HomeMy WebLinkAboutCAG2023-148 - Other - West Coast Concrete Restoration, LLC - Employment Security Department Release of Lien on Retainage - 07/07/2023
July 7, 2023
ESD# 000041111600
UBI# 603410323000
WEST COAST CNCRT
RSTRTN LLC
22637 76th Ave S
Kent,WA-98032
KENT, CITY OF
Employment Security Department hereby certifies those contributions, penalties and
interest due from the above named contractor under the Employment Security Act have
been paid in full or provided for with respect to the following public works contract:
Description City of Kent Centennial Reseal
Contract number F20089
The Employment Security Department hereby certifies that it has no claim pursuant to RCW
50.24.130 against the public body named above for tax attributable to service performed for said
public body by the above named contractor on the above described contract. The Employment
Security Department releases its lien on the retained percentage which is provided by RCW
60.28.040 for contributions, penalties and interest due from said contractor.
This certificate does not release said contractor from liability for additional contributions,
penalties and interest which may be later determined to be due with respect to the above
mentioned contract.
If we may be of further assistance, please call (360) 890-3499 or email
publicworks@esd.wa.gov
EMPLOYMENT SECURITY DEPARTMENT
Retainage Release Form
Date:
Department:
PO #:
Vendor Name:
Original Invoice #:
Release Amount:
Release Percentage:
☐ 5%
☐ 10%
☐ 15%
☐ 50%
☐ Final Release
Releases Included:
☐ DOR
☐ ESD
☐ L&I