HomeMy WebLinkAboutCAG2023-148 - Other - West Coast Concrete Restoration, LLC - Department of Labor and Industries Release of Lien on Retainage -11/17/2023
November 17, 2023
KENT, CITY OF
220 - 4TH AVE S
KENT WA 98032-5895
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 CITY OF KENT CENTENNIAL RESEAL, Contract F20089, Affidavit
1215652 to the following contractor:
WEST COAST CNCRT RSTRTN LLC 331,592-00 603 410 323
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:
• All liens against retainage have been satisfied
• All Affidavit of WagesPaid forms have been filed
Thank you,
Christina Summers
Contract Release Specialist
(360)902-5772
SUMC235@LNI.WA.GOV
cc: WEST COAST CNCRT RSTRTN LLC
22637 76TH AVE S
KENT WA 98032
Page 2
PO Box 44274 Olympia, Washington 98504-4274
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