HomeMy WebLinkAboutCAG2020-418 - Change Order - #8 - T. Bailey, Inc. - West Hill Reservoir Construct New 5.0 Million Gallon - 08/12/2022Agreement Routing Form
KENT For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor! Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper)WaSHTNGToN
E
oLqc
Originator:
S. Anderson
Department:
PW Engineering
Date Sent:
8t16t2022
Date Required:
N/A
Authorized to Sign:
E Director or Designee E Mayor
Date of Council Approval
12108120
BudgeI Account Number:
w20054.641 10.330
Budget? @Yes ENo
Grant? EYes ENo
Type: N/A
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Vendor Name:
T. Bailey Construction
Category:
Contract
Vendor Number:
294554
Sub-Category:
Change Order #8
Project Name: West Hill Reservoir
project Detaits:Work changes to the installation of the new 42nd Ave PRV and demolition
of existing PRV.
Agreement Amount: $31,246.12
Start Date: 1212312020
Basis for Selection of Contractor: $id
Termination Dare: 395 Working Days
Local Business? EYes E No*
xlf meets requirements per KCC 3.70.100, please complete "Vendor Purchase-Local Exceptions" form on Cityspace.
Notice required prior to disclosure?
trYes EINo
Contract Number:
cAG2020-418
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Date Received by City Attorney:Comments:
Date Routed to the Mayor's Office:
Date Routed to the City Clerk's Office;
ad(W22l7l I 20 Visit Documents.KentwA.gov to obtain copies of all agreements
N/A
8/17/2022
Received by City Clerk 8/17/22
KENT
WaSHtNGToN
CHANGE ORDER NO. #8
NAME OF CONTMCTOR:T. Bailey. Inc. ("Contractor")
CONTRACT NAME & PROJECT NUMBER:West Hill Reservoir
ORIGINAL CONTRACT DATE :December 23. 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 :
Work changes to the installation of the new 42nd Avenue PRV and
demolition of the exisitng PRV.
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
wssr)
$9,49s,470.72
Net Change by Previous Change Orders
(incl. applica ble WSST)
$31s,581.37
Current Contract Amount
(incl. Previous Change Orders)
$8,809,052.09
Current Change Order $28,379.76
Applicable WSST Tax on this Change
Order
$2,866.36
Revised Contract Sum $8,840,298.21
CHANGE ORDER - 1 OF 3
Original Time for Completion
(insert date)
350 working days
Revised Time for Completion under
prior Change Orders
(insert date)
38 working days
Days Required (+) for this Change Order z calendar days
Revised Time for Completion
(insert date)
395 working days
In accordance with Sections I-O4.4 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.
dgltrlvdgnd bY chd Eiecn
C h ad B i e re n ffiftH:;{iq[ftf#$r""3;?''"'
(signature)
Print Name: Chad Bieren, P.E.
CITY OF KENT:
(title)
By:
Public WorksIts irector
DATE:
(signature)
Print Name: Bonnie Wardlaw
CONTRACTOR:
(title)
By . Fennt d-,etu,
I f c l^an{raal
DATE: 8t10t22
CHANGE ORDER . 2 OF 3
EC
ATTEST:
Kent Clerk
APPROVED AS TO FORM:
(applicable if Mayor's slgnature required)
Kent Law Department
[In thls ffeld, you may enter the elec-trcnlc fllepath where the contract has been sryed]
CHANGE ORDER - 3 OF 3
File No. 2OO.2
KENT
CHANGE ORDER WORKSHEET NO. 8
Construction Engineering Division - Public Works
Project: West Hill Reservoir Project No:
Fed-Aid No:
Contractor:
L9-3027.1
N/A
T Bailey
Project Engineer:
Capital Projects
Manaoer:
RH2 - Drew Holcomb
Phil McConnell
Date: Various
f.Pro osed Chan e
Work changes to the installation of the new 42nd Av PRV and demolishion of the existing PRV
IL Reason and Bac round for Chan e
fII. Method of Payment
NEW PAY ITEMS fl ruotapplicable
There was additional work assoiciated with the installtion and demolishion of the 42nd Av PRV as
follows:1-side sewer conflict with the original PRV vault location, backfill then redig and set in new
location. 2-added 2-6 inch gates perthe Water Departments request (not on the plans).3-build block
wall to support slope where the vault was installed (not on the plans). 4-remove the existing vault (not
on the plans) changing piping call out stated on the plans
Sch.
No
Total Est.
Otv Unit Unit Price Total Estimated Cost of
ItemItem Description
1 LS $28,379.L3 $28,379
1
I Changes to the plans to the installationa
nd demolishion of the 42nd Av PRV
$
$
New Pay Items Total: $28t379
DELETE EXISTING PAY ITEM(S) per 1-O9.5 f rotappricabre
Sch
No.Bid Item No.Item Description Qtv Unit Unit Price Cost of ltem
Page 1
$
$
Delete Existing Pay ltems Total: $
INCREASE/DECREASE TO EXISTING PAY ITEM(S) [ Notappricabre
Sch
No.Bid Item No.Item Description Qtv Unit Unit Price Cost of Item
$
$
$
Increase / Decrease to Existing Pay Items Total:
*TOTAL ESTIMATED COST OF CHANGE ORDER:
rV. WORKING DAYS
$
x Total of the Cost of Item Columns
Original Contract:350 Due This Change Order:7 Previous Total:388
Explanation/Justification for Additional Working Days:
*TOTAL WORKING DAYS:
C
395
x This Change Order + Previous Total
Date:7-2$-L0T,Capital Projects Manager:
Construction Engineering
Supervisor:
Phil McConnel
J n Barry
7rLDate:
t /^rConstruction Manager:
Eric Co
Page 2
Date:
Ll512022 Side sewer conflictNWC4292.55W/markup4807.66Kent4292.53W/markup4807.63217/2022 6 inch gate valves3318.80 3717.062lel2022 Blockwall2636.58 2952.972/22 and 23/2022 Existing vault removal and patchir 14461.03 16196.352/23/2022 Hauling of additional equipment629.2325338.19704.740.I2 LZo/o GC mark up3040.58Force Account Totals 28378.773318.78 3717.O32636.s7 2952.96L446L.97 t6t97.41629,2225339.O7704.733040.692a379.76 28379.76
FA Sheet No.
DAILY REPORT OF
FORCE ACCOUNT WORKED T<EN T
Project Name: West Hill Reservoir Proje ct No: 19-3027.1
Item No Date: 11512022
Description of Work Desiqn location for 42nd PRV had side sewer conflict. Backfilled an d oick
a new location for the vault.
Prime Contractor: T Bailev
Work by Subcontractor?: YeS
Sub-Contractor: Northwest Cascade
LABOR
NAME CODE OCCUPATION
STRAIGHT TIME OVERTIME DOLLAR
AMOUNTHrsHourly Rate Hrs OT Rate
Flaqoers - Apprentice o 54.41 o 326.46
TCS 4.5 61.64 $277.38
Laborer - Apprentice o 64.1 I $385.1 4
Foreman b 90.01 $s40.06
Ooerator Heavv Heavv b 83 77 $502.62
SUBTOTAL - LABOR: $2 031.66
LABOR OVERHEAD & PROFIT @ 31% $629.81
LABOR TOTAL $2,661.47
EQUIPMENT
EQUIPMENT OR ATTACHMENTS
Equipment # Equipment Descriplion
OPERATED STANDBY DOLLAR
AIVOUNTHrsHourlv Rate Hrs Standby Rate
Foreman truck 3500 6 48.73 $292.38
JD 31OSG Backhoe 1 37.56 5 8.96 $82.36
CJD 245G LC 4 117 .37 2 32.78 $535.04
JD 644 Loader 1 83.98 5 22.25 $195.23
o
SUBTOTAL - EQUIPMENT
EQUTPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
1 105.01
$232.O5
1 37.06
MATERIALS/S
SUBCONTMCTOR SERVICES Quantity units Unit Price DOLLAR AMOUNT
Newell Truckinq #29878 0.5 hrs $ 175.00 $87.50
Newell Truckinq #28873 1 hrs $ 175.00 $17s.00
$
$
$
SUBTOTAL
sUBcONTRACTOR MARKUP @ '12%
TOTAL
$262.50
s 31 50
$294.00
Verification of Hours Worked TOTAL:
(for
$ 4,292.53
12% MARKUP
prime when subcontract work)$51 5.1 0
SHEET TOrAL: $ 4,807.63Contractor's Representative Date
Owner's Representative Date
Comments
DAILY REPORT OF
FORGE ACCOUNT WORKED G
Project Name: West Hill Reservoir Project No: 19-3027.1
Item No Date:
Description of Work: Buld block wall around 42 vault from u sl
Prime Contractor: T Bail
Work by Subcontractor?:
Sub-Contractor:
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Rate Hrs OT Rate
John Hanson laborer - Aoorentice 2 64.1 9 $128.38
Josh Corkrev foreman z 90.01 $180.02
NWC showed 5 hrs here operator liqht $
Joe Roeschlein ooerator heaw n 81.85 $163.70
Justin Mccorkle Operator Liqht teamster 1.5 81.67 $122.51
Christooher Swanson Ooerator Lioht teamster 2 81.67 $245.01
Will Wortman operator heavv heavy 2 83.77 s 167.54
SUBTOTAL - LABOR: $1 16
LABOR OVERHEAD & PROFIT @ 31%312.22
LABORTOTAL $1
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
AMOUNTEquipment #Description rs Rate rS Standby Rate
foreman trk F350 2 34.34 $68.68
JD 640K Loader 2 83.98 $167.96
CAT 308 E2 excavator 2 61.89 $123.78
c707 10 vd Dtrucck 1.5 64.05 $96.08
c552 Lowboy tractor 3 64.68 $194.O4
'r292 Fix Gooseneck 3 20.24 $60.72
SUBTOTAL. EQUIPMENT
EQUTPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$711.26
149.36
860.62
MATERIALS / SERVICES Quantity Units Unit Price DOLLAR AMOUNT
Home Deoot lnv#1 1 47 09 -221 1 86 1 LS $ 369.60 $369.60
credit 1 LS $ (33.60)$(33.60)
7/8 washed rock 2.85 TN $ 14.50 $41.33
$
$
SUBTOTAL $377.33
oVERHEAD & PROFIT @ 21% $79.24
TOTAL $456.57
Verification of Hours Worked
Contractor's ReDresentative Date
Owner's Representative Date
Comments
12% MARKUP
prime when subcontract work)
FA Sheet No
DOLLAR
AMOUNT
TOTAL:2 57
316.39
(for
SHEET TOTAL:2 96
FA Sh/>\-/ KENT
DAILY REPORT OF
FORCE ACCOUNT WORKED
n of Work: Removal existinq vault and additional piping not shown on the plans
Prime Contractor: T Bailev
Descriptio
Project Name: Wesl Hill Reservoir
Item No-
Work by Subcontractor?: YES
Sub-Contractor: Northwest Cascade
ProjectNo:fu
Dale: 212212Q22
LABOR
STRAIGHT TIME OVERTII\1E
Hrs OT Rate
DOLLAR
AfulOUNTNAI!]E CODE OCCUPATION Hrs Hourly Rate
$720.08Josn Corkrev Foreman €90.01
$720.08Rrck Parker Foreman €90.01
f 670.1 6$(en Graeber Ooerator Hvv Hvv 83 77
a)oeralor Hvv Hvv €83.77 670. I 6$Will Wonman
$lohn Hanson Laborer €64.19
4 64.1 I 256.76$Ethan Parker Laborer
493.12s.lessiee Demanico I 61.64
436.08$Joel Demello Flaoaer 8 54.51
4 81 67 326.6B$Justrn Mccorkle Coerator Liqht
3oe.ator Lioht 10.5 81 67 857.54$Steve lMeyer
5,664.'18
't,755.90
74.5
LABOR TOTAL $7,420.08
LABOR OVERHEAD & PROFIT @ 31% $
SUBTOTAL - LABOR: $
EOUIPMENT
OPERATED STANDBY
Hrs Hourlv Rate HTS Standby Rate
DOLLAR
AIVIOUNT
EOUIPMENT OR ATTACHMENTS
Equipment # Equipment Description
Foreman truck 48.73 389.84$c1 165 I
8 48.73 $389.84cgB5Foreman truck
$300.48D180JD 310 Bhoe wi haeoack B 37.56
671.84$D219 JD 644 Loader B 83.98
4 117.37 $46S.48D22-a JD 245 Excavator
474.16$D239 CAT 30B Excavator 59.27
3 5.41 $T903 Dump trailer 17 .41
4 64.05 256.20$c7Q6 1ovd Dtruck
1ovd Dtruck 10.€7 4.43 781 52$c924
SUBTOTAL - EQUIPIVlENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$ 791.07
$ 4,558.07
3,767.00$
Quantity Units Unit Price DOLLAR AIVIOUNTM]ATERIALS / SERVICES
19 LF $ 24.05 456.9s$B" CL 52 Dl
1 EA $ 69.14 69.1 4$S" field Lok Gasket
$330.428" Dl LP Sleeve EA $ 165.21
s 76.16 152.32$8" Meoaluo EA
EA $ {77.27\(1 54.54)$B" Caos called out oer olan
7.12 ton $$Dump fee - Clean asphalt
7.22 ton $ 6.00 $43.32Dump fees - feinforced Conctete
$799.6284.17 ton $ 9.504" Gravel Borrow - lcon
s 14.00 $42.00tonCSTC - lcon
ton $ 10.00 $72.24Miles Concrete Disoosal lnv 330604 7 .22
ton $ 74.25 241.31$Miles HMA CL 112' PG52-28lrrv 330587
SUBTOTAL
OVERHEAD&PROFIT@21%
TOTAL
2,052.74
431.08
$
$
$2,483.82
Verification of Hours Worked
Sontractor's Representative Date
Jwner's Reoresentalive Oaie
Comments
12% IVIARKUP
prime when subcontract work)735.44
$ 14,461 .97
$1
16,197.41
TOTAL:
(for
SHEET TOTAL: $
DAILY REPORT OF
FORCE ACCOUNT WORKED a
Project Name: West Hill Reservoir Project No: l9-3027.1
Item No Date:
Description of Work Add 6 inch valves-to 4 Av PRV
Prime Contractor: T
Work by Subcontractor?:
Sub-Contractor:
STRAIGHT TIME OVERTIME DOLLAR
AMOUNTNAMECODEOCCUPATIONHrsRateHrsOT Rate
Joel Demello Flaqqer-Apprentice 1 54.41 $54,41
Jodv Lewis TCS 1 61.64 $61.64
