HomeMy WebLinkAboutCAG2019-084 - Change Order - #29 - Scarsella Brothers, Inc. - LID 363: S 224th Street Project - 09/22/2022KENT
Agreement Routing Form
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
G
oLce
Originator:
S. Anderson
Department:
PW Engineering
Date Sent:
9t2012022
Date Required
9123t2022
Authorized to Sign:
E Director or Designee E Mayor
Date of Council Approval
2t19t2019
Budget Account Number:
D20112.64110.330
Budget? EYes trNo
Grant? E Yes El No
Type: N/A
c
.9fo
ELo$-5
HEo
EooLgl
Vendor Name:
Scarsella Bros., lnc.
Category:
Contract
Vendor Number:
34547
Sub-Category:
Change Order #29
ProjectName: LID 363: S 224tn St Project
ProjectDetails:Repair 66" storm culvert and surface restoration on 76th Avenue. This
worked was tracked on force account sheets #210-221.
Agreement Amount: $84,379.01
Start Date: Jrj/[
Basis for Selection of Contractor: gid
Termination Date: 22lWOrking DayS
Local Business? E Yes E No*
*lf meets requirements per KCC 3.70.100, please complete "Vendor Purchase-Local Exceptions" form on Cityspace.
Notice required prior to disclosure?
trYes E No
Contract Number:
cAG2019-084
glc
J
\o
ES
o=--E*,oc
.9vt
Date Received by City Attorney:
Stp 2 I zozz
EPT.D
Comments:
Date Routed to the Mayor's Office:
Date Routed to the City Clerk's Office:
ad(W22l7l_l_20 Visit Documents.KentwA.gov to obtain copies of all agreements
9/22/2022
9/26/2022
KENT
WAsatNcroN
CHANGE ORDER NO. #29
NAME OF CONTRACTOR: Scarsella Bros. tnc. (..Contractor,')
CONTRACT NAME & PROJECT NUMBER: Lid 353: S 224th Street Project
ORIGTNAL CONTRACT DATE: February 19, 2019
This Change Order amends the above-referenced contract; all other provisions of the
contract that are not inconsistent with this Change Order shall remain in effect. For valuable
consideration and by mutual consent of the parties, the project contract is modified as follows:
1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add
additional work or revise existing work as follows:
In addition to work required under the original Agreement and any prior
Amendments, Contractor shall provide all labor, materials, and
equipment necessary to:
Repair 66" storm culvert and surface restoration on 76th Ave, This work
was tracked on force account sheets #2tO-22L.
2. The contract amount and time for performance provisions of Section [I "Time of
Completion," and Section III, "Compensation," are hereby modified as follows:
Original Contract Sum,
(including applicable alternates and
wssT)
$8,423,307.67
Net Change by Previous Change Orders
(incl. applicable WSST)
$z8l,stl.sz
Current Contract Amount
(incl. Previous Change Orders)
$9,210,897,49
Current Change Order $i6,6J8.s2
Applicable WSST Tax on this Change
Order
$7,740.49
Revised Contract Sum $9,295,276.50
CHANGE ORDER - 1 OF 3
Original Time for Completion
(insert date)
130 working days
Revised Time for Completion under
prior Change Orders
(insert date)
225 working days
Days Required (t) for this Change Order 0 calendar days
Revised Time for Completion
(insert date)
225 working days
In accordance with Sections 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, 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 parties below have executed this Agreement, which will
become effective on the last date written below.
By:
(signa
Print Na
DATE
CITY OF KENT:
By
(signature)
Print Name: Dana Ralph
(title)
DATE:
CHANGE ORDER - 2 OF 3
09/22/2022
ATTEST:
Kent City Clerk
APPROVED AS TO FORM:
(appltcable If Mayor's signature requlred)
Kent Law Depaftment
[Io thB neb. yo! day enter the electBnlc nletatl whec the ontEct h€ ben sav€d]
CHANGE ORDER - 3 OF 3
File No. 2OO.2
KENT
CHANGE ORDER WORKSHEET NO.29
Construction Engineering Division - Public Works
Project: LID 363 224th St Improvements
Project Engineer: Stephen Lincoln
Capital Projects
Manaoe* Jason BrYant
Project No:
Fed-Aid No:
Contractor:
14-3010
Scarsella
Date: 3/2/2A22
I. Pro osed Cha
Repair 66" storm culvert and surface restoration on 76th Ave. This work was tracked on force acount
sheets #2tO - #227
II. Reason and Bac round for Chan
III. Method of Payment
NEW PAY ITEMS I Notapplicable
Scarsella crews responded to an emergency repair on the 66" storm culvert on 76th Ave. Crews
excavated and temporarily secured the storm pipe while materials were procured, Dewatering pumps
were installed and plugs were placed to drain the excavated hole. Scarsella installed a repair band on
e exisiting 66" storm pipe and backfilled with CDF. The exisiting roadway and sidewalk were damaged
due to the broken storm pipe. The sidewalk and roadway were removed and repaired. This work was
tracked as force account on sheets #zLO - #221.
Sch.
No Item Description Total Est,
Otv Unit Unit Price Total Estimated Gost of
Item
20-3016
1 Repair the storm pipe on 76th Ave 1 FA $76,638.52 $76,638,52
$
$
New Pay Items Total: $76,638.52
DELETE EXISTING PAY ITEM(S) per 1-09.5 flNotappricabre
Sch
No.Bid Item No.Item Description Qty Unit Unit Price Gost of Item
Page 1
$
$
Delete Existing Pay Items Total: $
INCREASE/DECREASE TO EXISTING PAY ITEM(S) fl 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:$76,638.52
* Total of the Cost of Item Columns
IV. WORKING DAYS
Original Contract:130 Due This Change Order:o Previous Total:175
Explanation/Justification for Additional Working Days:
s/." t,--
*TOTAL WORKING DAYS:L75
x This Change Order + Previous Total
Date:€<,nti' - -" '"oCapital Projects Manager:
Construction Engineering
Supervisor:
Construction Manager:
,
J Barry
Eric Connor
!'bDate:
Date:l/fu
Page 2
Brva nt, Jason
From:
Sent:
lo:
Subject:
Connor, Eric
Wednesday, )vly 1, 2O2O 10:46 AM
Bryant Jason
RE: 76th Drainage
Just keep me posted....thank you!l!!
EriC Connor, Canstruction Engineering Manager
Construction Management I Public Works Department
Phone 253-856-5533 | Cell 253-797-0693
CITY OF KENT, WASHINGTON
From: Bryant, Jason
Sent: Wednesday, July 01, 2020 10:45 AM
To: Connor, Eric
Subject: RE: 75th Drainage
Ok,I'll have them order two repair bands and that piece of 66" aluminum pipe that they found.
Once they have the parts we will schedule the repair, I'll work with them on how they would like
to handle the water in the pipe. If I remember correctly Scarsella needs to drain that pipe to
complete some work on 228th. I'll try to coordinate so both can happen. Let me know if you need
anything else from me.
Thank you,
Jason Bryant, Capital Projects Manager
Construction Management I Public Works Department
22O Fourth Avenue South, Kent, WA 98032
Phone 253-856'5541 | Cell 253-261-5663
Jgryas!@f\cLtWA,qav
CITY OF KENTI WASHINGTON
KentWA.gov Facetrook i .- ::l ' . VouTube
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From: Connor, Eric
Sent: Wednesday, July 01, 2020 10:40 AM
To: Bryant, Jason
Subject: RE: 76th Drainage
I clarified durirrg PWLT. Jens wasrr't referring to the saddle manhole.,,l shouldn't have used that word in my description
below. We all agree to move forward with the economical repair we discussed in the field with a half-section of pipe
placed overthe opening. Then backfill with CDF.
1
Efic Connot, Construction Engineering Manager
Construction Management I Public Works Department
Phone 253-856-5533 | Cell 253-797-0693
CITY OF KENT, WASHINGTON
:'rr:i,:):ri.iJiiSi!]rar-irrii:l:il\rlrjl{r;.ii'r.':t!iiif;iiiliii:i'i.{!ir'l}rra,i;',..1,:r::i;,
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From: Bryant, Jason
Sent: Wedn€sday, July 01, 2020 10:35 AM
To: Connor, Eric
Subject: RE: 75th Drainage
Eric,
Are you saying Chad doesn't want the saddle manhole? Jens email says he does. Just want to
clarify.
Thank you,
JaSon Bryant, Capital Projects Manager
Construction Management I Public Works Department
220 Foufth Avenue South, Kent, WA 98032
Phone 253-856-5541 | Cell 253-261-5553
Jgryeslofcffw.&scy
clw oF KENT, WASHTNGTON
KentwA.gov Facebook s.i:1,:.... YouTube
a',:::t).1 :r:;::ji: : )i:] ;:il!ijlr-;irjlrt:i,1,*:_i. r,,; .,irtr!lii.jar ti:t: ;:j.i/i1l
From: Connor, Eric
Sent: Wednesday, July 01, 2020 10:07 AM
To: Bryant, Jason
Cc: Bieren, Chad
Subject: FW: 76th Drainage
Hello iason,
Let's get Scarsella moving forward with procuring material and scheduling. He is good with the repair of the pipe, not
the saddle manhole.
Thank you I
Eric
EriC Connol, Construction Engineering Manager
Construction Management I Public Works Department
Phone 253-856-5533 | Cell 253-797-0693
crw oF KENT, WASHINGTON
From: Vincent, Jens
Sent: Tuesday, June 30,2020 12:32 PM
To: Connor, Eric
Cc: Bryant, Jason; Brock, David; LaPote, Tim; Bieren, Chad
Subject: RE: 76th Drainage
2
Hi Eric,
After having some time to think about this a bit, l'm comfortable with the "saddle" option for this repair. ljust checked
with Angella Fealy regarding the project number for this also.
Thank you for your quick assistance with this.
Have a great afternoon.
Jens Vincent, Storm Drainage/Sewer Manager
Utilities Section I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-5631 l Cel l 253-7 40-2885
JVincent@KentWA.eov
CITY OF KENT, WASHINGTON
KentWA.gov Facebook Twitter YouTube
PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS E-MAIL
From: Connor, Eric
Sent: Thursday, June 25, 2O2O 2:59 PM
To: Brock, David <DBrock@kentwa.gov>; LaPorte, Tim <TLaporte@kentwa.gov>; Bieren, Chad <CBieren@kentwa.gov>
Cc: Vincent, Jens <JVincent@kentwa.gow; Bryant, Jason <JBryant@kentwa.gov>
Subject: RE: 76th Drainage
Good Afternoon,
Scarsella will be securing the excavation this afternoon with shoring and cover it with steel plates. At this time, we
believe the issue is just on the top portion of the pipe. This being the case, Scarseila will be looking to secure a section of
similar pipe that they can use to "saddle" over the top of the offset joint secure it. We talked about backfilling with CDF
to prevent any materialfrom migrating into the pipe in the future. With this pipe being offthe roadway and not
impacted by vehicle loading I would be comfortable this economical solution would be sr.rfficient.
We also talked about a saddle manhole (as Dave noted below). I agree this would be an excellent solution to tlre
problem and we recently successfullycompleted a similar installation on 228th Ph 3. However, this would be a rnuch
more costly option due to additional excavation, expensive materials, and we would need to get the water level down to
the point where we can control it.
Please share yourthoughts and ideas. The excavation will be secure soon, so we have some time to talk and come up
with a game plan that make the most sense.
Thank you,
Eric
Eric Connor t Construction Engineering Manager
Construction Management I Public Works Department
Phone 253-856-5533 | Cell 253-797-0693
crTY oF KENT, WASHTNGTON
::,,.r...:t2::a.,!,3i.:l t;it i:tt,ri,i:.ii;i,1aiji r_.a,!i.tii{.. i;.: ,.i !i:;ir,;. n:Jl,j
3
From: Brock, David
Sentr Thursday, June 25,2020 12:48 PM
To: LaPorte, Tim; Bieren, Chad
Cc; Vincent, Jens; Connor, Erlc
Subject: 76th Drainage
Jens and crew have done an excellent job exposing the pipe on 76th near the sink whole, With the exception of the 3-4
inch 'offset joint' in the top of the pipe, the pipe on both sides appears to be in good condition. The water seen in the
attached photo is actually ex-filtrating from the pipe due to the surcharging caused by Mill Creek.
Jason and Eric are going to brainstorm some solutions. Right off the bat, I like Jason's idea of constructing a manhole
around the pipe centered on the'offset joint'.
Thanks to all involved in this endeavor.
Dave
4
Bryant, Jason
From:
Sent:
To:
Subject:
Connor, Eric
Thursday, September 10,2020 2:27 PM
Bryant, Jason
FW:76th Storm Repair - Next Step
Please see below
I am in a Teams meeting so I will call you back around 3:00 when finished
From: Bieren, Chad
Sent: Thursday, September 10, 2020 2:25 PM
To: Connor, Eric
Subject: Re: 76th Storm Repair - Next Step
Oh man, I read it but was thinking l92nd. Sorry. Yes, please have them straight line grade the curb and gutter to
make sure we're draining ok (or cut in a new cb) and rebuild that section of road. What do you think the rough
costs are going to be?
Get Outlook for iOS
From: Connor, Eric <EConnor@kentwa.gov>
Sent: Thursday, Septemb er 1.0, 2020 2:2L:22 PM
To: Bieren, Chad <CBieren@kentwa.gov>
Subject: FW: 76th Storm Repair - Next Step
Did you see this email yesterday?
From: Connor, Eric
Sent: Wednesday, September 09, 2020 3:01 PM
To: Bieren, Chad
Cc: Bryant, Jason
Subject: FW: 76th Storm Repair - Next Step
Chad,
ljust spoke with Jason and they nearly have the pipe repair completed. CDF is on the wayl
With this part of the repair trearly complete, Jason and I want to rernind you that the adjacent asphalt roadway and
sidewalk was still settling while we were off site and will need some investigation and repair. Could you please confirm
that you want us to complete the excavation and repair of the sidewall< and asphalt settlement at this time?
1
Please let us know if you have questions or need any additional information at this time.
Thank you,
Eric
Eric Connotr Construcilon Englneering Manager
Construction Management I Public Works Department
Phone 253-a56-5533 | Celt 253-797-0693
CITY OF KENT, WASHINGTON
tsi iASr': tl$:\$iilln l !.li lP\Vllti)a',lii!:Nir **l.iarI PRITnTINC ';,-iiii !::-t,ldri.1-
From: Bryant, Jason
Sent: Wednesday, September A2,2020 B:30 AM
To'. Connor, Eric
Cc: Vincent, Jens; McConnell, Phillip
Subject: 75th Storm repair
Eric,
We have been pumping water for two days and we are not gaining much ground. We have
decided to set some super sacks and plastic in the swale down stream from us. We will add a
pump there and see if we can get the water level down. If you have any questions feel free to
call me.
Thank you,
Jason Bryant
2
Brvant, Jason
From:
Sent:
To:
Bryant, Jason
Wednesday, September 16,2020 B:36 AM
Connor, Eric
RE:76th Storm RepairSubject:
Will Do ! |
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
lfuyanlgKenlw.A,ssy
CITY OF KENT, WASHINGTON
KentwA.gov Facebook i'..,::i,.11' YouTube
:; ).i. ,'r'iliir:i'::t. liil: iiiiiri:r:a_::irli!-li:lrr i?l-ri.i;:.iti;::i.t_lii.l!rt::, :;irii:. r:ii1:
From: Connor, Eric <EConnor@kentwa.gov>
Sent: Wednesday, September t6,2O2O 8:30 AM
To: Bryant, Jason <JBryant@kentwa.gov>
Cc: Bieren, Chad <CBieren@kentwa.gov>
Subject: RE: 76th Storm Repair
Good Morning Jason,
That will likely be too large of an impact to the 192"d project. Unless we are redirected, let's charge to 224th Ph 2
Thank you,
Eric
Eric Connor t Canstruction Engineering Manager
Construction Management I Public Works Department
Phone 253-856-5533 | Cell 253-797-0693
CITY OF KENT, WASHTNGTON
:r!!r,,;1i:i,:t::"11;:ja.:ilj:trt:\lit;-ililt:iti:Ifli:t:'tt-, l,:) it!-iinniirial:.t.i/iir
From: Bryant Jason
Sent: Wednesday, September 76,2020 8:27 AM
To: Connor, Eric
Subject: 76th Storm Repair
1
Eric,
Which project are we paying for the 76th Storm Repair? We are scheduled to pave on Friday. I
have a meeting with Matt Scarsella on Friday to go over the Force account sheets for the repair
and the Bridge. I was thinking we might want to charge it to 192nd Sewer repair since it's from
the same department?
Thank you,
Jason Bryant, Capital Projects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-554r I Cell 253-261-5663
lSrya0t@KentwA.oov
CITY OF KENT, WASHINGTON
KentwA.gov Facebook Tr./1 -i.:.n YouTube
iiitji:t{ Ui!rlgii:::ii'il-lf tlt{VttL0$lMtajl li[f (],tti Fttla'$t'It\a :ii{: t: r,1,M.
2
Bryan t, Jason
From:
Sent:
lo:
Subject:
Attachments:
Bryant, Jason
Wednesday, September 3A,202A 3:26 PM
' Rick.k@scarsellabros.com'
Fwd: 76th Ave Pothole Repair
09_18_20 HMA Ticket 76th Pothole.pdf
www.KentWA.oov
PLEASE CONSIDER TTIE ENVIRONMENT AEFORE PRINTING THIS E-
MAIL
Get Outlook for iO5
From: Barry, Jason <JBarry@kentwa.gov>
Sent: Monday, September27,2O2O 3:08:50 PM
To: Bryant, Jason <J Bryant@kentwa.gov>
Subject: 76th Ave Pothole Repair
Hi Jason,
Attached is a mix ticket for last Friday's asphalt patch work out on 76th. Lakeside was doing a bunch of paving on S 228th,
but they appear to have changed the item number on this ticket (seeing the 701 # leads me to believe it is a Scarsella FA
item). lf they did break out the quantity for the repair, here's the ticket. lf not, l'll roll it into our quantity out here.
Thanks,
Jason
Jason Barry, Capitat Projects Manager
Constructlon Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 253-856-5546 | Cell 253-797-A462
KENT fl:'rE&arnror<e$wa€p:
tri!r.t..rh
Bryant, Jason
From:
Sent:
To:
Subject:
Bryant, Jason
Tuesday, October 20,2020 7:49 AM
Matthew Scarsel la (matthew.s@SCARS ELLABROS.com)
FW: 76th Culvert Repair
Matt,
See Stephanie's email below.
Thank you,
Jason Bryant, Capital Projects Manager
Construction Management I Public Works Department
220 Fourth Avenue South, Kent, WA 98032
Phone 2s3-856-5541 | Cell 253-261-5663
tgruaal@ltenfwA,-soy
clw oF KENT, WASHINGTON
KentwA.gov Facebook i ::, ., YouTube
ji"r:.,1 )r:i;l;:_it'r-l;tfti::irtli:ri:ti:f:r,;r!',t,i:;:,.i.,tii:,'rlJlrlil.t:t,ti4t..:,t:,a,:....
From: Anderson, Stephanie <SAnd erso n @ kentwa,gov>
Sent: Wednesday, October t4,2O2O 12:52 pM
To: Connor, Eric <EConnor@kentwa.gov>
Cc: Brya nt, Jason <JBryant@kentwa.gov>
Subject: RE: 76th Culvert Repair
I don't believe tax was applied to the drainage schedules on either phase for this project. Water,
sewer and the joint utility trench were the only schedules that sales tax was applied to. If the
work falls under one of those schedules, then tax will be applied. If not, then no tax will be
applied.
From: Connor, Eric <ECqtrnor6t kg tttwg.gl:y>
Sent: Wednesday, October t4,2O2O 11:20 AM
To : An d e rso n, Ste p ha n i e <SAtCle$g;t@lg11lg;r.,ggy>
Cc: Bryant, Jason <JBrvanl@.ke$w0.egy>
Subject: FW: 76th Culvert Repair
Hello Stephanie,
We had to do an emergency storm repair on 76tr' Ave that will be paid via CO on 224th. The contractor is trying to
determine if the repair work on 76th is use tax work or sales tax. I believe this should be taxed like any of our other storm
drainage worl< (sales tax). Do you agree?
Thank youl
Eric
Eric Connor, Construction Engineerlng Manager
Construction Management I Public Works Department
Phone 2s3-856-5533 | Cell 253-797-069i3
crTY oF KENT, WASHTNGTON
f' .r:.r I r: f.ia, -:rf 1 i t1 :, !:llir!i\i:ia:i,ai tti::.rr!a. t.r<,i.i;:a:i, 1tt,.!. t.
From: Bryant, Jason
Sent: Wednesday/ October L4,2020 8:50 AM
To: Connor, Eric
Subject: FW: 76th Culvert Repair
Eric,
Do you happen to know the answer to Matt's question below?
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 2s3-261-5663
Jgtyanl@-K-extW,Assy
CITY OF KENT, WASHINGTON
KentwA.gov Facebook r ,'i., :' YouTube
:ri, 1 i.lrrir.,l'..:i:il ;;"it.t,i!: .:;t:i,,t i:: . ; . t.,::
From: Matthew Scarsella <matthew.s@SCARSIL
Sent: Wednesday, October L4,2O2O 8:38 AM
To: B rya nt, Jaso n <J Brva rrt@ ke $.y!d..fiqy>
Cc : N a ta lya M a s h i ka <na tn ly4 .rIGI(ABIILLAIBASCSn >
Subject: 76th Culvert Repair
Hi Jason,
ls the work order for the 76th Culvert Repair subject to Rule 17O for Sales Tax? Will you be totaling the cost of the items
without tax and then adding 10% Sales Tax to the bottom line? Similar to other Schedule lV: Storm Sewer schedules?
Thanks,
Matt
Scarsella Bros., lnc
Matthew Scarsella, P.E. I Project Manager
P.O, Box 68697
Seattle, Washington 98168-0697
o: (253) 872-7I73 | c: (206) 8L7-276s
matt_llew,s@sca rse I la bros.con
2
EXTERNAL EMAIL
FA#
210
2Lt
2L2
2L3
2t4
2t5
2L6
2L7
218
2r9
220
22t
Date
el25l2a2o
8/3L/2020
elLl2020
el2/2020
913/202A
9/812020
9lel2o2o
91rc/2A20
9/tL/20?.0
slL4/2O20
elLs/202a
9lL8/2O2O
Total
g,ggg.31
4,327.5A
6,812.51
2642
3,422.99
5,725.7L
t2,76L.45
5,833,56
7,795.55
7,O6L.7O
4,572.47
5,794.87
76,638.52
co#
#29
#29
#29
#29
#29
#29
#29
#29
#29
#29
#29
#29
FA 21DAILYREPORTOF
F OR c E cAC o U TN wo R DKE JA
WoIk by
on
project Name:
Item No.:
Description of Work:
224th
Chanoe Order
LID 363 St Phase 2
#29
and install
ScarsellaPrime
Date: 6t2st2020
Prolect No:0
storm
STRAIG HT IIMENAMECODEOCCUPATIONHrsHo!rly Rale Hrs OT Rate
DOLTAR
AMOUNT
80.56
322.244W
299.80
59.1 I
236,12
59.$72
$
$
LABOR L
SUBTOTAL LABOR
TABOR OVERHEAD P&ROFIT 29%@ 317.89
1t.17
STANDBY
EQUI FMENT OR ATTACHMENTSflEquipment
Oescription Hourly Rate2-280 Hts titandby Ralt
DOLLAR
AMOUNT2014Ford
26 433-
105.72$
4
1 I Ford Flatbed 26.8815-107
107.52$Cat 9J0K 4
Cal323 84.75
98.40
$339,00
393.60
$
SUBTOTAL - EO
EQUIPMENT OVERHEAD & PROF
UIPMENT
tr @21%
PMENT TOTAL 11{.A7
945.84
1S6.63
MATERIALS /SERVICFS
Quanlify Unils Unit P.ice OOLLAR AMOUNT
1 EA 1,330.18 18$,|Trench lnv #
I ea 1 158 30 s 1 1 58.30acadeTrenchlnv#6051 14
1 ea $ 408.2 rlnv #Cacade 703 448.21u
1 1,158.30o .|,J58.30$Cacade lnv #605556
1 ''.68 2.01t.68$
|,274.00
7,340,07
SUETOTAL
OVERHEAD&PROFIT@21%
TOTAL 9of Hours Worked
Oeie
Dal€
Pay
Date:
By;
TOTAI-:
l27o MARKUP {for prlme when
subconkacl work)
SHEET TOTAL:898.31
I 898.31
F
RECORD OF WORKP q Box 68697seattle, wA 98168-0697afrie: Qsg)872-2173Fax: (253) 395-1209roRlNc,ONSITESUETOTALIFICATIONTIVECONTRACT NA[48, NO-:OWNERSUBCONTRACTORBID ITEIV OR CHANGE ORDERBID ITEM OR CHANGE ORDERDFSCRIPTION OF WORKDATE-WORK DASUBTOTALMATERftzroSCARSELLAs107$$!$ss!$s184.75UNIT1'I1'|OWNCAT 9sOKEQUIP.NO-2.2AO15-1071095.4ti5$s$s$$18.94$s$59$$s$WilliamsIiACTOR'r-rmF-r. rr"r,-DATE
11
N
fI .t ► a
a • i i' � �
Gascaile Branch; (2O6't 624-1422
Admin Office; (503) 363-0906
Fax: (503) 485-0823
www. cascadetrenchsafety.com
RENEWAL BILL
T."ert,.;Ir $irft-.iv LLtj'
Flernit tol 4605 Turner 8d. SE, Salem, OR 97917
Scarsella Bros lnc
Po Box 68697
sealrle WA 98 I 68-069/
76THS&5228THSt
Kent WA 98032
K€nt Howard 253.261,820I
F ftqlvEB
::li '11'Jit'r'!1!JU:-ct "'
SOARSELL\SRC$ ING'
Prlnt Llate:
lnvoice Date;
lnvoice Number:
Orlg Conlract N(ntberi
5tart Cate:
Start Timel
Bill Through:
Terms:
Shipped Via;
ut/lt/z0zu
07 /2a/2O2O
60 s28l
6051 l4-RBl
06/25 /2O2O
2:00 PM
07 123/2020
Net J0
Best Way
I,053,00
r 56.25
0.00
0.00
0.00
I 20.93
I flo.r B
Price Per LJrrit Totals
ot
C?Refltdl 5
salas
Dellvery,/Other
Damage Waiver
Eov. Charges
5tle5 I d\
lotal
dale, except for minimum billing lerrns.
are lrilleiJ al a I vieek mi[imurn.
cul of ure and g:lhered all in one place lor prckup.
Cuslorner Bepreeentative's signatur'e acknovrlerlges lhal insttuclions have beerr given by
Salety r-LC on safe methods 0l operation and thai Ca$cade Saiety 0uictelinej or Ta6
tecaived for each rype of equlpment inclurlerl on lhis ordar.
0ascade Trench
Dala hnve been
This aglcernent is eubieci lo oll terms and condilions slalecJ on lhe reverse side hereol. lhave reari lhese
ierms arrd conditions ancl ugree lhereto.
.ir.", . l: ,;l'
l ,310. r B
Page Nunlbcr: I
07/23/2O l6:14:57 ACC
' '!,r i' ;I, '.i ji,r "t.: rl' r' I
4
6
I
pt<.2 Sldd.iTALL x tO[ f E
sUILD.A.SHIELD POST 6'
I O' BIIILD-A.SHIELD PAN:I-S
ALUf\I SPRDR SET 56-92
Ct5 Oelivery
-.-. Payntents
-
Sales ltems:
CIS OELIVE
3SP5
BSl 0
ASBS
76
r43
69
104
8r8
6q
1o.60 72.90 I 75,50
I 25.00
o TJoas,oa I
-1 I 7.00
1 56.25 r 55.25
ftOt€,oo I
0.00
l I 70.00
o-00
0,00
I r')5 I.rlO
0,00
r
{Prlrt ltlarte}
lJatc
ArouIt Bllled
Rsmit to: 4605 Turner Bd, SE, Salern, OR 97317
Comphny lnfortnitl.on
Scarsella Bros lnc
Po 8ox 68697
Seattle WA 98t68-0692
Branch: (206) 624'1422
Adrnin Office: (5O3) 363-0906
Fax: (503) 485'0823
wwtw. c a scad e trench s afety, co m
RESFIVEO RENEWAL BILL
Sascaile
J,a.'(:1,.:;.ra- tr : ,-'
i, ,^, r):1 ;,lll. I 1 F _.i 'r r'H/'
i f Aii,:'ir I ,l tl'.1|.:i,,,i1-)'
Prlnt Dat€:
lnvqlce Datei
lnvoice Number:
o.l9 Conrract Number:
Start Oate:
Start Time:
Blll Through:
Teams:
5hlpped vla:
-ag1t7t8t6-
0a/2t /2020
605 500
605t I 4.R82
a7 /21/2O2O
2:00 PM
oB/?o/2o2o
Net 30
Eesl Way
lob,lqtolna{iiii -_t3025,1 228TH St
76THS&S228TH5r
Kerr WA 98032
Kert lloward 253-261 -S2ol
BSP6
BSt0
AS88
7ti
143
t04
898
69
Pric€ Per t,nlt
- -6y* ***- --'.tlqiF----- .t rGi[-**--Tri
30.60 72.90 I 75.50
0.00
t r 70.00
0.00
0,00
I 053.00
0-00
lorals
-t I 7.00
i"**1 .i"9,oo I t'{. 0 tQ.a #e
ey
,/k
Rentals
5ales
Dellverv/Ofisr
Dqmige Waiver
Env. Charger
Sales Tax
foral
r,053.00
0.00
0.00
0.00
0.00
l 0s.30
. fienlel Char{tcs accrue lrom On-ilentdale excepl icr miumurn bllling lerme .
" Eileollve January lst 2018 all rerlals are billed at n 1 week mininrum.
' All equipnont called OfiRent musl be our ol use and gaihered all in one prace lor plckup
Cuslctner Bepreeenlalive's slgnalure scknowledges tlut in6lluclions have bean given by Ca$cede Trench
Safety. LLC, on sale rretirocjs ol opefaiion aird that Casr,"ade S{lery Guidelhlee cr Tah Daia have been
tecetved lor each (pe of aqulpmenl inclr,;deC cn lhis crder.
Ihis agreernent is subject lo all lernrs and conditions $tal6d on lhe reverse slde hereol I heve reed lhese
lerns lnd .:ronrlillons snd dgree therelo.
I , I 58.10
r.r 58.30
Page Numben I
ag/zl/2o l4:sl:o6 ACC
f);atrl
iilrrr:t llarl,tl
4
6
I
tla* ?-ll<lsrl-6-IALLJ.1-Q'L:\.0:
*- laynreats ---'.
SUILD-A.SHIELO POSI 6'
I O, SUiLD.A.SHI€LD PANELS
ALUM SPRDR SFT 56.92
Amouht Bllled
-q { i_; t: .i-,' * i-
Branch: (206)624'1422
Admln Office: (503) 363.0906
Fax: (503) 485-0823
www,cascadetrenchsafety.com
FINAL INVOICE
comPahy. lnfoffriiilon
Scarselle Eros lnc
Po 8ox 68697
searrle wA 9E I 66-0697
Jghtltilormrllor
7to2t I 2zrtil St
76TH5&S228TH5r
Kent WA 98032
Kent Howard 253-261 -8201
Csscaile
'a
Rsmit to; 4605 Turner Rd, SE, Salem, OR 973 17
. ..;Prlnt Oare:
lnvoice Da[ei
lnvoice Number:
Start Dare:
Start Time;
Rc tu rn ed:
T€tms:
5hipped Vla:
Totals
0.00
r 7s.50 204.00 20.40
r 87.50
Rentals
Salcs
Dellv€ry/Other
Damage Walver
tnv. chitges
5Atel I ax
Toaal
l 87.50
,f" cro Yo t6.oct .t t"7u1-
g9lzl /zazo
a9/2t /2A20
605il4
a61?s/2OZO
2:00 PM
091t8/2020
Net 30
Eest Way
0.00
I 81.60
0.00
r 83.60
r 87.50
0.00
o.00
0.00
37 .1t
-4ddzl--
llem D.sctlgtlon
nqs 2Jlded ErTALLXlgtXg
8U'LD-A.SHIELD POST 6t
Fron: 0g/17/2O 2-.00 Pi'1
Off-Rent Oare:09./l 8/20 7:30 AM
I O' BUILO-A.sHIELD PANELS
Fronr: 09/17120 2:00 PM
Olf.Renr Date: 09/l 8/2O 7:]O AM
ALUrvl sPRDR SEf 56.92
frrorr; o9/t //20 2iot PM
Otf.Rent Data:09/l B/2O 7:3O A*1
Sales ltems;
Cts Plckqp
"'Al50 plcked up contract 605 5 56n.'
' *' -tin1 T**- \rte-i!'iii*ffii;l fr a' -- '" ttit
85P6 76 104
BSI 0 I 43 858 30.60
AS88 69
CTS PICKUP r 25.00
Price Per Urlt
72.94
0.0c
.--- PaVl4eats --..-
CIt^,Fl4 ,I ' . flenkl Clarges accrue lrom 0n-lerl dale, +xcep{ lor rnlnirnun billlag ternu,. Eileclive.lanugry 1 sl, 20l8 ril renlais are biiled at a 1,neek rnlllmun.. All eqsipmedl calledflil-Henl rnrei beoLtl 0l u6esndgatn€redlil inonepiaceiorolotrup.
Citslortsr Fepresenlatlv*'s slgnalure acknowedges lhet ins{ructions havs besn given by Cnseode lench
Saialy LLC, ol safe inelhods li operailori and lhal Cas:ade $aloty ;iuidellnas or lob lara have oeen
received [;r esch iype of equipmell included on lhis orrier.
inis rgre+rlont i3 srbiecl i0 ail lerrns and ccirdilottr slaled 0rl lhe reverse glds hereof I have read lhese
loryr,$ aird -rondiiions and egree therel0.
408.2 r
PNge Number: I
i:':,,ii i'.i.li!t l
l),rtr:
amount glllad
09/21120 16.41:47 ACC
Sascaile
Remit to: 4605 lutner Fd. SE, Salerr, OFI 37317
'-i L-
ftFcriltlEn
Branch: (206) 624-1422
Admin Office: (503) 353-09OG
Fax: (503) 485'0823
www. cascadetrenchsafely,c om
RENEWAL BILL
iComniny'lnformdtlon
Scarsella Bros lnc
Po 8ox 68697
Seairle WA 981 68-06S2
J9.b{nlelnr!!_r!.
71025 I 2181'!t !t
76THS&S228THSt
Kent WA 98032
Kent Howard 253-26 1.8201
HnnI uate:
ltlvolce Datel
lnvoicc Number:
Ori0 Conttad NLrmlle.:
Start Oatel
Siarl Tlrne:
Bill Throuqh.
letms:
ShipFed Via:
09!l !/zo2a
D9/ t7 /2O2o
605 701
505 r r 4.RBl
08120/2020
?:00 PM
o')/t7/2a29
l.lel 3O
tte5l lvay
P.i€e Pcr lJnit lotal 5
Item # Wsi
Ear. a -sid s 4 _6ilA_l,l=. lL LS:LX"o-:
BIJIID.A.SHIFLD'OST 6'
I O' BUILD-A-3I
'IELD
PANIIS
ALUM SPROR 5gT 56.92
ssP6
95r0
AS613
76
t4l
6q
104
853
6!l
'-. Ptyrlents ----
//c
r:l
IYJ
Rcntal:
Sales
Deliverv/Othn r
Dnmage lvriver
F.v. Chn.!es
5dlct I n.(
fotat
l ,0s l.lo
c.00
0,00
0.00
0.00
r c5.10
' ilenlili Lirarlesrle(rftte tcnl-lrr",ienrdal,-t.txi€tl iormitinrriltirllinf rtllg
' Eilerriya Jan.:ery i sl, 201 3 a;l renlels ale rr:il€4 al a 1 ivls( nrrninrun, Ai: ;quitnnell 4alied Oli'Rent rnusi bc 0i,{ 0i !..1e ;ind qathered ilil i} Qne iliiice ior p.:i1p.
{.l.rsicltar ,iepresenlirlive': sr$rr*iute acitrtoll.edges ilret jlsirrrlion-. i.;;ivt bee:r give;i u1'-ascair 1'renr;lr
3,riel; i.i-C. ilii .'ai€ i:lellc{js ::l t,?;;aiion a{id lhal :at.a(ls iaiety G,tirre|nes or I.:lr lara ha\.r tfet'.
rlr;eivei ior v"aclt il0i) 0i rrqujprnenl 'nclutl."d,trt ih,s arder
lltrs agte;rncni is liriiiecl 16 n;i ieinls rnd ccriijrlir-rrx st;r:ed rr' lhe rqvr:r;e $ic:e rtereci i itate rr:ii,J lhcee
:ernr$ aril coridiltr.lr$ ,.nd .tUtee ilterrtlt
t,1 5B-10
1 .r 58..t0
F.lqe Nulube.: I
O!/17/2O lS:13;t3 ACC
' .ttl,
ii),iirl'iar,r,
l,/5.50J0.60 -1t7t0
0
0.00
I rJ5 3.t0
0.00
0.d0
I 17000
0.00
Amount Billed
Sascade Branch; (20,61 624-1422
Admin Ofiice; (5O3) 363-0906
Fax: (5O31 48s.O823
www.cascadetrenchsatety. co m
FINAL INVOICE
Print Date:
Tr!.t',.:it .ii,f r!1-- i_ Lt:
Remit to: 4605 Turner Rd. Sf,, $qlrft,,pR $;'S
', j t"'
llT-.' i '
t.-
Co rnpdrit{. I nfotmtrl0rr
Scarsella Eros lnc
Po 80x 68697
searrle wA 98 I 68-0697
,lo!'!.qlorrltqpt, -.73025,/ 228TH 5t
76THAv€5&5228THSr
Kent WA 98032
Jay 253-954{754
I
lnvolce Date:
lnvoice Numbet:
Stdrt Dal€r
Start Tirne:
Retutned'
Teilns:
Shipped Vla;
Rentals
5ale5
oellvery/0ther
Oamsgs Wrlvrr
[nv, Charges
Sai€s Tax
Total
aEftrtraz'-
09/21 /?O2A
605556
08/3r 12020
l0:00 AM
09/t e/2020
Net 30
Best $/ay
Prtce Per Unit Totalt
tc0tildxt A$t
4" r oxr 2 sHiEt.o tul
Frorn: 0B/lt,/201C:00AM
Off-RentDare:09/l8l:0 7130 AM
5CH 80 SPDR , 8',
Fromj 08/31l20 I 0:00 AM
Off-Reit Datc:0911 8/20 7:3A AM
'*'Plckup tlmes on contrad 605 I | 4",'
286.:O I 734.A0 't 78.40
:48.00 -24,60
3oa Qd
9.00
'-- PaYmer15 -."'
,loe
CVdftI i fiirllat C^arges ,icc'ue kom iln-fierl date, excepl lor;riirinium irilti;rg {erms, [liecliye ian,rary 161, 2018 all renlala are biileri at s I ,,rsek mininilm.
' Aiir:q;iprrrenl called ,if,.ileni rnusl ii€ oiiioi rlse at)d 3elbered all rn one place lor oickup
Cuslcnter alepra6entatrv6'r slgnalure acknowiedgeg lnal in6!Rjclions navs iie6n given by Casr:otle Tranch
Sdisl'r tLC, 0n sal€ ,raihods oi r:peralicr: srd lhal :ascade Saloiy Gujrjelir,ee cr lgb Data hlve been
receiridd tor each l],.pe ri equlpanenl ;,)cluited on lhls olrjor
This aoieen$i re subjeel ro oli l,Jrms cr)d conrrilions slel€d ci: ihe revgr$e stde hsreql. i haye teait ihese
lsrnr a1ld coadilione irnd aqree iherelo
.7.s:..,1 .,', {;1,.1
r,828.80
0.00
0.00
0.00
0.00
I 82.88
2,oi t.6s
2,0 r r .{iB
Page NumbBt: I
0912t/2o ,6;4tt52 ACC
4
r 2r M-4044
s096 384
6952
t 516
6q\-2 677.70
2t .60
r 605.60
i,ae
5 5.80
t505 60
22t,?0
/6.
Amouht Sllled
Sheet 211
DAILY REPORT OF
FORCE ACCOUNT WORKED -x\=z KENT
Prime Contractor: Scarse lla
Description of Work: Pluo existino culvert on 75th Ave storm oiDe
Project No: '14-3010Project Name: LID 303 2241h St Phase 2
Work by Subconlractor?:
Sub-Contractor:
Item No,; Chanoe Order # 29 Dale: 813112020
LABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Houriy Rate Hts OT Rale
DOLLAR
AMOUNT
Jay K Foremsn 4 80.56 $322.24
Foreman I 80.s6 1 107.94 $752.42
ron Operatot 8 74.95 I 99.58 699, 1 8$
Blake R Laborer App 95%8 55.94 I 76.12 523.64$
Tania L ICS 55.85 75.99 $
Sylvia S Flagger 49.44 66.43 $
2,297.48
666.27LABOR OVERHEAD I PROFTT @ 29% $
SUBTOTAL - LABOR: $
LABOR TOTAL $ 2.963,75
EOUIPMENT
OPERATEO STANDEYEQUIPMENT OR ATTACHMENTS
Equipment # Equipment Description Hrs lourly Rate rlfs $lan0Dy Kate
DOLLAR
AMOUNT
2-2S9 2016 F250 I 24,32 218.88$
3-124 2013 F450 Flalbed s 27.07 t 243.63
17-244 Cat 314 Ercavator 9 73.84 664.56$
2-233 2010 F1 s0 19.76 s
$
SUBTOTAL - EQUIPMENT
EQUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
a 236.68
$1,363.t6
$ 1 ,127.0i
MATERIALS / SERVICES Quantlty Units Unit Prlce DOLLAR AMOUNT
s
$
$
$
$
SUBTOTAL $
oVERHEAD&pRoFtr@21%
.T.T
TOTAL
'Verification of Hours Worked:
0sle
OEtB
Pay
Date:
By;
4,327.50
12% MARKUP
SHEET TOTAL: - Q 4,327 ,50
$
I
TOTAL: $
subcontract work)
(tor prime when
SCARSELLA*zrtRECORD OF WORKBTOTATCONTMCT NAME, NO.OWNER / CONTRACTORSUBCONTRACTORWORKP O Box 6a697Seattle, WA 98168-0697Offte 1253)872-7173Fax: (253) 395.1209SUETOTAt VERIFICATIONUUEUUN IRAU I OK ONSIIE REPRESENTAT]VESCARSELLA BROS-,NC. ONSITE REPRESENTATMEBIO ITEM OR CF1ANGF ORDERBID ITEIV] OR CHANGE ORDERDESCRIPTION OFDATEDATFSUBTOTAL MATERIAL:Plug existin9 culveri / prep tor dewatering.lulved Reoair/6th Culvert RepairCrry of Kent8R1nO2020-3016 (SBl #14016.001)EXTENDEDAMOUNTSs21 8.88s24363s664.56s!s207 4A$$$$1.33{.55EXTENDEDAMOUNTS5$$$$HOURLYRATEs 24.32$ 27.07$ 73.84$ - 19J6SUBTOTAL EOUIPMENtIUNITcosTHOURS90c90c10 50OTYOPERSTDBYOPERSTDBYPERSTDBYS}D9YSTDSYPERSTDAY]PERSTDBY]PERSTDBYOPERSTDBYOPERSTDBYMATERI,ALENTA?owNOWNowNowNEQUIPMENT2016 F2502103 F450 FBCAT 314DLCR EXC2oio f150EQUIP.NO.2-2993.12417-244EXTENDEOAMOUNTS$ 322.245i 644 48$ 107 9a$ 599.60$ 99.58$ 447,52$ 76"12$ .-446€$s149 9a$ 395.52$ 132,86s$$$)ss 34EZ-72$5HOURLY RATIs 8056s 107 94s 8056s 107 3474.95s55"3476 1255.8575.9949"44$ 66.43$$$$SUBCONTMCTORHOUPS4"008"001.008001.0c1_O(8042.5tI20tLABOR . Name, ClassilicationontEGononofio/T(EGo/TREGonononREConForemanBngForemanCameron l(itrExc, Backhoe 15-3OMTEllake Rousatl-ab Apprentie 9570Tanb.{€bbffiTj'f-c64rDl qtxfvisorSylviasitlas 'Flagg€rSUBTOTAL SUt/' ''' ' -- I t'QWNbI( / OON I RAC TOR REPRESENTATIVFDATE
212
DAILY REPORT OF
FORCE ACCOUNT WORKED G
Project Name: LID 353 224th St Phase 2 _
Item No.; Chanoe Order # 29
Prime Contractor; Scarsella
Description of Work with vactor truck
Proj ect No: 14-3010
: Dewater culvert and beoin
Work by Subconlractor?: NO
Sub-Contrector:
Date: Shl2020
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hourly Rale Hrs OT Rate
DOLLAR
AMOUNT
Foreman 80.56 $
Opsrator 74.95 99.58 $
meron K Operator I 74.95 0,5 99.58 649.39$
LaborerAoo g5%8 55.94 16 12 447.52$
Tania L TCS 55.86 75.9S q
Alejandro L laborer App 60%s 40,75 66.43 $326.00
1
1
LAEOR 0VERHEAD & PROFTT @29% $
LAgOR TOTAL
91
412.64
5.55
SUBTOTAL.LABOR: $
OPERATED STANDEYEQUIPMENT OR ATTACHMENTS
Equipment #Equipmeni Description Hrs Hourly Rate t1 ts slano0y Kate
DOLLAR
AMOUNT
2-259 2016 F250 24.32 $
3-124 2013 F450 Flatbed 27.07 $
17-244 Cat 314 Excavetor 8.5 73.84 627.64s
2,233 2010 F150 19.76 I
1 5-092 938G Loador 10 57.88 o 578.80
SUBTOTAL - EOUIPMENT
EOUIPMENT OVERHEAD & PROFIT @ 21%
EQUIPMET{T TOTAL s '1,r59.79
-$ 1,306.44
$ 253.35
MATERIALS / SERVICES Quantity Units Unit Prlce DOLLAR AMOUNT
Venlalation Power # 5845S €a $ 2.908.75 2,906.75$
t
c
$
$
OVERHEAD & PROFIT @21a/o I 61A.42
TOTAL I 3,617.17
2,906.75SUBTOT^L $
Veriflcation of Hours Worked
Pay
Bate
Date:
By:
12% MARKUP
?
