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HomeMy WebLinkAboutCAG2022-341 - Change Order - #10 - SCI Infrastructure, LLC - 76th Avenue South: North Segment - 11/15/2023 Agreement Routing Form For Approvals,Signatures and Records Management KEN T This form combines&repiaces the Request for ME.. :�d Contract Cove!5hev brrns, w,a r I H a*a tPflnt on pink or cherry colored papery Originator; Depart•nent: C. Frame PW Engineering Date Sent: Date Required: 11/16/2023 NIA o - CL Author.zed to Sign: Date of Council Approval: Q 0 n,rer-tor or Designee 0 Mayor 0$fQ2f2022 Budget Account Number: Gr3-,t? Cl yes 0 No R90125.84110.120 5udget? ©Yes 0 No ry-,,, Federal Vendor Name: Category: SCI Infrastructure, LLC. Contract Vendor Number: Sub-Category 0 170264 Change Order #10 0 �'roject Name: 76th Avenue South - North Segment E sr Project Details:Creates a bid item to provide compensation for adjusting 2 Sewer MH structures to grade and reduces the C bid quantity for bid item 1225:Adjusting existing MH cover to finish grade by 2 each.Work tracked en FA ++ sheet C 01 E Agreement Amount:$9,31 M9 3as s for Selection of Contractor: Bid 0) E Start Date: N/A Termination Date: 106 Working Days Cn Local Business? C]Yes E3 No' 'If meets requirements per KCC 170.100,please complete'Vendor Purchase-local Exceptions'`orm on 0t'yspace. Notice required prior to disclosure? Contract Number: ©"es Il No CAG2022-341 Date Received by City Attorney: Comments: C a.+ 7 Q: a C Date Routed to the Mayor's Office: N/A V1 Date Routed to the City Clerk's Office: 11116123 Visit Docurnents.KentWA.gov to obtain copses of all agreements r KENT was�,,.�TOH CHANGE ORDER NO. #10 NAME OF CONTRACTOR: SCI Infrastructure, LLC ("Contractor") CONTRACT NAME & PROJECT NUMBER: 76�h Avenue South - North Segment ORIGINAL CONTRACT DATE: August 23 2022 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: This change order creates a bid item to provide compensation for adjusting 2 Sewer MH structures to grade and reduces the bid quantity for bid item 1225 adjusting existing MH cover to finish grade by 2 each. Work tracked on FA sheet 15, 19 and 21. 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, $4,165,504.10 (including applicable alternates and WSST) Net Change by Previous Change Orders $119,234.64 (incl. applicable WSST) Current Contract Amount $4,284,738.74 (incl. Previous Change Orders) Current Change Order $9,310.99 Applicable WSST Tax on this Change $0.00 Order Revised Contract Sum $4,294,049.73 CHANGE ORDER — 1 OF 3 Original Time for Completion 71; working days (insert dare) Revised Time for Completion under 21) working days prior Change Orders (insert date) Days Required (±) For this Change Order 02 working days Revised Time for Completion 106 working days (insert date) In accordance with Sections 1-04.4 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. CONTRACTOR: CITY OF (CENT: SCl INFRASTRUCTURE, LLC fiJ r (� 1 r n pi,11ly si ried by Cho Di@tnm C By: _ By. Chad BleF el l D.W 2023.11 15161a50-08'00' (signature) (signature) Print Name: «e-i CA,t- Print Name: Chad Bieren, P.E.Its _ _^. '; Its Public Works Director (vile) (title) DATE: DATE: KPEC CHANGE ORDER - 2 OF 3 ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) `&&J" on behalf of Kent City Clerk Kent Law Department C[[n thls field,you may enter the electronic fllepalh where the contract hag been saved] CHANGE ORDER - 3 OF 3 File No. 200.2 KENT CHANGE ORDER WORKSHEET NO. 10 Construction Engineering Division - Public Works Project: 76th Avenue South - North Segment Project No: 21-3012 Project Engineer: Mark Madfai Fed-Aid No: STPUL-1075(004) Capital Projects Cameron Bloomer (KBA, Inc.) Contractor: SCI Infrastructure Manager: -- - Date: 8/22/2023 I. Proposed Change This change order creates a bid item to provide compensation for adjusting 2 Sewer MH structures to grade. This change also reduces the bid quantity for BI 1225 Adjust Existing MH Cover to Finish Grade by 2 each. Work tracked on Force Account sheets 15, 19 & 21. II. Reason and Background for Change Two existing sewer manholes, at STA 31+75 LT and 33+80 LT are called out to be adjusted to grade. When excavating for adjustment, the crew found older style MH structures that were not compatible with the currently available sections as the ring lips are opposite and of different diameter. Additional work including excavation, installing rebar and pouring concrete collars was determined necessary to join the existing sections with new adjustment barrel sections and new lids as the existing lids dont fit with the new barrel sections. A vactor truck was utilized to excavate for the structure near 33+80, due to telecommunication lines including a privately owned line. Time and materials were tracked in the field to determine basis for payment. This change also reduces the quantity of BI 1225 by 2 each as the adjustment was done on FA. III. Method of Payment NEW PAY ITEMS ❑Not applicable Sch. Item Description Total Est. Unit Unit Price Total Estimated Cost of No t Item I Adjust Existing Sewer MHs to Finish 1 LS $10,610.99 $ 10,610.99 Grade $ ` New Pay Items Total: $ 10,610.99 DELETE EXISTING PAY ITEMS) per 1-09.5 ❑� Notapplicahle Sch Bid Item No. Item Description Qty Unit Unit Price Cost of Item No. Page 1 $ Delete Existing Pay Items Total: $ - INCREASE/DECREASE TO EXISTING PAY ITEM(S) ❑Not applicable Soh No. Bid Item No. Item Description Qty Unit Unit Price Cost of Item Adjust Existing Manhole ! 1225 Cover to Finish Grade -2 EA $650.00 $ (1,300.00) $ Increase / Decrease to Existing Pay Items Total: $ (1,300.00) *TOTAL ESTIMATED COST OF CHANGE ORDER: $9,310.99 * Total of the Cost of Item Columns IV. WORKING DAYS Original Contract: 75 Due This Change Order: 2 Previous Total: 104 Explanation/Justification for Additional Working Days: Adjusting MH sections to grade is a critical path item. Each MH adjustment took approximatly 1 crew day each. 2 working days are being added to the contract. *TOTAL WORKING DAYS: 106 * This Change Order + Previous Total Capital Projects Manager: amoq/t 66l?"w Date: 11/2/2023 Cameron Bloomer (KBA, Inc) Construction Engineering Date: Supervisor: � 'r�° 4„�� '''� 11/3/23 for Jason Barry Construction Manager: ;,;< ,,�,. Date: 11/3/23 Eric Connor Page 2 DAILY REPORT OF FORCE ACCOUNT WORKED � w WWCONTRACTOR SC Infrastructure DATE 3/712023 SUBCONTRACTOR PAY EST# Project No.:21-3012 ITEM k 1 385 Federal Ald No.:STPUL 1075(1304.) FA t DESCRIPTION OF WORK Use Vac Truck to expose existing sewer MH that need to be brought up to PERFORMED:grade, Contractor 31091 FAN LABOR WORKER'S NAME WORKER'S OCCUPATION REG HRS REG RATE OT HRS OT BATE AMOUNT Ken Brumley Foreman 4.00 $ 93.24 $ 125.77 $372.96 $ $ SO.00 $ WOO $ s SO.00 LABOR SUBTOTAL $372.96 29%OVERHEAD AND PROFIT,BOND I MG.INS URANCE AND TAX S106.16 Per WSDOT Spec 1-09.6,add an additional 2%for Contractor Sick Leave $7.48 TOTAL LABOR $486.68 EQUIPMENT EQUIPMENT TYPE EQUIPMENT SIZE REG HRS REG RATE STDBY HRS STOBY RATE AMOUNT 335.148 GMC 1500 PfU flan 2023) 0 4 $ 27-99 $ - $111-86 $ $ $0.c0 S $ $0.00 EQUIPMENT SUBTOTAL $111.96 21%OVERHEAD AND PROFIT,BONDING,INSURANCE AND TAX $23.51 TOTAL EQUIPMENT $13E,47 MATERIALS andfor SERVICES VENDOR&INVOICE 9 MATERIAL SUS TOTAL TAX AMOUNT so.00 $O.W so.vv $O.Do $0.00 sO.O6 MATERIALS SUBTOTAL INCLUDING TAX WOO 21%OVERHEAD AND PROFIT,BONDING,INSURANCEAND TAY $0.00 TOTAL MATERIALS 50.00 SUBCONTRACTOR INVOICED WORK VENDOR&INVOICE 0 WORK DESCRIPTION AMOLNT Pro-Vac 11522216400 $3,452.29 $0.00 SUBCONTRACTOR IN SUBTOTAL S3,452.29 Tax tln Matensl of applicaNe} WOO TOTAL SUBCONTRACTOR INV WORK $3,462.22 AMOUNT PRIME Subtotal of Labor,Equipment,&Material Work $624.05 SUBCONTRACTOR Subtotal of Labor,Equipment,Material,A Subcontraclorinvofced Work $3,452.29 Markups an work performed by Subcontractor up to$25,000=72%,$25,000-$t DO,ODD=10%Grealer than$100,000=71k 12% Subcontractor Mark-up $414 27 TOTAL COST $4,490.61 El Itchecked,this work Is in dispute.By signing this form,parties are agreeing to the time and effort needed to axompiish the task. Entitlement to be determined at a later date, Owner's Representative Contractor's Representative Form Date 712020 'SCI Infrastructure, L L C Daily Cast Record NMI Project: 76th Ave S-N Segment Job#2210 Dale-- 03107123 Description: Vac-truck was used to vac around existing sewer manhoIs that noods to be brought up to new rq axles and exrsling 36"CMP where we ahandnnad Iha 7--12" CMP going inln it - - HOURS DETAIL COST RECORD CODE S.T. O.T. O.T.I Total RATE EXTENSION Kyle Kayser OP 0 89.44 0.00 Kyle Kayser OP OT 0 119.80 0.00 Shane Elmendorf PL 0 67.81 0.00 Shane Elmendorf PL OT 0 92.70 0.00 Ryan Boersma OP 0 1 B9.44 0.00 Ryan Boersma OP OT 0 119.80 0.00 Jon Daniels OF 0 93.52 0.00 Jon Daniels OF OT 0 125.88 0.00 Raul Martinez IA 0 66.60 0.00 Raul Martinez IA OT 0 9D.89 0.00 Ken Brumley OF 4 4 93.52 S74.08 a Ken Brumley OF OT 0 125.88 0.00 D Rob Braun TM 0 84.72 0.00 m Rob Braun TM OT 1 0 112.28 0.00 Kai Simao IA 0 66.60 0.00 Kai Simao LA OT 0 9D.89 0.00 Sub-Total 374.08 Travel Time 0.00 Labor Markup 115.96 Total Labor Costs 490.04 N 20D-159 240 Excavator 0 159.00 0.00 a 110-152/153 320 Loader 0 87.14 0.00 0 200-156 320 Excavator 0 151.50 0.00 0 Dump Truck&Trailer 0 109A3 0.00 8x20 Box day 0 297.32 0.00 25 KW Generator 0 15.24 0.00 336-147 Pickup 4 4 28.01 M.04 Pipe Truck 325-202 325-111 1 01 51.94 0.00 Sr Submersible Pump 01 11.75 0.00 z 310-047 Water Truck 1 01 33.66 0.00 uw 330.080 Service/Mechanic Truck 1 01 31.86 0.00 Z- Pickup Truck 335-141 01 36.67 0.00 a- 202-112 Yanmar Mini-Excavator 0 60.99 0.06 - 8x10 Sleel Sheets day 0 39.91 0.00 D Sub-Total 112.04 (3 Equipment Markup 23.53 w Total Equipment&Tools Costs $135.57 Pro-Vac#118222164 1 11 3,452.29 3,452.29 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 co 0 0.00 a 0 0.00 ui 0.00 0.00 T 0 0.00 Sub-Total 3 452.29. O Sale Tax if a icable 0.00 Markup 414.27 Other Costs 3 8 6.56 Contractor's Representative Sub-Total 4,492,18 Sales Tax on Rented Equipment. Sub-Total 4,492.18 Subcontractor's Representative Ins&B&❑ Owner's Representative No, Sheet 1 of 1 TOTAL 4 492.18 �� i pro Vac Project 118222164 1 RVM-1i&IS=--� —m-VM—�Ik h\1 vffiv PO Box 24351 Invalce Date /2023 ` Seattle,WA 98124 Completed Date 3 8/2023 253-435-4328 Customer Po Billing Address Job Address SCllnfrastructure SCllnfrastructure#2210 2825 South 154th Street 2160176th Avenue South SeaTac,WA 98188 USA Kent,WA 98032 USA Description of Work ET tQ Hydro-excavate 3/7-3/8 Task Description Quantity Your Price Your Total PWOL 3/7#173 32 3 PW-operator&taborer 7.00 5293.OD $2.051.00 #403 3/7#173323 Fuel Surcharge 2051.00 #0.09 $184.59 #4DD 3/70173373Disposa1 1.00 $45U.00 $VOO,00 PWOL 3/8#173752 PW-Operator&Laborer 6.00 $293.00 $1,758,00 #403 3/8#173752 Fuel Surcharge 1758,00 $0.09 $158.22 #400 3/8#173752 Disposal 1.00 $450.00 $450,00 ' Suh-Total $5,50i.81 Tax $555.68 Total Due $6,057.49 15 r1 L . L- 9 Balance Due $6,057.49 Thank you for choosing Pro-Vac I hereby confirm that the work performed by Pro-Vac was of quality and in a timely manner. I have inspected all the work performed by Pro-Vac and understand that I have been given the opportunity to address any concerns regarding the work performed.I have found no such concerns,or these concerns were addressed by the Pro-Vac operator to my satisfaction.My signature signifies my full acceptance of all work performed. DAMLY REPORT OF FORCE ACCOUNT WORKED s � CONTRACTOR SCI Infrastructure RATE 3/912023 SUBCONTRACTOR PAY EST# Project No.:21-3012 ITEM# 1385 Fedarai Ald No.:STPUL 1075IC041 FA# 21 DESCRIPTION OF WORK PERFORMED:Raising e><Isting sewer MH Ib north weal driveway at 33+00 LT CaMracior FA# 31093 LABOR WORKER'S NAME WORKER'S OCCUPATION REG HRS REG BATE 1 OT HRS OT RATE AMOUNT Gary Oliversor(2023) Carpenter Supervisor 4 00 S 67.35 5 5259.4E Alex Rivera(2023) Laborer 4.00 $ 66.6O S 90 89 $266 40 Kai Simao(2023) Laborer 4.00 $ 66.60 S 9069 $266.40 Raul Ma6nez'2023) Laborer 4.00 S 66.60 5 9069 $266.4p Ryan Boersma(2023) Operator 0.50 $ 89.44 $ 119.8E 544.72 LAQQR$UEtTOTAI 51 113.32 29%OVERHEAD AHD PROFIT,9 ONO ING,INSURANCE AND TAX $322 86 Per WSDOT Spec 1-159.6,add an additional 2%for Contractor Sick Leave 522.27 TOTAL LABOR 51,460,46 EQUIPMENT EDJIPMENT TYPE EQUIPMENT SIZE REG HRS REG RATE STDBY HRS STDBY RATE AMOUNT 335-141 Dodge 2500 PIU(Jan 2023) 0 4 $ 36.67 $ 4.67 $146.68 200-158 320 Excavator(Jan 2023) CAT 320E LRR 20T2 0.5 $ 151,5E Is S75 75 $ is - $0.00 EQUIPMENT SUBTOTAL $222.43 21%OVERHEAD AND PROFIT,BONDING_INSURANCE AND TAX $46.71 TOTAL EQUIPMENT $269.14 M ATER IALS a ndlor SERVICES VENDOR&INVOICE 9 MATERIAL SUB TOTAL TAX AMOUNT Shope-100257109 MH Cone $271.20 $27.39 $298.59 Shape-1O026625 48"MH SeChon $220.46 $23.05 $251.55 Corps-310132.33 4000 ConcrMa 4CY M 136.99 $555.96 $56.15 $612.11 Addison Supply Ref Inv 403376 4 hoops+8'pieces(Half of invoice) $113.75 $11.49 $125.24 $0.00 $0.00 MATERIALS SUBTOTAL INCLUDING TAX $1,287.50 21%OVERHEAD AND PROFIT,BONDING.INSURANCE AND TAX $270.38 TOTAL MATERIALS $1,567.6B SUBCONTRACTOR INVOICED WORK VENDOR&INVOICE# WORK DESCRIPTION AMOUNT $0 00 $0.00 SUBCONTRACTOR INV SUBTOTAL $0,0D Tax an Matenal iif applicable) $0.00 TOTAL SUBCONTRACTOR INV WORK $0.00 AMOUNT PRIME Subtotal of Labor,Equipment,&Material Work $3,285.47 SUBCONTRACTOR Subtotal of Labor,Equipment,Material,E Subcontractor Invoiced Work $0.00 Markups on work performed by Subcontractor:up to S25,D00=12%,$25.OW-$100.000=ID%Greater than$100,000=7% 0% Subcontractor Mark-up SO.00 TOTAL COST $3,285.47 EIf shacked,this work is in dispute,Ry sl9ning this form,parties are agreeing to the tlme and effort needed to accdmp ish the task, Entitlement to be determined at a later date. Owner's Relxesenlefive Contractor's Represenfulive Form Dale 712020 'SCI Infrastructure, L L.C Daily Cost record 031093 Project: 76th Ave S-N segment Job#2210 Date: 03/09/23 Desui tiow Extra work order raising existing sower manhole in northwest driveway. HOURS DETAIL COST RECORD CODE S.T. O.T. D.T. Total RATE EXTENSION Gary❑livemon salaried CAF 4 4 67.35 269.40 Gary 011verson CAFOT 0 101.03 0.00 Shane Eimendo f PL 0 67.81 0.00 Shane Elmendo f 1PL OT 0 92.70 0.00 Ryan 8oersma OP 0.5 0-5 89.44 44.72 Ryan 8oersma OP OT 0 119.80 0.00 Jon Daniels OF 0 93.52 0-OD Jon Daniels OF OT 0 125.88 0.00 Alex Rivera LA 4 4 66.60 2.66,40 Alex Rivera LA OT 0 90.891 0.00 Ken Brumley OF 0 93.52 O.00 * Ken Bruniley OF OT 0 125.88 0-00 O Kai Simao LA 4 4 66.60 266.40 m Kai Simao LA OT 1 0 90.89 D.00 Raul Marinez LA 4 4 66.60 266.40 � Raul Marinez LA OT 0 90.89 0.00 Sub-Total 1,113,32 Travel Time 0.00 Labor Markup 345.13 Total Labor Costs $1.458A5 rn 200-159 240 Excavator 01 159.00 0.00 110-1521153 320 Loader 1 01 87.14 0.00 0 200-156 320 Excavator 4 1 41 151.50 606.00 0 