Mike Bond Laborer 1 64.19 $64.19
Joe Roeschlein Operator HvV 1 81.85 $81.85
John Hanson Laborer-Aporentice I 64.19 $64.19
Josh Corkerv Foreman 1 90.01 $90.01
Will Wortman Operator Heavv Heavy 1 81.85 $81.85
Sean Haldane Ooerator Heavv 1 83.77 $83.77
SUBTOTAL - LABOR: $581.91
LABOR OVERHEAD & PROFIT @ 31%180.39
LABORTOTAL $762.30
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
AMOUNTEquipment #Equipment Hrs Hou Rate
F 350 Foreman Truck 1 34.34 $34.34
cAT 308 E2 1 6'1.89 $61.89
JD 35 Mini 1 19.66 $19.66
'1Oyd Dtruck 1 64.05 $64.05
JD 644 Loader 1 83.98 $83.98
SUBTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
263.92
55.42
TOTAL 319.34
MATERIALS / SERVICES Quantity Units Unit Price DOLLAR AMOUNT
6 inch FLxMJ GV 2 EA $ 712.57 $1,425.14
6 inch full face oasket z EA $ 3.80 $7.60
6 inch plated bolt kit 2 EA $ 10.40 $20.80
Valve box bottom 2 EA $ 93.05 $186.10
Valve box top 2 EA $ 84.37 $168.74
Valve Box Lid 2 EA $ 20.25 $40.50
SUBTOTAL
oVERHEAD&PROFIT@21%
TOTAL
$1,848.88
$388.26
$2,237.14
Verification of Hours Worked:
Contractor's Representative Date
Owner's Representative Date
Comments
12% MARKUP
prime when subcontract work)
FA Sheet No
TOTAL
(for
$318.78
398.25
SHEETTOTAL: $717.03
FA Sheet No
DAILY REPORT OF
FORCE ACCOUNT WORKED
./x\-./ t<ENT
Project Name; West Hill Reservoir Project No: 19-3027.1
Item No Date: 2122 and 2312022
Descript ion of Work: Mob and demob of excavator to remove vault
Prime Contractor: T Bailey
Work by Subcontractor?: YeS
Sub-Contractor: Northwest Cascade
LABOR
NAME CODE OCCUPATION
STRAIGHT TIME OVERTIME DOLLAR
AMOUNTHrsHourly Rate Hrs OT Rate
Chris Swanson Operator liqht 81 .67 3 s 245.01
u
b
$
b
SUBTOTAL - LABOR: $245.01
LABOR OVERHEAD & PROFIT @ 31% $75.95
LABORTOTAL $320.96
EQUIPMENT
EQUIPIVENT OR ATTACHMENTS
Equipment # Equipment Description
OPERATED STANDBY DOLLAR
AMOUNTHrsHourly Rate HTS Standby Rate
Lowboy Tractor a 64 68 $194.04
Lowboy Trailer J 20.24 $60.72
$
s
b
SUBTOTAL - EQUIPMENT
EQUTPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$254.76
$53.50
$308.26
MATERIALSISERVICESIRENTALS
MATERIALS / SERVICES Quantity Units Unit Price DOLLAR AMOUNT
$
$
$
$
$
SUBTOTAL
OVERHEAD&PROFIT@21%
TOTAL
b
b
$
Verification of Hours Worked TOTAL: $629.22
12% MARKUP
prime when subcontract work)
(for
$75.51
SHEET TOTAL: $704.73Contractor's Representative Date
Owner's Representativg Date
Comments
T BAILEY, ING.
Gity of Kent
West Hill Reservoir
Change Order Proposal
ADDITIONAL WORK TO THE CONTRACT: Force account work performed by Northwest cascade per attached backup reports and as discussed on site.
MAT / INV
DESCRIPTION UNITS
I NWC F.A. #6 Sanitary Sewer Conflicl at 42nd PRV Site
2 NWC F.A. #7 Block Wall lnstallation @ 42nd PRV Site
3 NWC F .A. #8 42nd PRV Vault Removal and Piping
4 NWC F.A. #9 42nd PVC Vault - Added 6" Gate Valves 2 Each
5 NWC F.A. #10 Mobe ln & Out JD 245 Excavatot
Date:
COP #:
sr512022
664.07
.0
.0
.0
.0
.0
LS
LS
LS
LS
LS
TOTAL
4,292.55
2,636,58
14.461.03
3,318.80
629.23
Mark-UD Rates {WSDOT 1-09,61
Labor 29oh
Material ?'lV.
Equipment z'loh
Subcontractor 12% 1st$25,000
Subcontractor 10% next$75,000
Subcontractor 7% next $75,000
Mark.up
Total
250OO'12o/o
338.19.100,6
3,033.82
28.372.01
3,000.00
33.82
3,033.82
mark uo summarv
$
$
$
CONTRACT TIME EXTENSION: 7 WD
COMMEN'please note clst under item 3 NWC F.A. ll8 line item increased $1,385 due to labor hours not totaled under Group 1 Operators-
Exclude: WSST
4,292.55
2,636.58
14,461.03
3,318.80
629.23
I@
i::hili"'-\,1i..:"\/.' t'..;r*.i i ''
NORIHWEST C ASCADE INC.
POSt OFFTCE SOX 73399. PUVALLUp. WASHTNeTON 98373 / IOLL FREC 8@a562-4442
DAILY FORCE ACCOUNT SHEET
PAGE:_oF t fovuvEn, {fraile-t lvtelrlaea, Ual't fLtw EW#: {)&*lf tu DATE:
l'f-zzTIME:3:30
LOCATION:
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IIBOR
WORKER'S NAME WORKER'S OCCUPATION RFG TIMF TIMF rAHAItr N.)I IFII F TIMF
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:AUIPMENT
EOUIPIT|FNT NIIMBtrR EOUIPMENT DESCRIPTION HOURS STANDBY
C1L7 CL<- '49"h crvt l.
Dtffi 3la 5D bq(rt-pt r{a<rtao<l 5
f> aS 2L3 ZJf .rn 6x q L*e6 z-tq $-qq S* *aJ*-t 5
,ATERIALS OR SERMCES
VENDOR & INV|.}I(:F {MATERIAUVENDOR DESCRIPTION
A.te-*,r,g/11 7-qg1Y
fr*.4,r.-,'"e"r*{-rr7 3
IREPRESEHTAIVE
OWNER REPRESENTATIVE:TITLE:
INorthwest Cascade GonstructionJob Name: Weet Hill Reservoir - City of KentJob Code4299Daily ReportTotals for LaborHours: 38.5 Worked:SE.5 Broken Out (38.S/0/O)Gode569474390103145926123812NameCORKREY, JOSHUAWORTMAN,WILLIAMHANSON, JOHNLEWIS,JODIJACKSON, PAUL JBegin EndStart07:3007:3007:3007:3007:S)Break (1) Lunch Break (2! Meat (2)Diem Subsistence NoteeEnd15:3015:3015:3014:ff)15:30101.1104.99't64Qlnspector Note1Qlnspector Note2Qlnspector Note6Qlnspector Notex,c:indicates a completed item.'(R)'- indicates a rcwoft quantity.Date:Printedon: 03/04/2022 12:23:33Page 2
Northwest Cascade ConstructionJob Name: West Hill Reservoir - City of KentJob Code4299Daily ReportTime card: Date -o1rcil2022c927PICK UPD180Foreman -Totals for Eguipment Hours: 24 Worked:Z4 Broken Out (1?1AO)6Revlsion-l Shifi-l1t54n1t51E4n1rc6D223D219c927Dl80DZ23D219TMCTOR LOADER BACRAWLER MOUNTEDARTICULATED WHEELtii,PICK UPTRACTOR LOADER BACRAWLER MOUNTEDARTICUI.ATED WHEEL1t54n1t56Ya completed item.'(R)'- indicates a rewoftguantity.Date:Pfinted on: 03/O4nO22 12:23:33Page 4
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DVR #:
Out.of-Stqte Mileogc:
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Any on the iob iniury?
Yes fl r.f"d
NORTHWEST CASCADE, INC
NWC PROJECT # 4299
DESCRIPTION:
LOCATION:
Bill to: T. Bailey
EW#7
Block Wall Installation @ 42nd PRV Site
42nd l.ve PRV Site
WORK DATE(S): 2.8.2022
LABOR HOURS RATE AMOI.INT
REG 2 2 $64. I 9 $128.38
Laborer Group 3 - General Laborer $88.06 $0.00o.T
REG 2 2 $90.01 sl80.0l
Foreman O,T 0 912296 $0.00
REG 4.5 4.5 s81.67 $367.53OperatorGroup3-Light $1 10.87 $0.00o.T 0
REG 2 2 $81.85 S163.70
Operator Group 2 -Heavy o.T 0 $llt.87 $0.00
REG
o.T.
2 2
0
$83.77
sl13.01
$ 167.55
s0.00Operator Group I - Heavy/Heary
LABOR
29o/o MARKUP:
2o/o Sick Leave:
0o/o Small Tools:
I,ABOR TOTAL:
$ r 007.1 7
s292.08
$20. r4
s0.00
$1319.39
C885 2OI9 CIIEVROLET F-350 FOREMANTRU'*
ARTICULATED
WHEELLOADER
REG 2 s83.98 9t67.96D2t9 2013 JOHNDEERE 644K STNBY 0 $22.25 $0.00
CRAWLER
MOUNTED
REG 2 s61.89 $r23.78D224 2014 CATERPILIAR 308 E 2 STNBY 0 s18.15 $0.00
REG 1.5 1.5 s64.05 596.08c707 2001 KENWORTH TSOOB IOCYDUMPTRK STNBY 0 s9.89 $0.00
LOWBOY
TRACTOR
REG 3 3 $64.68 $194.04C552 2OO8 KENWORTH TSOOB STNBY 0 s I 1.22 $0.00
',0, ,oo' *'*o '*'0"'l#flliiilil^ f#", ' i 'f,lj, 'rXlJi
EQUIPMENT SUBTOTAI: $711.26
2lo/o MARKUP: S149.36
EQTIIPMENT TOTAT:$860.62
MA'TERIALS HRSruNITS TE AMOUNT
MATERIAL SUBTOTAL:
2lo/o MARKUP:
MATERIALTOTAL:
9377.33
s79.24
$456.56
SUBCONTRACTORS I{RSIUNITS RATE AMOUNT
SUBCONTRACTOR SUBTOTAL:
l2o/o MARKUP:
SUBCONTRACTOR TOTAL:
$0.00
$0.00
$0.00
SERVICES HRS/LINTTS RATE AMOUNT
LATEST REVISION I I/ 18i2O2O
SUBCONTRACTOR SUBTOTAL :
2lo/o MARKUP:
SUBCONTRACTOR TOTAL:
s0.00
$0.00
$0.00
TOTAI $2636.58
N o rthwest Cascade ConstructionJob Name: West Hill Reservoir - City of Kentoffiffirffiie"iffieruanDaily ReportJob Gode4299Pour pads around gooseneck discharge pipes, cB, and valve cans-out of pavement at ps3 and 42nd. Build block wall at 42nd,_guilt wrong didnl know phil wanted godeg corner wePartly Sunny / Cloudy;Normal GroundCarpinito 141937 Syrds topsoilMiles 201640 1.5 yard concretelcon 365600 2.85 lon 7/8 washed for wall backfiillcon 36551 9 14"07 ton CSTC for wall, around vaults at 42nd & pS3Home Depotwall blocksChris Swanson got blocks 3hrs F/A C552 and T29ZJustin Mccorkle 1.5 F/A haulwashed rock C7075694010827010314152465907439/coRrRey, JosHUA oPEFoRMR 611MCCORKLE, JUSTINOPERATLRr,'HANSON, JOHNAPPRLABR, CHRISTOPOPERATLRLEIN, JOE OPERATHRWORTMAN, WILLIAMOPERAHHR112221.5238t11.583222IIxT' -i;Ai c ate s a ; o m p t ete ri-t t e m.*TR)'- indicates a rcwoft quantity"11Date:Pinted on: 02/10/2A22 08:57:15Page 1
Northwest Cascade GonstructionJob Nams West Hill Reservoir - City of KentJob Code4299Daily Report118.8115.41EW-003EW-0073Qlnspector Note4Qlnspector Note6Qlnspector Note5 Block walllnspector Notex'lIw-*lR)'-indicates a rcwoft quantity.Date:Printed on: 0?/10f2A22 a8:57:ISPage 3
DITIVERT\IAMESTANTMILESWERE YOU SAFE TODAY?START STOPTIME TII,TECUSTOMERSTTRTTIME UwSTOPTIMEED"o*r"*,ffiro*DAILY DRTVERS REPORTt*oo d-16-7ENDMrurs SlZqqtTOTALMILESq.3IOCATIONTOTALDRIVETIME1ZONE PAY HOURSq*DATE/)q./-.t*ncYESId NOI ] VEREYOUTNJUREDToDAY.?YEst lNO Qf,INPUTodhcJItnv)a**&&TorALHouRswrrHLUNcH <JNCHA.PAYROLT
A
lC0l'l
IGON Materials
01500 - Agburn 5&G
4040 Kersey Way 5E
Auburn, WA 98092
Customer: 30350
Cust. Namci Northwest Cascade lnc.
Address & lnstrusdons:
42NO AVE S, KENT
Product
2220 7 I E" WAS HE D AGGREGATE
CUSTOMER COPY Ticket:
Date:
Timei
Vehicle:
3656(n
2/8/2022
10;00:334M
NWCAS707
Oider:
oisp n;
Job:
P.O.:
F
Pounds
Grors 32,420
Tare 26,720
Net 5,700
Weighmaster: Deborah Kaser
Tons
r?4?t6.2t
13.36
2.85
Lgads Total Qty Tlcket Qty UOM1 2.85 2.85 Ton
wARN,NeHorMrxAsp*A'(HMAIrEMpE*rurirn**rro.roo.n*,r' ,*"rrI.1l3XLX3:'l-t:y**.lY:i#til"""*.ldo for w.moty lnd shlpmat dollwry @ndldff r.
#33=-7'6
t N"Customer lnvoice
2lg8/n22,7:31 AM PST
Customer lnformation
{2s3) 405-6891
PADDYNHEIDI@GMAILCOM
Eerm oescription
01
02
Unbrandsd 17-1t4 in, x l l in. Diamond Straight
Gray Concrete Wall Blockl olscor,inr so.sc oFF EAclt
PATLET FEE
Sales Person CXSoKRQ Store phone # (259) 770-3600
Store # 4709 t-ocation 3OS 35TH AVE SE, pUyALLUp, WA 98974
strfi,E
ValEatbn Arcs
joribEHtT$[ff{Hilflt9tr[Efr: -
RECALL AIIIIU}IT
I I i' o fifi l,l$'?ho f eff'8'd$$8$$&
$ALES TAX
TAX EXEfIFT
TOTAL
XXXXXXXXXXXX36S9 HDTIE DEFOT
AUTH CCIDE tlrls4{iJ/801il16s
THO
33.6'1
t3d9. d[
SKU f Unft Prlce Ssliotal
$306.00857606$+.+Sl€e€h
$0.,10/€acfi
999ffi5 $'s.o0/saofi 2 $30:oo
FflfiE*?-
3i'd.lJ{
'$$.;H$s
U50S 369.dtl
IA
'"#ffiff Ffliffi$f;F 11!-er*o l"'" u*n
--f[}I.ITI!IUED Oil NEXT DOCUNEHT --
Ir carryout ' ffi'tt"'"
lilodol#ov
90
90 DAY RETURN POLIGY. Th€ Home Depot reserves the right to limit / deny rcturns, ptease s# the return policy sign in the stores for details.
illlilililllilt ilt tlilt | ilt til
98010100740542
Page 'l of 1 | we reserue th€ dght to limit the quanlities of merchandise sold to customers.
subtotal
Diseounts
SalesTa(
$370.20
-$34.20
$33.60
lnvoicc l* only valid for today:
Tuesday, February 8
lnvolce Total $369.60
NORTHWEST CASCADE, INC.