$subconlract work)
(for prime when
roTAL: $ 6.812.51
SHEETToTAL: $ 6,812.51
,* ''"RECORD OF WORKCONTRACT NAIVE, NO:OWNER / CONTRACTOR:SUBCONIRACTORWORK DATEBID ITEM OR CHANGE ORDER DESCRIPTION:BID ITEMI OR CHANGE ORDERDESCRIPTION OF WORP.O Box68697Seattle, WA 98168-0697Offrce: (253\872"7173Fax: (253) 395-1209EXTENDEDAMOUNTS$627.U$$578,80$$$$21z-fi,$$s$$$1 423 AOEXTENDEDAMOUNTS2.906,75$s2.906.75HOURLYRATEs 73.845 57886 .19.t6SUBTOTAL EOUIPIMENUNITcosTHOURSB.10*€€ow,]PFRfPERSTDBYSTDBYOPFRSTDBYIPERSTDEYOPERTDBYOPERSIDBYCPERSTDBYSPERTDBYSTDBYIIIATERIALVentilation Power invoice #58458ffiNTAL?OWNOWNdrH-EQUIPMEN'CAT 314DLCR EXC938G LOADFR"2e1+Fr50"EQUIP.NO.17-244'15092-r4ff-EXTENDEOAII'OUNTSs 599 60s 4979,s 5s96D''s 199..16'6 447.52S325 00s --_4d6-8a$ '22747sI$sss$$ 2.896.52s$HOURLY RATE$74 95$ 99_58s f,.&$'$ 9958$ 55_94$ 76.12$ 407553 49$ 558675.93ss5$$$$SUACONTRACTORHOURS8.0005c-4tr!.z8.008.008.003LABOR - Name, ClassincationREConrEcREGonorTonREGo/Tono/Toamercn Krier:xc, Backhoe 15-30MTe50/"qbiandro Lum-ab Apprentie 60%ALSUBTOTAL VERIFICATION SUBCOSUETOTAL MATERSUBCONTRACTOR ONSITE REPRESENTA TIVEDATEbxuJ.tNlONSITEHTPXt5ENDATE/6th Culvert Repairlity of Kent76th Culvert Repair6 (SBr #14016"001)Dryater existiw th vactor truck and beorn exqvationI2,896.52AL SUBCONTRACTOR$lUWNEX / UO\ I HAC I OR RTPRESENTATIVEDATE
Ventilation Power Gleaning, lnc.
3914 Leary Way NW
SeatUe, WA 98107
lilvotcE
lnvoice Number: 58458
lnvoice Date: Oct 5, 2020
Page: I
Duplicate
.-$E!Pi- "",: 3 -{ffiiS'}#Si#S::; : i'.{
POTHOLE
T6THAVES&S228THST
KENT, WA
Net 30
9t1t20 1114t20
v/ct rlozfiateotqn r7o cy'rroaoorVoice: 206834-2750Fax: 200€34-2753
scA001
03-Ron Christensen
20.00
3.50
2.00
73025
VPC Truck
AS DIRE
coMBo vAc TRK WOPERATOR (PER
HOUR) 8.5 HOURS 8t31,11 HOURS 9/1
OPEMTOR OVERTIME PREMIUM PAY
PER HOUR FOR HOURS OVER 8 PER
DAY. .5 HOURS 8/31, 3 HOURS 9/1
LOAD OF WATER FOR POTHOLING, 1
USED EACH DAY
Sales Tax
Total lnvoice Amounl
Payment/Credit Applie d
icltis
4,300.00
105.00
80.00
4,485.00
448.50
4,933.50
SCARSELLA BROTHERS
PO BOX 68697
SEATTLE, WA 98168-0697
215.00
30.00
40.00
0?.sa
15.00
4
ooT
W
gLl a.so
\8 V.2ful'|3s,so
b,'7{3oa
f-S X ets
"5x
.oo = |
30- oa
qlr
*M^Ye
aqot;, ?f
ChecklCredit Memo No:
FA Sheet 213
DAILY REPORT OF
FORGE ACCOUNT WORKED
Project Name: LID 363 224th St Phase 2 Project No: 14-3010
Item No.: Chanse Order # 29 Date: 91212020
Descripti on of Work: lnstall 15 sacks to culvert and dewater excavation area
Work by Subconlractor?:
Prime Contractor;Scarsella Su ntractor:
TIME OVERTIME DOLLAR
Al\il0UNTNAMECODEOCCUPATIONHrsRatoHrsOT Rate
Foreman 6.5 80.56 $523.64
Operalor 74.95 99,58 $
K Opsralor 6,5 74.95 90.50 $487.1 I
R LaborerApp g5%55.94 76.12 $
rcs 55.86 75.93 $
laborer App 60%40.75 86.43 $
SUBTOTAL - LABOR: $1 0.82
LABOR OVERHEAD & PROFTT @ 29% $293.14
LABOR TOTAL
EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR
AMOUNTEquipment #Description Hourly Rat6
2-299 2016 F250 24.32 $
3-124 2013 F450 Flaibed 6,5 27.07 $1 75,96
17-244 Cat 314 Excavator 6.5 73.84 479.96
2-233 2010 F150 't9.76 $
1 5-0S2 938G Loader 57,88 s
SUBTOTAL. EOUIPMENT $655.92
EQUTPMENT OVERHEAD & PROFTT @ 216/0 $ 137 74
EqUIPMENT TOTAL
'
793.86
MATERIALS / SERVICES Quantity Units Unil Price DOLLAR AMOUNT
#0084862 1 ea $ 449.90 0 449.90
$
s
$
s
SUBTOTAL
oVERHEAD&PROF|T@21%
TOTAL
$449.90
$94.48
I 5{4.38
Verification of Hours Worked:TOTAL: $2,642.00
12% MARKUP (for prime when
subcontraot work)$
SH€ET TOTAL: $ 2,642.00D6la
19a5SCARSELLArrtusRECORD OF WORKCONTRACT NAI'E, NO.:OWNER / CONTRACTOR:SUBCONTRACTORWORKP-O- Box ffi697Seattle, WA 98168-0697Office: {253) 872-7'173Fax: (253) 3951209BID ITEM OR CHANGE ORDER DESCRIPTION:BID ITEM OR CHANGE ORDER #lDESCRIPTION OF WORK:EXTENDEDAUOUNTSs175 S6$$479s$-1 &ss$$s$$!$$$$$5784.36EXTENDEDAMOUNTS$449.90$$ss449 90IIOURLYRATE$ 27.07$ 73,e4s 19.76UNITcosTI{OURS6.506.506"50OTY.3PER)PERTOBY)PER3PERSTDBYSTDBYOPERSTDBYOPERSTDBYOPERSTDBYSTDBYIPFRSTDBYMATERIALNo(hwest Linings #0084662-l NtrM&?OWNOWNOWNEOUIPMENT2103 F450 FBCAT 314DLCR EXC20tuF150EQUIP.NO.3-12417-244"2!*SEXTENDEDAti!OUNTS$ 523.64$ 4{t7.1 85 36339s$ss 1 37391s$HOURLY RATI$80.56s107 94s74.95s99 58$55_86$75 99$I$$$$$$$5SUBCONTRACTOR6.5t6,5{a#LABOR - Name. ClassificationIEGanIFGono/TREGonRECo/TonRECIEGartEcofiCamefon KrierExc, Backhoe 15-3OMIIsrrtnltElrTratf Cn&iLi3lnisrSUSTOTALSUBTOTAL VERIFICATIONSUBTOTAL IIATERIAL:iUbUUN I {AU I U< UNSI I E HIPRLIJbN I A I VEDATE5UAXSELS EKUb.INU UNSIII RTPRLSLN IAIIVEDATF2H2A2Aity of KentCulvert76th Culvert Regalt20-3016 (SBr #14016.001 )nstall l5 EA super-sck sandbags to pluo and dewater ex€vation are8,OWNER / CONTRACTOR REPRESENTATIVEDATE
Page: 1
lnvoiceflhIIq
NO l{l't r lvris't' l,lN rN(,-s &
(;rio'r'ux'r'l 1.ri Plror)t.lc:r's, rNC,
" I lclpittg to I'rouct thc l')711'1r,r,,t,rr,rt''
20824 77tlt Avsnrrc SouLlr
Kcrrl, Wl\ 98()i?-- l1(i0
{2.5-i) 872-{12-44 { (80C) 't29-6.}54
l?A X : (2-5.i) t17)-A24 5
wrv\4,. r'ro tlll\vr:rsl I in i ngs.co nr
lnvoice Number: 0084662-lN
lnvoice Date: 91212020
Order Number: 001 1202
grder Date: 91212420
lnvoice Due Date: 101212020
Terms: NET 30 DAYS
Sold To:
UUAHSTLLA HHU IHLH5 INU
P.O. BOX 68697
Seattle, WA 98168-0697
Confirm To:
ROB 206-455-1417 KK
Ship To:
$(;Ar-{5LLr-A
Wn:udAl:L
Kent. WA 98032
BHU IHb,HS INU
Customer P.O.
20-3016
Customer #
SCA1 1 1
Salesperson0030 Misc Accounts - Seattle lo
CMBULK BAG
PermeaTex Bulk Bag
Woverr Coated Polypropylene, White
Wl 4ea '1 0" Lift Loops
Weight Capacity, 4 00C LBS
MLENO6W40100P
6 Mil String Reinforced Poiy
40' x 1 00'
$ 240.00
$ 16S.00
Quantaty Unit Prlce
15.00EACf-l
0
1.00EACH
0
16.000
0,000
169.000
0.000
t t-'
''.,1
l. . i,t i::
t
b
N
D
p
It.,I
I
tvflf
lr, car;:ii(ii)taiiJi] ol; checir t1' orva'citt! [] llrc:):a,r)rl,ri :;ttri"ai or1 iirlr i,r,;Lri;0 ty;ri
o|{3.lrve rp.:n ils r,:le;;ring:l;t: I,rank i.1l0l 1,'}1ic}r :l vrils arawtr, l.l{lrtir,resi 1:r rri|]1;.1
Geote ::tilE Ptoor jcls, lnc. l.l.ii,:a:; anti ri:ir::s;:: :trir/ lieir l;r lier; ;lCltis Li,:iir-tir*rj lty
l!rr.{:ir'tinCl laDof a.,riior tlnlarirl: ri)r f ,i r,ii lr,t ti , 1.:,nrr,trr(l illl!)'je {a ihg ti:iteil o,
:;r;cil p::,:ry:t-.ltl l-iis Lrartitrl cl,:i:rr ,,,,-rrvcr eiJri (,r iJF- ,t'r, lO i9l6r;11-. 61 .|Jr)t\t-, stly
fi(liltai
'lt at)itrljrjtir)n:r wil[:iijat:] ovy-a1 i;-r ,)x{;a:',:j ;:t llri; 3:>r-:',,,l d:..t1r,i)€td
cal,.rl,iaIilliofl
eil
f'ionhvrest Lir:irrgs & a;aoioritilo
Pt adrJ.-t:i lrr..
2Qll?4 L?tir Ave:rire Sl:ltii
l..ent,fi;\ !li]0:]:,1:liiil
Net I
Freight: $
Sales Tax: $
0.00
40,90
lnvoice Total: $ 449.90
FA 214
DAILY REPORT OF
FORCE ACGOUNT WORKED G
Project Name: LIO 363 224th St Phase 2
Item No.: Chanoe Order # 29
Prime Contractor: Scarsella
Description of Work: lnstatl 10 addilionat super sacks to oluq culvert
Project No: 1{-3010
Work by Subcontraclor?: No
Sub-Contractor:
Dale: 91312020
LABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate
DOLLAR
AMOUNT
Rob E Foreman I 80.56 $644.48
Andrew P 0perator 6 74.95 99.58 449.70$
Cameron K Operator o 74.95 99.58 449.70
Blake Laborer Apo 95%55,94 76.12 $
fania L TCS 55.88 75.9S $
Alejandro L laborer App 60%40.?5 66.43 $
I ,543.88
447.73
r,991.61
LABOR OVERHEAD & PROFTT @ 290/o $
LABOR TOTAL $
SUBTOTAL- LABOR: $
EQUIPMENT
OPERATED STANDBYEQUIPMENT OR ATTACHMENTS
Equipment #Equipmont Description flls Hourly Rate trs utandby Ftalo
DOI,LAR
AMOUNT
2-299 2016 F250 24,32 U
3,124 20'13 F450 Ftatbed o 27.07 216.56$
17-244 Cat 314 Excsvalor 6 73.84 $443.04
2-233 2010 F1 50 t9.76 $
1 5-092 936G Loader A 57.88 347.28
SUBTOTAL - EQUIPMENT
EQUTPMENT OVERHEAD & PROFTT @ 21%
EQUIPMENT TOTAL
1,008.88s
s 211.44
t 1,Hs.rz
MATERIALS / SERVICES Quantity Unils Unil Price DOLLAR AMOUNT
NW Lin inss #0084642 ,|ea $ 1 76.00 176,00$
$
$
$
$
SUBTOTAL
oVERHEAO&PROF|T@21%
TOTAL
1 76.00$
$
$
36.96
212.56
Verification of Houts Worked:
Dal€
Date
Pay
Date:
12% MARKUP
SHEET TOTAL: $
$
3,422,89
subconlract work)
(for prlme when
rorAl: $ 3,422.85
SCARSELLA4zt4RECORD OF WORKCONTRACT NAME.OWNFR /SUBCONTRACTORWORKBID ITEM OR CHANGE ORDER DESCRIPTION:BID ITEM OR CHANGE ORDER #DESCRIPTION OF WORK:P O Box ffi697seatile, wA 98168-0697Offie: /.253) 872-7173Fax: (253) 395-1209EXTENDEDAMOUNTSs216 56s$443.04$$347 2A5$15SS$s$$ssss$1.164.96EXTENDEDAMOUNTSs1 76"005$s$$1 76_00HOURLYRATEs 27.07s 73.A4$ 5788$ 19.76UNITcosrHOURS80c60c60c8"0cQTY.OPERSTOAYOPERSTDBYOPERSTDBYCPERSTDAYOPERSTDBYOPERSTOBYOPER]PERSTDBYSPERTDBY)PERMATERIAL\orthwest Linings #0084642-lNSilTAL?OWNOWNOWNOWNEQUIPft'IENT2103 F450 FBCAT 314DLCR EXC938G LOADER2o.1$Ff5g" .''EOUIP.NO-3-12417-24415-0922J3*.-EXTENDEDAN'OUNTSs64A 49,$s 449 70ss 449 705$ 446.88$$$$$$$5$s$$5lJHOURTY RATT$ao 56s 107 9474 95$99 58$74^95$99 5855.86$ 75.99s$$$SUBCONTRACTORHOURSa6006008.0(LAEIOR - Name, ClassilicationONonIEGanonREGonr€GontEGREGiEGo/TRobert ElzigJoerator ForemanCameron KrierExc. Backhoe 15-3OMTArdw PeteEonl-oader under6 CYTmittlt8ltar*Tr.atr6'filidl"S!oei\rr'sbr'SUBTOTALSUETOTAI VERIFICATiONSUBTOTAL MATER5UtsC{JN I F<AC IOR ONSIIE REPRESENTATIVEDATEsUAHstrLLA tsHOS,INC ONSIIE REPRESENTATIVEDATE9BD02Aity of Kent76th Cuiven Repair76th Culvert Repairlnsfall additional 10 EA su€r-sack sandbaos for dewaterino(sBr #140 16,001)OWNIR / CON ' RACI OR REPRESENTATIVEOATE
Page: 1
{hITu
lnvoice
N0R't't{wcs?' L,tNt Ncs &
Cla(J'l'I''X'l'll,I Pll(]0(JCI'S, INC.