Dump Truck&Trailer 0 109.43 0.00 r 8xW0 Sax day 0 297.32 0.00 25 KW Generator 0 15.24 0.00 335-147 Picku 0 28-01 0.00 Pipe Truck 325-202 325-111 0 51.94 0.00 u- 3"Submersible Pump 0 11.75 0.00 z 310.047 Water Truck 01 33.66 0.00 ru 330-080 ServicelMechanic Truck 0 31.86 0.00 :-5 Pickup Truck 335-141 147 0.5 0.5 36.67 18.34 a_ 202-112 Yanmar Mini-Excavator 0 60.99 0.00 - Sx10 Steel Sheets day 0 39.91 OM z) sub-Total 624.34 a Equipment Markup 131.11 u, Total Equipment&Tools Casts $755,45 0 0.00 01 0.00 48"-3-ft Section ea 1 11 271.20 271.20 48"-1-ft Section ea 1 1 228.48 228.48 Concrete CY 4 4 138.99 555.96 Rebaf If 50 50 0.97 48.50 co 0 0.00 tx 0 0.00 w 0.00 0.00 T o 0.00 1- Sub-Total 1104,14 O Sale Tax if applicable) 0.00 Markup 0.00 Other Costs 1 104.14 Contractor's Representative Sub-Total 3,318,03 Sales`fax on Rented Equipment Sub-Total 3,318.03 Subcontractor's Representative Ins&8&O Owner's Representative No. Sheet 1 of 1 TOTAL 3 318.03 Daily cost Record 2021 SOUTH 1541h ST • SEATTLE,WA901aa • (206)242-0633 • FAX:(206)242.0702 31093 Project 76 ���S Job#2 Z/4 Cate )Afealharc.;,rst,,[ o Description(must be template) ;1_1P �s •� por DETAIL COST RECORD CODE HOURS RATE EXTENSION S.T. O.T. D.T. TOTAL 4 �r�r v � �.6aYz' a Sub-Total Labor Taxes&Fringe Beneflis Travel Time Labor Markup Total Labor Costs J jr-I � s 0 i- z w Sub-Total W Equipment Markup Total Equipment Costs Jra r _ Q LU F Sub-Total Sales Tax(if appiicable) _ Material Markup Total Material costs lu 7 - - l— _ Total Other Costs Sub-Total Bond Insurance Taxes _ Miscellaneous Costs Contractor's Representative Sub-Total Overhead bcontr to Representative � Q er's Represenlative Sub-Total Sales Tax f No. Sheet 1 TOTAL Shy a Shope Concrete LLC Cancralo Praducis 1618 E Main INVOICE 10025799 Puyallup,WA 98372 Invoice Rate: 3/7/2023 Phone: (253)848-1551 Fax: (253)845-0292 022423 Sold to: 1600 Job Number: 36311 SCi INFRASTRUCTURE Ship to: 76TH AVENUE SOUTH 2821 S 154TH ST 21411 76TH AVE S-PLEASE CALL KEN BEFORE YOU TURN DOWN 76TH 50 HE CAN DIRECT YOU IN SITE. SEATAC, 981 B8 KENT,WA 98032 _ SHIP PATE---- SHIP VIA F.O.B. _ TERM6 PAGE 317/2023 Will Call J%iOTH,N1ii TH i - - -�— - -- - - "• - - _ CE CUBTQhIMER P.�p -- �� LOAD _ SALES REP L'7(EMi'T# R�FERE�t DerekR A16 9428 21 ` _ 10025799 - Qty Item -- _—— Description -- Unit Price TX Extension Structure: .048"COME 1 MH463EC 48"X 3'MH ECCENTRIC CONE S271.2a ❑ $271,20 Structure Total $271,20 Taxable $0.00 Non-Taxable. $271.20 Sub Total $271,20 Tax $0,00 -- Invalee Total $271.20 Leas Deposh MOO Invoice Balance $271.20 Page 1 shppe Sh jpeila oncrote LLCoz5Gz5 concuds E Main INVOICE '1 0 Puyallup,WA 98372 Invoice Bate: 2124)2023 Phone: (253)848.1551 Fax:(253)845-0292 Sold to. 1600 Job Number: 36311 SCI INFRASTRUCTURE Ship to: 76TH AVENUE SOUTH 2821 S 154TH ST 21411 76TH AVE S-PLEASE CALL KEN BEFORE YOU TURN DOWN 76TH SO HE CAN DIRECT YOU IN SITE. SEATAC, 98188 -CENT,WA 98032 SlilP b'ATt - - SHIP,VIA I=.p.e. - ^.I. ----TERMS -- ' f 2/24/2023 ' - - - MATT ` 1%10TH.NI11 TH - Ct13. tti1�R pQl�_ LOAD SALES REP ' 1_.. EXEMPT REFERENCE' _- - r -- ` - - - -• -� - DcrekR ` Al$4:?8 21 - - -10025625 City -Item- Descrlplfon _ -` - _- Unit Price TX Extension Structure: AD048INCH 96 2 MH481SWS 48"X 1'MH SECTION-STEP $22$,48 ❑ $4$0. $0.00 El $0.00 2 MG48 48"MANHOLE GASKET 48,88 1 MH48FTRO 48"MH FLAT-TOP $0 $0 OP 24"ROUND OFFSET $2 .88 El $2 1 LAHHO POLY STEP HAND HOLD P44850 $0.00 ❑ ,00 Structure Total $705.84 Structure: ADDED TYPE 2 1 MH482B 48"X 2'MH BASE $300.56 ❑ $300.56 1 MH482SWS 48"X 2'MH SECTION-STEPS $300.56 ❑ $466.48 1 MH484SLKOY336 48"X 4'MH SECTION W13-36"LOW Y KO'S $$66.48 ❑ $$60.93 1 CB1AR2 TYPE 1 2"ADJUSTMENT RISER $60.93 ❑ $50.93 1 CB1AR4 TYPE 1 4"ADJUSTMENT RISER $69.69 ❑ $69.69 1 CB1AR4 TYPE 1 4"ADJUSTMENT RISER $69A9 ❑ $69.69 i MH48FTSO 48"MH FLATTOP 20"X 24"SQUARE OFFSET $248.68 ❑ $248.88 i LA5SPL 5 STEP POLY LADDER $175.00 L_J $175.00 1 LAHH POLY STEP HAND HOLD $15.50 ❑ $15.50 4 MG48 48"MANHOLE GASKET $0.00 ❑ $0.00 1 LAHHO POLY STEP HAND HOLD P-14850 $0.00 ❑ $0.00 1 DELIVERY DELIVERY CI IARCE $164.00 ❑ $180.00 Structure Total $2 Qp9.68 Taxable $0.00 Non-Taxable $2,T15.53 Sup Total $2,715.53 - Tax - ..! $0.00 �a'k?'fk°l +i.'