NWC PROJECT # 4299
DESCRIPTION: 42nd PRV Vault Rsmoval and Piping
LOCATION: 42nd Ave PRV Site
Bill to: T. Bailey
EW#
WORK DA 2/22/2022 2t2312022
HOIJRS RA
4
Laborer Group 2,A' - Flaggers 0 $73,49 $0.00o_T.
REG 4 4 s61.6{ $493,15
Laborer Group 28 - TCS 0 $83.63 $0.00OT
REG 4 t2 $64.19 5770.27
Laborer Group 3 - General Laborer 0 $88.06 $0.00o.T
8 l6 $90.01 s1440.10
Foreman o.T 0 st2296 $0.00
REG 6.5 14.5 s81,67 $l 184.26
Operator Group .3 - Light 0 I 10.87 $0_00u-t
REG 8 t6 $83.77 $1340.40
Operator Group I - Heary/Healy 0 $l 13.01 $0.00o.T
LABOR
29o/" N{ARKUP: $1642.41
2o/" Sick Leare: $l 13.27
0o/o Smll Tools: $0.00
LABOR TOTAL:
Al: $5663.47
s?419.15
8 $48.
C93O 2O2O CHE\ROLET 35OO FOREMANTRUCK STNBY l;13.99 50.00
REG 4 4 8 s48.73 $389_84C929 2020 CHEVROLET 3500 FOREIVIANTRUCK STNBY 0 s13.99 $0.00
TRACTOR
LOADER
REG 4 4 $37,56 $300.48DI8O 2006 JOHNDEERE 3IOSG STNBY s8.96 S0.000
ARTICULATED
Iil/HEEL LOADER
REG 4 4 8 $83.98 $671.84D2t9 Z0t3 JOHNDEERE 644K STNBY 0 s22.25 $0.00
,45cl(;rffi*l REG 4 4 $l 17.37 $469.48D223 20t4 JOHN DEERE s32,78 50.00STNBY0
CRAWLER
MOIINTED
RTG 4 8 s59.27 $474.16D239 2OI9 CATERPILIAR 308 JINlJ I 0 bl 7.lt s0.00
REGT90-3 2018 MA)O(D D8I4 DUMP TRAILER STNBY 3
$17.41 $17.41
$5.41 516.23
REG 4 4 s64.05 5256.20
C7O7 2OO7 KENWORTH TSOOB IOCYDUMPTRK STNBY 0 $9.89 $0.00
1O CY DUIVIP
IRUCK
REG 6.5r1 10.5 s74.43 $781.i2C924 2OI7 FRIEGHTLINER t22SD STNBY 0 $13.60 $0.00
EQUIPMEN I'AL: 53767.00
2lo/o MARKUP: $791.07
EQUIPMENT TOTAL:s4558.06
RATE
E" CL )Z Duchle lron l9 t9 s24.0s $456_9s
8" Field Lok Gasket $69.t4 $69. 14
S" Ductile Iron Sleeve
8"
8'MJ
Fees - Clqn
Fees -
$76_16
Concrete 1.22
84. l7
1.22
84.174Bororv - ICON
2 $165.21 $330.42
CSTC - ICON Inv # 3366264
Concrete 722
3 3 s14.00 $42.00
3.253.25 .31HMA
MATERIAL
2lo/o MARKUP:
MATERIAL TOTAI-:
s205?."14
s4-t l_07
s248J.8r
SUBCONTRACTORS HRSruNITS AMOUNT
SIIBCONTRACTOR
IzOh MARKUP:
SUBCONTRACTOR TOTAL:
$0.00
$0.00
s0.00
SERVICBS HRS/UNIfS AMOUNT
SUBCONTRACIOR SU
2lo/o MARKIIP:
SUBCONTRACTOR TOTAL:
$0.00
$0.00
$0.00
LATEST REVISION I III8/2020 TOTAI $1446r.03
/-//z
@-NORI WEST CAS CADE INC.
POSI OFFTCE BOX 79399. pUvALtUp, WASXtNeTON 9d373 / IOU FREE 60G562.4442
DAILY FORCE
EOUIPMENT
EOUIPMENT NUMBFR EOUIPMENT DESCRIPTION HOURS STANDBY
MATERIALS OR SERVICFS
VENDOR & IM/OICF #
- IVIAT.ERIAWENDOR DESCRIPTION
PAGE:OWNER:'{*. ?Atr.,€r{ $,sc-lvraaruen,L/^EW#: \J
olrL-
Rs$ ?x*:'tE;?-END TIME:
DATE:
L-2-Z'wL-
o?.;ue?-S
LABOR
WORKFR'S NAMF . WORKER'S OCCUPATION RFG TIMF TIMFAAHAItr nol lnt tr TrMtr
ffi6L t*rsl'( --qe+xre'ive L "i
*T$VO ,tlatq-o?<F.t*tlL- t-rAtr- <F:';L,U,-e,fifi t-+
lo***
REPRESENTATIVE:REPRESENTATIVE TITLE:
Northwest Cascade ConetructionJob Name: West Hill Reservoir - City of KentJob Code4299Daily ReportCode569462614890743901031401084801 051210534Start07:0007:0007:(}307:0007:0007:0007:0007:00NameCORKREY, JOSHUAPARKER, RICHARDGRAEBER,JR, KENWORTMAN,WLLIAMHANSON, JOHNPARKER, ETHANDEMANKO, JESSICADEMELLO, JOELBegin EndBreak (l) Lunch Break {2) Meat (Z)Diem Subsistence NotesEnd15:0015:0015:0015:0015:0015:0015:0015:00101.1104.99EW-008'c'- indicates a completed item.1Qlnspector Note4Qlnspector Note2 Completed modified PRVVault demo. See speedy memo for recap and materials.lnspector Note'(R) - indicates a rcwark guantity.Date:Printed on: 03/08n022 12:32:12Page 2
w
: *il,t; lo Box 84368, seailte, wn eqlpfi 2l Z0lltnvotce
r{umber 15747496 pAWH
# 14ils40
Corporate Office
H. D. FoHJ#s Nw cAs'^ #iiiffjfH#, ff f:"#ri{i
-'-
Paclllc Erencfi
1417 Themlgn Aw SW
Padfc. WA 98047
{253) 863.8600 Fax (253} 863€6sl
HD Fowler Company . Paclfic
Pacific WA
4la
98047
r;rl,ll1l,,g1 rr lpllllllllfu ll.,l't,ulllllg'lll'll,l'tll'l'lll,.
NOBTHWEST CASCADE
PO Box 73399
Puyallup WA 98373-0399
T-2
Order*
o6993389 I
-.'brder Wrltrr:
Ben Pimentel
lnv Dele
a$n4121
rcrmsr NET 1OTH PROX
FoBr H. D. FOWLER
Due; OS|1AI21
ShipMa: WILL CALL ERVOIR,WE HILL
Unlt
Prica
Pert *atv atv Ertended
Line BOU UoM
1
CHR
l
l
I
tsl
73 O FT PSaSGTJtrcLSzDIPIPETJ LENGTH 24.050
ASPHALTIC COATED cl51/A21,51AND
CEMENTLhIED
GASKET
cl$4/Ax.4 wTH s8B
PLEASE APPROVE
MAI r 7 2s2t
By
'" Remlttance Address " EFT Routing: 121000248
PO Box 84308, Seattle, WA 9812+5668 EFT Bank No; 418 545 3362
Serving thc Peclfic Northwert since lgl l
Sub total
Freight
Tax
Grand Totai
1,755.65
0.00
0.00
1,755-65
1755,65
@ H.D. FOWLER
COMPANY
Corporate Office
NW CAscf.::
--^^P8clfiegrench
llEC 2 2 ftflHtffi rhomron Ave sw
Paclllc, WA 98047
PAWH (253) 863-8600 Fax (253) 8638681
Page I ofi
Credit
Memo c543260
NORTHWEST CASCADE
PO BOX 73399
PUYALLUP WA 98379.0399
to:
Rctum t
1?j1 1
Credit Date:Crpdlt t{lrlter:
Brittani McGinnis
HILL FESERVOIR
Part #
UoH DescrlptlonLlneaty
T
x
Credlt
Price
Unlt
Prlce
1
2
COMMENTS: RETURNED MATERIA! NO TONGER
73 FT
NEEDED
Reslock Charg€ %15
IP525GTJ
12" CL52 DI PIPE TJ 18.25'LENGTH
,/ qo.ae
COATED ANSI/AWWA C151/AE1.51 AND
LINED ANSI/AWWA Cl0.VA21.4 WITH SBB
36.5 FT
Sales lnvoice <15801770>
IP523GTJ
8'CL 5A DI PIPE TJ I8,:5'LENGTH
coATED AHSIIAWWA C1 51/A21,51
/ro.to
CEMENT
LINEO ANSI/AWWA C 1 0il/A21.4
Salits hvoice d5801 77S'
SBR GASKET
PLEASE APPROVE
JAN 17 2022
By
Sub total
Charges
Freight
Tax
Serving the pa(itic Norlhrrrrest linre 1 911
www,hdfowler.com
Grand Tolal
-2,994.24
-3,889.i14
s83.42
-3,306.02
-905.20
ffi H.D. FOWLER
COMPANY
REMIT: PO Box 84368, Seatfle, WA 98124
Corporate Otlice
3633 136th Pl SE, Ste 100, Bellevue, WA 98006
PO Box 160, Bellevue, WA 98009-0160
Phone 425-654-8800' Fax 425-641 -8885
Pacillc Branch
14'17 Thornton Ave SW
Pacific, WA 98047
{253) 863-8600 Fax {253) 863-8681
Page 1 of 1
lnvoice
Number 15983376 PAWH
# 143940
HD Fowler Company - Pacific
1417 Thornton Ave SW
Pacific WA 98047
Ship lo:ro: NoRTHWEST CASoADE
PO BOX 73399
PUYALLUP WA 98373-0399
Order#
C^7269541
lnv Date:
12/15t21
Order Writer:
Ben Pimentel
Terms: NET 1OTH PROX
FoB: H. D. FOWLER
Due: 01/1A122
Ship Via: Will-Call Here (Order &
POIJOB:
#4299 WEST HILL RESERVOIR
Oty Aty Parr #Line Ship'd BO'd UoM Description
Extended T
Prlce X
Unil
Price
1 I EA IFZWARGSK
8" WEDGE ACTION MJ KIT FOR DI PIPE WiBOLTS,
WEDGE ACTTON GLAND & GASKET (BOXED WITH
BLACK LETTERING)
76.16
Sub total
Freight
Tax
Grand Total
Serving the Pacilic Northwest since 191 1
www. hdfowler.com
JOSH
609.28
609.28
609.28
1508 Valenline Ave SE
Pacific, WA 9804t
trwcAss4
FEB 2S 2022
Gustomer No:
lnvoice No:
Inv Date:
Page:
BEu.,or".
30350
3365600
02t22t22
Page 1 ofl
4299
fiS"'.+'${ e'@
^4qtiifr
H
Retum Service Requested
?eo{00001,3 PBESOFT PBFSOO.| <>,l,ltllltllltll,llrlllllllhllll;,1;,1,t,,;l;t,,r1.[,,tlllh
E# Hs?&ryEsrecAScADE rNc
PUYALLUF WA 98373-0399
ICON Materials
1508 ValentineAve SE
Pacitic, l^A 98047
20*575-32s0
De|Ivered To: 42NDAVE s, KENT
Date C0ode - Material DescriF qTY Ull Unil Price ilailTot l Trx Tdal
Pleni:01500 Auburn S&G
Qmu22 &$A-+GRAVELBORROW 50.60 TON e.00 454.50 0.00$UWn $7l0J-Environrnertatsurfrrarge i0.S0 EA 0.50 ZS,2S 0.00Tffillnyolce! 10ttr0 ,f?9.1i 0.00
Tic[et number(s) ;hipped ftom phnt 01500 - Aubum $&G*368173 to8qp7 a3o82.tl
We Apprcciato yoa and your Ausiness!
ftlew Poftal Website as of Sepl. 2021 ^ hftps:/lmy@ntralprcmix.myamatportal.com/ ewstions? Accounts Raeeivabt€ DepadmentC.onlact 509-536iA42.
45d.50
25,25
179,f5
PLEASE APPROVE
t.lAR 01
By
Finance charggg will be applisd lo any late invoi€s at a rate of 1.solo per month p€r credit agaeement or the state,s Larrftl Amount
Customer Nam€:
Customer No:
lnvoice #:
Date:
Customer Job:
Northwest cascad€ lnc.
30350
3965600
o2t2u4
42SS
lnvolceAmount:475,7t
Amounl Pald;
lf you have any questions about your invoice pleaee call 206-573_3200
Remit Payment To; lCOl{ tateriah
fr8ox742121
Los Angetet, CA 90014Due Date:03t19t22
plas prcvlde your rmfi..1dff. b.row |tyou wuld ilke b .lln ccctvlng yourlnvot$ vll amll
,/ '\qii.rr
EW
Customer No:
lnvolc€ No:
lnv Date:
30350
3365602
0a2?/22 H
1508 Vehntin€ Ave SE
Pacfr, WA 98M7
Page:
Custorner
ICON Materiats
J508 \rblentine Av€ SE
Pacitic, \ 498047
206-575-3200
Page 1 of '1;-.
,toa'r/+zA )l*/RetumserviceRequested NW CASCADE
FEB 2 8 2022
ae0q00B01q PHESORT pBFSool <>
ilil,ltllt,,tt,htttflt,ll,ill,,ilil1il1'111ilil111't'lrlrilthrl
tsr..$ NORTHWEST CASCADE tNC.ffi POBOX73399
PUYALLUP WA 9&373-0399
DCIIVETEd TO: 42NDAVE E, KENT
Date C0ode - lvhterialDescrip QTY UM UnitPrice tatlTotal Trx lotal
Phnt:016& Auburn$&G
wnr22 ffi?-4'GRAVELBORRoW 3337 TON 9.00 303.03 0.00
WAilZ 6?W-Environmenfetsurchaqe $.0i Fj 0.50 10.g1 0.00
totrltWotro: 6lJ4 lHSfi 0.00
Ticket number(s) shlppod from ptant OlS00 - Auburn $&Gt368189 .#8?22
We Appreciate You and Your Busrhessi
New Porlal Website as of Sept. 2021 - https://mycentralprenix.myamatportal.com/ euestions? Accounts Receivable DepadmentContact W-536-3042.
3S.03
18.U
3t9.t7
PLEASE APPROVE
MAR O1
By
Finsnc€ charges will be applied to any late invoicss at a rate of 1 .5o/o p$ month per credit agre€ment or ihe stale,s LawfirlAmount
lnvolceAmount:31S.87
Amount Pald:
Curtomer I'lame:
Customer No:
lnvoice #:
Dato!
