HomeMy WebLinkAboutCAG2022-333 - Other - Universal Refrigeration, Inc. - Department of Labor and Industries Release of Lien on Retainage - 09/20/2023 O�6TAT EO�
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
PO Box 44274 Olympia, Washington 98504-4274
September 20, 2023
KENT, CITY OPPARKS &REC
220 - 4TH AVE S
KENT WA 98032
CERTIFICATE TO RELEASE L&I'S HOLD ON RETAINAGE
The Washington State Department of Labor& Industries is granting approval to release our hold on the
retained amount for CORRECTIONS WIC REPLACEMENT, Contract CAG2022-333,Affidavit
1212884 to the following contractor:
UNIVERSAL REFRIGERATION INC 469,068-01 600 599 723
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:
00 All liens against retainage have been satisfied
0o All Affidavit of WagesPaid forms have been filed
Thank you,
Elsa McDonnell
Contract Release Specialist
(360)902-6558
MCDP235@LNI.WA.GOV
cc: UNIVERSAL REFRIGERATION INC
4102 B PLACE NW SUITE 1
PO BOX 614
AUBURN WA 98071-0614
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KENT
W A S H I N G T O N
Retainage Release Form
Department: Facilities
Date: 11/20/2023
PO #: 171288
Vendor Name: Universal Refrigeration, Inc
Original Invoice #: �J26266
Release Amount: 9115.00
Release Percentage:
❑ 5%
❑ 10%
❑ 15%
❑ 50%
0 Final Release
Releases Included:
❑ DOR
❑ ESD
❑ L&I