Loading...
HomeMy WebLinkAboutCAG2023-396 - Other - G.A. Jorgensen Co., Inc. - WA State Department of L&I Affidavit of Wages Paid - 09/20/2023 Public Works Projects Awarding Agency:KENT,CITY OF/PARKS&REC Project: Parking Lot Sealcoating and Striping Project Overview Project name Contract no. Award Date Prime Contractor Name Parking Lot Sealcoating and Striping CAG2023-396 6-27-2023 G A JORGENSEN COMPANY INC Job site Project cost Bid Date Phone number Address 1:West Hill Skate Park(26oO5 42nd $15,265.37 5-25-2023 253-863-o600 Ave S,Kent WA 98032) Address 2:So.277th Corridor(274591o8th Contract Type WA UBI Number Contractor License no. Ave SE,Kent WA 98030) Small Works(Less than$35o,000) 600643283 GAJORCI132RN Description Awarding Agency Contact Federally Funded Project Contractor to furnish all materials,equipment and perform all labor necessary to sealcoat, Andy Martin,253 856 5124 No Change crack fill,stripe,and asphalt parking lots at 277th Hill Trail and West Hill Skate Park as Apprentice Utilization Required outlined in Exhibit A. No Change Notice of Completion Status OMWBE Utilization Required NOC Not Filed No Change Certificate of Release Not Released Affidavit 1243133 Close Document Received Date:9-20-2023 Intent Id:1347213 Afidavit Id:1243133 Affidavit Status:Approved on 9-20-2023 Contractor Details(Prime Contractor) Name G AJORGENSEN COMPANY INC Address 1287 THORNTON AVE SW PACIFIC,WA,98047 WA JBl no. 600643283 Contractor Registration no. GAJORCII 32RN Industrial Insurance Account Id 45631600 Email Address accounting.gajorgensenco@comcast.net Filed By Jorgensen,Sr.,Gary OMWBE Certifications as of 7-24-2023 No active certifications exist for this business. Project Information Awarding agency KENT,CITY OF/PARKS&REC 220-4TH AVE S KENT,WA-98032 Awarding agency contact Andy Martin Awarding Agency 253-856-5124 Project name Parking Lot Sealcoating and Striping County where work was performed King City where work was performed Kent Project Site Address or Directions Address 1:West Hill Skate Park(26005 42nd Ave S,Kent WA 98032)Address 2:So.277th Corridor(27459 108th Ave SE,Kent WA 98030) Project Description Contractor to furnish all materials,equipment and perform all labor necessary to sealcoat,crack fill,stripe,and asphalt parking lots at 277th Hill Trail and West Hill Skate Park as outlined in Exhibit A. rPrime contractor name G A JORGENSEN COMPANY INC Prime contractor registration no. GgiORC1132RN Contract no. CAG2023-396 Contract Type Small Works(Less than$350,000) Is apprentice utilization required? No Is OMWBE utilization required? No Prime contractor phone number 253-863-0600 Prime contractor intent id 1347213 rB,rdi'due inal contract amount $1 5,265.37 date 5-25-2023 Contract award date 6-27-2023 Intent filed date 7-24-2023 LJ,obt,start date 8-28-2023 work completed 9-1 3-2023 Project Completion Did your company hire any subcontractors? No Did your company have employees perform work on this project? Yes Did you use any apprentices on this project? No Is the prime contract at a cost of over one million dollars($1,000,000)? No Company Owner Information How many owner/operators performed work on the project that own 30%or more of the company? 1 Jorgensen Sr,Gary A Power Equipment Operators Affidavit Subcontractor(s) No subcontractors are selected for this affidavit Journey Level Wages County I Trade Occupation Wages Fringe Workers Hours King Power Equipment Operators Roller,Plant Mix Or Multi-lift Materials $78.80 $0.00 1 4.90 King Truck Drivers Dump Truck $71.61 $0.00 2 9.60 King Laborers General Laborer $56.80 $0.00 3 15.15 King Traffic Control Stripers Journey Level $51.90 $0.00 2 2.00 Apprentice Wages No apprentices have been selected for this affidavit Public Notes There are no public notes.