" I lelping ta f*ilect the lJlnilrountt:nt"
?tl82.l 7?th Avcltric \1)uri1
Kr:rrt. !vr\ q8{,.12- tt(){) : il.. , ' i i t,f 't' :
t?5.i) 8?'r-n2,14 ' (&A0) 7',Lr-6{,)54
lr\X: {?.t3) 87:}-0:4.i ,; ., ,i (', i:l :t.; ,., ,irvtvrv rror'tllu,ctill irr irr;:,' r'rr r
lnvoice Number: 0084642-lN
lnvoice Date: 9/3/2020
Order Number: 001 1217
Order Date: 91312020
lnvoice Due Date: 101312020
Terms: NET 30 DAYS
Sold To:
SCAH$LLLA UHU IHbRS INLJ
P.O. BOX 68697
seanle, wA 98168-06 7
L.lt
Ship To:
SUAHSLLLA 8HO IHEI{S INT]
WILL CALL
Kent, WA 98032
Confirm To:
ROB 206-455-1417 LA
(;ustomer P.().
20-301 6
Customer #
SCA1 1 1
Salesne
003d
rson
Misc Accounts - Seattle to
CMBULK 8AG
PermeaTex Bulk Bag
Woven Coated Polypropylene, White
Wl 4ea 10" Lifi Loops
Weight Capacity: 4,000 LBS
{.t
.) zrI ti
Iti co|tsitlgrillioir cl r; i:ircr.'k foa itayraunt. in lhe ,lrnau:tt st:rleri tlr! ttr's Uiv()i.a, a;t{i
eriiective r,pon ris r;ietrilgt the b;lnk tipcn wllt.ii'i i1 .rit-.r rirl!vn, i\j{rr1i}wcsl Linings &
(;eolexllu Prrducis, inc.,,latve:; and acieases ar':y iiori or lir:rr ilcitili arqiJlrgd by
futnishirig lahoi )ndla)t r'nnlcfioli ir;r llrc;-rrr;'.tcrt,; rr,-fetclretl trb0v* In lht cxt{}ni oi
:uclt p:tyrrtr:nl l'hit j.riuititl liz;i;.:r wai'.,r'; iloes frill a!rel:tlrj lrt ri:lease rll tv:trvrt ln1,
riehis irr corrriectroil:t rrii\ surl]s ow.:.J in e<r-'esi; l,i the alrilv,: rlescfily.td
con:,iiLl€lrali,rl
$ r 60.00
{?g) i*:;'-'I
rem
Norlhwesl l-inirrgs & Cie':ic<ti!;
i )r uducts, lrtr:.
'24824 lTlh :\,/erruc Scuih
i(err'., WA 98032- 136ri
Net lnvoice:
Freiglrt: $
Sales Tax: $
0.00
16.00
Quantity Unit Price
lO.OOEACH
0
D
B
'16.000
0,000
lnvoice Total: $ 176.00
FA 215
DAILY REPORT OF
FORCE ACCOUNT WORKED
Project Name: LID 363 224th St Phase 2
Item No.: Change Ordel! 29
Description of Work: Excavate for installation of culverl
Prime Contractor: Searsella
Work by Subconkactor?: No
Project No: 14-3010
Sub-Contractor:
Date: 9l8l2O2A
I.ABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate
DOLTAR
AMOUNT
Rob E Foreman I 80.58 1 1 07.94 752.42$
Andrew P Operator 74.S5 99,58 o
Cameron K Operstor I 74.95 1 99.58 699.18$
Blake R Laborer AoD g5%I 55.94 1 76.12 o 523.84
Tania L TCS 55.86 75,99 b
Jay K Foreman I 80.56 1 107.94 $752.42
LABOR TOTAL
OPERATED STANDBY
Rat6
LABOR OVERHEAD & PROFIT@ 29% $
127.86
79'l.02
EQUIPMENT OR ATTACHMENTS
Equipment #Description
DOLLAR
AMOUNT
SUBTOTAL-LABOR: $
2-299 2016 F250 I 24.32 218.88$
3-124 2013 F450 Flatbed I 27.O7 $243 63
17 -244 Cat 314 Excavator s 73.84 664.58$
2-233 2010 F1s0 19-76 $
15-092 938G Load€r o 57.88 $520.92
EQUTPMENT OVERHEAD & pROFtT @ 2l7o $ 346.08.
1.64 7,99
1,994.02
SUBTOTAL - EOUIPMENT $
EOUIPMENTTOTAL S
MATERIALS I SERVICES Quantity Unlts Unit Prlce DOLI.AR AMOUNT
NW #0084642 I ea $ 176.00 I 76.00
s
$
$
$
SUBTOTAL
oVERHEADAPROFTT@21%
TOTAL
$
$
$
176.00
36.06
212.96
Verification of Hours Worked
Oals
Pay red
Date:
By;
12% MARKUP (for prime when
iubcontrac( work)
SHEET TOTAL:
$
728.71
rorAL: $ 5,725.71
19a6tl ";qEt ,rJ Jia: iu**L.-!+LrtRECORD OF WORKCONTRACT NAME,OWNER /SUBCONTRACTORWORKBID ITEM OR CHANGE ORDERP O. Box 68697seatfle, wA 981680697Office: (25qA72-7173Fax: (253) 395-1209BiD ITEIII OR CHANGE ORDER #:DESCRIPIION OF WORK:EXTENDEDAltouNTs214 AA5$24363$6&1 56$5520"92ss5re7.60.$Ss$$$ssEXTENDEDAMOUNTS$$$$s$HOURLYRATEs24 32$ 27.07$ 73845 57.88s 19.76UNITcosrHOURS9m9.m9009"m10OTY,qTOEY)PERSTDBYSTDBY3PER3PERSTDBYSTBYfPERfPFRSTDBYJPERMATERIALRENTE?OWNOWNOWNOWNOWNEQUIPMENT2416 F2502103 F450 FBCAT 314DLCR EXC938G LOADER20ros{50EQUIP.NO.2-2993-12417-24415492\rs----EXTENDEDAMOUNTS5 644.48s 107 94s6'4,4 4As 107.94s99 5A5 5S505 -995esM7 52$ /t1e881 51.s4s$555$s$5s{OI.IRLY RATT$ 80.56S 107 9r$80 565 107_94$ 74.95s 9958s 74.9599-58$ 5594s 76.12s 55.€65$$5$SUBCONTRACTORl{ouRs8.0010a1.00a10(8.0010180(1"0(a0t20(LA8OR. Name. Classifi4tionono/To/TIEGon')ff?EGtEGo/TrEcJay lcitrSperdoa Forer€nloben EEigJoe€tor Foreman:amron Kier:xc. Backhoe 15-30[,lTApde rl6€!sEn-_n-ar,.-!-GeYAake Rousey-ab Apprentice 95%rl&&H{tkd.6oPtFl6t]leMsorSUBTOTALsusioTAT MATERIAL;SUtsCONTRACTOR ONSI"TE REPRESENTATTVEDATESCARSELLA AROS. INC. ONSITE REPRESENTATIVEDATE' ,/', I:xcavate for installati6 of culved76th Cuivert ReoairCitv of Kent20-3016 (SBt #1 4016 m r )76th Culre( Reoairtnt2a20OVYNEF / CONTRACTOR REPRESENTAT1VEDATE
FA Sheet No.
DAILY REPORT OF
FORCE ACCOUNT WORKED G
Description of work: Excavate for installation of culvert. lnstall 'lo additional su
Pour CDF, vactor out around utilities
Work by Subcontractor?: NO
Prime Contractor: Scarsella Sub-Contraclor:
#29
Project Name: LID 383 2241h St Phase 2
per sacks,
Project No: 14-3010
Item No.: Chanoe Date: 91912020
LABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hou.ly Rste Hrs OT Ral6
DOLLAR
AMOUNT
Rob E Foreman I 80.56 2 107.94 s 860.36
Seth L Operatof 2 74.95 99.58 $149.90
Cameron K Operator I 74.95 2 99.58 798.78
Casey N Foreman I 80.56 a 107.94 $860.36
Tania L rcs 55.88 75.S9 e
Jay K Foreman I 80.56 2 't07.94 $860.36
LABOR OVERHFAD & pROFtr @ 29% $ 1,023.82
LASORTOTAL
'
4,553.36
3,525.74SUBTOTAL - LABOR: $
EQUIPMENT
OPERA'fED STANDEYEOUIPMENT OR ATTACHMENTS
Equipment # Equipment Descriplion Hrs Hourly Rate Hts ulandby Rale
DOLLAR
AMOUNT
2-2SS 2016 F250 10 24.32 $243.20
2-297 2018 F150 10 20.01 200.'10$
3,1?4 2013 F450 Flatbed 10 27.07 270.7A$
17-244 Cal 314 Excavator 10 73.84 $738.40
2-233 2010 Fl 50 19.76 $
1 5.092 938G Loader 2 57,88 115,76$
SUBTOTAL. EOUIPMENT
EOUTPMENI OVERHEAD & PROFIT @ 21%
EQUIPMENT TOTAL
$ 1,568,16
$ 329.31
t I,t97.47
MATERIALS / SERVICES Ouantity Units lJnlt Price DOLLAR AIUOUNT
Norlhwest Lininos tnv # 0004I04 1 ea $ 176,00 176.00$
HD Supply # 10013018412 1 ea $ 182.82 '162.82$
Tecoma Screw lnv # 1556994 & 15547050 '|ea $ 185.59 165.59D
Miles S&G lnv # 181 1 808 1 ea $ 1.780.38 1,780.30$
VPC lnv # 58471 1 ea $ 2,910,60 2,910.60$
1,0s5.23
SUBToTAL $ 5,215.3S
oVERHEAD & PROFTT @21% $
TOTAL I 6,310.62
Verification of Hours Worked
Contraclols RepgsentatvoZ&zffi ,*.1 . o"r"?//tAz
IOato
Pay
Date:
By:
12% MARKUF {for prime when
subconlract work)$
SHEETToTAL: $ 12,761,45
rorAl $ 12,761 .45
S;,&FSE;LA$-t-tteRECORD OF WORKCONTRACT NAME,OWNER /SUBCONTRACTORWORKBID ITEIVI OR CHANGE ORDER DESCP O. 8ox 68697Seattle, WA 98168-0697Otfi@: (253J472-7173Fax: (253) 395-1209BID ITEM OR CHANGE ORDERDESCRIPTION OFEXTENDEDAMOUNTSb$$270 7D$$738.40$s115.76200 10$s$s$!$1.765"76EXTENDETTAI'IOUNTS$176 00s182,A2165.591.780 382.910.60$52153SHOURLYRATE$ 24.32$ 2707s 73.84$ 57.88s 20.01SUBTOTAL EOUIPMFNIUNITcosTHOURS10.0c1 0.0c10.0c2.0c'10,0cQTY,OPERTDBYOPER)ERTDBYOPERSTDBYOPERCPERSPER'TDBYSTDBY)PFRSTDEYMATERIAL#0084704-rN#10013018412facoma Ssw *15546994 & Ta@ma Ssew #15547050Vliles Sand #181'1808r'PC #58471trffie?OWNOWNowNOWNolA/NOWNEOUIPIJ!ENT2016F2il2103 F450 FBCAT 314DLCR EXC938G LOADER2018 F150...2010s15G--EQUIP.NO-2-29917-2442-297:r-les-*EXTENDEDAMOUNTS$ 644.48$ 215.88$ 644.48$ 215.88s 5s9.60$ 199.16s 149.90$$ 644.4$ 2'15.88; 151:SA:s$$s 4.128.60s$HOIJRLY RATI$ 8056107,94s 80565 t07 94$749a$ e9,58$74 95$99 58i80.565$s$$$$ITOTAL LABOR:SUBCONTRACTORHOURS80e2rrt8m2m8.002042008.002.q8_trLABOR - NaBe. ClassificationantEcanlEGanIEGonREGo/To/Tono/rREGo/TRECJay KrjerCeEtor ForemanRobert Elzig3perator ForemanSameon Kri€r:xc. Eackh€ 1$30MTLu6ilnderCas€y Nelson)peraior ForemanSUBTOTAL VERIFICATIONSUETOTALSUBCONTRACTOR ONS TE REPRESENTATIVESCARSALLA BROS"INC, ONSITE REPRESENTATIVEDATEDATEOWNhfi./ CONTRACTOR REPRESENTAIIVEDA'TF
Page: 1
lnvoiceahITr
N()lu'ilwus'l' l.,tNr N(;s &
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20824 77lh Averrue Soullr
Kcrrt, WA 98032- l3tiO
(25.i) 872.0244 { {800) 729-6q-54
FAX: (251) 81)"-A245
rvr.vrv. nOtlh',vcsf lini rrgs.ctr rI
lnvoice Number: 0084704-lN
lnvoice Date; 91912A20
Order Number: 0011256
Order Date: glA2A20
lnvoice Due Date: 1Ol9l2O2A
Terms: NET 30 DAYS
$old To:
SUAH5T.LLA bHU IHTHb INU
P.O. BOX 68697
seattle, wA 98168-0697
Confirm To;
ROB KEW
h lo:
SL;AHSbLLA BHU I Hh,HS INU
WILL CALL
Kent, WA 98032
Customer P.O.
20-3016
Customer #scAl 1 1
SalesD
003d
erson
Misc Accorrrrts - Seattle io
CMBULK BAG
PermeaTex Bulk Bag
Woven Coated Polypropylene, White
Wl 4ea 10" Lift Loops
Weight Capacity: 4,000 LBS
(..i '
I li
In ccrrs:tlet;ticri of a rilreck tlr payn':errl in llrs,rrlourll staled ()ir this iavoice, lnai
elfet:lite lpon its clearing llrs bank Lrpl)n yi,ritir rt i,rials dr:t;rl. lrlrtirwest Lrnin{ls L
Oeclertrle irroducts, lr,i;. wirivo'-; and r::letrscs:rny lien oi lien i;.lh1s acquiri:d b1,
lulniih,,rq li.r)d)r.andlor nralklfial:i icrr tlrc oroJtorty k:lerei\cad altc,vt-. to titc e;{lent.jf
sUilh lrijyme,ri, fh:i fi3il;i:l ::larrrt w:ti.ii:t
'.Jce;s
n.rl rlpafilte ic rciease or v,,i:ivr; artV
tirJl'ris r.r connectiuns,r,,'lir s.r'tis i:vl:.J in:ixcei:; oi llte *bove riescri:-red
t:Ot:;irlc rl ticn .
$ 160.00
rem
Norlhwest Linings & (ieotexlile
irroducts, lnc.
24824 77ll-r Avenue South
i(ent. lvA 98032-1360
Net lrrvoice:
-,qrter!jrtt. "'
bf I9i t3\i )tr
0,00
16.00
Quanfity Unit Price
l CI.OOEACH
0
i. i,L
.16.000
0.000
F
I
lnvoice Total: $ 176.00
a
.i{, l..i I iFli"tcTiOtU & i}'lf)U5 li i,i\ i-
WHITE CAP
riD Sl/.'lrv Crr.'rlilj,.lr,.a : t!,r. i I t,i
151 'v! Cho.clr Slrert i,)ilaiidc l.- 330(ri i24 /
f E tiipilniEiri rdR{[
" r I i-'-t gs:g*l
SOLO TO: 8623000
SCAR$FLLA BROTI.IF'TS
PO BOX 69697 '.,
SFAITL T WA 3B I53,0697
OROER OATS ORDER NO.