C[stomerJob:
Remit Payment To: ICON llrtsrials
PO Bor t424t1
lot Angels, GA 90074
Plsrs pnvlde yurshtlltddmt ielow Ityouwld ttte to.t|rt cstvtng ,!ur hvotqnr yh ffiil
t/
Nofthwest Casc€d6 lnc.
30350
3365602
oz22l22
4299
It you have any gueslions aboul your invoiep pleese call 206-57g-g200
Dqc Date:03t10t22
NORTHWEST CASCADE INC.
POSI OFFTCE gOX 7E399, pUyAr[Up. WASHINeTON 98373 / TOLL FREE A@-562-4442
DAILY ACCOUNT SHEET
lorrvrven,-tf ts4l.u€;t F,.t t-.lrys,sgEp'ftp1ur; S.r *r*4 EW*: A
WO'K Hirz-&*ldgturbtL- *4Lq lsrnnrnue:
C*t<rS TIME:2.8-n
DATE:
& LOCATION:
"16P o
ttl6gvz+pa, /€PLoY- ?-5' *\o' * ?,q
f{
lt'r.?o9<A'
LABOR
WORKER'S NAME WORKFR'S r)li(]IIPATION FTFG TIMF TIMF*AI{AIF NrrIIF|I F TIMF
f;e€-.^frP 1
?*cl<- gpatd 6a**t*r->4
[eP G'n]&*rt-*L4xoe- !(\^/ ++Ld +
f,.*rl V\Prtr9o')La*.Qea ,+
fet>ic* D€r\eJK.>Ft-cahtr,€,-- - a-4 +
3{6.b fie,,4a's-fl$Eg.*r*- trrz,t<{-?2
J*,-wa)P Fu.ar6oU*4
EOUIPMENT
FOIIIPMFNT NIIMRFR EOUIPMENT DESCRIPTION HOURS STANDBY
Lg6 fueZnnp .f"_dtJt_-4
f -q,PJ1 6og&,ft\aF ne4*-+
DND lfo 3to ?*r E**" ,^-l k(o€a Qx}z-r+
v7)q,Jp f^,1${ L<o.X^eL-+
v?-A &{ %* 6x +
LI67A 5&*- ScLo {t*e- (k"}l F'* t'a<}-E C,S
VENDOR & IT.IVOICE*MATERIALIVENDOR DFS(IRIPTIC)N
flv* 8.9\ <to aQ (-K/-
(tirb ?a*,ezs FJ/\P 13-7- rlr oe Fawfre:-a caPuoa& fi eSlZz-
\F a'\Plw- At4h *Zo34zl'
t(DJn{f u*AA Pffil}N{ *1t"5-7la
NWC REPRESENTATIVE:
Jco"t {e*tq lREPREsElrrA
OWT{ER REPRESEHTATIVE:TIVE TITLE
Northwest Cascade ConstructionJob Name: West Hill Reservoir - City of KentJob Code4299Daily Report010314010512HANSON, JOHN APPRI-ABRDEMANKO, JESSICA FI3GTCSRDEMELLO, JOEL4Break (1) Lunch Break (2) Meat (2)810534Gode569462614890010314010512105344APPRFLGR4Totals for LaborHours: 51.5 Worked:51.5 Broken Out (S1.S/0lO)77NameCORKREY, JOSHUAPARKER, RICHARDGRAEBER,JR, KENHANSON, JOHNDEMANKO, JESSICADEMELLO, JOELBegin EndStart07:0007:@07:0007:fi)07:0007:fi)End Diem Subsistence Notes15:0015:0014:0014:0014:0014:00101.1101.91@.611Qlnspector Note3Qlnspector Note5 42nd crossing and prv removallnspector Noter'c'- indicates a completed item.'(R)'- indicates a rework quantity.Date:Printed on: 03/08/2022 15:14:24Page 2
Northwest Cascade ConstructionJob Name: West Hill Reseryoir . City of KentDaily ReportJob Code4299Time Card: Date -oa23t2a22c924c885c9E5Dl78D219D239c1029DUMP TRUCKONETON FOREMANONETON FOREMANTRACTOR LOADER BAARTICULATED WHEELEXCAVATOR12 CY DUMP TRUCK41Foreman - 56942222JOSHUARevislon-5 Shift-i6.5106A2I715c924c885cs85D178D219D239c1029DUMP TRUCKONE TON FOREMANONE TON FOREMANTMCTOR LOADER BAARTICULATED WHEELEXCAVATOR12 CY DUMP TRUCK4444144Totals for Equipment Hours: 48^5 worked:48.5 Broken out (4g.s/o/o)106E5s7xbL,'nffitesaitem.(R)'- indicates a rcwotu quantity,Dale:Printedon: Wn8nO22 15:14:24Page 4
Customer No:
lnvoice No:
lnv Da!e:
Page:
30350
ffi02n3l/22
easeffifi 0f 2022
0.m
0.00
r,|8.94
1435 0.00 12335
1 500 Valentiro Ave SE
Padfic, WA 98042 Retum Service Requested
Delivered To: 42NDAVE. KENT
Date C6ode - Material Descrip
Plentu 01300 AuburnS&G
0u29ta 8& - c8' - 0'CRUSHEO ROCK
W2U22 487tu.li* - Envinnmental Surdrarge
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ICON Malerials
1508 \Alentine Ave SE
Pacific, \iA 98047
20s.575-3200
8W Uil Uoit Price tle0 Tofil Tar lohl
13.50 118.94
Involca Amount:123.35
Amount Pa;d:
lf you have any guestions about your invoioe please cail ?06-575-A200
Remit Payment Tor |GQN Uateriab
POEox 742421
Lot Angeh6, CA g$74
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We Appreciate you and your gusiness!
New Portal website as of Sepf. 2021 - hltps://nycentratprgmtx.myamatpottal.con/euesfibns?Acco unts RecBivable DepartmentContac't 509-5363042.
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CuatotrEr No:
lnvoice #:
Date:
Customer Job:
Northv\Est Cascade lnc.
30350
3366264
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NESOURCES
From:Miles Resources, LLC
400 ValleyAvenue NE
Puyallup WA 98372
Sold To: NORTHWEST CASCADE, tNC
PO BOX 73399
PUYALLUP, WA 98373
Delivered To:
$ale Datr: illJZglA
Location: 2{Xl. Lakeview. procossing
MATERIAL: WASTE CTEAN BROKEN ASPHALT
a2123t22 78577A 7.120 TON
Tota|: wAsIEctEAN BRoKEIIASPHAT
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Iotal lnvohe:
0.00
72.20 0.00 0.00 72.m
PLEASE APPROVE
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Payment Type; OnAccount
Miles Resou LLC
PayTerms NET30DAYS Llrl |W.MILESRESOURCEE,BoM Total:72.20
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MAR 0 4 2027M
MILES
I INVOICE
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Date: OZtZBtzzi
Customer No: ooffiol
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From:
Sold To: NORTHWEST CASCADE, tNC.
PO BOX 73399
PUYALLUP, WA 98373
Job #:
PO #:
Miles Resources, LLC
400 ValleyAvenue NE
Puyallup WA 98372
Delivered To:
TaxSaleTickatllnitsU|il Prico Total Tolal Cods Tax Total
$als Dale: 0AZU22
Localion: 300 - Sumner processing
MATERI,AL: HMACLIlZ' pG gZ-28 TECYRO C16igg RAS
a2u3l22 2A3425 11.180 TON
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PLEASE APPROVE
hllAR 07
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Payment Type: OnAccsunt
Miles R LLC
PayTerms NET30DAYS www. Iil LES RESO URCEE.COM 830.86Total:
Chris Quesen burv
From:
Sent:
To:
€c:
Subject:
LaTona Watson-Paseka
Wednesday, May 4,202217:24 ?M
Chris Quesenbury
Charlotte Baskett
RE: Job #4299 Cert Payroll
Adjustments have been processed and amendment posted to L&l
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Ccrtificd prpoH ttptrt crbmitl(dl
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Thank you,
LaTona
LaTona Watson-Paseka lPayroll Administratorl Northwest Cascade lnc. home of Honey Bucket
Direct: 253-904-1328 Cell: 253-820-9162 | Email: LaTonaWatson@NWCascade.com
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From: Chris Quesenbury <Ch risQuesen bury@ nwcascade.com>
Sent: Wednesday, May 4, 2O221L:54 AM
To: LaTona Watson-Paseka <LaTonaWatson-Paseka @nwcascade.com>
Cc: Charlotte Baskett <CharlotteBaskett@ nwcascade.com>
Subject: RE: Job #4299 Cert Payroll
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iJob Code4299Northwest Cascade ConstructionJob Name: West Flill Reservoir - City of KentDaily Report5694635965907439ooT749123732010314592610534CORKREY,JOSHUA OPEFORMROBER,STEVEN OPEFORMRROESCHLEIN, JOEOPERATHR 1WORTMAN,WLLIAM OPERAHHR 1HALDANE, SEAN OPERATHR 1BOND, MICHAEL LABORERR 1HANSON,JOHN APPRLABR 1LEWIS,JODlFLAGTCSRDEMELLO, JOEL APPRFLGR84I888I8ITotals for LaborHours: 68 Worked:68 Broken OuB (6,3/0/0)Begin EndBreak (l) Lunch Break (2) Med (2),-*,,";:itiijii'*+si,u$iiiiffiffi,.'H-.*:"is,'.sffiffi ,, ti#;i.t,1il#rittliGode5694635S65S07439007749123732010314592610534Start07:3007:3007:3t)07:3007:3t)07:3007:3007:3007:30NameCORKREY, JOSHUAOBER, STEVENROESCHLEIN, JOEWORTMAN,WILLIAMHALDANE, SEANBOND, MICHAELHANSON, JOHNLEWIS,JODIDEMELLO, JOELEnd15:3015:3015:3015;3015:3015:3015:3015:3015:30Diem Subsistence Notes'c'- indicatesa rcmpleted item.(R)' - indicates a rcwo* guantity.Date:Pintedon: 03/04/2022 16:30:45PagCI 2
Northwest Cascade GonstructionJob Name: West Hitl Reservoir - City of KentDaily ReportJob Code4299Gard: Date -OZIOTI2O22c707c706D224D242D219c885c886c707c706D224D24?D219ONE TON FOREMANONE TON FOREMAN10 CY DUMP TRK10 CY DUMPTRKCRAWLER MOUNTEDMINIEXCAVATORARTICULATED WHEELONE TON FOREMANONE TON FOREMAN10 CY DUMP TRK10 CY DUMP TRKCRAWLER MOUNTEDMINI EXCAVATORARTICULATED WHEELForcman - 56944444t1l1t1t1Totals for Equipment Hours: 42Worked:42 Broken Out (3ZllOlOlt1t1t1Revlsion-2 Shift-l4n4n4n246n6n4n246n6n2t1a: liilii{tei i-comiteiea item'(R)'- indtcates a rewoft quantity.Date:Printed on: 03/04/2A22 16:30:45Page 4
w H.D. FOWLER
COMPAITIY
Corporate Oflice
3633 136th Pl SE, Ste 100, Bellevue, WA 98006
PO Box 160, Bellevue, WA 98009-0160
Phone 425€54-8800 * Fax 425-641-8885
Pacific Branch
1417 Thomton Ave SW
Pacific, WA 98047
(253) 863-8€00 Fax (253) 863{681
Page 1 of 1
REMIT: PO Box 84368, Seatile, WA 98124
iilffiffi t6010002 PAWH
# 143940
HD Fowler Company - Pacific
1417 Thomton Ave SW
Pacific WA 98047
Ship to:ro: NoRTHWEST cAscADE
PO BOX 73399
PUYALLUP WA 98373.0399
Order#
07302919
lnv Date:
02144122
Order Writer:
Ben Pimentel
Terms: NET 10TH PROX
FoB: H. D. FOWLER
Due: 03110122
Ship Via: WILL CALL
PO/JOB:
#4299 WEST HILL RESERVOIR
Qty Qty
Ship'd BO'd
Part #
UoM Description
Unit
Price
Extended T
Price XLine
2
2
EA FGNEFFz
6'1/8" FULL FACE GASKET, NEOPRENE, 150#
EA BNGKIT2
6" PLATED BOLT & NUT KtT, A307 GRADE A, (8EA
3t4" X3-114" BOLT WITH NUT) TMPORT
EA FGNEFF3
8" 1/8" FULL FACE GASKET, NEOPRENE, 150#
3.80
10.40
2 5.05
Sub total
Freight
Tax
Grand Total
Serving the Pacific Norlhwest since 1911
www.hdfowler.com
PADDY
7.60
20.80
10.10
38.50
38.50
1
2
3
NORTIIWEST CASCADE, INC.
NWC PROJECT # 4299
DESCRIPTION: Mobe In & Out JD 245 Excavator
LOCATION: 42nd PRV Vault Site
EW#
Bill to: T. Bailey Inc
t0
WORKDA 2i22/2022 2/23/2022
HOURS
REG 1.5 1.5 .67 $245.02
OperatorGroup3-Light 0 $l10.87 30.00o.T
LABOR SUBTOTAL:
29o/o MARKUP:
2o/o Sick Leave:
0o/o Small Tools:
LABOR TOTAL:
.02
$71 .06
s4.90
s0.00
$J20.97
HOTJRS AMOLINT
LOWBOY
TRACTOR
REG 1.5 $64.68c552 2008 KENWORTH T8OOB STNBY 0 $tt.22 $0.00
Gooseneck REG 1.5 t.5 s20.24 s60.72T292 2OO8 TRAILKING Trailers STNBY $5.63 s0.00
76EQUIPMENT
2lo/o MARKUP: $53.50
EQUIPMENT TOTAL:
0
$308.26
MATERIALS HRSruNITS RATE AMOUNT
MATERTAL SUBTOTAI:
2lo/o MARKUP:
MATERIAL TOTAL:
00
90.00
$0.00
SUBCONTRACTORS HRSruNI-TS AMO{INT
SUBCONTRACTOR SUBTOTAL:$0.00
s0.00l2o/o MARKLJP:
SUBCONTRACTOR TOTAL:$0.00
SERVICES HRS/L'NITS AMOUNT
LATEST REVISION I I I 18i 2O2O
ST'BCONTRACTOR SUBTOTAL:
2lo/o MARKIIP:
SI'BCONTRACTOR TOTAL:
$0.00
s0.00
$0.00
TOTAI-$629.23
DRIYERNAMEflf s,,^*,e?y,ns?CONSTRUCTION DAILY DRNTERS REPORTTRUCKDArE C'23'AASTART MILESEND MILESTOTALMILES PC--.-*WERE YOU SAFE TODAY?vnsft NO t I \pERE yOU TNJURED TODAY? yES [ ]START STOPTIME TIMECUSTOMERLOCATIONNOF3'STARTTIMESTOPTIMEfrmTOTALDRTYETIMEZONE PAY HOURSINPUTF \IpttFF\f/Ioi+Y -F3"5h{il*dsxq'il.s tn -1o /?otrrfTrnS tt*eow"(nqt/H730TOTAL HOURS WTUIIULICIIryLUNCH5PAYROLL