HomeMy WebLinkAboutCAG2024-289 - Other - Evergreen Asphalt & Cncrt, Inc. - Tennis Court Patching at Glenn Nelson - 1/15/25 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
January 15, 2025
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 TENNIS COURT PATCHING AT GLENN NELSON
PARK, Contract CAG2024-289, Affidavit 1328197 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:
00 All liens against retainage have been satisfied
0o All Affidavit of WagesPaid forms have been filed
Thank you,
Christina Shelton
Contract Release Specialist
(360)902-5772
SUMC235@LNI.WA.GOV
cc: EVERGREEN ASPHALT & CNCRT INC
PO BOX 867
RAVENSDALE WA 98051-0867
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