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HomeMy WebLinkAboutCAG2024-289 - Other - L&I Affidavit - Evergreen Asphalt & Concrete, Inc. - Tennis Court Patching at Glenn Nelson Park - 7/11/24 Site alert Public Works Projects Awarding Agency: KENT,CITY OF/PARKS&REC Project: Tennis Court Patching at Glenn Nelson Park Project Overview Project name Contract no. Award Date Prime Contractor Name Tennis Court Patching at Glenn Nelson Park CAG2024-289 6-12-2024 EVERGREEN ASPHALT&CNCRT INC Job site Project cost Bid Date Phone number $41,297.45 5-1-2024 253-639-3779 Description Contract Type WA UBI Number Contractor License no. Asphalt patching at Glenn Nelson Park 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,253-856-5112 Certificate of Release Not Released Apprentice Utilization Required Yes OMWBE Utilization Required No Change Affidavit 1328197 dose Document Received Date:7-11-2024 Intent ld:14378i4 Afidavit Id:1328197 Affidavit Status:Approved on 7-11-2024 Contractor Details(Prime Contractor) Name EVERGREEN ASPHALT&CNCRT INC Address P 0 BOX 867 RAVENSDALE,WA,98051 WA UBI no. 602244570 Contractor Registration no. EVERGAC974K2 Industrial Insurance Account Id 14227600 Email Address evergreen.shane@comcast.net Filed By Gilbertson,Shane OMWBE Certifications as of 6-17-2024 No active certifications exist for this business. Project Information Awarding agency KENT,CITY OF/PARKS&REC 220-4TH AVE S KENT,WA-98032 ve Awarding agency contact Ben Levenhagen Awarding Agency 253-856-5112 Project name Tennis Court Patching at Glenn Nelson Park County where work was performed King City where work was performed Kent Project Site Address or Directions Project Description Asphalt patching at Glenn Nelson Park Prime contractor name EVERGREEN ASPHALT&CNCRT INC Prime contractor registration no. EVERGAC974K2 Contract no. CAG2024-289 Contract Type Small Works Less than$350,000(prior to 7/1/2024) Is apprentice utilization required? Yes Is OMWBE utilization required? No Prime contractor phone number 253-639-3779 Prime contractor intent id 1437814 Original contract amount $7,135.45 Bid due date —755-1-2024 Contract award date 6-12-2024 Intent filed date 6-17-2024 job start date 6-25-2024 Date work completed 6-25-2024 Project Completion Did your any 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 6 32.50 Apprentice Wages No apprentices have been selected for this affidavit Public Notes There are no public notes. Help us improve A Access as ington official State Government Website ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve