HomeMy WebLinkAboutCAG2022-353 - Other - Signature Roof Service LLC - Certificate to Release L&I'S Hold on Retainage - 08/25/2023 i
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
PO Box 44274 Olympia, Washington 98504-4274
August 25, 2023
KENT, CITY OF
220 -4TH AVE S
KENT WA 98032-5895
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o CERTIFICATE TO RELEASE L&I'S HOLD ON RETAINAGE
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0 The Washington State Department of Labor& Industries is granting approval to release our hold on the
o retained amount for KENT SR ROOF UPGRADE FAC 22-03, Contract #FAC 22-03, Affidavit
0 1205106 to the following contractor:
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SIGNATURE ROOF SERVICE LLC 843,277-00 604 584 835
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We have determined that all workers' compensation premiums, increases, and penalties for this contractor
have been paid in full or are readily collectible without recourse to the retained funds, per chapter 60.28
RCW.
The contractor may still be liable for payment if we later determine they owe additional premiums related
to this contract or other activities.
Before final payment can be made to the contractor,you will also need to receive releases from the
Departments of Revenue and Employment Security Department in addition to ensuring:
► All liens against retainage have been satisfied
• All Affidavit of RagesPaid forms have been filed
Thank you,
Jordan Guerra
Contract Release Specialist
360-902-6752
HOGO235@LNI.WA.GOV
cc: SIGNATURE ROOF SERVICE LLC
27614 132ND AVE SE
KENT WA 98042-9039
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State of Washington
DEPARTMENT OF LABOR AND INDUSTRIES
PO Box 44274
Olympia WA 98504-4274
KENT, CITY OF
220-4TH AVE S
KENT WA 98032-5895
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