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HomeMy WebLinkAboutCAG2023-274 - Other - Northwest Playground Equipment, Inc. - Department of Labor and Industries Affidavit of Intent - 11/09/2023 Public Works Projects Awarding Agency: KENT,CITY OF Project: Kent EWF topoff 2023 Project Overview Project name Contract no. Prime Contractor Name Kent EWF topoff 2023 NM-272023-000oi844 NORTHWEST PLAYGROUND EQUIP INC Job site Project cost Phone number 22o Fourth Ave S $40,238.86 425-313-9161 Kent,WA 98032 Award Date WA UBI Number Contractor License no. Description 4-5-2023 6o1691557 NORTHPE044DJ Installation of playground surfacing Bid Date Federally Funded Project Notice of Completion Status 3-5-2023 No Change NOC Not Filed Contract Type Certificate of Release Bid-Build(Traditional) Not Released Awarding Agency Contact Joe Erickson,2o6-518-1954 Apprentice Utilization Required No Change OMWBE Utilization Required No Change Affidavit 1259902 Close Document Received Date:11-9-2023 Intent Id:1317233 Afidavit Id:1259902 Affidavit Status:Approved on 11-9-2023 Contractor Details(Prime Contractor) Name NORTHWEST PLAYGROUND EQUIP INC Address PO BOX 2410 ISSAQUAH,WA,98027 WA UBI no. 601691 557 Contractor Registration no. NORTHPE044DJ Industrial Insurance Account Id 90833300 Email Address kevin@nwplayground.com Filed By Davidson,Kevin OMWBE Certifications as of 4-5-2023 �:[No active certifications exist for this business. ove I Project Information warding agency KENT,CITY OF 220-4TH AVE S KENT,WA-98032-5895 Awarding agency contact Joe Erickson [Awarding Agency 206-518-1954 Project name Kent EWF topoff 2023 County where work was performed King City where work was performed Kent Project Site Address or Directions 220 Fourth Ave S Kent,WA 98032 Project Description Installation of playground surfacing Prime contractor name NORTHWEST PLAYGROUND EQUIP INC Prime contractor registration no. NORTHPE044DJ Contract no. NM-2 7202 3-00001 844 Contract Type Bid-Build(Traditional) Is apprentice utilization required? No Is OMWBE utilization required? No Prime contractor phone number 425-31 3-9161 Prime contractor intent id 1317233 Original contract amount $40,238.86 Bid due date 3-5-2023 Contract award date 4-5-2023 Intent filed date 4-5-2023 Job start date 5-1-2023 Date work completed 11-4-2023 Project Completion Did your company hire any subcontractors? Yes Did your company have employees perform work on this project? No 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? 0 LNo company owner added Affidavit Subcontractor(s) Company Name UBI License# Rocky Mountain Distributors 603474353 Journey Level Wages No employee wages are selected for this affidavit Apprentice Wages No apprentices have been selected for this affidavit Public Notes There are no public notes. Help us improve A Access as ing on ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve