$ Nct 3't)
IXIE DAIts 05t29t2:021
DATE DESCRPfiON QTY RAm AII(Xf'IIT
04 l2ll202l Premise Isolation Backflow Svstem Test I 75.00 75.00
Helio there Gentlemen,
Your backflow test passed! I have attached a copy to this
email, and will send that off to the city of kent'
Thank youl
l'O'l AL D,Ul-.$75.00
Thank you for your Business!