HomeMy WebLinkAboutCAG2023-380 - Other - Evergreen Asphalt & Concrete Construction, Inc. - Department of Labor and Industries Release of Lien on Retainage - 11/15/2023 State of Washington
DEPARTMENT OF LABOR AND INDUSTRIES
PO Box 44274
Olympia WA 98504-4274
KENT, CITY OF/PARKS &REC
220 - 4TH AVE S
KENT WA 98032
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
PO Box 44274 Olympia, Washington 98504-4274
November 15, 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 SEALCOAT VARIOUS PARKS, Contract CAG2023-380, Affidavit 1238636 to
the following contractor:
EVERGREEN ASPHALT & CNCRT INC 142,276-00 602 244 570
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,
Jordan Guerra
Contract Release Specialist
360-902-6752
HOGO235@LNI.WA.GOV
cc: EVERGREEN ASPHALT & CNCRT INC
PO BOX 867
RAVENSDALE WA 98051-0867
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