•3_ Tf," i a- Invoice Total $2,715.53 Less Deposit $0.00 Invoice Balance $2,715.53 I'4116vi ll VE GL ACCOUMT Page 1 SINCE 1892. InvoiceIce Number: 3`1013233 Invoice Invoice Date: 0310912023 Page: i CORLISS Terms o1 Sale: Not 30 RESOURCESCustomer Number: 10141886 i Customer.tab: Corliss Resources LLC = IIIIIIIIIII� Tax code: 13 TO ENSURE PROPER CREOIr OLEASEINCLUDE THE INVOICE NUMBER WITH FOUR PAYMENT Itt� SCI INFRASTRUCTURE LLC REMIr TO. C 15620 Collection Center Drive 2821 SO 154TH ST Chicago,1L 60693-0156 ' SEATAC WA 96108 Tax to# 41-2061261 li Delivery Address Lotl8fook Purohase Order Customer Job# Order# Project At 21216 76TH AVE S KENT PW-YES PW-YES 50 4261 Ticket Product Date Ticket Plant Numbpr Product Description Quantity UOM Unit Price Extension 03.09.23 C4000A COMMERCIAL CLASS 4000 W/AIR 21.50 cy $130,20 $2,799,30 03-09-23 11000330 READYMIX ENVIRONMENTAL CHARG 21.50 ea $6.00 $129.00 03.09.23 11000325 REDIMIX FUEL SURCHARGE 2.00 ea $30.00 $60.00 "'TICKET(S)FROM PLANT SUMNER 10012237 "'TICKET(S)FROM PLANT FEDERAL WAY 20011646 Subtotal- $2,980,30 Total Oty: Total Tax: TAX• $0.00 21,60 $0.00 Quesgtivns?Please coil Customer Cara at 888.896.3538 Invoice Total: $2,988.30 This invoice is subject to We terms$01 farlh in the Credit Application and/or General Terms and Conditions of Sale,as well as any adWienal terms and conditions conlained in the OtiOtalan or Order Acknowl edge rnenl.Any additional or diflerant terms proposed by Buyer are hereby deemed to be a material alteration and are hereby objecled to.Ali Items returned are subject to cartage and handitng charges.Accounts are due and payabie by Ilie above stated terms.Past due accounts are subject to sar0m charges as outlined in the Credit Application and/or General Terms and COndittans of Safe. Addison Construction Supply Invoice P.O. Box 9066 Tacoma,WA 98490 Ap©t3®[1� Customer No.: 4341 (253)474-07-11 Invoice No.: 403376 Bill To: SCI INFRASTRUCTURE, LLC Ship To: SCI INFRASTRUCTURE, LLC 2821 S 1647FI ST 2821 S 154TH ST SEATAC,WA 98188 SEATAC,WA 98188 Date _ 5hj Vim F a.8. i 01116/2023 w_Ogln �_�.--- � Net Oth v Purchase�EA mber Drd r Date Sales Persons Our Order Number 7fiTH AVNH 01I1612023 "-- -_T RAN 205447 _ anti ' -- �tY��-_�..__E Item Number ❑escd lion i 4 Re aired 5hi ed B.C. 7 p I NI PP rice I Amount 207 207 R4 REBAR#4 60 GRADE 1,0990 227.49 .668LBS,IFT.#13MM 8@20-0 112 CIRCLE 1 1 0- 1 V4, R-5'9&H-6'8 112 Wil 0.01 224#4 8"LONG Invoice subtotal 227.50 Invoice total 227.60 20% RESTOCK FEE. SALES UNDER W &SPECIAL ORDERS ARE FINAL. Cz 'mans .Doi 1511� —N-7 aag SO(A A � Thank You DAILY REPORT OF FORCE ACCOUNT WORKED CONTRACTOR JSCI Infrastructure DATE 2/2712023 SUBCONTRACTOR PAY EST# Project No—21-3012 1 385 ITEM# Federal Ald No.,.STPUL 1075(004) FA# 15 DESCRIPTION OF WORK Raise existing$$war MH to new Finish Grade at 31+75 LT PERFORMED; Contractor 31087 FA# LABOR WORKER'S NAME WORKER'S OCCUPATION REG HRS REG RATE OT HRS OT RATE AMOUNT Gary Oliverson(2023) Carpenter Supervisor 4,00 $ 67.35 S - 5269-40 Ken Bowman(2023) Carpenter 4.00 $ 80A3 $ 108.01 S320,52 Alex Rivera(2023) Laborer 4.00 S 66.60 $ 90.59 $266.40 John Daniels(2023) Operator Foreman 1.50 $ 93.52 $ 125.88 $140.28 