1 00028 I 4040
gUFPLY
i'i
SRANCI.I AOORESS
,130 Krtr r
(2531 518 0300
7820 SOIJTI-1 2 !{) l H :l l Rf:i: t :iutIE 10
I(ENT WA 9IIO32
r(lltlG
T€RNITORY:
SHIP TO: 't0002814040
z2BTt'i PirASh 5
ll()r.J I 1l 22ll l 11 ANI) 72ND AVI
KENT WA 98032
12 13.85
INVOICE
INVOICE NUMBER
PLEASE REMIT PAYMENT TO:
OEsORIPTION
OZ iIN NL}i -OAM S 0 12
l. (r(i 7 !t:t,)!.(tol 11at t11 (
TIlESL:llt-illsARl!OQll'lRCl.LEIIBYTi i[u:i (i$vel{N,M[r] rAl'iL)AUlt"lolrlz6llt:OtrEXI,ORf O]tLylOtlrf'COLgrJrlodlJ! llMAfE DE$TINArloN FLT{ LSE uY Tt 15 ljl TIMAIL coNSrON[L oR EhrfJ.UsFR{s) I'tc,rEtN tDENI|nEa], riirf tvtn* r'xrl nrRESoLD, IRANSI:Lf.tllLD tllt L) I l llilw.sE f l3l )OSLD OF r o Ar.jY c)Ti iEF. Coi.J\ I dv'oR ANy pt:R.9ol.i orrli:ti I I tAN Tl,lF.rtUIH()HlulLi-)lJlMlAlLl){JllSlcliFFORLi\iL)USER(S} C:liiEF. lNt:lFiitORll-lnlALFOR\4ORA.FTEF{BL}NGiNCOFtpOtlAtF.DthllOOiFlFRrlLMS, liVll.l-rOUf ilRSl {fUlA:Nll\lctrPPHr}VAi aR0tu1 lllF U.sl 1;3yp:ll,ltFl.llORASOTHlRtV;$EAtrtrtCRtZfnBYiJ.S.
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i'sgtl' rsi' ''
1 001 301 84 12
INVOICE OATE
u9109/2020
CUSTOMER PO NUMBER
20-30 rri
DUSTRIAL - WHITE CAP
BOX 6040
cA 90630-0040
OROEREO SY ACCO!NT MANAGEE TAKEN gY
091o9t2020 3943281 5 sFl H i, UCLial
SRANCIt ACC:r JOB HO,TERMS
LEE CRAIG J MONTGOMERY WALIER F
SHIP VIA
'
ROUTiNG CUSTOMER JOB
'IO,030 NET 30 DAYS 5- WALI( IN 22BTH PHASF 5
LINE PAR? NUM6ER qTY ORD UIIIT PRICE oly BKo OTY SIIP E)TENOEO
PRICE
IAX
AMT
Ploaso vcrify that tho tomll to addross yoo ar€ using agrees to tho arldross shown at the top of thls invoioo.
Ai_ rNvoioE
Paqe t uf .1 tt3158AS 2
rv-
TT Tacoma Screrv Proclucts, Inc. lnvoice lNvotcE f 155469s4
k.'ornflracrctr.com
shr. llrjt
REMIT TO llconrr S.;row flo(luits, lnc
Atlrr: A(:{:fl trat.r nrr{:eivtrt)le
l;0 Oox 351(i6
liurttl', WA tt I24 li lail lr,S.A
BILL TO
f nuuua,* 1. '
SCARSELLA AROTHERS IhJ'C
A'TlN AC(]OUNT5 PA,YABLE
PL1 BOX 68697
SFATTLE, WA 98I68.0697
I ililt ililI fi l illl]tillillt filu'rlm]lllllffifrilrlllffiil$ulilrillllr
$HIP TOr-I SCAHS:IiABFOTHERS
A'TNI RECFIVING B4TH AVT SO
. ,'1Q11*t. 84TH AVE S{l' . ''KEN]. WA 3ri032
))
-l
Frslene6 ' Tools . Maintcnanco I Shop Supplics
LOCATION KENT
DATE n() 1al:l ' 1, )
PAGE ioFl
OIIDIN NUML}[I1
KE038203
{_)ltt':rl .iA lr:
09,/O9r'20
c)l]!(;:t!A,- l)t j(..] ri ct r_q l'() tti :; !)t() tj r.jlrrt,ti li
20-3C 1 6
PAYMET'i I T!I-IMS'l ,o/o lOTI-J. NET 30 DAYS
W''IIfTEN AY
RSP
s,lt t:$ t.lfP
H
jiJS f iil,i.Lr\ i]-,:.jr rD \j.ll\4illll
?C-30 1cl
silrP viA
CUSTOMER PICK-UP
o83-B 13-2
STL SELF DRILL SCREW TY3
,I 14 " x 5,' HEX WASHER HD ZII\C
100 'l
'3O 0 46.7848 C 46.7 8
3f3402
iAZ 41051 .4" X M10-1.25 .O20"
STL STRING R BEAD KNOT WRT WHL
o 1 8.1 235 EA 14.12
160 -003-1
FORGED STL HVY DUTY EYE NUT
1/2" 3ALV t5/8- l 1)
{}
i .-,1 \' I "t,(\,) \, t.<t / ,' t / 0 /( (\flt / .l
HANC]LING DEPCSI'f
AMOUNT
PICK.UP SIGNAIURE:
CASEY NELSON
o '10.6793 EA F I U (,O
75.58
MERCHANDIS€
TOIAL MISC CHI\HGF
o.oo
i
.oo I
::;-;.: :..:;: ;:::::8.?ii1:4,.
FQ C',i(] r t'l INVOICF TOTAL
000 o.oo o
DEPOSIT
AFPLIET)
(}.00
TAX
7.56
av-
TT
'Ihcoma Screlv Proclucts, Inc. lnvoice
{taqe I of I fr3t5B05rl
tNVOICE f 15547050
LOCATION KENT
r rfi]lr lfi|ilil lllliill rH ilff tlllilr ilr
\i[(. lr].1(
R€MIT TO
fucomilsL'rctv, com
i{uttjtru Siadw Raxjul't3, irr()"
Al trr : Ai:c,rrrrrt'r alocoivr lrlo
r'(l lIt! :i! lail)
Srnrt{lr:. UjA !;lll2ri f,l<ti, r, S jl
IilIflilUl]tllilillllillttfitil
SILL TOrI AOEA1,1
SCARSEL{. A BROTI1FRS IIJC
AT IN ACCOI.]N IS PAYABLF
PO 80X 58697
SEATTLE, WA 98 1 68-069 7
sl"ttt' T()
r--' $(.: r\rl5Ft r-q Pi'-)li-1tt5 r1;
AiT[i ACCCLjI"TS PA'r,I\BLE
$qaC:I"TLt. \,VA 98 1 6B-05S 7
i)
-l
Fasleners . Iools . i6aidtcnance & Shop Supplies DATE o9/o9l2r)
PAGE 10F1
(Jill)l: ii NlJlif lt:ll
KE038292
,Jill)f 11 i)i I i
09rO912O
Ci,J lOlvlIi:] i'ii.' lJl,;!11-il ri
,to-:ic 1 6
tjn YMI:i\ I ta:1,-l.v]s
I % lCTH. N-T 30 DAYS
wlllT lt-rl i-rY
CFT
SnL,:S Rbll
H
t.ll;1(;lntAl .lu{l lt:
r'{.'s 1 fii aAci/.)r)H NtJLll!:hl
2C,:10 1 0
SHli'VtA
\i.rlLL c,a.t L Khl,jT
300-40s
MIL\^/AIJKEE 0240-20 HFAVY DUTY
3/'B' V,A.|1I/SPEEO REV. DRILL
SERIAL #:C32AO 1 92 1 OO423
tl 74.S50C EA 7 4.95
i ,",(, l.?r(trlt" ctn/ 1,.{bt(r11,rr i ,,
MEITDIiANDISE
IO iAL MISC CHAHGE l:|.il:1. t-i t
OLPOSIT
AMOUNI
o.oo o,00
PICK.UP SIGNATURE;
CASEY NELSON
INVOICE TOTAIHANDilN:
..
o.oo o.o0
DEPOSTT
APPLIED
, : ::.a:::: :::::i,::tg,*i,4f i14.95 o.o0
IAX
7.50
lilr
SAIID & GRAVEL
SCARSELLA B
PO BOX 6869
SEATTLE, WA
TICKET NO.
000434
9 210-334183
9 2 r0-334783
9 2LA-334't84
9 214-334'784
SLP 1$ ?o?t!
INVOICE
rNvolcE No.PAGE
TOTAL
824,25
55.94
824.25
65.94
1780.38
40{J Valiey Ave NE
Puyallup, W A 9837 2 "251 6
253-833-s705
CUSTOMER NO.DAT€
MILES NECElV 4 95C5 A9/09/2A20 1Bllti08 I
7 sB16B
scARsEL$BRo*'
\tic' 7roes/t'an*/m
Fan-Q "4c&t!/
ROTHERS
JOB NUMEER. JOB LOCATION . ADDRESS
DATE I
)9/0
)9/0
)9/{)
PICK U
10.
10.
10.
10.
P
OC
00
00
00
roR
CY
UI
CY
PO# 20--lcl5 - KENT
].1DRY
INVIROb]MTNTAL COMPLIANC
11DRY
ENVIRON]MUNTAI, COMPLIANC
.IOB TOT'AI,
',1N8
KENT
75.000
6. 000
75.000
6.000
1A ?(.
q q/
a A ^r
5.94)9/A
PRODUC? RECAP
20. 00 11DRY
2A.00 s300
11DRY
ENVIRONII,IENTAL COMPLIANCF] _ RM
Remit Payment to 400 Valley Avenue NE, Puyallup, WA 98372-2516
l\4iles Sancl & Gravel Company
WWWMILES.ROCKS
OUANTITY UNIT DESCR'PTION PRICE TAX
AMOUNT DUE }
1?80.38
Ventilation Power Cleaning, lnc.
3914 Leary Way NW
Seat{e, WA 98107
IHVOIGE
lnvolce Number: 58471
lnvo'rce Date: Oct 8, 2020
Page: 1
DuplicateVoice:
Fax:
206S34-2750
206€34-2753
SCARSELLA BROTHERS
PO 80X 68697
SEATTLE, WA 98168-0697
scA00'l
i 03-Ron Chri$ensan
4
W
SCARSELI.A JOB
22613 - 76TH AVE S
KENT,WA
1
73025
VPC Truck
COMMENCED O9IO9, COMPLETED O9/10.
coMBo vAc TRK WOPERATOR (PER
HOUR) 5.5 HOURS EACH ON 9/9 & 9l1o
LOAD OF WATER FOR FLUSHING OR
POTHOLING
DISPOSAL FEE AT LOCAL RECYCLING
FACrLrry PER TON) OF MATERTAL
DUMPED ON SITE 9P. DUMPED ON
stTE 9/10
OPERATOR OVERTIME PREMIUM PAY
PER HOUR FOR HOURS OVER 8 PER
DAY. OPERATOR STARIED WORK AT 6
AM, WENT INTO OVERTIME ON ]HIS
JOB.
Subtotal
Net 30
9110r2Q 11t7t20
2,365.00
80.00
126.00
75.00
2,646.00
2643A
2,910.60
{1.00
2.00
1.68
2.50
DISP
ooT
215.00
40.00
75.00
30.00
i Sales Tax
i Total lnvoice Amount
i Payment/Credit Appliedffi-i..,,'.*,.n;';,,ChecklCredit MemoNo:
:;:rl,,?i?R&ai **S{:f; l*Sl$d
f,71o2{
(206)"634-21s0
I-(877)-347-3s09
Fax: (206)-634-2153
ilq1
Yentilation Powcr Cleaning, lnc.
3914 [,eary Way N1{
Seattle,l,VA 98107
l)A't'rt *?
TNDUSTRIAL
'l ') rt
JOB NAIVIII
SIIRVICE ADDRESS 6(-7{a tt
I}ILLTO
VACUUM CLEANING . I,INE CT,BANING SERVICE
r-\.-'
PAGE QUATIRANT - -*.-.-- lvo# "Jil :
I
)I
U o {d/
Purchasc Order#
Person to Contact
rerephone# l- 5 $ J 6 {-'*ll I g,L
, Bquipme
- Tlrlles
'Flex Hose
- I{ard Ru}rber
- Left on Sitc
-7
Vehicle#
Support
'finre at sitc
Other t
Vehicle '"*
#Extra Workers
t'U
Safe ty /h', ,r///tt I {
Protile#
WORK ])F].SCRIPTION:
Pre.iob Safcty lnspection: lnitials/]
Disposal Site: f/rnrZ -ett I QTY: _ _ ...-.-..t",r Receipt#
lVork Hours:
DA'I'E
-{, :{,- ea
I,EFT SHOP ARRTVIiD.IOts LEFT.IOB ARII.trVED S}IOP DRIVER HBI,I'EII
_ {;: ;lt*." _ li a* _/t t_l:* _,_?c.:
SAI,IlS PIiRSON "CUSTOMER SIGNATURE {Asq 4t{nn
lrentilation Power Cleaning, lrtc
J9l4 Leary lVay NW
Seat[le, VIA 98107
DATN
L;OTJADRANT !VO+
/)
/' 't
1 3,t> g*
(2{J6)-634-21st
t-(877)-347 -3s09
Fax: (206)-631-2753
sq- 0G3
{"
INDUSTRIAL VACUUVI CLBANING . LINE CLEANING SERVICB
FAGTi
JOB NAI\,IA
' ) f'' r,,v--t,-./t {r-.
SERVICE ADDRESS
..: "^, f, ,, .-t
I At-e1 / :7 ltr
I}II,LTO
/b
g"
Purchase CJrder#
,.}
Person to Contact
Vehicle#
2 - 2e;l - r'/o'z-
€i,tYlu -{.*'*u Equipntent --I
Support Vehicle - TUbes
#Iixlria Wqrhcrs,r{;{;'{;-li{rA " Flex llose --__-A 9/) /cs {\ 9c.> n - Hard Rubber
*,
L
-&-
Other
Safety
- Left on Site
Prafile# C,'-r.- - -. .,-- Pr ejob Saf'et.v Inspection: Initials
Disposal Site:?< l*:QTY:Receipt#
(WORK DIISCRIPTIONT -..r .L.'r 6.'i- !-e'
I
})v A{ -Aff-*ifo-- g-x f.l}k." " * 6 * s -"*tuJdr^), --*
Worlt Hours:
DATIi
9t ,2o
LEF"I'SHOP ARRIVED.IOE
_JL_O Q |?*A-O--
flL
LET'I'JOB AITRIVED SHOI'
,-l 5*3D ! ({3 0-
DRIVEI( HELPNR
]
r4. 'i3-.' u-'*SAI,ES PERSON CUSTONTER SICNATUR
beS'.ra*/
OA E.AZK-
FA Sheet No.217
DAILY REPORT OF
FORCE ACCOUNT WORKED sa
Project Name. LID 363 224th St Phase 2 Project No: 14-30{0
Item No.: Chance Order # 29 Date: W1A|202Q
Description of Work: Comolete and oreo for oioe installation
Work by Subconlractor?: NO
Prime Contraclor: Scarsella ub-Conlractor:
LABOR
NAME CODE OCCUPATION
STRAiGHTTIME OVERTIME DOLLAR
AMOUNTHfsHourly Rate Hrs OT Rale
t{ob E Foreman 8 80.56 2 107.94 $860.36
Andrew P Operator 7 74 95 99.s8 $524.65
)ameron K Operator 8 74.95 2 99.58 $798.76
Blake R Labor€r App 95%55.94 76.12 $391.58
Tania L TCS 55.86 75.99 $
Jay K Foremarr 6 80.56 I 07.94 b 483 36
SUSTOTAL. LABOR:
LABOR OVERHEAD & PROFTT @ 29%
LASOR TOTAL
71
807.03
6.f 4
EQUIPMENT OR ATTACHMENTS
Equipment # Equipment Descriplion
OPERATED STANDBY DOLLAR
AMOUNTFtTEHourly Rate Hrs s{andby Ra(e
2-299 2016 F250 6 24.32 s 145.92
3-124 2013 F450 Flatbed 10 27.07 C 270-70
17-244 CBt 314 Excavator 10 73.84 $738.40
2-233 2010 Fl50 1 9"76 $
1 5-092 838G Loader 7 57.88 405.16
SUBTOTAL - EOUIPMENT
EOUIPMENT OVERHEAD & PROFTT @ 21%
EQUIPTI'IENT TOTAL
1 18
327.64
.82
MATERIALS / SERVICES Quanlity Units Unit Price DOLLAR AMOUNT
s
o
$
$
SUBTOTAL
oVERHEAD&PROFTT@21%
TOTAL
D
$
t
Verificalion of Hours Worked rorAl: $ 5,833.56
12% MARKUP {for prime when
subcontract work)$
SHEET ToTAL: $ 5,833.56conr rsctg's Repres e otativ o ffi$f /.Dalo 7//tttL
Date:
By:
Pay
Date
i$r6*t'*RECORD OFWORKCONTRACT NAME. NO-:OWNER / CONIRACTOR:SUBCONTRACTORWORK DATEBID ITEM OR CHANGE ORDER DESCRIPTION;BlD ]TEIV OR CHANGE ORDER #:DESCRIPTION OF WORKrP.O. Box 68697Seattle, WA 98168-0697Otrt@: 1253) 872^7173Fax: (253) 395-1209EXTENDEDAMOUNTSs145 92270.7A$s734 aD$$405 16sc$<e7.60$s$$$1.757 "75EXTENDEDAi/tOUNTSs$$sHOURLYRATEg 2432s 27.07s734$ 5788$ 19JASUBTOTAL EOUIPMENT:UNITcosrHOURS6.10.0c10 r7,0c-lt'!cOTYTDBYOPERSTDBYSTOAYCPERTDBYOPERSTDBYOPERSTOBYSTDBYSTDAY'ERSTDBYCPERTDBYMATERTALREMA?OWNowNowNowNOWNEOUIPMENT2016F2ffi2103 F450 F8CAT 314DLCR EXC938G 1 OADFR201FPf5$-*EQUIP.NO.2-2993-12417-24415-CE2t4il--EXTENDEDAfilouNTss443 36ss 644 4As 215_88s 599ms 199.16s 524 65ss 391_58$s _-r'4t38$J5f9AsB$$s s.657.57ss$$$$HOURLY R.ATT$ 80,56$ 107 945 80.56$ 107.94$74 95$99.58$74.95s99 58$55.3476.12i -56€6s -75"ES$!$$$ssSUBCONTRACTOR6.008.0020080t2.OC7.0(,-8fizo(LABOR . Name. ClasificationorTIEGonREGo/ToflonQNot1ononJay Krierf,Eeraior Fo€manlob€rt Ezig3peGtor Foleman:amercn Kritr:xc- Backhoe 15-3OMT{ndan Pet€con-oader under6 CYBlake Rousyl-ab ADDrentice 95%F6irHtlbF-f rttc.iitd.ftnapisorSUBTOTALSUBTOTAL VERIFlCAT]ON SUBCOSUBTOTALSUECONTRACTOR ONS TE REPRFSENTATIVEOATESCARSELLA EROS INC. ONSITE REPRESENTA-IIVEDATE:inish ex€vation and oreD beddino for insla,latioo ol cufuert.l6th Culvert Repairv of Ked/6th Culvert Regair)t10t292020-3016 /sBt #t4016 0ollOWNER / CONTRACTOR REPRESENTATIVEOATE
FA 218
DAILY REPORT OF
FORGE ACCOUNT WORKED
Prime Contractor: Scarsella
Description shorinooloe.66"
Projecl Name: LID 363 224th St Phase 2 Project No: 14-3010
of Work: Deliver and install Backfilland
Item No.: Chanoe Order # 29
Work by Subconiraclor?: NO
Sub-Contractor:
Date; 911112020
LABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hourly Rste Hrs OT Rate
DOLLAR
AMOUNT
Rob E Foreman 80.56 1 07.9,r 161.12$
Andrew P Operalor I 74.95 s9.58 599.60$
Cameron K Operalor I 74.95 99,s8 {599.60
Blake R Laborer App 950/o 2 55.94 76.12 1 t 1.88D
Tania L TCS 55.86 75.99 $
Jay K Foreman I 00.56 107.94 644.48$
2,1 16 68
LABOR OVERHEAD & PROFIT@ 29% $
LAEORTOTAL i
613.84
2,730.52
SUBTOTAL- LABOR: $
EQUIPMENT
OPERATED STANDBYEQUIPMENT OR AfiACHMENTS
Equipment # Equipment Description Hrs Hourly Rate HIS branooy Hale
DOLLAR
AMOUNT
2-259 2016 F250 I 24,32 't94.50$
3-124 2013 F450 Flatbed 2 27.07 54.14c
17^244 Cat 314 Excavator B 73.84 594.72a
2-23)2010 F150 19.76 $
1 5-092 938G Loader 0 s7.88 $463.04
SUBTOTAL - EOUIPMENT
EOUTPMENT OVERHEAO & PROFIT @ 21%
EQUIPMENT TOTAL
$
$
I .46
I 576.98
273.52
MATERIALS i SERVICES Quantity Units Unit Price DOLLAR AMOUNT
JX Construction lnv # 3368 1 ea $ 2,87s,25 2.875.?s$
!
$
$
$
SUBTOTAL
oVERHEAD&PROFtr@21%
TOTAL
$
t 3,479.05
Verification of Hours Worked
O€te
eay eu{mgf€*ereo:
Date:
By:
12% MARKUP
t1
$
rorAl: $ 7,785 55
sHEETTOTAL: $ 7,785.55
subconlract work)
(for prime when
1949ESCARSELLA-*o'gRECORD OF WORKCONTRACT NAIVE, NO:OWNER / CONTRACTOR:SUBCONIRACTOR NAIUWORKP O. Box 666S7Seattle, WA 98168-0697Qffice: (253)A72-7173Fax: (253) 3S5.1209SUBTOTAL VERIFICATIONSUBCONTRACTOR ONSITE RFPRESENTATIVFSCARSELTA BROS.INC ONSITE REPRESENTATIVEBID ITEM OR CHANGE ORDER DeSCRIPT|ON|8ID ITEM OR CHANGE ORDER tr:DESCRIPTION OF WORK:SUBTOTALDATEDATESUBTOTAL SUBCONTRACTORS:l $12% lvlARKrlP cOR STTBCONTRACTOS:l SSUBTOTALEOUIPMENT:I S 1 5OO0621% l\,lAl'IKUP EOUIPMENT | $3r 5.01SUBTOiAL MATERIAL:l S2-875252I% MARKUP MATERIAL.I $603,80SUEIOIAL;J.58.797 1712% PRIME MARKUP I $TOTAL THIS REPORT:I S8.757.T7of Kent#14016.006andEXTENDEDAMOUNTS$1"fi$590"725463"04t$.197€S$s$$$1,500.06EXTENDEDAirouNTs2.875.25s$HOURLYRATEg 24"32I 7384s 5788$ 19:76'SIJETOTAL EOIJIPMENT:UNITcosTHOURS4008008.0010 0cQTY.3TDBYSTDBYSTDBY]PERSTDBYSTDBYOPERSTDBYOPERSTDBYOPFRSTDBYSTDBYIPFRSTDBYMATERIALJX Construction #3368trtoT&?OWNowNowNOWNowNEOUIPMENT2016 F2502103 F450 FBCAT 314DLCR FXCS3BG LOADER20ffFT30-.EQUIP.NO.2-29917-244'15.092--ffi-EXTENDEDAMOUNTS644 4as$16't.12s 599 60$s 599.60s$ 111 88$$ 446.88$151 9a$$$$ 2_715.54$$$$HOURLY RATIs80 56$ 107 34$107 S4s74 95s 995874.95ss9 5855 94s76 12s .55.86s 75',S9s$ssSUBCONTRACTORCla$ificationREGI 8OConlREGI z.oc-orrlREGI 8.0Co,.rlnEGl 8 0o/TlRESI 2 0ConlREGI -8 (o/Tl 20cREGIofiltE6lontIEGIo/rltEGIofilJay Krie(Ooerator ForemanRobert AzigOperator ForemanCameron Krisr5xc. Backhoe 1 5-30lvlTAndew PeteFonLoader under6 CYssF/oT€nilrlobFnfid,CdrolSlowrsorOWNER / CONTRACTOR REPRESENTATIVEDATE
JX CONSTRUCTION, LLC
Tax II) #91-i876414
P O BOX 898
P.O. BOX 8e8
SHELTON, WA, 98584
BILL TO
SCARSELLA B I],OI'I{I]RS IN (]
PO IIOX 63697
sEA',rt'r.E , wA 98 166-()6r?{J
lnvoice
Jf"cool
RHOEIVEN
DATE TNVO|CE #
9il V2020 3 368
:irr' i .l ?1':li)
'* -- t '! lli't' '"
,.,r.li '. . :; -r "/' ' : " '
TERMS DESCRIPTION WORKORDER
I)uc on rcceipt ]08 PNRTS :0J0.1.6-...,
DATE ITEM COOE DESCRIPTION EQ/LABOR QUANT @ AMOUNT
9/t t/2020
ytt/242{)
PATRS
PA I'RS
cTILVER'r BANDS-66" 2 @ $325.00
CL'LVEI{T-66-X20'
AI,I, PARTS PTCKT'D UP AT JX Ot,D
SI.IOP
Sales Ttx
o
N\+.
a
:1
5
1
I
325.00
2,000.00
!.so \ Ja
8.509/n d J O': 225.2s
S'. aal t'I o/
650.00'l'
2,000.00'f
$2,lt75.25Total
DUS'1'Y
Owner
L
E-mail
dusly.jx@hctc,coorAl{
F Sheet 219
DAILY REPORT OF
FORCE ACCOUNT WORKED ./x\,./ KENT
Prime Contractori Sc
Project
Description of Work: Deliver and insiall 66"plpe. Backfill and oull shorino
Project No; 14-3010Name: LID 363 224th Phase 2
Work by Subconlractor?: No
Sub-Contractor:
Item No.: Chanqe Order # 29 Date: 9114l2O2O
LABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hourly Rale Hrs OT Rate
OOLLAR
AMOUNT
Rob E Foreman 8 80.56 2 1 07.S4 $860.36
Andrew P ODaralor 8 74.95 1.5 99.58 $748.97
Cameron K Operator I 74.95 1,5 99,58 $748,97
Blake R Laborer App 95%s 55.94 2 76.42 599,76$
Tania L TCS 55.86 75.9S $
Jay K Foreman B 80.56 2 107.94 $860.30
3,018,42
LABOR TOTAL $4,925.76
SUBTOTAL- LABOR: $
LABOR OVERHEAD A pROFtT @ 29% ,$ 1,107.34
EQUIPMENT
OPERATED STANDBYEQU I PMENT OR ATTACHiTtENTS
Equipment # Equipment 0escription Hrs Hourly Rale Hrs iilanoDy Rale
DOLLAR
AMOUNT
2-295 2016 F250 10 24,32 $24l.24
3-124 20'13 F450 Flatbed 10 27.07 270,70$
17 -244 Cat 314 Excavator 9.5 73.84 741.48$
2-233 2010 F150 't9.76 $
1 5-092 938G Loader 9.5 57.88 !549.86
SUBTOTAL - EOUIPMENT
EOUIPMENT OVERHEAD & PROFtT @ 21%
EQUIPMENT TOTAL
$
785.24
374.
136,94
MATERIALS / SERVICES Quanlity Unils unit Prlce DOTLAR AMOUNT
t
b
$
D
$
SUBTOTAL
ovERHEADAPROFTT@21%
TOTAL
$
$
$
Verification of Hours Worked:
Oate
Pay
Date
Date:
By:
12% MARKUP
7,061.70
$
.z
SHEETTOTAL: $
subcontract work)
(for prime when
TorAL: $ 7,061.70
*ttoSCARSELLAItsl) rii <! ,^i:RECORD OF WORKSUETOTAL LASOR:CONTRACT NANTE, NO.:OWNER / CONTRACTOR:SUBCONTRACTOR NAIUEWORKBID ITEIV OR CHANGE ORDERP.O 8ox68697Seattle, WA 98168-0697Oficei (253) 872"7173Fax; (253) 395-'1209SUBTOTAL VERIFICAT ONliuBCON I IiAU I OR ONSITE REPRESENTATIVE|jUAI(5ELLA UiTO!; INC. ONSI I h REPRESENTATIVEBID ITEM OR CHANGE ORDER #:DESCRIPTION OF WORK:DATEDATEitv of Kent20-3016 {SBr #14016.001)lemove bv-oas dam in culvert/6th Culven Repair/6th Culvert Reoair)11u2420EXTENDEDAMOUNTS24320$$270.70sI701.48s549.85$$$-={€*€ess$$s1.9628/.EXTENDEDAMOUNTS$ss$$HOURLYRATE$ 24.32$ 27.07$ 73.84$ 5788s 19.76SUATOTAL EOUIPIVIENT:UNITcosTHOURS10.0010 009.50s.501&gOTY.CPERSTDBYCPERSTDBY3PF RSTDBY)PERSTDBYOPERSTDBYOPEROPERSTDBYOPERSTDBYOPERSTDBYMATERIALRE{TA?OWNowNowNowNowrrEOUIPMENT20r6 F2502103 F450 FBCAT 314DLCR EXC938G LOADER2010tt6&--EQUIP.NO.2-2993-12417-2M15{9222?L--.EXTEilDEDAMOUNTSs 644 4As 215.88s 644 48s215 aAs 599 60s 14S 37$ 599.60$ 149.37s 447.52s 15224$ 448 88$ 15*,€8$$$ss 4.417.24$tsHOURLY RATT805s '107.9480 56$74"55$99 58$74.95s99 58$55-94s76 12s .55 867.5€9sss$SUACONTRACTORCla$ificationtEGl 8.0(o/Tl 2.0(8,0(REGI 8"0(o/Tl 1.5CREGI 8,0(o/Tl 1 5(REGI 8-OCo/Tt20tRFGI a.0{oiTl 2.ocREGIotTtREGIoiTtREGIonlREGIo/ilJay KrierOperator ForemanRob€rt ElzigOpenlor ForemanCameron KierExc, Backh@'l$30MTAndw PaieMnLoader under6 CYBlake RousyIani.&trt|erF.I{.|€crm{b!an isorSUBTOTAL MATERIALi412.20s$I,qta33ss$4.41r,24li1.28',t.01$1.952 U56,073.3312% MARKUP FOR SUBCONTRACTOS:SUBTOIAL SUBCONTRACTORS:SUBTOTAI tAEOR:29% MARKUP TABOR:SUBTOTAL EQUIPMENT:21% MARKUP EOUIPMENTiSUETOTAL I,IATERiAL:21% MARKUP N'ATERIAL:SUBTOTAL:12olo PRIME MARKUP:TOTAI. THIS REPORT:OWNER / CONTRACTOR REPRESENTATIVEDATE
FA Sheet No.:220
DAILY REPORT OF
FORCE ACCOUNT WORKED
Project Name: LID 363 224th St Phas-e 2 ,.Proj ect No: 14-3010
Item No.: Chanoe Order #29 Date: 9i15i2020
Descriptio n of Work: Sawcut and oreo sidewalk for concrete oour
Prime Contractor: Scarsella
Work by Subconlfactor?: NO
Sub-Contractor:
I.ABOR
NAM€CODE OCCUPATION
STRAIGHT TIME OViRTIME DOI.LAR
AMOUNTHrsHourly Rate H.s OT Rate
iob E Foreman 80.58 107.94 c
Andrew P Opsrator I 74.9S 99.58 e s99.60
iameron K Operator I 74.95 s9.58 o 5S9.60
Blake R Laborer ADp 95%55 94 76.12 $
Tania L rcs 55.86 75.S9 $
ayK Foreman B 80.58 107.54 $644.48
SUBTOTAL - LABOR: $1,843.68
LABOR OVERHEAD & PROFIT @ 29% $534.87
LABORTOTAL $2,378,36
EQUIPMENT
EQUIPMENT OR ATTACHMENTS
Equlpment # Equlpmenl Description
OPERATED STANOBY DOLLAR
AMOUNTHrsHourly Rate Hrs tttanoby Ral€
2-29S 201 6 F250 I 24.32 $194,56
3-124 2013 F450 Flatbed 27.07 $
17-244 Cat 314 Excavator I 73,84 $5S0.72
2-233 2010 Ft50 1S.78 $
'15-002 938G Loader I 57.88 D 463.04
SUBTOTAL. EOUIPMENT $ 1"240.32
EOUIPMENT OVERHEAD & PROFTT @21ok $ 262.15
EQUIPMENT TOTAL
'
J,SlO.'?
iNTALS
MATERIALS / SERVICES Qusntity Units Unlt Price DOLLAR AMOUNT
Del Mar * 39405 1 ea $ 565.00 $565.00
$
@
$
D
suBTorAL $565.00
oVERHEAD&PROFTT@21% g 118,65
TOTAT t 683,65
Verification of Hours Worked:rorAt: $ 4,572.47
12% MARKUP (for prime when
subcontract wotk)$
SHEET TOTAL: S 4,572,47Date
Dato
pay egffiil*#teraat
Date:
By:
/zzoi9a5SCARSELLAt|0 r, r: r1LRECORD OF WORKSU BTOTAL VERIFICATION SUBCONTRACTORS:CONTRACT NAI\4E,ov1/uER /SUBCONTRACTORBID ITEM OR CHANGE ORDERBID EN.,I OR CHANGE ORDERDESCRIPTION OFDATEDATEWORKP O 8ox 68697Seattle, WA 9816&0697Ofllce: (253) 872-7173Fax: (253) 395-1209sUUUUN HAL; I OR ONSI I E F'EPRFSENTATIVEsUAHSELLA tsII OS,INC, ONSITE REPRESENTATIVESawcut and prep sidewalk for concrete pour on 9/1876th Culven ReDair9r15t202076h Culvert Re9airCity of Kent20-3016 (SBr #14016"001 )194.56EXTENDEDAMOUNTS5590.72s463.04s$s$.t5€.00,$s$Sss1.406 40EXTENDEDAMOUNTS565.00$ss565.00$ 565 00HOURLYRATE24 32$$ 73.84s 57.88S .49-76.UNITcosTHOURS80c8.0c8.0c400OTY.1)ERTDBYPERSTDEYOPEROPER5TD8YOPER]PERSTDBY)PERSTDBYf,PERSTDBYSTDBYOPERSTDBYOPERRFNTA ?OWNOWNOWNowNEQUIPMENT2016 F250CAT 314DLCR EXC936G LOADER,ereFt5oEQUIP.NO.2-299't7-24415-092'*293SUBTOTAL EOUIPMENTIMATERITALDel-Mil # 39405599 50EXTENDEDAMOUNISs 644.48s 59960$ 416€85$!$s$$$$$ 22s55$$$$$$ 749575.99HOURLY RATT80.56)s 107.9474 95$99.5899_58$55.86$s$$sHOURS4008ot80{!&0(onIEGononiEGREGO/T0/Tot1REGQNanIABOR " Name, ClassificationJay Kdot)pemtor Foreman:amercn lcis:rc, Bsckhs lS-30MTAndsil Peter$nLoadtr urder 5 CYTaoi&L€t6€tnTrd-ContoLslr€axisorSUECONTRACTORSUBTOTAL,, '^ : :.! '.'<a'< -{UWNEX / UUN i KAL IUX KtsTKbSEN IAI IVCDATF
DEI.ITfiAR. CONCRETE
CUTTING & CORING
162 100th st. s.
Tacoma, WA 98444
Ph # (253) 537-o1O9
FAX # (253) 535-0607
5,8,f,
Fqfififfii "#S*oice
SEP ? \ 2O2O
SCARS
3e40$
/i' ;3 Li/ {,
TO
{
JOB LOCATION
TERMS: NET30 YS, UNLESS OTHEHWISE NOTED.
A FINANCE CHARGE OF 1.5% ON THE UNPAID PREVIOUS BALANCE WILL BE
COMPUTED AT THE END OF EACH MONTH. IF CUSTOMER DEFAULTS OR IF SUIT
IS BROUGHT TO COLLECT ANY OF THE PRINCIPAL OR INTEREST OUE OF OWING
UNDER THIS BILL, DEL.MAR MAY CHARGE CUSTOMER REASONABLE ATTORNEY
FEES AND COLLECTION COSTS.
-t
j
?tFzu 2 - r</eu l'1/Y2/ c {tg
Qt-t (_;"""/ {f l.F: lf d " ,{t/&**A/i :fr'{). c'--s/ NU, Ch,f-,r^ru g
1* t<,{a,'/ ll+c&ty*i'/4 h> Slu;:ey'- #/f {'' t'.-':
'*/"s i r'<-/** / ./{u*,x-r '/'/7,/yPL{-'-.n llur?rt -TA{.xt/ rrv{}: *'
I 6 /A.oct/lt)I 6 r; i,Jrs).\'. r;',,1'
t' i'.t t ." RHD
,.,;. ttj Zii'itl
,rf1t. tllu'
I {\
t
:,
.i
/'.1,' ,
Date: ,{:/-ll WORK ORDER"ltta.id)Ag t.? 4:t,*,::;
^tn i't).\tItli't'tllllll,.ll
{ :l1l'l'l N(,i, rt { :l}llllli{;
152 100th st. s I
Tacoma, WA 9E,144
(253) 537-0109 Fax {253)535-0507
Job #
,]AY--;;ffi-_-
?f'qtq-{"lirt
Phone #
t:
r11 I iit
q
'?* t'tq a{ifda"td r i*1i €<*ff-{f {
Any cobblestone, brick paving, sand cushion, dirugravel layers, railroad ties, rails or other
miscellaneous matarials or obiects encounlered during sawing/drilling operations will result in
additional charges
f Signature of this work order will be cbnsidered your notice ol our intsnt to lisn this project if
r;editssary. lnterest at 1,5%.per month will be cliarged on'all past rlue accounts.
DATE DESCRIPTION
l
!-s{
heet No.:221
_c
DAILY REPORT OF
FORCE ACCOUNT WORKED
Item No.: Chanqe Order # 29
Contractor: ScarsellaPrim
Project Name: LID 363 224th St Phase 2
Description of Work: Prep for asphalt and pave
Work by Subcontractor?: No
Project No; 14-3010
Sub-Contractor:
Date; 911812020
LABOR
STRAIGHT TIME OVERTIME
NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate
DOLLAR
Ar\dOUNT
Rob E Foreman 80.56 107.94 !
Pipe Layer 4 59.1I 99.58 236.72$
D Cperator 4 74.95 99.58 !299.80
Blake R Leborer ADo 95%55,94 76.12 $
lania L TCS 55.86 75,99 $
Jay K Foreman I 80,56 107.94 $644.48
LABOR TOTAL S 1.62r.49
LABOR OVERHEAO & PROFIT @ 2S% S 342.49
SUBTOTAL-LABoR: .$ 1,181.00
EQUIPMENT
OPERATED STANDBYEQUIPMENT OR ATTACHMENTS
Equiprnent #Equlpment Descriptlon Hrs Hourly Rate Firs stanoby Rale
DOLLAR
AMOUNT
2-299 2016 F250 I 24.32 194,56$
lcon Malerials 1 '181 .63 18 t .63$
17-244 Cat 314 Excavator 4 73.84 295.36$
2-233 2010 F150 19.76 $
1 5-092 938G Loader 4 57.88 231.52c
SUSTOTAL. EQUIPMENT
EQUIPMENT OVERHEAD I pROFtT @ 2't0lo
TOTAL I I
903.07
18s.64
MATERIALS / SERVICES Quantlty units Unit Price DOLLAR AMOUNT
SB Skuctures 1 aa $ 988.10 988"10C
Lakesicle 1 ea $ 1,850.00 $1,850.00
b
a
SUBTOTAL
oVERHEAD&PROF|T@12%
TOTAL
$ 2,838.10
$ 340.57
$ 1,t78.67
Verification of Hours Worked:
Dale
Pay
Datel
By:
12% MARKUP (for prime wh€n
subconlracl work)$
a
sHEEr ToTAL: $ 5,794.87
rorAL: $ 5,794.87
RECORD OF WORKP.O Box68697Seattle, WA 9816e-0697Affice: (253)972-7j73Fax: (253) 395"1209CONTRACT NA]!IE, NO,OWNER /SUBCONTRACTORWORKSID ITEM OR CI.JANGE ORDERBID lTM OR CHANGE ORDFR #:DFSCRIPTION OF WORK:t9[6SCARSELLA$$$ss$181$$32s$UNITOTY.OWNOWNowNowN17-24472$Is$$s$10ss2$1$55.8675.99Is$4 t-t'SUBTOTALVTRIFICATiONSUBTOTALl*
ffi Cugtomer No:
lnvoice No:
Inv Oale:
Page:
t65.12
60467
3092890
09t10t20
Page I of 1
4Gfu
1 508 Valentins Are SE
Peific, WA 90017
Scarsella grolhers, lnc"
PO 8ox 68692
Sest(e WA SS16E-0097
accounling@scalsellabros.com
Delivered To: 22BTH Sf. KENT
Date C0ode - Material Oescrip
Plant:01500 Auburn S&Gastfitz} 21A7H _ BED SAND
09110t20 4g70OA - Environmental Surcharge
Rf;.OEIVE.D
SrP 1 q 20?0
$cAR$Eu-ABRos'
it'lc
CustornerJob: 203016
V7o*firol*o6//u
ft44d Accoc+WM
QW UM Un[ prtce Uafi Torat
lcoN Materiats
1508 Valentine Ave SE
Pacjfig wA 96047
20&575-320o
fi.50
0.50
TON
EA
F;{:{85i1? ts AVATLABLE! PLEA'E coNrACr us ro 6Er Yousr^RrEo. Accounts Receivabte now has a direct number
Totat lnvoice;
13.76
13.76
27.52
tnvotc€ Amount:
Amount pald:
158.24
6.88
165.12
Tax Total
158.24
6.98
r65.12
0.00
0.00
0.00.rrUU#"*", number(s) shipped from ptant 01500 _ Aubum S&c
Fjnanc€ Chargss will bs applied to any late invoices at a rale oF .l,Syo tEr month per credit agreement or the State,s Lawful Arnount
Cajslorter Nrme:
Customsr No:
lnvolce #:
Oat€:
Cugtornsr Job:
Due oate:
Sc€rs€lla Brothers, lnc
60487
30928So
os/10t2.0
2030 I 6
if yoq have any questio.rs about your invoic€ prease cail 206_57S3200
R6mit payment To: |CON ilatoriats
pO Eox 712i21
Los Angelae, CA S00ru
L
E
I
p 10t't0t20
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RECORD OF WORKCONIRACT NAiNE,OWNER /SUECONTRACTORgID ITIVI OR CFANGE OROERBID ITEM OR CHANGE OROERDESCAtPTtoN oFWORKP.O, Bd 68847seatrle. wA 98168-0697Ofice: (253) 9t2.6750Fat ,,2531AtZ-I171$sscs$$sRATEOWNIruckSprinter Box3 314s.38$5sssSs$46l\4ason ForemanForemanMasonNixooMasonAtrrynnrr'.':j,.
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ag I.AKESIDE
INDUSTRIES Progress Billing lnvoice
Kent Division
206_343-737s
To:Scarsella Bros lnc
PO Box 68697
Seattle, WA 90168-0697
Contracl:121901S - s 228rh st uP RR
For Overnight Delivery by Courier
Lockbor Services gox ,10g6, Lakeside lnrjusbies
18035 Sperry Drive
Tukwiia, WA gB.188
*I*PI-EASE NOTE. OUR REMITTANCE
We welcome your EFT payrnent
AR@lakesldeindurtriej. com to enroll.
ADDRESS HAS CHANGEDI*+
(ACH and Wiref.Please contact
Invoice #: 50012514
Date: 10101t20
ApplicaUon #: S
lnvoico Due Date: 11110/20
Payment Terms: .lOth
**tNew Remit Address for physical checks
Remit To: LB# 10g6, Lakeside lndustriespO Box 35143
Seatile, WA 98124-S143
425-31 3_2600
Cont ltem Description
Mobitization
HMACT 1t2
o
Asphslt Crst p.ico Adiustmanl
Hot Plsnt fulix Fot T€mporary pavomenl
Asphelt Ir€ated Bass
HMAct 1t2
0
Grade Separation _ ph 5
Conlract
Amount
35,0uu.00
260,000.00
20.000.00
48,300.00
13.800.00
30,000.00
3,{50.00
3.O00.00
0.00
Contraet euantity
quantity This period Unit Anount
Prlce lhis period
12,500 00
44,589 00
Quantity
JTD U/Iil
1.00 LS
445 89 roN
O.OO EST
335_99 roN
64.98 TON
229.2C toN
Amount %
To.Date Compl
t 000
1095 1.00
2,600.00
1_00
420.00
t20.ul)
300.00
036
445 89
35.000 00
100.00
100 000/0
17.15%
35,000 00
44,589.00
0.00
3B.638.85
7,47?.71)
?2.529 DO
1100
1125
1 143
12095
0.00
0.00
0.00
000
0.00
000
0,00
0.o0
o.D0%
80.00%
54.1 5%,
76j3%
20,000 00
tl500
11500
100.00
,-lol Planl Mix For Temporary l)avcrnenl
HMACI 112
o
1125.e02 Tenp pafch by Others
Projoct Manager: Craig Nickel
crarg.nick€l@lakesideinduskies.com
0.00 TON
0.00 roN
-42 00 roN 115 00
Iotal Billed To Date:
Less Relalnago:
Less Previous Applications:
Tolal Due This lnyoice:
I 15.00
100 00
0.00%
0 00%
1:.1'155
'13160 30.00
30.00
0_00
0.0c
0.u0
0.0t)
000
0.00
0.00
0,00
0.00
-4,830.00 0 00%
5 r45,649.55
7,2A2.48
82,375.a?.,-__--
$ 55,992,05_---
84th sr
000
701
Ls.
Kent Division * lO00E SE 257th Streer Covington WA 98042 i 206.343-7375
Page 1 oI l