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HomeMy WebLinkAboutCAG2024-052 - Other - Evergreen Asphalt & Concrete Construction Inc. - L & I Affidavit of Wages Paid - 03/11/2024 Public Works Projects Awarding Agency: KENT,CITY OF/PARKS&REC Project: Pavement Repair at Damaged Parks Project Overview Project name Contract no. Award Date Prime Contractor Name Pavement Repair at Damaged Parks CAG2024-052 2-9-2024 EVERGREEN ASPHALT&CNCRT INC Job site Project cost Bid Date Phone number $28,316.34 1-18-2024 253-639-3779 Description Contract Type WA UBI Number Contractor License no. Repair asphalt at City Parks and Recreation Small Works Less than$350,000(prior to 602244570 EVERGAC974K2 7/1/2024) Notice of Completion Status Federally Funded Project NOC Not Filed Awarding Agency Contact No Change Ben Levenhagen,253-856-5120 Certificate of Release Not Released Apprentice Utilization Required No Change OMWBE Utilization Required No Change Affidavit 1295955 Close Document Received Date:3-11-2024 Intent Id:1407175 Afidavit Id:1295955 Affidavit Status:Approved on 3-11-2024 Contractor Details(Prime Contractor) Name EVERGREEN ASPHALT&CNCRT INC Address P O BOX 867 RAVENSDALE,WA,98051 WA UBI no. 602244570 Contractor Registration no. EVERGAC9741<2 Industrial Insurance Account Id 14227600 Email Address evergreen.shane@comcast.net Filed By Gilbertson,Shane OMWBE Certifications as of 3-1-2024 No active certifications exist for this business. Project Information Awarding agency KENT,CITY OF/PARKS&REC 220-4TH AVE S KENT,WA-98032 Awarding agency contact Ben Levenhagen ove Awarding Agency 253-856-5120 Project name Pavement Repair at Damaged Parks County where work was performed King City where work was performed Kent Project Site Address or Directions — Project Description Repair asphalt at City Parks and Recreation Prime contractor name EVERGREEN ASPHALT&CNCRT INC Prime contractor registration no. EVERGAC9741<2 Contract no. CAG2024-052 Contract Type Small Works Less than$350,000(prior to 7/1/2024) Is apprentice utilization required? No Is OMWBE utilization required? No Prime contractor phone number 253-639-3779 Prime contractor intent id 1407175 Original contract amount $28,316.34 Bid due date 1-18-2024 Contract award date 2-9-2024 Intent filed date 3-1-2024 Job start date 2-22-2024 Date work completed 3-1-2024 Project Completion Did your company hire any subcontractors? No Did your company have employees perform work on this project? Yes 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? 1 Gilbertson,Shane Laborers Affidavit Subcontractor(s) No subcontractors are selected for this affidavit Journey Level Wages County Trade Occupation Wages Fringe Workers Hours King Laborers Raker-Asphalt $62.49 $0.00 8 128.00 Apprentice Wages No apprentices have been selected for this affidavit Public Notes There are no public notes. Help us improve A Access as mg ton ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. o f,"a `a`e GOVef nmene Weesite Help us improve