Raul Martinez(2023) Laborer 4.00 $ 66.60 $ 90-89 $266.40 LABOR SUBTOTAL 51,263-00 29%OVERHEAD AND PROFIT,BONDING.INSURANCE AND TAX $366.27 Per WSDOT Spec 1-09.6,add an addltlanal2%for Contractor Sick Leave $25.26 TOTAL LABOR $1,654.63 EQUIPMENT EQUIPMENT TYPE EQUIPMENT SIZE REG HRS REG RATE STDBY HRS 5TDBY RATE AMOUNT 202-112Excavator(Jan 2023) YanmarVO552011 1-5 $ 50.901 $ 19-69 $91-49 335-141 Dodge 2500 PIU(Jan 2023) 0 4 S 36-67 $ 4-67 $146.68 5 5 - $0,00 EQUIPMENT SUBTOTAL $238-17 2 1%OVERHEAD ANO PROFIT,BONDING,INSURANCE AND TAX $50.02 TOTAL EQUIPMENT1 $288.19 MATERIALS andlor SERVICES VENDOR&INVOICE# MATERIAL SUB TOTAL TAX AMOUNT Cadiss-31013233 Concrete 4000(4 CY)Q 5138.99 1 CY $565.96 S56,15 $612-11 Addison Supply Ref Inv 403376 4 hoops+8'pieces(Half of invoice) $113-75 $11.49 5125.24 $0.00 $0.00 MATERIALS SUBTOTAL INCLUDING TAX $737.35 2 1%OVERHEAD AND PROFIT,BONDING,INSURANCE AND TAX $154,84 TOTAL MATERIALS $892.19 SUBCONTRACTOR INVOICED WORK VENDOR&INVOICE# WORK DESCRIPTION AMOUNT $0-OU $0-00 SUBCONTRACTOR INV SUBTOTAL $0.00 Tax on Material(if applicable) $0,00 TOTAL SUBCONTRACTOR INV WORK $0,00 AMOUNT PRIME Subtotal of Labor,Equipment,&Material Work $2.834.91 SUBCONTRACTOR Subtotal of Labor,Equipment Material,8 Subcontractor Invoiced Work $0.00 Markups on work performed by Subcontractor:up to$25,000=12%,525.0004100,000=10%Greater than$100,000=7% 0% Subcontractor Mark-up SO.LH] TOTAL COST $2,834.91 If checked,this work is in dispute.By signing this farm,parties are agreeing to the time and effort needed to accompl!sh She task. Enilliement to be determined at a later date. Owner's Representa rive Contractor's Represenrafive Form Date 712020 I CI Infrastructure, L L C Daily Cast Record 031087 Project: 76th Ave S-N Segment Job#2210 Date: 02/27/23 Description: Extra work order was necessa Io raise exisling sower manhole to new finish grade- HOURS DETAIL COST RECORD CODE S.T. O.T. D.T. Total RATE EXTENSION Mfy Oliverson salaried CA F 4 4 67.35 269.40 Gary Oliverson CAFOT 0 101.03 0.00 Ken Bowman CA 4 4 80.13 320.52 Ken Bowman CA OT 0 108.01 0.00 Jason Lyons OP 0 89.44 0.00 Jason Lyons OP OT I 1 0 1 119.80 0.00 Ken Brumley OF 0 93.52 0.00 Ken BrumleV OF OT 0 125.88 0.00 Alex Rivera lA 4 4 66.60 266.40 Alex Rivera LA OT 0 90.89 0.00 John Daniels OF 1.5 1 1.5 93.52 140.28 a John Daniels OF CT 0 125.88 0.00 Q Andrew Pace OP 0 89.44 0.00 m Andrew Pace OP OT 0 t 19.80 0.00 Raul Martinez LA 4 4 66.60 266.40 Raul Martinez LA OT 0 90.89 0.00 Sub-Total 1,263.00 Travel Time 0.00 Labor Markup 391.53 Total Labor Costs 1,654,53 (n 200-159 240 Excavator 01 159.00 0.00 110-152 320 Loader 0 87.14 0.00 O 200-156 320 Excavator 0 151.50 0.00 O Dump Truck&Trailer 0 109.43 0.00 I- 8x20 Box day 0 297.32 0.00 25 KW Generator Q 15.24 0.00 335-147 Pickup 4 4 28.01 112.04 Pi a Truck 3 25-202 325-111 1 01 51.94 0.00 i- 3"Submersible Pump 0 11.75 0.00 z 310-047 Water-ruck 0 33.66 O,OD uJ 330.080 Service/Mechanic Truck 1 0 31.86 0.00 2 Pickup Truck 335-141 0 36.67 0.00 n. 202-112 Yanmar Mini-Excavator 1.5 1.5 60.99 91.49 Z) Sub-Total 203.53 U JEquipment Markup 42.74 w Total E ui ment&Tools Costs 246.27 Corliss Concrete#31013233 1 I 2 988.3p 2 988.30 rn Mason's SuppI #5180822.00 1 11 269.78 269.78 01 0.00 ur 0 0.00 z Sub-Total 3,258,08 O iSale Tax if a linable 0.00 Markup 684.20 [Other Costs 3 942.28 Contractor's Representative Sub-Total 5,843.07 Sales Tax on Rented Equipment Sub-Total 5,843.07 Subcontractor's Representative Ins&B&O Owner's Re resentalive No. Sheet 1 of i ITOTAL 5 843.07 Daily cost Record 2821 SOUTH 154th ST-SSEATTLE,WA98188 - (206)242.0633 FAX:(206)242-0792 1 y 31087 Project 6 c��IfL�� .fob# a Date -� •-zJ Weather Description[must be HOURS RATE EXTENSION DETAIL COST RECORD CODE S.T. O.T. D.T. TOTAL oe !f 0 Sub-Total Labor Taxes&Fringe Benefits Travel Time Labor Markup Total Labor Costs If 18 - F- _ w A. a Sub-Total w Equipment Markup Total Equipment Costs ,r4 s J Q 11J Q 2 Sub-Total Sales Tax{if applicable) Material Markup Total Material Costs (X - — x Total Other Costs Sub-Total Bond Insurance Taxes Miscellaneous Costs hector Representative Sub-Total — Dverhead uh ntracior`s Representative Owner's Representative Sub-Tolal Sales Tax No. Sheet of — TOTAL SINCE 1892 Invoice NumDate: r: 03013202 In11oICO CORLISS Invoice Date: 03I0912023 Page: i Terms oll Sale: Net 30 RESOURCES r� Customer Number: 10141686 �i Gorl€ss Resources LLC � Customer Job: Tax Code: 13 TO ENSURE PROPER CREpfT RLEASEIrtiICLUOE THE INVOICE NUMBER WITH FOUR AA YMENT f� SCI INFRASTRUCTURE LLC REMIT To:15620 � 2821 SO 154TH ST Chicago, IL 60693 01lection 56r Drive SE ATAC WA 9818E Tax 10# 41.2061261 Delivery Address Lot/Blook Purchase Order Customer Job# Order# Project# 21218 76TH AVE S KENT PW-YES PW-YES 50 4261 � Ticket Product Date Ticket Plant Number et DescriptionQuantity Ut7M Unit Price Extension 03.09.23 C4000A COMMERCIAL CLASS 4000 WIAIR 21.50 ay $130.20 $2,799.30 03.09-23 11000330 READYMIX ENVIRONMENTAL CHARG 21,50 oa $6.00 $129.00 03.09.23 11000325 REDIMIX FUEL SURCHARGE 2.00 ea $30,00 $60.00 "'TICKET(S)FROM PLANT SUMNER 100i2237 "'TICKET(S)FROM PLANT FEDERAL WAY 20011646 i Subtotal- $2,988.30 Totat Oily: Total Tax: TAX- 21,50 so.00 questions?Pease-call Customer Care at 868.895.3038 Invoice Total: $2,988-30 This invoice is subject to the terms sel iorlh in the Credll Application andlor General Terms and Conditions of Sale,as well as any additional terms and conditions contained in the Quotation or Order Acknowledgement.Any additional or different terms proposed by 9uyer are hereby deemed to be a material alteralion and are hereby objected to.All ilems returned are subject to cartage and handling charges.Accounts are duo and payabla by the above stated terms.Pasl due accounts are subiect to SerVICe charges as oulllned in the Credit Appllcallon andlor General Terms and Condilions of Sale. Addison Construction Supply Invoice y _ F .O. Box 9066 44 ,- Tacoma,WA 98490 Customer No,: 4341 +2a3}474-0711 Invoice No,' 403370 Bill To; SCI INFRASTRUCTURE, LLC Ship To: 5CI INFRASTRUCTURE,LL,C 2821 S 154TH ST 2821 S 154TH ST SrrATAC,WA 98188 SEATAC,WA 98188 _E7atc 6i2423 5t�lp Vla F.R.B. } 01J1 V 7errrrs Origin _ Net 10ih Pu se Order lVumner Order pate Sales Person Our Order Number 76TH AVE S MANH-- _205441 Qua�r My— _ Item Number JJ I yl2e aired 5hi ed B4O.�� Description I Unit Price I Amouni 207 207 R4 REBAR#4 60 GRADE II 1.0990 227.49 .558LBS.IFT,#13MM 8@20-0 112 CIRCLE 1 I 0-11'4, R-5'9& H-6-8 112 0.01 0.01 224#4 8"LONG Invoice subtotal 227.50 Invoice total 227.50 20% RESTOCK FEE~. SALES UNDER Z50&SPECIAL ORDERS ARE FINAL. a v5 11Lf «-7OSK Thank You Daily cost Record 2821 SOUTH 154th ST • SEATTLE,WA 98188 • (206)242.0633 • FAX:(206)242.0792 31091 01 project 740 _ Job#,Uf0 Date 7-7- Z 3 Weather Description(must be complete) �/ CaI./r err ►*� • ..s o� r •sr� •ram.-a! ❑ETAIL COST RECORD CODE HOURS- RATE EXTENSION S.T. o.T. D.T. TOTAL a 0 ao — - - Sub-Total ' Labor Taxes&Fringe Benefits Travel Time Labor Markup Total Labor Costs ❑ t- 06 z w Sub-Total to Equipment Markup _ Total Equipment Casts J Q 0' w Q 2 Sub-Total Sales Tax[If applicable] Material Markup Total Material Costs a - ul r 0 Total Othar Costs Sub-Total Bond Insurance Taxes Miscellaneous Costs Contractor's Representative Sub-Total Overhead ctar'6 R presentative 7 - Qw--�nbr's Repreessentalive Sub-Total Sales Tax No. Sheet o[ TOTAL