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HomeMy WebLinkAboutCAG2022-390 - Other - Evergreen Asphalt & Concrete Construction, Inc. - L&I Affidavit of Wages Paid - 10/13/2022 Public Works Projects Awarding Agency: KENT,CITY OF/PARKS&REC Project: PSE Trail Improvements Project Overview Project name Contract no. Award Date Prime Contractor Name PSE Trail Improvements cag2022-390 9-30-2022 EVERGREEN ASPHALT&CNCRT INC Job site Project cost Bid Date Phone number $52,985.63 8-26-2022 253-639-3779 Description Contract Type WA UBI Number Contractor License no. Remove and replace asphalt sections of the pse Small Works(Less than$350,000) 602244570 EVERGAC974K2 trail Awarding Agency Contact Federally Funded Project Notice of Completion Status Ben Levenhagen,253-856-5133 No Change Released Apprentice Utilization Required Certificate of Release No Change View Certificate OMWBE Utilization Required No Change Affidavit 1151314 dose Document Received Date:10-13-2022 Intent Id:1271699 Afidavit Id:1151314 Affidavit Status:Approved on 10-13-2022 Contractor Details(Prime Contractor) Name EVERGREEN ASPHALT&CNCRT INC Address P O BOX 867 �RAVENSDALE,WA,98051 WA UBI no. 602244570 Contractor Registration no. EVERGAC974K2 Industrial Insurance Account Id 14227600 Email Address evergreen.shane@comcast.net Filed By Gilbertson,Shane OMWBE Certifications as of 10-4-2022 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 Ben Levenhagen Awarding Agency 253-856-5133 ve [Project name PSE Trail Improvements County where work was performed King City where work was performed Kent [Project Site Address or Directions Project Description Remove and replace asphalt sections of the pse trail Prime contractor name EVERGREEN ASPHALT&CNCRT INC Prime contractor registration no. EVERGAC9741<2 Contract no. cag2022-390 Contract Type Small Works(Less than$350,000) LI s apprentice utilization required? No Is OMWBE utilization required? No Prime contractor phone number 253-639-3779 Prime contractor intent id 1271699 Original contract amount $52,985.63 i Bid due date 8-26-2022 Contract award date 9-30-2022 Intent filed date 10-4-2022 Fjob start date 10-3-2022 [Date work completed — 10-3-2022 Project Completion FLid 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 LCompany Owner Information How many owner/operators performed work on the project that own 30%or more of the company? 1 Gilbertson,Shane Laborers Affidavit Subcontractor(s) No subcontractors are selected for this affidavit Journey Level Wages County Trade Occupation Wages Fringe Workers Hours King Laborers Raker-Asphalt $57.31 $0.00 10 61.50 Apprentice Wages No apprentices have been selected for this affidavit Public Notes There are no public notes. Help us improve w Access as mg on ore��ai s�aze ewe�m�mr wee:ire ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve