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FROM:DOR AUDIT
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TO:
2e53859172
OCT 13. 1993 3:05PM ~415 p.e1
..
~t~
Sf ATE OF WASHINGI'ON
DEPARTMENT OF REVENUE
To:
/O/;3 ), a
;-/la-71~~ Telephone No.
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7S3 -3830
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Time Sent: .3:' OZJ P /Y]
38.)- 9353
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Additional Comments:
DEPARTMENT OF REVENUE
aMoI~
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Division
Telephone No.
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The Intormlltlon and the enclosed doc:uments In thll tax lire privileged Blld conndentlal. It you
have received this In error, you are her!lby lIotlned that any dissemination or this communication Is
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Trnnsmlttlng ~ pngcs Including cover sheet. It thero 18 any problem with the fax doc:ument,
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FROM: nOR AUD IT
TO:
2063859172
OCT 13. 1993 3:05PM ~415 P.02
PI"j.ntI'Hl ny: l'It:lI~IU!:l,...mlJE ("l)or~ fl ~~ /? Pm, 89-!
!Jim'I1': 9:;;:....:l:l,-:1.6 O(]::'.\1 ~ Il
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TO II m"VENlJl":, AU.......l:;()J'~I'U::Bf;'(JNVFn..,1 ~J (i'D(JF~
mn;t,:!E:;C;T:: I'~"v:l...,,'d 1~""I~ 1:)'I"".t
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Dmp.,r"I'.lIIc!I'l t '", 1",.1 i c::y w:1.1:h "'I~\~pC:"': t to hc)w PCI!""!JICJIHI """Ll tt\x .Ihle whan rm''''for-mine)
t'8zardolllli W8ffitO cl~~nLlp.
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'oll bl:,:lI".tl".,C::tc:w pt;,,""'t)I"lIlm .1 \1d.n\lltl ,":tj,v:L ty '\I'ld thi,\t iActivi1:)' is df,'f'f~.r\l]c.1 by
"t",'I:ut.~ .,\1. i.\ "'(.,t.I:l.1 ,;u::t:l.vi'l:y, Ala "'t...1:c?d in 1;1-m f~F'I'I. thIH'f/ ar-e two r.:t'itar-ia
for doturmining if ... particular cl"8nup contr...ct :l.m taxable undQr tho mervieD
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~f .ctivltiDm" momD ~f' which ~~nmt:ltuto "rQtcl\il m~l~m" ~nd momo of which
(:;l;lI'"atitl.l,t. nt:lI'I.""l?ti~:Ll "ml:wV:!,t::("UI" I.lncJl~I" c:hl~pt(]r 1~~l.OII HC;W.
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tJII',' PI"I:lI:C.'U'UI cl'f bl~:l.n~l printed ",nu will be
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BE':"'T:: 9~~".:1. j.""16 O~11147
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A IHATf:::I'W::NT 01" r::'l,J"""Ol:l1::: 1"11'10 nrm:I'Il' w,q'H mi:ml"W~T TlJ THE:' TAXAll:tl..nV
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~r thw hAzArduum wMmtn mita cl.~nup.
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cluMnup itmmlf him not bu~n @KpY~mml.y tMK clcl\mmif~~d ~m M dimtinct
1.11,I!K:l"IlI~m\fl OIC'U.v:l. 't',)' unll(~," lll'I:.d,l.l'I:()ry ]..'w" Tl-U,lfll. tho J)1~PIA,..tlnl.?I1t 1:l'r
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th~ naod fur uni~:lrm .nd def:l.nitivt! tcl\K IcllIl:l.n:l.mtrcl\tion policy
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FROM: DOR AUD IT
TO:
2063859172
OCT 13. 1993 3:06PM ~41S P.03
1~'f.~1i; Pf~'C:t :i"n~:J "l'.h":\mf:~ r.; I'-:i. t:i C:~i:\ 1 (1'1" vi r'c:>nlll(~n 'l..:\ 1 C;(jl'l (;:t~I"nt!' Of
IH'A'rW'IEI,rr (:JF POLICY
l:t :1,," ,u,d 101'1.111 b~' thr'l pol,:!.c:y e:I1' t.he ))l?p"'I,.t.mrJnt. rJ'f' F~llV(mlln th.nt tho
t.j\x J.ti\W!ll (:)'r th:f.m ,a.t1',\'l'.c:,,' mhrJuJ.d be (j\dfll:l.I'~.tntt:t"'(:td in 'Gu.lc:h fA mil\nnc~1'" i^m
to .ncDuFag~ .nnd f.ncilitat. rapid ~nd tharewgh ramedi.l ~ct.ion to
reclaim the l.ndm And waterlll of thim mt.t~ which hAV~ bean
rk'l'.po~,:le!Hj. 1:r1xi.'fiEll:I,o cr:ll'lttlmJ.n.~tl~d. eJ'" utl'u~rw:[lile mtld" h"''''tll'drJlllI to
hUIll,,1n h(.~.:,l.th and th'J ''f!vJ.I''e:lI'lllu:mi:. Th'" I.\dm:lrd,,~tl'.~t:l("n IJ'f lllllCh. t.t\x
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within thio mtatD oil.... .ul~.ct tu bwuinamm lAnd occupAtion tMM wldp.!r
the cl...ificoIltiml. ..rv:l.C. and o-t~Jr bUl!I:l.nBmm oIlc:t:l.vitiulII ( RCW
82.0Q.290). Thil!l clammif:l.CAt:l.on ~ppli.m 1~r both primo c:ontrollc:torl>
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FROM: OOR RUD IT
TO:
2063859172
OCT 13. 1993 3:07PM ~415 P.04
Th..e tax reporting procedure. do not apply with ra.pact to
<:(;)I'l'\'.I-.I".t~; <:>1" <;II-t:l~'~' n'~(::I,,:l.p.tl. (,\J.l(;),:",blt~ to th'~ 1"wllov.-.1 ().( low l.uvel
r'I':\d:1.<:H:\C::'l::i.ve wt\1!~l.", c:)I.... .tt\(\,~ 1"ti\,,\l:J.ncJ 'ftJ'" hil"f.~ (;)'11 W"I\lI"t.a C)t" l\ii\'I..r.\rdc)uG
.mat~ri",l.. or any athDr (,\ctivity which ham b..n expr~.mly tax
c:J.<I~..d.'fj.m:1 ul'ldnr' Tj.tl(~ Ii!;:: I'~CW.
PfmBI"'l,CT J: vr;; I'WFEC:T
Thim policy .tatamant bac.m. effective an July 18, 1989 ~nd haG no
r",tr'rJf.Il:tlv"" ,"Plll:I.(:.\\'Ucm 1'(;)1' ,any C<:II'lt,r"nll:t. eW (;jl""llll\!l '-'H:lJip'tIU. It,
!!l1'1i,11 ,::",n'H.nu,,, h, h.,w(." "'ull '(<:)1""'" olnd ,,,,,,,,',,,,:t 1.\I'll~1~1$1 .'rld ~\I'ltll it il.
1"(''''':11<,''1<1 f.md l"C:,,~c::;Lnd,,~d i.n wl":l 'U,l'llJ ')1" pl"l.',,'mpt.clIJ by d~\ly 'In..\l:.t,,d
.,t",,~.Ut,:>I"Y 1..lw.
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!3TAn, ()F WABI'HI'U:i'rOl~ pl:;:PArn-I'Ir::NT OF' m::Vm'IUE
BY"
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TITL"lop
PClPU'ty 1):1. I"l:H: '\',';1 r'
l'~f:'N (;l'1",,:t.r~.:l,,'I,'. 1:,:'1'. HAZArmm,JEl WA(n~: t::Ui,AI'llJl::' CDN'IHAC:nl. 11/10/cn~
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FROM: DOR RUD IT
TO:
2063859172
OCT 13. 1993 3:08PM ~415 P.05
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WASHINGTON STATE lJEI'^l'nMI::.NT UI- .KhV~NLJt"~
ETB
Excise Tax Bulletin
4.. 7fflS Cove;<.S o/Vt.y CU:/1N~r/P
553.04.172/224 L-t1/IJD ()~ tAJffT&ft<?-- :Issued:
July 31, 1991
of
81f~ e-
TAXABILITY OF OIL AND CHEMICAL SPILL CLEANUP
This ETB is a clarification of. the Department I s position
regarding the cleanup of oil spills and other chemicals. This
excise tax bulletin will ba applied prospectively. Because of past
confusion regarding the taxability of these cleanup charges, the
tax reporting category us ad by the taxpayer will be accepted for
periods prior to the issuance of this bulletin.
Under ncw 82.04.050, "retail sale" includes services in
respect to the' oleaning of personal property' and of existing ~
buildings and struotures. oil or other chemical spill cleanup does r~
not ooma within that definition since the cleanup is generally on
bare land or water. Because this activity is not included within
the definition of a retail sale, it is taxable under the service
b&o tax classification under new 82.04.290, whether the activit~
is performed on land or water. Contractors ara not required or
permitted to report partly under service and partly under
retailing. The service taxable activities include skitlUlling oil off
the water, using absorbents to remove oil from land or water,
pUmpin~ oily water from a vessel and disposing of the waste water,
cleaning contaminated fowl or matlUllals, hi",h prossure washinq of the
land, moving contaminated soil, Bnd other related. activities.
These aotivities are all directly related to the primary aotivity
of ol,eanup. .
Sarno additional services which may be assooiated less direotly
with the cleanup activities ara aloo taxable under the service. b&o
tax olassifioation. 'This inclUdes, among others, mero consulting
servioes, training sorvicol!l, plaoin~ booms around vessels as a
precaution, and reoeiving of n "rotainer" by a oontraotor in order
to assure that the contraotor or the eqUipment is available for
itlUllodiate action if ~ spill ooouro.
CONSUMABLES AND EQUIPMENT
. Cleanup Contraotors are reqUirod to pay retail sales tax to
their suppliers for purchaaoa of consumable Dupplios which are used
in oloanup aotivitios.' This inoludes items suoh as absorbents,
chemioals used to dillpClrllo the 0':'1, ra'ilD, detarqentB, etc.
ContraotorB are also reqUired to pa~ retail sales taX on their
purchases of any equipmont, inoluding tho rental of eqUipmont for
use by the contractor's emplo~eQo.
~FFECTIVE OhltE
Tax reporting under aither tho Garvice b&o classification or
ret~ilinq b&o and ratail GalOD clnssiticationo for past periodG
will not be disturbed. The Department will not aBGOSS tax
deficiencies, requiro amonded tax roturns, or adjust tax payments
for poriods beroro ^uquat 1, 1991.
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State of Washington
&~ Department of Revenue
~ Audit Procedures & Administration
.... PO Bo. ~74H
REVENUE Olympia, WA 9850~-H74
601 213 975
Certificate of Payment of Slate Excise
Taxes by Public Works Contractor
'RecD
10-2.2-'1.5
$JJ
Contractor:
PACIFIC ENVIRON SVCS INC
POBOX 1031
PT TOWNSEND WA 98368
We hereby certify that taxes, increases and penalties due or to become due from the above named
contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works
contract:
JEFFERSON COUNTY
REMOVE & INSTALL UNDRGRND STORAGE TANKS
together with all other taxes, increases and penalties due from such contractor, have been paid in
full or that they are, in the Department's opinion, readily collectible without recourse to the state's
lien on the retained percentage,
This certificate is issued pursuant to the provisions of Chapter 60.28 Revised Code of Washington
for the sole purpose of informing the state, county or municipal officer chargcd with the duty of
disbursing or authorizing the payment of public funds to said contractor that the Department of
Revenue hereby releases the state's lien on the retained percentage provided by this Chapter for excise
taxes due from said contractor.
This certificate does not release said contractor from liability for additional tax which may be
later determined to be due with respect to the ajove mentioned contract or other activities.
Date at Olympia, Washington, / tJ /;? /93
STATE OF WASHINGTON
D~RTi'T OF REVENUE
);<j-fU/ ~-'lrCt~
C.rtlfylnr om",
PORM REV 31 002R (10.91)
ROUTINO: While Copy. Dbhllrwlng Officer. ennlll)' CorY - ConlrnclM,
rink Copy - File. OoldcnmtJ CoJlY - SrcclR1 fllle.
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CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AlA DOCUMENT C707
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
o
o
o
o
PROJECT: UST HADLOCK SHOP FUEL TANK PROJECT
(name, address) JEFFERSON COUNTY, WA
TO (Owner)
~JEFFERSON COUNTY
P.O. BOX 1220
PT TOWNSEND, WA 98388
'I ARCHITECT'S PROJECT NO:
CONTRACT FOR: UST HADLOCK SHOP FUEL TANK
L
.-J CONTRACT DATE: 4/13/93
CONTRACTOR:
PACIFIC ENVIRONMENTAL SERVICES COMPANY
P. O. BOX 1031
PT TOWNSEND, WA 98368
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
lhll!re insert nJme and ..ddr~S5 of Surety Company)
AMWEST SURETY INSURANCE COMPANY
1911 NE BROADWAY
PORTLAND, OR 97232
on bond of (here Insert nllmo OInd .1ddreu of Con,r.lctorj
, SURETY COMPANY,
PACIFIC ENVIRONMENTAL SERVICES COMPANY
P,Q. BOX 1031 , CONTRACTOR,
PT TOWNSEND, WA 98368
hereby approves of the final payment to the Conlractor, and agrees Ihal final payment to Ihe Contractor shall not
relieve the Surety Company of any of its obligations to (here Inu'" no1ml! ..nd "ddum of Qwnl!rl
JEFFERSON COUNTY
P,Q. BOX 1220
PT TOWNSEND, WA 98388
as set forth in Ihe said Surely Company's bond,
, OWNER,
IN WITNESS WHEREOF,
the Surety Company has hereunto set ils hand this
24
SEPTEMBER
d.'yof
19 93
AMWEST SURETY INSURANCE COMPANY
Surety Company
AlIc;t~~\~~~"i-\:~~~"". _
(Seal): '-- -
.J
NOTE: This fOfm I, to b" used .u " comp,lnlf}n document 10 ^'^ DOCUMENT Gi06, CONTRACTOR'S MrrD^VIT OF PAVMENT OF DEBTS AND
CLAIMS, Current Edition
AlA DOCUMENT G701. CONSeNT Of SUR[1Y COMr^NY TO FiNAL PAYMeNT. APRIl. 1970 r.DIlION . AlAi!!
~ 1970' THE AMERICAN iNSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, O,C. lOOO(,
ONE PAGE
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"'!"'l"':"':r':j,t'7'\-~~;.I";:-.~',tI'" '
. .,~....
e
w. R. Reed & Co.
Insurance Brokers
4380 S.W. Macadam, Suite 530
Portland, Oregon 97201-6490
503/223-1128. WATS 1-800,243-1128
FAX 503/223-1841
September 27, 1993
Pacific Environmental Services
PO Box 1031
Port Townsend, WA 98368
Re: Bond No. 1276726
Amwest Surety Insurance Co
Dear Kim:
In accordance with your recent request, enclosed is the Consent
of Surety Form for Jefferson County oUST Hadlock Shop Fuel Tank"
job.
This should satisfy the Obliqee, but if anything else is needed,
please let us know.
Sincerely,
W. R, REED & CO,,~
'---Jr a'lt (~( /4;/,;7/,
Nancy Smith
Bond Depa{ ment
Enclosure
NS:ms
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CONTRACTORrS
AFFIDAVIT OF
PAYMENT OF
DEBTS AND CLAIMS
AfA Document G706
OWNER 0
ARCHITECT 0
CONTRACTOR 0
SURElY 0
OTHER
TO (Owner)
r~E.~,"Ee..:;o>.) Q.cu.\J'<~
~E"'. 01' t>"'~L'Q. WOR.~
\:>.O.CD'lC. \d.d.-D
L~' \D~~~, WA <\1,8(,,~
PROJECT:
(name, address)
ARCHITECT'S PROJECT NO: E ~ \ D~1n
--, CONTRACT FOR:~E.(Y\DVAL 0~
(o-'1-' ~"i ,f-.)G, U"-l-bE.,,-G.R.CU f.-ll::. S,O\!.AG,E:
'fI'-l~ '" \>-)o5"\1'\\-\.A\\O>-..) 0>: "-lEv..> TA""'~,
--3 CONTRACT DATE: M"''l .3, \ C\ 0..3
State 01: WA6\-\\~c..\C)j-..)
County 01: ~EFF"~I>J
The undersigned, pursuant to Article 9 01 the General Conditions 01 the Contract lor Conslruction, AlA Document
Al01, hereby certifies that, except as listed below, he has paid in lull or has otherwise satisfied all obligations lor all
materials and equipment lurnished, lor all work, labor, and services perlormed, and lor all known indebtedness and
claims i1gainst the Contractor for damages arising in any manner in connection with the performance of the Contract
referenced above lor which the Owner or his properly might in any way be held responsible,
EXCEPTIONS: (II none, wrile "None", If required by the Owner, the Contractor shall lurnish bond salis,actory to the
Owner lor each exception.)
Notary PUblic:_b'_ ~--l
~~\blN(,.~G.
My cOlTiiiiT,,'lon Expires: I ~'" C\'l
- '0' \.').
10'10 DOCUMENT G'" . CONTRACTOR'S AfFIDAVIT OF MVMENT or DEnTS AND CLAIMS . ArRIl, 19'0 !OlTION
AIMll' <II 1970 . THE AMERICAN INSTITUTE OF ARCHITECTS, ,'3S NEW YORK AVE., NW, WMHINGTON, D,C, 20006
.)
~Dl-:)t::..
.)
SUPPORTING DOCUMENTS ATTACHED HERETO:
1, Consent 01 Surely to Final Payment, Whenever
Surely Is Involved, Consent 01 Surely Is required.
AlA DOCUMENT G707, CONSENT OF SURElY,
may be used lor this purpose,
Indicate attachment: (yes ) (no ).
The lollowlng supporting documents should be at.
tached hereto II required by the Owner:
1, Conlractor's Release Or Waiver 01 liens, condl.
tlonal upon receipt 01 final payment,
2, Separale Releases or Waivers o( liens Irom Sub.
conlractors and material and equipment sup-
pliers, to tho extent requIred by the Owner, ac-
companied by a list thereol,
3, Contractor's Affidavit of Releaso o( liens (AlA
DOCUMENT G706A),
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~. ,~o.:;'~~.::,O '11f
~;., ~. ~ ~~.. 'I
}' lef 't-UTAilI' ~\ "'-
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f!j ")'" ~.... 6. ~ -91 ~.l ,,0,;
"e'-" ;;;':"'~'''''''\~~
"" WASI(<....--
\.'tc\"~",,...
:sE:(<.\)\ c.&::. to,,^.pAI-.i~
CONTRACTOR:
~A<:'\"\C. E.l.)v''R.()>.)I'V\€~\..
Address: \=>.D.I?:--.O'/.. \~\
~=b~:A::
':b"'-.llb '11., 6A't'I-I-E:1L
Subscribed and sworn to berore me this
3DT.!;!. day 01 SeP-ieM~0l..
191:1 ~
\
ONE rACE
.,"'........,',
(
\~
CONTRACfOR'S
AFFIDAVIT OF
. RELEASE OF UENS
J\,^ DOCUMENT G706J\
OWNER
ARCHITECT
CONTRACTOR
SURElY
OTHER
B
8
TO (Owner)
GE:."-c'e.><.sCI-.:l Q.cLU.S\'1
~",. D~"'u.o/Ol.\~ WD~'G5.
'\>,0 .!bel<. l&IiiI\ \ d.Ol.O
L'-?',lc'-'->t-:l::.e.IVl:>,WA C\'?,5iD8
ARCHITECT'S PROJECT NO: E.OL IO~lo
I CONTRACT FOR:~E.Ml)oJ""L DI'"
e ~ \ So\'\ "-' Go, u NJ:::.Eft.(,.eou....h ,S.-oa.A<.> E
'T"""-l~ o"I"-lb ,>..l::,n>.u.AT\ON 0;:- w.;...;
-rA"-'I,:.~ .
.J CONTRACT DATE: ""\A'l 3,10.0.3
PROJECT:
(name,address) U10~8<.G.e.oU~ ~\D'/l...A(,.E: \A~\(.5 @ l--\M\..OU<. ~,",D{:l
State of: WAS..I II-.X.. TO t-:l
County of: ~e.l"f'e:fi..S.)~
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AlA Document
1\201, hereby certifies that to the best of his knowledge, information and ,belief, except as listed below, the Releases
or Waivers of lien attached hereto Include the Contractor. all Subcontractors, all suppliers of materials and equip-
ment, and all performers of Work. labor or services who have or may have liens against any property of the Owner
, arising In any manner out of the performance of the Contract referenced above.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the
Owner for each exception.)
)
.WD-l-:)G...,
SUPPORTING DOCUMENT~ ATTACHED HERETO:
" Contraclor's Release or Waiver of liens, condi-
tional upon receipt of final payment.
2, Separate Releases or Waivers of liens from Sub.
contractors and material and equipment sup-
pliers, to the extent required by the Owner. ac-
companied by a list thereof,
CONTRACTOR:
""?A<!.II'I~ E.~\~Clto:>ME.toJtl'\L ~l4IlIC'.~ to,
Addren:\=>.O, ~'/.. ID~\
-\,"\, IOWto:>SE..Nb, wA C\'b.3I.o'iS'
~;- J'P~
B 'C~lllb p.., ~A-n-\
.)
...,..."",\\\
-~ \'J..~P..~O~"" Subscribed and sworn to before me this
~~~~~~ION ~.;.~.() I'l :;'lc.\ ~ day of ~ePi'e.M<=>eJZ.
'~.~~t' \
:; u * i::; Notary Public: '-..4......: -\),~~
~ ~ PI/Bl\t l ~it 7~....v, c.-r ',~t:l.'" I-\AhL~1L
~I .., 6 ~.,,t,, ~ ..J:l ,- "'''' ()'l
I,';>(......,.:~.::~...... ~;:: My Commlulon expires: 1.1)'0';::""
AlA DOCUMINT C7KA . CONTRACT "fJI\!l' ~IlEASE Of IIINS . APRIl 1970 IOITlON . AIA~
C> 1970' T1i1 AM[RICAN INSTlTUTl OF ARC IIt~)))5 NIW YORK AVE.. NW, WAsHINeTON. O,C. 20006
19q3
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,\,,:""'n.~.',_, "'f,""I',_" 10.,~'
~
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ONI PACE
(
CERTIFICATE OF
SUBSTANTIAL
COMPLETION
AlA DOCUMENT G704
Distribution to:
OWNER D\
ARCHITECT iJ'
CONTRACTOR 0
FIELD 0
OTHER 0
PROJECT: UNDERGROUND STORAGE TANKS
(name, address) @ HADI.OCK SHOP
ARCHITECT: N/A
ARCHITECT'S PROJECT NUMBER: ERl086
TO (Owner):
Gefferson County, Department of I
Public Works
P.O. Box 1220
~ort Townsend, WA 98368 -.J
DATE OF ISSUANCE: July 20, 1993
CONTRACTOR: Pacific Environmental Services, Inc.
CONTRACT FOR: Removal of existing underground
storage tanks and installation of new
tanks.
CONTRACT DATE: May 3, 1993
PROJECT OR DESIGNATED PORTION SHALL INCLUDE:
The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial
Completion of the Project or portion thereof designated above is hereby established as July 7, 1993
which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
(
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the Contract Documents, 50 the Owner can occupy or utilize the
Work or design,ated portion thereof for the use for which it is intended, as expressed in the Contract Documents.
A list of lIems to be completed or corrected, prepared by the Contractor and verified and amended by the Architect. is
attached hereto. The failure to include any lIems on such list does notaller the responsibility of the Contractor to complete all
Work' in accordance with the Contract Documents. The date of commencement of warranties for items on the attached list will
be the date of final payment unless otherwise agreed to In writing, Close out documents
N/A
ARCHITECT
BY
DATE
The Contractor will complete or correct the Work on the list of lIems auached hereto within
from the above Date of Substantial Completion; _________ ~
Pacific Environmental Services, Inc~~
CONTRIICTOR BY
days
8-2-)' ., 'J
DATE
The Owner accepts the Work or designated porlion thereof as substantiaily complete and wiil assume full possession thereof
It 12:01 A.M. (time) on J~. 1 ~' 093,' I. V7)_ _ ,., '~1.Q(:ate),
Jefferson County Dept of Public Works ~_1/ ~~-- ~ v_ ~2
OWNER BY DIITE
The responslbllilies of the Owner and the Contraclor for security, maintenance, heat, utilities. damage to the Work
and insurance shall be as follows:
fNotr:--Owncr's ~,;d Conrracfor's 1('8'" JJnd insurdnc(' counsfll s/lould df.'lNm/nC' and (('view inWrdrlCf' rrqultemcnu .nd covt>"Ilf.',' Conrflc,or
sh,1I st-curf.' COnicnl of surety company, if ,ny.)
AlA DOCUM(NT G704 . CUTHICATr or SUMTANTlAl COMrlfTION . AflRll '978 [DillON . AlA_
co 1970' THE AMERICAN IN!.TITUTE or ARCliITEC1S, ,7)!i NfW YORK AVL. N.W" WASHINGTON, D.C, 2000(1
G704 - 1970
. ': \
'[
-, .
Department of Labor and Industries
Prevailing Wage
PO Box 44540
Olympia W A 98504.4540
AFFIDAVIT OF WAGES PAID
Public Works Contract
o IfUomnl~~~~,~~~~Sn;;:'~r;r!~~g~:~,I~~jr;;:n~~~nroYal
Large, bold numbers malCh inStlUctions on back of fonn.
",...........wIllUJfldrt/~.,.Iarpnx;e..ttfl.,. N..""~t~_,owlorll..
( ALL FORMS WlLLBEMAlLEDTO.THIS ADDRESS
1 OrgIni7.ation name; .ddns., aty, ,talc & 21P + 4
(...........'.....................................................................'.........................................
:\>~C\l'\e. Et.,IIHI<O'-lME..nY=\L 5eR~ I c.tS~ ~P""v'i-
j?D. """e.C)(. \ 03\
\.J.?:r.:.......\..9..\,:Y..~!:?:.~.1::>.....Wf!.......9..K~.!e..~.
$25.00 Filing Fee Required
I 4 Number 15 Total Nhn i 6 Rale of : 7 Rate of Hourly i 8 ^pp=tiees:
3 Crafl/trade/occupntion I of Worken worked.ca tndc f Ilourly PI)' ! Fringe Benefiu I (SM" WI bec.t 01 r-)
.~J a:T.R\.~).~~.....(~~.D.W.NJ\.........,...............I............................L.........................1..............................11.........,.........................,...................]
I I : I 1
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~:................::........:........:.........,...........,.,.....................,..........:...........:..................:......'...............:.........::................,..........:::...::..:.:..:',::..........::..........,....................:..:....:..:..::...J.::....,:................::............,........:..............:....:.....................,....:............1........:'.....::::::.:::::..::::::::::..:.:::.::~.'.':::::::~l
ii,
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................................:..........:......:...:....:....................:..::......................................................................................:..........:........:..............:....::::.,:.....:...:....::................:.........................].:..:.:................:...........:..................................:...................:..........;-.-....:..........::........:.,:..:..::...:........:.......:.....:...:..:............:.1
.~~~~;~~;;;...I-._. .....-;.--..........1. ...... ... ...--i---~-:-._~
01 Libor.nd Indu.lriCll. I undcnlUnd th.t oontnC\Of'I who violate Prev.UlIl.
Wile lAw.. i.e.. inCOlTClCt clalllficttion/lCOpI 01 work or workcn. improper
payment ot prClYIIUna W'III., etc., are IUbjClct to rmellnd/or deb.mlMl and I + 4
will ho requirod topa)' any back wa'eI dlJCllto WoRed. RCW39.12.OS0
10 NOTARY: Compl.,...U4 copl...nd notarlze.Deh
7'- Su . thl. da:3
luulllS Oy:
CERTIFIED: Dcpanmenl of Labor and Industries
~/. C?efv.rfj;;'~ SEfI 20'93
<:, ;n
~.. t' rn
)> n
;:'7: , L T;\
',P , r::,
C' (.J.
~i r:)
'.1.&1
w......
U.o.I,
ny
JoLI"'iIf/<I1l
IryOOm7.000 ,mlS,..11 fir ..... fi-n
Ittnt .I'tlmll CmfAflOf ~"'nd .llIhDnnrldrw
DlIlrlt.lll....1 Whl.. tAl c.naty. A....trdLna A..ncy
, I, \
~
~
['coo'ro',',
.0
(:'1,
, " 4
'>1'"
" "'f.,,-
This copy of the 30 Day Notice of Intent to Qose/Decommission
Tanks has been date stamped to indicate the date it was received at
Department of Ecology and is RETURNED BY MAIL TO THE
T ANKOWNER. Please make it a pan of your tanklsite. information
ai:Jd documents.
Ify~u have questions, please contact the Underground Storage Tank
Section at 1-800-826-7716 (in Washington State) or (206) 493-9225.
o d, () G0l \p3.
-. .,
UNDERGROUND STORAGE TANK VI C\~'f-....):) --;0 v-
30 Day Notice of Intent to Close/Decommission Tanks S v-J
The purpose of Ihis form is to provide the Deparlment of Ecology wilh nOlice of inlentlo close/decommission an UST. It
musl be received 30 days prior to the closore activilies. It must be signed and daled by either the owner/operalor of the
UST 10 be closed or his/her authorized representative. (This could he the firm contracted 10 do the work.) Ecology will
notify the identified person of lhe earliest date closure/decommissioning activities may commence.
For questions on completing this form please call (206) 459.6293.
,'-
Please type or use ink.
The completed check lis I should he mailed to:
Underground Storage Tank Section
Oepartmem 01 Eeology
Malt Stop PV.11
o mia, WA 98504-8711
1, TA.~.~:9W~E..~.~!i[)LOC~ :n.oN
\~, ",;,'.., ';'.,
APR--Hi 1993
PO 00.
WA
Stat.
9~6~- G.9'.-;-/
, ---
USTOwner/Operator: Jl::~Fr.:;-IZ.So1J C/JL./VTV PL./~.l..;r IAJ~RI< 'S
Owners Mailing Address: I '8,;tD .J '{..?",,".esOAJ s7:
~f.s8"AJD
Telephone: ( rlCJlb) ;o;~,<;_ 91tbO
Site 10 Number (on Invoice or available Irom Ecology" tank Is regISlered): DO to 7 ~ 3
SIIe/Buslness Name: .llE'rF"::k!~t!)AJ (IL!:JdA/71/I'JePT: nF P.tJlU",C. IvO,(!k<; hlAnL.a:::k ~""'~?
Slle Address:
57/ CI-I//U~n,
at,..t
p. 1-I,41:>u>c;k , W~
CIty I
St.le
..J ~~r-~~~,t/
"18339
Zt".coo.
Firm:
2. TANK PER~ANENt CLOSURE TO BE PERFORMED BY (If knllWn):
PAClP/t:!. /:~~~ Co
..d.'-II ~/~::;',WR Y r.t!)./!,m( /~~C...
Eb.e7 7/)w-!.!.s.~1:::. IV'" Q&".!r,c,$?
C'1y mol, Z1"~'
( ~"t:>) 6 8'5'"- i/~a / Conlact Namo: k>Af/.~_S/.1W~
;:0" ."t.".
ApprOll, Clolure Date
Tank Capacity
(gallon.)
-5t~1?
;:J ,,'\-oD
,
----4t)t:)C)
Tonk Age
(YOII'.)
':;>'.3
-L~
':;''3
Lalt Subltance Stored
Address:
Tolephone:
3, TANKI~~9~MATlotJ
Tank Idenllllcntlon
'#:,;}.
::tt-,3
.,4/1
-111/1 Y f ~, 93-
--lU&J!..L$-r!I...3.-
-AfA.Y-L$ri.3_
DleS~L
~A- t;-""'~~~
LISe-./) l!)/t.. /aw~~
,
4, SI~~ATl!I'tE ,OF TJI,NK OWNER/OPERATOR OltAU.tH,O~I:zED, ~EPRESENTATIVE:
'~
910"'IUf'~
~-/s-j?..3
0.',
es:?2tY~~~~~
~-7J"""'-T1tI'
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P.IFICbnviron rn8z tal
SERVICES COMPANY
April 13, 1993
Jefferson County
Department of Public Works
1820 Jefferson street
Port Townsend, WA 98368
RE: JEFFERSON COUNTY DEPT. OF PUBLIC WORKS HADLOCK SHOP
Enclosed please find copies of the 30 Day Notice of Intent
to Close and 30 Day Notice of Intent to Install as they were
submitted to the Department of Ecology (DOE) this date.
You will receive a letter of acknowledgement from the DOE
giving authorization to proceed after 30 days from the date
of the acknowledgement. Please contact our office as soon
as the DOE responds ,so that we may schedule this project.
If you have any questions regarding this project please call
our office at 385-4221.
sincorely,
\-'}:.- ~--L-\
Kim Redmond
Construction Accountant
PACIFIC ENVIRONMENTAL SERVICES COMPANY
enc.
. t .;; \,., f': ,
APR 1 6 1993
JEFFERS( .
"'RI 1(' ,^,;.!.~..r':5Ju,'
2611 Slm. Way
UST SpecloUslI
Pori Towmnnd. WA 99360 206.:JBS.42? 1
1000.272'9219
PO, Bo. 1031
,~;j:",: f.,,_\,,~,'\l~\(,;,:)"./;,'I...
206'379'9395110')
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o
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UNDERGROUND STORAGE TANK
Notice of Intent to Install
II
ForEcology U.a Onll'
The (lurpo.e 01 thl, rorm I. 10 provide Ihe Department of Ecolopy with nollce 01 Intenllo In'lall an UST. It mu.t he
received at lea. I :10 dny< prior 10 the In,'allnllon. It mu'l be .12ned and dated hy ell her Ihe owner/opera lor 01 the UST 10
he Installed or hi./her allthorl.ed reprc.'entalive (thl. collld he the firm contracted 10 do the work).
^ Notlncnllon Form (ECY 020,:12) and In.tallnllon Chocklld (ECY 010.156) will be .entln re,'pon"e to Ihl. nOllce, snd
must he completed and "Ihmilted hy the owner/operator and tank .ervlcc., provider. rc.'peclivcly, wllhln:1O days 01
hringlng the Installed tank. Into .ervice.
For quc<lion. on completing thl. lorm plea.e call (206) 493-9225.
rlea.e Iype or u.e Ink.
The cllmpleled checkll.t.hlluld be mnlled 10:
rUndOrgrOUnd Slorogo Tonk SoctlOn]
Departmont of Ecology
Moll Slop PV-ll
.Q.ty_~"!~,~ 9B~4,8~___
UST Owner/Oporetor: .dfi';EEC/i'::2f6.1i.t!.e'..J)J:d!T.....I2E.&tS.&.~J!!&:5-r1..:EJ2(2 J I!;Er;'f~A.I Sf;
Owno" Moiling Add,o..: P"ff ll.!.~.2eA/J2...,-~d. 9 ~.4!~ -;;,j{' 9...- /
~-' At_,. .......
Telephone: _liUlt,.J_~b=-=.1L~ 0
SlIelO Numbor (on Invoice or ovnlloblo 'rom Ecology II olhel lenk. al thl. .lIa ora 'oglsla'ed): _~~J_tP3
moplllcamnnt tRnk. will roroln '''0 orlglnlll."" numbm)
SlIe/Buslne.. Nama:
JEp.e'€RSOA/ CoJ/,v7Y. )
tJA12fp..QLSi!...ol" ~J.&lL~-'I1!.L.R<;}._
......
_3.7J_CI/JAfAC~JLRd~
l~l,1]2t:..q;:;& WL!..
City m.,.
JEE.~'v
""".Iy
'L'iU;.33..
....""""
Silo Addross:
2. TANK l~~t^l~-^t!~t-! t~, b.~ ,,~tlf.P,~ME~ DVJ~,k.n.b~n):, ,:.~;'i'." ~ :.'. \:11_,
," I
,-1.',..
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rlrm:
PAc.'-ELC.j:::M.JI-,,g(;.J.U{t;.P..ll!~J!t~~.s Co.
Clf12/J_;5.LA1-LUdA Y
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Acldrn.!:
tvll
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Tolephone:
ConIne! Nnmn:
fCVfttrtlU
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UNDERGROUND STORAG~ TANK
30 Day Nolice of Inlenllo Close/Decommission Tanks
The pllrpn~c or Ihi~ form i~ tn provide the f)cp;1rtmcnt or ~rolnro'with nnlke of Inlenl tn dn~r/d("cnmml....tnn:'ln tIST. It
mu!'1 he recelved:\O d:lY!' prinr 10 Ihe dn~anc ncllvlllc!l>. H t1In~1 he !'Igncd =mtl d:ucd hy ("ilhC'r Ihe nwncr/opcr:unr nr the
UST tn he cln!'cd Of hi../hcr :H1lhori1.cd rrprc..cnt:ttlvc. (1111~ cnuld he the firm cnnlr:'lctcd In eln lhe work.) EcnlnR)' ,,,-ill
nnlify Ihe idcnlincd per.!)o" or the carlic!'l dalc cI(l~;urc/dcc(}mmi~~innin~ activillc~ m:'lY commence.
T'nr qtle,lIon. on cmnplcling Ihi. form 1'1{'a,c cail (2()(,) ~59.('29~.
rlca~c lyre or m:c ink. \ UildOlQround siorngo Tank SeCllOj
Deparlmonl 01 Ecology
The co",pleled chcckll.l .III",ld he mailed In: Mall Slop PV.l1
.Q1Y!'~p!"',_~^ 9B_50.i:~?.!l_-___
..'1 ;;~<..~" ~;i 'II'" ~I,'; l:~' ~ !.".~~'~~,,~ ~ r~'~j.~, '."' .,.1.'. ,'. ...1.;:. /1 j' ,
1. TANk bWNER ANOLbt:AtlbN' '
, .', . _I" . 'I' "".,", ~.. .,. I.", ,',,' .,.1.. " . .
UST Owno./Opornlor: _J_GEF-IF/?sc:u<L--C<?,pPLILE'.';.J5.Lic..-Wo.l?.k.S-- ---.- - ---...--------'--
Owno,s Mailing ^dd,M~:__L~QI,O_difr{;F_E/!!..SC!~.L.:::;-T:~---------..--..--- -- '--r n l<'- .,----
.P~Ji!.r_7.J.N,v4!.s.EM.P.--___-.-U//L-_-----_------9.~..g X- .:::J",_7 ~=I
(,l,y. r.l~1o' (n- ..;;r.r: .
Tolopl1ono: ...la/?t:,.J_-3-'ilS~:1Lb.O
Silo 10 Numbor (on Involeo o. Avallnlllo from Ecology If lonk Is rogl.lnrod): .D...QJe.:L(p-3---- _,__ ..._______..___ _n__
SlIofBuslnoss Nome: J ,eeE€k!.$CUL(!aIA/L'/_D.eP..E.-oEJ3J/Mic...-WPgK.5-= I//IC1t.&O:f::....'S#CC'..._ .
Silo Md,e.s: ___'3J._LCII/1.!:,!.CPA'tj#!:D_~_---JtN"=EIEi~AL
f/LL-IJ112u>~-ttdA 1..Jt.~~'L-
CIty nllll. nr CM.
~, t~~~,,~~,~~~,~~~f,~.l~~~~~,tp .Ij~ ~,~~~,~~~~6. ~,Y lI.Ik~MJI!I.t, ,: I. I. .
nil":
PAt;;IEI..C-...tEMVlI2.0.Al..J!l€M.7JU....:S e:.eVL.C:€S CD
.e~et?lCj~-~~~_._--_.
..9.$. =:- ~B..::.fJ).3.-L__-..
~.twt.
Conlocl Nom.: PAUG:..S/1:7fl't!:At:-_. .__... .
Acld.o..:
_!)_('..!.L:S/;t1if:.;,U!A-Y--
.'B2&_L..7J2/P..MS€I!,/:L_U/LI..
CIty mill.
j ;;;oq,...J_~_'if.o..=J!.:2eL
Tolopl1ono:
TAnk Ane
IVflfllll)
_01_.3_
.-L5:....__
_a-3_
_D./.ese:~___
iJ/I..G,f5Pk~~_..
tJS~J).C)j!:;)tM:ee:l!V~
;'1 l'~:~ ","'il,~~",:"r.'~l',:::_',,, I. "
:,\, ~!,<N,~,I~~~~,M,~tIJlt!.\ ).',,'~l~':I; ',e,';';;';1 \,,:';~',:);'.t
Tnnk Idnnllllcnllo" IIpptox, ClotUt. Onle
Ln.t Sub.tnnce Slor~d
_~;l,__
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(gAllon')
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_IfIA.YJ.-"Bt_?.3-
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.t ~,I~~MV.tltt?"M"1~,tlW~,~~J.~~~I'\~1.I;!.~.,!5.~A~.'lt~~,!t.~P~~~~~,~~,~~t.~t!v.~,! , .::;;, ,1. ,:.\:,\. "I
. ."..a-d~,'!.~..f:f-- e!i7.?.K~~ ~d~-~ _i!: -/ ~2.:2..__m.
rev '0"'" "1M ' "'J'~_"", 0.1'
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. "^'l-"~"I(,r"'''''''''tn''.,,,,-,,.....,\~''''' ,,,.. ".-"..~,..~.~~, ..,""""",.. "'''''''''~_''''l''Ir\'_.l''llTM~'''''fll\l\'I.''"\~''II.lW~.~'.'If/'lttl','il;'.atr',)lI:!l.~~:'::
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PAelFICEnvironrnt9ztal
SERVICES COMPANY
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
RE: HADLOCK SHOP
PROJECT #ER1086
7.08 APPENDIX A
SUBCONTRACTOR LIST
MATERIALS SUPPLIER:
Northwest Pump & Equipment W'A 5780'13'155
601 S. snoqualrnie Street
Seattle, WA 98108-1714
ATTN: Dave Hurne
(206) 622-8100
CANOPY:
A. L. Sleister & Sons Construction, Inc. A L. SL./ii:Sc. I 't 'f D8
12303 cyrus Way
Mukilteo, WA 98275
ATTN: Jim Storms
(206) 742-4944
CONCRETE & PEA GRAVEL:
Shold Excavating \AlA "00 '15~718't
121 Promwell Road
Port Hadlock, WA 98339
ATTN: Duke Shold
(206) 385-0480
ELECTRICAL:
Saturn Electric
1402 Homann Drive S.E.
Lacey, WA 98503
ATTN: sandy Batacan
(206) 491-3569
TANK TESTING:
Jensen Tank Testing v./A 190/0/3 (P8{!)-
1340 Leland Road West
Quilcene, WA 98376
ATTN: Jan Jensen
(206) 765-3331
2611 Slml Way
___,._ ____,__ .._ _., UST SpeclaUltl
PorI Tnwmr.nd, W^ 90368 206-305-4221
1800'722'9219
206'379'9395 110.1
P,O, 80. 103\
". ," "~l:::,',,
.
c
-(--''''"'.,....'''''''.,''''''....,i''>T,l'~1''.'~f('.',~;''tt:l,".':;',~,,~,~,:;[ ~;i~'(\':",('~L~1,'i; Ito\')".l'I'i'{r:',~.J..~:~:..\(.f'r"!-:,t '1:'~'.'l',-a:~t~:'f;;'>f.,....":~'~':N1\1o'1"o'lJr.....-....,...,........"-""_." '....,~ ,.,.-.. "_ .................,"'."..".".,,'" ~. _.,.. ,
-" '; \
i I
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
RE: HADLOCK SHOP
PROJECT #ER1086
7.08 APPENDIX A
SUBCONTRACTOR LIST
SITE ASSESSMENT:
DLH Environmental Consulting VolA IDO0530883
8045 26th Northwest
Seattle, WA 98117
ATTN: Donna Hewitt
(206) 632-3123
TANK DISPOSAL:
West Pac Environmental WA foo/~ 3"1 '-l~3
P.O. Box 80743
Seattle, WA 98108
ATTN: Kim Ducatt
(206) 763-2700
-2-
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",,'..',.._.',1":""1
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The purpn~c of thi:c; r(Jrll1l~ In provide the DCp01r1I1tCllt or ecnlo~ with nollce nf Inlent tn c1Cl:,,("/{kromml...~lnn nn tlST. It
111t1~1 he received .:\0 d:1Y~ prior 10 Ihe t'lo~t1rc ncllvllic:c;, II mn:c;1 he !;fl!ncd nnd dnfcd hy either the owncr/nrCt:llnr of the
UST 10 he clnl'cd or hi!;/hcr nulhnri7.cd rrprc:c;cntnllvc. (1111:c; cnu!d he the nrm cnnlr:lclcd to dn the work.) Ecolngy ""ill
nolify the idcnlincd person or Ihe carlie!'t d.lIc cln:c;urc/dccnmmi:C;!iinning nclivillc.~ m:1Y commence.
UNDERGROUND STORAG~ TANK
30 Day Notice of Inlenl to Close/Decommission Tanks
"'or questlnns on cnmpleling lhis ["'III plcasc call (2m) 459.(,29.1.
Ple",c lypc or usc iuk. I Uiiiiii'g,ound SiOiiige Tank SOCIIO]
Dopa,tmont of Ecology
111e compleled checkli<l shnnld he Illailed In: _~i~~;~!~';~:M504~!!______
1. TAN~,q~~~_~A~~.Lb,9,A.tl.bt(:.,.. ::.~:;..,:, ",.;;~.'l:.:i.. ;,,:;:,I.i'~(.~,1 !t~);i" ,.' .,'" ,...',;",.
UST OwnorfOpornlor: -JGEE€g,SC'I,J__Co.L.l)J7:.V-EL/.J!S J,ic..._W.af!..~S_________.
OwnOlS Moiling AddrMs:__r,?)t;J.C>_.sl_'f..q-EII!.$~"..L~2:',--_,_ ,_ _____. . _. -r n """_____'
-Pe>Jf!.L7J?W-4!.se-AJ.P____W,d_.____.___~~~ ~_~_~7 S::/.
r.W. tlt"'fI ''''l~-'
TOlophone: __LaP.J.-1_5'il.S:-.=..:JL"-_O
Silo 10 Numbnr (on Involco or ovollabln hom Ecology IIlnnk Is ,ngl.lnrnd): .CL~leJJ'",_3__,____._
SlrnlBu.lnnss Nomn: J-e.F-Ee.es.o,y-~A.lV/_D~~EE..OE.BJ..l!.kc,.JJ,JP~_= 1I/1D'U:Q!:::...S#.ce.._.
Silo Addre.s: __'52'-_CII/Af/l.cPA'f_I?.D.,- J.t::;=FE~#
tn....., C",11I1y
-'M12~.....s;A;:.-----I_WA 'l8~~~
city nllIl. nrCtwt.
2, t~fJ.~.~~,~~~!'l~~t I:?Ll;?~~~np ,~,Ii, ~~"-t8tlM~fj. ~y (I,! M,8WH.H: ,,;' ,_ I .. , . :
nnn:
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_;;!~tL'Sm.7.:.;u.JI-Y- e~8d-j<2.1';;;;;--____.
J?elf..LJJ1~s.=pJ)__WLt .9.8'~
(:Jty (11111.. nrCM.
J 010&.--L~_~o-=2'.:2q1 Conlnel Nomo: PAflG:.._Sl/Tfl'tS"A:-'___h.'
Add.os9:
Tnlophono:
~. ~~~'~l '~~,~~"~,~!,I~.<<;. "I~.I'II~;"~I,'j ;':".l~:/j'I~}: ;:.1 ,l 'I;....j\~~i:.:l' i:l\W -,;:'1)\1:,: ;, ',' I'~::'~ :".i:r,~ '<: /.:~, '/:..: . it.
Tnnk IdOlllllleallol1 ^pprox, Clnlure Oala i.illc Cepaelly
(IlAllon.)
_,6-;02.0._
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fyurt)
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Lul Subelanee Slorlld
_1/1//X/.'8,__93_
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UNDERGROUND STORAGE TANK
Notice of Intent to Install
The rurpo.., or Ihls form Is to p,"vlde Ihe Department of Ecologywilh noHce of Inlenllo In'I.1l .n tJST. It mu.. be
,cceived .tlc..t :10 d.y< rrio, to the insl.llaHon. It mu.. be .12ncd and daled hy elthe, the owne,/operato, of Ihe UST 10
be Installed 0' hi./he, autho,ized rcrre..enlatlve ((hi. could be Ihe lirm contracted to do the work).
^ Nollnenllnn Form (EcY 020,32) and IO'lnllnllon Ch.ckll<l (ECY 010.156) will be .entln re'pon.,e 10 Ihl. noHce, ~nd
mo.t he cumpleled .nd suhmilled hy the owner/ore,ator and tank .crvice., provider. rc.'recllvcly, within 30 daY' of
bringing the Installed lank. Into service.
For qtlesHons on completing thl. form plea.e call (206) 493.9225,
Plc..c type or u.e ink.
The completed chcckli.t.hould he mailed to:
~und9rglOUnd Sto,age 'i'iiiii<SiCiiOJ
DeplU1menl of Eeology
Mail Slop PV.ll
.Q1y!!!~!~~ ~~~-8711. __.
1,;, T~NK ~Y'NJ~~,.~,t!I?,Lg.M!IClN.~'l~~~~I~'l)~I~~,r;1.[ij:"~.djiW~M:~;\:~lLi:~;itt'J:i'm;,llllrm~;u~,0;1 ::.:, :,:'t' j1.':\;:ll.~t~1;'~,,:'t~r.~\.
UST Owner/Operator: .df.?;EECb::;?~ r1p... Ve-P.T..t?E"&&4tf:...WP&I::.S....fli!.(2 J e:E.r;~~,u ST.
Ownols Mailing AddreS!:_~UV/...:?e<J.l2-r~ 9~.::!-f.. -,~9~- /
rnry..... Ala'e .'
Telephono: _l~->_~6- - 9 L~ ()
Sho 10 Number (on Involco 0' avalloble Irom EcologV n olho, lanks allhls she a,e reglslered): -'2Q~Lz..4>_3
(noplacomenl 'enh 11'111 ",'oin tile orlglllol Sllll number)
Shnmuslness Nome:
.JE'P;CeA?~..v ('oVNIY. \
I:lAD.toc......s(t8P -~L&.I'-C-'/./;:Lg<d...L__.__.
-3.'.7J_CII../AfA..c~.ILRd. JE EE~,(/
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SERVICES COMPANY
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
RE: HADLOCK SHOP
PROJECT #ER10B6
CONSTRUCTION SCHEDULE
4-21-93
WEEK 1:
1. Remove dispensers and store on site.
2. Demolish islands, drive slab, and tank slab.
3. Excavate, inert, and remove tanks and piping.
4. Perform site Assessment on tank cavity.
5. Layout new islands and tank field.
WEEK 2:
1. construct canopy footings.
2. Excavate new tank hole, install deadmen and filter
cloth.
3. Test and install tanks, backfill with pea gravel.
WEEK 3:
1. Excavate p~p~ng and electrical ditches.
2. construct pump islandS.
3. Install tank sumps and trim.
4. Install product lines.
WEEK 4:
1. Install electrical runs.
2. Finish piping and pressure test.
3. Backfill piping ditches and tank cavity.
WEEK 5:
1. Form drive slab and tank slab.
2. Finish electrical underground.
3. pour drive slab.
2611 Slm. Woy
P.O, Bo, 1031
UST Speclall"'"
rotl Tawnr.nnd, WA Q0368 206-385-012'21
1 BOO.222.<i219u,-------'?06.379.9395 (Ia,)
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
RE: HADLOCK SHOP
PROJECT #ER1086
CONSTRUCTION SCHEDULE
4-21-93
WEEK 6:
1. Install canopy.
2. pour tank slab and islands.
WEEK 7:
1. precision test tanks and lines.
2. Set dispensers and install stage II vapor recovery
hoses and related equipment.
3. Finish canopy installation.
4. Install canopy lights.
WEEK 8:
1. Complete electrical connections.
2. Patch paving over trenches.
3. Have fuel delivered.
WEEK 9:
1. purge lines and calibrate pumps.
2. Test electronic equipment.
3. Clean up construction debris.
4. system start up.
5. Final inspections.
6. Completion of project.
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PAdFICEnviro1Z711&ztal
SERVICES COMPANY
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
RE: HADLOCK SHOP
PROJECT #ER1086
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7.08 APPENDIX E
COST BREAKDOWN
1. TANK REMOVAL
Equipment: Excavator, Backhoe,
including mobilization $ 1,468
Labor: 2,112
Materials: 51
Subcontractors:
Tank Disposal - West Pac Enviro,
includes hauling 1,625
site Assessment - DLH Enviro Consulting 4,200
subtotal $ 9,456
2. TANK INSTALLATION
Equipment: $ 1,908
Labor: 5,632
Materials: 6,871
subcontractors:
precision Tank & Line Testing
Jensen Tank Testing -.J ,200
Subtotal $15,611
3. CONCRETE
Equipment: $ 275
sawcutting: 512
Labor: 8,240
MaterialS: 3.687
Subtotal $12,714
4. ELECTRICAL:
subcontractors:
Saturn Electric
Equipment: $ 500
Labor: 3,000
Materials: 4,000
subtotal $ 7,500
P,O, 80,1031
UST SpeclaUlu
Pori Townlond, WA 98368 206-385-4221
1800'222'9219
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RE: HADLOCK SHOP
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
PROJECT #ER1086
7.08 APPENDIX E
5. PERMITS, DRAWINGS:
6. 24x60 CANOPY:
7. BOND, INSURANCE:
8. TANK TRIM:
9. PROFIT/OVERHEAD:
10. ESTIMATED COST / BID AMOUNT
11- W.S.S.T. @ 7.8%
12. PROJECT TOTAL
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$16,800
$ 2,730
$ 6,403
$11,036
$83,250
$ 6,494
$89,744
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SERVICES COMPANY
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PROJECT MANUAL
UNDERGROUND STORAGE TANKS
HADLOCK SHOP
371 Cbimacum Road
port Had1ock, WA 98339
project No: ER1086
FOR: JEFFERSON COt:JNfi
DEPARTMENT OF PUBLIC WORKS
1820 JEFFERSON
P,O. BOX 1220
POR~ ~OWNSEND, WA 98368
(206)385-9160
prepared By: Jefferson County
Department of pub1io Works
March 10, 1993
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UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
'rABT.F.: OF ~ONTENTS
PAR'I'
~ONTRA~~L ~PF.~T~YCATTONS
00020 CALL FOR BIDS 1
00100 INSTRUCTIONS TO BIDDERS 2
00310 BID FORM 9
00410 BID GUARANTEE ~' 11
00500 CONTRACT FORM 12
00600 CONTRACT BOND FORM 14
00650 CONTRACTOR'S DECLARATION OF OPTION FOR
MANAGEMENT OF STATUTORY RETAINED
PERCENTAGE 16
00660 SAMPLE CLOSEOUT FORMS 17
00670 STATE OF WASHINGTON PREVAILING WAGE RATES 18
00700 GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS 20
PARII' TT. T~CHNY~~L ~pF.~TFr~ATrONR
DIVISION 1 GENF.RAL REOUIRF~N'I'S
01010
SUMMARY OF WORK
CONTRACTOR
OWNER
SUBSTITUTIONS
SUBSTITUTION REQUEST FORM
PROJECT CLOSEOUT
01630
01631
01700
PART III RXRIBITS
VICINITY MAP
SITE PLAN
PUMPSITE PLAN
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32
35
36
37
38
UST- Hadlock Shop
Project No: ER1D86 - Fuel Tanks
CALL FOR BIDS
C'>
SECTION 00020
INVITATION TO BID
Notice Is hereby given that the Board of County Commissioners, Jefferson County,
Washington, will receive sealed bids up until the hour of 4:00 p.m. on April 12, 1993 at the office
of the County Commissioners, the Jefferson County Courthouse, Port Townsend, Washington,
98368, to be then opened and publicly read at a meeting of_ the County Commissioners to be held
on that date for underground storage tank work that Includes providing the labor, equipment and
materials necessary to remove existing 5,000, 2,500, and 1,000 gallon fl.\el tanks and Install 2.
8,000 gallon fuel tanks and all associated specified equipment at the Hadlock Shop at 371
Chlmacum Road, Port Hadlock, WA 98339.
Bids shall be submitted In accordance with the plans and specifications. on file at the
office of the Director of Public Works, Jefferson County Courthouse, 1820 Jefferson Street, Port
Townsend, Washington 98368, Altentlon Frank Gifford, (206) 385-9160, Plans and specifications
may be obtained by submitting a $10.00 refundable deposit to the Jefferson County Department
of Public Worl<s. The deposit will be refunded If the plans and specifications are retumed In good
condition within 10 days of the bid opening.
Each bid shall be accompanied by a surety bond, postal money order, cash, cashier's
check or certified check payable to the Treasurer of Jefferson County In the sum of 5% of the bid
amount, to be forfeited to Jefferson County by the successful bidder If he falls to enter into a
contract and file an acceptable surety bond In the amount of 10D% of the contract price within ten
(10) days of the award, The Board of County Commissioners reserves the right to reject any and
all bids, and to accept the bid deemed most advantaQeous to Jefferson County and to waive all
Informalities In the bidding. ..' .
END OF DOCUMENT 00020
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SECTION 00100
INSTRUCTIONS TO BIDDERS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
INSTRUCTIONS TO BIDDERS
1. SUMMARY
1.01 DOCUMENTlNCLUDES
A. Invitation
1. Bid Submission
2. Intent
3. Work Identified in the Contract Documents
,4. Contract 11me and Liquidated Damages
B. Bid Documents and Contract Documents
1. Definitions
2, Contract Documents Identification
3, Availability
4. examination
5. Queries/Addenda
6. Product/System Substitutions
. \
C, Slie Assessment
1, Site Examination
2, Prebld Conference
D. Qualifications
1. Quatlficatlons
2. Prequallficatlon
3, Subcontractors/Suppliers/Others
E, Bid Submission
1. Bid Depository
2, Bid Ineligibility
3, Submission procedure
F. Bid Enclosures/Requirements
1, SecurilY Deposit
2, Consent of Surety or Agreement to Bond
3, Perfonnance Assurance
4. Insurance
5, Bid Form Requirements
6. Fees for Changes In the Work
7, Bid Form Signature
8, Additional Bid Information
9. Prevailing wage requirements
10, Retalnage
G, Olfer Acceptance/Rejection
1, Duration 01 Offer
2. Acceptance 01 Oller
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SECTION 00100
INSTRUCTIONS TO BIDDERS
UST- Hadlock Shop
Project No: ER10B6 - Fuel Tanks
1.D2 RELATED DOCUMENTS
A. Document 00020 - Invitation to Bid.
B. Document 00660- Sample close out forms.
C. Document 00310 - Bid Form
D. Document 00410 - Bid Guarantee
2. INVITATION
2.01 BID SUBMISSION
A. As noted In Document 00020: Invitation to Bid
2.02 EQUAL EMPLOYMENT OPPORTUNITY (General Application)
A. Discrimination in all phases of employment Is prohibited by Tltle VII of the Civil Rights Act
of 1964 and Washington State Law Chapter 49.60 RCW. During the perlormance of this
contract, the Contractor agrees not to discriminate against any employee or applicant for
employment because of race, creed, color, national origin, sex, age, marital status, or the
presence of any physical, sensory or mental handicap, The contractor agrees to minority
and female employment on this contract In accordance with the goals established for
Jefferson County.
Women
Minorities
6,9%
6.1%
2.03 WORK IDENTIFIED IN THE CONTRACT DOCUMENTS
A, As noted In Document 00020: Invllatlon to Bid
2,04 CONTRACT TIME
A. Identify Contract Tlme In the Bid Form, The completion date In the Agreement shall be
the Contract Tlmo added to the commencement date denoted as calendar days,
B. The Owner requires that the Work of this contraCt be completed as quickly as possible,
Consideration will be given to time of completion whon reviewing the submlUed BIds.
3. BID DOCUMENTS AND CONTRACT DOCUMENTS
3.01 DEFINITIONS
A. Bid Documents: Co:>tracl Documents supplomented wllh Invllatlon to Bid, Instructions to
Bidders, Bid Form alld Appendix A, Supplements To Bid Forms and Appendices,
Identified herein.
B, Contract Documonts: Doflned In AlA A201 Article 1 Including Issued Addenda.
3
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SECTION 00100
INSTRUCTIONS TO BIDDERS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
C. Bid, Offer, or Bidding: Act 01 submitting an offer.
D. Bid Price: Monetary sum Identified by the Bidder in the Bid Form.
E. The Owners are the representatives 01 the Capital Projects Division 01 the Jefferson
County Department 01 Public Works.
3.D2 CONTRACT DOCUMENTS IDENTIFICATION
A. The Contract DOaJments as prepared by Capital Projects D,lvislon of the Jellerson
County Department 01 Public Works.
3,03 AVAILABILITY
A. Bids shall be submitted In accordance with the plans and spedfications on file at the
011100 01 the Director 01 Public Works, Jefferson County Courthouse, 1820 Jefferson
Street, Port Townsend, Washington 98368, Attention Frank Gifford, (206) 385-9160.
3,04 EXAMINATION
A, Bid Documents will be supplied to all Invited Bidders by the Jeflerson County Department
of, Public Works located In the lower level of the Courthouse In Port Townsend, WA.
Mall: 1820 Jefferson Street, Port Townsend, WA 98368 (206) 3B5-9160
B, Upon receipt 01 Bid Documents verily that documents are comptete, Notify Owner
should the documents be Incomplete.
C. Immediately notify the Owner upon IIndlng discrepancies or omissions In the Bid
Documents. ' . '
3.05 QUERIES/ADDENDA,
A, Direct questions to Frank Glllord, telephone (206) 3B5-9160.
B, Addenda may be Issued during the Bidding period. All Addenda become part 01 the
Contract Documents, Include resullan!' costs In the Bid Price.
C, Verbal answers are not binding on any party.
D, Clarifications requested by Bidders must be In writing, The reply will be In the lorm 01 an
Addendum, a copy 01 which will be lorwarded to all known to be In possession of the
Project Manual.
3,06 PRODUCT/SYSTEM SUBSTITUTIONS
A, Where the Bid Documents stipulate a particular Product, substitutions will be
considered by the Owner up to three (3) days before receipt of bids,
B, The submission shall provide sufficient Information to determlne acceptability of such
products, owner will rovlew and determine" substitution Is approved equal.
C. When 0 request to substitute a Product Is made, the Owner may review tho substitution
and Issue an Addendum to known Bidders,
4
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SECTION 00100
INSTRUCTIONS TO BIDDERS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
D. In submission of substitutions to products specified. Bidders shall include In their
Bid. any changes required In the Work and changes to Contract Time and Contract
Sum/Price to accommodate such substitutions. A later claim by the Bidder
for an addition to the Contract Time or Contract Sum/Price because 01 changes In
Work necessitated by use of substitutions shall not be considered.
4. SITE ASSESSMENT
4.01 SITE EXAMINATION
A. 81dder must examine the project site belore submitting a 81d.
8. The premises at the project site are avallable lor examination Monday through Friday
between the hours 01 8:DO a.m. to 3:30 p.m, Owner must be present during site visit.
C. Examination of site Is to be arranged through the Jefferson County Department 01 Public
Works. AIt'n: Earl Wells (206) 385-0890.
5. QUALIFICATIONS
5.01 EVIDENCE OF QUALIFICATIONS
A. To demonstrate quallllcatlon for performing the Work 01 this Contract, Bldders may be
requested to submit wrllten, evidence 01 IInanclal position, previous experience, current
commitments, certlllcatlons by the Department of Ecology, and license to perform work
In the State 01 Washington.
5.02 PREQUALlFICATION
A, Jefferson County does not require prequallflcatlons of prospective bidders prior to
furniShing them a bid proposal packet. However, Jefferson County will determine a
bidder's qualifications alter bids are submitted. This determination shall be based
upon IInanclal ability to complete the project and prior contract performance,
5,03 SUBCONTRACTORS/SUPPLIERS/OTHERS
A. The Owner reserves the right to relect a proposed Subcontractor lor reasonable cause,
8, Refer to AlA Article 5 01 General Conditions A201.
6. BID SUBMISSION
6,01 BID DEPOSITORY
A. As noted In Documont 00020: Invitation to Bid,
6,02 SUBMISSION PROCEDURE
A, Bidders shall be solely responsible lor the delivery of their Bids In the manner and
limo prescribed, ,
B, Submll ono copy 01 tho exocuted ollor on tho 81d Forms provldod, signed and
sealed with tho required socurlty and bid bond,
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SECTION 00100
INSTRUCTIONS TO BIDDERS
UST- Hadlock Shop
Project No: ER1D86 - Fuel Tanks
C. Improperly completed Information, irregularities In bid bond, may be cause to declare the
Bid InvaRd or Informal.
D. An abstract summary of submitted Bids will be made available to all Bidders following
Bid opening.
6.03 BID INELIGIBILITY
A. Bids that are unsigned, improperly signed or sealed, conditional, Illegible, obscure,
contaln arithmetical errors, erasures, allerations, or irregularities of any kind, may at the
discretion of the Owner, be declared unacceptable.
B, Bid Forms, Appendices, and enclosures which are Improperly prepared may at the
discretion of the Owner, be declared unacceptable.
C. Failure to provide security deposit, bonding or Insurance requirements may at the
dlscretion.of the Owner, Invalidate the Bid.
7. BID ENCLOSURES/REQUIREMENTS
7.01 'SECURITY DEPOSIT
A. Bids shall be accorOpanled by a security deposit as follows:
1, As noted in Document 00D20: Invllation to Bid.
B, Endorse the Bid Bond In the name of the Owner as obligee, s,lgned and sealed by the
Contractor as principal and the Surety,
C, The security deposit will be retumed after delivery to the Owner of the required
Performance Bond by the accepted Bidder.
D, Include the cost of bid security In the bid price;
E, Alter a bid has been accepted, all securfty deposits will be returned to the unsuccessful
Bidders within ten days aller execution of the contract.
F, If no contract Is awarded, all security deposits will be returned.
7.02 CONSENT OF SURETY
A Submll wllh the Bid,
7,03 PERFORMANCE ASSURANCE
A. Accepted Bidder: Provide a Performance bond as described In Document 00600
Contract Bond,
B, Include the cost of performance and assurance bonds In the Bid Price and Identify the
cost when requested by the Owner.
6
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SECTION 00100
tNSTRUCTlONS TO BIDDERS
UST- Hadlock Shop
Project No: ER 1 OB6 - Fuel Tanks
7.04 INSURANCE
A. Provide an executed .Undertaklng otlnsurance" on a standard form provided by the
Insurance company stating their Intention to provide Insurance to the Bidder In
accordance with the Insurance requirements of the Contract Documents.
7.05 BID FORM REQUIREMENTS
A. Complete all requested Information in the Bid Form and Appendices.
7.06 FEES FOR CHANGES IN THE WORK (See Section 00700 Article 7)
A. Fees for change order work shall be charged at a rate ot no more than 15% total for the
Contractor performing the work Including subcontractor and contractor profit and
overhead for Changes In the Work, whether additions to or deductions from the Work on
which the Bid Price Is based.
B. Fees for change order work shall be charged at a rate of no more than 8% total for the
General Contractor and/or Intermediate Sub-contractor on fees of Sub-Contractor that
actually performed the work. The 8% fee shall Include Intermediate Sub-Contractor and
General Contractor profit and overhead for Changes In the Work, whether additions to or
deductions from the Work In which the Bid Price Is based,
7.07 BID FORM SIGNATURE
A, The Bid Form shall be signed by the Bidder, as follows:
1. Sole Proprietorship: Signature of sole proprietor In the presence of a witness who will
also sign, Insert the words .Sole Proprietor" under the signature.
2. Partnership: Signature of all partners In the presence of a witness who wlll also sign.
Insert the word "Partner" under each signature.
3. Corporation: Signature of a duly authorized signing otllcer(s) In their normal
signatures, Insert the officer's capacity In which the signing officer acts, under each
signature, Affix the corporate seal. If the Bid Is signed by officials other than the
President and Secretary of the company, or the PresidenUSecretarylfreasurer of the
company, a copy of the by-law resolution of the Board of Directors authorizing them
to do so, must also be submitted with the Bid Form In the Bid envelope,
4, Joint Venture: Each party of the Joint venture shall execute the Bid Form under their
respective seals In a manner appropriate to such parly as described above, similar to
the rec;:;:' ~ments of a Partnership,
7.08 ADDITIONAL BID INFORMATION
A, The apparent low bidders may be requested to submit the following Appendices to be
received by the owner In the time stated aller Bid submission:
1, Appendix A. Subcontractors: 98 hours,
2, Appendix E. Cost Breakdown: 98 hours.
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SECTION D01DO
INSTRUCTIONS TO BIDDERS
UST- Hadlock Shop
Project No: ER1 086 - fuel Tanks
B. Appendix A _ Subcontractors: Include the names of all Subcontractors, their Washington
State Contractor'S registration numbertllcense for the portions of the Woll< they will
perform.
C. Appendix E _ Cost Breakdown identifies the Bid Price/Sum segmented Into portions using
the standard CSI Master format sections as requested by the owner.
7.09 PREVAILING WAGE REQUIREMENTS
A Contractor must conform to all state, prevailing wage requirements and must obtain all
Information related to paying prevailing wages Including INTENT TO PAY PREVAILING
WAGES and AFFIDAVIT OF WAGES PAID forms. Contractor / Sub-contractor must pay
all fees incurred in liIing these forms. A listing of prevailing wages Is included for
reference In document 00670.
7.10 RETAINAGE
A. The Jellerson County Department of Public Works standard rate of retainage for this
project Is set at the rate of live percent (5%),
7,11 'PERMITS
A, The contractor will be responsible for obtaining and payment for all permits needed to
complete the project. The Contractor will provide all associated drawings, spedficatlons,
and other necessary documentation to obtain all permits for this project
8, OFFER ACCEPTANCE I REJECTION
8.01 DURATION OF OFFER
A. Bids shall remain open to acceplimce for a period of thirty (30) days aller the Bid
Closing date,
8,02 ACCEPTANCE OF OFFER
A. The Owner reserves the right 10 accept or reject any or all oilers.
B. Aller acceptance. the Jellerson County Department of Public Woll<s will Issue to the
successful Bidder, a NOTICE OF CONTRACT AWARD,
END OF DOCUMENT 00100
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DOCUMENT 00310
BID FORM
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
BID FORM
Proposal of
(name, address, telephone number of bidder)
Proposal to supply the labor, equipment and materials necessary to remove existing 5.000,
2,500, and 1,000 gallon fuel tanks and Install 2-8,000 gallon fuel tanks and all associated
speclfled equipment at the Hadlock Road Shop at 371 Chlmacum Road, Port Hadlock, WA
98339.
To: AIt'n: Frank Gifford; Project Manager
Jefferson County Department of Public WOr1<s
P.O. Box 1220
1820 Jefferson Street
Port Townsend, Wa 98368
Dear Sir:
The Undersigned, having examined the site of the proposed work, Drawings, Specifications, and
related documents, being familiar with all of the conditions relating to the construction of the
proposed project, Including the availability of materials, services, equipment and appliances
required In connection with or Incidental to said construction In strict conformance with the above
mentioned documents, for the Base Bid Amount of'
Dollars ($
Washington State Sales Tax
TOTAL BID $
NOTE:)'he obOve Totol Bid Is Inclusive of Wnshlnllton Stntn and Locot Solo!! Toxes,
All appllcablntaxes which the Contractor Is requlrnd to pay as hnrnln speclfled shall be Includnd
by him In his various bid prlce(s) or any other compensation to be paid to him under the contract.
TIME OF COMPLETION & LIQUIDATED DAMAGES
We agree to complete the work of this contract wllhln a period of _ calendar days beginning
on the effective date of Notice to Procend, In the event that thn work Is not completed at said
time, the Contractor agreee to fortell to the Owner as liquidated damages the sum of Ave
hundred Dollare ($500,00) for the first calendar day and One Hundred Dollars ($100,00) for each
and every additional calendar day the work remains uncompleted.
ADDENDA
Receipt of Addenda numbered _, ' are hereby acknowledged and nil cost of
work therefore hnve been Included In this proposal.
CONFIRMATION OF SITE REVIEW REQUIREMENTS
Our representative
revlowed the project silo on
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DOCUMENT 00310
BID FORM
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
The Contractor Is hereby advised that by signature 01 this proposal he Is deemed to have signed
the following non-colluslon certificate required for this project.
NON-COLLUSION CERTIFICATE
The undersigned, being duly swom, deposes and says that the person. firm, association, co-
partnership or corporation herein named, has not, either directly or indirectly, entered Into any
agreement, participated In any collusion, or otherwise taken any action In restraint of free
competitive bidding In the preparation and submission 01 this proposal to Jefferson County lor its
consideration in the award 01 the contract. ,: .
The Contractor for hlmse~, and for his heirs, executors, administrators, successors, assigns, does
hereby agree to the lull performance 01 all the covenants herein contained upon the part 01 the
Contractor.
It is further provided that no liability shall attach to the County by further reason 01 entering Inlo
this contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor has executed this Instrument, on the day and year first
below written.
, ,
Executed by the Contractor
,1993
,1993
Surety
Attorney-ln-lacl
(Certllled and effectively dated Power
01 Attomey must be attached)
On this day personally appeared belore me known to me to be the
Individuals described In and who executed the within and loregolng Instrument, and acknowledge
that they signed the same as their free and voluntary act and deed, lor the use and purpose
therein mentioned,
Given under my hand and olfldal seal this _ day 01
1993,
Notary Public In and lor the State 01 Washington
residing at
END OF DOCUMENT 00310
10
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DOCUMENT 0041 0
BID GUARANTEE
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
BID GUARANTEE
-.
The undersigned furnishes herewith bid guarantee In the amount of 5% of the total of the base bid
proposal. This bid guarantee warrants that the undersigned will not withdraw his proposal for a
period of thirty (30) days after the scheduled closing time for the receipt of proposals. That if this
proposal is accepted, the undersigned will enter Into a formal contract prepared by Jefferson
County and that the required performance bond and payment bond will be given. In the event of
the withdrawal of this proposal within the period stipulated above, or the failure of the undersigned
to enter Into a contract and give the required bonds within the ten (10) days after the undersigned
has received notice of the acceptance of this proposal, the undersigned shall be liable to the
Owner for the full amount of the bid guarantee as Dquldated damages on account of the default of
the undersigned.
If a bid bond Is used. It shall be submitted on a form furnished or approved by the County and
signed by the bidder and his surety company. The surelles allomey-In-fact must be registered
with the Washington State Insurance Commission.
Bidder
By
Street Address
City
State
Zip
Telephone Number
State of Washington, Contractor Registration Number
END OF DOCUMENT 00410
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DOCUMENT 00500
CONTRACT FORM
UST- Hadlock Shop
Project No: ER10B6 - Fuel Tanks
CONTRACT
JEFFERSON COUNTY, WASHINGTON
THIS AGREEMENT, made and entered Into this day of . 1993, between
the COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners and the
Director of Public Works under and by virtue oll1t1e 36, RCW, as amended and
of
hereinafter called the Contractor.
WITNESSETH:
That In consideration of the terms and condltlons contained herein and aUached and made a part
01 this agreement, the parties hereto covenant and agree as follows:
1. The Contractor agrees to lurnlsh all materials and do certain work, to-wit: That the said
'Contractor herein will undertake and complete the following described work: proposal to
supply the labor, equipment and materials necessary to remove existing 5,000, 2,500,
and 1 ,OOD gallon fuel tanks and Install 2-8,ODD gallon fuel tanks and all assoclated
specified equipment at the Hadlock Road Shop at 371 Chlmacum Road, Port Hadlock,
WA 98339" In accordance with and as described In the aUached specifications and the
terms and conditions herein contained and shall at the owner's dlscretlon perform any
alleratlons In or additions to the work proyltl,ed under this contracfand every part thereof.
The Contractor shall provide and be at the expense 01 all equipment, work and labor of
any sort whatsoever that may be .requlred for the transfer of materials and for
constRJctlng and completlng the work provided lor In this contract and every part thereof,
except such as are mentioned In the specifications furnished by the County of Jefferson.
2, The County of Jefferson hereby promises and agrees with the Contractor to employ, and
does employ the Contractor to provide the materials and to do and cause to bo done the
abovo described work and to complete and finish the same according to tho allached
plans and specifications and the terms and conditions herein contained, and hereby
contracts to pay for the same according to tho aUached spectncations and the schedule
of unit or Itemized prices horeto aUached, at the time and In the manner and upon the
condltlons provided lor In this contract, The County lurther agrees at the County's
discretion to employ the Contractor to perform any alterations In or additions to the work
provided for In this contract that may be ordered and to pay for the same undor the terms
of this contract and the aUached plans and specifications.
3, The Contractor for himself, and for his heirs, executor, administrators, succossors, and
assigns, doos horoby agroo to tho full porformanco of all tho covenants horeln contained
upon tho part of tho Contractor.
4, It Is furthor provided that no liability shall aUach to tho County by reason of entoring Into
this contract, oxcopt as expressly provldod horoln,
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DOCUMENT OOSOO
CONTRACT FORM
UST - Hadlock Shop
Project No: ER1086 - Fuel Tanks
"
IN WITNESS WHEREOF. the Contractor has executed thIs Instrument on the day and year first
below written, and the Board 01 County Commissioners has caused this Instrument to be
executed by and in the name 01 said County 01 Jefferson the day and year first above written.
Executed by the Contractor
,1993
Contractor
By
1993
Surety
By
Attorney-In-Fact (Certified and effectively dated power
01 Attorney must be attached)
County 01 Jefferson
Board 01 Commissioners
Richard E, Wolt. ChaIrman
Glen Huntlngford. Member
Robert H, Hinton. Member
Approved as to lorm this
day 01
.1993
Prosecuting Allorney
END OF DOCUMENT 00500
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SECTION 00600
CONTRACT BOND FORM
UST- Hadlock Shop
Project No: ER1D86 - Fuel Tanks
CONTRACT BOND
JEFFERSON COUNTY, WASHINGTON
KNOW ALL MEN BY THESE PRESENT:
That
and
, as Principal,
, as Surety, are jointly and
severally held and bound unto the County of Jefferson, the penal sum of
Dollars ( $ \ , for the payment of which we
jointly and severally bind ourselves, our heirs, executors. administrators, and assigns, and
successors and assigns, firmly by these presents.
The condition of this bond Is such that WHEREAS, on the
day of
, A.D. . 1993, the said Principal herein, executed a certain
contract with the County of Jefferson, by the terms, condlllons and provisions of which contract
the said ' , Principal herein, agrees to fumlsh all materials
and do certain work, to-wit: That the said P(1nclpal herein will undertake and complete the
following described work:
FURNISH ALL LABOR AND MATERIALS NECESSARY necessary to remove existing 5,DOO,
2,500. and 1,000 gallon fuel tanks and Install 2-8,000 gallon fuel tanks and all associated
specllled equipment at the Hadlock Road Shop at 371 Chlmacum Road, Port Hadlock, WA
98339,as per maps, plans and specifications made a part of said contract. which contract as so
executed, Is hereunto atlached and Is now referred to and by this reference Is Incorporated herein
and made a part hereol as fully for all purposes as If here setlorth at length,
NOW, THEREFORE, lithe Principal herein shalllalthlully and truly observe and comply with tho
terms, conditions and provisions 01 said contract In all respects and shalt well and truly and fully
do and perform all mattors and things by the said Principal undertaken to be performed under the
said contract, upon the terms proposed thoreln, and within the time prescribed therein, and until
the same Is accepted, and all persons who shall supply such contractor or subcontractor with
provisions and supplies for the carrying on of such work, and shall In all respects faithfully perform
said contract according to law, then this obligation to be void, otherwlso to remain In full force and
effect,
, of
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UST- Hadlock Shop
Project No: ER1D86 - Fuel Tanks
WITNESS our hands this
day of
PRiNCIPAL
By:
APPROVED AS TO FORM fhls _ day of
Prosecuting Attorney
Jefferson County, WA
Address of local office and agent of surely company:
Name
Street
City
State
o
SECTtON 00600
CONTRACT BOND FORM
1993,
SURElY COMPANY
By:
By:
Attorney-in-Fact
(Certified and effectively dated
Power of Attorney must be attached)
Zip Code
END OF DOCUMENT 00600
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SECTION 00650
MANAGEMENT OF STATUTORY
RETAINED PERCENTAGE
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
A. I hereby elect to have the retained percentage 01 this contract held In a fund by the
Owner until (30) day following final acceptance 01 the work.
Date:
Signed:
B. I hereby elect to have the Owner deposit the retained percentage 01 this contract In an
Interest bearing account, not subject to withdrawal until after final acceptance 01 the work.
Date:
Signed:
C. I hereby elect to have the Owner Invest the retained percentage 01 this contract from
time to time as such retained percentage accrues.
I hereby designate
the repository for the escrow 01 said lunds.
I hereby furlher agree to be fully responsible for payment of all costs or fees Incurred as
a result of placing said retained percentage in escrow and Investing it as authorized by
statute, The Owner shall not be liable In any way for any cost or lees In connection
therewith, .
END OF DOCUMENT 00650
as
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UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
Request For Release:
Public Works Contract Reconciliation of Taxes:
Notice of Completion of Public Works Contract:
Consent 01 Surety Company To Rnal Payment:
Contractors Affldavil 01 Payment Of Debts And Claims:
Contractors Affldavil 01 Release 01 Uens:
Certificate Of SUbstantial Completion:
Subcontractor Detail:
Certified payroll of general contractor and subcontractor:
. Affidavit 01 Prevailing Wages Paid:
Release and Waivers of Uens(for all sub-contractors)
(
SECTION 00660
SAMPLE CLOSE OUT FORMS
Owner Provided
State of Washington
Dept. of Revenue
ExclseTax Division
Olympia, WA 98504
Owner provided
AlA Document G707
AlA Document G706
AlA Document G706A
AlA Document G704
Obtain from WA State
Dept. Of Revenue
From Contractor
State of Washington
Department of L&I
Form WH-347
From Contractor
The Inclusion of these documents Is provided to asslst In the dOaJment routing procedure and In
no way diminishes the Contractor's responsibility to obtain the correct and most current forms or
Information,
Copies of some of the above sample closeout forms may be available from the Owner, Contact:
Department of Public Works, Jetferson County, AU'n: Frank Gilford at (206)385-9160,
END OF SECTION 00660
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UST- Hadlock Shop
Project No: ER1D86 - Fuel Tanks
DOCUMENT 00670
STATE OF WASHINGTON
PREVAILING WAGE RATES
STATE OF WASHINGTON
PREVAILING WAGE RATES
Effective dale
March 3, 1993
Issued by
DEPARTMENT OF LABOR AND INDUSTRIES
ESAC DIVISION
P.O,Box 44540
OL YMPIA, WA 98504-4401
(206) 956-5335
18
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
General Administration Building . Olympia, Washington 98504-4401
ESAC OIVISIOll . TELEPHOllE (206) 956-5335
PO BOX 44540, OLYMPIA, ~ASHINGTON 98504'4540
WASHINGTON STATE PREYAIUNG WAGE RATES
JefFERSON COUNTY
EFFECTIVE 03-03.13
HOURLY HOURLY
WAGE FRINGE
CLASSIFICATION ~ BEREfTlS
.. ASBESTOS ABATEMENT, CERTIFIED
certified Asbestos Abatement \lorker 17.69 3.85
.. BOILERMAKERS
801 Lerma1c.er 22.07 6.16
.. BRICKLAYEBS AND MARBLE MASONS
All ClassifIcations 20.92 4.58
.. BUILDINO SERVICE EMPtOYEES
Janitor 6.29 0.36
Trave L i"g \laxer, ShaJq)Ooer 6.68 0.36
Ufndow Cleaners 9.95 0.36
.. CABINET MAKERS
cabinet Maker. I n Shop 13.12 0.00
.. CARPENTERS
Carpenter 20.39 4.40
Drywall Applicator 20.39 4.40
Creosoted Material 20.49 4,40
Floor Finisher 20.52 4.40
Floor LiVer 20.52 4.40
FLoor Sander 20.52 4.40
Slwft LeI" 20.52 4.40
Shlnglar 20.52 4.40
Accous t' cal Yorker 20.55 4.40
PIledrlvar 20.59 4.40
Stationary Woodworkfng Tools 20.52 4.40
MI llwrlght 21.39 4.40
.. CEMENT MASONS
CEMENT MASON 20,76 5.00
PATCHINO AND PAVING 20.76 5.00
CURING 20.76 5.00
CURB AND GUTTER 20.76 5,00
SIDElIAtICS 20.76 5.00
SEAt I NG COHPWND 20,76 5,DO
UNDERLAYMENT 21.01 5.00
HASTI C, EPOXY. PLASTI C 21,01 5,00
CONCRETE SAil 21.01 5,00
POIIER TOOLS AND GRINDERS 21,01 5,00
SANDBLASTING 21.01 5,00
FINISN COLORED CONCRETE 21,01 5,00
GUNITE NOZZLE PERSON 21.01 5,00
TUNNEl \/ORKERS 21.01 5.00
lROIIEI MACHINE ON COLORED 22.26 5.00
SLABS, COMPOSITION OR
KALHAN FLOORS
CSEE BEllEFIT CODE KEY)
OVER
TIME HDUOAT IDTE
l<!lJ!! J<!!!l!
1M 50
lR 5N
lB 5A
lB 5U 8N
lB 5U 8H
18 5U 8H
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
1M 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
10 50
~3
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~ASHINGTON STATE PREVAILING ~AGE RATES EFFECTIVE OJ.OJ.S3
JEFFERS 011 COUIITY
CLASSIFICATIOII
HOURLY HOURLY
WAGE FRINGE
RATE !!llif!m
12.07 0.00
12.07 0.00
22.44 4,40
50.45 4.40
.. COMMUNICATION TECHIIICIANS
Conmmicaticn Technician
Electronic Technician
.. DIVERS AND TEIIOERS
Tenders
Divers. 0 to 50 ft
ISEE dEBEFIT CODE KEll
OVER
TIllE
~
HOUOAY
CODE
lH
1H
50
50
In addition to the hourly wage and fringe benefits,
the following depth premiLlJ'lS apply to depths of fifty f~t ~r more
Over 50; to 100' . Sl.00 pe~ foot for ~ach' fO,ot over~ 50 feet
Over 100' to 175' . $2.25 per foot for each foot over laD feet
Over 175' to 250' . $5.50 per foot for each foot over 175 feet
Over 250' - Divers may name their own price, provided it is no less
than the scale listed for 250 feet
.. DREDDE WORKERS
Assistant Engineer 20,21 5.11
Assistant Hate-Deckhand 19,87 5.11
Boa tmsn 20.21 5.11
Engineer lIeldor 20,26 5.11
Leverman 20.63 5.11
Hate 20.21 5,11
Oller 19.87 5.11
, Crane 20.26 5.11
Ha f ntenance . 19.77 5.11
.. DRYWALL FIIIISHERS
Drywall Taper 21.02 3.71
.. ELECTRICAL FIXTURE MAIIlTEIIAIICE WORKERS
Journey Level 8.00 1,37
.. ELECTRICIANS
Journey Level 22,31 6.03
Cable Spl leer 24.54 6,10
Construction Stacie Person 12.27 3,11
.. ELECTRICIANS, MOTOR SHOP
Craftsperson 13.95 1.42
Journey Level 13.29 1,40
.. ELECTRICIANS, POWERUIIE CONSTRUCTION
Journey Level Line Electrician 21.69 5.51
Cable Splicer 24.01 5,59
Certified Line Electrfelan ~elder 21.69 5,51
Pole Sprayer 21,69 5.51
Heavy Line Equipment \lorker 21.69 5,51
Equipment ~orker 10,71 4,40
H.ad Grounds Person 16.37 4,32
Powder Perlon 16.37 4,32
Jackhanmer Operator 16,37 4.32
Groundl Perlon 15,39 4,29
.. ElEVATOR COIISTRUCTORS
Mochanlc In Charge 25,54 7.57
Mechanic 22.70 7,41
Conltructor 15,89 7.02
Probationary Conltructor 11.35 0.00
.. FENCE ERECTORS ANa FENCE LABORERS
Fence Erector 13,80 0,00
Fence Laborer 11,60 0,00
I~: \
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18
18
18
18
18
18
18
18
18
51
51
51
51
51
51
51
51
51
lJ SA
lJ 6H
lJ 6N
lJ 6H
2A 6C
2A 6C
4A SA 8E
4A SA 8E
4A SA 8E
4A SA 8E
4A SA 8E
4A SA 8E
4A 5A 8E
4A SA 8E
4A SA 8E
4A SA 8E
4A 60
4A 60
4A 60
4A 6Q
".l'",.
NOTE
~
88
WASHINGTON STATE PREVAILING WAGE RATES - EFFECTIVE 03-03.83
JEfFERSON COUIITY
(SEE BEllEfIT CODE KEYl
NOURLY HOURLY OVER
WAGE FRINGE nME HDLlDAY UTE
CLASSIFICATION ~ !!!!If.@ CODE ~ CODE
.. FLAGGERS
Flagger 13.01 3.85 1M 50
.... GLAZIERS
J Durney Leve l 14.53 0.00
.. GREEIIHOUSE ERECTORS
Greenhouse Erector 8.00 0.00
.. HAZARDDUS MATERIAL DISPDSAL
Equipnent Operator 11.00 2.75
Matedal \lorker 10.10 2.75
Truck Driver, 11.39 3.11
Uelder Mechanic 10.90 2.75
.. HEAT AND fROST INSULATORS !ASBESTOS WORKERS)
Mechanic 23.59 4.41 4A 5C
.. HEATING EOUIPMENT MECHANICS
Journey LeveL 16.04 2,41 IJ 5A
.. INDUSTRIAL ENGINE MECHAIlICS
Industrfal Engine Hech. 12.86 2.79
.. INDUSTRIAL VACUUM PDWER CLEANER
Journey" leveL 7.9D 1.17
.. INLAND BOATlUM
Operator 17.59 2.96 lK 50
Engfneer"Deckhand 16.81 2.96 lK 5D
Deckhand 15.19 2.96 lK 50
".INSPECTION, CLEAIlIND, SEALlNO DF SEWER AND WATER SYSTEMS
Teehnl cl.n 6.25 0.00
Cleaner Operator, Foamer Operator 8.25 1.48
TV Truck Operator 8.75 1,78
Grout Truck. Operator 9.50 1.98
Head Operator ID.5D 2,28
.. INSULATION APPLlCATDRS
Journey Level 16.58 0,00
.. IRONWDRKERS
All Cl...lflc.tlonl 19.96 7.46 18 5A
.. LABDRERS
Alph.l t R.ker 18.17 3,85 1M 5D
BaLlaat Regulator Mlchtne- 17,69 3.85 1M 50
Botch WeIghmen 13,01 3.85 1M 50
Caut on ,",orker 18,53 3.85 1M 5D
Carpenter Tender 17.69 3.85 1M 5D
Cement D~r/Pavlng 18,17 3.85 1M 5D
Cement Ffntlher Tender 17,69 3.85 1M 5D
Chipping Gun 17.69 3.85 1M 5D
Chuek tender 17,69 3.85 1M 5D
Clean"up Laborer 17.69 3.85 1M 50
Concrete Form Stripper 17.69 3.85 1M 5D
Concrete Saw Oporltor 18.17 3.85 1M 5D
Crusher Feeder 13.01 3.85 1M 50
Curing Conc:rete 17.69 3.85 1M 50
Demolition' Wreeklng .nd Hoving 17.69 . 3.85 1M 5D
(IncludIng eh.rred meterloll)
Dtver 18.53 3.85 1M 5D
Drl II Oper.tor (Hydr.ul ie, Diamond, Air Tr.c) 18.17 3.85 1M 50
Epoxy Tec:hntc:hn 17.69 3.85 1M 5D
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o
BENE FIT CODE KEY
EffECTIVE 03-03-93
**'********************...lI*....*__*****...........****_*~_*........._.~ .L.L.LA "''''''.L .L.a... ........ ...-----**
OVERTIME calES
1. ALL HOURS Io'ORKEO IN EXCESS OF EIGHT (8) HOURS PER DAY OR FORTY (40) HOURS PER \lEEK SHALL 8E PAID AT ONE
AND ONE-HALF TIMES THE HOURLY RATE DF \lAGE. .
-,
'\\
! I
A.
ALL HOURS Io'ORKED ON SATURDAYS, SUNDAYS AND HOLIDAYS SHALL ALSO BE PAID AT OIIE AND ONE-HALF
TIMES THE HOURLY RATE OF \/AGE.
B.
ALL HOURS IIORKED ON SATURDAYS SHALL BE PAID AT ONE AND ONE'HALF TIMES THE HOURLY RATE OF \/AGE.
ALL HOURS IIORKED ON SUNDAYS AIID HOLIDAYS SHALL BE PAID AT DOUBlE THE HOURLY RATE OF \/AGE.
ALL HOURS IIORICED ON SUNDAYS SHALL BE PAID AT D0U8LE THE HOURLY RATE OF \/AGE.
ALL HOURS IIORKED ON HOLIDAYS SHALL 8E PAID AT DOUBLE THE. HOURLY RATE OF \lAGE.
ALL HOURS IlORKED ON SATURDAYS (EXCEPT HA1CEUP DAYS). SUNDAYS AIID HOLIDAYS SHALL AlSO BE PAID
AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF \/AGE.
ALL HOURS IIORICED ON SATURDAYS. SUNDAYS AND HOLIDAYS SHALL BE PAID AT DaJIlLE THE HOURLY RATE
OF \lAGE.
ALL HOURS IIORKED ON SATURDAY AND SUNDAY (EXCEPT MAICEUP DAY> SHALL 8E PAID AT ONE AIID OlIE-HALF
TIMES THE HOURLY RATE OF \/AGE. ALL HOURS IlORKED 011 HOLIDAYS SHALL BE PAID AT DOUBLE TME HOURLY
RATE OF \/AGE.
ALL HOURS IlORICED ON SATURDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE MOURLY RATE OF \/AGE.
ALL HOURS IlORKED ON SUNDAYS SHALL BE PAtD AT DOU8LE THE HOURLY RATE OF \/AGE. ALL HOURS I/llRICEO
ON HOLIDAYS SHALL BE PAID AT ONE AND ONE'HALF TIMES THE HOURLY RATE OF \lABE, IN ADDITION TO
THE REGULAR HOLIDAY PAY.
ALL, HOURS IIORKED ON SATURDAYS AND SUNDAYS (EXCEPT HA1CEUP DAYS DUE TO INCLEMEIIT \lEATHER) SHALL
BE PAID AT ONE AND ONE' HAlF TIMES THE HllJRLY RATE OF \lAGE. ALL HOURS WORKED ON HOLIDAYS SHAlL
BE PAID AT DllJ8LE THE HOURLY RATE OF \lAGE.
THE FIRST EIGHT (8) HOURS ON SATURDAY SHALL BE PAID AT ONE AIID ONE-HALF TIMES THE HOURLY RATE
OF \lAGE. ALL HOURS I/llRICED IN EXCESS OF EIGHT (8) HOURS ON SATURDAY, AND ALL HOURS I/llRKED ON
SUNDAYS AND HOLIDAYS SHALL BE PAID AT DOUBLE THE HOURLY RATE OF \/AGE.
ALL HllJRS Io'ORICED ON SATURDAYS AND SUNDAYS SHALL BE PAtD AT ONE AND ONE-HALF TIMES TME HOURLY
RATE OF \lAGE. ALL HllJRS IlORICEO ON HDLIDAYS SHALL BE PAID AT DllJBIE THE MOURLY RATE OF \/AGE.
ALL HllJRS Io'ORKED ON SATURDAYS (EXCEPT AS A MAKEUP DAY> SHALL BE PAID AT ONE AIID OHE-HALF TIMES
THE HllJRLY RATE OF \lAGE. ALL HllJRS IIORKED ON SUNDAYS SHALL BE PAID AT DllJBLE THE HllJRLY RATE
OF \lAGE. ALL HllJRS IIORKED ON HOLIDAYS SHALL BE PAtD AT ONE AND ONE-HALF TIMES THE HllJRLY RATE
OF \lAGE, IN ADDITION TD THE REGULAR HOLIDAY PAY.
ALL HllJRS Io'ORKED ON SATURDAYS (EXCEPT MAICEUP DAYS IF Io'ORK IS LOST DUE TO INCLEMENT \lEATHER
CONDITIONS) SHALL BE PAID AT ONE AND ONE-HALf TIMES THE HllJRLY RATE OF \lAGE. ALL HllJRS IIORICED
ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT DOUBLE THE HllJRL\' RATE Df \lAGE.
ALL HllJRS Io'ORKED ON SATURDAYS (EXCEPT MAKEUP DAYS) SHALL BE PAID AT ONE AND ONE'HALF TIMES THE
HOORLY RATE OF \lAGE. ALL HllJRS IIORKED ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT DOUBLE THE
HllJRLY RATE OF \lAGE. '
ALL HllJRS Io'ORKED ON SATURDAYS (EXCEPT FOR MAKEUP DAYS) SHALL BE PAID AT ONE AND ONE-HALF TIMES
THE HllJRLY RATE OF \lAGE, ALL HllJRS IlORKED ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT DOUBLE THE
HllJRLY RATE Of \/AGE.
ALL HOURS Io'ORKED ON SATURDAYS AND SUNDAYS (EXCEPT HAKEUP DAYS) SHALL BE PAID AT ONE AND ONE-
HALf TIMES THE HOURLY RATE DF \lAGE.
ALL HOURS IIORKED ON SATURDAYS (EXCEPT FOR MAKE'UP DAYS DUE 10 INCLEMENT \lEATHER) AND ALL HOURS
Io'ORKED ON SUNDAYS AND HDLIDAYS, SHALL BE PAID AT ONE AND ONE HALf TIMES THE HOURLY RATE Of
\lAGE.
C.
O.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N,
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R. ALL HOORS \lORKED ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT TIIO TIMES THE HOORLY RATE Of \/AGE.
S. ALL HOuRS \/ORKED ON SATURDAYS SHALL BE PAID AT ONE AND ONE-HALf TIMES THE HOORLY RATE Of
\lAGE PLUS HEALTH AND IIELFARE AND VACATlON_ ALL HOORS \/ORKED ON SUNDAYS AND HOLIDAYS SHALL BE
PAID AT oOOBLE THE HOORLY RATE Of \lAGE PLUS HEALTH AND \lELfARE AND VACATION.
T. ALL HOORS \/ORKED ON SATURDAYS SHALL BE PAID AT ONE AND ONE-HALf TIMES THE HOURLY RATE OF \lACE.
ALL NOORS \/ORKED ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT TIIO TIMES THE HOURLY RATE OF'\/AGE.
fOR ALL HOORS IIORICEO IN EXCESS OF EIGHT (8) HOURS PER DAY OR fORTY (40) HOORS PER \lEEK AND FOR
ALL HOORS \/ORKED ON SATURDAYS, SUNDAYS AND HOLIDAYS, THE HEALTH & \lELFARE, AND VACATIOH
BENEfITS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HOORLY RATE. PENSION AND TRAINING SHALL
BE PAID AT THE REGUlAR HOORLY RATE.
U. ALL HOORS \/ORKED ON SATURDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF \lAGE.
ALL HOORS \/ORKED ON SUNDAYS AND HOLIDAYS (EXCEPT LABOR oAYl SHALL BE PAID AT TIIO TIMES THE
HOORLY RATE OF \/AGE. ALL HOORS \/ORKED ON lABOR DAY SHALL BE PAID AT THREE TIMES THE HClJRLY
RATE OF \/AGE. .
V. ALL HOORS \/ORKED ON HOLIDAYS SHALL .BE PAID AT .TH'E PREVAILIN'G HOORLY RATE OF \/AGE IN ADDITION
TO THE HOLIDAY PAY.
"
\I. ALL HOORS \/ORKED OH SATURDAYS AND SUNoAYS'SHALL BE PAID AT ONE AND ONE-HAlF TIMES THE HClJRLY
RATE OF \lAGE. SATURDAYS AND SUNDAYS HAY BE \/ORICED AS A MAKE-UP DAY AT THE PREVAILING HClJRLY
RATE OF \lAGE (NO OVERTIME) \/HEN \IORK IS LOST DUE TO ANY REASON BEYOND THE EMPLOYER'S CONTROL.
ALL HOORS \IORKED ON HOLIDAYS SHALL BE PAID AT TIIO TINES THE HOORLY RATE OF \/AGE.
X. ALL HClJRS \/ORICED OH SATURDAYS SHALL BE PAID AT ONE AND ONE-HALf TIMES THE HOURLY RATE Of \/AGE
PLUS OHE AND ONE-HALf TINES THE VACATION, HEALTH, \lELfARE AND DENTAL BENEFITS. ALL HOORS
IIORICED ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT T\lO TIMES THE HOURLY RATE OF \/AGE PLUS TIIO
TIMES THE VACATION, HEALTH, \/ELFARE AND DEHTAL BENEFITS_
Y. ALL HOORS \/ORICED ON SATURDAYS SHALL BE PAID AT ONE AND ONE'HALF TIMES THE HOORLY RATE OF \/AGE.
ALL HOORS \/ORKED OH SUNDAYS AND HOLIDAYS SHALL BE PAID AT TIlO TIMES THE HOURLY RATE Of \/AGE.
. ,\lHERE CONDITIONS REQUIRE \IORK TO BE DONE ON SATURDAY, THE \IORK \lEEK HAY BE TUESDAY THROOGH
SATURDAY.
Z. THE FIRST EIGHT HOURS ON THE FIRST SHIFT ON SATURDAYS SHALL BE PAID AT ONE AND ONE-HALf TINES
THE HOURLY RATE OF \lACE. ALL OTHER HOORS \IORICEO ON SATURDAYS AND ALL HOURS IlORKED ON SUNDAYS
AND HOLIDAYS SHALL BE PAID AT TIIO TINES THE HClJRLY RATE Of \/AGE.
2. ALL HOORS \/ORICED IN EXCESS OF EIGHT (8) HOORS PER DAY OR FORTY (40) HOORS PER \lEEK SHALL BE PAID AT ONE
AND ONE'HALF TINES THE HooRLY RATE OF \/AGE. '
A. THE FIRST SIX (6) HooRS ON SATURDAY SHALL BE PAID AT ONE AND ONE-HALF TINES THE HOURLY RATE
OF \/AGE. ALL HooRS IlORKED IN EXCESS OF SIX (6) HOURS ON SATURDAY AND ALL HOURS IIORICED ON
SUNDAYS AND HOLIDAYS SHALL BE PAID AT TIlO TINES THE HOURLY RATE OF \/AGE.
B. ALL IlOURS IlORKED ON SATURDAYS (EXCEPT I/lIEN IIORKED AS A MAKE'UP DAYl SHALL BE PAID AT ONE AND
ONE-HALF TIMES THE HooRLY RATE OF \lAGE. ALL HOURS IIORKED ON SUNDAYS SHALL BE PAID AT T\lO TIMES
THE HOURLY RATE OF \lAGE. ALL HooRS \IORKED ON HOLIDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES
THE HOURLY RATE OF \/AGE, PLUS HOLIDAY PAY (IF ELIGIBlE).
C. THE fiRST TEN HooRS \IORICED ON SATURDAY SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE
OF \/AGE. ALL HooRS \IORKED IN EXCESS OF ELEVEN HOURS PER DAY, HOHDAY THROUGH FRIDAY, ALL HooRS
IIORICED IN EXCESS OF TEN HOURS ON SATURDAYS, AND ALL HooRS IlORKED ON SUNDAYS AND HOLIDAYS SHALL
BE PAID AT TIIO TIMES THE HooRLY RATE OF \/AGE.
D. ALL HOURS'\/ORICED ON SATURDAY SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HnuRLY RATE OF \lAGE.
ALL HooRS \IORKED ON SUNDAYS SHALL BE PAID AT TIlO TINES THE HooRLT RATE OF \lAGE. ALL HooRS
IIORICED ON HOLIDAYS SHALL BE PAID AT OHE AND ONE' HALF TIMES THE HooRLY RATE OF \lAGE, IN ADDITION
TO TIlE REGULAR STRAIGHT-TIME PAY fOR IIDLIDAYS.
E. ALL HOURS \/ORKED ON SATURDAYS OR IIDLlDAYS (EXCEPT lABOR DAY) SHALL BE PAID AT ONE AND ONE-HALF
TIMES THE HOURLY RATE OF \lAGE. ALL HooRS \IORKED ON SUNDAYS DR ON LABOR DAY SHALL BE PAID AT
TIIO TIMES TilE HooRLY RATE OF \lAGE.
F. ALL HOURS \/OR KED IN EXCESS OF FIVE (5) DAYS SHALL ALSO BE PAID AT ONE AND ONE-HALF TIMES THE
HOURLY RATE OF \lAGE. OVERTIME FOR OVER FIVE (5) DAYS HAY BE \/ORKED A STRAIGHT TIME BY MUTUAl
AGREENENT IN IIRITlNG.
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ALL HOURS IIDRKED ON SUNDAYS SHALL BE PAID AT TlID AND ONE-HALF TIMES TNE HOURLY RATE OF \/AGE.
ALL HOURS WORKED ON HOLIDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF \/AGE,
IN ADDITION- TO THE REGUlAR STRAIGHT'TlHE PAY FOR HOLIDAYS.
ALL HOURS WORKED ON SUllDAYS SHALL BE PAID AT ONE AND ONE.HAIF TIMES THE HOURLY RATE OF \/AGE.
ALL HOURS WORKED ON HOliDAYS SHALL BE PAID AT TlID TIMES THE HOURLY RATE OF \/AGE, INCLt.OING THE
HOLIDAY PAY. .
ALL HOURS IlORl:ED ON SUNDAYS SHALL BE PAID AT TlID TlHES THE HOURLY RATE OF \/AGE. ALL HOURS
WORKED ON PAID HOLIDAYS SHALL BE PAID AT T\lD TIMES THE HOURLY RATE OF \/AG!', INCU.tIING THE
HOLIDAY PAY. ALL HOURS WORKED ON UNPAID HOLIDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE
HOURLY RATE OF \lAGE.
ALL HOURS WORKED ON SUNDAYS SHALL BE PAID AT TlID TIMES THE HOURLY RATE OF \/AGE. ALL HOURS
WORKED ON PAID HOLIDAYS SHALL BE PAID AT T\lD AND ONE-HALF TIMES THE HOURLY RATE OF \/AGE,
INCLUDING THE HOLIDAY PAY. ALL HOURS IAlRICED ON UNPAID HOLIDAYS SHALL BE PAID AT T\lD TIMES THE
HOURLY RATE OF \lAGE.
ALL HOURS WORKED ON SATURDAYS SHALL BE PAID AT ONE AND ONE' HALF TIMES THE HOURLY RATE OF \/AGE.
ALL HOURS WORKED ON SUNDAYS ,SHALL BE PAID AT TlID TlHES THE HOURLY RATE OF \/AGE. ALL HOURS
\/ORKED ON HOLIDAYS SHALL BE PAID AT ONE AND ONE-HALF TIHES THE HOURLY RATE OF \/AGE, IN ADDITION
TO THE REGULAR STRAIGHT-TlHE PAY FOR HOLIDAYS. ALL HooRS WORJCED IN EXCESS OF EIGHT (8) HOURS
PER DAY SHALL 8E PAID AT THREE TIMES THE HOURLY RATE OF \lAGE.
ALL HOURS IIDRKED ON SUNDAYS SHALL BE PAID AT TlID TlHES THE IKllRLY RATE OF \/AGE. ALL HOURS
WORKED ON HOLIDAYS SHALL BE PAID AT T\lO TIMES THE HooRLY RATE OF \/AGE. IN ADDITION TO THE
REGULAR STRAIGHT-TlHE PAY FOR HOLIDAYS,
ALL HOURS WORKED ON,SATURDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HOURLY RATE OF \lAGE.
ALL HOURS WORKED ON HOLIDAYS SHALL BE PAID AT ONE AND ONE' HALF TIMES THE HOURLY RATE OF MAGE.-
IN ADDITION TO THE HOLIDAY PAY.
ALL HOURS WORKED ON SUNDAYS AND HOLIDAYS SHALL BE PAID AT ONE AND ONE-HALF TIMES THE HOURLY .
RATE OF \lAGE.
4.' ALL HOURS WORKED IN EXCESS OF EIGHT (8) HOURS PER DAY OR FORTY (40) HooRS PER \/EEK SHALL BE PAID AT
DOUBLE THE HOURLY'RATE OF \lAGE.
A. ALL HOURS IIDRKED ON SATURDAYS, SUHDAYS AND HOLIDAYS SHALL BE PAID AT DOUBLE THE HOURLY RATE
OF MAGE.
HOLIDAY CODES
5. A. HOLIDAYS: NEil YEAR'S DAY, MEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVIHG DAY, FRIDAY
AFTER THANKSGIVING DAY. AND CHRISTMAS DAY (7).
B. HOLIDAYS: NEil YEAR'S DAY, MEMORIAL DAY, INDEPENDEHCE DAY. lABOR DAY, THANKSGIVIHG DAY, FRIDAY
AFTER THANKSGIVING DAY. THE DAY BEFORE CHRISTMAS, AND CHRISTMAS DAY (8).
C. HOLIDAYS, NEIl YEAR'S DAY, IIASHINGTON'S BIRTHDAY, MEMORIAL DAY, INDEPENDENCE DAY, lABOR DAY.
THANKSGIVING DAY. THE FRIDAY AFTER THANKSGIVING DAY, AND CHRISTMAS DAY (8).
D. HOLIDAys: NEil YEAR'S DAY, MEMORIAL DAY, INDEPENDENCE DAY. lABOR DAY. THANKSGIVING DAY, THE
FRIDAY AND SATURDAY AFTER THANKSGIVING DAY, AND CHRISTMAS DAY (8).
E. HOL'IDAYS. NEil YEAR'S DAY, MEMORIAL DAY, INDEPENDENCE DAY, lABOR DAY, THANKSGIVING DAY, THE
FRIDAY AFTER THANKSGIVING DAY, CHRISTMAS DAY, AND PRESIDENTIAL ELECTION DAY (II).
F. HOLIDAYS. NEil YEAR'S DAY, IIASHINGTON'S BIRTHDAY, MEMORIAL DAY, INDEPENDENCE DAY, lABOR DAY.
PRESIDENTIAL ELECTION DAY. THANKSGIVING DAY, THE FRIDAY AFTER THANKSGIVING DAY. AND CHRISTMAS DAY (9).
G. HOLIDAYS: NEil YEAR'S DAY, MEMORIAL DAY, INDEPENDENCE DAY, lABOR DAY, THANKSGIVING DAY, THE
LAST \/ORK DAY BEFORE CHRISTMAS DAY, AND CHRISTMAS DAY (7), ,
H. HOLIDAYS: NEil YEAR'S DAY, MEMORIAL DAY, INDEPENDENCE DAY, THANKSGIVING DAY, THE DAY AFTER
THANKSGIVING DAY, AND CHRISTMAS (6).
": \
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3
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''-..../.
I. HOlIOAYS: NEil YEAR'S OAY, HEMORIAl DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING DAY, AND
CHRISTHAS DAY (6).
J. HOLIDAYS: HE'" YEAR'S DAY, MEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING OAll THE
FRIOAY AFTER THAHKSGIVING DAY, OECEHBER 24TH, CHRISTHAS DAY, AHll DECEHBER 31ST (9).
K. HOLlCATS: NEIl YEAR'S DAY, IIASHINGTON'S BIRTHDAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING
DAY, CHRISTHAS DAY, AND A DAY OF THE EMPLOYEE'S CHOICE (7). .
L. HOLIDAYS: NEIl YEAR'S DAY, \/ASNINGTDN'S BIRTHDAY, HEItOllIAL DAY, INDEPENDENCE DAY, LASOR OAY,
THANKSGIVING, THE FRIDAY AFTER THAHKSGIVING DAY, THE DAY BEFORE CHRISTMAS DAY, AND CHRISTMAS DAY (9).
M. HOLIDAYS: NEIl YEAR'S DAY, HEHORIAL DAY, INOEPENDENCE DAY, LABOR DAY, THAHKSGIVING DAY, THE
FRIDAY AFTER THANKSGIVING DAY, THE DAY BEFORE CHRISTMAS DAY, AND CHRISTMAS DAY (B).
N. HOLIDAYS: NEil YEAR'S DAY, IIASHINGTDN'S BIRTHDAY, HfHORIAL DAY, INDEPENDENCE DAY, lABOR DAY,
VETERANS' DAY, THAHKSGIVING DAY, THE FRIDAY AFTER THAHKSGIVING DAY, ,,"0 .CHRISTMAS DAY (9).
O. PAID HOLIDAYS: NEil YEAR'S DAY~ \/ASHINGTPH'S B,IRTHDAY. INDEPENDENCE DAY, lABOR DAY,
THANKSGIVING DAY, AND CHRISTMAS DAY (6). ..'
.,~:.. ,
P. PAID HOLIDAYS: NEIl YEAR'S DAY, IIASHINGTON'S BIRTHDAY, HEItOllIAL DAY, INDEPENDENCE DAY, LABOll
DAY, THANKSGIVING DAY, THE FRIDAY AFTER THANKSGIVING DAY, AND CHRISTMAS DAY (B).
Q. PAID HOLIDAYS: NEil YEAR'S DAY, HEMDRIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING DAY,
AND CHRISTHAS DAY (6).
"
R. PAID HOLIDAYS: NEil YEAR'S DAY, HEItOllIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING DAY,
TNE LAST \/DRK DAY BEFORE CHRISTMAS DAY, AND CHRISTMAS DAY (7).
S. HOLIDAYS:, NEIl YEAR'S DAY, HEMORIAL DAY, INDEPENDENCE DAY, LASOR DAY, THAHKSGIVING DAY, AND
CHRISTMAS DAY (6). HOLIDAYS \<<IRKED ON AN EMPLOYEE'S REGULARlY ESTABLISHED IIORICDAYS SHALL BE COMPENSATED
AT'TIIO AND ONE-HALF TIHES THE HOURLY RATE OF \/AGE. HOLIDAYS \<<IRKED ON AN EMPLOYEE'S REGULAR DAYS OFF
SHALL BE ,COMPENSATED AT TIIO TIMES THE HOURLY RATE OF \/AGE, PART. rIME EMPLOYEES \/DRKING ON HOLIDAYS
SHALL BE CClHPENSATED AT ONE AND ONE' HALF TIMES THE HOURLY RATE OF \/AGE.
)!
T.
PAID HOLIDAYS: SEVEN (7) PAID HOLIDAYS.
U. PAID HOLIDAYS: NEIl YEAR'S DAY, \/ASHINGTON/S BIRTNDAY, INDEPENDENCE DAY, LABOR DAY,
THANKSGIVING DAY, CHRISTMAS DAY, AND A DAY OF THE EMPLOYEES CHOICE (7).
V. PAID HOLIDAYS. SIX (6) PAID NOLIDAYS.
II. PAID NOLIDAYS. NINE (9) PAID HOLIDAYS.
X. NDLIDAYS. AFTER 520 HOURS. NEil YEAR'S DAY, THANKSGIVING DAY AND CNRISTMAS DAY. AFTER 2G8D
HOURS - NEIl YEAR'S DAY, IlASHINGTOI/'S BIRTHDAY, HEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING
DAY, CHRISTMAS DAY AND A FLOATING HOLIDAY (B).
Y. HOLIDAYS: NEIl YEAR'S DAY" HEHOItIAL DAY, INDEPENDENCE DAY, LABOR DAY, PRESIDENTIAL ELECTION
DAY, .THANKSGIVING DAY, THE FRIDAY FOLLOI/ING TMANKSGIVING DAY, AND CHRISTMAS DAY (8).
Z. PAID HOLIDAYS. EIGHT (8) PAID HOLIDAYS,
6. A, PAID HOLIDAYS. NEil YEAR'S DAY, THE DAY BEFORE OR THE DAY AFTER NEil YEAR'S DAY, IIASHINGTON'S
BIRTHDAY, HEI40RIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING DAY, THE DAY AFTER THANKSGIVING DAY,
CHRISTMAS DAY, AND THE DAY BEFORE OR THE DAY AFTER CHRISTMAS DAY (10).
B. HOLIDAYS. NEil YEAR'S DAY, HEHORIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANKSGIVING DAY, TNE
DAY AFTER THANKSGIVING DAY, THE DAY BEFORE CHRISTMAS DAY, CHRISTMAS DAY, AND THE DAY BEFORE NEil YEAR/S
DAY (9).
C. HOLIDAYS, NEil YEAR'S DAY, IlASHINGTON'S BIRTHDAY, HEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY,
THANKSGIVING DAY, THE DAY AFTER THANKSGIVING DAY, THE LAST \/DRK DAY BEFORE CHRISTMAS DAY, AND CHRISTHAS
DAY (9).
D. HOLIDAYS, NEil YEAR'S DAY AND THE FRIDAY AFTER THANKSGIVING DAY (2). PAID HOLIDAYS! HEMDRIAL
DAY, INDEPENDENCE DAY, LADOR DAY, THANKSGIVING DAY AND CHRIBT.MAS OAY (5),
4
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E. HOLIDAYS: NEW YEARS DAY. MEMORIAL DAY, LAST MONDAY IN MAY. INDEPENDENCE DAY, LABOR DAY,
THANKSGIVING DAY, FRIDAY AND SATURDAY AFTER THANKSGIVING DAY AND CHRISTMAS DAY (9).
F. HOLIDAYS: HE" YEARS DAY, WASHINGTON'S BIRTHDAY, MEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY,
ARMISTICE DAY, THANKSGIVING DAY. FRIDAY AFTER THANKSGIVIN.G DAY AND CHRISTMAS DAY (9).
G. HOLIDAYS: NEil YEARS DAY, MEHORIAL DAY, INDEPENDENCE DAY. LABOR DAY, THANKSGIVING DAY, FRIDAY
AFTER THANKSGIVING DAY AND CHRISTMAS DAY. PAID HOLIDAYS: PRESIDENT'S DAY. .
H. HOLIDAYS: NEil YEAR'S DAY, MARTIN LUTHER KING JR DAY, MEMORIAL DAY, INDEPENDENCE DAY, LABOR
DAY, THANKSGIVING DAY. THE FRIDAY AFTER THANKSGIVING DAY, AND CHRISTMAS DAY (8).
I. PAID HOLIDAYS: NEIl YEAR'S DAY, MEMOllIAL DAY. INDEPENDENCE DAY, LABOR DAY,
THANKSGIVING DAY, FRIDAY AFTER THANKSGIVING DAY. AND CHRISTMAS DAY (7).
J. HOLIDAY: NEil YEAR'S DAY (1). PAID HOLIDAYS: MEkGlIAL DAY, INDEPENDENCE DAY, LABOR
DAY, THANKSGIVING DAY, FRIDAY AFTER THANKSGIVING DAY, AND CHRISTMAS DAY (6).
K. HOLIDAYS: NEil YEAR'S DAY. FRIDAY AFTER THANKSGIVING DAY, AND CHRISTMAS DAY (3). ~
HOLIDAYS: MEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY, AHD THANKSGIVIN,G DAY (4).
L. PAID HOLIDAYS: MEMORIAL DAY. INDEPENDENCE DAY, LABOR DAY, THANICSGIVING DAY. AND
CHRISTMAS DAY (5).
M. PAID HOLIDAYS: THANKSGIVING AND CHRISTMAS. UNPAID HOLIDAYS: NEIl YEARS DAY. MEMORIAL
DAY. INDEPENDENCE DAY, LABOR DAY AND THE DAY AFTER THANKSGIVING.
N. PAID HOLIDAYS: MEMORIAL DAY, INDEPENDENCE DAY, LABOR DAY, THANICSGIVING DAY AND
CHRISTMAS DAY. UNPAID HOLIDAYS: NEIl YEARS DAY AND THE DAY AFTER THANICSGIVING DAY.
D. PAID HOLIDAYS; NEIl YEARS DAY, \/ASHINGTON'S BIRTHDAY, NEllDRIAL DAY, INDEPENDENCE DAY,
LABOR DAY, THANKSGIVING DAY, THE DAY AFTER THANKSGIVING DAY. CHRISTMAS AND THE DAY AFTER
CHRISTMAS.
P. PAtD HOLIDAYS: MEMORIAL DAY, INDEPENDENCE DAY AND LABOR DAY. UNPAID HOLIDAYS: NEIl
YEARS DAY, THANKSGIVING DAY, THE DAY AFTER THANKSGIVING DAY AND CHRISTMAS DAY.
Q. PAID HOLIDAYS; NEil YEARS DAY, MEMORIAL DAY, INDEPENDENCE DAY, THANKSGIVING DAY, THE
DAY AFTER THANKSGIVING DAY AND CHRiStMAS DAY. UNPAID HOLIDAY: PRESIDENTS' DAY.
8, A,
B.
'" C.
,
E.
NOTE CODES
ALL CLASSIFICATIONS, INCLLOING ALL APPRENTICES, REPllRTlNG TO AN EMPLOYER'S DESIGHATED JOB
HEADQUARTERS AND IIDRKING A MINIMUM OF FOOR (4) HOORS IN ANY ONE (1) DAY SHALL RECEIVE A PER
DIEM ALLOIIANCE OF TIlENTY'FOOR DOLLARS (124.00) IN ADDITION TO THE HCllRLY \/AGE AND FRINGE
BENEFITS.
THE IIAGE RATES AND DEPtH PREMIUMS ARE FOR SURFACE SUPPLIED OIVERS AND SaJIIA DIVERS. THE
STANDBY RATE OF PAY FOR DIVERS SHAtL BE ONE-HALF TIMES THE DIVERS RATE OF PAY.
ONE (1) \lEEK VACATION AFTER ONE (1) YEAR OF SERVICE. PART TIME EMPLOYEES (IIDRKING 20 HOURS
OR LESS PER \lEEK) ARE NOT ENTITLED TO RECEIVE ANY FRINGE BENEFITS.
ALL l;LASSIFICATlONS, INCLUDINO ALL APPRENTICES, REPORTING TO AN EMPLOYER'S DESIGHATED J08
HEADQUARTERS AND IIDRKING A MINIMUM OF FOOR (4) HOURS IN ANY ONE (1) DAY SHALL RECEIVE A PER
DIEM ALLOIIANCE OF TIlENTY'FOUR DOLLARS (124.00) IN ADDITION TO TNE PREVAILING HOURLY RATE OF
\lAGE AND FRINGE BENEFITS.
FIVE (5) DAYS VACATION AFTER ONE YEAR OF SERVICE. TEN (10) DAYS VACATION AFTER THREE YEARS
OF SERVI CE.
1.25 PER HOUR VACATION AFTER ONE YEAR OF SERVICE, 1.50 PER HOUR VACATION AFTER TIID YEARS OF
SERVICE,
TIID (2) \lEEKS VACATION AFTER ONE (1) YEAR OF SERVICE. PART TIME EMPLOYEES (IIDRKINO 20 HOURS
OR LESS PER IIEEK) ARE NOT ENtITLED TO RECEIVE ANY FRINGE BENEFITS.
F.
G.
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I. APPRENTICES BELOII 80:1: RECEIVE A PENSION CONTRIBUTION IN TNE AHCIJNT OF S.75. APPRENTICES SOl:
AND ABOVE RECEIVE A PENSION CONTRIBUTION IN TNE AHQJNT OF Sl.55.
J. NO IIORK SHALL BE PERFORMED ON LABOR DAY OR CHRISTMAS DAY EXCEPT \IIlEN LIFE OR PROPERTY IS IN
IMMINENT DANGER. SNOULD ARY OF TNESE HOLIDAYS FALL ON SUHDAY. THE FOLLOIIING MONDAY SHALL BE
CONSIDERED A LEGAL HOLIOAY.
K. VETERANS OAY AND THE FRIDAY AFTER THANKSGIVING ARE OPTIONAL HOLIDAYS AND ARE PAID AT ONE AHO
ONE. HALF TIMES THE REGULAR RATE OF PAY ONLY \/HEN WORKED.
L. FIVE (5) DAYS VACATION PER YEAR. NOTE: PART TIME EMPLOYEES (IIORKING 20 HOURS OR LESS PER
WEEK) ARE NOT ENTITLED TO RECEIVIi ANY FRINGE BENEFITS.
M. FIVE (5) DAYS VACATION AFTER ONE YEAR OF SERVICE, TEN (10) DAYS VACATION AFTER TWO YEARS OF
SERVICE. NOTE: PART TIME EMPLOYEES (WORKING 20 HOURS OIl LESS PER \lEEK) ARE NOT ENTITLED TO
RECEIVE ANY FRINGE BENEFITS.. .
N. MARBLE MASONS AND GRANITE MASONS RECEIVE AN ADDITIONAL Sl.00 PER NOUR.
O. FIVE (5) DAYS VACATION AFTER O~E f,n YEAR.
Q. FIVE (5) DAYS VACATION PER YEAR. 'PART TIME EMPLOYEES (IIORKING 20 HOURS OR LESS PER \lEEK) ARE
NOT ENTlTLEO TO RECEIVE ANY FRINGE BENEFITS.
R. FIVE (5) DAYS VACATION PER YEAR.
S. ONE \lEEK VACATION AFTER ONE YEAR OF SERVICE, TIIO \lEEKS VACATION AFTER THREE YEARS OF SERVICE,
THREE \lEEKS VACATION AFTER NINE YEARS OF SERVICE.
T. TIIO \lEEKS VACATION FOR ONE TO THREE YEARS OF SERVICE. FOUR \lEEKS VACATION FOR THREE TO SIX
YEARS OF SERVICE. SIX \lEEKS VACATION FOIl SIX 011 MORE YEARS OF SERVICE.
U. THE PREVAILED l!A!;AI!.Q!I AMOUNT REPRESENTS THE COST TO A CONTRACTOIl OR SUBCONTRACTOR \IIlICN MAY
BE REASONABLY ANTICIPATED IN PROVIDING THE FOLLOIIING VACATION PLAN: ONE \lEEK AFTER ONE YEAR
TIIO \lEEKS AFTER TIIO YEARS. THREE \lEEKS AFTER EIGHT YEARS. FOUR WEEKS AFTER SIXTEEN YEARS,
T\lELVE HUNDRED HOURS MUST BE IIORKED IN A YEAR'S TlHE TO BE ELIGIBLE.
6
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SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
The "General Conditions of the Contract for Comrtructlon", AlA Document A-201, 1987 Edition, Articles
1 through 14 Inclusive is here by made part of these Specifications the same as II reproduced herein in
full except as modified, rescinded or supplemented by these Supplementary Conditions, which take
precedence. Those portions of the AlA General CondlUons which are not altered by these Supplementary
Conditions shall remain In effect as published. A copy of the AlA Gen!lral Conditions Is available at the
Archllect's office for reference. . . - . . ..' .
NOTE: Wherever the word" Archllect" Is used, substitute the word "Ownet':.
~
Page 2: Change as follows:Arbltrallon", the 17th lIem In column one, Is deleted and substiluted In
Its place Is "Dispute Resolution".
ARTICLE 1 . CONTRACT DOCUMENTS:
1.1 Definitions
1.1.1 The Contract Doroments
Paragraph 1,1.1: Substitute the following:
In the 'first line after the word "Agreement", Insert the words, "Instructions to
Bidders, and the Contracto~s executed bid." Delete the last sentence. "Unless
specifically enumerated, . , relating to bidding requirements."
1,1 .4 The Project
Paragraph 1,1,4: Add the following sentence:
The Work will be awarded under a single Contract Including general, mechanical
and electrical work.
1.3.1 Ownership and Use of Architect's, Drawings, Specifications and Other Documents.
Paragraph 1.3.1: Add subparagraph as follows:
1.3.1,2 The data given in the specifications and shown on the plans and drawings Is
believed to be accurate but the accuracy Is not guaranteed. The Contractor must
take all levels, locations, measurements, and verify all dimensions on the job site
prior to construction and adapt his work to the exact construction.
ARTICLE 3 . THE CONTRACTOR
3,4 Labor and MaterialS
Paragraph 3.4.3 Shall be added as follows:
20
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SECTION 00700
GENERAL CONOmONS &
SUPPLEMENTARY CONOmONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
3.4.3 The Contractor shall be responsible for the care and storage of materials delivered to the
work or purchased for use thereon. Stored materials shall be carefully and continuously
protected from damage or deterioration and so located as to facilitate inspection by the
Owner and Architect. This responsibility for the care and storage of materials shall be
with the Contractor whether such materials are furnished by the Contractor or by the
Owner.
3.7 Permits, Fees and Nollces
Subparagraph 3,7.1: Add the following:
3.7.1 The Contractor shall arrange, pay for, and include in his bid, costs for plan checking and
permit fees required by Code and other regulatory agencies,
3.10 Contractor's Construction Schedule
Subparagraph 3.10.1: Delete the Ilrst sentence: "The Contractor. promptty after being
awarded... schedule for the Work.., and substitute for the deleted sentence the
following:
3.10.1 Within ten (10) days alter signing the Contract, the Contractor shall submit construction
schedule to the Owner and the Architect. An updated construction schedule shall be
submitted with each Application for Progress Payment.
ARTICLE 4 . ADMINISTRATION OF THE CONmACT
4.1 Archllect
Paragraph 4.1: Add the following subparagraph 4,1.2,1
4.1.2.1 The Architect Is not bound to define the limits of any subcOntract, and will not enter Into
disputes between the Contractor and his employees, including subcontractors,
Paragraph 4,1,4: Revise to read as follows:
4.1,4 Disputes arising under Subparagraph 4,1.2 and 4,1,3 shall be subject to dispute
resolution as defined In paragraph 4,5,
Paragraph 4,2.4: Modify as follows:
Delete the words .endeavor to. alter .Contractor shall. In the second sentence,
21
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SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
ARTICLE 4. ADMINISTRATION OF THE CONTRACT (CONTINUEDl
4.5 Arbitration: Delete entire title and subslitute the following:
The title "Arbitration" Is deleted and subslituted In its place Is "DispUIe Resolution" as the new
title of the paragraph, and throughout 4.5 In II's entirety.
Paragraph 4.5.1 : Revise lines 3-5 as~follows: '
...shall be settled by the Director of the Jefferson County Department of Public WorKs,
and judgment upon...
Paragraph 4.5,2: Revise lines 4-6 as follows:
...by the Jefferson County Department of Public WorKs, unless the parties...
ARTICLE 7. CHANGES IN THE WORK
7,3 Construction Change Directives
Paragraph 7.3.6: Delete Items, 1 through ,5 and substitute the following:
1, Additive Changes:
a. Direct Labor Costs:
this Is defined as the eslimated labor costs determined by either the estlmaled number of
joumeyman craft hours to perform the change In worK and the hourly costs related
thereto; or the unit labor costs applied to the materfal quanlitles, providing said unit
labor costs are developed from the above' crall man-hour costs; whichever Is applicable.
according to Industry praclice. .
The hourly costs shall be based on the following:
(1) Basic Wages: Current minimum prevailing hourly wage rates,lncludlng
vacation pay, for all labor. crew foreman, and general foreman performing
and/or directly supervlslng tho worK on the site, These rates, whichever are
applicable, are established by the prevailing wage rate.
(2) Frfnge Bonellls: Frfnge benellls established by the State of Washington,
Department of Labor and Industrfes or contrfbuted to labor trust funds as
Itemlzod rfnge benellls, whichever are applicable.
22
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UST- Hadlock Shop
Project No: ER1 086 - Fuel Tanks
ARTICLE 7 - CHANGES IN THE WORK 'CONTINUEDl
SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
(3)
Worker's Insurances: Direct contributions to the Stale 01 Washington as
Industrial Insurance; MedlcaJ Aid; and Supplemental Pension, by the class and
rates established by the State of Washington, Department 01 labor and
Industries.
Federal Insurances: Direct contrlbullons required by the Federal Insurance
Compensallon Act, (F.I.C.A); Federal Unemployment Tax AC/, (F.U.T.A.);
and the State Unemployment Compensation AC/, (S.U.C.A.).
Costs: Cost incurred by the Washington Industrial Safety and HeaUh AC/,
(W.I.S.H.A.), shall be an amount 10 be agreed upon but not to exceed 2% 011,
2,3, and 4 above.
Travel Allowance: Travel Allowance and/or subsistence, If applicable, not to
exceed those established by Regional Labor Union Agreements, shall be
itemized and Identified separately.
Items specifically excluded:
- Contractor Organization dues.
b, Direct Material Costs:
(4)
(5)
(6)
(7)
This Is defined as an Itemization of the estimated quantity of materials necessary to
perform the change In the work and the cost therefore. These costs shalt be by the unit
cost applied to the quanllty and extended, The unit costs shall be based on the
following:
(1)
The competitive costs prevalllng in the area considering the quantities Involved
and available delivery time,
The net costs after alt discounts or rebates,
Freight costs; express charges; or special delivery costs when applicable,
(2)
(3)
Lump sum costs will be afiowed only as provided for In Items 4 and 5, thIs section.
c, Construction Equipment Usage Costs:
(1)
Major Tools and Equipment; This is defined as an itemization 01 and the
estimated length of time construction equipment will be used solely on change
order work at the site, No extra cost will be allowed If the tools and equipment
are already on the fob site for use on the main contract, The rental costs applied
thereto shall not exceed the rates established by the following, whichever Is
applicable:
23
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SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
UST- Hadlock Shop
Project No: ER 1086 - Fuel Tanks
ARTICLE 7 . CHANGES IN THE WORK (CONTINUEOl
(a) The current hourly rental rates established by agreement between the
Associated General Contractors, (A.G.C.), and Washington State
Department of Highways.
(b) The current rental rates established by the State of Washington, Utilities
and Transportation Commission for. trucks used on highways.
(c) The current:'renial rates established by the, National Electrical
Contractor's Association (N.E.C.A.) for equipment used on electrical
work. .
(d) The current rental rates established by the Mechanical Contractor's
ASSOciation for equipment used on mechanical work.
(e) II equipment Is required for which a rental rate Is not established in any
of the above, an agreed rental rate shall be established for that
equipment. Such rates and the use of the equipment on the work must
be approved by the contracting authority prior to performing the work.
(f) The rates In effect at the time 01 the performance of the work are the
maximum rates allowable lor equipment of modern design and In good
working condition and Include lull compensation for furnishing allluel,
oil, lubrication, repairs, maintenance, and Insurance.
(2) Small Tools, Expendable and Consumable Supplies:
(a) These are general In nature and are defined as tools for which the Initial
purchase price Is under $500 and are normally furnished by the
performing contractor,
(b) The allowable rate lor small tools will be an amount to be agreed upon
but not to exceed the following:
- General Contractors: 3% 01 direct labor costs.
- Specialty Contractors: 5% of direct labor costs.
(c) Expendable and consumable supplies dlrectiy associated wllh the
change In work to be lIemlzod,
d. Primo Sub-contractor's Proposals:
Sub-contractor's proposals are to be lIomlzed as In la, lb, and 1c above,
24
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SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
ARTICLE 7. CHANGES IN THE WORK ICONT1NUEDl
e. Overhead and Profil by Ihe Contractor Actually Performing Ihe Work:
A lotal amount 10 be agreed upon but nollo exceed 15% of ilems 1 a, 1 b, and 1 c above
will be allowed. This is 10 compensale such contractor for all personnel nol defined in 1 a,
above; lemporary construction facilities; home office costs; office engineering and
estimation cosls; and profit, plus any olher cost Incldenlallo the perfonnance of Ihe
change in work.
f. Overhead and Profit by the Prime Contractor or Intermedlale Subconlractor on Sub-
Contractor's Actually Performing Ihe Work:
(1) A lolal amounl to be agreed upon but nollo exceed 8% at the lolal amount of
sub-conlractors proposals as defined In "e" above will be allowed for all overhead
and profit 10 supervise and administer the sub-conlractors actually perfonning
the change In the work.
(2) No direct labor by Ihe prime contractor will be allowed added 10 a sub-
contractor's proposal, Prime contractor's dlrect labor, If required, must be
submlUed as oulllned In 1a, lb, lc and 19,
g, Cost of Any Increase or Decrease in Premium by Insurance and Public Works Bond
Caused by Ihe Change: ,
(1) Conlractor's Uabillly Insurance:
(2) Public Work Bond:
2, Deductive Changes:
a, Items la" lb, lc, le, and 19 will be itemized for deleled changes In Ihe work.
b. Restocking charges or other special charges shall be allowed at their actual cost.
3, Additive Changes and Deductive Changes Together:
a. II a change In the work Involves both additive and deductive changes the appropriate
overhead and profit amount allowed will be added to the net dllference of Items 1a, 1b, 1
c, and 1d,
25
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SECTION 00700
GENERAL CONDITIONS &.
SUPPLEMENTARY CONDmONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
ARTICLE 7. CHANGES IN THE WORK ICONTINUED)
b. If other additive changed items are Included In the same change proposal the appropriate
overhead and profit allowed is to be appUed to these individual changed Items.
4. Changes Under $500.0D:
lIthe description of the change in Ihe work is. in the opinion of,the Owner, .definlllve enough for
the Owner to determine fair value and totaf of the change does not exceed $500.00. no
breakdown is required. . .. _ . .
5. Changes Between $500.00 and $1,500,00:
. If the description of the change in the work Is, in the opinion of the Owner, definitive enough for
the Owner to determine fair value the breakdown shall consist of the following:
a, Lump sum labor
b. Lump sum material
c. Lump sum equipment usage
, .
d. Appropriate overhead and profit as defined in 1 e and 1 f.
ARTICLE 8 - TIME
Subparagraph 8,3.4: Add as follows:
8,3.4 The Contractor shall nollfy the Owner in wrlUng within three (3) days of the beginning of
any delay for which an extension 01 lime Is to be requested by the Contractor, The
causes lor such delay shall /Je included in the nollflcatlon.
ARTfCLE 9. PAYMENTS AND COMPLETION
Paragraph 9,3 Applications lor Payment .
Subparagraph 9,3,1 Delete line 9 "II provided lor elsewhere In the Contract Documents."
Subparagraph 9,3,1 Substitute the following lor the deleted line: "fn conlormance with current
statutes of the State 01 Washlngton.-
26
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SECTION 00700
GENERAL CONDIT10NS &
SUPPLEMENTARY CONDIT10NS
UST. Hadlock Shop
Project No: ER1086. Fuel Tanks
ARTICLE 9 _ PAYMENTS AND COMPLETION
Paragraph 9.6 Progress Payments
Subparagraph 9.6.1: Add as follows:
9.6.1 Based on AppRcations for Payment submitted to the Architect and Certificates of
Payment Issued by the Architect, the Owner shall make progress payments on accounts
of the Contract Sum to the Contractor as follows:
1. Not more frequently than monthly.
2. In amount not to exceed the aggregate value of work completed and
materials stockpiled on the site as determined by the Itemized schedule
of costs submilled on AlA form G702 as adjusted by subsequent change
orders: less the total of all prevlous payments made to the Contractor,
and less the stipulated retalnage.
3. ,Payments shall be made within thirty (3D) days of Issuance of Certificate
of Payment, except that amount withheld as retalnage.
Add Paragraph 9.11 as follows:
9,11 Uquldated Damages
9,11,1 The Owner will suffer flnancl,alloss If the Project Is not substantially complete wllhln the
period set forth In the Proposal Form, The Contractor and the Contractor's surety, II any,
shall be liable for and shall pay the Owner, the sums hereinafter stipulated as fixed,
agreed and liquidated damages, and not as penally, for each calendar day of delay until
the Work Is substantially complete,
a. Ave Hundred and no/1 00 ($500,00) dollars for the first calendar day the Work
remain uncompleted.
b, One Hundred and no/100 ($100,00) dollars for each and every calendar day
beyond the first day that the Work remains uncompleted,
ARTICLE 10 . PROTECTION OF PERSONS AND PROPERTY
10,1 Salety Precautions and Pfograms
Delete subparagraph 10.1,2, and substitute the following:
1D,1,2 In the event the Contrector encounters on the slle material reasonable believed \0 be
asbestos or polychlorinated biphenyl (PCB) which has not been rendered harmless, the
Contractor shall Immediately stop Work In the area allected and report the condition to
the Owner and ArchItect In writing, The Work In the allected area shall not thereafter be
resumed except by wrlllen agreement 01 the Owner and Contractor II In fact the material
27
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SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
ARTICLE 10 - PROTECTION OF PERSONS AND PROPERTY (CONTINUEDl
10.1.2 (continued)
Is asbestos or polychlorinated biphenyl (PCB), or when It has been rendered harmless by
written agreement of the Owner and Contractor, or In accordance with final
determination by the Architect on which litigation has not been demanded, or by
litigation under Article 4.
Add subparagraph 10.1.5 as follows:
Materials containing asbestos are strictly prohibited for use In this project. Contractor
shall verify that all products utilized are asbestos free.
ARTICLE 11 -INSURANCE AND BONDS
Paragraph 11.1 Contractor's Uabllity Insurance
Subparagraph 11.1.1.8: Add as follows:
11,1,1.8
Uablllty Insurance shall Include but not be limited to all major divisions of
coverage and be on a comprehensive basis Including:
Premises Operations (Including X,C, and U coverages as applicable),
Independent Contractor's Protective,
Products and Completed Operations,
Personal Injury Liability with Employment Exclusion deleted.
Contractual, InCluding specified provision for Contractor's obligation
under Paragraph 3,18,
Owned, non-owned and hired motor vehicles.
Broad Form Property Damage Including Completed Operations.
Stop Gap or Employers' Contingent Uablllty,
9, Explosion, Collapse, Underground Damage (Referred to as .X,C,U"),
If the General Uablllty coverages are provided by a Commercial General
Uablllty Policy on a claims-made basis, the policy date or Retroactive Date shall
predate the Contract; the termination date of the polley or applicable extended
reporting period shall be no earlier than the termination date of coverages
required to be maintained aller final payment, certified In accordance with
1.
2.
3.
4.
5,
6.
7,
"
" 8.
11,1,1.9
28
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SECTION 00700
GENERAL CONDITIONS lie
SUPPLEMENTARY CONDITIONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
Subparagraph 11.1.2.1: Add as follows:
11.1.2.1
The Insurance required by Subparagraph 11.1.1 shall be written for not less than
the following limits, or greater If required by law:
1. Workers Compensation:
./ (a)
Statutory
State
2. Comprehensive or Commercial General Uablfity Including Premises-
Operating; Independent Contractors' Protective; Products and
Completed Operations; Broad Form Property Damage):
(a) Bodily Injury:
V $500,000 Each Occurrence
v' $500,DOO Aggregate
(b) Property Damage:
v $500,000 Each Occurrence
,< $500,000 Aggregate
(c) ProdUcts and Completed Operations to be maintained for one (1) year
oller Ilnal payment:
v $100,OOD
Aggregate
Property Damage Uablllty Insurance shall provide X,C. and U coverage,
Broad Form Property Damage Coverage shall Include Completed
Operatlons.
3. Contractual Uablllty:
(d)
(e)
(a) Bodily Injury:
,/ $500,000
v $500,000
Each Occurrence
Aggregate
29
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UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
3. Contractual Uabllity: (contInued)
(b) Property Damage:
$500,000
$500,000
SECTION 00700
GENERAL CONOITIONS &
SUPPLEMENTARY CONDITIONS
Each Occurrence
Aggregate
4. Personal Injury, with Employment exclusion deleled:,
-/
$500,000
Aggregate
5. Business Auto Uabllity (Including owned, non-owned and hired vehicles):
(a) Bodily Injury:
v'
$500,OOD
$500,00
Each Person
Each Occurrence
v
(b)
Property Damage:
$500,000
Each Occurrence
6. If the General Uablllty coverages are provided by a Commercial Uabllfly
polley, the:
/ (a)
General Aggregate shall be not less than $500,000 and It shall apply, In
total, to this Project only,
v (b)
Rre Damago LImit shall be not less than $50,DDO on anyone fire,
Medical Expense Umlt shall be not less than $5,000 on anyone
person.
Paragraph 11,1 Contractor's Uabllfly Insurance
SUbparagraph 11,1,3: Add as follows:
v (C)
11,1,3 Said certificate shall Include the following slatement: "The Insurance Company has
revlowed the coverago requlromonts as stated In those requirements and certifies that
the polley of Insurance represented by said Certlllcate Includes (but Is not limited to ) the
coverages designated,'
30
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UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
SECTION 00700
GENERAL CONDITIONS &
SUPPLEMENTARY CONDITIONS
Subparagraph 11.1.14: Add as follows:
11.1.4 T11e following addltlonal provisions shall be compUed with:
11.1.4.1
The Owner, the Architect and each of their officers, agents and employees, shall
be named as an additional Insured on such insurance as required under Article
11, paragraph 11.1 through 11.1.4.
The Contractor shall continue Completed Operations UablUty insurance in force
for at least one year after the date of Final Certificate of Payment.
Insurance shall be wrillen by a firm licensed to do business in the State of
Washington, and as approved by the Owner. Approval of this insurance by the
Owner shall not relieve or decrease the liability of the Contractor hereunder.
Paragraph 11.2: Owner's Uablllty Insurance
11.1.4.2
11.1,4.3
Subparagraph 11,2,1: Delete entire paragraph and substitute the fOllowing:
11.2.1
The Owner, at his option, may purchase and maintain such insurance as will
protect him against claims which may arise from operations under the Contract
END OF SECTION 00700
31
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UST- Hadlock Shop
Project No: ER1D86 - Fuel Tanks
SECTION 01010
SUMMARY OF WORK
SUMMARY OF WORK
Contractor will perform the following work and provide all parts, plumbing, valves, sensors, connectors,
piping, electlrcal hookups and labor to remove existing tanks and install owner provided equipment as
fisted In this section. (Furnished by owner, Installed by contractor is noted as FOIC).
Commctor will Drovlde the followlna:
1.01 Submit 30 day Notice of Intent to Close and 3D Day Notice of Intent to Install
Underground Storage Tanks (USTs) to the Washington State Department of
Ecology.
1.02 Inert one flve thousand gallon, one two thousand flve hundred gallon and one
thousand gallon UST. Excavate and remove the same. Apply for and provide all
removal permits as required.
1.03 Transport excavated UST's to disposal facility and provide Owner with a Dlpsosal
Certificate duly Issued by the appropriate agency.
1.04 . Remove and dispose of two existing concrete pump Islands and all associated
piping,
1,05 Provide site assessment per the Washington State Department of Ecology
requirements, Provide proof of Washington State Certifications to Owner upon
~~ .
1,06 Excavate for and install two Owner provided (FOIC) eight thousand gallon, doublewall
fiberglass USTs per manufacturer's most current speciflcatlons. Provide approved
design, and Install concrete deadmen for proper Installation of the USTs per the most
current manufacturer's specifications. All soils will compact to a level of 90%-95%, The Owner
will not be responsible for provision of manufacturer's specifications to the Contractor,
1.07 Une tank hole excavation with Owner approved filter cloth.
1.06 Install all Owner provided (FOIC) tank trim.
1.09 PrOvide and Install doublewall fiberglass two Inch primary and three Inch secondary
containment prOduct piping, two Inch slnglewall fiberglass vent and Stage Two vapor
recovery lines to the most current Industry Standards following any applicable
Federal, State or Local Government requirements,
1,10 Pressure test tanks and piping prior to backfilling with clean, washed pea gravel.
1,11 Construct four canopy column footings per manufacturer's specifications. Provide
Washington State registered Structural Engineers stamp whore requested by the
Jefferson County Building Olflclal. Provide all permlls needed for construction.
32
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SECTION 01010
SUMMARY OF WORK
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
"
Construct concrete reinforced pump Islands. provide Washington State registered
Structural Engineers stamp where requested by the Jefferson County Building
Official. provide all drawings, specifications and permits needed for construction. Pump Island
forms are supplied and Installed by the Contractor. These will be galvanized steel with a
radius steel top edge and semicircular outside comers as viewed In plan. Sub nit
sample/drawing for OWner approval, Horizontal concrete Island surfaces shall slope slightly to
the outer edges not to exceed 0.5". Island size shall accomodate all specified equipment.
1.13 Construct one-twenty four foot by sixty foot drive slab and one-twenty six by thirty two
foot tank slab of six Inch thick reinforced concrete. Provide Washington State registered
Structural Engineers stamp where requested by the Jellerson county Building
Official. Provide all permits needed for construction.
1.12
1.14 Set two existing (FOIC used) fuel pumps. Retrofit gas pump for Stage Two vapor recovery
using the most current Industry Standards and following any applicable Federal, State or
Local Government requirements, FOIC pumps may be viewed on site as to condition.
Install FOIC monitoring system, FOIC cardlock system and all necessary plumbng and
electrical hookups Including canopy lights. provide and Install at each fuel Island: four, 120
VAC, 400 wall, super metal halide. aluminum body lights Installed In a uniformly distributed
pallern on the undersIde of the canopy for a total of eight lights. Jet Phillips JPRH040SM2S
or equivalent Is acceptable. Canopy lighting shall be photocell controlled and be adjusted for
proper operation. All necessary electrical shall be provided by and Installed by the Contractor
In conformance with the National Electrical Code and all State and local reuglatlons. The
lighting shall be on a circuit separate from the fuel dispensers, Supply all assoctated
components, trenching, backfllllng and labor to provide a fully functlonlng lighting system.
1.16 Sawcut asphalt along ditch lines and slab pert meters as directed by OWner, Asphalt Is to be
provided and Installed by the OWner.
1.15
1,17 Precision test tanks and lines atter all paving Is complete,
1,18 Submit Permanent Closure Checklist and Installation Checklist to the Washington State
Department 01 Ecology.
1,19 Any required clean soli backtlll, excluding pea gravel, will be supplied on site by the OWner, It
will be placed and compacted by the Contractor.
1,20 Vertfy requirements for modem lines, provide and Install conduit, provide and Install data
lines, make all necessary connections to complete and provide an operating system from
pump to computer, Vertfy that pump equipment and all other componenots are fully
oporatlonal and that they provide a fully functional card operatod fuel dollvery system as
spocltled, Vorlly location of pumps, and location of computor system, Dig and backfill all
necessary trenches and provide all wiring and conduit from pumps to the computer location In
the front olllce of the ShOp building,
33
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SECTION 01010
SUMMARY OF WORK
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
1.21 Provide and Install a twenty four foot by sixty foot canopy to cover the pump islands as shown
In the schematic drawings. Submit a bidder design proposal at the time of bid opening
showing all important specifications and measurements. Provide a Washington Slate
registered Structural engineers stamp where requested by the Jefferson County Building
Official. Provide all permits needed for construction. It shall be capable of a "ve load of forty
pounds per square foot and a wind load of twenty five pou'nds per square foot. Traffic
clearance shall be fifteen feet minimum from top of ground to bollom of canopy or bottom of
canopy lights, which ever is the lowest elevation. All exposed ~urfaces must be primed and
painted with two coats of baked, while"slllconlzed polyester paint (or equivalent) on all sides.
1.22 All Contractor provided parts, equipment. designs and other materials must be pre-approved
by the Owner prior to ordering, placement or use, Contractor will assume all liability for
installation, purchase, and removal as well as purchase and reinstallation if not approved by
the Owner.
1.23 The Contractor shall obtain any permits whIch may be required for the removal and cfIsposal
of tanks and piping, The Contractor shall provide the County with certification that the siles
. have been tested and the results of the tests. If the tests show that the siles are free of
contamination, the Contractor shall backfill the excavations wilh male rial meeting the
specifications for gravel base, and shall compact a level of 90-95%, The Contractor shall
leave the area In a clean and orderly condllllon.
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SECTION 01010
SUMMARY OF WORK
UST- Hadlock Shop
Project No: EA1086 - Fuel Tanks
The Owner will Drovlde the followlnQ:
2.01 A list of FOIC (furnished by the Owner and installed by the Contractor) equipment Is as
follows. This equipment is supplied at the job site location.
2 Xerxes 8,000 gallon dw frp tanks
8 8' anchor straps
2 2510-5 Bravo 2-Prod Tokelm box
4 MYE-4 Bravo 1.25" ST for ,75" cond
2 BH 150 Bravo 1.5" bulkhead flltlng
2 7DS-5-C1 EBW 5 gallon spill cont Cllid
1 794191-122 ns Hank Interst monitor W/P
2 847390-207 VR 8' MAG 2 Probe W/O 1I0at
1 8476DO-Ol0 MAG Probe 4" Kit gas 10' cable
1 847600-011 MAG Probe 4" Kit diesel 1 0' cable
2 CA Probe cap and adapter
2 794390-205 VA TLS sump sensor
2 7943BO-302 VR duallloat hydrostatic sensor
2 CA Probe Cap and adapter
2 Startup systems lire up charges
1 K2500M-4 PV Kard system with heater
1 PC connect cable
150 MS encoded mag stripe card
1 auto poll software
2,02 Excavation spoils will be trucked and stockpiled by the Owner.
2.D3 Any required clean soli backfill, excluding pea gravel, will be supplied on site by the Owner, It
will be placed and compacted by the Contractor.
2,04 Owner will provide all asphalt patching and paving.
2.05 If the above listed equipment that will be supplied by the Owner Is not sufficient to complete
UST project and to provide a fully operational system as described In the Contract
Documents, the Contractor will submit at the time of bid submlllal and opening a complete
itemized list of outstanding Items needed to provide a fully operational card lock fuel system
as described In the Contract Documents.
END OF SECTION 01010
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SECTION 01630
SUBSTITUTIONS
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
SUBSTITUTIONS
1.D1 GENERAL
A. The Contract documents specify certain articles, devices, and products by Usting
acceptable manufacturers and products, certain materials by reference standards
and certain items by performance requirements.
Quotes mustlJe based upon use. of specific Items named In the specifications or
approved substitutions. In certaIn cases, specIDc Items have not been named
because of operational, maintenance or local governmental considerations; approval
of equal quality subslllutlons are not to be assumed.
Request for substitution must be made In writing at least five (5) days prior to the bid
date. Said request must Include complete descriptions, technical data, and
performance records. All requests are sub]ectto acceptance by the Owner.
1.02 SUBSTITUTIONS
A. It Is the Contractor's responsibility to ascertain that all materials and products
selected by him, of for him, by subcontractors or materials suppliers, conform with
requirements of the Contract Documents. The approval of a manufacturer's or a
subcontractor's name by the Owner does not relieve the Contractor from his
responsibility for providing materials and products complying with the Contract
Documents.
B. Requests for Approval of Substitute Materials and Products: If the Contractor has
knowledge of some material other than that specified which he has Investigated, or
used, and will guarantee to be equal to, or bettor than, the spedfled material, he may
request approval, Wrillen request for approval of substitute materials and products
may be submllled on Subslllutlon Request Form (SECTION 01631).
END OF SECTION 01630
36
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SECTION 01631
SUBSTITUTION REQUEST FORM
UST- Hadlock Shop
Project No: ER1086 - Fuel Tanks
SUBSTITUTION REQUEST FORM
TO:
Project # ER 1086
Project TItle: Removal and Installation of UST at the Hadlock Shop
for The Jefferson County Dept. of Public Works
SPECIFIED ITEM:
Section Page
Paragraph
Description
The undersigned requests consideration of the following
PROPOSED SUBSTITUTION:
Attached data includes product description. specifications. drawings. photographs. performance
and test data adequate for evaluation of the request; applicable portions of the data are clearly
Identified.
Attached data also Includes descrfptlon of changes to Contract Documents which proposed
substitution will require for Its proper installation,
The undersigned stated that the following paragraphs. unless modified on attachments, are correct:
1. The proposed substitution does not affect the dimensions Identified In the documents,
2. The undersigned will pay for changes to the butldlng design, Including engineering design,
detailing and construction costs caused by the requested substllutlon,
3. The proposed substitution will have no adverse affect on other trades, the construction schedule,
or specified warranty requirements,
4. Maintenance and service parts will be locally available for the proposed substitution.
The undersigned further states that the function, appearance and quality of the Proposed Substitution are
equivalent or superior to the Specified Item,
Submitted By:
Signature
Firm
For specifiers response:
_Accepted
_Not Accepted
_Accepted as noted
_Received too late
By
Date
Remarks
Address
Date
Allachmenls:
Telephone
END OF DOCUMENT 01631
37
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SECTION 01700
PROJECT CLOSEOUT
UST- Hadlock Shop
Project No: ER 1 086 - Fuel Tanks
PROJECT CLOSEOUT
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Closeout Procedures.
B. Anal Cleaning.
C. Warranties.
l,D2 CLOSEOUT PROCEDURES
A. Submit written certification that Contract Documents have been reviewed, Work has been
inspected. and that Work Is complete In accordance with Contract Documents and ready
for Owne(s Inspection,
B. Provide submittals to Owner that are required by governing or other authorities,
C. Submit final Application for Payment on .contractors regular bllllng form.
1.04 FINAL CLEANING
A, Execute final cleaning prior to final Inspection.,.
B, Clean site: sweep paved areas, rakl1 clean landscaped surfaces.
C. Remove waste and surplus materials, rubbish, and construction facilities from the site.
1,05 WARRANTIES
A. Provide notarized coples to owner,
B, Execute and assemble documents from Subcontractors, suppliers, and manufacturers,
C. Submit prior to final Application for Payment.
D. For Items of Work deleyed beyond date of Substantial Completion, provide updated
submittal within ten days after acceptance, listing dale of acceptance os start 01 warranty
period.
END OF SECTION 01700
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EXHIBITS
UST- Hadlock Sh
Project No: ER10~~
- Fuel Tanks
EXH1BITS
VICINITY MAP
SITE PLAN
PUMPSITE PLAN
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Jefferson County Deportment of Public Works
Contract Closure I Retolned Release Schedule
Archtlecturol Projects
P ROJE CT TI Tl E: _(/M2.f.i.gJ::R?~.'U:l.rZ__?:r~e~_~tg,_-:reEJ!..:$__:'_~.!:~_
FACILITY: -.lUP..l.L>~'< -5Hd' PROJECT NUMBER: Ee loe",
CONTRACTOR:
-13t~!EIh._~!:!J!L~..N(::t.F~I..__;[€.E~!...~€~.Lj~s~_____
Add re ss: _"E'_Q._J3..P..::.;_J.~t~L__________________________
City: ~~ -rl>wl.)sellP State: 'vJA Zip: qt;?to(!,
PROJECT COORDINATOR: -----E~~~__H~~______________
Document:
Date:
Completion letter to Contractor and Interested portlos:
Flnol progress payment to Contractor:
Final Contract Voucher CertifICation to Contractor:
Noltce of Completion to Department of Revenue
. Notice of Completion to l & I, Controctor Compliance Unit
Certificate of Substantial Completion (AlA G704)
Consent of Surety to FInoI Payment (AlA G707)
Contractors Affidavit of Payment of Debts and Claims CAIA G7(6)
Contractors Affidavit of Release of Liens (AlA G 7061\)
Affldovlt of Wages Paid. Contractor and Subcontractors
Notice from Contract Compnonce Unit
Certification from the Deportment of Revenue
'Retolnage:
Total Contract Amount: ---____f17)-ql~,~______
5% Retained -----___A-J!z.Q~7.~_____
___a~z:.<u:___
__E.-Xl:!J2____
_ _..fL-~:z=-f3.____
__ .ft..':!:-Z=.1.1____
__.8.. Z.:.93____
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REVENUE
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Audi[ Procedures & Admin.
PO Box 47474
Olymplo WA 98501-7471
o
Reg. No.
Date:
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
Name & Address of Owner Agency:
JE'~F'E~OI..l ecU/Si.,.
J)EPT of F'U8't.Ie. WOR:l(~
PO Bo)<. 12.2.0
-::Pain 14WLlS.EIJO I LoA 983'-B
DEPARTMENT, USE ONLY
Assigned To:
Date Assigned:
Notice is hereby given relative to the completion of contract or project described below.
Description of Contraet KcMt.-"^'" G~ '3 E.><I:JT"_,,, llA;OE!;:.{:e",.U.JD ST.<.;2",,€ AA.JlCS
~ND II.JS,AaAT/fJN ~r: (:2) New UAJDEA:c.K:.... 'H__ ST~I:'A,(.c -r;,,,,,,.., 5
Contractor', Name Telephone No.
I-::;;C/~" fNl"f.GoI.JI-1E....TAL 5Ef:""CES, /NC. (ZOb) 385- -4ZZI
Contractor.s Address
Po D f)",,,-
Date Work Commenced
'03/ ~I.'.:T IU('-'05tE"-i) I l<JA q83~t:.
Date Work Completed Due Work Accepted
\fUL'( ,12." ,QQ3 A",c. 't.7, 1'1'13
Mlly /0, 1'1'13
Suret)' or Bonding CO.
AM \\'l <)T
(:;" ('E"r-, ''''''<<I<:I\.J ,... t<,
('If
Agent's Address
ME I3t:JAJD ~/(f'U'T~
t<.lX-I>LIIIJ.JO Hili',
Po Be,,,, In:?9
~RTl.nM;, OR 972/2
Contract Amount:
$ 83,25C1.00
Additions or
Reductions:
7 7l.P~. tol
to4ol.'2.2.~
'17,4-15.83
Salcs Tax:
Total
7'<'56(;' ATiMHEL> -:;;C"tiTll'~E ~,r
VAL"'t. ':.
Amount Disburscd: $
q 154'5,0+
-4-870,79
Q7, 4- 15. E:.3
The Disbursing Ofliccr must complete and mall THREE coplcs of this notice to thc Dcpartment of Rcvcnue, Olympia,
WA 99S0-4.7-47-4, Immcdlatcly aftcr acceptance of the work donc under this Contract, NO PAYMENTS SHAll BE MADE
FROM RETAINED FUND until receipt of Department's certlncate, and thcn only In accordance With said certlncace.
FORM REI! II 0020 (12.92)
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Amount Retained:
Total:
4 ./.." /,oi/ 1/;:'/
By r)/&,1.':'".f: ,/ ,,,,,t-.c..
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Phone No, _ ( 2M.) :58.5. '135.3
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1820 JeHerson Street
PD. Box 1220
Port Townsend, WA 98368
(206) 385.9160
()
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Gary A. Rowe, P.E.. Director
Robert G, Nesbin, P.E.. County Engineer
SCHEDULE OF VALUES
Project #: ER1086
Project Site: Hadlock Shop
Description of Contract: Removal of (3) exlsting underground storage tanks
and installation of (2) new underground storage tanks.
Contractor: Pacific Environmental Services
Item Cost Tax Rate Tax Total Cost
Contract $83,250.00 7.8% 56,493.50 $89,743.50
C,Q.#l -6,000,95 8,2% -492.07 -6,493.02
C,Q,#2 1,293,46 7.8% 100.89 1,394.35
C,Q,#3 8,640.05 0,096 0.00 8,640.05
C,Q.#4 3,022,22 7.8% 235.73 3,257.95
C,Q.#5 1109.113 7.8% 63.17 873.00
TOTAlS $91,014,61 56,401.22 $97,415,83
Notes:
!:hanl!e Order # ]: Materials reImbursement to the County for materials
purchased in Seattle @ 8,2% W,S,S,T. Jefferson County paid tax at the rate of
8,2% when purchased,
Chanl!C Order #3: This work was for clean up of hazardous substance.
Ref: Revenue Polley Memorandum NO. 89-1 (7/18/89).
Excise Tax Bulletin #553,04,172/224. (7/31/91).
~p
100% Recyclod Papar
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Director
STATE OF WASHINGTON
DEPARTMENT OF ECOLOGY
7272 Cleanwc1ter Lane, LU.l1 .
Olympia, wclshing'(;,n~~5(e~: (2f'X,) 75J-]35.1
July 13, 1993
JUL 14 1993
JEFFERSON el.
I 'RLlG war:" .
Mr. Frank Hall
Jefferson County Public Works
Post Office Box 1220
Port Townsend, Washington 98368
RE: Site Report fOJ: Hadlock Shop site
Dear Mr. Hall:
The Southwest Regional Office (SWRO) of the Department of Ecology (ECology) has
received your report entitled "Underground Storage Tank Removal and
Decommissioning" prepared by DLH Environmental Consulting dated July 9, 1993.
The report will be kept in the Central Files of the Southwest Regional Office of
Ecology. The reports in Central Files are made available for public review by
appointment only. Appointments can be made by calling the SWRO resource person,
Cathy Downs, at (206) 664-0388,
When a final independent report is received by Ecology, the site is listed on
Ecology's leaking underground storage tank database as a conducted cleanup
without an Ecology review.
Ecology has implemented a system effective July 1, 1993, in which owners and/or
operators can apply to Ecology for a review of final independent cleanup reports.
The review would determine whether or not a site qualifies for a "no further
action" status by Ecology. Tho review ia a fee-baaed service. For more
information, contact Dick Heggen at (206) 586-8618,
Thank you for your cooperation,
Sincorely,
UJ N/I~ Ci(;(jL7
L!n'-;}ooding ()'"
Southwest Regional Office
Taxies Cleanup Program
LGlak
CCI Ray McDonald, Pacific Environmental Services
Donna Howitt, DLII Environmontlll Consulting
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State of Washington
DEPARTMENT OF ECOLOGY
PO Box 47775
Olympia, WA 98504-7775
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JEFFERSON CO PUBLIC WORKS
PO BOX 1220
PORT TOWNSEND WA 98368
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pAEiFICEnvironJ11e9ztal
SERVICES COMPANY
July 27, 1993
Jefferson County
Depart. of Public Works
P.O. Box 1220
Port Townsend, WA 98368
ATTN: FRANK HALL
Dear Mr. Hall:
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JUL 29 1993
JEFFERt;ON CUI
""Rle wn.."-
Enclosed please find the original Disposal Certification for
the underground storage tanks removed at the Hadlock County
Shop. This original is for your records and we have sent a
copy to the Department of Ecology on your behalf.
Best regards,
K~::~~
Construction Accountant
PACIFIC ENVIRONMENTAL SERVICES COMPANY
P,O. Bo, 1031
UST Specialists
Pori Townsend, WA 98368 206'385-4221
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1BOO'222.9219
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Environmental,
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DISPOSAL CERTIFICATION
DATE:
July 22, 1993
TO:
Pacific Environmental
P.O. Box 1031
Pt. Townsend, W A 98368
REFERENCE P.O. #
15540
To whom it may concern,
This letter is to certify that West Pac Environmental, Inc. has received the following tank(s) for
cleaning and disposal in accordance with all federal, state and local rules and regulations:
One (1) 5,000 gallon gasoline tank
One (1) 2,500 gallon diesel tank
One (I) 1,000 gallon gasoline tank
NWEFS JOB #
32-33552
DATE RECEIVED:
05-18-93
07-07-93
DATE CLEANED:
05-24-93
07-13-93
DATE OF DISPOSAL:
05-24-93
07-13-93
METHOD OF DISPOSAL: Scrap Steel
LOCATION OF TANK ORIGIN: Jefferson County Public Works/37I Chimacum Rd.l
Hadlock, W A
If you have any questions or requests for service, feel free to contact this office at (206) 762-
1190.
Thank you for your business and we look forward to being of service in the future.
Sincerely,
~_~st Pac E~vir<t~en~~l,)"c,
C]JU:-bC~
1. D, Umbinetti
Remedial Technologies
JU/pva
dCflACcnV
54 SoUttl Dawson Slrool
Soalllo, Washinglon 00134
(206) 763-2700
(206) 762.1100
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STATE OF WASHINGTON
DEPARTMENT OF ECOLOGY
7272 C1eanwau~r Lane, LV- 11 . Olympia, Washington 98S0.J.{)/11 t . (206) 753-1353
July 13, 1993
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Mr. Frank Hall
Jefferson County Public Works
Post Office Box 1220
Port Townsend, Washington 98368
JUL 14 1993
~,EFFER~UI'l eVe
18UC W()P"-
Dear Mr. Hall:
Re: Requirements for Reporting Environmental Conditions at LUST
contaminated Sites
The Department of Ecology (Ecology) has received a report that petroleum
contamination has been discovered as a result of a failure in an underground
storage tank system. The contamination was discovered at Jefferson County
Hadlock Shop Site, 371 Chimicum Road, Port Hadlock. The reporting of
petroleum contamination from UST systems to Ecology ia required by the Model
Toxics Control Act Cleanup Regulation, Chapter 173-340 Washington
(j) Adminietrative Code (WAC),
The purpose of this letter is to outline the remaining requirements with which
you must comply in order to satisfy Chapter 173-340 WAC. For your reference,
a copy of WAC 173-340-450 of the regulation is enclosed.
Cooperation With Ecology
The Model Toxics control Act (MTCA) requires cleanup of contaminated sites in
order to protect human health and the environment, Chapter 173-340 WAC
specifies two methods by which cleanups can occur. These are:
1) an independent cleanup with little or no oversight from Ecology,
or
2) investigate and/or cleanup with regulatory and technical ovorsight
by Ecology,
The first option allows the propsrty owner or operator to make all of the
decisions concerning the investigation and cleanup of a site, The owner
retains all liability for the cleanup,
o
The second option allows for technical and regulatory review by Ecology and is
formalized by a consent decree or order under Chapter 173-340 WIIC. Covenants
not to sus are available within the consent decree process. But under these
formal processos, Ecology's costa for overaight will have to be recovered from
you,
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Unless yo~ specifically request that the process move forward under a consent
decree or an order, Ecology will aSSume that YOu are proceeding With an
independent cleanup.
Actions Required Within 24 Hours
When a release from an underground storage tank system has been confirmed, YOU
mUst report this fact to Ecology within 24 hours. Further requirements to be
accomplished within the first 24 hours are:
1) You must remove the hazardous substances (including petroleum
products) from the tank.
2) You must eliminate fire or explosion hazards.
3) Finally, within this 24-hour period you must visually inspect any
above ground or exposed below ground releases and prevent their
spreading.
These requirements should have already been met by the time you receive this
letter,
20 Day neport
As Soon as posSible, but within 20 days of the release, there are several
interim actions required:
1)
You must monitor and mitigate additional fire and safety hazards.
2) You must reduce the threat to human health and the environment
posed by the contaminated Boils that you have found.
3) You must test for hazardous aubstances. Ecology requires that you
test for each contaminant found at your site.
4) You must conduct a free product investi9ation, At sites where
fres product is found floatin9 on the 9round water table, you must
start removin9 it,
5) Finally, you must make a status report to Ecol09Y, The
requirements for the content of that status report are contained
in WAC 173-340-450(4)(a), You can make this report verbally by
telephone or it can be submitted in writin9,
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Frank Hall
Page 3
July 13, 1993
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Table I below shows the required analyses for petroleum-contaminated sites:
EPA or Ecoloov Analvtical Methods
TABLE I. REQUIRED ANALYSES FOR PETROLEUM LUST SITES
Containment
Soil
All petroleum compounds:
WTPH-HCID
Gasoline-range organic compounds:
BTEX
8020 OR B240
TPH
WTPH-G
Total Lead
6010, 7420 or 7421
Diesel-range organic compounds:
TPH
WTPD-D
Petroleum compounds heavier than diesel:
TPH
WTPH-4lB,l modified
Water
602 OR 624
WTPH-G
7421
WTPH-D
WTPH-4l8.l modified
Table II below shows additional analyses recommended for sites that have waste
oil contamination:
TABLE II, RECOMMENDED ANALYSES FOR WASTE OIL SITES
IInalvte
Soil
EPA Analvtical Methods
Water
TCLP
1311
8080
PCBs
Total Metals (lead,
chromium, copper, zinc)
Volatile organics
Phenoln
(8010 & 8020) or 8240
8040 or 8270
8100 or 8270
PAHs
e
608
6010 & 7000 seriee
(601 & 602) or 624
604 or 625
610 or 625
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Page 4
July 13, 1993
90 Day Report
A site characterization report is due 90 days after a release is reported. If
the cleanup of the site has been completed, then the gO-day report will be
reviewed as a final report.
If the site needs additional cleanup, the 90-day report will be reviewed as an
interim report. In this situation, a final report will be due 90 days after
the completion of the cleanup.
The required elements for the 90-day report are defined in WAC 173-340-450
(4) (b). Briefly these requirements are:
1) All of the information in the 20-day status report.
2) A site conditions map.
3) Available data regarding the possible fate and transport
conditions of the contaminant (WAC 173-340-450(4)(b)(iii) gives a
list of items to be covered).
4) Results of all sampling done.
5)
Results of the free product investigation.
6) Results of all completed site investigations, interim actions, and
cleanup actions, as well as your plans to finish the cleanup.
7) Information on free product removal. The total amount of
information needed to complete this section is in WAC 173-340-
450(4)(b)(vii) (A) through (G).
If ground water is threatened or impacted, a remedial investigation and
feasibility study will be required, Chapter 173-340 WAC addresses this
possibility in greater detail than this letter can address. If this becomes
necessary, please contact me for further guidance.
Cleanup Standnrds
The question of "how clean is clean?" io addresoed by in Table III below,
Table III Dhows the cleanup standardo for petroleum products, If your site's
test reQulto are below thene numbers, the site is below Ecology's lovel of
concern. If the results are above thooe numbers, site cleanup io required.
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Frank Hall
@ Page 5
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July 13, 1993
Table III:
Con
Benzene 5.0 ug/l* 0.5 mg/kg*
Ethylbenzene 30.0 ug/l 20.0 mg/kg
Toluene 40.0 ug/l 40.0 mg/kg
Total Xylenes 20.0 ug/l 20,0 mg/kg
Total Petroleum 1000.0 ug/l 100,0 mg/kg
Hydrocarbons
Lead 5.0 ug/l 250.0 mg/kg
Total Petroleum 1000.0 ug/l 200.0 mg/kg
Hydrocarbons
Waste Oil Total petroleum 1000.0 ug/l 200,0 mg/kg
Hydrocarbons
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* ug/l is the equivalent of ppb (parts per Billion)
mg/kg is the equivalent of ppm (parts per Million)
Ths numbers in Table III are cleanup standards taken from WAC 173-340-700
through 750 and are referred to as Method A cleanup levels. There are
alternative cleanup lev81s available within the regulations for Borne sites.
These sites must meet certain specific conditions and ground water must not be
affected. If you wish to propose alternative cleanup levels, please call me
for a copy of the appropriate guidance,
Financial Assistance
You should alBo be aware that financial assistance for cleanups is sometimes
available in the form of cost sharing or mixed funding, The circumstances
under which these funds will become available is if: 1) the cleanup would be
done faster by this method than if done by you alone; and 2) if the funding
will prevent an undue hardship on you,
An undue hardship is generally defined as bankruptcy or insolvency, You wl.ll
need to enter into 8 consent decree with Ecology to roceive thODe funds. The
Stato cannot pay for cleanup work already completed, routine tank closuroo, or
tank improvomonta.
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Frank Hall
Page 6
July 13, 1993
To request financial assistance, call me to get the proper application form.
Complete the application form, attach tax records for the past three years,
and submit the information to Ecology. The information provided will be run
through a computer program that will help us determine eligib~lity for cost
sharing.
Penalty provisions
You should be aware that if the reports detailed above are not received in a
timely manner, or if Ecology determines that your actions are not sufficient,
Ecology may decide to:
* Conduct an emergency cleanup,
k Issue an enforcement action,
* Negotiate cleanup agreement, or
* Rank the site for future action.
Persons who fails to comply w":"t.~ t:l'le regulations may be liable for up to three
times Ecology's costa, and up to $25,000 penalty per day.
other Governmental Contacts
~
Some parts of a cleanup are under the jurisdiction of other governmental
agencies. Any petroleum-contaminated soil that is stored on the property is
considered a solid waste, as opposed to hazardous waste. The local health
districts are the regulators of solid waste in Washington State.
Depending upon the method of remediation chosen, air pollution can be a
concern. Three different air pollution authorities exist in this region and
each has its own rules about discharge of air pollutants from petroleum
cleanup sites. Contact the appropriate authority for your area to assist you
on their regulations and requirements.
Lioted below are the local governmental contacts in your area.
Larry Fay
Jefferson County Health Department
802 Sheridan
Port Townsend, Washington 98368-2459
Phone: (206) 385-0722
Robert Moody
Olympic ~ir Pollution Control ~uthority
909 Sleater-Kinney Road SE
Lacey, W~ 98503-1128
Phone: (206) 438-8758
1-800-422-5623
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Frank Hall
@ Page 7
July 13, 1993
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Mike Ajax
Jefferson County Building Department
Courthouse
P.O. Box 1220
Port Townsend, WA 98368-0920
Phone: (206) 385-9141
Guidance Document Available
The Taxies Cleanup Program has a document entitled Guidance for Remediation of
Releases from Underaround Storaoe Tanks. The document goes into greater
detail than this letter for many aspects of the cleanup process. The document
is available upon request.
Please direct all reports and questions about this site to me. My telephone
number is (206) 586-5563. The address is: Department of Ecology, P,O. Box
47775, Olympia, Washington 98504-7775.
sincerely,
J MI? AA CJh(jd7
L~~:~~;:vr'
Taxies Cleanup Program
Southwest Regional Office
LG:ak
Enclooure
cc: Larry Fay
Robert Moody
Mike Ajax
Ray McDonald, Pacific Environmental Services
Donna Hewitt, DLH Environmental Consulting
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TANK INSTALLATION
& REMOVAL
ENVIRONMENTAL
SERVICES
SEATTLE
3214 16TH AVENUE SW
SEATTLE, WA 98134
206 682 2440
FAX 2066218568
PORTtAND
28395 SW BOBERG ROAD
W/LSCNVILLE, OR 97070
S03 682 0275
FAX 503 6823067
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Mr. Frank Gifford
Jefferson County Department of Public Works
1820 Jefferson P.O. Box 1220
Port Townsend, Washington 98368
Reference:
Prqject No: ER 1086
Underground Storage Tanks
Hadlock Shop
371 Chimacum Road
Port Hadlock. Washington 98339
Price Breakdown
Subject:
.. I&,. ~ ~ ,.
APR 19 1993
JEFFERSON COLI"
I 'PI If"" lMr"r-."-
Dear Mr. Gifford,
Listed below is the price breakdown you requested. We consider this information
proprietary and confidential. O'Sullivan require that this eonfidentiality be
protected.
Mllterillls:
Permits
Temporary Facilities, Barricades & Fencing and Safety Equipment
Drylce
Tank Holdown Cables & Clamps ete, , .
Tank & Trencbing Backfill Material
Tank TrimlFittings Required To C.omplete Installation
Dispenser Stage II Vapor Recovery Upgrade Equipment
Concrete/Rebar for Slabs & Canopy Footings
Pump Island Forms
Miscellaneous
Total Materials Costs: $ 25,057,00
Snb-Contrllctors:
Soil Analytic.'11 Work
Tank CIe.'1ning and Disposal
Concrete Finishers
Electrician
Canopy wlinstal1ation
Precision Testing
e,splmlt!Conrrete Cullin!:
Total r:quipmcnt Cost:
$ 3,010,00
2,175,()() (' ~{,'/
5,70ll.00
13,75(),OO I..J;j)r;o/
16,280,()()
800,00
325.00
$ 42,048.00
(I)
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Equipment:
Mobilization/Demobilization
Excavator
Backhoe
Compactor
Compressor & Jackhammer
Trucking Concrete & Asphalt Disposal Etc. . .
Miscellaneous Tools
Total Equipment Costs:
Labor Based On A Four Week Work Schedule:
Field Manager
Superintendent
Equipment Operator
Piper
Laborer(s)
Total Prevailing Wage Labor Costs:
l'ro,ject Total Cost:
O'Sullivan Fcc:
Performance & Payment Bonding Costs
~erheadlProfil
Total Fee Costs
Total Project Cost:
Sales Tax (il) 7.5%
Grand Total:
o
$ 5,445.00
$ 12,832.00
$ 85,382,00
$ 3,426.00
2Q.BlJ.OO
$ 24,249,00
$109,631.00
$ 8.222.:n
$ 117,855.33
(7 00 >
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If you have have any questions or comments, please caB me at 682-2440.
Sincerely,
O'Sullivan I)etroleum Equipment Company
~~~,~oJo~
Patrick D, Donohue
lead Estimator
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SEIlVICI;-S
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Mr, Frank Gifford
Cflnl'idl~ntilll
Jefferson Countv Department of Publie Works
P.O. Box 1220
Port Townsend, Washinj!ton 98368
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Underground Storage Tank Permit
This ~rrnlt only valid when ~Iampt'd by (he- Department or &010J.:)'.
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Site Location:
r"
I hereby swear under penalty of law that the underground storage tank
identified at right is in compliance with applicable state requirements.
Name and Official Title of UST Owner or UST Owne~s Authorized Representative
Signature of UST Owner or Authorized Representative
Date Signed
Ownor:
ace for owner to Identify tank to product distribu1Or.
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I hereby swear under penalty of law that the underground storage tank
Identified at right Is in compliance with applicable stale requirements,
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Name and Official Title 01 UST Owner or UST Owne~s Authorized Representative
Signature 01 UST Owner or Authorized Representative
Dato Signed
Ownor:
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pace for ownor to Identify tank to product distributor:
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lithe permit should bo sontto an oddress differontlrom tho owner's, plooso
placo a correctly addressed mailing lobol ovor the addross shown abovo,
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
October 12, 1993
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PO BOX 1220
PORT TOWNSEND WA 98368
OCT 1'; 19:J
C:FFEH:;'01~
Account ID: 559,851-01-9
Pacific Environmental Services Company
Contract No. ER 1086
Gentlemen:
Please be advised that the Department of Labor and Industries does hereby release
Jefferson County from any further liability pursuant to RCW 51.12.050 and RCW
51.12.070 as would otherwise incur in connection with a contract calling for
removal of three existing underground storage tanks and installing new ones.
This cer~ificate does not release Pacific Environmental Services Company from
liability for additional contributions which later may be determined to be due
with respect to the above mentioned contract or any other contracts said
contractor may have performed.
Very truly yours,
~p~
Industrial Insurance
Accounts Auditor
Contractor Compliance/Release Unit
Phone: (206) 956-4763
CCU1.BF:lcd,143
cc to
PACIFIC ENVIRONMENTAL SERVICES COMPANY
PO BOX 1031
PORT TOWNSEND WA 98368
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STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
October 12, 1993
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PO BOX 1220
PORT TOWNSEND WA 98368
Account ID: 559,851-01-9
Pacific Environmental Services Company
Contract No. ER 1086
Gentlemen:
Please be advised that the Department of Labor and Industries does hereby release
Jefferson County from any further liability pursuant to RCW 51.12.050 and RCW
51.12,070 as would otherwise incur in connection with a contract calling for
removal of three existing underground storage tanks and installing new ones.
This certificate does not r;iease Pacific Environmental Services Company from
liability for additional contributions which later may be determined to be due
with respect to the above mentioned contract or any other contracts said
contractor may have performed.
~<.~
Bonnie Fahrnkopf
Industrial Insurance
Accounts Auditor
Contractor Compliance/Release Unit
Phone: (206) 956-4763
CCUl . BF: lcd. 143
cc to
PACIFIC ENVIRONMENTAL SERVICES COMPANY
PO BOX 1031
PORT TOWNSEND WA 98368
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STATE OF WASHINGTON
DEPARTMENT OF ECOLOGY
7272 Clean water Lane. PO Box 47775 . Olympia, Washington 98504-7775 . (206J 753-2353
January 6,1994 RECEIVED
JAN 10 1994
Mr. Frank Hall
Jefferson county Public Works
Post Office Box 1220
Port Townsend, Washington 98368-1220
JEFFb ..:.-';j', ....~'"'I\ITY
PUBLIC WORKS DEPT,
RE: Site Report for Quilcene Shop, Quilcene, washington
Dear Mr. Hall:
The Southweet Regional Office (SWRO) of the Department of Ecology (Ecology) has
received your report entitled "Underground storage Tank Decommieeioning and Site
Assessment" prepared by DLH Environmental consulting dated october 13, 1993.
The report will be kept in the Central Files of the Southwest Regional Office of
Ecology. The reports in Central Files are made available for public review by
appointment only. Appointments can be made by calling the SWRO resource person,
Cathy Downs, at (206) 664-0388. Final independent rsports received by Ecology
are listed on Ecology's leaking underground storage tank database as a conducted
cleanup without an Ecology review.
Ecology hae implemented a system effective July 1, 1993, in which owners and/or
operators can apply to Ecology for a review of final independent cleanup reports.
The review would determine whether or not a site qualifies for a "no further
action" status by Ecology. The review is a fee-based service. For more
information, contact Dick Heggon at (206) 586-8618.
If you have any questions, I may be reached at (206) 586-5563. Thank you for
your cooperation.
sincerely,
LG.ak
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cc. Donna Howitt, DLH Environmental Consulting
Dave Sather, Pacific Environmental Servic
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WITH APPROVAL FEE.OF,'$~q"TO:
Deparunent of ~ &. lndusb'ies r -;. .: ~~:\ ;
ESAC Division
406 Legion Way SB HC7lo.1 J.; '. . .
Olympia W A 98504-4401 (206) 7S3-4019
;;J'iffid'avit of
PREVAILING WAGES PAID
Public Works Contract
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STATE OF WASHINGTON
DEPARTMENT OF ECOLOGY
P.O. BOX 47600 . Olympi.l, W.1!ihinJ.:ton 98504.7600 . (206) 459.6000
April 22, 1993
Jefferson County Department of Public Works
1820 Jefferson street
Port Townsend, WA 98368-6951
Dear Tank Owner/Operator:
Your Notice of Intent to Install an underground storage tank(s)
at Jefferson Countv Hadlock Shoo. 371 Chimacum Road. Hadlock.
Washinaton, was received by Ecology on April 16, 1993. You may
proceed with the installation on or after May 16, 1993, which is
the day after the required 3D-day waiting period. A temporary
Underground Storage Tank Permit is enclosed for each tank. It
will enable you to have product delivered to the tank for the
purpose of testing, and to begin operation until a permanent
permit is sent to you.
A copy of your Notice of Intent to Install has been forwarded to
the appropriate regional office. Field people with the
Underground Storage Tank Program may visit your site during or
after the 30-day waiting period; however, with the many tank
installations now taking place, it is not possible to visit every
site.
The tank activities must be performed bv a licensed tank service
provider as defined in Chapter 173-360 w~c. section 630. If vou
would like a list of service providers. please reauest one bv
callina the phone number aiven below.
An UST Notification Form and Installation Checklist must be
completed, signed, and returned to this office within 30 days
after installina vour tankCsl in order to comply with the state
underground storage tank rules (Chapter 173-360 WAC). These
forms are enclosed. Upon receipt of these items, an invoice will
be sent for collection of the state annual tank fee unless the
new tank is replacing a tank for which the current annual fee has
already been paid. An Underground storage Tank Self-
Certification of Compliance Form for each tank will also be sent
to you. When the compliance form is sent back to Ecology and the
fees have been paid, the permanent validated permit will be
mailed.
l')'I'l"~"',I~
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Jefferson County Department of Public Works
Page 2
April 22, 1993
If you have questions, please call ~1:S){-7-'LoLI
Mail should be addressed to: Department of Ecology, Underground
storage Tank section, P. O. Box 47655, Olympia, WA 98504-7655.
Sincerely,
\.-.o\.AU'. ~A:':~ \\"''-1.,\, ,I
n~~a Management unit
Underground storage Tank section
Toxics Cleanup Program
TANK:ss
Enclosures
cc:
Mr. Dave Sather
Pacific Env. services Co.
2611 Sims way
Port Townsend, WA 98368
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pACIFICEnvironrne9ztal
SERVICES COMPANY
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July 21, 1993
JUL 2 1 1993 I
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IJEFr~rlSUN COUNTY;
'PUBLIC WORKS DEP7'
Jefferson County
Department of Public Works
P.O. Box 1220
Pt. Townsend, WA 98368
ATTN: FRANK HALL
RE: DOE INSTALLATION CHECKLIST FOR HADLOCK SHOP PROJECT
Dear Frank:
Enclosed please find the original and two copies of the
Installation Checklist for the above referenced site.
Please sign and date all pages where indicated with high-
lighter, keep the original for your records, mail a copy
to the Department of Ecology, and return a copy to PESCO.
If you have any questions please call me at the number shown
below.
Thank you for allowing PESCO to serve your petroleum
construction needs.
Best regards,
~._~\-\
Kim Redmond
Construction Accountant
Pacific Environmental Services Company
enc. DOE CHECKLISTS
P,O, Ba, 1031
UST Speclalllt.
Pori Town.end, WA 98368 206-385-4221
206'379'9395 Ifa'l
1800'222'9219
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CALL FoR BIDS
Nolice is hereby glventhattha Board
'01' County CommissIoners. J,ellerson
',County, Washlnllt,on; will r,ecelve
sealed bids u, P unt',1 the hour 01 4 r.m.
on APrlI,1 2;,1993 at the olllee 0 the
County commissIoners. the Jellerson
County courthouse., portiownsend.
Washington, 98368. to bethen opened
,and publicly read at a meetIng 01 the
County commissioners to be held on
)hat data 16r underg!1' ' , ank
,"Ilorl<th'al Includes pi, bOI_
equlPmentandmalerlals' 'rylo
remove existing 5,00,0. 2.500. and
1.000 gallon luel tenkS end Inslall twO
8,000 gallon luel tankS and all assocl-
alad speclllad equlpmant al the
HadloCkShopat371 ChlmacumRoad.
Port Hadlock,WA 98339.
, Bids shall be submllled In accor.
, dlmce wllh the plans and speclllca'
lions on tile at the olllce 01 the Director
01 Public WorkS. Atlentlon Frank
Glllord, Jollerson CountY courthouae.
1820 Jellerson Sliest. port Townsend.
WashingtOn 98368, (208)~!I5-9'60.
Plans and spaclllcallon_:m, lay be ob-
lalned by submlllln9 a $\0,0\\ relund'
able deposll to lhe Jell~'~~ CounlY
Department 01 Public WOI .\The de-
posll wllll:le ratunded IIlh ' 'llns and
epecltl,cellOns ara relurn"" \",,\,~ good
condlllon wllhln 1 0 daYs~' t',', he bid
opening. ' " ", ,,'
Each ,bid shall be acCO ,,,nled by
a suret bond, poslel mO ~y order.
ceshla'ys check or certltledc ock pay-
sble to the Traasurer bl 'Jellerson
CounlY In the sum 01 5% ot the bid
smounl. 10 be lorfelled 16 Jsllarson
Co~nlY by tha successlul bidder It he
lolls loonier Into e conlracl and tile an
acceplable eurelY bond In lhe emounl
01 100% 01 \hi. contrsctprlce wllhlnten
(10) days 01 the ewsrd. The Board 01
Coun\y Commlsslonsrs reaerves the
rlghllO ralect sny and 'all bids, and 10
accapllhe bid deemed moal advanla-
geouslO JeltersonCoun\Y andlowalve
all Inlormalltlos In the bidding.
Board of commissioners
Richard E. Woll. Chairman
Glen Hunllngtord, Member
Robert H. Hlnlon, Membor
1983.24
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Affidavit of ~cation
STATE OF W ASiUNGTON)
couNTY OF JEFFERSON)
SS
FRANK W, GARRED. being sworn. says be is the pubUsber
al the port Townsend Jellerson Count)' Leader. a weeklY
aewsp:>pef wbich bllS been esubli<bed. publisbed in the
Englisb language and cirCula\l:d continuouslY as a wee1<ly
newspaper in the Ulwn 01 port Townsend in said Count)' and
SL3t.e. and ror general circulation in said county for more
than six (6) months prior to lhe date of !.he ftrst publication
ofthe Nati"" bereUl attacbed. and thalthe said port Townsend
Jerfersan County Leader was on the lith day of lune 1941
approved as a legal newspaper by the superior Court 01 said
Jdfcrson County and \.hat annex.ed is a trUe copy of the
call for Bids
"I
ill> it appc.lfl,:d in the regular and entire issue of said {'l3('Cf
ilself nat in a supplenlenl Ihereol far a peri ad 01
~conseculive weeks, ~eginningOnthe--1.llh
day of March _,19.2l-,llOden'linganthe
..illh-'Iayof- March _.I,p2..-,and
lhal said newspaper waS regularly di'tribuled In its subscrib.
ers during "II al thi' period, 111at ,he full Il11\nunl al
S 105. B5 h,.~eenpaidinlU\l.atlhernteaISi,30
\$6,iO for legal noliees received eleeln>nie,,\Iy, modem or
disk) per column in~h :'l0t~~
l'~,h'i!lher
Sul'seril",d and swum '0 hd"re me Ihis ~ day al
J\.ilrch ___..19..21,.,
[}j21/' ,,-,-/U-.of ' I 'CI/
N"liUY I'uhlic iI~Jd for ,he Slate u W",hing'on. 1
, rel>idin~ at Pmt ll:uUoc\c..
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""""""... t~~FERS NO RIGH+'S '~~~'NL> THE CERTIFICATE HOLDER. THIS CERTIFICATE
Frank B. Hall 8< Co. Of NE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.O. Box 3307 POLICIES BELOW.
Om.h.,'NE 5B103-3307 COMPANIES AFFORDING COVERAGE
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Plclflc Envlronmant.1
P.O. Box 227
Port Townsend
WA 9B368
COWANV A
LEITER
COWAN\' B
tEllER
COl.PANV C
LEITER
COWANY D
lEIIER f~l~~NV E
Asslcurlzlonl Generall
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THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED 8ELOWHAVE 8EENISSUED TO THE INSURED NAMED A80VEFOR THE POLICY PERIOO
INDICATED. NOTWITHST ANDING ANY REOUIREMENT. TERMOR CONOITIONOF ANV CONTRACT OROTHER OQCU..AENT WITHRESPEcr TO WHICH THS
CERTIFICATE MAY 8E ISSUEO OR MAY PERT AIN. THE INSURANCE AFFOROEO BY THE POLICIES OESCRI8EO HEREIN IS SUBJECT TO ALL THE TE~S.
EXCLUSIONS AND CONOITlONS OF SUCH POLICIES,
CO
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TYPEC)f "ruRANOE
POlICYNV~EA
GENERal. L1M1LrTY
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AlL.
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_ IND(rINDINl CONTRACTORS
_ BROAD 10""' rRQrun... OAMAGE
)( 'ERSONAL INJURY
~0t.40DI.I! LlADUTY
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All OWNED AUtOS (~:t.r~~II)
= HI.'O AUIOS
NON-QwHID AUTOS
t= OARAGf LlAOlllly
CCNPR(HINSIYE lOItA
PAlMiStS/orIllA liONS
rUm!IillY'10 COll"S[ IIAlARO
'ROOUC1$1c~rU1l0 orlR.
CONTRActuAL
TXGL 91/B799
Products
Claims Made
NOT APPLICABLE
ncne L1ADLJTV
t-=1-lMDRUlA Hl"-t
H ~'HUI UlAN WORUlA '0,,",
WORUR', COMPENUTtoN
ANO
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NOT APPLICABLE
NOT APPLICABLE
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I DEICAlPlION or OPERAIIONS LOOATlONS VE.tUCLU IrEOIAL nr.Ms
POltcYE"I!:C1M POltcY EXPIRUIO.
OA11!!: (LUoIJOO/VV} DUE (UU/OO/VV)
9/17/92
BODILY INJURY OCC.
BODILY INJURY AM.
f'ROrfRIY IlAMAO( OCC.
PROP(RIY DA.MAG( AGO
81 & I'D CCM81N(O OCe.
81 & '0 CCJ..18U~(D AGO
I" INJURY ADO,
BODILY INJURY
U'u PUIOIIJ
9/17/93
BODnY INJURY
(Pc' .uidclIlJ
rAor{AIY OAMAG(
BODIn' INJURY &
I'AONAIY OA.MAG{
CCMBINID
(ACH OCCURR(NC(
mUIORY IIMIIS
IACH A[elD(NI
DIS(ASl-POIICY liMit
OIS(ASHACH (Mf'tOVIl
UST-IlAPLOCK SIIOI' - PROJECT NO. ERI086-FUEL TANKS
Ut.tl1t
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SHOUlD ANY OF THE A80VE DESCnTOED POLICIES DE CANCELLEOOEr-ORE THE
EXrlAATlON DATE TIIEAEOF. THE ISSUING COMrANY WILL ENDEAVOR TO
MAIL 30DAYSWmTTENNOTICE TO THECEATlnCA TEHOLOEANAMEOT01IIE
LEFT;ourFAIlUllE TO MAIL SUCH NOTICE SHALL MrOSE NO OOlIGAlION OR
LIADLITYO'/jNYKINOUPONTHE COMrANY.IIS AGEN1S~OA AESENl A TlvES
AumORIUO p~ J 0......
A~O ftfi~fl',"ol;!W;,!'m':1:'!:.':" ';;';n:;;.7.!:;:':T!":":;'r'::-r";'I,','r,'bI"'I"q;7m';~",.'7" Dum; "":W,";g"wr,,!{::; ((j) AC.~ i A~oli,~W~3 ~~.Qo~;.
JEFFERSON COUNTY I'UnI,IC WORKS
PO BOX 1220
PORT TOWNSEND, WA 98368
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UST- Hadlock Shop
Project No: ER10B6 - Fuel Tanks
SECTION 00650
MANAGEMENT OF STATUTORY
RETAINED PERCENTAGE
CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
A. I hereby elecllo have Ihe retained percentage ollhls contract held In a lund by Ihe
Owner unlll (30) day lollowlng final acceptance ollhe work.
Date: 4 - 2.. Q - 9. ~ Slgn~ '-:::::'
B. I hereby elecllo have Ihe Owner deposilthe retained percentage 01 this contract In an
Interest bearing account. not subject to withdrawal until after final acceptance ollhe work.
Date:
Signed:
C. I hereby elect to have the Owner Invest the retained percentage of this contractlrom
time 10 lime as such retained percentage accrues.
I hereby designate
the repository lor the escrow of said lunds.
I hereby lurther agree 10 be lully responsible lor payment 01 all costs or lees Incurred as
a result 01 placing said retained percentage In escrow and Investing It as authorized by
statute. The Owner shall not be liable In any way lor any cost or lees In connection
therewith.
as
END OF DOCUMENT 00650
16
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UNDERG~JNDSTORAGETANK
Installation Checklist
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The purpose oC this Corm Is to certify the proper installalion of underground storage tank (US1) systems. Installation
shall be In accordance with Chapter 173.360 WAC. Washington State UST ruleS aba require submittal of a Not/fica_
tlon form (ECY 02lJ.32) wI,thln 30 days of bringing anyncwJy illJllalled UST~.t.t:f!1inlo use.
This Installation Checklist shall be completed and signed by a Ucensed Installation and Retronttlng Supervisor. The
licensed supervisor shall be on site when all tank installation activilies are being conducted. The firm which employs
the licensed supervisor shall also be licensed by the Washington State Department of Ecology as a Service Provider. If
any of the act/vities in section 4 have been supervised by a diCCerent licensed supervbar, a separate checklist must be
filled out and signed by the licensed supervisor performing those activities.
All required tank and line tightness testing during and upon completion oC USTsystem Inslallatlon shall be scpanllcly
certified by a licensed tightness testing supervisor on the Tightness Testing Checklist. All required Jnslallatlon and
testing of calhodic protection systems upon completion oC UST system Installation shall be separately certified by a
licensed cathodic protection supervisor on the Cathodic Protcclion Checklist. If the tank Is pre-engineered Cor cathodic
protection a corrosion expert Is stllJ required to design Ihe field Instaliation oC any piping corrosion protection.
For Curther Information about completing this form, please contactlhe Department oC Ecology UST Program.
The completed checklist should be mailed to the fOllOWing address within 30 days aCter complet/ng the installation:
Underground Storage Tank Section, Department 01 Ecology, Mall Stop PV-11, Olympia. WA 98504-8711
1iW~f,SYS.tEM'o.WijEFlWtltl'(OCAi:IONI';:;;;i;~:':Li'::'.f;~""!>;~;,j.:,;{';i{l;f'!1~f~n71\f,;':,' "!):~@~~,~'?~~,....:
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Owners Address: \'1:,ao _ ~~;;I=';P-..""I.J 0;:-". ~.~. ~~~~~ ~cl~O
)::>oR.\' IC\u.. \WSF."-lb \A lA_ _"'8:
C#Y StIlt,
Telephone: (::lDlo) S~$ - C\ \ loO
She Address:
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License Number: tJl )()OO to ib
Address:
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Telephono: ( aCX,,) ::)%'\S. <.\-cia\
Llconsed Suporvlsor: .1CE.. W \ '6.Df F
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L1conse Numbor: WoaD~d.a
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4. CHECKLIST
Each Hem of the following chccklisl shall be initialed by Ihe licensed supervisor whose signature appears below upon
completion o/work de.fcrihed in thai item.
A. Prelnslallallon InsDllcllon and Tesllna
1. Have all damaged coaling areas (holidays) been repaired with compalible coaling according 10 tank
manufacturer's recommendations?
2, Have lank and piping fittings been checked for Iigh1ness?
3, Has lank been air (soap) lested?
4. If double walled lank. have Inner lank and inlerstillal space been pressure lesled in accordance whh
manufacture~s recommendallons lor double walled lanks?
5, II sleel tank(s). has any plaslic wrapping over anodes boen removed?
B. Inslaf/allon
I, Has baddlng depth below tank(s) and piping been provided per eode end manufacture~s requlremenls?
2. Have cover dep1hs abovetank(s) and piping been provided per code end manulacture~s requirements?
3. Have tanks been Inslalled with spacing belween tank(s) and sides Of excavallon per coda and manufac.
ture~s requirements?
4. If concrete holddown pad Is used, Is bedding thickness belwoen tank and holddown pad per code and
manulacture~s roaulrements?
5. Ooes bedding and backfill meterlal usod meet all coda and manulacturers requlremenls?
6. Has bedding and backfill material surrounding tenk(s) and piping boen placed per code and manufac.
ture~s requirements?
7. II hold down straps ara used on stee1Iank(s). Is tank elec1rlcally Isolaled from holddown strap?
8, ~~I;:;~~~~s~ or supplemen1al hold~awn Is roqu1red, has II been Installed par eode and nlanuracture~s re-
9. Has tank vertical doflection been moasurod and round wllhln IIml1s spacUlod by manufacluror?
10. Has 011 piping bean InslaUad par code ond piping manulaclure~s recommondallons?
11. Has all piping boen pressuro testod par code prior to backfilling and connoctlon to the lank?
12. Has electrlcallsolallon or flangod molalllc piping connoellons beon vorlflod?
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13. Prlar to backfilling over slaoltank has olactrlcallsolallon Irom all motelllc piping and equipment boen
vorlflod?
14. ~~~~~~~lcfa\r~~~~lon and spill containment aqulpmanl boon Installod por coda and manufacturo~s
15. Havo roloase dolocllon systoms boon Inslallod and eallbraled por codo and manulacturo~s requlle.
menls?
'Uem not appUcablo
I horoby cortlfy fhall hovo boon Iho IIconsod supolV/sor pre.onf on s//e during 1110 above IIslod Insl.llatlon ecl/vlr/os and to tl10 bosl 01
my knowlodge thoy havo boon conduclod In compllenco willi nil st.,o and 'odornl/aw.., rogulatlons and procoduros psrtalnlng 10
undorground stornge lanks.
Parsons submitting lalsa;ntormetlon nro sub/ecllo P,::~Ir/./OO,,.,u"Je'f~ 3JJf?f/
7--/:;)-9.5 /~,A~~~~
Dill. ,..-mg,ld'll or l.telllf,'d Bup.It'Ylltlr . // ./'
5. ADDITIONAL REQ~II:1ED ,SldNATUR~-1', i'i" .'.. ". ,/1",':': ,
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CONT~ACT
~
P.O. Box 1567
5eQUIm, WA 98362
(206) 683.6561 (206) 683-4571
FAX (206) 683.1855
TO: ~CL) \~ \I<.l v: ,,, Ir-"RI.L.. S.
ATTENTION: ~~
GENTLEMEN: W. are ..ndlng you ja,H.rewlth
o PLANS 0 PRINTS .
o SPECIFICATIONS
Cl TRACINGS
Cl SHOP DRAWINGS
o SAMPLES
COPIES DATED
NO.
~NSMITTAL FORM
NO.
DATE e,-'-A -C(O JOB NO. tM-\ \ '2
JOB NAME Cc-. II':'~C'~ ()t.t ill
JOB LOCATION P-:r
RE' .t<>~,--.A(-.c!.-
o Under l<!porata cover th. following Item.
o CATALOGUE CUTS
o CHANGE ORDER
o PURCHASIi ORDER
o COpy OF LETTER
DESCRIPTION
C6 .,..\
SI'1IcN
THEse ARE TRA'NSMITTED Cot checked b,low)
o FOR APPROVAL 0 APPROVED AS SUBMITTeD
tJ;:l FOR YOUR USI! 0 APPROVIlO AS NOTED
o AS REQUESTED C RRTUANED POR CORRECTIONS
o FOR REVIEW AND COMMENT 0
o FOR BIOS DUE
ACM"nKS,
COP V TOI
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o SUBMIT _COPIES FOR DISTRIBUTION
C RESUDMIT _ COPIES FOR APPROVAL
o RIiTURN CORRECTED PRINTS
o
CI PRINTS RETURNED AFTER LOAN TO US
'9-
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CONTRAC'l'OR'S DECLARA'l'IOl~ OF OPTIOll FOR MA:1.'.CE:ME:NT OF
STATUTORY R.ETA.INED l'ERCENTAGB
A. I he~eby elect to have the retained percentage of this contract held
in a fund by the Owner until (30) days following final acceptance
of the work.
Date
Signed
B. I hereby elect to have the OWner deposit the retained percentage
th.i.. contract .in an intoros:t bearinq account, not au ot
withdrawal until after final acceptance of tbe ork.
Date ~#D' ":'/~/~/iLsi9~~d '.
c. I hereby elect to have the OWner invest the retained percentage of
this contract from time to time as such retained percentage accrues.
:r here);)y desiqnate
the repository for the escrow of said funds.
I hereby further agree to be fully responsible for payment of all costs
or fees incurred as a result: Of placing said retained percentage in
escrow and investing it as authorized by statute. The OWner shall not
be liable in any way for any costs or fees in connection therewith.
as
Date
Signed
B
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DOCUMENT 00500
CCMBACT FORM
CCJNTP,PCT
JEFFERSON COUNTY, WASHINGTON
THIS AGREEMENT, made and entered into this 22nd day of H IJ r . 1990.
between the COUNTY OF JEFFERSON. acting through the Jefferson County Commissioners
and the Director of Public Works under and by virtue of Title 36. RCW, as amended and
M~LCO III//: of ..s-60t/1I1.
hereinafter called the Contractor.
WITNESSETH:
That in consideration of the terms and conditions contained herein and attached and made
a part of this agreement. the paries hereto covenant and agree as follows:
1 . The Contractor agrees to furnish all materials and do certain work, to-wit: That
the said Contractor herein will undertake and complete the following described work: the
Phase Three Renovation Project located at the Jefferson County Courthouse In accordance
with and as described In the attached plans and specifications and shall perform any
alterations in or additions to the work provided under this contract and every part
thereof.
The Contractor shall provide and be at the expense of all equipment. work and labor of
any sort whatsoever that may be required for the transfer of materials and for
constructing and completing the work provided for In this contract and every part
therof, except such as are mentioned In the specifications to be furnished by the County
of Jefferson.
2. The County of Jefferson hereby promises and agrees with the Contractor to
employ, and does employ the Contractor to provide the materials and to do and cause to be
done the above described work and to complete and finish the same according to the
attached plans and specifications and the terms and conditions herein contained. and
hereby contracts to pay for the same according to the attached specifications and the
schedule of unit or itemized prices hereto attached. at the time and In the manner and
upon the conditions provided for in this contract. The County further agrees to employ
the Contractor to perform any alterations In or additions to the work provided for In this
contract that may be ordered and to pay for the same under the terms of this contract and
the attached plans and specifications.
J \, \
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14
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If a bid bond is used, it shall be submitted on a form furnished or approved by the County
and signed by the bidder and his surety company. The sureties attomey In fact must be
registered with the Washington State Insurance Commission.
!1GL-(;D.!,uc..
Bidder
..
By
/.5toCJ I/WY /0/ /JESt
Street Address
SE 4/{..// /'1
City
tJA
State
9'838':2
Zip
(:Jato) 10 83-d,5101
Telephone Number
MELCo *~ 27//15
State o( Washington, Contractor Registration Number
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3. The Contractor lor hlmsell, and lor his heirs, executor, administrators,
successors, and assigns, does hereby agree 10 Ihe lull performance 01 all the covenants
herein contained upon the part 01 the Contractor.
4. It is lurther provided that no liability shall allach to the County by reason 01
entering into this contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor has executed this instrument on the day and year
first below wrillen, and the Board 01 County Commissioners has caused this instrument
to be executed by and in the name 01 said county 01 Jefferson the day and year first above
wrillen.
Executed by the Contractor ;"1 fJ Y ;2.1..
I1.qLCD ING.
C~~~
By
Foregoing Contract Approved and Ratified
pLANEl' INSURANCE COMPANY
Surety /J
*By ~~
Allorney-In-Fact KAREN ffi'lANSON
MAY 31 '
, 1990
, 1990
*This signature does not imply
that the surety is a party to
this contract nor does it expand
or enlarge any of the surety's
obligations under any of the
bonds executed in connection with
County 01 Jefferson
Board 91 Commissioners
/0 . f 'Fe
.d'/-;.'o'" ",/.. u.(/,//"..,. V".L'
Ch~~
~mbe ~
~/~)
Mem er '
Approved as to form this 7.t'~ day of
~___,_9-., 1.-.-. ~-'
Prosecuting ~;torney ( t':V~"'-=:I')
':J~ ~--~~ --
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" \ ". :,~,.:~t,"'~,I~~,~,':'I".'I'f.'>'
L1~~,;;) '-.....~~L.u.....L.
, '-,,' ','~ ~" " "\:;".
, 1990
1 5
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DOCUMENT 00600
CONTRACT BOND FORM
CO\lTRACT BOND
JEFFERSO\l COUNTY, WASHINGTON
KNOW All MEN BY THESE PRESENT:
That MELCQ, INC. , o(
P.O. BOX 738. SEJ;lUIM, WA 98382 . as Principal,
and PIANET INSURANCE CCNPANY , as Surety, are jointly and
severally held and bound unto the County o( JeHerson, the penal sum of
ONE HUNDRED TWENrY 'lWJ THOUSAND SEVEN HUNDRED SI)cr'Y NINE AND 28/100---
-------------------------- Dollars ( $ 122 , 769.21) , for the payment of which
we joinlly and severally bind ourselves. our heirs, executors, administrators, and
assigns, and SUCCessors and assigns, firmly by these presents.
The condWon of this bond is such that WHEREAS, on the 22nd day of
MAY , A.D. , 1990, the said NELCO, INC. Principal herein,
executed a certain contract with the County of JeHerson, by the terms, conditions and
provisions of which contract the said MEICo. INC. ,
Principal herein, agrees to furnish all materials and do certain work, to-wit: That the
said Principal herein will undertake and complete the following described work:
The Phase Three Renovation Project located at the JeHerson County Courthouse in
accordance with and as described In the attached plans and specifications and shall
perform any alterations in or additions to the work provided under this contract and
every part thereof, in Jefferson County, Washington, as per maps, plans and
specifications made a part o( said contract, which contract as so executed, Is hereunto
attached and Is now referred to and by this reference Is incorporated herein and made a
part hereof as fully for all purposes as if here set forth at length.
NOW, THEREFORE, if the Principal herein shall faithfully and truly observe and comply
with the terms, conditions and provisions of said contract in all respects and shall well
and truly and fully do and perform all matters and things by the said Principal
undertaken to be performed under the said contract, upon the terms proposed therein,
and within the time prescribed therein, and unlllthe same Is accepted, and all persons
who shall supply such contractor or subcontractor with provisions and supplies for the
carrying on 01 such work, and shall in all respects falth(ully perform said contract
according to law, Ihen this obligation to be void, otherwise to remain in full force and
effect.
16
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WITNESS our hands this
MELCO, INC.
PRINCIPAL
By:
31st
APPROVED AS TO FORM this rt'-- day o(
~~ ~~=---~,
Prosecuting Attorney (~')"'~~ I.)
Street
Address of local office and agent of surety company:
City
State
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day of
MAY
1990,
PLANET INSURANCE CXMPANY
SURETYCO'v\PANY
By: ~6v. ~
By: KAREN SWANSON
Attorney-in-Fact
-::Y'::_ ~ ~_u
1990.
Zip Code
17
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FLANET~S~R~NCECOePA~~
~EAO OFFICE, MADISON. WISCONSIN
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS. That the PLANET INSURANCE COMPANY. a corporation duly organized under the laws of the State
of Wisconsin. does hereby make, constitute and appoint
KAREN SWANSON of TACOMA, WASHlNGTON-----
its true and lawful Attorney-in.Fact, to make, execute, seat and deliver lor and on its behalf, and as its act and deed
ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP-----
and to bind the PLANET INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other wnting\
obligatory in the nature thereof were signed bv an Executive QHieer of the PLANET INSURANCE COMPANY and sealed and aliened bv one other of
such officers. and hereby ratifies and confirms all that its said Attorneyfsl.in-Fact may do in pursuance hereof.
ARTICLE VII - EXECUTION OF BONOS AND UNDERTAKINGS
This Power of Attorney is granted under and by authority of Article VII of the By-Laws of PLANET INSURANCE COMPANY whIch became
effective September 21, 1981, which provisions are now in full force and effect, reading as follows:
1. The Board of Directors, the President, the Chairman of the Board, any SenIor Vice President. any Vice Prt!sident or Aninanl Vice PreSIdent
or other officer designated by the Board of Directors shall have power and authority to (al appoint Attorneys-in-Fact and to authorize them to eXecutt'
on behalf of the Company, bonds and undertaking1, recognizances, contracts of indemnity and other writings obligatory 10 the nature thereof, and
{bl to remove any such Attorney-in.Fact at any time and re\loke the pow!!r and authority given to hIm.
2, Attorneys.in-Fact shall have power and authority, subject to the terms and limitations of the power of attorney issued to them,to elo'.t>Cute and
deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof,
The corporate seal is not necessary ror the validity of any bonds and undertakings, recognilances, Contracts 01 indemnity and other wfltings obllglUOry
In the nature thereof.
3. Attorneys.jn.Fact shill! have power and authority to execute affidavits reQUired to be attached to bonds. recognizances, contracts of indemnIty
or other conditional or obligatory undertakings and they shall also have power and authority !o certify the financial statement 01 the Company and to
copies of the By.Laws of the Company or any article or section thereof.
This power of attorney is signed and sealed by facsimile under and by authority of the following Resolution adopted by lhe Board of Oirectors of
PLANET INSURANCE COMPANY at a m~eting held on tho 291h doy of March, 1982, at which a Quorum was prcsent, and said Resolution has not been
amended or repealed:
"Resolved, that the signatures of such directors and officers and the s801 of the Company may be affixed to any luch powp.r of allorney
or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such lacsimile signatures or facsimIle
seal shall be valid and bInding upon the Company and any such power so executed and certified by facsimile lignatures and facsimile st'al
shall be valid and binding upon the Company In the future with respect to lIny bond or undertaking to which il is attachec:l,"
~
~
PLANET INSURANCE COMPANY
~~ ~::t~~~f~)(~d~~~~OF, thib~~NET INSURANCE ~~~:tNV Rprciiad these present;~otr7 signed by its Vico Presidont, and its corporate sllal to
STATE OF Washington
COUNTY OF King
On ,hi. 10th
day of April
, 19 87 ,personally appeared
Charles B. Schmalz
May 15
.1990
to me known to be the Vlce.Presldent of t"e PLANET INSURANCE COMPANY, and eCknowllldged that he OlCecuted and aHelted the foregoing
in"rument end alflk8d the seal of saId corporation therota, and that Article VII, SectIon 1,2, .nd 3 of the Oy.L.WI of laid Company, and the Resolution,
.et forth therein, aro 11111 In full forco, 0
My Commission Expires: ( "';Jbf.
Rosidlng al Tacoma
I, Lawrence W. Carlstrom ,Assisllmt Sncratftry of thn PLANET INSURANCE COMPANY, do herebyctHlify thatth"
above .nd foregoIng II I trlle and correct copy of . Pownr of ^1tornoy exocutttd bv laid PLANET INSURANCr' COMPANY. which is still in full 'orco
and .Uect.
IN WITNESS WHER EOF, I hive htlUlunla sot my hand and !!~IXed the ual of snld Compllny this ~ davof M1\Y
~ AIII"nn's.cr.'nr~~
BOP.'4Jl "82 ~ Lawrence W. Carlstrom
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1990
Bratrud Middleton Ins.
4701 South 19th Street
P. O. Box 11205
Tacoma, W A 98411-0205
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONfERS
NO RIGHTS UPON THE CERTIFICATE HOlDER, THIS CERTIFICATE DOES NOT AMEND.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
~~NY A
Aetna Casualty & Surety
~~8
INSURED
Melco Inc.
O. M. Hendrickson & Co., Inc.
P. O. Box 938
Sequim, W A 98382
~M~~ C
~~NV D
~~NV E
;CQWMUESWWWilW'P.JiWh'%''W$'X@@l
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOOIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POlICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POlICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
TYPE OF INSURANCE
POUCY NUMSER POUCY EFFECTIVE POUCYEXPlRAllON All. UMYS IN TWOUSANDS
DATE (MM/OOIYY) DATE (hAMIDONY)
GENERAl AGGREGATE 2,000
PROOUCTs.ccn,lp.oPs AOQREOATE I 1,000
81C0163422CCA 07/25/89 07/25/90 PERSONAL & ADVERTISING INJURY 1,000
EACH OCCURRENCE 1,000
FIRE DAMAGE (Anv one n...) 100
MEDICAL EXPENSE (Anyone peraonl 5
COUBINED
SINGLE 1,000
LIMIT
BODILY
81FJ940144CCA 07/25/89 07/25/90 INJURY
(Pet 1*10")
OODll Y
INJURY
(Por,.oodontl
QENERAL UABlUTY
COMMERCIAl.. GENERAL LlABIUTY
CLA1MSMADEW OCCUR.
OWNER'S & CONTRACTOR'S PROT
Stop Gap
AUTouomLE UABlUTV
X />NY AUTO
All OWNED AUTOS
A SCHEDULED AUTOS
X HIRED AUTOS
X NON.OWNED AUTOS
GARAGE L1ABILllY
81XS58t627WCA
07/25/89
07/25/90
wonKEn'S COUPENSA nON
AND
EMPLOYERS' U.l.NUTY
OTHER
DEScmpnON OF OPER.l.ll0NM.OCAnONBNEIICLE&l8PECIAL ITEUS
Re: ,Jefferson County Courthouse Renovntlon Project Phllse III Dl~trlct
Courtroom Second Floor Restrooms Project No. CII0872.873 . Add'. Jnsured
End. Attnched. "Limits shown nre those In effect Il~ of polley Inception."
.\1\%'I'!.\eJP.~Igl!9!iP.!l.
.JelTcrson County Depllrtmcnl of
Public Works
P.O. no" 1220
Port Townsend, W ^ 9113(>8
SHOUI.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFonE THE
EXPlnATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
MAli. ~ DAVS WnlTIEN NOTICE TO THE CEI1TIFICATE HOlDEn NAMED TO TIlE
LEFT, BUT FAILunE TO MAIL SUCH NOTICE SHALL IMI'OSE NO OBLIGATION on
LIABILITY OF ANY KIND UPON TilE COMPANY" ITS AGENTS on REPRESENTATIVES,
AUTI I ED REPnEltNTAnVE ; / I I
'd, / l~ (,/'..r.' p/...,. t--.
CAmS OIilIii.3100 i
ACOnD:lS;lf
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POLICY NUMBER:
PER ATTACHED CERTIFICATE
COMMERCIAL GENERAL LIABILITY
o
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, lESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART,
SCHEDULE
Name of Person or Organization:
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
(If no entry appears above. information required to complete this endorsement Will be shown in the Declarations
as applicable to this endorsemen!.)
WHO IS AN INSURED (Section II) is amended to include as Dn insured the person or organization shown in the
Schedule. but only with respect to IiDbility Drising out of "your work" for that insured by or for you,
()
C>
CG 20 10 11 85
Copyright, Insurance Services Office. Inc.. 1984 0
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LEITER OFTRANSMITIAL /~
Jellerson County Department of Public Worb ))
P.O. Box 1220
Pori Townsend. W A 98368
Phone: (2061385.9160
FAX: (2061385-9195
TO: Mi;l..u) /AJ~
DATE: /4- If,A': 10
ATJN: I!AIU aOIIJ.t:.
RE: --rizA<lSMrf'rAL 11 '"
We are sending you :;!.. attached
_ under separate cover
the items listed below:
""P*
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llat. no.
-p~
5U81-f/'rrAI.\ rUtJ1l1iLi~ S'eG7"nJlJ
'5UOMrrT"I/t.: t!ARPiff f5H<:.-nt!)~
leT'f'Ee FI&JM -rdTAt. 6~flIJ61111J(;$
0<1311
D<1b8"
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--tiLE 5AMPU;S AJor J::4e -rH,,, J"e1B
TIIESE ARE lRANSMI1TED as checked below:
_ For approval _ Approved as submitted
_ For your use _ Approved as noted
_ As requested _ Returned for corrections
. _ For review and _ Resubmit _ copies fOr approval
comment _ Return _ corrected prints
REMARKS:
(J) Lib /lI!E KOEPlflJe. -f"HQ t!.AEPeT :5AM'ur.s : 'J?eslI:tJwa,4vS'
/I,m. Y-rlif>l
(!J ttJl5 IIl1!e KeEPIIJ~ .,He' GU3tJIJY -rILE SAUPLG" -#etJ'1()
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TOTAL FURNISHINGS INC.
CONTRACT FLOORING
(206) 478-0846
1600 12th Street
Bremcrton. WA 98310
MELCO, INC.
DATE: y.) ...{<y,q.(j BY: (rc (-,
11-'-_tIMIIIod olluutT- .......--
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July 9, 1990
Melco Inc.
PO Box 1567
Sequim, WA 98382
Reference: Jefferson County Courthouse Renovation
Subject: Material Approval requests
Dear Gentlemen;
Enclosed with this letter are technical data brochures, information cut sheets,
and samples of the various materials we intend to install on the above named
project. The installation of all materials will be per the outlined specifications
in conjunction with industry standard practices. It is important to note that
all products used and the installlation method followed will be acceptable to the
manufacturers so as to validate the product warranties.
Se n 09686 - Carpeting with cushion
Floor Carpet:
The floor carpet we intend to ins'
by Designweave. ~
J>~~
~ ~ Please note data and sample book of style Reliant 45, as manufactured by Hollytex
.&- f!..~' has also been submitted. This is style and manufacturer employed in the phose II
ll.4.'i! ~ project. A credit of $ 252.00 could be offered to the owner in the event this style
~ o...~Q,- carpet is selec ted. '#- I eO CHM2COA (...
Cushion Material: f,SliI?:rectl
We intend to install. the F~-el!11 Cushion os carpet pod. A copy of data brochure
is submitted for revie~ $1l1Z"JJy PYR.E?~X
~le carpet, os manufactured
s eet, and a samp e n submitted for
Cushion Material Adhesive:
We intend to install the carpet pod with on adhesJ.ve that is compatible I~ith the
material 80 as to validate the Imrranty. We are submitting data sheets from
Robert's /I 4000 which we Idll use for this purpose.
Section 09311 - Ceramic Tile
Tile Material:
We intend to install the Genesis Series cerllmic tile as manufactured by Crossville
Ceramics per th~ specifications.
[lECEIVED
AUG 0 6 1990
MELCO INC.
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i
(2) Jefferson County Courthouse renovation, approval requests
Technical data cut sheets are submitted for review. A sample of the C850 Graphite,
and C 890 Ebony are enclosed for review.
Adhesive Materials:
Mortar Materials:
Grout Materials:
Sealants:
Accessories:
We intend to install the materials compatible with the tile and the actual job -
site conditions so as to validate the warranties. We are submitting the Hydroment
color samples for color selection. Use'{/. g6~ ~/Ui}JC1I fi,1!.A'f
Should further clarifications or data be required please call me.
Sincerely,
$e~~
Ron Walker
, \, \
,)S.' REVIEWED
o REJECTED
o REvmE AND RESUOMlt
~ FURNISH AS CORRECTED
Correctlon" or comment!. fn.Jdo on tile 51101' c1rawinC5 during
this review do nol lC'ticvo 1110 ronlr.lc\Or from C()mpli.lnce with
roquircmcnls of llle l~I';'\\!ll1;.~ i\lld r,!)\"rJfic.)llofls, Thl:'\ choc1( Is
only for rc....u)w of (,lili" .l' :.mlo l;~, n: C!' "jH, flin clC51Hll concept
01 tho p'o,cc.t ,"m,l ;,"':lrL~1 10.; :Ht,'ll" 0 ~'.I:h tbl inforrn;tlion
elvon In t:lr. ':~1:1tl.V:t 'v ~;'1I1.'1I r. .1\0 l;.:mlr.\c:lcf i~ 'c~pont.lblf')
for: c:.onrill'lul":1 ~.:l:' 11": -).1 .:: .'11 !~\.,lIllllies .Hld dimcllt";i['Jn~t'
toloctinG f.11>rbl:lon 1'1 ~ ...~.'~I.)fi. 0111... .r;C:'.n!que, of con5tructlor1:
c:oorllln,llln,'l l:i!\ v.'1"h Wiltl :1",\ 01 ;111 olh"r hildcn: and
pOffofminr. 111:.0 war" U1 il r..l;u illl:t f,.\ti':.1;l,;lory m.mner.
JErrE~N COUNlY OE?A
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AIt'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Restroom Lavafory and Fixtures
We have completed our review as requested by Target Plumbing of the following items to be
used In fhe restrooms #209 & 210.
16 October 1990
American Standard #3210.044 - Lavatory with faucet holes
spaced @ 8" on center.
American Standard #2238.582 - Heritage Combination lavatory
faucet, with Aquaseal valves. 8" centers.
Note: This w11l require the use of a stainless steel oval mounting rim, 16" x 19" by Hoody.
Lavatory
Faucets
This Is as specllled In the construction specifications.
We are sending a copy 01 this review directly to Target.
Should you have any comments or suggestions please contact our office.
Sincerely
~-#
ProJect Inspector
c,c: Target Plumbing
100% RDCyclDd POPD'
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LETTER OF TRANSMITTAL
Jefferson Counly Departmenl 01 Public Worlcs
P.O, Bot 1220
Port Townsend. WA 98368
Phone: (206)385.9160
FAX: (206)385.9195
TO: Meu,{) INt-
'P t.J &y. /5h'1
5G/;lo.lMJ WA 9~3f3z..
DAlE: B ALa;
ATfN: (J.lltZL
RE: ~~c.-n<O.
IfllO
an",.' t:
ISAoo
We are sending you ~attached
_ under separate cover
the items listed below:
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clate DO.
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nIESE ARE TRANSMITTED as checked below:
_ For approval _ Approved as submitted
_ For your use _ Approved as noted
_ As requested _ Returned for corrections
_ For review and _ Resubmit _ copies for approval
comment _ Return _ corrected prints
~s:
SIGNED~L~/
IF or.:u::&UlIS /IJtI. lOT ",.,-,,::n Pl.LUI' tC'T1FY tA AT CINC:e
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TRANSMITTAL FORM
NO,
P,O, Box 1567
Sequim, WA 98382
(206) 683,6561 (206) 683.4571
FAX (206) 683-1855
TO: ~ C'n R\CJ Ie \r-...}:--r2 K<:"
OA TE.-::l:1..:-\ -CI G J08 NO, \\ '\ -\ \ Z
JOB NAME nO', II> \\-I.C\ ,,-=- ~\.\:'" S:::' ~
JOB LOCATION ,'b;:-,\ Irl .,>-IS. -.-"""
RE: (.;:\\l::> \_\~ni.-\Nl""
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ATTENTION: .tf"~ \-\"LL
GENTLEMEN: We are sending you Pi. Herewith
o PLANS 0 PRINTS
JUL 25 1990
o Under separate cover the following items
IEFJ=..EaSON COUNTY
o COpy Of'rlF.ir;'rlr W,",OV'" "C.... '
o CATALOGUE CUTS
o SPECIFICATIONS
o TRACINGS
o SHOP DRAWINGS
o SAMPLES
o CHANGE ORDER
o PURCHASE ORDER
COPIES
DATED
NO.
DESCRIPTION
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THESE ARE TRANSMITTED (a chcl:k\\ll~ ytj- _IL....~ ny
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o APPR VED AS SUBMITTED
o SUBMIT _COPIES FOR 01STRIBUTIDN
o RESUBMIT _ COPIES FOR APPROVAL
o RETURN CORRECTED PRINTS
o
o FOR APPROVAL
.,.'...
o FOR YOUR USE 0 APPROVED AS NOTED
o AS REOUESTED 0 RETURNED FOR CORRECTIONS
o FOR REVIEW AND COMMENT 0
o FOR BIDS DUE
19 _ 0 PRINTS RETURNED AFTER LOAN TO US
f.>I\=-R:>otC.. /,\DDf'ICAv"f\\ COI'_J'\Ii\..fLA1'I.c...::. I l'\\~:Lc.:..0 I 'r-.JC. A'N')
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SIGNED: ~m).;,~
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REMARKS:
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pon Print Inc.
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Melco. Inc.
P.O. Box 1567
Sequlm. WA 98382
Re: Jeff Co Courthouse Renovation Ph-3
Sub: Submittal on Toilet Accessories
Section'" 10800
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,Q. Box 1220
Port Townsend. WA 98368
(206) 3B5-9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
16 August 1990
I am retumlng your submittal on toilet room accessories approved for use of Babrlck
and rejected for use of the McKinney/Parker lIems. I find no change to the submittal or
comparrlson of these two manufacturers accessories substantuatlng 0 need for re-
consideration. Ills clear to me that the McKinney/Parker accessorels are not an equal
to the specified unlls.
Should you have any question of comments please coli our office.
Sincerely
~
Project Inspector
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ATTENTION: 41'?",.(-....;~.j-\'\-LL,
o PLANS
GENTLEMEN: We ara sending you 0 Herewith
o PRINTS
o SPECIFICATIONS
o TRACINGS
COPIES
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TRANSMITTAL FORM
NO,
DATE F:', \L-\ ,q n JOB NO. "'^ -\ \?
JOB NAME C OH'<' \'.-\. C " 0; ,:- t:'\-\. ~
JOB LOCATION rc ;,', \CA ,.;,..J<;:;2tJ"'1
RE: {)A(\1T\( ",( (~ K(i"S~Oc.~~:-<:;
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AUG 15 1990
o Under separate cover the following itemsJEFFERSON COUNT'
o CATALOGUE CUTS 0 COP>UElLLln'lWnRJ(C ....~..
o CHANGE ORDER
o PURCHASE ORDER
DESCRIPTION
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THESE ARE TRA'NSMITTED (as chockod below)
~OR APPROVAL 0 APPROVED AS SUBMITTEO
o FOR YOUR USE 0 APPROVEO AS NOTEO
o AS REOUESTED 0 RETURNED FOR CORRECTIONS
o FOR REVIEW AND COMMENT 0
o FOR BIDS DUE
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o SUBMIT _COPIES FOR OISTRIBUTION
o RESUBMIT _ COPIES FOR APPROVAL
o RETURN CORRECTED PRINTS
o
19_ 0 PRINTS RETURNED AFTER LOAN TO US
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LEITER OF TRANSMITTAL OB11"L
Je're~on COI.Ilt)' Department of Pi.tllit Wo.h
P.O. Bo. 1220
Port Townsend. W A 983611
Phone: 12061385-9160
FAX: 12061385-9195
TO: Ml?u.D I~c.
-p 0 ' ~o..< ISb7
, ~EC:>l-tIM I WA 9PJ38 z.
DAlE: ('" A", qo
ATIN: allf2.c.. ao'N<:
RE: -::rEF~ c.a t!M"cr..v.....se 2et-JO -# 3
t.140 enz./873
We are sending you _attached
- under separate cover
the 'items listed below:
_100
"t. DO.
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5 V-A.lo:::' "7, qo JlI4IC'PIdARe SUSUtrrl'lL
TIIESE ARE mANSMITJ'ED as checl:ed below;
. _ For approval _ Approved as submitted
'_ For your use _ Approved as noted
_ As requested _ Returned for corrections
_ For review, and _ Resubmit _ copies for approval
comment _ Return _ corrected prints
I?EMARKs:
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TRANS~ITTAL FORM
NO, 7
DATE~t - cIa JOB NO. VV\ -II L
JOB NAME CU'J;1...T~.o..rS:O ~l.\.. rn-
JOB LOCATION P. T_
R E: \-\./~cD..dX(' ~ ::#= 0 B7 t '2-
P.O. Box 1567
Sequim. WA 98382
(206) 683,6561 (206) 683-4571
FAX (206) 683-1855
TO: ~ ,PJ5U( \NO'C..\<~
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ATTENTION:i1~ \--t'\<-L
GENTLEMEN: We are sending you R\Herewith
o PLANS 0 PRINTS
/lUG 01 1990
o Under separate cover the following itemsJEFFERSON COUNTY
o CATALOGUE CUTS 0 coglHjlldRrWnRl<c DFPT
o SPECIFICATIONS
o TRACINGS
o SHOP DRAWINGS
o SAMPLES
o CHANGE ORDER
o PURCHASE ORDER
COPIES DAlEO
DESCRIPTION
THESE ARE TRA'NSMITTEO (os checked below)
~OR APPROVAL 0 APPROVEO AS SUBMITTED
o FOR YOUR USE 0 APPROVEO AS NOTED
o AS REQUESTED 0 RETURNEO FOR CORRECTIONS
o FOR REVIEW AND COMMENT 0
o SUBMIT __COPIES FOR OISTRIBUTION
o RESUBMIT _ COPIES FOR APPROVAL
o RETURN CORRECTED PRINTS
o
o FOR BIDS DUE
19 _ 0 PRINTS RETURNED AFTER LOAN TO US
REMARKS:
~ I.F:C ~2F'O Ri=P 2. (~.:,'?J~2LJL-I) ""'0..) IN.f\-r
\NANT BOl0::."""D (\.,..',1-\ - ~t,..L ()LA"it:S ,~ '^-E SI-t.cvLCJ LoGK
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COpy TO: I<'\?.A'-.r;.\ ct- .<;<-t,i-.2='lJ..v'2 .,
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KRAUSE & SCHEELAR INC.
DOOR SYSTEMS
P.O. BOX 2018
REDMOND, WA 98073
PHONE: 883-1243 FAX: 885-6116
TRANSMITTAL LETTER:
TO: MELCO, I NC.
P.O. BOX 1567
SEQUIM, WA 98382
DATE: JULY 30, 1990
ITEM: REVISED OPENING
SCHEDULE FOR FINISH
HARDWARE, & A
SUBSTITUTION REQUEST
FORM
-------------------------------------------------------------
-------------------------------------------------------------
PROJECT & LOCATION: COURTHOUSE RENOVATION PHASE III
JEFFERSON COUNTY - PT. TOWNSEND
We are sending: SIX (6) COPIES REVISED OPENING SCHEDULE FOR
FINISH HARDWARE
ONE (1) COPY SUBSTITUTION REQUEST FORM
For ARCHITECT'S approval.
Please return ONE (I) copy to us.
COMMENTS:
NOTE: If a copy is required to be returned, your order cannot
be processed until this copy of the Finish Hardware and/or
Hollow Metal Shop drawings are returned to our office
approved.
The lock portion of the Finish Hardware Schedule cannot be
processed until all keying information is received by our
office.
SINCERELY,
KRAUSE & SCHEELAR INC.
DOOR SYSTEMS
/)cuAoG j'vudc~
RECEIVED
JUL 3 1 1990
DAVID SCHEELAR
MI,L(:O INC.
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SUBSTITUTION REQUEST FORM
TO: MELCO, INC.
PROJECT:
COURTHOUSE RENOV AT ION PHASE 11 J
We hereby submit for your consideration the following product instead of the
specified item for the above project:
SECTION
PARAGRAPH
SPECIFIED ITEM
08710
2.0l
RUSS\~JN K2820H
Proposed Substitution:
YALE 3501, 35241'
Attach complete technical data, including laboratory tests, if applicable.
Include complete information on changes to Drawings and/or Specifications which
proposed substitution will require for its proper installation
Fill In Blanks Below:
A. Does the substitution affect dimensions shown on Drawings?
NO
B. Will the undersigned pay for changes to the building design, including
engineering and detailing costs caused by the requested substitution?
NO
C. What affect does substitution have on other trades?
NONE
D. Differences between proposed substitution and specified item?
NO DIFFERANCE
E. Manufacturer's guarantees of the proposed and specified items are:
.
/.2
Same
/J
Difforent (explain on attachment)
The undersigned states thae the function, appearance and quality are equivalent or
superior to the specified item.
Submitted By:')DAVlll S,CIIEBLAIJ
Signature ?t~1/tcl..5r!lzara,z hll
For use by Design Consultant:
Firm
/J Accept!,d
/J Not Accopted
By
Date
Remarks
/J Accepted as Noted
/J Received Too Late
KR^1J~E ~r.HEEIAR. INC.
Address lJ?RlJ - 1 "l~T ~TREET N E
REDMOND. WA 98073-2018
Date
Telephone 883-]243
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LETTER OF lRANSMIl1AL
r---,
Jefferson County Department of Public Worl<s
P. O. Box 1220
Por1 T oWn5end. W A 98368
Pbone: (206) 385.9160
FAX: (206)385-9195
TO: ~uo jAJi!".
DATE: 'Z. '"J"",y l'lqo
AnN: t!.ARL. CCJIAJI!:
RE: ~A<,-nr
J"lffFF &:; eOuRTH<;U5tf
We are sending you _attached
_ under separate cover
the items listed below:
_100
date DO.
-,,-.
-rDU.6T I!U6S401!:IiFS
(10800)
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TIIESE ARE lRANSMITIED as checked below:
_ For approval _ Approved as submitted
_ For your use _ Approved as noted
_ As requested _ Returned for corrections
_ For review and ~Resubmit _ copies fOr' IIpJ!lIIl a1,r;?:€V tEfT/,</
comment _ Return _ corrected prints
REMARKs:
SIG~~~
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1F'~1JIE.""'As.1I:J'TIJ' ft.tA!I'tIO"t'Jr'YtAATtINC:I!'
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LEITER OF TRANSMITTAL
Jefferson Counly Departmenl of Public WOf\:s
P.O. Bo. 1220
Port T oWl\$end. W A 98368
Phone: 12061385.9160
FAX: 1Z061385-919S
TO: Mt;;l-C..O) I ~"
"Po ~~ l~h7
5tSQ ll.IM I \IJA QI33f3Z-
DAlE: '30 A&oIk 1990
ATfN: eAr!.L a,..,t.J~
RE:-r;., LF-T e,,"'M FA C'",I'T\OtJS
~ 10lbD
We are sending you "attached
_ under separate cover
the 'items listed below:
--
"t. DO.
-.np-
10lloD
IOlbO
\011-6' ~...... P^~IOi) ~ "5u~~rrtAt
~ .o:;""eST\'t'(,L\\O..;) (;~M
TIIESE ARE lRANSMITIED as checl::ed below:
, _ For approval _ Approved as submitted
'_ For your use _ Approved as noted
_ As requested _ Returned for OOrTections
_ For review, and _ Resubmit _ copies for approval
comment _ Return _ corrected prints
REMARKS:
SI~A$/4
. Dr.:L.al.IID ... .". AI 1Enm. ~ tI:r'I'IN us, A' CM'S
,':" '.I,"",I,,~i.( 1:':'~;'"H':'fJJ';.:-:~.-:;~~'.~"
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~
P,O. Box 1567
Sequlm, WA 98382
(206) 683,6561 (206) 683,4571
FAX (206) 683-1855
TO:~O fuBLc \upL\
ATTENTION: ~?At--A< ~
GENTLEMEN: We are sending you ~erewilh
o PLANS
o SPECIFICATIONS
o TRACINGS
o PRINTS
o SHOP DRAWINGS
o SAMPLES
TRANSMITTAL FORM
NO.
DATE 6 -Le-\ ~ JOB NO. I;'v'\ -\ \ L.
JOB NAME ~\'U.O..;<;.;. fl.\..\\-~ ~
JOB LOCATION Q:p.::;-l'o..l..l":'<;_~
RE: ~':l.,l;\l\ \~... 9N1....\I'1l <..."'-1 S;
rtE ,E.\lt:D
AUG 2'7 1990
o Under separate cover the following items
".l.EfJ=,EaSQN COUNTY
o CATALOGUE CUTS 0 C"bLJt!Ll'C WbR.KS DEP-
o CHANGE ORDER
o PURCHASE ORDER
COPIES DATED
6-2....\
10\
NO.
THESE ARE TRA'NSMITTED (es checked below)
~OR APPROVAL 0 APPROVED AS SUBMITTED
o FOR YOUR USE 0 APPROVED AS NOTED
o AS REOUESTED 0 RETURNED FOR CORRECTIONS
o FOR REVIEW ANO COMMENT 0
o FOR BIDS DUE
REMARKS:
COpy TO:
Pan Print I ne,
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o SUBMIT _COPIES FOR DISTRIBUTION
o RESUBMIT _ COPIES FOR APPROVAL
o RETURN CORRECTED PRINTS
o
19_ 0 PRINTS RETURNED AFTER LOAN TO US
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REVIEWED
REJECTED
o REVISE AND RESUBMIT
[J FURNISH AS CORRECTED
C.orrect.ion$ or commcn~s mJ~~e on Ull~ shop dril"Nmgs during
till!; revIew do not rcllt.:'v'c :.:c onlrdctor U(lm :..:omplidnCQ with
~~~:I;~~~~~~\~lo:hecr~j,',~:"" ~~, 0 r~;J, ~P~.~III;a! 't~1'~5.__:~,:.~~~ ~~~~~pj:
of the prOJet;t iln:1 "C J j '\ !I'c .'-lfcrmiltion
SUBS11TUTlON REQUEST FORM
"h.......' 'J :t..".i-'Q:l~l Ie
. It.", dn~ c;rrnens,ons:
selcCline _ fabnCilllOt1 POl:' ~,~!, , n ('C irql.c!; of cons~ructlon:
coordinating hi~ work with .ij.Jt of :111 OHler t..ades: and
performing Ili!: work In a sille and ....ilt:S:Jctory manner.
for: confimlln? ,tn:~ ,(,
The following product Is submitted for c
this Project:
~
101<00
Proposed substitution
ATTACHMENTS
7t)1t..E/I'Afl..T1770N S
Acc.vI2...A~
1. Complete dimensional information and technical dala specified In Section 01300.
Including laboratory tests. if applicable.
2. Complete specification and Drawing InCormation for proposed substitution. Indicate
details required for proper Installation.
3. Samples and manuCacturer's data to substantiate claim of equal quality, performance.
and appearance 10 that specified. Clearly mark manuCacturer's literature to establish
equality.
(Fill out the following)
A. The substitution does _ does not----X- affect the dimensions shown on Drawings.
If II does, clearly Indicate changes.
B. The undersigned will --X- will not _ pay for changes to the building design.
Including engineering and detailing costs caused by the requested substitution.
C. The undersigned will -L will not _ pay additional costs related to
substitution that become apparent as a consequence of this substllution.
D. The substitution has the following effect on other trades, other contracts, and Contract
Completion dalo: A!OAJ€":
Eo
The substitution has the following efCect on applicable codo requirements:
A/CWCO
F. The differences botween tho proposed substitution and the specified item are: _
&d:tlf>1!. qJV;(JLd re1 : 4~ u;;l!o 77A1e:-
.
G The manuCacturer's guarantees of the proposed Item are the same as -X- different
from _ those of the specified Item, (Explain tho dlfferonces on an attachment.)
90001.01 :A
01630.3
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H. The names of three similar projects on which the proposed product was used are listed
below, with their addresses. dates of installation. and the name and address of the
Engineer or Architect.
Two (/,I\/IO"u Sq>lMJ!tr /1IIC~t70I"rr:-/j) ~E7<V1 .5'''~~
Name 01 Project Date Name of Project Date Name ofJ\:>roject Date
.591 -6rf//!: ~.Iu!)n?~/lk? h'u;c.J.<J
Address Address AddresS
A/8/3J O4"-/50;J t!0G7"uCf
ArchltecVEngineer ArchitecVEngineer ArchitecVEngineer
Use of the proposed substitution will have the loliowlng Impact on cost:
t:C:S$ e:x. e7f/61l/€ rhA/IJ ~ I{'=I Sub6&'
//1/ .8/.L!J
J. Savings will will not be passed along to Owner.
(submit statement showing accounting of changes to the Contract sum.)
&.ov'hV,,:S 4A!.G" /N .t!3ID
THE UNDERSIGNED HAS THE LEGAL AUTHORITY TO BIND THIS FIRM AND ATTESTS THAT THE
PROPOSED SUBSTITUTION IS EQUAL OR SUPERIOR TO THE SPECIFIED ITEM IN FUNCTION AND
OUAUTY.
SUZ::€
SI R~~
~-~&
FIRM
/38/B /!JoG"" /~.r?
ADDRESS 4cU.t!fVVE;. /A,AtIC.
64-?rB~B~
TELEPHO'lE
I.
'A.I ;t/,4 of .,. J t:
TITLE
8- &/-<'jO
US M, INO.
REMARK!bA1I: e -2.4 _ll.OlW:-2~\O
~e:.~ o~.;: ~.........
, II .... 0..... -..........
I ,................ 0.... .........., prtnII
II
DATE
FOR USE BY ENGINEER:
ACCEPTED
NOT ACCEPTED
ACCEPTED AS NOTED
RECEIVED TOO \J\TE
END OF FORM
~ Rl!VIEWED
o REJECT'ED
o BEVISE AND BESUBMIT
o rURN1!;f! AS CORllECTED
dl" .. ell~' 11\.11 '" on ttlO !lhOQ..ll v" r. I I
90 u,....C1')~AlW do not r(Jlluvl} tile r.oJltrm:lor Iro ~ \.;~'3cr.;r .{ ur nil
rcqulrf'llncnb 01 Illn dr,lWIIl "i n I . .", Ii 1111oIhl11\-0 with
only tor tovifJW of J'onnr.,1 (1'1 oJ ( ~pl-Lld( ;'111011';, 11,11'; c1ltlck I~
of tho prolod j ~t,) ItOI rn.lll l' ...llt! tl1,~ d'~f,ll:n cOnCtlpt
given In tho ~Ol\l;;:~ct ~;~l~:~;~~t'r~::~~nl)li_lnL"\ wllh. I hI':!. Inlornhltioll
for: confitminf~ .11)<1 COrU\lilti'Il~" 1 ":0 (ll,I1,I,..ctor I'> ru'lIww,iblo
&C'lcctln~' hbri' tl I, ,ll 1l1.1Ild.Ul'. .Hld dlnlOll'\I0I151
COOT(tln,~tln.r. ;\;~ (l~'o~:~oc:;;~tes 'lI~d 1t'1ctlf,1I/llH"i or (;(H15Ituclion:
portormlnR Ill!a wo k I _ 1 th,lt ot .III oltll.1r tr,uhm: llnd
. r n.l 11.:1'0 .1n<1 ~;.ltl~I~lctory n1.lrlllor.
JEFFERSON COUNTY DEPAllT Ern OF PUBLIC ORKS
Dn\.~tfJLL n ~,~
r-.----.
RECE!VED
l AUG 7- ,: 1990
Maca INC,
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SUBCONTRACTORS
DISTRIBUTORS
BUilDING SPECIAlTIES
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):iil' REVIEWED
o REJECTED
[] REVISE AND RESUBMIT
o FunrllSIl AS CORIH:CTED
Corrections or comments m<ldo on tho sImp drawillt15 during
this review do not relleyo the r.ontr<.lclar from conlph;\!1ro wHh
roqtJlrorncnlr. of the d/.)winl~s ,lIld 5pr.cillc:atJons. 1111':0 check 1:1
only lor rt~vicw of r;crwf111 conlarm,Ill' (1 \';1111 Ih..1 (]\l~if:n conc6pt
of th~ project .1nd p,cr1Nnl comr:ll.\llr.o wl:11 Hu, mformatlon
r,lvcn 111 lhtl contr.1cl dor;t1n1cnt~. Tl10 conlrnctor .~ n~~,potl'ilblo
for: conlirminH l'lnd correlll~lnn: "II qlllHll1lic~ nnl.l diil1an~iOIl!i1
!.fllcctlnp, fHlJrlc.'ttion pfOCOf.Ml; and tochnlque$. of constructIon:
coordlnatln{~ hl!l work wilh thllt 01 all oUu~r tr;,dc~: and
pe,forrninr: his work In a s.lfo (Uld 5all~fi'lclory rtll1llnor.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385'9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc,
625 N. 7th. Avenue
Sequim, WA 98382
AIt'n: Melvin Hendrickson
Ref: Jeff Co, Courthouse Renovation,
Phase III (CH08721873)
Sub: Release of Retalnage
We have finally received the required release forms from the Washington State Departments of
Revenue and Labor & Industries, however, as you have previously agreed, you must now provide
us with data establishing payment or satisfaction of obligations pursuant to Section 9,10.2 of the
Contract. Specifically the county will not release the retained percentage until you provide
releases of lien properly filed for each sub-contractor that has a lien flied against this project.
(The county makes no representation as to the propriety of any lien or claim.) You have previously
flied an affidavit of Retease of Liens alleging none existed. At the same time you flied an Affidavit
of Payment of Debts and Claims revealing a number of outstanding debts. At least some of these
debts appear to be subject to liens.
12 February, 1992
In order to release the retained percentage, the county requires that you present proof of
satisfaction of these debts or claims. If you choose, we would issue checks directly to the named
parties upon receipt of their agreement that they will accept a sum certain as payment In full and
your acknowledgement that you bear responsibility for payment of that sum, and desire It be paid
from the retained percentage.
Following Is a comparison of claims flied and the amount of debt you acknowledged.
Amount acknowledged
Sub-contractor Amount Claimed by Melco, Inc
Noah's Ark Woodworking $1,863,78 $1,371.35
(attorney fees & costs) 112.29
Target Plumbing 1,405.49 807.94
Peninsula Glass Co. 392.38 38,62
(finance charge) 41.23
Total Furnishings 1,508,99 1,148.49
Sequim Paint & Tile 1,247.35 0,00
100% Rocyclod Papor
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No sum will be released until you have responded as above to Indicated why you believe the claim
Is unJustffled. Please respond promptly.
Sincerely,
Frank Hall
Project Manager
Concurred:
Mark Huth, Prosecuting Allomey
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?...:ll PO B91l. 660429. DllUa;,loll'l1$ 75260-0429 )...,' . , " ' . '" I 1 (-, '\ :"'. 9: ~. I . '. ' REORDER ITIEM ~ HA73
",..'...iJI ~IlTOIlfree 1800-527.1)530 " .., .....,. \ , ".~' ,,1- ,',t,,~,-'~ " :~...,~ ,,', ~,', .
MELCO, INC.
BUIL.CERS & CEVEL.OPERS
P. O. BOX 1567 . SE~UIM, WASHINGTOr
6B3-6561 OR 6B3-4571
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...- MELea, INC. '''"'\
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P.O. BOX 1567 . BIE:QUIM, WASHINGTON 99382
6B3-6661 OR 683-4571
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RETURN THIS PORTION WITH PAYMENT
DATE
CHARGES AND CREDITS
'felerhonc' cllarge" 11/1 - 11/15/90
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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I-AccOUNT N-ut."-I3Etl
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AMOUNT ENCLOSED $
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, P.E., Ditector
Robert G. Nesbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Att'n: Melvin Hendrickson
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Contractors Pay Request #5
I am returning your pay request #5 for resubmittal. The following items are to be
addressed with your resubmittal of Pay Request #5.
12 December, 1990
-To be submitted in triplicate.
-Change Order #2 is to be signed by the Contractor and approved by the
Owner before it can be billed.
The Owner is not prepared to approve any Pay Request at this time which
includes electrical fees. We are by separate letter requesting a conference in
our office to review and discuss the outstanding items including costs incurred
by the Owner to rework the rough-in wiring to the Courtroom fixtures.
SinCerelY~
~ 1/
Project Inspector
c.c: file
100% Rocyclod Papor
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P.O, Box 1567
Sequim. WA 98382
(206) 683-6561 (206) 683,4571
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TO, JEFFERSON COUNTY DEPT OF
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P,O, Box 1567 AUG Otj 1':"; DATE 08/03/1990
Sequim, WA 98382
(206) 683.6561 (206) 683-45<l1EFFERSC
FAX (206) 683,1855 "IRI '''' IMr
TO:JEFFERSON CO, DEPT OF PUBLIC WORKS
1820 JEFFERSON STREET
(i
.n~ANSMITTAL FORM
JOB NO, CHOB72-B73
JOB NAME JEFFERSON COUNTY COURTHOUSE
, RENOVATION ?ROJECT
JOB LOCATION
RE:
PORT TOWNSEND, WA. 98368
ATTENTION: FRANK HALL
GENTLEMEN: We are sending you XX Herewith
o Under separate cover the following items
o PLANS
o SPECIFICATIONS
o TRACINGS
o PRINTS
o SHOP DRAWINGS
o SAMPLES
o CATALOGUE CUTS
o CHANGE ORDER
o PURCHASE ORDER
o COPY OF LETTER
COPIES DATED
NO.
DESCRIPTION
FOR "THE JEFFERSON COUNTY COURTHOUSE RENOVATION
PROJECT" # CH0872-873
THESE ARE TRA'NSMITTED las checked below)
xx FOR APPROVAL
o FOR YOUR USE
o AS REQUESTED
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o RETURNED FOR CORRECTIONS 0 RETURN CORRECTEO PRINTS
o 0
19_ 0 PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO:
MELCO, INC.
SIGNED~~
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Labor and Industries
Electrical Section
IN~ECTlON REPORT
DO
REMOVE
CITY
PERMIT NUM7~ t
APPROVED F COVER (OalOI (Initial)
g' /(,/ 901 ~
APPROVED FOR SeRVICE (0.1111) IInlltall
I / I '
APPROVED-FINAL INSPECTION (0810) (Inltll'll)
---
-, /
ELECTRICAL INSPECTOR
AREAS NOT INSPECTED OR APPROVED:
o Unfinished Sasament 0 Garage I Pump House LE NARD MOSER
o Unfinished Up".I,. 0 El CTf~/CAL ,INSPECTOR!
NOTES I 6 E Ist:::T " ~:lli[ I
~/~- C/l7' /&:>.n.-~, t1. PO T ANGFll~), \'Vt\ ~b3Li2
)) ---O~-t.2e ) 4::;;,2613-'
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Gas Supply_ _ // ~_ _
Date~
::~
o
o
CITY OF PO~T TOWNSEND
BUILDER'S PERMIT & INSPECTION RECORD
(See Instructions on Attached Sheet)
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
CALL 385-2294 FOR INSPECTION
Permit Number 7tlt9b -/'1 Issued
Job Address J f'.70 /EFFc7L SaN
Nature of Work 1?e>7ZJRI" cOr/,er#O(/~E
O'iner I CFFFPSO;V t'OtlNry'
Treas. No.
Zoning ...B::.L Type ') /V' Occupancy
Use of Building(s) C-lld.er/O.!J/Yl
Contractor /J1E/.J'n 1/1/('/
1. GROUNDWORK: Plumbing_
Inspector
2. FOOTINGS/SLABS: setbacks_ Forms_ Reinforcement_ Slab_
Inspector
3. FOUNDATION WALL: Forms_ Reinforcement_ Weather Proofing_
Inspector
4. FLOOR FRAHING: BeallS_ Joists_ Bridging_ Inspector
5. PLUMBING: Drain~ vent~ Trapa:.. Clean-ou~ Water sup~
Inspector ~
6. HECHANICAL: Furnace_ Exhaust_ Heat Ducts_
Inspector
~'
7. FRAHING: Walls tJ~\. ceilin _ Roof_ Vents_Inspector
8. INSULATION: Fl~ all _ Ceiling_ Baffles_
;/) 17 ~~ Inspector
9. DRYWALL NULING: Wall~~~_ Inspector
10. DRAINAGE:
Inspector
IJ.-FINAL INSP~CTION: .Buildincr.::::.-
~dlE"",f;7f; , /!,
~~ :.t ru> ~ ",/.;..c:/'n-,~
Plumb. ,_/ Hech/heatingL- Smoke Det._ House No.
.".. ~
Inspectllr J. ,..,--c~_
'S'7~ z;.:.~""'
Call 48 h~~rs b~f~r~ y~~ d~g
f~r ~t~1~ty 1~n~ 1~~at~s
1.-800-424-5555
JI, \
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. ;~I ".:,.~~t~r:.~\,\,-;I;i,rV'
"r h. "''\.4''
Date
Date
Date
Date
Date
Date
Date
Date/I~~_7
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I~
'>.~'
City of Port Townsend
Port Townsend, Washington 98368 385-3000
CERTIFICATE
OF
OCCUPANCY
Building Permit No.:
j?L/CJ6 -/9
,
Conditional Use Permit No: ~
Owner/Builder: ~~ ~f
::::::~, /~;;7>~
Building (or portion): ,;;:?.-..,/ ~ ~p/l)~ ~
t2~ __<~~
Use(s) permitted:
1/-]
The above-referenced building or portion complies with the
applicable requirements of the Port Townsend Building Code (PTMC
16.04), has passed all required inspections and may be used and
occupied in the use and manner indicated above.
APproved:~
Buil fng Official
/' ~ijp
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CJ;~?{ r~~U"1! (d~"""'H_ -<:Z-j:-C;'1"J7
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, ""',' :..') >'~', .,;t{:!:<~~~:..,,::,,;I.t,',fi;': .
D
City ef Pert Townsend
Port Townsend, Washington 98368 385-3000
o
BUILDING PERMIT WORKSHEET
Jefferson County
Properly O'Der Haae
Melco Inc. P.O. Box
CODlraclor Haae
1R20 Jefferson Street
Address
1567 Sequim, WA 9R382
Addreu
Port Townsend, WA 98368 385-9160 (frank gifford)
Pbone
683-6561
Pbone
MELCOxx271M5
CODlractor's LiceDse Hu.bers (HasbiDgloD Stale)
1820 Jefferson Street, Port Townsend, WA 98368
Properly Slreel Address (I! auigDed)
(City of Pori To.ue.d)
H;l~t;np!=l 1 ~t
Properly Legal Descriptio.
A buildi.g penJt is requested to
Additio.. Bloet 79
l.otfsl 1 thru 8
o House 0 Conercial o Garage 0
Bmli Buildi.g Otber
o House 0 Conercial o Garage 0
WAlJli BuildiDg Other
0 0 Conercial o Garage IKJ Olber courtroom and restrooms
BEmEU House Buildi.g
REPAIR/RESTOBE A
o
O Consrcial
Building
o Garage
o Olher
House
T81 HORI H{LL BE ~ IDterior only 0 Elisrior onl, 0 Botb IDterlor aud efterior
Tbe structure or sddJtiou .ill be'e a floor Ires 01
3500
'quare leet ud i, to be u,ed la{
Jefferson Street
street
t'P-RtroomR
Ifter co.pletJOD. Tbe structure faces
courtroom and
Hod to begiD
6/22/90
Date
aDd be co.pleted b,
11 19 /90
Date
(Att,ch bJde or estlllte' for tbe co.pleted proJect,)
The estlllted co,1 J, f 122.769.29
BU1LDIIG PIUIr fORISB'"
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lb. proper I, 1. 1. lb. -Ili.a .0aIol diatrict, exis ting building
n. 101 .r.. 1.
n/F!
'qoale leet. lb. Ilroctor.{.) .Ill co'.r
lot .rea "d tII. tolal al.a 01 i.p.r,ioo. .ortaell (i.clad. ill dri'.II, ,r.aI) .Ill be
n. 101l0.Jalr.qoIr.d dr"iol' .a.t acco.pao, lbi. rod d..t:
I2iJ Plol Pl.o 0'Ioor PI.o 0 10DOdaUoo PI.o nla
129 ',pical fruJaI /hlail. lli] froot II.,dio. interior
n~ 'ahr S.r,i" PI,a: S.r,ic. PIp. DIa..fer rill be 0 3/4"D
walls
On
IiZL S.r.r S.r,ic. Pl.o: Sid. ,.rer to b. d.,eIoped b,
Codrac!or 'u.
Coatrac!or', Llc.... 'o.b.r, ('adiol!oo Slat.) (Clt, 01 Port 101ll.od )
I, tb. prap.rl, rltbio 200 leet 01 a tr.d or 6111 ral.r .bor.llo.'
I. tb. prop.rl, rltblo a 100 ,.ar Ilood plala?
I, lb. prop.rl'lDbJ.e! 10 10, coadlUo" plac.d oa .a, prIor aeUoa 01 lhe CH,;
..1., ,obdl,Ialoa, dorl plat, rarluc., coadltloul re. p.r.lt, rlreel
racrUoa, pl.aa.d DOH d".lop..al, r.lllrlcU,. co,ea"I, etc?
(Attacb copl., 0110, /JUcb r.rlrletloo, or eoadltloar.)
o
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o 1 1/2"D
Pboll
Pboll
0 rei lliJ '0
0 r.. GJ '0
o r.1l GJ 10
ago,r. leet 01 lb.
.gDlr. leet.
1 b.r.b, cerU/, tht 1 h" rlodled lboee ll.eUm 01 lbe Od/oll Baildlal Cod. "d U. Port 'omead loalelprl Cod.
p.rUa.ol to lb. Ibore proJ.et; U.I I Gad.r'lud lb. ,.ult, 11 lar..d, Ilplr.. 1. III .oalb. .ale" .od 1. .hrl.d;
that lb. "lIlt, 11 I"..d, h. 10 b. rean.d eaeb ,ear ..Ul eo.pl.Uo. 01 Ue proJ.el; UIt I .,rll to .bid. b, tII.
ordl"acll, eodll, r"aI.Uoa., rerlrleUre cO'..IIII., deed or plat r..trleUolI, ud rat.r .ad llrer pl." Itl.ebld
j.r.to; ud I .1.0 c.rtll, tbal .Illa/oll.tloa ,Irea .bore ud o. .eco.pu,l/ll ,1". I. co.pIet. lad .ee.r.l. 10 lhe
b,,1 01., borl.d,.; .ad I .ad.r.l.ad thl Ulll la/omtfoa 1111 b. r.ll.d 'PO' la ,rutlat r.q.lr.d per.H. ud tIId 11
IDeb Jalor.atlo. I. I.ter lo.ad to b. llllecarat. Ill' per.It. ,rut.d .,, b. ,lUdr"..
'b. aad.ralllJ.d '.r.b,Il"" .ad bold. U. CH, 01 Port 'o,,,.ad hul." Iro. u, ud .11 e.a." 01 acUoa, J.dI..at.,
cI.l.., or du"dll, orlro, .a,ll.bIIH, 0lU1 ..tar. 1l1.ia, Iro, llI,aoacol,llue. .JU .a, reatrleUrr co"autr,
pIll r.l/rleUoar, deed rlltrlcUo.., or olb.rrlllrleUo.. dId II' hrr be.. ..lIbllded b, Plltl.. othr Uu U.
CH1 01 PorI 'orallead.
Fnmll <;11'1'",.,1 ^,."hi 1',","1,,,,."1 Pro ;""1' Coorrli nntor -refferAon County
Appllelll or uUorll.d r.prll..lItf,.
'UILDI,e ml11 '0115""
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6/12/90
lI.fe
PACII011PACIS
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Jefferson County Department of Public WorkS
Contract Closure I Retained Release Schedule
Archnectura1 Projects
P ROJ E CT TITLE: u~g:r.ti9~';;_C__-g..EW---r-"---~--------------
FACILITY: ~JL!?-:YJ:!t;!!,!-Z------- PROJECT NUMBER:Lti.fLi7~j~13
CO NTRACTO R: ____l1al&Q---J~(.,.--------------------------
Address:
-----------------------------------------------
City:
PROJECT
'5,c,QUI M-________ State: .YJA-_ Zip: --
COO RD I N A TO R: __.f"E.~-~--Jd~y",.-------------------
Document:
Ccj\oll"t. 30 fJ"\l '! I
(h O",~ ComPletion1etter to Contractor and Interested parties:
A..J<~; Final progress payment to Contractor:
~-( r.rW"
~fl~f.. o)e:t. ~ Final Contract Voucher Certification to Contractor:
, 01,)
~~ 0"'><1.(... -> Noltce of Completion to Deportment of Revenue
O">.,f!Z- ">> Notice of Completion to L & I. contractor Compliance Unn
13'f
o . 1'- Certificate of Subs! ontlal Completion (AlA G704)
D~ ;:" ~. Consent of Surety to Final Payment (AlA G707>
. contractors Affldavn of Payment of Debts and Claims (AlA G706)
" . Contractors Affldavn of Release of Liens (AlA G 706A)
(31' f,41J1f!- Affidavit of Wages Paid' Contractor and Subcontractors
O",.,e~ Notice from Contract Compliance Unn
6'1
/3'1' OvitJef-. Certification from the Department of Revenue
Retalnoge:
Total Contract Amount:
Date:
-------------
e.~.P1l1__8.~~\_ ,/
R~1LLC,d>~f_JL -1;/~cWt
_"Jul.'!. 3.lt-L'LtjJ --
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5% Retained
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Interest on retained amount:
----------------------
Subtotal (Retalnage plus Interest)
----------------------
Total Liens against the retalnage'
Total retolnoge less liens
Retalnage dispersed to Contractor
----------------------
----------------------
Dote:__________________
By:
. Attach Uen Detail
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. MELCO, INC. ..,'
. BUILDERS & DEVELOPERS "
P.O. BOX 1567 . SEQUIM, WASHINGTON 9B3B2
683-6561 OR 6B3-4571
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DATE Izltl '?I
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REC!:8YR:.~
DEe 16 1991
JEFFERSON COUNT
PUBllr WORK(;:, 1"\'-'
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STATE OF WASH1~GTON
DEPARTMENT OF LABOR AND INDUSTRIES
General Administration Building 0 OlympiJ, \.VJshir.glon 985().l~"'.JOl
November 26, 1991
RECf:.IVk.t-
SECOND REQUEST
DEe 0 2 1991
MELCO INC
625 N 7TH AVENUE
SEQUIM WA 98382
JEFFERSON COUNT
PUBLIC' WORKC: n~~'
Account ID: 337,382-00
Gentlemen:
We have been advised that your firm hOS completed a contract calling for
renovation of Jefferson County Courthouse, Phase 3 and construction of District
court Room and rescrooms on second floor. Before we can issue a release
certifying that the Industrial Insurance and Medical Aid premiums have been paid
on this contract, it will be necessary that you complete the enclosed form.
263,083-000, Request for Release, and return to this office.
Very truly yours,
c;~/~~ ~~
Kaye Kjorlaug
Administrative ASBis~ant
Contractor Compliance Unit
Phone: (206) 753-4398
FAX: (206) 664-0602
CCU8A.KK:2cd.24
Enclosure
cc to
JEFFERSON COUNTY
DEPARATMENT OF PUBLIC WORKS
ATTN FRANK HALL
PO BOX 1220
PORT TOWNSEND WA 98368
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State of Washington
Department of Revenue
Audit Procedures a Administration
Olympia. WaShington 98504-0090
Certificate of Payment of State Excise
Taxes by Public Works Contractor
RECEIVED
Contractor:
NOV 0 ,11991
,JEFFERSON COUNTY
PUBLIC WORKS DEPT,
MELCO, INC.
625 N 7TH AYE
SEQUIM WA 98382
We hereby certify that tax!'s, increases and penalties due or to become due from the abo\'e named
contractor under Chapter lBO, Laws of 19:15. as amended, with respect to the following public works
contract:
JEFFERSON COUNTY
JEFFERSON CO COURTHOUSE RENOY PHSE III
together with all othel' taxes, increnscs ano penalties dllc froll1 sllch ('ontl'llctol', hnve been paid in full
01' that thcy are, in the Departmcnt's opinion, rcadily collcctihle without I'CCOllrse to the stntc's lien on
the retained percentage,
This certincate is issued pursuant to the provisions of Chapter 60,28 Re"iseo Code of Washington
fOl' the sole purpose of informing the statl'. county or 111111licipnl o!neer charged with thl' dut~' of
c1isblll'slllg OJ' lluthorizing the pnyl11cnt of puhlic fllnds to said cOlltrnctOl' that the Dep,lI'tmcllt of
H,,\'enuc hereby J'clenses till' statl"s lil'll 011 the rl'tainecl JlCl'cclllnge pl'llviocd by this Chapter for ex-
clse tl1xes due from said eontmctor,
'rhis certil1eate docs Ilot relcnse saicl COlltl'llctO!' from Jlnbility for additional tnx which mll.Y be later
determined to be clue with ,'espect to the nhove melltioned contl'nd 01' other activities,
Dlltc nt Ol,ympin, Wnshingtoll, jo)3{! /11
ISTATF. 01' WASIIINGTON
X /DIWA!JmF.N'r 0, F H';YF.NtH~
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DEPARTMENT OF REVENUE
Mnil St.op AX,02, Olympin, \VA D8504,OODO
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ADDRESS CORRfCTlON REQUf<;TEO
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JEVFER~UN CUUNTY
DEPT OF PUBLIC WORKS
PO BUll 1220
PORT TOWNSEND WA 98368
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State of:
County of:
The undersigned, pursuant to Article 9 of the General Conditions of the Contract (or Construction, AlA Document
A201, hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all
materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and
claims tlgainst the Contractor (or damages arising in any manner in connection with the performance of the Contract
referenced above for which the Owner or his property might in any way be held responsible.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the
Owner for each exception.) .fj.
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CONTRACTOR'S 0
AFFIDAVIT OF
PAYMENT OF
DEBTS AND CLAIMS
AlA Document G706
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
TO (Owner)
r-Jefferson County
Department of Public Works
P.O. Box 1220
Port Townsend, WA 98368
L
PROJECT: Jefferson County Courthouse
(name, address) 1820 Jefferson Street
P~rr ~~.ma~n~ W~ qR~hR
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".v:OAn'S
A.a-e:::
7i4tZ6er I".?Go''''Al~
T6TA~
;:'oIZN..IS H.T.A6S
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Consent o( Surety to Final Payment, Whenever
Surety Is Involved, Consent of Surety is required.
AlA DOCUMENT G707, CONSENT OF SURETY,
may be used for this purpose.
Indicate attachment: (yes ) (no ),
The following supporting documents should be at-
tached hereto if required by the Owner:
1. Conlractor's Release or Waiver of Liens, condi.
tional upon receipt o( (in.1 payment.
2. Separate Releases or W.llvers of liens from Sub.
contractors and material i1nd equipment sup-
pliers, to the ex1ent required by the Owner, ac.
companied by a list thereof,
3. Contraclor's Affid.vit of Rele.1Se of Liens (AlA
DOCUMENT G706A),
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ARCHITECT'S PROJECT NO: CHO 872/873
I CONTRACT FOR: Renovation - Phase III
-.J CONTRACT DATE: June 7, 1990
Renovation - Phase III
CONTRACTOR: /11 e.?-c.O J~
1'0 AS coX' '7'.3 B
.s.J!~c./'''''' u,4 9'Pde~
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BY: "'~~p:~~.-,- ,I \5'~.........~-Y""~
/" or'>" If " .' ~<,~ON 1::1' .;',.... ,
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SubSCribed and sworn to before me IllIs ~ ;); 'f "y If> ~ \
clayo( N~~~'ll"PU.[j;\~ I i 'I< ~
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:--.. 1\ M^., . .i)'"~" -;:",::f. 4 \CS.~..~~.I
N01.ry rubli~\\Ilq ~\ _<: 0....'...,\\\'" "
.~ r WAS\(-. ,I"
My Commission Expires: ~ -l\ -9 L\ -""""~'~
Address:
AlA DOCUMENT e7O(. . CONTRACTOR'S ArrlDAVIT or rAVMENT or DERTS AND ClAIMS' ArRll 1970 EDITION
AIA~ . ~ 1970' THE AMERICAN INSTITUTE or ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, O,C, 2000(,
ONE rAGE
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CONTRACTOR'S
AFFIDAVIT OF
RELEASE OF LIENS
AlA DOCUMENT G706A
o
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
o
o
o
o
('\
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ARCHITECT'S PROJECT NO: CHO 872/873
CONTRACT FOR: Renovation - phase III
TO (Owner)
I Jefferson County
Department of Public Works
P.O. BoX 1220
port Townsend, WA 98368
L -1 CONTRACT DATE: June 7, 1990
PROJECT: Jefferson County Courthouse Renovation - phase III
(name, address) 1820 Jefferson street
Po... L 'f'6,Jl..3e.1.a., :J-? 99JEQ:
State of:
County of:
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AlA Document
A201, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases
or Waivers of Lien attached hereto include the Contractor, all Subcontractors. all suppliers of materials and equip-
ment, and all performers of Work, labor or services who have or may have liens against any property of the Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS: (If none, write "None". If required by the Owner, lhe Contractor shall furnish bond satisfaclory to the
Owner for each exception,)
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Subscribed and sworn to before me th~ :g.,~ 0 T I, A' ~ '{1'"'. '\
d,'yof I\!tlw<t-"D~R. ---19 Cf1i" 1
'~.. ~. ~ 'UllL'C,." :". l~
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Nol.HY pub~~~ ~\ ',/. "::;' 4 ,\~'?.~..
~ cO....Jo...".X II.
"l.. r W{\<;,\" I
My CommIssion Expires: ~ -L.l .....9."\ .__......",I,,,,~,,
"'" DOCUMENT G70l,II . CONTRACTOR'S MrlDAVIT or RIll"'E or liENS' APRIL 1970 EDITION . AIA~
III T970' TIlE AMI RICAN INSTITUTE or ARCHITECTS, 173S NEW YORK AVI,. NW, WASIIINGTON, O,C, 2000(,
IV OfV1':::"
SUPPORTING DOCUMENTS ATTACHW ~i[R(TO:
1, Contractor's Release or W.lver of liens. condl,
tlon.1 upon receipt of final p.yment.
2, Separate Rele.ses or W"lvers of Liens from Sub,
contractors and material and equipment sup-
pliers, to the extent required by the Owner. .c.
companied by . list 1hereor.
,
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CONTRACTOR:
j1! e~ CO J/./C-
/'0 ,c3 CiX
Address: S~WM-
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9'B3!32-
ONE PAGE
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WASHINGTON STATE
DEPARTMENT OF
TRANSPORTATION
HEADQUARTERS
o
FINAL CONTRACT VOUCHER CERTIFICATION
OI)-6OlSCl
CONTRACTOR
MeLee>
I~G.
11'14 AVE
ADDRESS (.., 2. 5 N.
CITY ~;;Q(J.IM
IA/A
'3~~DATE
STATE
Federal.Ald Project Numbor
Job Descripllon (TIlle): ;:r .sFr=EJ<:SO~ t20UMr"Y C-oUR1'\-\ouse ReNO\JATION PHASE' II (
c.:,~.5'Tl2ucrI6N 01= VI:trIUCT CO("<IeT~~N (. RGST~M:; 0,.:) 'Sac.eJ/.)/:> ~L.OO~
DATE WORK COMPLETED:
N<>..
FINAL AMOUNT $
1~9/'JRZ .53
30, t9gD
CONTRACTOR'S CERTIFICATION
I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed and
material furnished to the State of Washington; that the same or any part thereof has not been paid; and that I am authorized to
sign for the claimant; that In connection with the work performed and to the best of my knowledge no loan, gratully or gilt of
money in any form whatsoever has been extended to any employee of the Department of Transportation nor have I rented or
purchased any equipment or materials from any employee 01 the Department' of Transportation; I further certify that the attach.
ed final estimate Is a true and correct statement Showing all tho monies due me from the State of Washington under this con,
tract; that I have carefully examined said final estimate and understand the same and that I hereby release the State of
Washington from any and all claims of whatsoever nature which I may have, arising out of the performance of said contract,
which are not s'lt forlh In sa~~,;;~~..;.
,I' <:.1\ 6INGI;---
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Subscribed and sworn t~ be!6te 'methls ~i< l
, ~ I> II11 1,\ <:'.,..:;::,1
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_ - "JP S'\,.,I
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(CONTRACTOR)
day of l\J(\il( ""bg,
'9~
Notary Public In and for the State of Washington,
residing at
DEPARTMENT OF TRANSPORTATION CERTIFICATION
I cortlfy tho attached final osllmBlo 10 bo bllDed
upon actual moasuremonts, llnd 10 bo Hun and
COHoet. APPROVED DATE
x
x
ENGINHA
DIS TRIC~ .",OM t.N1STAA TOR
HEADQUARTERS USE ONLY
Date of
Acceptance
By X
INSTRUCTIONS
This Final Contract Vouchor Certification Is to be prepared by the Englneor and the original and first copy forwarded to Hoad.
quarters lor acceptance and payment,
The Affidavit of Wages Paid must be prepared by the primo contractor, all subcontractors and all subcontractor's agents and
forwarded with the Final Contract Voucher Certification.
Contractors Claims, If any, must bo Includod and the Contractors Certification must be labeled Indicating a claim attached,
DOT FORM 134.146
R(VISCO !J.70
89606
SUflnrior RUllnflfll rorm. . 3~A 4300
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jetlerson Street
P,O, Box 1220
Port Townsend. WA 9B368
(206) 385,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc.
625 N. 7th. Avenue
Sequim, WA 98382
AII'n: Melvin Hendrickson
30 July, '991
Ref: Jeff Co. Courthouse Renovation,
Phase III (CH08721873)
Sub: Project Close-out Documentation
We are In the process of Project Close out and are Inclosing several forms for your completion.
Please return all completed forms to our office.
-Final Contract Voucher Certification: To be completed by Contractor and notarized.
-Consent of Surety to Final Payment (AlA G707): To be completed by Contractor and his
Surety Company.
-Contractor's Affidavit of Payment of Debts & Claims (AlA G706): To be completed by
Contractor and notarized.
.Contracto~s Affidavit of Release of Liens (AlA G706A): To be completed by Contractor
and notarized.
For your Information only we have also requested the State required release from:
-Contract Compliance Unit (Department of Labor & Industries)
-Department of Revenue
These forms are required to be completed and In our files prior to completion of Project Close Out
and release of retalnage.
Should you have any questions or concerns please call our office.
Sincerely,
~4
Project Inspector
cc: file
100% Hocyclcd Pa!'JtJr
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WASHINGTON STATE 6-
DEPARTMENT OF
TRANSPORTATION
FINAL CONTRACT VOUCHER CERTIFICATION'
01J.4CllSCI
CONTRACTOR
l-\eLc.o
\ t..\ c..
'7"T+I AoJE
ADDRESS In Z. 5 N.
CITY ~;;;;Q/1IM
\^/A
9P.>3f3 Z-
DATE
STATE
Federal.Aid Project Number
i
Job Oescrlplion{Tllie): 'J".sFl=E.~O~ e.,UIJr"( c.ou~l-lOU5e: ~~CI\lA'TION 'PHA.SE III
~1'l5'T12ucrI6N ,,~ 'V1:rrP-leT CO"'2':T~M ~ REsrIZ.oOM:5 ON SaCO/.JD t="L-OO/Z
OATE WORK COMPLETED:
Nt'''
FINAL AMOUNT $
/,Q9/3BZ.53
30) t9gD
CONTRACTOR'S CERTIFICATION
I, the undersigned, having first been duly sworn, certify that the attached bill Is a proper charge lor work performed and
materla11urnlshed to the State of Washington; that the same or any part thereof has not been paid; and that I am authorized to
sign for the claimant; that In connection with the work performed and to the best of my knowledge no loan, gratuity or gift of
money In any lorm whatsoever has been extended to any employee of the Department of Transportation nor have I rented or
purchased any equipment or materials from any employee of the Department of Transportation; Ilurther certify that the attach.
ed final estimate Is a true and correct statement Showing all the monies due me Irom the State of Washington under this con,
tract; that I have carefully examined said final estimate and understand the same and that I hereby release the State of
Washington Irom any and all claims 01 whatsoever nature which I may have, arising out 01 the perlormance of said contract,
which are not set lorth In said estimate.
x
(CONTRACTOR)
Subscribed and sworn to belore me this
day 01
19_
x
Notary Public In and lor the State 01 Washington,
residing at
DEPARTMENT OF TRANSPORTATION CERTIFICATION
I cartlly thO allaehad final osllmalo 10 bo basod
upon aclual measuromonts, and 10 bo truo and
corroct. APPROVED DATE
x
x
DIS 1 Riel _ ADMIN'ST FlA TOR
ENGINEER
HEADQUARTERS USE ONLY
Date of
Acceptance
By X
INSTRUCTIONS
This Final Contract Vouchor Certification Is to bo prepared by the Englnear and the original and first copy forwarded to Head,
quarters lor acceptance and payment.
The Affidavit 01 Wages Paid must be prepared by the prime contractor, all subcontractors and all subcontractor's egents and
lorwarded with the Final Contract Voucher Certification.
Contraclors Claims, If any, must ba Inc1udad and the Contractars Certification must be 1abaled Indicating a claim attachad.
DOT rom.4 134.Ufl
neVIS[O!'I-7Q
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CONTRACTOR'S
AFFIDAVIT OF
PAYMENT OF
DEBTS AND CLAIMS
AlA Document C706
o
OWNER
ARCH IlECT
CONTRACTOR
SURETY
OTHER
o
o
o
o
TO (Owner)
r-Jefferson County
Department of Public Works
P.O. Box 1220
Port Townsend, WA 98368
L
PROJECT: Jefferson County Courthouse
(name, address) 1820 Jefferson Street
Pf"'\-'-+- rr"""hmc=...",nn tv1\. QR~hR
ARCHITECT'S PROJECT NO: CliO 872/873
I CONTRACT FOR: Renovation - Phase III
-.1 CONTRACT DATE: June 7, 1990
Renovation - Phase III
Stale 0(:
County 0(,
The undersigned, pursuant to Article 9 of the General Conditions of the Conlract for Construction, AlA Document
A201, hereby cerlifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all
materials and equipment furnished, (or all work, labor, and services performed, and for all known indebtedness and
claims against the Contractor for damages arising in any manner in connection with the performance of the Contract
referenced above for which the Owner or his property might in any way be held responsible.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contraclor shall furnish bond satisfaclory to the
Owner for each exception.)
(
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Consent o( Surety to Final Paymenl. Whenever
Surety Is Involved, Consent of Surely Is required.
AlA DOCUMENT G707, CONSENT OF SURETY,
may be used (or this purpose.
Indicate allachment: (yes ) (no ).
The following supporting documents should be aI-
t.ched hereto I( required by the Owner:
1. Conlraclor's Rele.se Or W.lver o( Liens, condl.
tlon.I upon receipt of lin.1 payment.
2. Sep.rate Rele.ses or Waivers of Liens from Sub.
conlractors and malerlal and equipment sup-
pliers, to the extent required by the Owner, ac-
companied by a list thereof.
3. Conlractor's Arfld.wlt of Release o( liens (AlA
DOCUMENT G706A),
CONTRACTOR:
Address:
BY:
Subscribed and sworn to before me this
day of
19
Notary Public,
My Commission [xl,lres:
AlA DOCUMtNT em, . CONTRACTOR'S AffIDAVIT 01 rAvMtNT Of moTS AND CLAIMS . ArRIL 1970 [DITION
AIAIftl. 1tI 1910 . TIt[ AMUOCAN INSTI1Ul[ or ARCltlHCTS, 1735 N[W YORK AV[,j NW, W^~ItINGTON. D,C. 2000()
ONt rAGt
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AFFIDAVIT OF
RELEASE OF LIENS
AlA DOCUMENT G706A
o
o
o
o
o
TO (Owner)
r Jefferson County
Department of Public Works
P.O. Box 1220
Port Townsend, WA 98368
L -.l CONTRACT DATE: June 7, 1990
PROJECT: Jefferson County Courthouse Renovation - Phase III
(name, address) 1820 Jefferson Street
P........L T6,...~~p'.a, t]~ 9S3€9
I
ARCHITECT'S PROJECT NO: CHO 872/873
CONTRACT FOR: Renovation - Phase III
Slate of:
County of:
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AlA Document
A201, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases
or Waivers of Lien al1ached hereto include the Contractor, all Subcontractors. all suppliers of malelials and equip.
ment, and all perCormers of Work, labor or services who have or may have liens against any property of the Owner
arising in any manner oul of the performance of the Contract referenced above.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the
Owner for each exception.)
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Contractor's Release or Waiver of Liens, condi,
lional upon receipt of final paymenl.
2, Separate Releases or Waivers of Liens from Sub,
contractors and material and equipment sup,
pliers, to the ex1ent required by the Owner, ac-
companied by a list thereof,
CONTRACTOR:
Address:
ny:
Subscribed and SWOrn In be rare me this
d.,yoC
19
NolMY Public:
My Commission Expire\:
AlA DOCUM[NT C'06A' CONTRACTOR'S AHlOAVIT or R[\lAS[ or II[NS' ArRIl '9'0 [OITION . AIA~
(ll 19'0' 1IH AM[RICAN INS1ITUH or ARCtilHCH, "35 N[W YORK AVE., N\\', WASHINGTON, O,c' 20001.
ONE PAG[
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State of Washington <:>
" to Department 01 Revenue AX,02
;. i Audit Procedures & Adminis'ration
", "" ,-,';' Olympia. Washington 98504-0090
o
Reg. No..
Date:
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From:
:DEPARTMENTUSE ONLY
Assigned To
Notice is hereby given relative 10 the completion 01 contract or project described below.
Description 01 Contract .Je"'~.soJ,) CotAUT'( CcUII:THOuSE 1{E2).J()'JIn'I/)!>J R./Il:st: 'I1I
&O&relA.CTloOJ,) DF D\ 11''''11::1' t!.bue-rru:a~ ~ "Re-s-reaoM:i 01:3 SECOND ;:L-COfl.
Contractor's Name Telephone No.
M€LeD J J IJC. 'Z.OIP) 1483 - 437/
Contractor's Address
kZ5 N, 7,g Aile
Date Work Accepted
~Ul.."( :HlI99/
Surety or Bonding Co.
~BaU/"'" WA
Date Wor\< Commenced
J"tAt.lE 2IP J 1990
Date Wor\< Completed
N01l aD,199D
9838z
Agent's Address
PJ-,l~IJEfT I~UelltJa; &
~50S 5.. Sz.o"t"l"~. t!-3000
~B%leeAL WA.,. WI>. .9B~3
Contract Amount: $ II ~ ABto. 15
Additions: 1..1.01/.34-
Sales Tax: q 4-05 , D 4-
Total: I~'l) Q?:l.53
Amount Disbursed: $ 1'23,953. lob
Amount Retained: 1002.8. ~1
Total: 129) 982.53
B~~
(Disbursing OffICer)
Phone NO.(?.-aJ :qfJ5 -1/ bD
The Disbursing Officer must complete and mall three copies 01 this nollce to the Departmenl 01 Revenue, Olympia,
Washington 98504, immediately after acceptance of the work done under Ihls contract. NO PAYMENTS SHALL
BE MADE FROM RETAINED FUND until receipt 01 Departmenl's certnlcale, and Ihen only in accordanco with said
certificate,
FORM REV 31 0020 (2,86)
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FROM
~r,4,-, ,EU/<'/J/5H'N"S, jpc.. ,
JEFFERSON comITY
DEPARlte1cJ-rr DF PU:3L,C. '~'\iCh~<S
1820 Jefferson Street
peRT TOWNSEND, W,\ 98368
(206) 385-9160
,/lrrN:' . tOiJJJ1tiJ
DATE: Pee :WI q(
tfl () 87z/815
SUBJECT~I1N:5"""If-n4l. Or &urlZl'icr Il:a:.PTI1I1X./i.
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"fa -rile rn'TI3;.JnO..J C)F' jl,l9U to .;!1E;4Ter.. IJIJD 1-,)/1-" /It. 5r,'>
6-1/31.1511(:;0 IJJ fHG 06L1(.:.Nf)L of' Co"ll-1e~[""
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PLEASE REPLV TO _ SIGNED -- ",-L ,.09K-I/
REPLY
!111m" F72 Ornynro. P.O. Onll 2M4, Hnrltord, CT Of\104.2M4
oWhnfl!1I1' Group,ll'1t1" 1002
[)llACH llllS CCWY . ' 11r'lAIN rem AN~;WU1, SI'.ND WllITl AND PINK COI'Il.:S INTACT,
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Melco, Inc
P.O. Box 1567
Sequlm, WA 96362
AU'n: Melvin Hendrickson
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Retalnage Release
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 60x 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.t.. Director
Robert G. Nesbitt, P.E.. County Engineer
20 April, 1992
We have taken action and released funds to your sutH:ontractors in accordance wnh your leUer
leller of approval dated as received in our office on March 12, 1992.
The funds disbursed are as follows:
1. Target Plumbing
2. Total Furnishings, Inc.
3. Norcross Painting Co,
4. Noah's Ark Woodworking
5. Peninsula Glass
TOTAL
Retained funds for this project were:
Interest through March 31, 1992 was
$ 807.94
1506.99
1247.35
1976.07
39238
$5932.73
Total in fund $6436.52
Less disbursed funds !i93273
$6026.87
40765
Balance to General Contractor: $ 503.79
This represents the final settlement for disbursement of funds on this project. We have received
and placed on file a release of lien I Claim from each of the listed sub-contractors.
Should you have any oomments or suggestions please oontact our office.
d;;
cY~all
Project Inspector
c,c:flle
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''sequim, W A 98382
683-5642
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" Att'n:~.M~"~')drICkson
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,......,,"-' .....--Ji25,N;-Ith. Avenue
"""--slt~TfQ""WA 98382
f'R,A"'" 1-1.........
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PO BOX 1220
1820 JFrFERSON
PORT Towr,ISLND, W^ DB3GB
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, ,~1 1002
MAR 1 4 1992
MAR 2 4 11192
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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MEMORANDUM
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
TO:
FROM:
DAlE:
REF:
SUBJ:
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Eleanor Stickney
Frank Hall
1 April, 1992
Jefferson County Courthouse Renovation
Phase m - Project # CH0872 &CH0873
Release of Retainage
We have received all of the required documentation necessary for preparation to release the
retainage on this project It is unusual though as we are to release the retainage ($643652)
in full by cutting checks six (6) as follows:
1. Target Plumbing $ 807.94 tf.
P,O. Box 1599
Sequim, W A 98362 ~ ~1111j1/
2. Total Furnishings, Inc. $1508,99
1600 12th Street
Bremerton, WA 98310 "K~ +/t1/qt..-
3. Norcross Painting Co. $1247.35
P.O, Box 2163
Sequim, W A 98382
4. Noah's Ark Woodworking $1976.07 !/tJ;) A1 111ft-
311 10th Street
Port Townsend, WA 98368
5. Peninsula Glass $ 392,38 oK
2100 Lawrence Street
Port Townsend, WA 98368
6. Melco, Inc, $ 503,79
625 N. 7th. Avenue
Sequim, WA 98382
The total amount is as of April 1, 1992 and I requested this account to be closcd os of this
date,
Ellie, all of thcse checks are to be held (do not mail) for my release on or about April 17,
1992. Each checks release is pending receipt of an approved Lien & Claims FornI
releasing the County of any further obligations toward this project.
1ootl/o Rocycled Papor
", :J,., ,',_~',,!, ,,~,.,~~(~i'?l..~\',~~:
HE.~~,,~.~ '1~...
APR 07 1992
1206 Highway 101 East
P.O. Box 1599
SEQUIM, WASHINGTON 98382
(206) 663-7511
FAX (206) 683,6137 JEFFEf1::>UN COUNT
PUBI rr W()R!<'C ~,
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COMPLETE WAIVER OF LIEN
TO~--~~-_tf)~~~J~~wner 01 the
premises located at and known ~--tZ9.-'n~~~__..zzz:_n______n__n______
n--nnn__n___n___n________n______________________and TO ALL WHOM IT MAY CONCERN:
IN CONSIDERATION of tho sum o~~..,&1~~!~~Douars (.12QZ_:lff>
and other Il"ood and vnluablo considerations In hand paid tho receipt whereof Is hereby aeknowledged,_n_____n__
~~S!-:OL~rA:<a_m. the,>-".,..6: contractor for tho__~~___m_m
--------.....-------..------..-----.......-----.......---___________..work (Jabor and mntcrtn.ls) on tho bUUdlnlJ..___ now In thl'
course at construction upon tho abovo mentioned premises, and jor for otherwiso Improving said prcmJse.s. hcreb)'
waives nnd releases any nnd aU Ucos, c1o.t.mn nnd riGht to lien tor nny and nll work, Inbor nnd mntcrJnl bY_~~~:_~ ~
furnished or which mny be furnIshed In nnd about aRid premises.
WITNESS__k::': tho hand and sanlu'::'::'_of .ald-~~~~~----nnn---n-n-------n
contrnctor, this _~.::.t::.__mm_dOY of__Zk__n_m_nm____fA:D, ~, ~-n<:et-~---
_____________u_n___n____ ____ _____n________ (SEAL)
-______________n__n____ _ __. __ _. _.. __________ _ (SEAL I
Campl.IIWllv.,0' L1,n
WalhlnOlon lfIl1/1l Ol/ank Co.. a.nevlll, WI. Form No, 352
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe. P.E., Director
Rober, G. Nesbitt, P.E., County Engmeer
Alt'n: Roben Young
Target Plumbing
P.O. Box: 1599
Sequim, W A 98362
March 26, 1992
On March 23, 1992 we received the final information necessary to release funds from this
project's retain age directly to each of the subcontr'.\ctors which have claims and liens on
file.
Your check is in the amount of $807.94 will be reudy on April 17, 1992. You nmy pick
up your check from Fmnk Hull prior to 3:30 PM in exchange for a properly completed
Affidavit of Release of Liens and Claims".
If you prefer we will mail your check tq you after April 17 . 1992 following receipt of the
above document,
Should you have any questions or comments please call our office
S incerel y,
cfLJ!yu
Frank Hall
Project Manager
c.c: file
100% Recyclod Pnpor
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Peninsula Glass Co.
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RECEIPT & RELEASE: FINAL PAYMENT TO INDIVIDUAL
(M I LLER ACT)
2100 Lawrence Street. Port Townsend, Washington 98.168
Phone 385.1385
.~., ')
STATE OF _~AAbing'Qn___-_-)
)
COUNTY OF _~~~~~~~~~_______)
TilE UNDERSIGNED, BEING DULY SWORN UPON OATil, CERTIFIES AND
COMMITS WITHOUT EXCEPTION:
TIlAT liE/SHE Hl\S PROVIDE!) LAB.OR. MATERIALS. EQUIPMENT, OR OTHER
SERVICES TO Jefferson County - Department of Public Works
i1E/SIIE IIEREBY
IN FULL OF ALL
FOR SUCiI
Peninsula Glass Co., Inc. (Subcontractor)
ACKNOWLEJ()GES RECEIPT OF $_19_2...3..8,___~~__ AS PAntENT
OBLIGAT IONS OWl NG TO II IM/IlER FROM TilE
LABOR, MATERIALS, EQUIPMENT OR OTilER SERVICES,
** Retainage Due on MELCO-Courthouse job, November 1990.
liE FURTilER CERTIFIES TilAT:
1. NO DISPUTES EKIST
CONTRACTOR.
BETWEEN
TilE
UNDERSIGNED
AND TilE
2. ALl. PERSONS, FIRMS AND CORPORATIONS FURNISIlING LABOR,
MATERIAI.S, EQUIPMENT OR OTilER SERVICES IN CONNECTION WITII
TilE ABOVE DESCRI13ED CONTRACT AT TilE REQUEST OF OR ON BEIlALF
OF TilE UNDERSIGNED i1AVE BEEN PAID IN FULl"
IN CONSIDERATION OF RECEIPT OF TilE SUM IlEREIN ACKNOWLEDGED,
IIE1SIlE RELEASES ANY AND ALL CLAIMS AGAINST TIlE CONTRACTOR, MILLER
ACT PAYMENT BOND OF CONTRACTOR AND AGAINST RETAINAGES, IF ANY,
ON TilE CONTRACT IIEREiN DESCRIBED,
SIJ!.t~,,~iis;o worn
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PUTIi ~~rNOOW!;
S IGNE!): -.12f:/'~~ ~6_'1.>----.
co, NNm: '
Peninsuln Glnss C ., Inc.
to beforo 1110 this ..LSt. da'y of J).-:p,,-1i.J~------
... '" . ,/ ~~ '.) .
_..(,.,:.:_ '::d ~,!..-:.. H, .!j~'~L LV &l::),_~,(:...-___ - - - - - - -- - --
Notary Pub lle t n Ilnd for .>1\0 .St~ to of /J
Wllllhtngl:on, residing nt 'l,,,,~t,,,::-';;,,-":u.~~c\:
, OK"IiTOI'!; , PATIO nOOR!; , MlUnOR!; , AIITO GUS,,,
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6
7
GEORGE JOHNSON AND CHERYL JOHNSON, ~
husband and wife, d/b/a NOAH'S
ARK WOODWORKING,
Claimant
8
9
vs.
OF (
Defendant)
10
JEFFERSON COUNTY, DEPARTMENT
PUBLIC WORKS
11
riECrtJVED
APR 1; 1992
JEFFcGSON COUNTY
\PUBLlC WORKS DEPT.
RELEASE OF LIEN
13
KNOW ALL PERSONS BY THESE PRESENTS, that a certain Lien, claimed bv Lien Notice filed and recorded
in the office of the County Auditor of 9 Je f fe r son County, Washington, on the ~day
of August ,1 ~l. . recorded in Record of Liens, Volume No.
Page No, bv the above named claimant a,gainst the above nomed defendant. for the sum
of NINETEEN HUNDRED SEVENTY-SIX AND 07/l0CT - - - - - - - - - - - -Dollars
(Sl, 976. 07 ), upon the following property:
12
14
15
16
JEFFERSON COUNTY COUNTEROUSE RENOVATION PHASE III
Lots 1-8, Block 79LB Hastings 1st Addition
to Port Townsend, WA
18
19
20
21
22
23
is pold and satisfied, and tho snmo is horeby rolonsod,
24
Witnoss my hand this _ day of
25
30
31
NOAH'S ARK WOODWORKING
RIl!llnlln orl.lnn
WONhll1RI/lIl1.l!~1l1 Illunk. Inc"IHlulflllUh, \VA Forl11 Nn. 411:1 1/117
""ATIm!"I. MAY NOT IlE REI'IH11H1CEIl IN WIIOI.E (lI{ IN PI\ln IN I\NY FOHM WllATSllEVlm.
32
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I APR 1 1992
I JEFFdl:':()N COUnTY I
I PUBlI~__ 'lIO~~~~..DEPT.
C~,'.....
RELEASE OF -MEN
vs,
,,/,.., c }
Claimant
Defendant
,$,./,.. <:>
J~r
KNOW ALL PERSONS BY THESE PRESENTS, that a certain Lien, claimed by Lien Notice filed
and recorded in the office of the County Auditor of T~ f / '" ~ (" 0""
County, Washington, on the ~ r1 74 day of ~/ ,19U, recorded in
Record of Liens, Volume No. ,Page No. by the above nam~d clalm-
?r A1 - I
ant against the above named defendan~ for the sum of /-::z &/7, - C/,.,.. Iou,", ~ ,
7';1'-0 II~..'/ f:..-7v !; t'v..... ....; -g; Y Dollars [$ I '2.LI ?J5j, upon the following property:
7 "'/ dJ 0 101.;,
J ..{I.....~c" ~.O"? ~ rc<,...T4'vJo'
is paid and slltisried, IInd tho samo Is horoby ..oJolIsod,
Wilnoss my hand this :;; 0 day of ~d r,' It
I 101.2.
WitI10HHllS:
7jflflru;$J4~~
4k..,
/'2-'7
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Claimant..i::::'
R"I..."nfl.lftn
CO 1084 WRlihillRlnn l.oMn1 nlnnk Inc., nol10'o'\lO, W^ Form No. 40:1 nln4
MATERIAl, MAY NOT nl~ nr':PRODtlCliD IN WIIOI.T~ OR IN PART IN ANY FOI\M WIf^TS01WI~R,
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STATE OF WASHINGTON,
lss.
(INDIVIDUAL
ACKNOWLEDGEMENT)
County of aJiOA/f\
I, ho...("n1a..c. M 0 u...rY2..iJ1.f1
a Notary Public i and for the State, do hereby certify that on this 13 t:-l-o,
A 0<, '- \ , 19Q,t( , appeared before me AUf\r1 "11(){'(I (D~~
't (
to me known to be the individual_ described in and who executed the within instrument, and
acknowledged that I-\.e... signed and sealed the same as k..<;::-, free and volun-
tary act and deed, for the uses and purposes therein mentioned.
IN WITNESS WHEREOF, I hav.ll..~~set my hand a fficial seal on the daPr~~~:r~:~e~
.v.:";~'\ tolE J01:; '\~ HCu-r;~ (
,r ~ ..'";.~~~b~"tt..~~ >,
"::t!' .~, n, 0 ~ , for t e Stete of
;1<..> l~c "OTAllrf..r\(~ ~
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't'.< ,r W N~\"\ _-
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day of
,-.5I(~LLLvV1 in said County,
STATE OF WASHINGTON,
I ss:
(CORPORA TE
ACKNOWLEDGEMENT)
County of
On this dayof ,10_, before me personally appeared
, to me known
to bo the [president, vice-president, secretary, treasurer, or other authorized officer or agent, os the
case may be) of the corporation that executed the within foregoing Instrument, and acknowledged
said instrument to be the free and voluntary act and deed of said corporation, for the uses and pur-
poses therein mentioned, and on oath stated that he was authorized to oxecutn said Instrument and
that the seal affixed is the corporate seol of sold corporation.
In Witness Whereof I have hereunto set my hand and affixnd my official soalthe day and yenr
first above written,
Nolary Public in and for the State
Washington,
residinll at
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County of 7Si .f+e.. So,., )
r+:>€Nl~ E j:1a.t~(,L~C'
do herebv certify at on this Ilo +to. davof
before ~e GetJr e 0 n60 a4 ;:ro 0
to me known to be e individuald des<;ribed in and 'ho executed the within instrument and acknowledged
that '-I-h~ signed the same as ~ free and voluntary act and deed for the uses and purposes herein
mentioned,
STATE OF WASHINGTON
(INDIVIDUAL ACKNOWLEDGMENT)
,Notary Public in and for the State of Washington,
, /q9.... . personally appeared
IN WITNESS WHEREOF, I have hereunto set mv hand and official seal on the day abo\'e written.
. ~ao~~" .
Notary P~b c in and. for th~H ~ ~a.~~
My appomtment expires: - 0/ /'1
G
STATE OF WASHINGTON
~ ss,
}
(CORPORATE ACKNOWLEDGMENT)
County of
On this day of , before me personally
o ppeared to me
known to be the of the corporntion that executod the within and foregoing
instrument, and acknowledged said Instrument to bo the froo and voluntary oct and deed of said corporntion, for
the uses and purposos theroio mentioned, and on oath stalod that _ho was authorizod to exocuted said
instrument and that tbe senl affixed Is the corporale seal of the corporation,
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal the day and yoar first abovo
writton,
Notary Public in nnd for tho State of
My appointment expires:
o
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. 60x 1220
Port Townsend, WA 9B36B
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Att'n: Glen Norcross
Norcross Painting Co.
P.O. Box 2163
Sequim, W A 98382
Ref: Jefferson County Courthouse
Phase III - Project #CH08721873
April 2, 1992
Glen,
ThWlk you for your prompt action toward fulfilling the Release of Lien requirements that
will nigger the release ofa check to you for the lien amount of $1247.35, I am returning
the document for additional information.
We need clarification Oil this document which would suffice as RELEASE OF
LIEN/CLAIM, The defendant listed is to be Jefferson County. Witnesses signatures are
missing and the document is to be notarized,
Should you have any questions or commenl~ please call our office
Sincerely,
cfLL~
Frank Hall
Project MWlager
c,c: file
100% Rocyclod Papor
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Claimant
Defendant
RELEASE OF LIEN
vs.
$,./,. c
J...c
KNOW ALL PERSONS BY THESE PRESENTS, that a certain Lien, claimed by Lien Notice filed
and recorded in the office of the County Auditor of T", ,c,c~.r "c'"
County, Washington, on the ~ (') 74 dayof ....4'."J ,19-Z:L, recorded in
Record of Liens, Volume No. ,Pege No. by the above nan:~d claim-
ant against the above named defenda~ for the sum of /-Q &'/1', ?S- (!/",.. 71"uJ."., J
7;.,...0 )/~..'/ 1:.'-7 Sf''''...... ..{ -g)Y Dollars ($ 11.41 7,J.H, upon the following property:
"1 <00 lOCI
J" ~'(I;.",~O'l ("O~'1 7 C'c",.r~o,n e
Is paid and satisfied, and the same is hereby released.
Witness my hand this ~? CJ dny of ~,,;or 1/
, 191.:2.
Wi! nosses:
~k#>. ~-A~
Claimllnt~"
Rill.... or l.Ien
(J:) 10ft.. WlIIhlnRlnn t.nJlIlI nlllnk Inc" RnlltIVull, W^ Form No. 40:1 nflI4
MATERIAL MAY NOT nE REI'RODUCEO IN 1Y1101.E OR IN PART IN ANY FORMWIIATSOEVER,
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STATE OF WASHINGTON,
lss.
(INDIVIDUAL
ACKNOWLEDGEMENT)
County of
I.
a Notary Public in and for the State, do hereby certify that on this day of
, 19_, appeared before me
to me known to be the individual_described in and who executed the within instrument, and
acknowledged that signed and sealed the same as free and volun-
tary act and deed, for the uses end purposes therein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand and official sea! on the dey ebove written.
Notary Public in and for the State of
Washington,
residing at in said County.
STATE OF WASHINGTON,
} ss:
(CORPORA TE
ACKNOWLEDGEMENT)
County of
On this dayof ,10_. before me personally appeared
, to me known
to be the (president, vice-president, secretary, treesurer, or other authorized officer or agent, as the
case may be) of the corporation that executed tho within foregoing instrument, and acknowledged
said Instrument to be the free and voluntery oct and deed of said corporation, for the uses and pur-
poses therein mentioned, and on oath stated that he was authorized to execute said instrument and
that the seal affixed Is the corporate seal of sold corporation,
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year
first above written,
--
Notary Public in and for the State
Washington,
residing 01
., .-'-"""V''''',\.>l~,I~llIUM~':l',I~....r,:t~~I'''''__'''''. ...-......,~_.\''''t" ,"'<"'."'~" ,""... _.... "'~'.
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LIEN. WAIVER AND RELEASE
The undersigned, who has furnished labor and/or materials or e.
related to real property described in the attached E"hibitA, incorp
reference, hereby releases, discharges and waives any and all mechanics'
other lien which the undersigned could assert agai ost the property al
property for labor, materials or equipment furnished on that project.
In the event that a subcontractor to the undersigned or Its Jab,
equipment supplier to the undersigned shall tile a lien against the projecl'Sltc;'meunaerslgnea
shall indemnify the Owner for any costs, including attorney fees incurred in removing, satisfying
or ~ltling the liens.
The undersigned further represents that the undersigned is entering into this release to
Induce the Owners and;::"~ to authorize payment to Contractor and/or the undersigned
for the labor, materials and/or equipment supplied,
IN WITNESS WHEREOF, the undersigned has executed this Lien, Waiver and Release,
this L day of 0txL1./ I 199':'
18/-:7k, !Z,J,f!f/UI/llr,.S,Pf>
~
By: ~-V
ST A TB OF :w ASHINClTON )
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On this day personally appeared before me I)?te, /In:ltr ,to me known to be the
/!fiL6/CtN1 of 7eW1/" rv/{NI0fllAlr:.~,,-,JN', the corporation described in and that executed the
within and foregOing instrument, and acknowledged said InStrumenllO be the frc:c and voluntary
a:t and deed of said corporation, for the uses and purposes therein mentioned, and on oath staled
tL.t he was authorized to execute said instrument on behalf of said corporation,
(lIVEN under my hand and official scalthis 7t~ day 01' ,:(/111
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'>>/1/1// " "./J./:'ftiik1:. /
NOTARY PUIlLIC in and fur the S4ite
of Washinllton. residing At ~/',lf,.,1~~i:)
My commission expires: .:1,Jj;-:..
I 1991.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Att'n: Melvin Hendrickson
14 February, 1991
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Outstanding Issues
There are several outstanding issues which are to be cleared before we are
able to continue with Project Close Out. These known items are listed on my
letter of 13 December 1990 (copy attached).
The only issue that has been submitted to the owner since 13 December 1990
is the Contractors acceptance of Change Order #2.
I would like to have a meeting with you to discuss all these known Issues,
Please call my office to coordinate this meeting.
We have repeatedly attempted to expedite a meeting with you to facilitate the
close out of this project to which we have not even received the courtesy of a
response.
Should you continue to Ignore our request for a meeting we will be forced to
refer this issue to the Jefferson County Prosecuters Office for resolution of all
outstanding issues as they pertain to the close out of this project.
Should you have any questions or concerns please call our office,
~~'4~
Frank Hall
Project Inspector
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jelterson Street
P.O. 60x 1220
Port Townsend. WA 98368
(206) 385'9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt. P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AU'n: Melvin Hendrickson
13 December, 1990
Ref: Jell Co. Courthouse Renovation, Phase III
Sub: Outstanding Issues
My review of the status of this project Indicates the following known items have
yet to be completed/negotiated prior to close out:
-Contractors request for a ten day time extension
-Acceptance of Change order #2
-Request for Proposal #11
-Request for Proposal #17
-Request for Proposal #18
-Request for Proposal #23
-Contractors request for compensation for Wainscot & Molding
materials.
-Owners claim for reimbursement for rework of Telephone/Data
conduit.
-Owners reimbursement for purchase of light canopies.
.Owners claim for reimbursement for rework of rough in wiring
for courtroom lighting.
-Liquidated damages,
.AII Payroll Violations
The issuance of this list of items does not relieve the General Contractor of the
contractual requirement to comply with the Contract Documents. This list is not
to be interpreted as a complete list of all things necessary for close out.
These items are to be resolved before close out can be completed.
Sincerely, .
~',7 /f'/7.'-
~u:-...~_~./y
Frank Hall
Project Inspector
c,c: file
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BUILDERS & DEVELOPERS
PD.\( Office Box /567 . Sequim. Wa_\hin~lOn 9838] . 683-656/ or 68).4571
--Je,c,?~ ~fr'7,-/
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MAR 1 2 1992
JEFFERSON CUUN'
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NOTICE OF CLAIM
PURSUANT TO R.C.W. 39.08.030
TO: Board of Commissioners, Department of Public Works,
Jefferson County.
Notice is hereby given that Sequim Paint and Tile has a
claim in the sum of $1,247.35 against the retainage or bond
taken for the work of Melco,
Inc. with respect to contract
number CH0872/873
(renovation
of
the
Jefferson
County
Courthouse) .
The work performed by Sequim Paint and Tile was
,painting and related services.
DATED this
QD day of
4/"" /
1991
:::~:yO:f~
On th i s~ day of a~LLLL:t; , 19!1i before me
the undersigned, a Notary Publici~ and for the State of
Washington, duly commissioned and sworn, personally appeared:
GLEN NORCROSS
to me known to be the duly authorized officer of SEQUIM
PAINT AND TILE a corporation organized under the state of
WASHINGTON, the corporation that executed the foregoing
instrument and acknowledged the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and
purposes there i n ment i oned, and on oath stated that he ~ was
authorized to execute the said instrument.
NOTICE OF CLAIM\PAGE 1
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NOTICE OF CLAIM\PAGE 2
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hand
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and official
seal
a y Public in and for the State
ashington /':)..J~d.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
\
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe. P.E.. Dlfector
Robert G. Nesbitt, P.E.. County Engmeer
*Glenn Norcross Paintin~
*Noah's Ark Woodworkmg
*Peninsula Glass Co.
*TargetPlumbing
*Total tumishings
Date: 24 March, 1992
@ $1247.35
@ ~ ;:/76.07
@ $392.38
@ $807.94
@ $1508.99
To:
On March 23. 1992 we received the final infonnation necessary to release funds from this
project's retainage directly to each of the subcontractors which have claims and liens on
file.
o
Your check is in the amount of ****** will be ready on April 17. 1992. You may pick
up your check from Frank Hall prior to 3:30 PM in exchange for a properly completed
'.'COtI1l1let3"s Affidavit of Release of Liens" A-:I.A. f6,1\1 1tG7(')o'"
"2!~",( C ( -, I ,...... <;,.
If you prefer we will mill your check to you after April 17, 1992 following receipt of the
above;fornfTA.I.A NG79(iA).
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Should you have any questions or comments please call our oflice
Sincercly.
Frank Hall
Project Managcr
c,c: file
Approved as to fonn: ------8 L-__.__=_ ':; ,,) ({.>
Mark Hutll. Prosccuting Auomcy
2)
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
Att'n: Glen Norcross
Norcross Painting Co.
P.O. Box 2163
Sequim, W A 98382
March 26, 1992
On March 23, 1992 we received the fmal infonnation necessary to release funds from this
project's retainage directly to each of the subcontractors which have claims and liens on
file.
o
Your check is in the amount of $1247.35 will be ready on April 17, 1992, You may pick
up your check from Frank Hall prior to 3:30 PM in exchange for a properly compleled
Affidavit of Release of Liens and Claims".
If you prefer we will mail your check to you after April I?, 1992 following receipt of the
above document.
Should you have any questions or comments please call our office
Sincerely,
cfLL~~
Frank Hall
Project Manager
c.c: file
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jefferson Sf reef
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
Att'n: Cheryl K. Johnson
Noah's Ark Woodworking
311 10th Street
Port Townsend, W A 98368
26 March, 1992
On March 23, 1992 we received the'fmal information necessary to release funds from this
project's retainage directly to each of the subcontractors which have claims and liens on
file.
Your check is in the amount of $1976.07 wilJ be ready on April 17, 1992, You may pick
up your check from Frank Hall prior to 3:30 PM in exchange for a properly completed
Affidavit of Release of Liens and Claims",
If you prefer we will mail your check to you after April 17, 1992 folJowing receipt of the
above document,
Should you have any questions or comments please calJ our office
Sincerely,
~~
Frank Hall
Project Manager
c,c: file
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
P,O. 80x 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P.E., Director
Robe,' G. Nesbitt, P. E.. County Engineer
Att'n: Joel F. Ayers
Peninsula Glass
2100 Lawrence Street
Port Townsend. W A 98368
March 26, 1992
On March 23. 1992 we received the fmal infonnation necessary to release funds from this
project's retainage directly to each of the subcontractors whic.h have claims and liens on
file.
Your check is in the amount of $392.38 will be ready on April I? 1992. You may pick
up your check from Frank Hall prior to 3:30 PM in exchange for a properly completed
Affidavit of Release of Liens and Claims", '
If you prefer we will mail your check to you after April I? . 1992 following receipt of the
above document.
Should you have any questions or comments please call our office
Sincerely.
dLL~#
Frank Hall
Project Manager
c,c: file
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 9836B
(206) 385.9160
Gary A. Rowe, P. E.. Director
Robert G. Nesbitt. P.E., County Engineer
An'n: Robert Young
Target Plumbing
P.O. Box 1599
Sequim. W A 98362
March 26, 1992
On March 23, 1992 we received the fmal information necessary to release funds from this
project's retainage directly to each of the subcontractors which have claims and liens on
file.
Your check is in the amount of $807.94 will be ready on April 17, 1992. You may pick
up your check from Frank Hall prior to 3:30 PM in exchange for a properly completed
Affidavit of Release of Liens and Claims".
If you prefer we will mail your check to you after April 17, 1992 following receipt of me
above document,
Should you have any questions or comments please call our office
Sincerely,
~
Project Manager
c.c: file
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jefferson Street
P,O, 60x 1220
Port Townsend, WA 98366
(206) 365.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Att'n: David Heeter
Total Furnishings, Inc.
1600 12th Street
Bremenon, WA 98310
March 26.1992
On March 23. 1992 we received the final information necessary to release funds from this
project's retain age directly to each of the subcontractors which have claims and liens on
file.
Your check is in the amount of $1508,99 will be ready on April I?, 1992. You may pick
up your check from Frank Hall prior to 3:30 PM in exchange for a properly completed
Affidavit of Release of Liens and Claims".
lfyou prefer we will mail your check to you after April I? 1992 following receipt of the
above document.
Should you have any questions or comments please call our office
Sincerely.
~~
Frank Hall
Project Manager
c,c: file
100% Recyclod Papor
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JEFFERS~~ COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
.
"
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
Melco, Inc.
625 N. 7th, Avenue
Sequlm, WA 98382
AU'n: Melvin Hendrickson
Ref: Jeff Co, Courthcuse Renovation,
Phase III (CHOB721873)
Sub: Foreclose Liens and Claims
Dear Melvin:
Reference Is made to our February 12, 1992 leUer regarding outstanding claims. You have failed
to respond. Accordingly unless we hear from you inwrillng within fourteen (14) days of the date
of this leUer we will proceed to foreclose the liens and claims by payment of the retalnage In the
amounts claimed and verified.
5 March, 1992
We will take the steps necessary to ciose the contract. This Is required alter oonslderable delay on
your part In satiSfying the abcve mentioned liens and claims. If you believe you have JI.Dll
remaining Issue or claim to funds, you must oontact us Immediately (within fourteen days of the
date of this letter) in wrillng, Otherwise we will oonslder your failure to contact us as a waiver of any
and all claims against the Ccunty pursuant to this oontract.
~
Frank Hall
Project Manager
P 430 851 377
;;'eCEIPT FOR CERTIFIED MAIL
NO I~SUR"NC{ COV[RAG~ PROVIDEO
...... NOl tOR INTlRNATIONAL UA.ll
(S('t) R(lverseJ
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Concurred:
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Mark Hulh, Prosecuting Attorney
Cnrtllull1 rnn
Sr(lrt,ll OI'lIvNV frll'
c,c:
-Seo/Tac Planet Bonds
Reliance Surety Company
.Mark Huth, Prosecullng Atlomey
.file
on
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DEPARTMENT OF PUBLIC WORKS
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1 820 Jeflerson Slreel
P,O, 80x 1220
Pori Townsend, WA 9836B
(206) 385.9160
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
JEFFERSON COUNTY
CONTRACT ACCEPTANCE
Notice to
Subcontractors and
Materialmen
This is to notify you that the contract for the improvement described below
was accepted by the Jefferson County Depanment of Public Works. All lien
claims against this contract must be received at the address of the Jefferson
County Depanment of Public Works given below not later Ihan the FINAL
DATE stated below.
CONTRACI'OR'S NAME AND ADDRESS:
Melco, Inc,
625 7th. Ave.
Sequim, W A 98382
CII0872/873
Jefferson County Courthouse
Renovalion - Phase III
DATE WORK ACCEPTED BY ALL PARTIES: July 31,1991
FINAL LIEN CLAIMS DATE: August 3D, 1991
CONTRACI' NUMDER:
PROJECI' TITLE:
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9~~
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Any liens filed after August 30, 1991 will not bc recognizcd,
Jefferson County Department of Public Works Facilities Management Division
P. 0, Box 1220
Pori Townsend, WA 98368
Alln: Prank 11011 Facilitics Project Inspector
(206)385-9160
J;>ate or Puhllcation in the Dnily JOllrnnl of Commerce
July 31, 1991 and AllgllSI 7, 1991
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PENINSULA GLASS CO., INC
2120 Lawrence street
Port Townsend, WA 98368
Page 1 of 1
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ISTATEMENT OATE ACCOUNT NO. I
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[STATEMENT DATE I ACCOUNT NO,
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Mel co Inc.
P.O. 80:-' 1567
Sequim, WA 98382
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THIS PORTION WITH YOUR PAYMENT
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AMOUNT
CHECK NO, AMOUNT ENCLOSED $
INVOICE NO, DESCRIPTION AMOUNT BALANCE INVOICE NO, AMOUNT DUE
Fin Chg F'r' i. or Financr~ Ch(~\rc:.~es 41.2" 41 ~, Fin Chg 41.23
Bal/Fwd Balance Forward 392.:3E 3c/2 .38 Bal/Fwd 392.38
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I S ON Cf'ED I T HOLD LI!\IT T L... f:eLl ,THEF: !\lOT I CE "!'!"!
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392 .3E 4:)~J .61 I
Curl^ent1
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PENINSULA GLASS CO.. INC.
PH. 206-38541365
2120 LAWRENCE ST.
PORT TOWNSEND, WA 98368
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2120 I.,wrence Street .
I'ort Townsend, Washin~ton !)H:16K
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CLAIM OF LIEN
RCW 39.08.030
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GEORGE JOHNSON and CHERYL JOHNSON,
husband and wife, HOWARD JOHNSON
and SHIRLEY JOHNSON, husband and
wife, d/b/a NOAH'S ARK
WOODWORKING,
Claimants,
CLAIM OF LIEN
vs
MELCO, INC., a
Washington corporation
TO:
Jefferson County Department of Public Works
AND TO:
Melco, Inc.
NOTICE IS HEREBY GIVEN that the undersigned NOAH'S ARK
WOODWORKING has a claim in the sum of One Thousand Eight Hundred
Sixty-three and 78/100 Dollars ($1,863.78) against the bond taken
from MELCO, INC., principal, and SEA/TAC PLANET BONDS, RELIANCE
SURETY COMPANY, surety, for the work of finish carpentry Sec.06410
per plans and specs, contract number CH0872/873, Jefferson County
Courthouse Renovation - Phase III.
Claimant further claims $110.00 attorney's fees and $2.29
costs.
Dated this ~ day of August, 1991.
(I~7/-(j&Au.'~J~
CHERYL JOHNSON
STATE OF WASHINGTON )
) ss.
COUNTY OF JEFFERSON )
IltvL
On this day of August, 1991, before me personally
appeared Cheryl Johnson to me known to be one of the partners
RICHARD L. SHANEVFELT
A1TOnNEVAT lAW
"'0 WATUl STArn SIJlTf. n
ro nO)( Rill
I"ClllT mWN!'irNO. WA5HINGTON llfl~nn
t,Cltll :lIHi.O'",O
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d/b/a/ Noah's Ark Woodworking who executed the within and
foregoing instrument, and acknowledged said instrument to be the
free and voluntary act and deed of said partnership, for the uses
and purposes therein mentioned, and on oath stated that she was
authorized to execute said instrument on behalf of said
partnership.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my
official seal the day and year first above written.
JlI/;- I L. fA
NOTARY PUBLIC 1 and for the State cf
Washington. Res ing at Port Townsend.
My commission expires May 15, 1992.
RICHARD 1.... BHANEV,..ItL-T
ATTOflNEV AT tAW
"'0 WAU" Slnrn StJlH n
PO 00)( Anl
ronT lOWNsr,NO, WAf,fIlN(HON OIl:'ltlA
l,onl:!Ofi 01'0
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RICHARD L. SHANEYFELT
A' TOANE Y A' lAW
820 WMEfl S rflff. T SUI11 q
PO Il()'( IlHl
PORT TOWNSEND, 1/.,\SHINnroN ~IH.IIl"
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1st Notice L'\lliL I 7 1"'"
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Foc IIi tIes Pro.inc t I nspec'\~ 8
98%< II
Jeffnrson County Dnportmeot of
FocIlitIes Monngement DivisIoo
]', n. Box 1220
Attn: Frnnk 11011,
Port Townsend, \,11
SEf1--i 1'111
11,1"1"1",1\,,11,,1,,1,11,,,1,1,,,,1:11111,,1,1,1
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RICH^RD L. SH^NCyrELT
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RECEi~cU
.JUly 17, 1991
JUL 19 1991
JEFFERSON COUNT
PUBLIC WORKS ["ll=
Hr:. MelvIn llenc1rJeJ.-.,,<oll
Meleo, Ine.
P. O. lJox 1:,67
SeguJm, WA 98302
Denr Mr. 11clldrJ.ckson:
I've been contacted by my cllent, Noah's Ark WoodworkIng. regarding
paym(~nt or the ba];lllce clue tllcm rrom you ;)5 gener~l C()lltrA~tor (or
the Je(Cerson Coullty Dl st.r'lct COUl:t cOIH'tr:uct,ion pl:oject. The
bnlance now due .i.B $1,H(i].?8 fInd my C.1.i.(~l1tS rcqu(~st i.rnmedlnte
paym",nt.
'l'here .i.s apparently a I.'cd:a illilqC u()il1{J IHlld uy Je(fol',.,on Coul1ty nnd
thnt ,i8 the reflGOI1 you hilvc (Jlvon (or not p,\yinCj my client. My
cllcl,ts I,E1VQ r)er[ornlC(] ;11.1 neccAs;lry lloc:llnlCI1Lati()ll (or JeCrersoll
County i1ncl requ.i n~ JmnH'<'! i .1I.:e pilyment.
If you hnve i1ny (;Ol1eGI'n 01.' d j'.<pllte with tile bnlal1cc lhw or. the
C]llilli.ty of tho work r)(~J:rorm('ll, pl.eanc lpt fII('! know .in welting on or.
uc(oJ:('! auly 29, .1.99.1., I ( [ Ililve not heanl (l:om you nor. received
pnymont, I will ndv.i.H0 my c~l.ientn to l.Jt~iIHJ le<Jal nc..::t.i.oll fHJnJnst:
you.
Yop;~trt,A ,__
HIC"^,~D 1,.1' LNEyn:lo'l'
Al:l:ol-ney ilf3~~;,W
GC: Nonh' B ^l:)< WOOdwol'k.i.nq
F'rnnk G.i.r(or.-d
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RICH^F~D L. 51-I^NEYFEL T
Al Inl1~JI ". ^T I ^V'1
n.~r I I,.'J^ll n ~,' III f I ';1 )11 f- 1\
I'll !lflY Rill
l'f)l11 If l\'J~J',r rH' ',.'''''~,H:II'-.I(HJ ')ll tf,fl
!,lllr:r 'fjr, nl;'('1
OGtoGe~ JO, 1991
AECE:JV~t..
Nt., Nn~k Hutl)
l:rl:![J:(~r.t;on County rro~~et.:ul.. i IlIJ ^Ll:.on10Y
P. O. Box l~20
p()t't 'rown:';entl, W^ 'Jfll';fl
OCT 31 1991
JEFFERSON COUNT
PUBllr W()!=lI<C .....~
He: NOflll'S ^I~k WOOdINOI'I<ill<.l/t-Tpl.co, lnc.
Do '1<: M~. Hl.ltl1:
T l:.hdnk YOll for: Lil.lkillq t.t.! 11111 011 Ul11 phOll(' ,''''lqiln.linq thp c](lim or
l.ien by G0.01:q,-~ ,"1lld CIII.~I'yl \lol'lI~::Ull d/ll/d N()dh'~A ^t'" Woodworkinq
r."el,-Itc'!d 1:0 Hnl.co, TI1(:. ':; W(lf'k ill L11P n.isLtOicL COtlt"t p...ojPct. r
lJnrlor~.;l:.nn(l YOII 11i"IVC Ll)(.' (~I;lim rind l.hitL YOII lll~~l) st..iJ 1. have the
1~(:!tiJinaqe. I undnr::;Lilnd Ll1ilL yuu are ho.ldil1(] LI10 l~f!tai_rH'ge pf:Hldinq
fi.J.,i.nq by the con Ln:H.:Lor- or il COl.lp.ll} (If t i nill tloCUll\el1tf~ nllll that
out or L1v~! l"l;d.:a.i.n;:HJ(~ illY cl.if."!nLL~' c.ln,im ur l,if.~1l w.i.1.1. he paid.
J will (jli\llly Lelld'.'t' n ,',lic,i:;[;Il;Lioll or .I i"ll ill (.:-;<;I1',n<]", rOt: pilymellt
at.; ~:~oon .:n~ you t:c~qu(-'nl i L.
Youel'.."; tl:llly"
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IITCII^HD J,. ~(lJ^NEYFr:l"I'
^tL(ll:nny ilL 'l,ilW
GC:
Nonl1' n ^,-k Wootlwo,'k i 1l<J
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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P,O, Box 1220
Port Townsend, WA 98368
(206) 385'9160
Gary A. Rowe. P.E.. O/fecror
Rober' G. Nesbitt, P. E.. County Engineer
Fox' ;:385-(f/3;?
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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Gary A. Rowe, P.E.. Director
Robert G, Nesbitt, P.E.. County Engineer
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1820 Jefferson Street
P.O, Box 1220
Port Townsend. WA 9B368
(206) 385-9160
Meloo, Inc.
625 N. 7th. Avenue
Sequlm, WA 9B3B2
AlI'n: Melvin Hendrickson
Ref: Jeff Co. Courthouse Renovation,
Phase III (CHOB721873)
Sub: Release of Retalnage
We have finally received the required release forms from the Washington State Departments of
Revenue and Labor & Industries, hcwever, as you have previously agreed, you must now provide
us wnh data establishing payment or satisfaction of obligations pursuant to Section 9.10.2 of the
Contract. Specnically the ccunty will not retease the retained porcentage until you provide
releases otlien properly filed for each sub-ccntractor that has a lien filed against this project.
(The ccunty makes no representation as to the propriety of any lien or claim.) You have previously
tiled an allidavit of Release of Liens alleging none existed. At the same time you filed an Affidavit
of Payment of Debts and Claims revealing a number of outstanding debts. At least some of these
debts appear to be subject to liens.
12 February, 1992
tn order to release the retained percentage, the oounty requires that you present proof of
satisfaction of these debts or claims. II you choose, we would issue checks directly to the named
parties upon receipt of their agreement that they will accept a sum certain as payment In full and
your acknowledgement that you bear responslbllny for payment of that sum, and desire n be paid
from the retained percentage,
Following Is a ccmparlson of claims filed and the amount of debt you acknowledged.
Amount acknowledged
Sub.contractor Amount Claimed by Meteo, Inc
Noah's Ar1< WOOdworking $l,B63.78 $1,371.35
(aUorney fees & ccsts) 112,29
Target Plumbing 1,405.49 807,94
Peninsula Glass Cc, 392.38 38.62
(finance charge) 41.23
Total Furnishings 1,508.99 1,148,49
Sequlm Paint & Tile 1,247.35 0.00
100% Recycled Papor
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No sum will be released until you have responded as abOve to Indicated why you believe the claim
Is unjusmled. Please respond promptly.
SinCerely,
Frank Hall
project Manager
Concurred:
Mark Huth, Prosecuting Attorney
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, WA 98368
;.9160
" COUNTY
PUBLIC WORKS
rector
_._.___~~,;1;..~~~~h.s~r.' County Engineer
Alt'n: Robert Young
Target Plumbing
P.O. Box 1599
Sequlm, WA 9B362
23 March, 1992
We have finally obtained a leller from Melco which will allow us to release the retained
funds on this job dlrectiy to the sub.contractors. This is contingent upon the receipt of
a notarized leller from Target Plumbing stating the amount stili due them. According to
the leller from Melvin Hendrickson the amount is now $B07.94.
Following confirmation from you we will then cut the checks which will be released
directly to the sub-contractor in exchange for their fully completed and notarized
.Release of Liens and Claims. form.
Please expedite the requested leller as It Is holding up our release of funds to all five
sub-contractors stili owed money by Melco, Inc.
Sincerely
~
Project Inspector
c.c.: Mark Huth, Prosecuting AlIorney
100% RQcyclod Papor
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MAR 2 3 1992
JEFFERSON COUNT'
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ADDRESS P.O. Box 1567
CITY Sequim, WA 983B2
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_Acceptances t' ~vyJ___
JIWFERSON COUNTY cou,I' 4' L, /.l
house renovation _ Phase II N~ z:;. cJC0--.. ~.
:e CH0872/873. COntrllclor: Melco' --
d lue" 625 7th Ave" Seq~lm, W,\ JJ
~8382; Accepted by: Jeffcrson ?/ e C
" founty on Ju1, 31. Any IIcns filed
Olzlerd Aug, 30 will nOI be recog.
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Target Plumbing & Heating, Inc.
Claimant _ \
vs
Meleo Co.
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CLAIM OF LIEN
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NOTICE IS HEREBY GIVEN that on the <; ~ h day of June , 19~, at
the request of M~''''''' Tn.... ' Tarqet P1umbinQ & Heatinq. Inc.
commenced to perform labor. or to furnish material, or to supply equipment. to be used upon
Jeff",r"on Connty Courthouse Renovation Phase III
located at lR7.0 ,Jp.ffp.rson St. in port Townsend ,Washington,
and described as
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Jefferson County Courthouse Renovation phase III
1820 Jefferson St.
port Townsend. WA 98368
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of which property the ownor, orreputod owner, is Jnff",..""n ('''''n~y ,
the performance of which labor, or the furnishing of which mnterials, or the supplying of which equip-
ment, ceasod on the --3-0-----" day of -No" ' 19.9..0.--: that said labor,
material, or equipment was of\he value ($ 16' "8 '1Q
Dollars,
for which labor, molerlnl, or equipment, the underslgnod clohns 0 lion upon the prollerLJ,oo,hMbln dos-
crlbed for the sum of($-l~ JOn'" ~honsflnd EmIr hundred five dollars and
49<' Dollars,
(!Anti Is nsslgneo of said claim, or claims),
P.O. 13m' 1599
Target p1umbinq & Heatinq, InCGloimont
Address
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1247. 36
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1206 Highway 101 East
P,O, Box 1599
SEQUIM, WASHINGTON 983B2
ATTN. Frank Hall
Jefferson Co. Dept Public Works
Facilities Management Division
p,O. Box 1220
Port Townsend. WA 98368
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TOTAL FURNISHINGS INC.
CONTRACT FLOORING
(206) 478-0846
Bremerton. \VA 98310
1600 12th Street
K t:. ~ a:. ~ ~I ~ llecember 26,1991
Jefferson County Dept.
of Publi.c Works
P.O. Box 1220
Port Townsend, Washington 98368
JAM 2 2 1992
JEFFERSON COUW
""1 'PI''''' ,^,r"\ovC" --
Re: Melco Inc.
Project: Jefferson County
Courthouse, Phase III
To Whom It May Concern;
Please consider this notice ,by the undersigned Total Furnishings, a claim
in the amount of $ 1,508.99 against the retained percentage withe1d by Melco,
Inc. for the construction at Jefferson County Court House.
Total Furnishings, Inc, a subcontractor for floor coverings at the request of
Melco,Inc..
Your cooperation in thi.s matter would be greatly appreciated.
Thank you,
CWCw-<~az:-C-
Dave Heeter
Total Furnishings, Inc,
Septemher Billing '90 $2,191.74
Payment. check ff 7167 10/29/90
Octoher ilJ.lling '90 7,283.76
Payment, checl< ff 71<)6 11/27/90
$2,082.15
5,88/,,36
$7.966.51
$1.508.99
$ 9.475.50
Balancl! DUl!:
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TOTI\L FURNISHINGS, INO,
h.."" '12TH STREF.!T
IlREMERTON. WA 9~310
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Peninsula Glass Co.
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2100 Lawrence Street. Pert Townsend, Washington 98368
Phone 385-1385
Mr. Frank Hall
Project Inspector
Jefferson County Dept. of Public Works
P.O. Box 1220
Port Townsend Wa. 98368
16 April 1991
Ref: Jeff Co Courthouse Renovation - Phase III.
Dear Mr. Hall,
Regarding our conversation this date on our activity
on 31 October 1990. Our records indicate that we
repaired a small hole in one of the washrooms, a minor
accident during a prior trip installing mirrors.
The actual work was done by my son Paul, the second
person was accompanying Paul to work at another job-
site during the same trip.
I hope that the above information clarifies the sub-
ject violation referred to in your letter to Melco,
inc. dated 4 April 1991.
Sincerely,
/,,-,. ~~~' ~
~__""'.f~e1 F. A~rs
President
PIAn: G1.ASS
WINDOWS . DESKTOPS . PATIO DOORS . MIRRORS . AUTO GJ.ASS
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 9836B
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
Alt'n: Mark Huth
Jefferson County Prosecuting Attorney
P.O. Box 1220
1 B20 Jefferson Street
Port Townsend, WA 96368
Ref: Jefferson County Courthcuse Renovation - Phase III
Project # CHOB7210B73
Sub: Contract Closeout and Dlspersment of Funds
February 6, 1992
We have been trying to close out this project since November 1990 with little or no cooperation
from the General Contractor, Melco, Inc. and one of his Sub-contractors, Glen Norcross.
,
In spite of the lack of cooperation we finally received the required releases from the Washington
State Department 01 Revenue (Nov. 4, 1991) and labor and Industries (Jan. 22, 1992).
We now need your assistance In disbursement of the retained funds due to the claims that have
been filed against this job,
The following companies were Involved In the work on this project:
General Contractor:
Melco, Inc,
P.O, Box 1567
Sequim, WA 9B382
Peninsula Glass
c!o Meloo, Inc,
Norcross Painting CO.
C!O Meloo, Inc.
Noah's Ark Woodworking
311 10th Street
Port Townsend, WA 98368
Bluewater Marine
P.O. Box 825
Port Townsond, WA 98368
Total Fumlshlngs
1600 12th Street
Bremorton, WA 98310
Cascade Sawing & Drilling
P.O. Box 3157
Kent, WA 98032
Glazing
Palnllng
Custom Woodwork
Floor Covering
Masonry Cutting
100% Rocyclod Papor
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Installation Specla~ies
14027 Burke Ave. N.
Seattle, WA 98133
Target Plumbing & Heating
P.O. Box 1599
Soqulm, WA 98382
Dawn Electric
P.O. Box 59
Hadlock, WA 96339
Schmn1's Sheet Metal
2725 Highway 101 East
Port Angeles, WA 9B362
I have received an "Affidavn of Prevailing Wages Paid" for each of the above Contractors.
Toilet Partnion Erection
Plumbing
Electrical
Duct work
The only outstanding Issue now is to seUle the claims filed against this project by some of the sub-
contractors as follows
Amount acknowledged
Sub-contractor Anncunt Claimed by Meloo, Inc
Noah's Ark Woodworking $1,863.78 $1,371.35
(attorney fees & costs) 112.29
Target Plumbing 1,405.49 807.94
Peninsula Glass Co. 392.38 38,62
(finance charge) 41.23
Total Furnishings 1,508.99 1,148.49
Sequlm Paint & Tile 1,247.35
Note: We have no sutH:ontractor listed on this job as'Sequim Paint & Tile, The claim Is actually for
work performed by the sub-contractor known as Norcross Palnling Co,
The retained arnountls $6,028,87.
L~
Frank Hall
Project Manager
c.c: file
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,
STATE OF WASHINGTON
January 14, 1992
DEPARTMENT OF LABOR AND INDUSTRIES
JAN 2:; 1992
JEFFERSON COUNTY
1820 JEFFERSON STREET
PORT TOWNSEND WA 98368
Account ID: 337,382-00
Meleo, Inc.
Contract No. CHO 872-878
Gentlemen:
. ,JE,:,:.,:.1::'<;:: COUNTY
'PUBLIC' \"',,-.,-<, D~PT
L.____ :,.._.....'~.....:....i\........ t:. .
Please be advised that the Department of Labor and Industries does hereby release
Jefferson County from any further liability pursuant to RCW 51.12,050 and RCW
51.12.070 as would otherwise incur in connection with 8 contract calling for
remodeling of third floor in court room and rest rooms in County Courthouse Phase
3.
This ccrtificace docs not release MeleD) Inc.. from liability for additional
contributions which later may be determined to be due with respect to the above
mentioned contract or any other contracts said contractor may have performed.
~ truly y~~
KaY~Ug
Administrative Assistant
Contractor Compliance Unit
Phone: (206) 753-4398
CCUl. KK: lcd. 26
cc to
MELCO INC
PO BOX 938
SIlQUIM WA 98382
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MELce, INC.
BUIL.DERS & DEVEL.DPERS
P_ 0. BOX 1567 . SE~UIM, WASHINGTON 98382
6B3-6561 OR 6B3-4571
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DATE 12/14;;'0
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CERTIFICATE OF
SUBSTANTIAL
COMPLETION
AlA DOCUMENT G704
Distribution to:
OWNER
ARCHITECT
CONTRACTOR
FIELD
OTHER
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PROJECT:
(name, address)
JEFFERSON COUNTY COURTHOUSE
1820 Jefferson St.
Port Townsend, WA 9B36B
ARCHITECT: Jeff. Co. Dept. of Public Works
ARCHITECT'S PROJECT NUMBER: CHO B72/873
TO (Owner):
r
CONTRACTOR: Melco, Inc.
JEFFERSON COUNTY
Department of Public Works
P.O. Box 1220
Port Townsend, WA. 98368
-.
CONTRACT FOR: Renovation - Phase III
L
DATE OF ISSUANCE:
.J
CONTRACT DATE: 25 June 1990
PROJECT OR DESIGNATED PORTlo"N SHAll tNClUDE: All work in accordance with the Contract
Documents.
The Work performed under this Contract has been reviewed and lound to be substantially complele. The Date of Substantial
Completion of the Project or porlion thereof designated above is hereby eSlablished as 30 November 1990
which is also the date of commencement of applicable warranties required by the Contract Documents, except as slated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
The Date of Substanli~1 Completion of the Work or designated portion thereor is the Date certified by Ihe Architecl when
construction is sufficiently complete, in accordance with the Contract Documents, 50 the Owner can occupy or utilize the
Work or designated portion thereof for the use for which it Is intended. as expressed in the Contract Documents.
(,
A list of items to be completed or correcled, prepared by the Contraclor and veriried and amended by the Architect, Is
allached herelo. The failure to Include any items on such list docs not alter the responsibility of the ConlraClor to complele all
Work' in accordance with the Contract Documents. The date of commencemenl of warranties for items on the allached list will
be the date of final payment unless otherwise agreed to in writing,
O1fflER
ARCHITECT
N/A
N/A
DATE
BY
The Contraclor will complele or correclthe Work on the list of items allached herelo within
from the above Date of Substantial Completion;
Thirty (30) days
MELCO, INC.
CONTRACTOR
~~~
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DA E
The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof
al (lime) on (date),
JEFFERSON COUNTY
Department of Public Works
OWNER BY DATE
The responsibilities of the Owner and the Contraclor for securit)" maintenance, heat, ulitities, damage 10 IhQ Work
and insurance shall be as follows:
(Nol(;O-OwnN'f, .nd ConrrUIO,'s fcga' and Insurance counse' should dC'/rrminr .nd ,rdl'\\' inw,...ncr rrqui1c-mf."nls .nd COVC"E;r; Conr"Clor
sh,n SCCUff.' comenl of Slurry comp.ny, If .n)'.)
AlA OOClJMr,~~.f,:Il~. i' nnUI(AH 01 ~Ur~"lN":'I^, (()',u'lrllll'. . AI'i'!! ,In rDtl1(l', . AlA'
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BUILDERS & DEVELOPERS
Post Office Box 1567 . Sequ;m. Wa.1hington 9838) . 68).6561 or 683.4571
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND WA. 9836B
ATTN. FRANK HALL
RE: JEFF CO. COURTHOUSE REMODEL
DEAR FRANK,
I HAVE LISTED BELOW THE ITEMS THAT NEED TO BE COMPLETED AND OR FINALIZED
FOR THE ABOVE REFERENCED' PROJECT.
-TIME EXTENSION REQUEST
-REQUEST FOR PROPOSAL # 11,17,lB,23
-CONTRACTORS REQUEST FOR COMPENSATION FOR WAINSCOT &
MOLDING MATERIALS
-OWNERS CLAIM FOR REWORK OF TELEPHONE/DATA CONDUIT
-OWNERS CLAIM FOR PURCHASE OF LIGHT CANOPIES
-OWNERS CLAIM FOR REWORK OF ROUGH IN WIRING FOR
COURTROOM LIGHTING
-LIQUIDATED DAMAGES
-ALL PAYROLL VIOLATIONS
IF YOU HAVE ANY QUESTIONS PLEASE DON'T HESITATE TO CALL.
SINCERELY,
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CERTIFICATE OF
SU8ST ANTIAL
COMPLETION
AlA DOCUMENT G704
Distribution to:
OWNER
ARCHITECT
CONTRACTOR
FIELD
OTHER
PROJECT:
(name, address)
JEFFERSON COUNTY COURTHOUSE
IB20 Jefferson St.
Port Townsend, WA 9B36B
TO (Owner):
r
JEFFERSON COUNTY
Department of Public Works
P.O. Box 1220
Port Townsend, WA. 98368
L
DATE OF ISSUANCE:
o
o
o
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ARCHITECT: Jeff. Co. Dept. of Public Works
ARCHITECT'S PROJECT NUMBER: CHO 872/873
"I
CONTRACTOR: Melco, Inc.
CONTRACT FOR: Renovation - Phase III
.J
CONTRACT DATE: 25 June 1990
PROJECT OR DESIGNATED PORTION SHAll INCLUDE: All work in accordance wi th the Contract
Documents.
The Work performed under this Conlract has been reviewed and found to be subslanlially complete. The Dale of Substantial
Completion of the Projecl or portion thereof designated above is hereby eSlablished as 30 November 1990
which is also the date of commencement or applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
(
The Date of Substantial Completion of the Work or designated portion Ihereof is the Dale certified by the Architect when
construclion is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the
Work or designaled portion Ihereof for the use for which it Is inlended, as expressed in the Contract Documents.
A list of items 10 be completed or correcled, prepared by the Contractor and verified and amended by the Architect, Is
attached hereto, The failure to include any items on such Iisl docs nol aller the responsibility of the Conlraclor to complete all
Work'in accordance with the Contract Documents. The date of commencement of warranties (or items on the attached list will
be the date of final payment unless otherwise agreed to in wriling,
O1mER
ARCHITECT
N/A
N/A
DATE
BY
MELCO. INC.
CONTRACTOR
The Contraclor will complele or correct the Work on the lisl of ilems attached herelo within
frornthe above Date of Substantial Completion;
/2... J/~~~
DATE.,/'
Thirty (0) days
~~..:--
llY .
The Owner accepts the Work or designated portion thereof as substantially complele and will assume full possession Ihereof
at (lime) on (date),
JEl'l'ERSON COUNTY
~artment of ~ub1ic Works
OWNER BY DATE
The responsibilities o( the Owner and the Contractor (or security, maintenance, heat, ulllitjes, damage to the Work
and insur,lnce shall be ,lS (ollows:
(Not('-Ownrr',c ancl Conrf"ctor'$ I~R"/ and imoufo1nc(' coumf'/ $houfd drtt'rminl' ,mcl f('vi('\\, inC1H,lIIH' r('qu;fcom('nh o1nr( COVC'Tag('; Conrfo1ctof
5110111 U'CUU' COn!o('nl of sur~ry company, if ..ny.)
AlA DOCUMINT G'10" . CIRTlfIC^lI or ~un!tTAN"AI C()MrlfTl()~ . AI'IW '~ml rl)Il!ON . AlA'
(1) 19711. TIll AMFR1(AN INSTl1tJH or ARCIHllCTS, 17.1'1 Nrw YOlO, M'I" N,\"., "'^\H1NC,lON, [J,C 100(1(,
" \:\
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'. e' \\\.~"l~,~t<>,_:.,.:v
(;704 - 1978
?1teteo 11te.
BUILDERS & DEVELOPERS
Post Office &x 1567 . Sequim. Wa.1hlngton 98381 . 683.65610,683-4571
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND WA. 9836B
ATTN. FRANK HALL
RE: JEFF CO. COURTHOUSE REMODEL
DEAR FRANK,
I HAVE LISTED BELOW THE ITEMS THAT NEED TO BE COMPLETED AND OR FINALIZED
FOR THE ABOVE REFERENCED' PROJECT.
-TIME EXTENSION REQUEST
-REQUEST FOR PROPOSAL # 11,17,18,23
-CONTRACTORS REQUEST FOR COMPENSATION FOR WAINSCOT &
MOLDING MATERIALS
-OWNERS CLAIM FOR REWORK OF TELEPHONE/DATA CONDUIT
-OWNERS CLAIM FOR PURCHASE OF LIGHT CANOPIES
-OWNERS CLAIM FOR REWORK OF ROUGH IN WIRING FOR
COURTROOM LIGHTING
-LIQUIDATED DAMAGES
-ALL PAYROLL VIOLATIONS
IF YOU HAVE ANY QUESTIONS PLEASE DON'T HESITATE TO CALL.
MELVIN HENDRICKSON
'\\
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',,'"IfIl__I'''''
(
- .CERTlFlCA TE OF
SUBSTANTIAL
COMPLETION
AlA DOCUMENT G704
o
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Distribution to:
OWNER
ARCHITECT
CONTRACTOR
FIELD
OTHER
ARCHITECT: Jeff. Co. Dept. of Public Works
JEFFERSON COUNTY COURTHOUSE
1820 Jefferson St.
Port Townsend, WA 98368
PROJECT:
(name, address)
ARCHITECT'S PROJECT NUMBER: CHO B72/873
TO (Owner):
r
CONTRACTOR: Me1co. Inc.
-,
JEFFERSON COUNTY
Department of Public Works
P.O. Box 1220
Port Townsend, WA. 9836B
CONTRACT FOR: Renovation - Phase III
-1
CONTRACT DATE: 25 June 1990
L
DATE OF ISSUANCE:
PROJECT OR DESIGNATED PORTION SHALL INCLUDE: All work in accordance with the Contract
Do cumen ts .
The Work performed under this Contract has been reviewed and found \0 be substantially complete. The Date of Substantial
Completion of the Project or portion thereof designated above is hereby established as 30 November 1990
which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
(
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the
Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents.
A list of items to be completed or corrected, prepared by the Conlractor and verified and amended by the Architect, is
attached hereto, The failure to include any items on such list docs not alter the responsibility of the Contractor to complete all
Work' in accordance with the Contract Documents, The date of commencement of warranties for items on the attached list wlll
be the dale of final payment unless otherwise agreed to in writing.
OIfflER
ARCHITECT
N/A
N/A
DATE
BY
The Contractor will complete or correct the Work on the Iisl of items altached hereto within
from the above Date of Substantial Completion;
Thirty (30) days
MELCO, INC.
CONTRACTOR
~~~
-BY
t:rf~d
'The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof
at (time) on (date),
JEFFERSON COUNTY
~artment of Public Works
OWNER BY DATE
The responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work
and insurant(' shall be ,lS follows:
(Nol('-Ownrr'~ .mrl ConlfllClot'j '('g.11 and Inuu..nc[' couMr.1 should drlf'fm;nc' Me! ,('vil'\\, fn~U''''lC(> ,('qll;'('m('nr~ and COVNol/W; Conlractor
slut" secure (onwnl 0' ~u,C'ty company. if ..ny.)
AlA OOCUMINl C704 . CfR1HICAn Of !JUBS1ANlIAl COMrtrlloS . AN.:I! '~'7li (()lTl(lN . AlA....
dl 197" .1H1 AMfRI[AN INSTI1UH or ARCHIHCTS, ,'3'i NIW VOW).; M'I ,N.\\'., \\'^~ttlN(.l()N, (),C'. 1000(,
G7e4 - '970
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,. ':"".-'I,;::Ml,..tI.I~)~~I~"M,
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~ 11te,
BUILDEHS & DEVELOPERS
PO.\! Office &x /567 . &quim. Wa.\hinKton 98J81 . 68J.6561 or 68).4571
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND WA. 98368
ATTN. FRANK HALL
RE: JEFF CO. COURTHOUSE REMODEL
DEAR FRANK,
I HAVE LISTED BELOW THE ITEMS THAT NEED TO BE COMPLETED AND OR FINALIZED
FOR THE ABOVE REFERENCED PROJECT.
-TIME EXTENSION REQUEST
-REQUEST FOR PROPOSAL # 11,17,18,23
-CONTRACTORS REQUEST FOR COMPENSATION FOR WAINSCOT &
MOLDING MATERIALS
-OWNERS CLAIM FOR REWORK OF TELEPHONE/DATA CONDUIT
-OWNERS CLAIM FOR PURCHASE OF LIGHT CANOPIES
-OWNERS CLAIM FOR REWORK OF ROUGH IN WIRING FOR
COURTROOM LIGHTING
-LIQUIDATED DAMAGES
-ALL PAYROLL VIOLATIONS
IF YOU HAVE ANY QUESTIONS PLEASE DON'T HESITATE TO CALL.
SINCERELY,
~
MELVIN HENDRICKSON
n
i )
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~'1:.:rJ.i:ij1~~\:'lIia.,,,,,,~ub.:''''''~''''''''''''''_~....:--t.--':__..~__......;..:......._......~~,
(
CERTIFICATE OF
SUBSTANTIAL
COMPlETION
AlA DOCUMENT G704
Distribution 10:
OWNER 0
ARCHITECT 0
CONTRACTOR 0
FiElD 0
OTHER 0
PROJECT:
(name, address)
JEFFERSON COUNTY COURTHOUSE
1820 Jefferson St.
Port Townsend, WA 98368
ARCHITECT: Jeff. Co. Dept. of Public Works
ARCHITECT'S PROJECT NUMBER: CHO 872/873
TO (Owner):
r
CONTRACTOR: Melco, Inc.
I
CONTRACT FOR: Renovation - Phase III
JEFFERSON COUNTY
Department of Public Works
P.O. Box 1220
Port Townsend, WA. 9B368
L
DATE OF ISSUANCE:
.J
CONTRACT DATE: 25 June 1990
PROJECT OR DESIGNATED PORTION SHALL INCLUDE: All work in accordance with the Contract
Documents.
The Work performed under this Contract has been reviewed and found to be substantially complete. The Date o( Substanlial
Complelion o( Ihe Project or portion thereor designated above is hereby established as 30 November 1990
which is also the date o( commencement o( applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
(
The Date o( Substantial Complelion or the Work or designated portion thereor is the Date certified by the Architect when
construclion is sufficienlly complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the
Work or designated porlion thereof (or the use (or which ills intended, as expressed in the Contract Documents.
A list o( items to be completed or corrected, prepared by the Contractor and verified and amended by the Archilect. Is
attached hereto, The failure to include any items on such list does not alter the responsibility o( the Contractor to complete all
Work' in accordance with the Contract Documents, The date or commencement o( warranties (or items on the attached list will
be the date o( (inal payment unless otherwise agreed to in writing,
O1YNER
ARCHITECT
N/A
N/A
DATE
BY
The Contractor will complete or correct the Work on the list o( items attached herelo within
from the above Date of Substantial Completion;
Thi r ty (30) days
MELCO. INC.
CONTRACTOR
~~~
'BY
(jf)4>o
The Owner accepls the Work or designated portion thereof as substanlially complele and will assume (ull po"e"lon thereof
at (lime) on fdate),
JE"l'ERSON COUNTY
~artment of Public Works
OWNER BY DATE
The responsibilities o( Ihe Owner .lnd tfll' Contr"clor (or Sccurit\" m"inlenance, he,ll, utilities, d.lOlagc to the Work
and insur"nc(' sl",II be a~ (ollows:
(No/r-Ownr,',' dnrl (onr,.lc'ur'~ If!/:.11 'nd ;mur,1nU coum('1 ~hOl"d dC'lf'Iminl' an" '1"\'11'1\" in'llf,lIlff' rrquirrnlMh .Inri CO\'(,lo1/;{',' Conl"Clor
sh,,/ JNw(o Conwfll of Jurt'ty compoln~'. if .In)'"
AlA DOCUMINT C70" . CIR1HICA11 or ~LJnc,l^NlI^1 COMI'lllI0' . ^I'I<:II 1'1711 f!>llIO' . A'^"
(i.J 1971t. lHI AM(RI(AN INSTI1UTI or ARCHllICH,"H NIW VOl-a. ^\'I . N \\'. \\'^C,tllN(;H)~, f> ( 'M!I',
(;704 - 1978
I ': \
':t"~'h',;,' ;~','V
~ 'JHe,
BUILDERS & DEVELOPERS
Post Office &;J.t /507 . &quim. H'Qjhingron 98382 . 683.6561 or 68J.4571
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND WA. 98368
ATTN. FRANK HALL
RE: JEFF CO. COURTHOUSE REMODEL
DEAR FRANK,
I HAVE LISTED BELOW THE ITEMS THAT NEED TO BE COMPLETED AND OR FINALIZED
FOR THE ABOVE REFERENCED PROJECT.
-TIME EXTENSION REQUEST
-REQUEST FOR PROPOSAL # 11,17,18,23
-CONTRACTORS REQUEST FOR COMPENSATION FOR WAINSCOT &
MOLDING MATERIALS
-OWNERS CLAIM FOR REWORK OF TELEPHONE/DATA CONDUIT
-OWNERS CLAIM FOR PURCHASE OF LIGHT CANOPIES
-OWNERS CLAIM FOR REWORK OF ROUGH IN WIRING FOR
COURTROOM LIGHTING
-LIQUIDATED DAMAGES
-ALL PAYROLL VIOLATIONS
IF YOU HAVE ANY QUESTIONS PLEASE DON'T HESITATE TO CALL.
SINCERELY,
~
MELVIN HENDRICKSON
:':~ :,: " ..;.~:.,.'..~" ~l:,,;.'~,~~'t:i.!.'))'~":"'1J,'.,
'8.-
'..-.:"'"
January 14, 1992
DEPARTMENT OF LABOR AND INDUSTRIES
STATE OF WASHINGTON
JEFFERSON COUNTY
1820 JEFFERSON STREET
PORT TOWNSEND WA 98368
Accounc 10: 337,382-00
Melee, Inc.
Concract No. CHO 872-878
Gent.lemen:
r 11". - ~ 11.:' 1/ "1/ --I
' 11\\ .-'" '\6 ~~ '- 'd E D
: JAN I) .~ 1992
),JL'h "--,,CQUNTY
IPU8L1C WORKS DEPT.j
Please be advised chat the Department of Labor and Industries does hereby release
Jefferson County from any further liabilicy pursuant Co RCW 51.12.050 and RCW
51. 12.070 as would otherwise incur in connection with a contract calling for
remodeling of third floor in court room and rest rooms in County Courthouse Phase
3.
This certificate does not releose Melee. Inc. J from liability for additional
!~ contributions which later may be determined to be due with respect to the above
~ mentioned contract or any ocher contracts said contractor may have performed.
o
_v~;; truly y~~r/ "
9'( r 9<lqq-'l -e..a.-~?
Kaye Kjorlaug
Administrative Assistant
Contractor Compliance Unit
Phone: (206) 753-4398
CCU1.KK: led. 26
cc to
MELCO 1NC
PO BOX 938
SEQU1M WA 98382
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 3B5.9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
Att'n: Kaye Kjorlaug
Contractor Compliance Unit
Dep'L of Labor & Industries
905 Plum St. S.E., HC-214
Olympia, WA 98505
13 December 1991
Ref: Jefferson County Courthouse Renovation - Phase IV
Project # CH087210873
Sub: Contractor Compliance
Melco, Inc.
We have been trying to close out this project Since November 1990 and have had liUle or no cooperation
from the General Conlractor, Melco, Inc.
There are four contractors that have filed claims upon the relainage for work performed on this project:
1. Target Plumbing & Heating $1,405.49
1206 Highway 101 East
P,O. Box 1599
Scquim WA 98382
2, Scqulm Paint & Tile $1,247,35
112 West Washington
P.O. Box 2163
Scqulm, W A 98382
3, Noah's Ark Woodworking $1,863.78
40-0 Seton Rood 112.29 (nttorney fees & costs)
Port Townsend, WA 98368
4. Peninsula Glass Co. $392.38
2100 Lewrence Slreet 41.23 (finance chnrges)
Port Townsend, WA 98368
The relninage held by Jefferson County on this project Is $6,02R.R7,
We have done nil that we are,cnpnble of In tIying to close out this projcct. Thcre have been scvcrnt requests
of Melco in writing nnd by phone to complete their paperwork, As of now The onty oUL.tanding issues
holding up project closeout and relcnsc of relninnge are:
5, Affidavit of Wages Paid for Scqulm Paint & Tile (Norcross Painting)
6, Release by Washington State Conlractor Compliance Unit (Ocpt of L & 1)
100% Rocyclod Papor
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Per my phone conversation wi!h your office on December S, 1991. it is my understanding that !here is
nothing !hat !he Owner can do to complete closeout and release the relainage and yet comply wi!h the
Washington State Public Works ACL We request a response from your office by December 23, 1991 !hat
ei!her confirms or denies your position toward close out of !his projecL If closeout is in order we would like
direction and reference to RCW or other applicable codes or ordinances which may apply.
Sincerely.
6Z-L~
Frank Hall
Project Manager
c.c: me
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MELec, INC.
BUILDERS & DEVELOPERS
P. O. BOX 1567 . SE~UIM. WASHINGTON 9B3B2
6B3-6561 OR 6B3-4571
TO I J ,c:Freesc,.,...J C:-<)O,.<..-I'y /)v,;;~7C C;~/~2:S'
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JAN 21 1992
&/-1 ~ c~ .
JEFFERSON COUNT
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I1l1m /II NRlnhn Or.lwln(l Otwrl, D.111.111, TflIt'll~ 7[j~r,f'l-O";:Ofl ________
{'Whflfllj.rOmUjl,If1/':., 10112
IN!,111lIC11')N', 111'.1 NI'lll
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IN',llilWllorp.. Tllfllll tVlll
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I
-CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AlA DOCUMENT G707
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
PROJECT: Jefferson Co Courthouse Renovation
(name, address) 1B20 Jefferson Street
Port Townsend, WA 98368
TO (Owner)
r-Jefferson County
Department of Public Works
P.O. Box 1220
Port Townsend, WA 98368
L
CONTRAC.TOR: Meleo, Inc.
o
o
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H I::. l,; t:. I V t:. ...
JAN ~ 4. 199r 00.
P1460859
I ARCHITECT'S PROJECT NO: CHO 872/B73
CONTRACT FOR: Renovation - Phase III
24th
clay of
Decenbcr
- Phas~I!FFERSON COUNT
OIJRI 1(" Wf'\R....C' 1'''''''
.J CONTRACT DATE: June 7, 1990
In accordance with the provisions of the Contract between the Owner and the ContrJcror 015 indicated above, the
(here i"ier! name and addreu of Surely Company)
on bond of Inert' Inum nolme and addren of ConlrOlelor)
PLANET INSURANCE COMPANY. 2505 S 320th C-3000 5th Floor, Federal Nay, \'lA , SURETY COMPANY,
98003
MELCO, INC.
P.O. BOX 738 SmUIM, ~IA 98382
, CONTRACTOR,
h.,eby approves of the final payment to the Conlraclor, and "srees thaI fin,11 p,'yment to the Contraclor shall not
relieve the Surety Company of any of its obligations to (hNt' inU'l1 n.amr "nd ..ddr('u 01 OwnN)
as set (orth in the said Surely Company's bond,
JEFFERSON COUNTY DEPl\Rll>lENT OF PUBLIC w:JRI<S, P.O. BOX 1220, PORT TOI'lNSEND, W7\
98368
, OWNER,
IN WITNESS WHEREOF,
the Surety Company has hereunto set ils hand this
----..,
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(Seal): Marie Tumor
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PLl\NI:,"r INSURlINCE CXMPANY
Surely Comp,'ny.------'---' --..---,
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E~,LUlli..LL(", ,~Ja,<:..L(((t L.L
SiRn,llurc of AlllhorilC'd RC'pfC'!iC'nt.,livc
Dm~ENE M. ERDNIL
^TTOT~Y-IN-F^CT
riiTc--'..." ,-.. ,.,.,
19 91
NOH; Thi\ form h 10 hr Ufol'rJ .,.. II coml1,mion do(umrnl 10 ^I" DOCUMrNT G70f>. CONTR^CTOR S Arrl()^VIT or r,\YMrNT or DrAlS AND
CL^I..."S, Cum'nl Edition
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AlA DOCUMfNT G70? . CONsrNT or SURrTV COMPANY 10 r1NAl PM'MI NT' A"Rll 11')70 rOITION . AlAi!\'!
lD 1970 .'IH AMtRICAN INS1ITUl[ or ARCHIHC1S. 173'i Nrw VORK AVr., N\V, W^SttINC10N, (>,C. 200m,
..,..,....
ONE r^G[
FL...A.NET
_AD o,.,~.~. 'MSC'QIrICEIH
t
POWER OF ATTORNEY
KNOW ALL. MeN BY THESE P'AEScHTS. n-t the PLANET INSURANCf COMPANY.. ~ dyty ~ ~ ':tw t....-s 01 t:l4 Stam
of WI:SCO,.in, dc:l4-I heftCy mike. CQt'l:fti"llSt. and apooiAt
DELENE M. ERDAHL of TACOMA, WASHINGTON ------------
ia ~ end LrNful AnQrncy.:~F8Ct. to tNk_.uacrw. ~.nd delhru for &I'd on;a 1)ehMf..II"Id _ ia -= and. ~
ANY AND ALL SONDS AND UNDERTAKINGS OF SURETYSHIP --------------
anet to bind 1'" PLANET IN$UR.ANCe COMPANY tNtetly IS tuU... and to IN IMTM .xr.nt _ if "'eft bonds and un.:krQlUnQI end aUla" ...rTtin;:s
ob'iQll1Oty in the Ntl.m, t~,ao' .....,.. &iQMd by .... E...cutrw. OHic:at 01 the PLANET INSURANCE CCMP.....-aY &I'd .....ed and ntnfWJd b., one otl'Wl af
sue" ol1iat'l. and her..ov ra'Clfi.".nd ccnrllms.1I tI\.Il ia:...id AnOtTM'Yfs)...in-F8Ct tn.I'Y do;'" ~ tMnol.
This Po......r at Attorney;. 9".nl-.:1 ut'\dlt1 atId by luthoritY of Artide VII of the B't'-LIwI 01 PLANeT INSURANCE COIr.4PANY ..fttc:l!:>eame
df~",. Sel,7tambct 21. 1981...,.,nlch ""ovi:sicna ... now in full '0(01 .It'd .H-.:l. ntadif"l; .. 'allow..:
ARTICLE VlI- exECUTION OF BONOS AHO UNOERTAXINGS
1. The ao.rd of OitltC1on. the Prnidt'nt. IN ~irman 01 tN So..-ct. .ny s.niOf' Viot ~. an., Vice President 01 A..Jsistam: V"llC2 J"raid~
Ot other oUiar dai;nated by In. Scald of OinC1on Nil hive ~, and authctity ~o (.) ,cl>Oim Attam...,....n--Fact..1'd to .-.,thoru. UMm to uK\tte
on b4N:lf of ~N Company. bends ..nd Und4lUti,.. l'W'CO'J"iz:;anc:..s. contnctJ ot inOemnitv at'ld Ot""" writil"l9l OClio.nary in ttM naturW ~,-.of.. &nd
ibl to ,.mo.... any auen ....nom.y.l".FKt n Iny time.nd ,~k. the pQ\oWt II'ld luthority;i...... to I\im.
2. Anomrtl..4n-FK1: 'Nil ~ s:ow-r .nd .vthotitY. tubj-.:t to thI tanN .Ind Iimitaticft. of tfM' ~, of fttCWM'y issued to tIt..-n. to ...~ and
deli...., on be",." o( tN CofT\Qolny. bonds ..nd u~lcinQl. rKOO"i.t:lnca. CClnrncts 0' lndeIT'UUt"t' and: acne, woriti"Ol Obl'oatory in.me MNre t1leno'..
Tlw cot'OOt1t. ,..I i. not nec:euary fa, ~he Y1lkiitY of any bond, .nd undtl"'tl.lr.in9&. rwcoon;Dnc.&. a)I'ItnCU at indftl'l""" Jr'lC:I otl'Mt' wridn91 ObIi9noty
in '11M nature thereaf.
3. ,Anorn.-".in-Fact INII ~ pow<< tnd .uthoritY to eJ:ltC'U1. .ffld;aYiu: required to be ~ ta bonds. ~iZlil'a:l. cant'I'aCtJ of indmulitV
::cs....;f ~~~~~~:f~~~U;:=-.:~;~ ~~ ~~ DOWWr lnet authoritY tD c.Ufy the nNnCW ItIItenMnt o( me c>nPInv Ind to
Thi, po....,., of n1:omey i. livned .nd salad by 'KSimile un61t' and by ,,"hqrltv, at U\e followinQ' Anolvtioft IdoQted by ttte Board of QiNCtOrt at
PLANET INSURANCE COMPANY .t , meetinQ held an me::9t1\ dav 0' Mardt.' 198'2. It wf'licn. QUOf"Um"" pl"l"Mtlt. Ind &.lid Rnolutioft has not bftn
.mef\ded at' repuled: .
-R~lwd. tNt fM Iign4l<<ureI of such dil'WCtOtt and off".ars and th4 ..1 o( tn. CatnOInY I'N'Y be .tfrxed to."., IUCh power of Itton'MV
or I"y C'I"Jnca<<e ,.ratin~ U...reto by f.almil,. and .ny wch ~, of attorney or eenific:ate bat"iftrQ aICft fac:airnile P9Nrure. or faaimiJt
...1 '.....11 be V1IlId Ind bindrnt uoon '11\4 Company .t'd I"y ",ch ~ &0 uteVt"ed Iftd cwtlr.-d bV fac:timi1.IitN1ww and fac:simal. ...
.1'\111 be ....Ild Ind btndr"4 upon the Corroanv '" tfte Mure wi1h rapec:t to .ny bond OIl.Inderaku.g to 'filrftictl i1: ill'tUChed..-
IN WITNESS WHEREOF,'1Io PLANETINSURAHCe COMP"NY... cousod.-....._ 10 be _ by iaVlco _N:l""..ftd iU__.....11O
be ,,",no .Hlud,lhI. 9th da..1 December III 87
*
~.' SUFUNCE _"NY
'db--
v;a P,.idllft1: .
STAT1!OF Washington
CCU~OF King
On mi. 9th doy .,
Cecember
. t~ 87 . _"'''' ",,,,,and
Lawrence W. Carlstrom
to .,.. known to tM I'" Vlce.p,"KHn1 0' '1M II'UNET INSUA,ANC! COMPANY. and IClu'tow*fQlld m..t PM ..~ed Ilnd an_ud Uw fol'lllQllOi.,.
int'ttu"..nt Ind ,fn..d Il'\e &a.1 0' Clid corcotltlon tlMnto. and tNt Anide VII. '" 1.2. Md 3 of m. IV.c..w. 0' LI~ Comoanv.1ftd u,. AnaIUfJOrl.
M1 'on" '1"".1". ... nill in full fa'eI.
Mv C,:)mmJulon l!xot.....;
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May 15
.111 90
A_kttnt at
Tacoma
I, James A. Evans ,...../n..,'Sacrwu.v.,.IIoPl...<NETINSURANCICOMP..NY....h--....mlv'.......
ICOW 1M 'OA9OinQ 'I . tru. and COI"l'W:1 eoDV 0' . ~ of ....narNV uacuf"ld by laid i"UNET INSUAAM:! C::MP,ANY .lIWftjcft II mil i.. fuil 'or"
Ind .tf-ct..
IN WITNeSS WHeReOF. I hlw 1'I............a Let I'TIif' /'\lMd Md .mUd 1M ,...1 of IlIIId ~n"OIlW' tt'l..
*
24th
_.t
December tD 91
r: -__
IC...14.31 111l:
AIIlnant SM:rftW'Y I"?.......- -- ~.J d
~~rnes '\. ~Hns
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Reg. No.:
Date:
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From:
.USE ONLY
Notice is hereby given relative to the completion of contract or project described below,
Description of Contract ;:re"'~~~ CoLlIJT,( Cou~HDu..sE 1<.EJJOIIItTINJ .:f1J/Q:SE::ar
&O&TeLl.CTIl>~"~ DI.sTRfCT eoWi!TR.i::x:JM ~ "RE'S"l~ao~:5 013 5EC01JD ;:u:JolZ.
Contracto(s Name Telephone No.
M€LCt:>, J#JC_ 'ZL>f.o)~B3-437/
Contractor's Address
&,ZS N, 7'.!f Ave
Date Work Accepted
~LAL,,( 3l, 199/
Surety or Bonding Co,
~BQ.U1ttf WA
Date Work Commenced
Jutole 21o.J /990
Date Work Completed
Nor ;30, J 99D
9a38z
Agent's Address
Pt.,t)Ntrr /#J6Ue.IINa! &
250S 5... Sz.o-r~ <En. t!.-30C>0
F='BIlSeAL- WA..... WA .9Ba:::s3
Contract Amount: $ J 1 ~ B8lD. '5
Additions: 1.,101/. 34-
Sales Tax: q 4-05 . D4-
Total: 1:1'61?2.53
Amcunt Disbursed: $ 1'23, 953. ~fo
Amount Retained: ~OZ8. B7
Total: 12.9,982,53
B ~~/~
~ (Disbursing OIlioor)
Phone NO.(?.d.) .-:;g5 - 'lIto
The Disbursing Ofllcer must complete and mall three copies of this notice to the Department of Revenue, Olympia,
Washington 98504, immediately alter acceptance of tho work done under this contract. NO PAYMENTS SHALL
BE MADE FROM RETAINED FUND until receipt 01 Department's cDniflcate, and then only In accordance with said
certificate,
FORM REV 31 0020 (2-86)
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Peninsula Glass Co.
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2100 Lawrence Street. Pert Townsend, Washington 98368
Phone 385-1385
Mr. Frank Hall
Project Inspector
Jefferson County Dept. of Public Works
P.O. Box 1220
Port Townsend Wa. 98368
16 April 1991
Ref: Jeff Co Courthouse Renovation - Phase III.
Dear Mr. Hall,
Regarding our conversation this date on our activity
on 31 October 1990. Our records indicate that we
repaired a small hole in one of the washrooms, a minor
accident during a prior trip installing mirrors.
The actual work was done by my son Paul, the second
person was accompanying Paul to work at another job-
site during the same trip.
I hope that the above information clarifies the sub-
ject violation referred to in your letter to Melco,
inc. dated 4 April 1991.
~~"\
-' ~ .~
~oel F. A~ra
President "-
PlATE GJ,ASS
WINDOWS . DF,sKTOPS . PATIO DOORS
MIRRORS
AUTO GlASS
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P.O, 80x 1220
Port Townsend. WA 9B368
(206) 385,9160
Att'n: Melvin Hendrickson
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Gary A. Rowe. P.E., Director
Robert G. NeSbitt, P,E., County Engineer
December 17,1991
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Transmittal
I am returning for your use the extra two (2) copies of the Affidavit of
PREVAILING WAGES PAID for Public Works Contract, We require only
copy #1 as the Awarding agency,
-Me leo, Inc. (filed on behalf on Norcross Painting Co.)
-Melco, Inc. (filed on behalf of Peninsula Glass Co.)
Should you have any questions or comments, please call our office.
Sincerely,
~~
Frank Half
Project Inspector
cc: Mark Huth, Deputy Pros, Att'y,
fife
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1620 Jefferson Street
P,O. Box 1220
Port Townsend, WA 98368
(206) 3B5'9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequlm, WA 983B2
13 June,1991
Att'n: Melvin Hendrickson
Ref: Jeff Co Courthouse Renovation
Phase 3, CHO-B721B73
Sub: Status of Close Out
We have yet to receive the required documentation necessary for Jefferson County to
proceed with Close out of this Project. We are not In the position to spend any more time
pursuing these documents that are a Contract requirement. This mailer is In accordance with
my previous correspondences is to be acccmpllshed by the General Contractor.
We will maintain the retainage as agreed to by the fomn on file unlll such time as the
outstanding payroll issues are cleared up by your subcontractors. At that time we will proceed
with Contract Close Out.
Should you have any comments or suggestions please ccntact our office.
Sincerely
~~
Frank Hall
Project Inspector
c.c: Mark Huth, Deputy Prosecuting Allorney
file
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D~ily~merce
BOX 11050, SEATTLE, WA 98111
206-622,8272 . FAX 206-622-8416
INVOICE
2655254
TOTAL AMOUNT DUE
11 0.70
!.Jeffer'sor, County Publ ic Works
PO BOX 1220
Port Townsend WA 98368
08/07/91
L
OESCRI~TION
eALANCE
CIA CRTHS RENCIVATION
PHASE II I '
PO #CH.J0872/873
1.350
110.70
1991 Updated Law~ers' Direc OrY Available Now At The
.Journal Office For $11.00 Per COpy!
500\110 Dallv Journal 01 Commorco
P.Q, Box: 11050' Soslt1o, WA98111
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PLEASE PAY''';''"":
THIS AMOUNT"
110.70
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STATE OF WASHINGTON - KING COUNTY
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Affidavit of I'ublicalion
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No.
PHASE III
7701
~efferson Cou~~y Public Works
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_,.'::.'Acceptance"., ..
",:',; =(~JIlr.SA.N1>,
SUB~TE1UALMEN. .,...'0,,:
,Thlsls notlf~ YO~~:~~;te de'-
;traet~t~~;, ~~s aeee~ed ~
~~~l?.feif ,u~~~;; Afl'fie~
men must
~~ e~t~~
Jefferson Co~~~ ow not
,publle,Wor 'e. DA'rE
~~~~~~~R:S\: NAME
'~g eleo'ra:l'ti~~25
,7th AWJ'UMBER'
,.CO ,.,..,,, ..".... .
CH0872!llA' mL'E. . Jellerson
, PROJ courthouse Renovation
County, Ill: j', ,'",\, ,.',... y
_Ph1M;!'Wo'RK ACCEPl'ED B.
AetpARTIES'J~~~6~fE'
FINA., '"
A, alter Ai .t 30,
10 be 'lnent
,0 u . .~~ g~\lg~
Mona~ement 1>1 98368;
l(?&" ofrI~~~ .
Project. Inspect n e.
. Dates of PU~ourn~r of .Com-
attle D~ ~ 31 and, AUll.ust 7.
'fg~"(.e, u,' . . 8(7(1701)
Affidavit of Publication
The undersigned. on 03th slates that he is an
authorized representative of The Daily Journal of Commerce, a
daily newspaper. which newspaper is a legal newspaper of general
circulation and it is now and has been for morc than six months
prior to the dale of publication hereinafter referred to, published ia
the English language continuously as a daily nc\\o'spaper in Seattle.
King County, Washington, and it is now and during all of said time
was printed in an office maintained at the aforesaid place of
publication of this newspaper. The Daily Journal of Commerce
was on the 12th day of June, 1941, approved as" legal newspaper
by the Superior Court of King County.
The notice in the c:'\acl form annexed, was published in regular
issues of The Daily .Journal of Comrncn:c, which was regularly
distributcd to its subscribers during the below stated period. The
anncxed notice, n
CIA CRTHS RENOVATION
was published on
08/07/91 07/31/91
The amount of the fce charged for the foregoing publication is
the sum of $ , which IImounl has been paid in full,
~~~-
Subscribed and sworn to before me on
08/07/91
?-1<.:J.,_'1:..v..L4!.-12~1:~J<L.hllLatJ-v---
'MY Pllhlk for lhl.' StoIc of Wo~hil1jllnll,
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Melee, Inc.
625 N. 7th. Avenue
Sequlm, WA 983B2
Att'n: Melvin Hendrickson
Ref: Jell Co. Courthouse Renovation,
Phase III (CHOB721B73)
Sub: Project Close-out Documentation
We are In the process of Project Close out and are Inclosing severallomns lor your completion.
Please return all eempleted forms to our office.
30 July, 1991
-Final Contract Voucher Certification: To be completed by Contractor and notarized.
-Consent of Surety to Final Payment (AlA G707): To be completed by Contractor and his
Surety Company.
-Contractor's Affidavit of Payment of Debts & Claims (AlA G706): To be completed by
Contractor and notarized.
-Contractor's Affidavit of Release of Liens (AlA G706A): To be completed by Contractor
and notarized.
For your information only we have also requested the State required release from:
-Contract Compliance Unit (Department of Labor & Industries)
-Department of Revenue
These forms are required to be completed and in our flies prior to completion of Project Close Out
and release of retalnage.
Should you have any questions or concerns please call our ollice.
Sincerely,
Frank Hall
Project Inspector
cc: file
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. Box 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Att'n: Melvin Hendrickson
7 March, 1991
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Proposed meeting on Outstanding Issues
Confirming our phone conversation of 6 March 1991. I have reserved the
conference area in our office for review and discussion on all of the known
outstanding issues pertinent to this project. The meeting will be at 10.00 A.M.
on the 19th day of March 1991, in our office which is now located at the second
floor mezzanine in the Port Townsend Post Office. We look forward to resolving
all outstanding issues at that time.
Should you have any questions or concerns please call our office.
Sincerely, . ~'
~~~~
~~k Hall
Project Inspector
c.c,: Mark Huth; Deputy Prosecuting Attorney
file
100% Rocyclod PanCH
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Pori Townsend. WA 98368
(206) 385.9160
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Att'n: Melvin Hendrickson
Gary A. Rowe. P.E., Director
Robe,' G. Nesbitt. P.E., County Engineer
13 December, 1990
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Outstanding Issues
My review of the status of this project Indicates the following known items have
yet to be completed/negotiated prior to close out:
-Contractors request for a ten day time extension
-Acceptance of Change order #2
-Request for Proposal #11
-Request for Proposal #17
-Request for Proposal #18
-Request for Proposal #23
-Contractors request for compensation for Wainscot Be Molding
materials.
-Owners claim for reimbursement for rework of Telephone/Data
conduit.
-Owners reimbursement for purchase of light canopies,
-Owners claim for reimbursement for rework of rough in wiring
for courtroom lighting,
-Liquidated damages,
-All Payroll Violations
The issuance of this list of items does not relieve the General Contractor of the
contractual requirement to comply with the Contract Documents, This list is not
to be interpreted as a complete list of all things necessary for close out,
These Items are to be resolved before close out can be completed,
Sincerely, ,
cJi7~4~_:'~;;/
Frank Hall
Project Inspector
c.c: file
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,\ Rdl:ll1l:l.' Group llolllLn~~ c.~J1}
2505 South 3201h Sln:ct
Federal Way. WA 91100J
20tJ.9S2,50ilO
. Reliance
December 7, 1990
Frank Hall, Project Inspector
Jefferson County Department of Public Works
1820 Jefferson street
P. O. Box 1220
Port Townsend. WA 98368
80nd No.:
Principal:
Obligee:
P-1460859
Meleo, Inc.
Jefferson County Department of Public Works
Dear Mr. Hall:
This will acknowledge receipt of your notice of a purported claim in
connection with the above project. Please note that our acknowledgment of
receipt of the claim should not be construed as an admission of liability
under the bond, nor as waiver or estoppel of any rights or defenses of
Planet Insurance Company under the bond. or applicable law,
In order to assist us in evaluating your claim. subject to the reservations
set forth above, it will be necessary that you furnish us supporting
documentation. Such documentation should include copies of applicable
subcontracts, purchase orders, invoices, work tickets, bills of lading,
delivery tickets, or s.irnilar evidence of use and incorporation of labor or
materials into the above project. Aiso, please enclose a copy of your
account ledger card or other evidence of cumulative billings and payments.
We will be in contact with you once we have received the requested
documentation and c:ompleted our ovaluation, In the interim, should you
have any questions or comments. please feel free to write or call me.
Very truly yours,
PLANET INSURANCE COMPANY
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Robert C, Banniettis
Bond Cl.Ijim Attorney
RCB/bmj
co: Moleo, Inc.
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frerson Coun y .
~~20 Jefferson Street
P. o. \lOlt 1220 W^ 98368
port Townsend.
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Wash. Lie. Cralge #101U
P,O, Box 522
PORT TOWNSEND, WASHINGTON 98368
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CHANGE
ORDER
.AI" DOCUMlNT C701
PROJECT: ,Jefferson Co. Courthouse
(n.mr. .ddrrn) 1820 Jefferson St.
Port Townsend, WA 98368
'TO (Conlr.Clor):
r Meleo, Ine.
P.O, Box 1567
Sequim, WA 98382
L
Dis.lribution to:
OWNER 0
ARCHITECT 0
CONTRACTOR 0
fiElD 0
OTHER 0
CHANGE ORDER NUMBER: 2
INITIATION DATE: 31 OC-TO'lFR 1990
-,
ARCHITECT'S PROJ[CT NO: CH0872/B73
CONTRACT fOR: Renovation - Phase 3
You arr dirrcle-d 10 ma~e- lhe- following change-s in .his Conlract:
-.J CONTRACT DATE: June 7, 1990
INCORPORATE THE FOLLOWING R.F.P. 's INTO THIS CONTRACT AS SHOWN ON THE
ATTACHED BACKUP INFO SHEET:
R.F.P. 'S:
#9, 12, 14, 15, 16, 19, 20, 21 AND 22
TOTAL AMOUNT OF THIS CHANGE ORDER $1,275.54
NOI ".IId unhl tilnrd by bolh .ht OwMI er.d AfCh....CI,
"Inllu.. ollh. CO."""O' .....'CII.. hI> .I,..m.n, "'.rwi'h. ""'ud,nl Iny .".u.......n' ... Ih. Con',"" Sum o. Con""" ',m.,
lhp o,izina' CConlratt Sum) CCua,.nIPfd M..imum Cost) WI\ ...... ........... . ......... S
NrI ch.n~r b.,. p,pviou&ly aUlhori,..d ChIna" O,d..n,..... ........... ..... .... .0........ S
Thr CConlra" Sum) ICu,,"nl..d Muimum Co," prior 10 Ihi. Chlnlr O.d,r was .......... S
T h.. CCon'..c, Sum) ICuI..nlred Muimum Co," will to. lincrr....dl ld.cr....dl funch.n..dl
bl' Ih" Ch.nl' O,d... .........,............................................... S
Th.. n.w lConlr." Sum) lCu.r.nl..d M..imum CO'1I includlhl .hi. Ch.nG' O,d" will to. ,.. S
Thr ConI.." "m. w,II br lincrr...d) (d.<<rase-d) (unch.nl.dl by
Th.. D.... of Sub...n.... Complrlion a. or lhr d.l. of Ih.. Chanz. Ordrr th...ro.r I.
Mel~n. Tnc
<'O"'~~?flIPJ'x 1567
Add,,",,
SeQuil1l. WA 983B2
A'" OOCUMJfl.:1 ".1 CHAM,' UM[)U' . "Plcll 1971:11D1110N . ",,,. . .' "~II
' iii AMI t.:IC AN IN~'I1Ull or Af;:C HllIC'U. '7J~ NI\\ \C.~"', 1.\1 . fI,; \\'. WM.HINf',1U\; n r )nIIII,
IV
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122,769.28
2,111.02
124,880,30
=
1,275.54
126,155,84
f
NOVEMBER 11,1990
AUlhori..d:
Jefferson Co
f?~,l~ox 1220
Add,,,..
Port Townsend. !~A 98368
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PROJECT NO: CH08721873
PROJECT NAME: Jefferson County Courthouse Renovation - Phase 3
CONTRACTOR: Melco, Inc.
BACKUP INFO FOR CHANGE ORDER #2
RFP #9____--------$943.32
Miscellaneous Electrical needs:
1. Part of RFP #l.......................................................N/A
2. Room 202; Change phone outlet from
floor to wall jacks....................................................N/C
3. Room 206; Add two wall Jacks for phone...........40.00
4. Room 207; No changes............................................N/A
5. To be handled as RFP #17.......................................N/A
6.a Room 209; Install switching on surface.................N/C
6.b Room 210; Install switching on surface
Delete pull chain fixture......................N1C
7. Room 205; Remove conduit and wiring as
directed by owner...........................165.00
8.a Room 204; Add one phone outlet and one
duplex and change switching...........190.00
8.b Room 204; Credit to delete contractor
rough In for new lixture.......................N/A
9. Room 203; Remove active conduit & wires.......135.00
10, Room 203; Remove conduit & wires in
ceiling........ ..................... ..... ..... ... ......,.. NI A
11.a Room 203; Use wlremold along baseboards.........65.00
11.b Room 203; Delete 2 new outlets on north
wall." ,...,. .... ,.... ...".. .,... .., ...............( -65.00)
12. Room 203; Remove fourplex on north wall.............N/C
13, Exterior; Leave fixture unconnected........................N/A
1 4, Room 203; Move four dimmer switches
(Dimmers are not to be Installed).(.65,OO)
15, Room 203; Remove active J-box & wiring....... 145.00
16.a Room 202; Credit to delete contractors
rough In for new Al fixtures ................N/A
16,b Room 205; Credit to delete contractors
rough in for new A2 flxtures.................N/A
17,a To be handled as RFP #11.........................................N/A
17,b Room 209; Special requirements to hang
A2 flxture..............................................N/A
17.c Room 210; Special requirements to hang
A2 fixtures... ,......."" .". "...". ...,...., ",. .,.. ..NI A
18, To bo handled as RFP #18.......................................,N.lA
19. Room 203; Remove active wires & condult.........,85,OO
20 Room 203; Remove floor box and wires...............20,QO
21 , Room 207; Mount receways on Kindorf
Channel.""......."....,...,",...,',."."..,."..~
Sub-Total RFP#9............715,QO
Melco 20%...,...................143.00
Bond 2%.............................17.16
W,S.S,T, 7,8%.................~
943.32
'110"1' "';.'.:,tli....,~'~".(,,....c,r.ir,"'~~.'l:~I""'i~,~...~*'........,. ,..".
i i
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RFP #12
Raise ceiling in vestibule and finish interior of vestibule
above 8' AFF.
$822.93
RFP #14
Furnish and install carpet In Vault Rm. #206.
No Cost
RFP #15
Credit to substitute carpet.
No Cost
RFP #16_____________________..(-$182.53)
Credit to delete locks on Door #11 & 12.
RFP #19
Insulate two ccpper water line!' @ south wall of room #209.
_Void
R FP #20____________________________( -$648.74)
Credit to delete door #16 & 17.
RFP #21
Credit to delete floor drains.
RFP #22__________________$340.56
Provide sloped floor at Door #202, 203, 205 & 208.
TOTAL FOR C.O, #2................$1275.54
. ,..,...., ~ '...,~.H~I,',,:,f~~~~l~~P.!01;'.~._..,.. .
""<."::-;1"':;"",. ,,' ~...:',' .",
Void
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",-.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
\
1 820 Jefferson Street
P.D, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe. P.E.. Director
RObert G. Nesbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Att'n: Melvin Hendrickson
3 December 1990
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Certificate of Substantial Completion
We have enclosed three (3) copies of the Certificate of Substantial Completion
for the Jefferson County Courthouse Renovation - Phase III project. This
certificate states "A list of items to be completed or corrected, prepared by the
Contractor and verified and amended by the Architect, is attached hereto". We
request you prepare such list and attach a copy to each of these Certificates of
Substantial Completion.
Upon receipt of three (3) fully executed copies of the CERTIFICATE OF
SUBSTANTIAL COMPLETION we will proceed with acceptance and Project
Closeout.
Should you have any questions or concerns please call our office,
/JereIY'..~/
~
Project Inspector
100"/0 Recyclod Papor
.. .~. ;--"M~'--"'l','''''''''.~\l ~':l rl', ,~."~","" '~"''''.''''.'''''~''''''''',''\~''''...~ro-i/'''''''' "".'~'_.'" ._... ".
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(
, CfRTIFICA TE OF
'~~SUBST ANTIAl
COMPLETION
AlA DOCUMENT G704
~tribution to:
""a'NNER
ARCHITECT
CONTRACTOR
FIELD
OTHER
o
o
o
o
o
?-\
.....--
PROJECT:
(name, address)
JEFFERSON COUNTY COURTHOUSE
1820 Jefferson St.
Port Townsend, WA 98368
ARCHITECT: Jeff. Co. Dept. of Public Works
ARCHITECT'S PROJECT NUMBER: CHO 872/873
TO (Owner):
CONTRACTOR: Melco, Inc.
.-
I
JEFFERSON COUNTY
Department of Public Works
P.O. Box 1220
Port Townsend, WA. 98368
CONTRACT DATE: 25 June 1990
CONTRACT FOR: Renovation - Phase III
L
DATE OF ISSUANCE:
-.J
PROJECT OR DESIGNATED PORTION SHALL INCLUDE: All work in accordance with the Contract
Documents.
The Work performed under this Contract has been reviewed and found 10 be substantially complete. The Dale of Substantial
Completion of the Project or portion Ihereof designated above is hereby established as 30 November 1990
which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
(
The Date of Substantial Completion of the Work or designated portion lhereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the ContrOlct Documents, so the Owner can occupy or utilize the
Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents.
^ list of items 10 be completed or corrected, prepared by the Conlr,1clor ,lnd verified and amended by the Architect, is
attached hereto. The failure lo include any items on such list docs not illlcr thc responsibility of thc Contractor to complete all
Work' in accordance with the Contract Documents, The date of commencement or w.uranlics for items on the attached list will
be the date of final payment unless otherwise agre<d to in writing.
OI.NER
ARCHITECT
NIA
NIA
DATE
BY
The Contractor will complele or COrrect the Work on the list of items allached herelo within
from the above Date of Subslanlial Complelion;
Thirty (30)
days
MELCO. INC,
CONTRACTOR
BY
DATE
The Owner accepls the Work or designated portion Ihereof as Subsl.,nti"l1y complele and will assume full possession thereof
at (time) on (date),
JEFFERSON COUNTY
~artment of Public Works
OWNER BY DATE
The responsibilities of the Owner and Ihe Conlr.1clor for securily, maintenance, he"l, utilities, damage 10 the Work
.lnd insur,lnce shall be as follows:
(Nolc-O\\'nf'r'~ .1nrl Conlr.lctor'~ ICn.ll ,lnd ;mur.1nc(' cOllmrl .~houlrl clctrrlll;/ll' .lncl rf'Vlt.\\, imur.ulcf' rf'quirrnlC'nh ,lnd covt:"rolgc,' Cont,.lctor
Sh.1/1 ~VClJm comenl of surrly COn1(Mny, if .1ny.)
AlA DOCUM[Nl C704 . CrRlIfIC^H or ~U"Sl^NTlM COMI'I(TION . ^I'IW "17/1 [fliT ION . AlA"
CD 1f17/1 . lit[ AMCRICAN IN~lITUll. or ARCftlHCTS, 17.11) NfW y()~~ ^,'r" N.\\'" W^~IUN{jl()N, D,C. 2000(,
G704 - 1978
"\ \
i i
"'___......~~;(lU,.&.f.'!..,tIi-~'~.,,?1.1"r.l'1"""''''-...''-'............---
;......,
.~-rtANSMITTAL FORM
~)
_....,,--.,.,.~
P.O, Box 1567
Sequim, WA 98382
(206) 683,6561 (206) 683,4571
FAX (206) 683-1855
TO: :1~ PUSL\C.\N~1L'\
NO.
DATE \\-Z-l-qO J08NO..\\?,
JOB NAME ~D 67? el~
JOB LOCATION P\.. --.-r--;.. .fN<;'~
RE: C.LO S~c-.. l"\
R. 'It;;, '''W It.. .lli I:;. L.I
NOV 27 1990
ATTENTION: ~ \-\PLL
GENTLEMEN: We are sending you Jilt Herewith
o Under separate cover the following items
~J.Ef.FEBs.oN COUNl
o CUPU'EfL'1\'" wt)RK<:: "'c:.
o CATALOGUE CUTS
o PLANS
o SPECIFICATIONS
o TRACINGS
o PRINTS
o SHOP DRAWINGS
o SAMPLES
o CHANGE ORDER
o PURCHASE ORDER
DESCRIPTION
COPIES DATED
NO,
THESE ARE TRA'NSMITTED (as chocked belowl
o SUBMIT _COPIES FOR DISTRIBUTION
o RESUBMIT _ COPIES FOR APPROVAL
o RETURN CORRECTED PRINTS
o
o PRINTS RETURNED AFTER LOAN TO US
o FOR APPROVAL
o APPROVED AS SUBMITTED
APPROVED AS NOTED
RETURNED FOR CORRECTIONS
'6'l.. FOR YOUR USE 0
o AS REQUESTED 0
o FOR REVIEW AND COMMENT 0
o FOR BIDS DUE
19-
REMARKS:
COPY TO:
/~rn-~~._...
SIGNED: ~~~~
.,' ",'"i' '\ ,,:]1 ~. ~"1. .
'I, \
\
o
0.,;';;i<:-/r!1.
,.!f~H~!f
r/ \~;:-::.--.
o
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P. E., Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
Att'n: Melvin Hendrickson
27 November 1990
Ref: Jeff Co. Courthouse Renovation, Phase III
Sub: Construction Deficiency List
(Second Report)
As requested we have performed an inspection of the contract work for
Jefferson County Courthouse Renovation, Phase III. This inspection was
performed on Monday November 26,1990.
We have verbally been requested to review the work for final punch list as the
general Contractor feels that the work has been accomplished in accordance
with the Project Documents.
Items needing additional attention are so indicated by clouding on the attached
CONSTRUCTION DEFICIENCY LIST.
We reserve our rights to completion of all items In accordance with the plans
and specifications whether identified on this Construction Deficiency List or not.
We request you take this list and respond In writing to each outstanding item as
to its completion and/or other resolution toward final completion of this project.
Should you have any comments or questions please contact our office.
Sincerely, ~
~
Project Inspector
c.c,. file
100% Rccyclnd Pllpnf
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER ~O J
1 CONCRET8MASONRY
tJ/A
,
2 FLOORING/BASE t11lP,ppr 5FAM 1.1-=..,.,<: krrF'''''',,,,,) ((i) OM?
~ F - """ i3Tr .w l'~A R p"",.
3 W~~::~~~~
4 CEILING
5 DOORSIFRAMES
~<Ji~')~/~~@:UJ~i)
6 HARDWARE
~/A
7 TRIM
8 WINDOWS
N/A
,
9 CASEWORK
IJIA
10 MILLWORK
"-!fA
11 MECH/PLUMBING
A{IA
12 MECHNENTILATlON
N/A
13 ELECTRICAL
fiA 11 UI~11 (',""GI:l PI />;T,'" F"..,!",/ r.;PI-i.">.J",,
PRELIMINARY INSPECTION BY P. J./A',
FINAL INSPECTION BY
C!....t:AtJ - tAP I~ , IJ. .:I"""AC/<ilI.J"T
Ok "/u!<J"
'", ': \
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'." '.
OK 1!b/.1P
OK .lLJlk.Ji c>
OK~
OK4f#tO
OK_
OK~
OK_
OK44&a
OK~
OK .lL/4!l.e
OK~
OK .11/:f1!l.o
OK ..1l/:!:!J1"
DATE 1~/'</1o :
DATE
r",
.J
{-.......
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER 202.
1 CONCRET8MASONRY
JJ/A
2 FLOORING/BASE
t'AIZPBr' t',rrrJIUR' PRr:>M
RF-~4"'~P.17'~ t!:::~ - ~;~~: uP
fie '" ..t. J4"'T F- ,o/,,""
3 WALLS
4 CEILING
5 DOORS/FRAMES
6 HARDWARE
/J/A
7T ~~
8 WINDOWS /oJ/A
9 CASEWORK
NIA
.
10 MILLWORK
N/A
11 MECHIPLUMBING
12 MECHNENTILATION
IJ/Il
13 ELECTRICAL rUC'1.I1-5t-\ I'.W/$R P,1IT1! h'.lll: -rel-8F'Hm.H~
~F.LPl.Ar:P;:'JJ1 nuPl.r;y I'~~VI~/'P _~~ ~"~'fl~ WAIL -
.!l ~~ P.__Mr !2,~ !d2.W2.:!.,-,- ..rtti.el1.J ~Hr;.A1 ~""F- b1xJD.!i ')
PRELIMINARY INSPECTION BY ,,~--- ~-<..-> -, - DATE
FINAL INSPECTION BY DATE
e.LlHIJj UP I:; IJj!ltAFF""'I/;~m'
1/71; /'1/.) 01<
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.<,N ;i~,
OK I{/s,jqo
OK;{f;1#.O
'],/, ()
OK
OK
OK_
OK .1l/SI!i1
OK
OK~
OK~
OK~O
OK JJ./.S#O
OK JJ/4!lP
OK .JJ/.J:1I..1P
1.11/./Qf)
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER ~ 203
OK~
IV/A
1 CONCRET8MASONRY
(])~""'AM,{ 11.1 .!IU?PPr ~Jb"'D r.I-r-rF,J-r,,:/J OK~'1"
f:'!)Ar>P,,,,,,rn.,J14 <-- DPP<c~ e> p, PP' P,c~)PrPI'lTI",).J"'j 11!t,/.'('1.:>
,@ PlA5T62 /')Au ,A) -;JU:Fv Bo>o "I~'iqc.
OK .
2 FLOORING/BASE
C9 t-lBJlJlFpF/l. t"~J4IJUP
~ IIJS7"A, L eA";'~ ~;..0J:i
3 WALLS
4 CEILING
OK
5 DOORSIFRAMES
OK_
OK !f/:Y.I>>
ReMOve SIl,tJ&'~ "UP,'; Fp"" O,,"'&!. n:.q
<ti1 p",,,,,;> tJ ~ "'p', ,I:>" ,,.., I~(,'*i;p~~, 8'
6 HARDWARE
17""'41) 8,,<.7'
7 TRIM p" 1'>1IJ/:$14 BJl5e" t.JH~ ,5'<!:.R~H6D JC/V OK_
(!41!P8T' IJJ:5Tm/,Rnd.,)
OK~
8 WINDOWS -f'1'J/1JT J;,l;I.:JAF-d O/J D(IO/i' '11 q
1~)IJJct)'.i> 1A)~r'AiLlt!TD Rnt"~/.LJ~Pf)~ ~ D/'"r It tJ -f II)
9 CASEWO~uDA''''< ,AI -:,Il~"TZ;;D C.'Jtl71^,"'<:>O"I'lP ?/oI/ll)orf7
OK_
~~~
10 MILLWORK
OK
BLb~n J.o;..~.,.,~p-< -r'LJ PJ"'I'J\~/,,~=;r- 'f'f111=AIf'" OK_q,
11 MECH/PLUMBING
OP~C!. IITTI",J
12 MECHNENTILATION
N/A
OK~
13 ELECTRICAL
OK /I II ~
e-1L
"
DATE "/'f/9f)
DATE I ,
PRELIMINARY INSPECTION BY
FINAL INSPECTION BY
, , .q. ", ',.'"fr~~<;:"'.';""!~'
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CONSTRUCTION DEFICIENCY LIST
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
ROOM NUMBER
2.04
1 CONCRETElMASONRY
piA
OK .1.1.I2/2P
2 FLOO~c;~:'~~eUN ~.q;;~/V~ g::::;:,~ <,-:;:'~a: /~~~:;'Op~K~:
3 WALLS OK
4 CEILING
5 DOORS/FRAMES
6 HARDWARE
7 TRIM
8 WINDOWS
9 CASEWORK
10 MILLWORK
11 MECH/PLUMBING
12 MECHNENTILATION
13 ELECTRICAL
PRELIMINARY INSPECTION BY
FINAL INSPECTION BY
'\\
i ,:
OK
OK
/oJ/A
OK .iJJ.2/.!]g
OK
-PA / or :S / C JJ AGe mJ n"...,.,"'1t.3
OK.J1/.1:!/ib
IV/A
OK .JJ/#!lE
N/A.
OK~
OK ..J!/.il!lP
A!/A
OK~
?,erNID!'? "t7I1Ii'l? PUIJTF rbp.. Pf..I{;JJl:i
OK .I.I,fzId." ()
DATE ~
DATE ~
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.. '" ,', '..~: '
C)
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER '2-07
1 CONCRET8MASONRY
~/A-
2 FLOORING/BASE
~F-^JBI2AI C-/..€AN
/&::::. s-t'ReTt;.t./ f!,,,, E' pe-r;
UP ,oj {.{IJK!o:EP7I1Rd
3 WALLS
4 CEILING
5 DOORSIFRAMES
/oJ/A
6 HARDWARE
IJ/A
7 TRIM
8 WINDOWS r/J//JT S;c -.JA& d "IJ ,:;;,l/';>I<::#. 4-
4'-6,'lN ,{;,l.,1,1:S IN ~.. 'ft.. 4-
9 CASEWORK
10 MILLWORK
iJ,/A
11 MECH/PLUMBING
12 MECHNENTILATION
J,J /A
q~., ~,~~~ ,F""P. ?(!I'W/'r
, ,)
OK 4$t2
OK _JJ/!:~./J 0
111'-'. 1 tI t>
, ,
OK
OK
OK~
OK IIkl'?l)
OK
OK ...l!f!:!:J..'lo
OK
OK~
OK~
OK~
o.~~llo
JOr:!.
.._--.._---_._~. ~--------
DATE II I,d Ill)
DATE ' I
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...:)
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER ~ z.CJ~
1 CONCRET8MASONRY
JJ/A
2 FLOORING/BASE
SUFFIt'IENrL-f
I 'RF. .. <;-r ;'i?J-?r-;, N I! L} P P,= r-
-rtJ t" /.( HI') AT SOC: e (i'l /!''',^JPE' J4 (
3 WALLS
4 CEILING
5 DOORS/FRAMES N/A
6 HARDWARE N/A
7 TRIM iJ/A
,
8 WINDOWS NfJ
9 CASEWORK IJIA
10 MILLWORK rJlA
11 MECH/PLUMBING I'J/A.
12 MECHNENTILATlON /IJ/A
13 ELECTRICAL r::l!r,VI1')/:? L!l~'IJI=:P",
PRELlMINARV INSPECTION BY P 1'/,111 L
FINAL INSPECTION BV /~ 11 .l1L.i--
OK 11/5/'1{..)
2., ;?"'PP,o, ~r OK I U qD
t!.~""-,,,,;/~ ,;;;;,F=F,Cr,:IJr '14'f~
I
OK_
OK_
OK~
OK~
OK~O
OK .l1/2lfi..o
OK.L1fff/!lO
OK.1L/41.0
OK.
OK~O
F=IJ{!.. PHt:-~r: "JAt"K ~ OK.11/z::kL"'O
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DATE ~
DATE ..1J.fz#2!2
8
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER '101
1 CONCRET8MASONRY
IJ/A
2 FLOORING/BASE
N/A
3 WALLS
4 CEILING
5 DOORS/FRAMES
JJ/A
,
6 HARDWARE
IJ/A
7 TRIM
/J/A
8 WINDOWS
tv/A
9 CASEWORK
N/A
10 MILLWORK
IJ/A
11 MECH/PLUMBING
IV/A
12 MECHNENTILATION
IJ/A
13 ELECTRICAL
PRELlMINARV INSPECTION BY 1-. I-IA ,.....
FINAL INSPECTION BY
....".,~ ,.".. ""1 ."""~,,..."...'
,." ", ".,r '::''''\:'.Y'r.fI:'"J~:.',r~~\.~,
OK~
OK JJ/.$IL
OK -
OK
OK~
OK .L1/.S..I!lP
OK .J.!/.s./..!o
OK .JJ/4!lp
OK .JL/4S-0
OK ..1f/s.I..!E
OK~
OK JJ/:iI.2P
OK l.f#I:ItJ
DATE 11/",/'10
DATE ' ,
,,,""':' .
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER ~og
OK~
1 CONCRET8MASONRY
/JIA-
2 FLOORING/BASE
OK JJ/.:i.!.ft
3 WALLS
'D12/",ItIl.J~ A:-uArr',tU.)
A"nrrll'u.lAI rl'Jhr l)J..\ pv./.~ IJtJMU.J.~I'.Lrr Rv
OK JJ/1fIw
4 CEILING
OK_
5 DOORS/FRAMES
OK_
6 HARDWARE
"'/A
OK .1iL?/!lP
7 TRIM
OK_
8 ~~N[)Ows------'-.:::.-,....,!- _q:>e'~'T' ~IC uA<'''''
~ '" 12,,;;-" :tI~
"----"~
9 CASEWORK t:J/A
61,) O<<'l'!. -11- q
OK J.J/::4&O
OK .!!/82P
10 MILLWORK 1?t=.PI""'''''' -v=r-n () ,J o~ lAY III /JJ~ c,rr N('~'" OK .1/JlJ.:I-'1 tJ
,.,r= f)"OQ # r
11 MECH/PLUMBING IJ/A. OK .JJ./5/.!l.0
12 MECHNENTILATION ~/A. OK .L1$>
13 ELECTRICAL OK-11J4'lO
PRELIMINARY INSPECTION BY t='.I-lAt. DATE " ,''' 1/1)
FINAL INSPECTION BY DATE ' I
" ': \
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o
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-...,/
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER '2-01
1 CONCRET8MASONRY
tJ/~
OK~
2 FLOORING/BASE
8195,<; (f;J :5 ,<;: IA L. 1-, ""A:
(j) /A1-'1 ,,...,6 '?'.RAJr./PO< JJg; /IJ f'L/J/JA !/}(TI-i OK--11/!:!.Itfl?J
3 WALLS
~
~ Ilea AJ MIReo 4"r 1:(;
OK
4 CEILING
t! dAJI> 1'S-rA JJTJ
-f1.l~r AEe- JJd'r:"
OK
7 TRIM
OK
8 WINDOWS ~~~~~~~~~l
OK~
9 CASEWORK
-7P/~,
01,).... ),I",..... ~A-r ~J:: I'hIJ'!f/.J 0.1.1 vA....rry OK
10 MILLWORK
~/A, OK~
/.,..... 11 MECH/PLUMBING 1I11A!V,.,;\(!) IS440 -~:?I)I.i!.
0'5I1J~,A,.;iS /Jm" fl.uMB ~pln:J II)"; ... " R~
~
12 MECHNENTILATION I'H-rlu, ('"v.;:R.. o~ Fjlhl
I14JJJ1" P,lZIP.~ .,.,., JIJ.K RATlf,MVI./'fb .~~"" P~&t7
1I,,",r-,rATM.';' "g-, ";//{'I'LV OK~p
LM?,::JPP,.O LII'T1-I 11I::5UL'I,IPj.) t71-u14"
I ,
OK-1!/E#d
13 ELECTRICAL
& AJ.Dt(, rr -1'"
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PRELIMINARY INSPECTION BY ~ t1AtJ.
FINAL INSPECTION BY
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER 2'. 10
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CONCRET8MASONRY
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11 MECH/PLUMBING
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12 MECHNENTILATION
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DATE IV5/f/D
DATE
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER r&~(60rl \1&~+J"fe
1 CONCRET8MASONRY
ii~
2 FLOORING/BASE
3 WALLS
4 CEILING
5 DOORS/FRAMES
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13 ELECTRICAL
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PRELIMINARY INSPECTION BY F' HA II
FINAL INSPECTION BY
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DATE "/5/1/0
DATE
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
CONSTRUCTION DEFICIENCY LIST
ROOM NUMBER :z,1~
1 CONCRET8MASONRY
2 FLOORING/BASE
3 WALLS
4 CEILING
5 DOORS/FRAMES
6 HARDWARE
7 TRIM
8 WINDOWS
9 CASEWORK
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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Gary A. Rowe, P.E.. Director
Rober' G. Nesbitt. P.E., County Engineer
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385,9160
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
AIl'n: Carl Going
REF: Jefferson County Courthouse Renovation - Phase 3
6 August 1990
SUB: R.F.P. #8 Last Saga on RUNTAL UNITS
Pursuant to our previous instructions we have contacted Leo Wren of Hardesty & Co,.
Inc. and are now directing you to have Target plumbing furnish and Install RUNTAL
Radiators Model #VLX49/49. These units are to be 6' long In the Medium Pressure
Category and custom color StelnGrau RA7030.
CALCULATIONS:
The specified VLX56/56 are priced at $379.05 each
The desired VLX49/49 are priced at $450.75 each
Therefore there Is an added cost of $71.70 per unit
4 units at $71.70=
Profit & Overhead (Target) @ 15%-
Profll & Overhead (Melco) @ 20%-
Bond @2%
$286.80
43.02
65.96
7,92
$403.70
Total (Taxable)-
Should you have any questions or comments please call our office.
Sincerely
~~
Frank Hall
Project Inspoctor
c.c: Target Plumbing
100"/11 Recyclod Papor
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Phoho (206) 767w3083
HARDESTY & CO. INC.
220 - SOUTH RIVER Si.
SEAmE. WA.. 98108
FAX TRANSMITTAL
TO: Jaffe.rson County ~- Frank Hnll
FROH:
DATE:
SENDING
385 - 9172
leo Wren
:8..,06-90
ONE
FAX (206) 763-4084
PAGES INCLUDING THIS TRANSMITTAL
MESSACE: Your previous order for 1l"5'tAI Rlldllltors was based upon 220 de9re~
water w/5H Steam.
This temperature and steam pressure places the radIators In the
Medium Pressure category (RatIng 85 PSI Max; tested to 110 PSI)
as opposed to Stendard Pressure of 56 PSI-Max. - tested lu 74 PSI.
im use of medluOl pressure Increases the rlldlator weight by 4O'X
end Increases the radllltor cost by 15%.
VlXS6/56 w 6' long - $379.05 x 1.15 . $435.90
Add'I5"-' for Custom ",CalM
(15% of $379.05)
vlx49/'19 w 6' long - $346.75 x 1. 15 a
" (Add 15% for CuStOlll Color)
(15% of $346.75)
56.85
$'192.75-.. To.T.AI.f:IlCII
$398.75
--.-J~
~ --$1150. 75 TOTAL EACIl
Pleose 1M me knuw If this elllrlfy. ~hl. ""'Uer.
lllo wro~
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jeflerson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
Att'n: Carl Going
REF: Jefferson County Courthouse Renovation - Phase 3
31 July 1990
SUB: R.F.P. #8 RUNTAL Units (re-issued)
Thank you for responding to my verbal R.F.P. #8 requesting cost to obtain
Runtal heaters of a choler other than their standard colors.
Our specification and desire is to have the Runtal Heater Model VLX 56/56,
6'long in the color SteinGrau RA7030 for low pressure steam systems. Our
system operates at between 3 to 6 Ibs.
The information you gave me over the phone is:
Specified unit cost is $379.05
Coror cost adds 15% or $56.86 per unit
Four units at $56,86--n--------------------------n________$227.44
15% Profit and Overhead (Target)--------------_______ 34.12
20% Profit and Overhead (Merco)-----oo----m____m_ 52.31
Sub- Total"-------m----------------oo-$313,87
WSST --------_______n__.______________ 24,48
338.35
We request you proceed with this order for the approved cost of $338.35 which
will be Included on our next change order.
Should you have any questions or concerns please contact our office,
Sincerely /1/
~J.~4/
~tHall
Project Inspector
100% Rocycled Papor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
Att'n: Carl Going
REF: Jefferson County Courthouse Renovation. Phase 3
30 July 1990
SUB: R.F,P. #8 RUNTAL Units
Thank you for responding to my verbal R.F.P. #8 requesting cost to obtain
Runtal heaters of a color other than their standard colors.
I have reviewed the proposed cost and accept everything on the proposal other
than 20% mark up by Target Plumbing and Heating. Their previous proposals
have included a mark up of 15% which we are willing to accept.
We request you proceed with this order for the approved cost of $366.18 which
will be included on our next change order.
Should you have any questions or concerns please contact our office.
Sincerely
~
Frank Hall
Project Inspector
100% Recycled Papor
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TO:
P.O. Box 1567
Sequlm. WA 98382
(206) 683-6561 (206) 68:1-4571
FAX (206) 683-1855
~~ .f""':::.L\C...\AK~~S
ATTENTION: -r~ \-~
GENTLEMEN: W. Ire Slnding you [] Herewith
[J PLANS
o PRINTS
[J SPECIFICATIONS
[J TRACINGS
o SHOP ORAWINGS
o SAMPLES
COPIES
OATEO
NO.
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,
THESE ARIl TRA'NSMITT!O e.. cheeked b.lowl
TRANSMITTAL FORM
NO.
OATE -,.-:,o-C{O JOB NO, '^^ \12-
JOB NAME C c::x""':n-lOl,)~.: '^-'. ~"
JOB LOCATION P " .
R E' V<, '~I c-C \....Cl'? S;;;) ~ c...-J
CJ Under aep".te cover the following Items
C CATALOGUE CUTS
C CHANGE ORDER
C PURCHASE OROER
[] COpy OP LeTTIiR
DESCR/PTION
AS p.Y'l\eNC>~.
C FOR APPROVAL 0 APPROVED AS SUBMITTED
[] fOA YOUR USE [J APPRDVeD AS NOTEO
[] AS REQUE8TEO C RETURNEO POR CORRGCTIONS
[] POR REVIEW AND COMMENT []
C FOR BIOS DUE
m,MAnICS,
NE'1
C SUBMIT -COPIES FOR DISTRIDUTION
[J RESUBMIT_COPIES FOA APPROVAL
o RIiTURN CORRECTED PRINTS
[J
C PAINTS RETURNED AFTER LOAN TO US
19_
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Date Julv 30. ;990
'l'ime
9; 50A-fY)
'1.,D At'\;;
We are transmitting ~ pages, including this covc~
pogo. IE you do not r.ce~ve all of the pa~c~ pleaso call
back as aoon as pOQsible.
Please deliver this transmission tOI
Nnmo ~Cerl Qoin~
Firm
Melco Ino.
From Soott Sower
Note.
R~. ~unt~I_KgQte . 0~81 VLX 56/56, 6' long in the
color Stei rau RA703b, tho unit price 1s $43~.OO each
FOB Ward ill, MA.
J feraon County - Phas3 III
uanity 4 each @ 435.00 $ 1740.00
J5~ Overhead &, profit "'....TM 2~/,OO
"I< Total ~2clllll. 00. 2ool.c:a
~c~rl-- The supplier hao just called baok end revised tho
~ above; he ha~ not under.tood that this was a non 8tan<<a~d
color request we ther.eore muot revise our eax to read
$435 with a 15. inoroas. ~or tho oustom oolor ohanq~
. 4 1I0oh II ,500.25
16'/.'
~ Overhead , protit
CorrClcl:..s 'total
$ 2001.00
~ Sco;IS
. 2401.20 ;230/,IS
I am Borry for any inoonvenienoe thm p~Gvious ~noorr.ot
taK may have g8u..d. Suo Brown
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to LJE:D '
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E.. Director
Rober' G. Nesbitt, P,E.. County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA
AU'n: Carl Going
Ref: Jell Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #13
We haave negotiated a Proposal with Dawn Electric to re-work the conduit drops on the North wall
In room #204. These four drops are to be clustered at a negotiated cost of $250 plus mark-ups for
Melco. The cost breakdown is as follows:
'\~ \
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..........
Six (6) hours labor at $32.00
Material (est)
Prolll & Overhead @ 10%
Melco (Prolll & Overhead @ 20%
Melco (Bond @ 2%)
10 august 1990
$192.00
35.00
23.00
$25Q.OO
50.00
6.00
$306.00
We wish your verification of these figures so that this work can be processed Into a change order.
Should you have any comments or suggestions please contact our office.
Sincerely
~~
Project Inspector
100% Rocyclod Pnpo,
"_I\"-'~"'-" --..,
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MELee, INC.
BUIl.tlERS & DEVELOPERS
P.O. BOX 1567 . SI!:QUIM. WASHINI:iTON '38382
683-6561 OR 1S83-4S71
.REPLY :'
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DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P.O. Box 1220
Port Townsend. WA 9B368
(206) 385,9160
\
G8ry A. Rowe. P.E., Director
Robert G. Nesbitt. P.E., County Engineer
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
AII'n: Carl Going
REF: Jefferson County Courthouse Renovation - Phase 3
1 August 1990
SUB: Glazing Requirements (R.F.P.#10)
Our most current review of this project leaves us with a need for glazing as follows:
1. Install new frosted glazing at transom above entrance to restroom
vestibule (contract work).
2. Install new frosted glazing In door #7 (new requirement).
3. Install new frosted glazing In door #9 (new requirement).
4. Install new frosted glazing at transom above door #9 (new requirement).
5. Install new frosted glazing In door #10 (new requirement).
6. Install new frosted glazing at transom above door #10 (contract work),
7. Delete glazing In door #11 (credit for contract work).
8, Delete glazing In door #12 (credit for contract work).
Every effort Is to be made to preserve the existing glazing during removal. It has a
historical value and Is to be turned over to the owner for their use.
Should you have any questions or comments please call our office.
Slnc~~
~Hall
Project Inspector
100% RDcyclod Papor
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BUILDERS & CIl:YE:LCPERS
P.O. BOX 15&7 . BEl;1UIM, WASHINGTON 98382
693-6561 OR 690-4S71
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1820 Jefferson Street
P.O, 80x 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
24 July 1990
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
Att'n: Carl Going
REF: Jefferson County Courthouse Renovation - Phase 3
SUB: RF.P. #7 (1) - Acceptance
We accept your proposal to do the work involved on our R.F.P. #7 at the
proposed cost of $244.80 plus W.S.S.T. This will be reflected in our next
Change Order.
This work shall be reflected on the schedule of values in section 06001.
Should you have any questions or concerns please Gontact our office.
Since~ely
di~~
Frank Hall
Project Inspector
100% Rocyclod Papor
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BUILDERS & DEVELOPERS
Poll O;flkt BoJIIS67 . S<q1Jlm. Wllllr1n81"" 98181 . 68J-6S01 or 6814S71
JEFFERSON COUNTY DEPT. OF PUBLIC WORKS
1820 JEFFERSON STREET
PORT TOWNSEND, WA. 98368
ATTN. FRANK HALL
REI RFP #7
OUR PRICE FOR REMOVAL OF CASEWORK
IN ROOM 201 IS AS FOLLOWS.
LABOR & MATERIALS
D.H. & FEE
JULY 23, 1990
AND MINOR PATCHING
SOB TOTAL
BOND
TOTAL
YOURS VERY TRULY,
~
CARL GOING, PROJECT MGR.
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$200.00
40.00
$240.00
4.80
$244.80
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BUILDERS & DEVELOPERS
Po\/ Office &J.t /507 . Sequlm. B'a\hington 98J81 . 68].656/ or 683-4$7/
'iECEIVE.L
JUL 2,11990
JEFFERSON COUNTY
:>UBLlC \ftJI"IQi<'3 DFPT
JEFFERSON COUNTY DEPT. OF PUBLIC WORKS
1820 JEFFERSON STREET
PORT TOWNSEND, WA. 98368
ATTN: FRANK HALL
RE: RFP #7
OUR PRICE FOR REMOVAL OF CASEWORK
IN ROOM 201 IS AS FOLLOWS:
LABOR & MATERIALS
O.H. & FEE
JULY 23, 1990
AND MINOR PATCHING
SUB TOTAL
BOND
TOTAL
YOURS VERY TRULY,
~~R(P~
CARL GOING, PROJECT MGR.
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40.00
$240.00
4.80
$244.80
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G. NeSbitt, P.E., County Engineer
MeIco lro.
P.O, Box 1567
Sequim, WA 98382
AU'n: Carl Going
REF: Jefferson County Courthouse Renovation - Phase 3
SUB: R.F.P, # 7
20 July 1990
Provide your proposal to remove all casework and countertops In room # 201 which Is not covered
In contract. Walls are existing behind this cabinetry but will need minor repairs where cabinetry
and countertop are aUached. countertops are to be disposed of and cabinets will be saved for
owners future use.
Should you have any questions or concerns please contact our office.
Sincerely
~
Project Inspector
100% Rocyclod Papor
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DEPARTMENT OF PU8L1C WORKS
1 &20 Jefferson Street
PORT TOWNSEND. Wo. 98368
(200) 38&-9160
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DATE
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~Qt(IN, WA ='&'382-
SUBJECT
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P.E.. Director
Rober' G. Nesbitt, P.E., County Engineer
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
Att'n: Carl Going
REF: Jefferson County Courthouse Renovation - Phase 3
24 July 1990
SUB: RF.P. #6 (1) - Acceptance
We accept your proposal to do the work involved on our RF.P. #6 at no
additional charge. This issue will be incorporated in our next Change Order.
Should you have any questions or concerns please contact our office.
Sincerely
~dif
Project Inspector
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1000/0 Rocycled Papar
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BUILDERS & DEVELOPERS
/'wI OJllc< 80JI 1$61 . ~YI"" W~VlIn"on P8J8J . ~J.6'61., 61J 4'"
JULY 23. 1990
JEFFERSON COUNT\' DEPT.-OF PtJBLIC-WORKS -- ------
1820 JEFFERSON STREET
PORT TOWNSEND, 'WA. 98368
ATTN. FRANK HALL
RE. RFP #6
THERE WILL BE NO ADDITIONAL CHARGE TO ACCOMPLISH
THESE DIMENSIONAL CHANGES.
~~~
CAR~GOihG, ~ROJECT MGR.
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Po.\( Offiu Box /567 . Sequim. lJ'a5hinglon 98381 . 683.6561 or 68].457/
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JUl 2,11990
JEFFERSON COUNTY
:>UBLlC WIlRKS DFPT
JULY 23, 1990
JEFFERSON COUNTY DEPT. OF PUBLIC WORKS
1820 JEFFERSON STREET
PORT TOWNSEND, .WA. 98368
ATTN: FRANK HALL
RE: RFP #6
THERE WILL BE NO ADDITIONAL CHARGE TO ACCOMPLISH
THESE DIMENSIONAL CHANGES.
SINCERELY,
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CARL GOING, PROJECT MGR.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, P. E.. Director
Robert G. Nesbitt. P.E., County Engineer
Melco, 100
P.O. Box 1567
Sequlm, WA
AlI'n: Carl Going
Ref: Jeff Co Courthouse Renovation. Phase 3
Sub: Request for Proposal #6
We request a proposal from you to Increase the size of the vestibule entering room #209 and 210
as Indicated on attached sketch #C-2 dated 13 July 1990.
19 July 1990
NOTE: t1ss sketch Indicated the plumbing wallis centered between room #209 & 210 as
discussed with you and Don on Tuesday 17 July 1990.
Should you have any comments or suggestions please contact our office.
Sincerely
~~
Frank Hall
Project Inspector
100% Rocyclod Papor
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P,O. Box 1567
Sequim. WA 98382
AU'n: Carl Going
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P.O. 80x 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E.. Director
Rober' G. Nesbitt, P.E., County Engineer
20 July 1990
REF: Jefferson County Courthouse Renovation - Phase 3
SUB: R.F.P. #5 (2) Authorization to Proceed
Your proposal #5 to provide isolation valves and access panels to the
hot and cold water lines between room #209 and 210 is hereby
accepted at the quoted price of $267.44. We will include this item
on a Change Order at a later date.
Sincerely
Should you have any questions or concerns please contact our office.
Frank Hall
Project Inspector
'':'/""',',':,
100% Racyclad Papa'
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BUILDERS & DEVELOPERS
Post Office Box /567 . Sequim. Washington 98381 . 683-656/ OT 68).457/
JUL 2u199C
JEFFERSON COUNT'
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JEFFERSON COUNTY DEPT. OF PUBLIC WORKS
1820 JEFFERSON STREET
PORT TOWNSEND, WA. 98368
ATTN: FRANK HALL
RE: RENOVATION PHASE III
OUR PRICE FOR R.F.P. #5 BREAKS DOWN AS FOLLOWS:
2 ea. 12'XI2" ACCESS DOORS AND
2 ea. ISOLATION VALVES $218.50
O.H. & FEE @20% 43.70
SUBTOTAL $262.20
BOND @ 2% 5.24
TOTAL SEC.15000 $267.44
W.S.S.T. WILL APPLY
MANAGER
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Rober' G. Nesbitt. P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequlm, WA
Alt'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
\
19 July 1990
Sub: Request for Proposal #5( Cost Proposal)
We request You resubmit your proposal to our R.F.P. #5 on your letterhead with the backup
furnished by target plumbing attached. We have no disagreement wilh the numbers but desire to
have the Information forewarded on proper letterhead. Also we will require all change order work
to be covered by the General Contractors Construction bone!. According to your bid proposal this
figure represents 2% of the cost to do the work.
Should you have any comments or suggestions please contact our office.
Sincerely
~~
Frank Hall
Project Inspector
100% Racyclad Papa'
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P.O. Box 1567
Sequim. WA
AII'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #5
We request a proposal from you to Install water shut off valves and an access panel on the hot and
cold water systems In room nos 209 & 210 for area Isolation.
13 July 1990
Should you have any comments or suggestions please contact our office.
Sincerely
Frank Hall
Project Inspector
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7 I 8 ~ 75
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B~Z-50
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979.75
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Att'n: CarCGorii~f
REF: Jefferson County Courthouse Renovation - Phase 3
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SUB: R.F.P. # 4 (1)
We request you direct Target Plumbing to proceed with the tie-in of the drinking
fountains on a time and material basis with the overall cost not to exceed the
proposed amount of $1110.70
We expect this work to be accomplished in conjunction with the contract work
therefore travel time should not be an Issue. All work other than concrete break
out can be accomplished during regular hours at regular rates.
We request Don Hendrickson verify hours and materials used in conjunction
with this work.
Should you have any questions or concerns please contact our office.
Sincerely
~~/
Frank Hall
Project Inspector
100%1 Rocyclod Papor
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QCum~n1: filM 7/18/901.59 PM, From: Melto Inc, Created: 7/18/90 1:59 PM
\~Q~-1e-90 WED 1~;04 ~ARaET'W.~. M~~HHN~~~~
1206 H1ghw~ 101 East
P.o. SOli 11599.
5EQUIM, W/'.SHlNeTON- ~
(206) 663-7611
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To: Meleo, Inc.
P.O. SOK 1567
sequim, WA 98382
ATTN: c~rl Going
July 18, 1990
sub~ect I
Jefferson county courthou~a Ph~so IXI
Orinkin9 Fount~ine Renovation
At the owners' request here is a broak down for the
drinking fountain renovations. I'm $Orry there was such
~ cost difference in tho deletion fo the sin~ compared to
tho drinking fountain renovations, but the sink had water
.n~ waste ri9ht thero eo the labor coat on that was minimal.
On the drin~in9 fountain you havo some jack hammer work,
chipping work, knoe~in9 out caet iron and trying to find a
way to get old ~. galvanized pipe back in pipe chase. This
will entail somQ QxP1orotory.work.
Here is my break down. If it. doe. not meet with your
approval, we will be bappy to work on a timo and
materials besis with you.
Breaking concrete & knocking out oast iron p1pe
will require 2 men, 2 hours each at $45.00 hr
Pipe ebs and mako cone jo1nt
2 men, 2 houro each at ~45.00
Chip concreto end cut holo in floor for water
pipo 2 men, 2 hours each at $45.00
Supply material an4 labor for tempor~ry
hook up
Pipe tittingo, concrete ,rental.on compressor
2 Men travel time at ~4'.00 eacb
15tOVorhea4 and Profit
'rota1
S1gne.ClI
Scott Dower
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$180.00
180.00
180.00
100.00
75.00
90.00
~a05.00
120.7S
f!l25.75
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreel
P.O. Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P. E., Director
Robert G. Nesblll, P.E., County Engineer
Meloo, 100
P.O. Box 1567
Sequim, WA
Alt'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #4
We request a proposal from you to reconnect the water supply to the first and second floor water
coolers. Install water line In utility chase as much as possible, than down wall at south side of
vestibule and lnbeded in concrete floor across vestibule to tie Into the existing galvanized water
line. We need this work accomplished as soon as possible.
12 July 1990
Should you have any comments or suggestions please contact our office,
Sincerely ~
~
Project Inspector
100% Rocycled Papor
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BUILDERS Ilc DEVELOPERS
l'o<t 0flJ00 8az 1S47 . S<qulm. W...,"I''''' P81A7 . 08J_' '" M14J71
AUGUST 10,1990
JEFFERSON COUNTY DEPT.OF PUBLIC WORKS
1620 JEFFERSON STREET
PORT TOWNSEND, WASHINGTON 96366
RE: JEFFCO PHASE 3
ATTN:FRANK HALL
THE FOLLOWING IS MELCO'S COST PROPOSAL FOR RFP #4.
PLUMBING CHANGES PER TARGET PLUMBING'S
ATTACHED COST BREAKDOWN. $ 967.07
MELCO INC. OVERHEAD & FEE
20%
193.41
1160.46
23.21
11 B3. 69
SUBTOTAL
BOND COST
TOTAL
IF YOU HAVE ANY QUESTIONS OR REQUIRE FURTHER INFORMATION
PLEASE CONTACT OUR OFFICE.
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P UMS'NG P.O. Box 1599
tfl!A~a SEQUIM, WASHINGTON 98382
INC. (206) 683-7511
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August: e, 1990
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Sequim, WA 98382
._~FP 414(1)
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As direc~ed by Melco, Inc. an4 Frank Hall, I have completed ~he tL~.
, and m..~e~i..l ~ork r-elated ~o RFP ~~ ~~;s.li!~~ l?l!. OWl ....,\<-.. -'~........~.
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BUILDERS & DEVELOPERS
Prm Office &x 1567 . Sequim. Wa.\hinKfon 98J82 . 68].656/0'681-457/
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
1820 JEFFERSON STREET
PORT TOWNSEND, WA 98368
RE: JEFFCO RENOV. PH. 3
SUB: RFP #4
ATTN: FRANK HALL
AUGUST 16, 1990
AUG 17 1990
JEFFERSON COUNn
olJBI II' IN()RKC 1"'\1::""
THE ACTIVITY COVERED BY RFP #4 IS NOW COMPLETE, AND THE
COSTS ARE ASSEMBLED AS FOLLOWS:
TARGET PLUMBING INVOICE
MELCO INC. OVERHEAD @ 20%
SUBTOTAL
BOND @ 2%
TOTAL
DISCOUNT
ORIGINAL NOT-TO-EXCEED AMOUNT
$ 926.77
185.35
1112.12
22.24
$1134.36
-23.66
$1110.70
WE HOPE THIS IS ACCEPTABLE TO YOU. PLEASE NOTE UNION
REGULATIONS ENCLOSED PER YOUR REQUEST.
~~''''\
CARL R. GOING
PROJECT MGR.
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9:42 TARGET/W.C. MECHANXCAL
P_~2
1206 HIghway 101 East
P.O. Box 1599
SEQUIM, WASHINGTON 98382
(206) 683.7511
o IN~(Q).D ~ [g.
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Augus t 8, 1990
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AS directed by Melco, Inc. and Frank Hall, I have completed the time
and lTlaterial~~:::k.._r-elated to..RF:~ II~: As invo~~~b~o&;.,...,_-,,~u....', .:-...._.
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AUC;-16-90 THU
... "..6.4'7
TARGET..........J.C.
MECHAt-~ I CAL
P.03
9:4~
shall be permitted to withhold more than five
pay from the pay of any employee for any purpose (except (A)
It is agreed that a new hire may request and upo re-
all receive a payroll check of up to three day arned
base rate, payable on the first payday. roll ad-
nd deductions vill be made the nex egular pay
ia
abov
quest
pay at
justments
period.
(D) The Employer hall comply with
nal Revenue Service.
of the Inter-
itemized statement
any express or im-
to strike and picket
of money require~ by
(G) The em yer a.grees to a voluntary
sent to e depository (Ra:l.nier Banle or alternate).
should e employed for a minimum of one month before el
part ipation. Employees should be allowed to change the
t:l. amount twice withill a 12 month period.
Section 6. I~IMr.iEtl The folloving Overtime provision
control:
(A) No overtime call shall be less than two (2) hours wheZ!.
called from home, and be paid for at the Overtime rate. Satur-
day, Sunday, and legal holidays shall be paid at the regular
class:l.ficat:l.on of Overt:ime rate. See Article XIV, Section 3,
Service Work and Jobbing. Any overtime at the beg:l.nning or end
of the sh:l.ft will be for actual hours worked.
(B) Overtime prOVision for consecutive eight (8) hour work days.
Whon it: becomes necessary to work other than the regular estab-
l:l.shed hours of work, or on holidays, overtime must be paid as
follows: On all work the first t:wo (2) hours of overtime of each
day, Monday, throuah Friday, shall be paid at one nnd one-half
(1-1/2) t:l.mes the basic wage rate plus one and one-half (1-1/2)
times the Haalth, Welfare and Vaclltion (Dental o:lcluded). The
first ton (10) hours worked on Saturday shall be paid at one and
one-holf times (1-1/2) times the basic wage rate plus one and
one-half (1-1/2) time~ the Health, Welfare, and Vacation (Dentnl
excluded). All other overtime including Sundays and haUdaya
shall be po:l.d at two (2) times the bas:l.c wage rate plus one nnd
one-holf times Health, Welfare, and Vocation (Dental cllI:cludod).
E~ception: See Service Work (Jobbing) Ovortime, Article IIV,
r:~~:I:~D 1
17
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AUG-16-90 THU
9 :43 TARGET............J. c_
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(C) Overtime provision for four consccutivl: ten (10) hour ,~".
days. When it becomes necessary to work other than the regu'.
established hours of work or on holidays, overtime must be pa .
as foll01o's: On all wor;k, the first ewo (2) hours of oVertiCf\
each day, Monday through Thur;sday, or Tuesday through Friday,
shall be paid at two (2) times the basic wage rate plus one and
one-half (1 1/2) times the health & welfare and vacation (dental ".
excluded). The first ten (10) hours worked on Friday and Satur- .
day, or Saturday and Monday (whichever shall apply) shall be paid
at one and one-half (1 1/2) times the basic wage raee plus one
and one-half (1 1/2) times the health & welfare and vacation
(dental excluded), All other overtime, including Sundays and
holidays, shall be paid at two (2) times the basic wage rate plus
one and one-half (1 1/2) times the health & welfare and vacatiOn
(dental excluded).
(D) Employees at the direction of the Employer working f~ur (4)
or more hours of Overtime, prior to a scheduled shift or regular
work day, shall work the scheduled shift or regular work day at
one and one-half (1-1/2) times the basic rate of pay, plus one
and one-half times the Health. Welfare, and Vacation (Dental ex-
cluded)' unless there is a break of eig~(8)""ho.u..r,.ll...-R&or to t1;;..~
scheduled shift or regul!1.,r wort. day' and sliAY1~:jle"~i!n-tinmWfP..J\.
. ~'tr--;~"'-~i-crre:t::'::t'h"'~'E .'....f.;=..,.~;~)>"'C.:.p...~.nie" f o~~sti'1 d~'~'8-tU8"nie.t:to...d .~,;;d
ea::'~~"i.~..~!;;':,~::,i"!~':i."C";.'~I~.:,.;r.'.J~!'~~,r.,e.'~""h\..~:~,..::!~~.:~=;;;.;;~w-...._
(E) When any Employee at the direction of the Employer works
continuously over two (2) hours overt:l.me after a regular eight
(8) hour work shift, he shall 'be allowed a paid eating period of
30 minutes at the expiration of the second hour and every four
(4) hours thereafter. On jobs where four (4) regular 10 hour
shifts are worked, a paid eating period of 30 ~inutes will be al-
lowed before beginning any overtime and an additional 30 minutes
lunch period will be allowed every four (4) hours thereafter.
ARTICLE :III
APPRENTICES
Section 1. The Employer agrees to employ apprentices in confor-
mity with the approved minimum apprenticesbip standards of the
Seottle Area JATC. All apprentices shall be registered and :l.n-
dentured to and by the Journeyman and Apprentice Training Com-
mittee, Apprentices shall be ossignad to tho various shops by
the Journeyman & Apprentice Training Committee.
Section 2. AU \fOrking concliUons governing tho employment of
journeymen shall also apply to apprentices.
Section 3. Apprentices shall lIOt be allowed to work On any work
in the abseace of a journeyman, unless approved by the Seattle
Area Journeymnn & Apprentice Trniniog Committee.
-f.l'i::'(:~-Ei\1 E D
N.JJ 1 G 1990
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'Dotumenl: raH 7/13/9011.40 AM, from: Meleo Inc, Cruled: 7/13/90 II:". RM
MELee, INC.
BUILDERS & DEVELOPIi:RS
P.o. sox 110&7. 5EI;lUIM, WAliIHINGTCN 983132
8B3-&56T OR 683-4571
'age I of I
I MESSAGE REPLY
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MELCO, INC.
8UIL.DERS & DEVEL.DPERS
P,O. 80X 1567 . SEQUIM, WASHINGTON 98382
683-6561 OR 683-4571
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P,O. Box 1587
Sequlm. WA 98382
(206) 683-6561 (206) 683-4571
FAX (206) 683.1855
TO'--=>~'" Co, ~\.\c..W~\
ATTEfolTION: ~ \.-4A-L-t-
GEfolTLEMEN: W. .r. sending you I(Horewith
o PLANS 0 PRINrS
o SPECIFICA1'IONS t(SHOP DRAWINGS
o TRACINGS 0 SAMPLES
TRANSMITTAL FORM
NO_
OAT' "I-";-<1Cl JOB NO. \I'VI-\\L-
JOB NAME .-.... .w\>~OJS'; ~~"""'l:l....;)
JOII LOCATIOfol P~T I'cx,..J....<; ~
RE' Ll:>v..l VJAU- ~~ N1='~"l'V--.,.J'r
o Under separ.ne cover the following hems
o CATALOGUE CUTS
o CHANGE ORDER
o PURCHASE ORDER
o COPY OF LETTER
coP I ES
DATED
NO.
DESCRIPTION
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THESE ARE 1'I'lA'NSMITTED (el oh.ck.d 11.low)
P(;OR APPROVAL 0 APPROVED AS SUBMITTED
o FOR YOUR USE 0 APPRoveD AS NOTED
o AS REQUesTeD 0 RETURNED 'OR CORRI!CTIONS
o FOR REVIEW AND COMMENT 0
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lIeMAI\KS:
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o SUBMIT _COPIES FOR DISrR IBUTION
o RESUBMIT_COPIES FOR APPROVAL
o RETURN CORRECTED PRINTS
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SIGNIO~
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt. P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA
Att'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
6 August, 1990
Sub: Request for Proposal #2-Acceptance
We wish to have Target proceed with the work outlined on Porposal Request #2. We will accept
the credit proposed by Target to delete the plumbing rough-In, mop sink, faucet and carrier at
$447.30. Please direct your subs to proceed based upon your letter of July 11, 1990_
Therefore the credit approved by this letter should be $701.30 plus $14.02 bond for a taxable
amount of $715.32.
Should you have any comments or suggestions please contact our office.
di:L~
Frank Hall
Project Inspector
100% Rocyclod Pa~or
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ocumen': FaH 0/2/90 9.12 HM, rrom: Melco Inc, Created: 0/21909:12 RM
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P.O. Box 1567
Soqulm, WA 98382
(206) 683.6561 (206) 663-4571
FAX (206) 683.1855
TO: :SO'frr,,-, A.)I>,) Ie WcR~S
ATTeNTION: ~~ ~L.L
GENTLEMEN: W. Ire .ending you ~.rlWlth
lJ PLANS
lJ SPECIFICATIONS
lJ TRACINGS
CJ PRINTS
CJ SHOP DRAWINGS
CJ SAMP LES
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TRANSMITTAL FORM
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DATE /B-Z....qO JOBNO.IM-\'2-
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JOB LOCATION ~,""\t,...,....~.,."......
RE: Rf~ ~ z.
CJ Undor seplra11 cover the1ollowlng Items
CJ CATALOGUE CUTS ~OPYOF LE"rTEII
a CHANGE ORDER
a PURCHASE ORDER
COPIES
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DATED
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NO.
DESCRIPTION
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TH~se AilE TAA'NSMITTED II' """eked bolow)
o FOR APPROVAL 0 APPROVIID AS SUBMITTED
~R YOUR USE 0 APPllOVED AS NOTIID
a AS RGOUESTIiD 1:1 RIiTURNED FOR CORRECTIONS
1:1 FOR RI!VIEW AND COMMENT 0
o FOR BIDS DUE
RIMAPlKS,
COPV TO:
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Cl SUBMIT _COPIES FOR DISTRIBUTION
a RGSUBMIT _ COPIES FOR APPROVAL
a RETURN CORRECTED PRINTS
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19 _ 1:1 PRINTS RETURNED AFTER LOAN TO US
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AU9\1st 2, 19~0
To, Meleo, InCl.
Attn. Carl Coing
1206 HillhwQy TOT East
P.O. Box 1599
lSE:QIJIM. WASHINGTON 118302
(206) 683-7$11
FAX(206) 683-8137
Please voi~ cost: breakdown ~Ub~tt:t:e~ by Target on
.;)'\uy 31, 1990.
As directed by Meleo ana Frank Hall. I'm aUbmit:t;ng 8
cost breakdown Qn RFP ~2.
Here is the breakdown.
1 - MO~~ink, taucet: and carrier
Rough-in 11-.
** Breakdown on Rough-in,
1:1" ClOpper pipe
10-~. ClOpper ti~ting
5-2" ABS pipe &
tit!:in"
4 hour. labor 0 $45 hr
Bcott BowQr
." '~-, '.; ",'.', ..'.:y <";,;.~t~.,~;.~~~t~~: '~'I,j!.~
$22,00
10.05
25.25
l!lO.OO
$237.30
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$210.00
237 ..ll
$447.30
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 96366
(206) 385-9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA
A!I'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
16 July 1990
Sub: Request for Proposal #2 (Melco submittal dated 7-16-90)
Per our phone conversation today, I cannot accept the amount to delete the mop sink, faucet.
and plumbing work to be a fair representation of work being deleted_ Based upon the submitted
amount to tie in the drinking fountains we would expect this work in the plumbing issues alone to
yield a credit In the neighborhood of $2000.00. This work is scheduled at premlunm time,and
Includes in slab waste and supply as well as a vent.
I also need a breakdown showing that the offered credit for carpentry and door hardware covers
the deleated shelving, Interior wall finish and electrical.
Should you have any comments or suggestions please contact our office.
IA~
Frank Hall
Project Inspector
100% Rocvclod Papor
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Pocument; h" 1116/90 ..S5 HM, From: Melco Inc, Crnt.d: 7/16/90 1:53 "M
J. . MELCe, INC.
BUII.DERS; A DEVEL.CPE:RB
P.C. BCX 1567' SlEQUIM, WASHINGTON gQ:aQ:Z
6B3-6561 DR 6&3-4571
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MESSAGE - REPLY .
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BUILDERS & DEVELOPERS
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PoJr Office &x 1567 . Sequim. Washington 98382 . 681.6561 or 681.4571
JUL 121990
JEFFERSON COUNT'.
',. H:tl ,roo ",,("\OVC"" ,...q-""
JULY 11, 1990
JEFFERSON COUNTY DEPT. OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WA. 98368
RE: JEFFERSON COUNTY COURTHOUSE PHASE III
SUB: RFP #1,RFP #2
ATTENTION MR. HALL:
I WOULD LIKE TO ADDRESS THE TWO PROPOSALS AT THE SAME TIME.
THE DELETIONS AND ADDITIONS REQUIRED BY BOTH WILL TEND TO
NEUTRALIZE EACH OTHER TO SOME EXTENT. THE SHIFTING OF NET
SQUARE FOOTAGE OF ONE MATERIAL FOR ANOTHER, FOR EXAMPLE
LAMINATE OR PLASTER FOR PANELING, REQUIRE OVERHEAD EXPENSES
TO ASSESS. IN ONE INSTANCE, SHOP DRAWINGS' AND MATERIAL
ORDERS HAVE HAD TO BE REDONE.
ALL THINGS
FOLLOWS:
06001
06410
08712
15000
CONSIDERED, THE AMOUNTS WE CAN CREDIT ARE AS
- $200.00
- 50.00
-179.00
- 447.30
-$876.30
ITEMS NOT LISTED WERE TOO CLOSE TO CALL.
CARPENTRY
CUSTOM CASEWORK
DOOR HARDWARE
PLUMBING PIPING/FIX.
~~
CARL GOING,PROJECT MANAGER
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LETTER OF TRANSMITTAL
TO: flEUO. /Ajc.
Jefferson County Department 01 Public Works
P.O. Bo. 1220
Port Townliend. WA 98368
Phone: (206) 385-9160
FAX: (206) 385.9195
DAlE: 2'1 J:.NE 19ft)
ATJN: tJAi!L ~IJJ"
RE: PHII"E::or
We are sending you _ attached
_ under separate cover
the items listed below:
_100 date_.
-~
t.rrTEIt. a: re.ltJlfItT Fell ~. F: Pi
t.t!!TTe1?/U?: I?ct:JLJl.~ 1f'c,iZ 1k~P<:dI9L -tI z.
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nn:sE ARE TRANSMITIED as chec1::ed below:
_ For approval _ Approved as submitted
::t. For your use _ Approved as noted
_ As requested _ Returned for corrections
_ For review and _ Resubmit _ copies fOr approval
comment _ Return _ corrected prints
REMARKs:
SIGN8)C#~~
IF' ma.tAII!S AIIl tIC7f .u.".,.. ft.r.I.Ir."..."... \A AT 012
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Meleo, Inc.
P.O. Box 1567
Sequim,W A 98382
Alt'n: Carl Going
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
29 June 1990
Ref: Jeff. Co. Courthouse Renovation
-Phase m
Sub: Format for R.F.P.
If your responce to our R.F.P"s provides for an adjustment to the
Contract Sum or Time, the adjustment shall be broken down to show
its application to the schedule of values.
Your assistance in providing this information will be greatly
appreciated.
Very Truly Yours
~~
Frank Hall
Project Inspector
100% Rocyclod Paper
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 9B368
(206) 385-9160
Melco, Inc.
P.O. Box 1567
Sequim.WA 96382
AII'n: Carl Going
Ref: Jeff. Co. Courthouse Renovation
-Phase III
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
29 June 1990
Sub: Request For Proposal #2
We request a proposal from you to make modifications In restroom #209 and #210 as
required to produce the following results:
-Delete corner closet and shelving In #209
-Delete corner closet, mop sink, and Shelves In #210
-Complete floor. cellng. and walls In this area In accordance
-with finish schedule for respective room #209 and #210
-Door #13 to be used at door location #12
-Door #14 to be used at door location #11
-Doors originally scheduled for use at location #11 & #12 to
be turned over to owner
New hardware schedule for doors at location #11 & #12 to be as follows:
ITEM NUMBER FINISH QUANTITY
Hinges
Closer
Klckplate
Mop Plate
Wall Bumper
Push Plate
Pull Plate
Dead Bolt
BB1166 4.1/2x4-1/2
K2820H SNB LBL
37 10"x34"
37 4"x35"
WC9X
#470
#370
34H7R (Handed)
US10A
Bronze
613
613
US10B
US10B
613
1-1/2pr.
1
1
1
1
1
1
1
Push/Pull Plales specified by BUILDERS BRASS. Dead Bolt specified by BEST.
Please expedite so that we may respond to your proposal wllhout any delays.
~ TrUIY.Jo~
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Project Inspector
10011/(1 Rocyclod Papor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, 80x 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequlm. WA
AlI'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
16 July 1990
Sub: Notice to proceed (RF.P. #1)
We accept your proposal for a CREDIT of $175.00 for the changes propose on our Request for
Proposal # 1. Please proceede with thIs work.
Should you have any comments or suggestions please contact our office.
~~
Frank Hall
Project Inspector
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o.Ic::ntl1~: reIl7/16/90 8.3] AM, rrom: Meleo Inc, Creeted: 7/16/90 8:33 RM
MELee, INC.
ElUIL.DERS & tlEVEL.CPERB
P.C. BOX 1567 . SEI;lUIM. WASHINGTON gg:Oa;l:Z
683-6561 DR 6S3-4571
P.g. 1 .r I
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BUILDERS & DEVELOPERS
Past Office Box /567 . Sequim, WtHhingron 98381 . 68J.6561 or 683-457/
'.j ::.:. ~',.
j\JL 1 Z 199\;
JEFFERSUN COUNT'.
~IIPl ,r'" ,,.fr'd':\I/C" _fl'"'
JULY 11, 1990
JEFFERSON COUNTY DEPT. OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WA. 98368
RE: JEFFERSON COUNTY COURTHOUSE PHASE III
SUB: RFP #l,RFP #2
ATTENTION MR. HALL:
I WOULD LIKE TO ADDRESS THE TWO PROPOSALS AT THE SAME TIME.
THE DELETIONS AND ADDITIONS REQUIRED BY BOTH WILL TEND TO
NEUTRALIZE EACH OTHER TO SOME EXTENT. THE SH!FTING OF NET
SQUARE FOOTAGE OF ONE MATERIAL FOR ANOTHER, FOR EXAMPLE
LAMINATE OR PLASTER FOR PANELING, REQUIRE OVERHEAD EXPENSES
TO ASSESS. !N ONE !NSTANCE, SHOP DRAW!NGS AND MATER!AL
ORDERS HAVE HAD TO BE REDONE.
ALL THINGS
FOLLOWS:
06001
06410
08712
15000
CONSIDERED, THE AMOUNTS WE CAN CREDIT ARE AS
CARPENTRY
CUSTOM CASEWORK
DOOR HARDWARE
PLUMBING PIPING/F!X.
- $200.00
- 50.00
-179.00
- 447.30
-$876.30
ITEMS NOT LISTED WERE TOO CLOSE TO CALL.
@~
CARL GOING, PROJECT MANAGER
CG:rm
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LETTER OF TRANSMITTAL
Jellerson County Department of Public WorIcs
P. O. Box 1220
Port Townsend. WA 98368
Phone: (206) 385-9160
FAX: lZ061385-9195
TO: ,4!'nu.J I IAJC
l17 Ji.<.4Ji!!" /~~o
t!ARI t:...t!J,A)t:
PNA5L!:' ::fU
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DATE:
AlIN:
RE:
We are sending you _ attached
_ under separate cover
the items listed below:
_Ieo
date
_ptlon
4-
'2.tl;J"u 1!1
J? I=P iJ-1
1ln:sE ARE lRANSMI'TIED as checked below:
_ For approval _ Approved as submitted
~ For your use _ Approved as noted
_ As requested _ Returned for corrections
_ For review and _ Resubmit _ copies for approval
comment _ Return _ corrected prints
REMARKS:
SIGNED
IF Dr.::IJ:ID.MS ". ." Ai tDTEf"l fU.A.!Jr MCT1P'Y ~ ", CN:F
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JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
\
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
Melco, Inc.
P.O. Box 1567
Sequim,W A 98382
28 June 1990
AU'n: Carl Going
Ref: Jeff. Co. Courthouse Renovation
-Phase III
Sub: Request for Proposal #1
We request your proposal to make the changes shown on the
attached drawing #C-I, Dated June 25,1990.
The major changes are:
-Revision to the Judges Station
-Revision to the Court Recorders Station
-Revision to the Jury Box
-Change in the screen walls for the Jury Box
-Elevations have been entered on this drawing
Please expedite so that we may respond to your proposal without
any delays.
~ Tru~y ')>}r~~
dri~
Project Inspector
100% Rocyclod PapN
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
PO. Box 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe. P. E., Director
Rooer, G. Nesbitt. P.E., County Engineer
Melco, 100
P.O. Box 1567
Sequim, WA 98382
AU'n: Melvin Hendrickson
21 March,1991
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Owner's Claim #4
We are submitting as part of Change Order # 3 our claim for reimbursement for liquidated
damages based upon nine (9) days at $100.00 per calendar day.
Project started
Project scheduled for completion (140 days)
Approved contract time extension (10 days)
Date of Substantial Completion
26 June, 1990
11 November, 1990
21 November, 1990
30 November, 1990
REIMBURSEMENT TO JEFF. CO. FOR LIQUIDATED DAMAGES $900.00.
Shoutd you have any comments or suggestions please contact our office.
Sincerely
~/~/
Frank Hall '
Project Inspector
c.o: file
100% Rocyclod PapN
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Streel
P,O, Box 1220
Pori Townsend. WA 98368
(206) 3B5.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt. P.E.. County Engineer
Melco, Inc
P_O. Box 1567
Sequim, WA 98382
AIl'n: Melvin Hendrickson
Ref: Jeff Co Courthouse Renovation - Phase 3
21 March,1991
Sub: Owner's Claim #3
We are submitting as part of Change Order # 3 our claim for reimbursement of funds expended by
Jefferson County to rework the rough-In wiring for the owner fumlshed light fixtures to be Installed
In the new District Courtroom. This rough-in wiring was installed as three seperate groups wired In
series. The fixtures required remote balasts and needed to be wired for individual balast control.
ACTUAL COST PER ATTACHED INVOICE $1749.82
Should you have any comments or suggestions please contact our office.
Sincerely
&~Ld~
Frank Hall
Project Inspector
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CRAIG ELECTRIC
Wash. Lie. Cralge #101U
P.O. Box 522
PORT TOWNSEND. WASHINGTON 98368
D.Z:S:Dqb .
(206) 385-9714
TO ~-- Co- ~ do-' 7Lb.~S.
1518
38,::; ~ 11PO_
-I ""ON<
DESCRIPTION
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OROt:R ,......tN .,,.
AMOUNT
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LABOR
HOURS RATE
AMOUNT
TOTAL MATERIAL
TOT AL LABOR
WO..... DRt'o(R[D hV
DAn CO....NnU'l 101 Al
L^OOI~
TAX
PAY THIS AMOUNT"
crhank C)bu
11IGNA'UR[ II tll'r,tl~ .c~ncw"raClr 1M "':"IClL'Il)'
compl"',oM 01 Ih,. Itln,... arH'lbrCl ....0110 I
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Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AU'n: Melvin Hendrickson
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt, P,E., County Engineel
21 March,1991
Sub: Owner's Claim #2
Ref: Jeff Co Courthouse Renovation - Phase 3
We are submiUing as part of Change Order # 3 our claim for reimbursement of funds expended by
Jefferson County to purchase light canopies as recommended by Dawn Electric. These canopies
were purchased as an attempt to correct the problems with the new wiring Installed by Dawn
Electric for lighting In the new District Court. This solution was not acceptable as it was to noisy.
ACTUAL COST PER ATTACHED INVOICE $973.66
Should you have any comments or suggestions please contact our office.
Sincerely
_4~-B41~;'
~Hall
Project Inspector
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe. P.E.. DlfeCfor
Robert G. Nesbitt, P.E., County Engineer
Melco. Inc
P.O_ Box 1567
Sequlm. WA 98382
AII'n: Melvin Hendrickson
21 March,1991
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Owner's Claim #1
We are submitting as part of Change Order # 3 our claim for reimbursement of funds expended by
Jefferson County to rework the Telephone/Data communications conduit to accept the cabeling
that is necessary to serve the new District Courtroom area.
ACTUAL COST PER ATTACHED INVOICE $396.16
Should you have any comments or suggestions please contact our office.
Sincerely
c.&.~~L~
Frank Hall
Project Inspector
c.o: file
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CRAIG ELECTRIC
Wash. Uc. Cralge 8150CR
P.O. Box __ ~
PORT TOWNSEND, WASHINGTON 98368
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OADltR TAKEN BY
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DESCRIPTION
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TOTAL MATERIAL \
TOTAL LADOR \
LABOR
HOURS RATE
AMOUNT
WORK OADUIID UY
5'k.'Z.~
TAX .:;:;p, u~.
PAYTH'SAMOUNT. 3Q",. 1(,
~~':n~~.~~~Eo\II~~':~~~..c~~~~::bd.QJ' ~~~k')'II'I'CIOry
I DATI: COM"l-I!:U:D
TOTAl.
LADOR
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe. P.E.. Director
Rober' G. Nesbitt. P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
21 March,1991
All'n: Melvin Hendrickson
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Wainscote & Trim Moulding
My analysis of the contractors submittal for obtaining these materials as discussed during our
meeting of 21 March 1991 is as follows:
Cost of Materials
2% Bond
7.8% State Sales Tax
2742.70
54R5
2797.55
2'1821
3015.76
TOTAL
Should you have any comments or suggestions please contact our office,
Sincerely
/7 t // '
@&J ~47
Frank Hall
Project Inspector
c.c: file
100% RccyclN1 Paper
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Po.\( Office Box /567 . Sequim. J""a_~hjnKton 98J8! . 683.6561 or 683.457/
BUILDEHS & DEVELOPEHS
.it It;;: " . tl""'r'" ,
; 11 a;; V \~., ,; Paa ;t..~
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WA 98368
SEP 20 1990
JEFFERSON COUNTY
PUBLIC WORKS OFt"
SEPTEMBER 20, 1990
REF: COURTHOUSE RENOVATION PHASE 3
SUB: 01010 OWNER FURNISHED ITEMS
ATTN: FRANK HALL
MELCO, INC. HAS ORDERED WAINSCOTE AND WALL MOULDING SHAPES
AS REQUIRED TO FULFILL PROJECT NEEDS. THE SETUP AND FOOTAGE
COSTS EXCEED OUR BID ALLOWANCE BY NEARLY $3000.00.
AT THE PREBID WALK-THRU, SCOTT BOWERS OF TARGET PLUMBING
HEARD ME ASK TO SEE THE EXISTING USED MATERIALS AND BE TOLD
THAT THEY WERE NOT ON SITE. AS IT TURNED OUT, THERE IS NO
USABLE FOOTAGE. OUR GOOD FAITH BID INCLUDES LABOR ONLY.
OUR GENERAL MANAGER, MELVIN HENDRICKSON, HAS ASKED ME TO
INFORM YOU THAT HE WILL SUPPORT THE JOB PROGRESS AT THIS
TIME, BUT INTENDS TO SEEK REMUNERATION FOR THESE MATERIALS
THAT THE COUNTY HAS NOT PREVIOUSLY DISPLAYED, PROVIDED, OR
PAID FOR THROUGH CONTRACT OR CHANGE ORDER.
SINCERELY,
~~c6A~
CARL R..'~
PROJECT MANAGER
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JEFFERSON COUNTY "^,W'
DEPARTMENT OF PUBLIC WORKS \'
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1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 9B368
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc.
P.O. Box 1567
Sequim, WA 98382
All'n: Carl Going
Re: Jeff Co Courthouse Renovation' Ph-3
12 September 1990
Sub: Section 01010 (Summary of Work)
The work referred to In Section 01010-1.02-B are materials existing in the area of
work and does not refer to items removed from other areas of the courthouse. Therefore
these items were observed during the pre-bid conference.
The products referred to In Section 0101 0-1.03A are In reference to items that the
owner has or may have in storage and according to the note "contractor must view
materials in both categories above to determine what material is usable before bid
opening.", I view this as the contractors responsibility. It is my opinion that If the
contractor did not view these materials then he has accepted the responsibility to
provide them at no additional cost to the owner.
Additionally we have made available to the contractor all of the material (used cedar
wainscoting and misc. trim) that the owner has available in storage,
I find no disparity in 'OWNER FURNISHED' and 'CONTRACTOR FURNISHED' materials.
Should you have any question of comments please call our ollice.
~
Frank Hall ~
Project Inspector
'OOIl/a Rocyclod Papor
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BUILDERS & DEVELOPERS
Po.~t Office &x /567 . Sequim. WQ..\'hington 98381 . 683.6561 or 683.457/
\i.:. ~;;~
SEP 12 1990
JEFFERSON COUNT'
DUBL lr Wr)Rl<c I'1l=r
SEPTEMBER 11,1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WASHINGTON 98368
RE: COURTHOUSE PHASE 3 - CASEWORKIFINISH CARPENTRY
ATTN:FRANK HALL
OUR INSPECTION OF AVAILABLE EXISTING WAINSCOTING & TRIM
MATERIALS DID NOT,UNFORTUNATELY ,TAKE PLACE AT THE PRE-BID
WALK-THRU. BIDDERS WERE TOLD THE MATERIAL WAS NOT ON SITE
AND NO MORE WAS SAID.
SUBSEQUENT INVENTORY OF CEDAR SALVAGE REVEALED INCOMPLETE
QUANTITIES AND/OR HEAVILY PAINTED MATERIALS.
A FIRM BID ON SETUPS AND FOOTAGES OF THE VARIOUS SHAPES TO
RECONSTRUCT THIS PROJECT COMES TO $ 2,742.70 WITHOUT
MARKUP OR INSTALLATION.
MELCO,INC. DOES NOT FEEL RESPONSIBLE FOR THIS DISPARITY
IN "OWNER FURNISHED" AND "CON'rRACTOR FURNISHED" MATERIALS.
PLEASE ADVISE.
~ELC INC.
,
".'~
CARL GOING;PR JECT MANAGER
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SECTION 01010
SUMMARY OF WORK
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Work by Owner.
8. Owner furnished Products.
C. Contractor use of site and premises.
O. Future work.
E. Work Sequence.
F. Owner occupancy.
1.02 WORK SY OWNER
Ii
A. Items noted 'NIC' (Not in Contract), will be furnished and installed by
Owner.
Items noted 'telephone oullet' will be furnished by owner and Installed by
contractor to be selected later.
All work shall be coordinated with the contractor and owner to
facilitate a good, economical Installation.
B. Owner will remove and retain possession of the following
Items prior to start of work:
1. Existing lighting fixtures.
2, Existing cedar wainscoting and misc. trim,
3. Existing plumbing fixtures and heating and plumbing
filling, thermostats, control valves.
Note: contractor must view materials In both categories above to
determine what material is usable before bid opening.
1.03 OWNER FURNISHED PRODUCTS
..
A, Products fumlshed to the site and paid for by Owner:
1. Existing ceramic hallway 1100r tiles.
2. Existing used cedar wainscoting and misc. trim.
3. Light fixtures as noled on plans
Nota: contractor must view materials In both categories above
to determine what material Is usable before bid opening.
S. Owner's Responsibilities:
1. On del1very, Inspect ProductS Jointly with Contractor,
, " '", ,':'~;:" ,
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MELce. INC. ...\
BUILDERS & DEVELOPERS .:
P.O. SOX 1567' SEQUIM. WASHINGTON 98382
683-6561 DR 683-4571
. M E S SAG E' '. "., . R E P L, y. ., '
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AII'n: Melvin Hendrickson
Ref: Jeff Co Courthouse Renovation. Phase 3
Sub:R.F.P. #18
1820 Jelferson Street
P.O. Box 1220
Port Townsend. WA 9836B
(206) 385-9160
Gary A. Rowe. P,C.. Director
Robert G. Nesbitt. P.E.. County Engineer
21 March,1991
Cost for Dawn Electric
20% Profit & Overhead
My analysis of the contractors submittal for wor1< performed on this Request for Proposal #18 is as
follows.
2% Bond
7.8% State Sales Tax
1438.73
28775
1726.48
3453
1761.01
13736
TOTAL 189B.37
Should you have any comments or suggestions please contact our office.
Sincerely
~,J~
Frank Hall
Project Inspector
c.c: file
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DEPARTMENT OF PUBLIC WORKS
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Melco, Inc
P.O. Box 1567
Sequlm, WA 98382
Alt'n: Melvin Hendrickson
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub:R.F.P. #17
1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.r" Director
RObert G. Nesbitt. P.E., County Engineer
21 March,1991
My analysIs of the contractors submiltal for work performed on this Request for Proposal #17 is as
follows.
Cost for Dawn Electric
Melco (PatchIng)
20% Profit & Overhead
2% Bond
7.8% State Sales Tax
755.37
5000
805.37
16107
966.44
1933
TOTAL
985.77
7689
1062.66
Should you have any comments or suggestions please contact our olllce.
Sincerely
cfZ4t-!~'
Frank Hall
Project Inspector
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100% Rocyclod PapClf
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NOV 0:) 1990
DAWN ELECTRIC. INC. '_
P. O. Box S9 JEFFERSUN -';UUN
Hadlock. W" 98330>UBLI(: wnRK<: nt:
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INV# 2166B-4
10/25/90
-,
NELCO, INC.
p.O. BOX 1567
SEQUIN, WA 98382
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DETACH AND MAIL WITH YOUR CHECK. YOUR CANCELLED CHECK IS YOUR RECEIPT.
10/25/90 (REVISED)
INV# 2166B-4
JOB SITE: JEFFERSON cry CTHS
JOB DESCRIPTION: EXTRA'S ABOVE BIOI RFP-17
LABOR & MATERIAL TO MOUNT GUTTER OUT FROM
WALL MATERIAL.
COSTS: LABOR 7/3J/90 DICK JOHNSON 7: HRS
7/31/90 DAVE GOOSE 7: HRS $573.00
MATERIALS: 20' G4000B WI REMOLD $38.25
20' G4000C " " 21. 83
20' G4000D " " 7.45
1 G40J4A " 17.52
2 40]00 " 17.85
J G400] " " 2.24
7 G400JD " " 3.06
FREIGHT CHARGES ~
SUBTOTAL
, , . 10% MARK UP
I,A Wt" I 11:( I R 1('. I~~t:. TOTAL AMOUNT DUE
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequlm. WA 98382
AIt'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
8 October 1990
Sub: Billing for RFP #17
Carll understand the Dawn Electric, Inc. statement of 8-24-90 but it does not cover the requested
Issue. I requested a copy of their receipt for the purchase of this gulter from their supplier. A
statement of account Is not sufficient. A breakdown of Labor (with copy of weekly time sheet) and
materials (with copies of supporting reclepts) is required for analysis and approval of this Issue.
Sales tax is not applicable on Dawn Electric's billing as ills added into the total cost to the general
contractor.
You are to present a complete billing of your cost proposal to the owner Including the required
supporting documentation.
Should you have any comments or suggestions please contact our office.
Sincerely
~~
Project Inspector
100% Rocyclod PlIpor
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DEPARTMENT OF PUBLIC WORKS
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1820 Jefterson Street
P.O. 80x 1220
PorI Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Rober, G. NeSbitt, P.E., County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AIt'n: Carl Going
Ref: Jeff Co COUrlhouse Renovation _ Phase 3
Sub: Request for ProPOsal #17
We request a Cost Proposal to furnish and Install a divided eleC/rical gutter at the east end 01 room
#208. Gulter to be divided to provide separate area for high and low Vollage lines. Speclric
Instructions were provided to moun! the gutter approx. 3" from the wall.
5 October 1990
Carl this form Is for conf/nnallon and consolidation of our previous request to do this work.
Should you have any comments or suggestions please con/act our office.
Sincerely
~~~
Project Inspector
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MELCO INC.
P.O. BOX 1567
SF.QUlM. WI. 98382
INV 12166B-4
8-24-90
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DUACH ",,0 MAl< WITH VOUR CHECK. VDUR '.....'ELlEO CHECK,HOUR RICI'".
8.24-90 INV '2166>>-4
JOB SITE: JEFFERSON COUll'rY COURT HOUSE
JOB DESCRIPTION: EXTRA'S ABOVE BID/RE~
COSTS: ROOM 1208 (1) ONE 4"" 1 1/2" GU1'IEll R/.S
BEEN ADDED llY OWNER $573.00
UBOR AND MATERI1.L TO MOUNT
GUTTER OUT FROM J104.~0
RECEN~Q. $67MO
PJJ3 2 a 1990
\
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52.85
S,.LES TAX (IF AI'PL)
tarA!. AMClIlllT DUB
j730.35
MEL.eO 11-10.
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TRANK YOU,
1,).... WN EJ,ECTIlIC, D-lc.
P. O. Box $9
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.AU ACCOUNYS IlUE IN fUL\ BY
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
PO. Box 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, P,E.. Director
Robert G. Nesbitt. P.E.. County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AIl'n: Melvin Hendrickson
ReI: Jell Co courthouse Renovation - Phase 3
21 March,1991
Sub:R.F.P. #11
My analysis 01 the contractors submiltallor work performed on this Request lor proposal #11 Is as
lollows.
Cost lor Dawn Electric 762.41
Melco (Rental) 50.00
Melco (PatchIng) jOOOO
20% Prolit & Overhead
912.41
jR248
, 094 .89
2190
1116.79
A701
1203.80
2% Bond
7.8% State Sales Tax
TOTAL
Should you have any comments or suggestions please contact our office.
Sincerely
~.L~;/
Frank Hall
Project Inspector
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DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O. 80x 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Melco, 100
P.O_ Box 1567
Sequlm. WA 98382
AlI'n: Carl Going
Ref: Jeff Co Courthouse Renovation. Phase 3
8 October 1990
Sub: Billing for RFP # 11
I need additional information supporting the charges on Dawn Electric, Inc_ statement of 8-24-90
on their Invoice # 2166B-1_ I need copies of weekly time sheet supporting hours billed and list of
materials and tools used with appropriate cost breakdown.
Sales tax Is not applicable on Dawn Electric's billing as it is added Into the total cost to the general
contractor.
You are to present a complete billing of your cost proposal to the owner Including the required
supporting documentation.
Should you have any comments or suggestions please contact our olflce.
Sincerely
~
Frank Hall
ProJect Inspector
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8-24-90
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MELCO INC.
P.O BOX 1567
SEQUDi, WA 98382
L ~
D!TACH "ND MAI\ WITH YOUR CHICK. YOUR C.....Cm!D CHECK IS YOU_ RICII.T,
8-24-9
JOB SITE. JEFFERSON COIlN1'Y COURT HOUSE
EXTRA'S ABOVE BID/REF ~
JOB DESCRIPTION I lolJ.N].'lN:i 3/8" roD :0; a;:n.IN:;
FOR LlGll'1' FIXTURl;S
COSTS I LABOR 1 JOURNEYMAN 8 lIRS
1 JOURNEYMAN 6 lIRS
$320.00
$240.00
$560.00
$196.00
S\IllTOTAL
MATERIALS Po TOOLS
SUBTOTAl. rECEIVED
SALES TAX (IF APP ) /JJJ.3 2 a 1990
'l'OTAL AMOUNT DUE
MELCO INC.
-rillS INVOICE IS ntJ!' \)jll)~ ~~Cl':LI"t**
THANlt YOU I
58.97
81lr.97
DAWN ELllCl' 1\ I.... .".
P. O. Jlo~ '9
Hodlock. :N A 9S33~
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flU ACCOUNTS DUE IN FULL BY
10TH OF MONTH.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, 80x 1220
Port Townsend, WA 98368
(206) 385,9160
Gsry A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, Inc
P.O. Box 1567
Sequim, WA 98382
AII'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal # 11
We have verbally requested additional Information from Dawn Electric to support their charges
of $756.00 for accomplishing lhe work outlined In RFP #11. I can not process this RFP Into a
change order until the requested Information is received.
25 September 1990
We now are requesting that you notify Dawn Electric that the work on RFP #11 has not been
accepted by the county and will not be accepted until they furnish us copies of their material,
rental and equipment receipts and time sheets to support their billing.
I also want this work recalculated to Include the repair Identified In your leller of September 24,
1990.
Should you have any comments or suggestions please contact our office.
Sincerely
4b:1~
Project Inspector
100%, Rocyclod Paper
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TRANSMITTAL FORM
NO.
TO:
p.o. Box 1567
SoqUIm, WA 98382
(206) 683.6561 (206) 683-4571
FAX (2C~ 683.1855
0~Co ~Ut. ~,A5
DATE 8 - 2. 6-~8 NO. \N'\-112
JOB NAME Co.. ~~r.T':>."~ ~
JOB LOCA'I'ION .p - 1 r~ , "'_ ,$ ~0.
RE: (?>~ ,\
ATTENTION: ~ ~L
GENTLEMliN: We ere lending you &(Horewlth
[J PLANS [J PRINTS
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C CATALOGUE CUTS
C CHANGE ORDER
C PURCHASe ORDER
o Copy OF LETTER
o SPECIFICATIONS
o TRACINGS
Cl SHOP DRAWINGS
o SAMPLES
An- ~A ~ ~ I .J(.~
COPIES
DATI!D
NO.
DESCRIPTION
THESE ARE TRA'NSMITTED (o.eIloeked bolowl
o FOR APPROVAL 0 APPROV!D AS SUDMITTED
f:rsj FOR YOUR USE 0 APPROVED AS NOTED
, O~S REQUESTED C RETURNED FOR CORRECTIONS
o FOR REVIEW AND COMMEN'I' C
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o SUBMIT -COPIES ~OR DISTRIBUTION
C RESUBMIT_COPIES FOR APPROVAL
C RETURN CORReCTED PRINTS
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19_ C PRINTS RETURNED AFTER LOAN TO US
COPv TO,
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DEPARTME:i'rr OF P!J611C WORKS
1820 Jefferson Stroot
PORT TOWNSEND. WA-98368
(208) 385-9160
DATE. 7 Aw;
1990
SUBJECT
TO IIlUCO,.JNC..
Pa If,:,x . /5&7
5&~/M, WA f!!)S38z..
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E:xrt:!:NO F,cc.,..1 (HP.I) USING
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SIGNED (""_......... .
lIt1m" F3no GrllVllro, P,O, Dnw ;20"", Hnrtford, CT 06104.20""
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STATEMENT
DA WN ELECTRIC. INC.
P. O. Box 59 J.EFFERSOI'l GOUN
HHdlr>ck, w., '1~O\)BLlC: W()RK'~ ....c.
I~OV 05 1990
I.
MELCO, INC.
P. O. BOX 1567
SEQUIM, WA. 98382
INV# 2166B-l ~
10/29/90
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DETACH AND MAil WITH YOUR CHECK. YOUR CANCellED CHECK IS YOUR RECEIPT.
10 29 90 *REVISEIt"
JOB SITE: JEFFERSON CTY CTHSE
JOB DESCRIPTION: EXTRA'S ABOVE BID/RFP-l1
MOUNTING 3/8" ROD IN CEILING FOR LIGHT FIXTURES
INV# 2166B-l
COSTS: LABOR 8/21/90 DICK JOHNSON 8 HRS
8/25/90 DICK JOHNSON 6 HRS
MATERIALS: 20' 3/8" THREAD ROD
50 HD! 38
1 TE-C+ !-6 BIT
MIse MAT.
SALES TAX ON INVOICE
$560.00
$7.70
45.50
39.95
33.28
6.67
SUB TOTAL $693.10
10% MARK UP 69.31
TOTAL AMOUNT DUE $762.41
THIS INVOICE HAS BEEN REVISED PER ORIGINAL
INVOICE DATED 8/24/90.
I),\\\'N, L1.FCTnlC, INC. *TIlIS INVOICE IS DUE UPON RECEIPTl
J. O. UIl.\ .'i~
H;ldllll,.'k, \\' ^ I}~JJ()
PAID 8Y CHEC~ NO.
8K 884 1lU"":U~f:.'I
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ORIGINAL INVOICE
INVOICE NUMBER;
INVOICE OA TE:
CUSTOMER AceT:
FOR JNVOICE INQUIRIES WRiTE:
HILT!,INC.
P. O. BOil 21148
Tulu. Oklahoml 74121
0086.53~02
06/21/90
99868UO
OR CALL: 1-918-252-6000
ASK fOR CREDIT REP.: ZAR
SILL TO:
DAWN ELEeTR IC
1251 OAKBAY
PORT LUDl.OW WA 98365
9986800
868003657
ORDER 0,0\ TE:
JOB SITE;
HILT! SALES REP:
PAYMENT RECa:
PIICUS I.IhITS UMTt
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THIS INIJ lei COMPI.IUS YQUA OIlQU. TM
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PACE 1 OF
c:I1. --. .a
DUNS, 00-117-3525
FEDERAL 10: 06-0732334
SHIP TO:
HrLrI CASH sse ~E"TTl[
12021 NORTHUP WAY
BELLtVUE W" 98005
08/07/90
6ASIL
KLINCISSttlTlI
CASH
UNITS 'UNrT
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,1"2,':40 DL ,t
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CASH 'ULr
CUSTOM'" "CCOUNT
9986800
I~ole. DATI
08/21190
PLI"SI MA-1lI CHICkl ~AYAILI TO: WLTI. INC., AND IUOW VOU" ACCOUNT NUMUR ON THI CHICK,
INCLOSI THI BOTTOM POATION WITH '''VMENT,
'AVMINT ENCLOIlD
0.00
INVOlel
008653-02
OILL TO
DAWN ELECTRIC
7251 OAKS"y
PORT LUDLOW WA 98365
I REMIT.TO I
It hempl, Sind fl. fumpllon Clnlflc.1I with Remittance
And UI. Eneloud Envelop. for P'vm1nt
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AMOUNT CUI
0.00
SHI'To,
IIILTI CASU SSC SEATTLE
1Z021 NORTHUP WAY
IIELLEVUE WA 98005
IITLTI, INC.
P.O. 1I0X 890881t
DALLAS, TEXAS H)89.0R84
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.E.. Director
Rober' G. Nesbitt, P,E.. County Engineer
Melco, Inc
P_O. Box 1567
Sequim. WA 98382
Alt'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #22
We request a COST PROPOSAL to Remove a section of flooring at the entrance to room #203
from room #202, 205 & 208. Infill these floor areas for an evenly sloped transition.
17 September 1990
Carl you are authorized to proceed with this wor\< on a cost plus basis.
Should you have any comments or suggestions please contact our office.
a:~~
Frank Hall
Project Inspector
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BUILDERS & DEVELOPERS
PaM Office &x J567 . Sequim. Wa.~hinK{O" 98182 . 683.656/ or 68].4571
OCTOBER 18, 1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WA 98368
ATTN: FRANK HALL
REF: RFP #22 PROJECT CH0872-873
SLOPED TRANSITIONS FROM MAPLE TO FIR,
AT FOUR OF YOUR DOORWAYS
SOME COSTS DID INCUR.
BY VARIOUS METHODS WE FORMED AN INCLINE
AT DOORS 2, 4, 7, AND 9.
WE NOW HAVE THE TALLY FOR YOU TO REVIEW,
THANKS FOR THE WORK, AND GOOD DAY TO YOU.
9/20/90
9/20/90
9/29/90
10102/90
C. GOING 2.5 HOURS
INVOICE "threshold"
C. GOING 2.0 HOURS
D. HENDRICKSON 3.0 HOURS
SUBTOTAL
OVERHEAD & PROFIT @ 20%
SUBTOTAL
WSST @ 7.8%
TOTAL
,..'.c: ,_,
UCT b 1990
,
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JEFFERSON COUNT
PUBLlr. wnRK<:: ""'1""
$81.25
19.52
65.00
97.50
263.27
52.65
315.92
24.64
$ 340 . 56
HOURLY RATE AND MARKUP BASED ON SMALL JOBS MEMO DATED
AUGUST 17, 1990.
SINCERELY,
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PROJECT MANAGER
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DEPARTMENT OF PUBLIC WORKS
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Gary A. Rowe, P. E., Director
Robert G. Nesbitt, P.E.. County Engineer
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
MeJco, lno
P,O. Box 1567
Sequlm, WA 98382
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #21
We request a CREDIT PROPOSAL to delete the installation of the two floor drains deleted in
room #209 and 210. This proposal shall consider the cost of materials and labor for the floor drain
as well as the deleted work involved In sloping the floor for the tile sellers,
13 September 1990
Should you have any comments or suggestions please contact our office.
~~
Frank Hall
Project Inspector
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BUILDERS & DEVEL.OPERS
P.O. BOX 1567. BEQUIM. WASHINGTON 98382
683-6561 DR 683-4571
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JEFFERSON COUNTY
DEPARTMENT O~ PUBLIC WORKS
1820 Jefferson Street
p,o, 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
Melco. Inc,
P,O. Box 1567
Sequlm. WA 98382
All'n: Carl Going
14 September 1990
Re: Jeff Co Courthouse Renovation Ph-3
Sub: Acceptance of Credit Proposal #20
We accept your CREDIT proposal of $648.74 to delete door #16 and #17 as Identified in
our request.
Should you have any question of comments please call our office.
~relY /J'
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Project Inspector
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BUILDERS'" DEVELOPERS
PwtOJl1c'tBoxlS61 0 Stquf",. W4'Cht"l"M9.!J6J 0 66J4J611N6IJ-4J1/
SEPTEMBER 13,1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
fORT TOWNSEND, WASHINGTON 98368
RE: JEFFERSON COURTHOUSE PHASE 3; R.F.P.#20
ATTN:FRANK HALL
CREDIT FOR DELETION OF DOORS #16 & #17 BREAKS DOWN AS
FOLLOWS:
SEC 08210-WOOD DOORS-FABRICATE & INSTALL ($ 500.00)
SEC 08712-HARDWARE ( 90.00)
SEe 09900-PAINTING ( 0.00)
SUB TOTAL 590.00)
BOND 2"
11. 80)
SUB TOTAL
WASHINGTON STATE SALES TAX 7.8%
601. 80)
46.94)
TOTAL
($ 648.74)
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MANAGER
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DEPARTMENT OF puetlc WORKS
1820 Jefferson Street
PORT TOINNSEND, WA 98368
DATE
10 6e-Pf
1990
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(206) 385-9160
SUBJECT ~G:lU-c'ST
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S~QtAIM, WA 96382.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E.. County Engineer
Melco, lno
P.O, Box 1567
Sequlm, WA 98382
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #19 (Rejected)
We do not wish to proceed with the work identified as R.F,P,# 19, We will handle this mailer
oursen at a later date,
18 September 1990
Should you have any comments or suggestions please contact our office,
Sincerely
~~
Frank Hall
Project Inspector
100% Rocyclod Papor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P. E.. Director
Robe" G. Nesbitt. P.E.. County EngIneer
Melco, lno
P.O, Box 1567
Sequlm, WA 98382
All'n: Car) Going
Ref: Jeff Co Courthouse Renovation. Phase 3
Sub: Request for Proposal #19
We request a Cost Proposal to Insulate two copper water lines along the south wall of room #209,
An additional wall support near the east end will also be necessary, Paint finished product to
match adJacent surface,
7 September 1990
Should you have any comments or suggestions please contact our office,
Sincerely
~~
ProJect Inspector
100% Rocyclod Papar
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BUILDERS & DEVELOPERS
1'tzu Ofl/<< I10x /'61 . S#qldm. WashtnwrOll 98MJ . 68)-6'6/", 68J.4'1/
SEPTEMBER 13.1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND. WASHINGTON 98368
REr JEFFERSON COURTHOUSE PHASE 3, R.F.P.#19
ATTN:FRANK HALL
SECTION 15000 -COST TO INSULATE & SUPPORT WATER LINES
ON SOUTH WALL BREAKS DOWN AS FOLLOWSr
20 LF OF FIBERGLASS INSULATION ~ $2.f~= $ 40.00
1 EACH HANGER 10.00
INSTALLATION 50.00
TARGET MARKUP 15%
100.00
15.00
U5.00
23.00
138.00
2.76
140.76
10.98
$ l!\ 1. 74
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MELCO MARKUP 20%
MELeo BOND COST 2%
WASHINGTON STATE SALES TAX 7.8~
TOTAL
NOTEr EXTRA PAINTING -NO CHARGE.
MELCO INC.
CA~NAGER
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BUILDEHS & DEVELOPERS
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Post Offlcl! Box /567 . Sequim. Wa.~"i"Klon 98182 . 683.6561 or 68).4571
SEPTEMBER 13,1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WASHINGTON 98368
RE: JEFFERSON COURTHOUSE PHASE 3; R.F.P.#19
ATTN:FRANK HALL
SECTION 15000 -COST TO INSULATE & SUPPORT WATER LINES
ON SOUTH WALL BREAKS DOWN AS FOLLOWS:
20 LF OF FIBERGLASS INSULATION @ $2.ft= $ 40.00
1 EACH HANGER 10.00
INSTALLATION 50.00
'rARGE'I' MARKUP 15%
MELCO MARKUP 20%
MELCO BOND COST 2%
WASHINGTON STATE SALES TAX 7.8%
TOTAL
NOTE: EXTRA PAINTING -NO CHARGE.
,__. MELCO., INC.
( ~~\iLc{4~~
CA;L-GOING-PRdJECT
MANAGER
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100.00
15.00
115.00
23.00
138.00
2.76
140.76
10.98
$ 151. 74
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. P.E.. County Engineer
Melco, lno
P,O. Box 1567
Sequim, WA
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Revised acceptance of CREDIT proposal for R.F,P, #16
We accept your CREDIT proposal as complete for R.F,P. #161n the amount 01 $182,53, including
tax, This Credit proposal will be processed on Change Order #2,
14 September 1990
Should you have any comments or suggestions please contact our olfice.
Sincerely
~~
Frank Hall
ProJect Inspector
100% Rccyclod Pllpor
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s"qulm, WA 98382
(206) B83-6561 (206) 683.4571
FAX (206) e83.1855
TO: 'Jr;-'dD R.J.':'>wc. \J.....t:.rt.c..< ..,
ATTENTION: -foRA"-^",, l-lA LL
GENTLeMEN: W. or. ,end in; you ~ Herewith
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o TRACINGS
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. P.E., County Engineer
MeJco. lno
P,O, Box 1567
Sequim, WA
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Acceptance of Cost proposal for RFP #16
We accept your subcontractors cost proposal to delete the locks for door numbers 11 & 12,
This will result in a total credit of $-118,32 as follows
27 August1990
Krause & Scheelar
Bond @ 2%
$ -116,00
~
Total Credit
$-118,32
Please acknowledge your approval of these figures by signing the bottom of this letter as
approved and returning a copy 10 us,
Should you have any comments or suggestions please contact our olflce,
~~/
Project Inspector
Ca~, We prepare the Request For Proposals (known as RFP'S) d you are to respond with the
CosVCredlt Proposal to do all of the work covered by the R P Ite Ized per your schedule of
values with all mark ups, I will not In the future even to ex I he issues prepare these costs for
you, I will however continue to evaluate them and m cons as necessary to keep things
In order.
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Redmond.883'1243 Soatlle.682.5675 FAX; (206) 885.61 16
PROPOSAL
CONTRACTING
TO: MELCO. INC. GENERAL
P.O. BOX 1567
SEOUIM. WA 98382-
ANTICIPATED DELIVERY DATES:
After Receipt of Approved Shop Drawings and with Finish Hardware, Keying Information and Templates If Applicable.
Subject to provisions hereof, we propose to furnish the
F.O.B. our warehouse, full freight allowed to the
Tall Gate Delivery
In accordance with plans dated
DATE: AUGUST 22. 1990
JOB NAME: COURTHOUSE RENOVATION
JOB LOCATION: PORT TOWSEND PH. 11 ]
FIN 1 SH HARD\~ ARE
JOBSITE
DELETE LOCKS AT DOORS
#11
specification section and addenda
C ~ '2 '\ Basic Bid:
20 q , 0 ~ternate No. #
Alternate No. #
AND 12 AS PER RFP
#16
DEDUCT................... .$116.00
WE ARE PROCEEDING WITH THE ABOVE MATERIALS.
COPY OF THIS TO OUR OFFICE. THANK YOU.
RECEIVED
t~ 2 It 1990
MELCO INC,
PLEASE SIGN AND RETURN A
Quotation firm 10' 60 days Dr withdrawn whichever Is sooner,
" Accounts past due shall beer Interost at the rete of 1 'h% per month unless othorwlse agreed,
2, Terms 01 payment: Net30 Deys - No Retalnage Allowed, SoleD tax not Included,
3, Only the plans, tha section of the apoclflcatlDn and addenda spoclflcslly set forth above and Included In aro applicable to this order, but
not tho general or spoclal soctlon:
4, Reasonable doubl of the purchasefs financial responsibility shall ontltlo us to stop Dr docllne shipment or stop materials In trsnslt
wlthoutlleblllty until the purchaser shall hava paid for tho mate,lals or satlslled us to his flnenclal rosponslblllty,
5, No lIablllly shall result from delays In performance or nonperformance directly orlndlractlycaused byflre, explosion, accidents, flood,
Isbor trDublo or shortage, war act of lor authorized by any power Dr transportation Dr act of God Dr arising from contingencies,
heppenlng o,ceused bOYDnd our contract 01 the perty efloctod, Ouantltlos so olfoctad by any such clrcumstancas may bo allmlnatod
without liability,
6, All antlclpatod dollvory dates are basod on manufactura,a curront shipping schodulos and are subJoct to availability and ravlsod
shipping schodulo by tho manufacturer,
7. No field mossurlng Is Includad In this quotation,
6, Changos on matorlsl qUDtod will NOT be put Into production until WRITTEN APPROVAL la racalvod,
9, No back charges will be accopted without prior approval.
10, Tho terms and condlllons of thla quotation must be otatod In any
contractor purchaso ordor Issued for this material,
BUYER:
Accepted by:
Date:
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SELLER:
K AUSE & ~~, f:r~ INC.
o R.SV~T
B _ L~ ~
Oat: AUGUST 22. ]990
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
Melco.lnc
P,O, Box 1567
Sequlm. WA
Att'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
15 August 1990
Sub: Request for Proposal #16
We have decided It Is useless to Install locks on the restroom doors and hereby request
a cred~ to delete the furnishing and Installation of fhe locks on door numbers 11 and 12,
Note that the hardware In these rooms was changed by R.F,P, # 2, Therefore this
request Is a deletion from RF,P. #2,
I am currently reviewing the hardware submittal and this request will be Incorporated In
my review,
Should you have any comments or suggestions please contact our office,
Sincerely
~~
Frank Hall
Project Inspector
100% Rncyclcd PApor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Slreel
P,O. Box 1220
Port Townsend, WA 98368
(206) 385'9160
Gary A. Rowe, P.E., Director
RObe,' G. NeSbitt, P.E., County Engineer
MeJco, lno
P.O, Box 1567
Sequim, WA 98382
Alt'n: Carl Going
Ref: Jeff Co Courthouse Renovation _ Phase 3
14 September 1990
Sub: Acceptance of R.F.P. #14 & #15
We acceptlhe Cost Proposal to furnIsh and Install as needed carpet In room # 206, The carpel
specified as Extra stock In seclion 9686 Is approved to be use In this Installation,
Therefore thIs Is a no cost trade off between R.F.P, #14 and R.F,P. #15,
Should you have any commenls or suggestions please contact our office,
Sincerely
~~
Frank Hall
ProJecllnspector
100% Rocyclod Papor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt. P.E., County Engineer
MeJco, lno
P,O, Box 1567
Sequim, WA
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
13 AugUSl1990
Sub: Request for Proposal #15
We have received a credit proposal from Total Furnishings Inc, to substilute Reliant 45 by Hollytex
for the specified Belmont style by Deslgnweave. They have been offered a credit of $252.00
should we decide to accept their proposed substitution. The total amount of this proposal will
therefore be:
Total Furnishings offer
Bond (Melco @ 2%)
Washington State Sales Tax @ 7,8%
This will resullln a total Including tax of $277,09,
We wish to accept this proposal and request your acknowledgement and approval of these
figures prior to our Issuance of a change order to cover the work,
$252,00
5,04
20,05
Should you have any comments or suggestions please contact our office,
Sincerely
~;L~
ProJect Inspector
100% Rocyclod Papor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
MeJco, Inc
P,O. Box 1567
Sequim, WA
Alt'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #14
We request a proposal to install carpet in room #206 otherwise known as the vault. Carpet for this
work to come out of the extra materials provided under Section #09686-1,07, This work is to
include the entrance from room #202.
13 August1990
The quote Is to inolude furnishing all materials and labor (except carpet) for installation in
accordance wllh specification section #09686, There is to be no base In this room, so carpet will
need to be Installed tight to wall,
Should you have any comments or suggesllons please contact our office,
~~
Frank Hall
Project Inspector
100% Rocvclod Paper
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JEFFERSO, D.dJ,EiI E::S.Z,,,\.Cto JOBNO,\\\.II2....
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P,O, Box 1567
Sequlm, WA 98382
(206) 683.6561 (206) 683-4571
FAX (206) 683,1855
TO: -If':f\Ci', \U'\I-IC \',-I:J,-(/~r)
ATTENTION: {~,::,-",TV.';" w'.0>. LL
GENTLEMEN: We are sending you ~ Herewith
o PLANS 0 PRINTS ..
o Under separate cover the following items
o CATALOGUE CUTS
,~OPY OF LETTER
o SPECIFICATIONS
o TRACINGS
o SHOP DRAWINGS
o SAMPLES
o CHANGE ORDER
o PURCHASE ORDER
1.i\,\' '1"\--' "
COPIES
DATED
DESCRIPTION
NO,
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THESE ARE TRANSMITTED la. checked below)
o FOR APPROVAL
o APPROVED AS SUBMITTED
o SUBMIT _COPIES FOR DISTRIBUTION
o FOR YOUR USE 0 APPROVED AS NOTED 0 RESUBMIT _ COPIES FOR APPROVAL
o AS REQUESTED 0 RETURNED FOR CORRECTIONS 0 RETURN CORRECTED PRINTS
o FOR REVIEW AND COMMENT 0 0
o FOR BIDS DUE 19 _ 0 PRINTS RETURNED AFTER LOAN TO US
REMARKS:
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RE: Jefferson County Cour~house Phose III
~~\~;;~S.rFP · 14 , 15 ~ /.
~~~~~i{i~~;~i;~;e~itd~ to 'propoeal ~4 room 206 will require ~2 SY of carpet'::~~'pad. Th~'
~fr:;:"\:.~:".ex1;ra ,atock required by ,the specification amounts to 14 SY (125 SF). A total ,cost
:i\'?~:~.'-"";;:\:"'" to furnish and install carpeting and pad would come to $ 265.00. Eight additional
" ",;':~ yards. e 40 SY roll of pl\d I end labor for installation would ba required for the
,.,:::~>:abovet:eatment. :",:1; :i
,," ;':;;~:'..~'propoa~l # 15 is c.orr~~~s far as the credit is ~~~cerned.
:\::~rShOUld you have any qU~;,l,ona please call me. ;~'"
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Brcmcrton, WA:Q8810
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PO Box'1..567 ,
Sequim, WA 98382
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Ron Walker
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
MeJco. Inc
P.O, Box 1567
Sequlm, WA 98382
Atl'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for Proposal #12
We reject your cost proposal to our proposal request as Inaccurate and suggest it be bllled as
follows (modified 28 Sept. 1990): '
28 September 1990
Cost to delete framing for lowered ceiling
Plaster board and plastering
Painting
Electrical
Ceramic Tile (materials only)
Casework
$( 25.00)
150,00
0,00
80.00
108.50
31018 . 623 68
12474 . 74842
Melco Profll & Overhead
Bond Cost @ 2%
1497 763 39
Washington Stato Sales Tax @ 7,8%
59 54 _ 822,93
Should you have any comments or suggestions please contact our office.
Sincerely
~~
Frank Hall
ProJoctlnspector
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DEPARTMENT OF PUBLIC WORKS
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MeJco, lno
P,O. Box 1567
Sequlm, WA 98382
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
1820 Jellerson Street
P,O, 80x 1220
Porl Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Dlreclor
Roben G. Nesbitt, P.E., County Engineer
25 September 1990
Sub: Request for Proposal #12
We reject your cost proposal to our proposal request as Inaccurate and suggest It be billed as
follows:
Cost to delete framing for lowered ceiling
Plaster board and plastering
e/..~"'JfZ/C/q,-
Painting
Ceramic Tlle (materials only)
Casework
Melco Profit & Overhead
Bond Cost @ 2%
Washington State Sales Tax @ 7,8%
$( 25,00)
150,00
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0.00
---W&.OO IIJ e, '5 0
31018 - 823 68
12474 - 748 42
1497 78.139
59 54 - 822 93
Should you have any comments or suggestions please contact our office,
~~
Project Inspector
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ATTACHMENT TO R.F.P.#3 LETTER
NOAH'ARK BREAKDOWN ON FULL HEIGHT TRIM TO MATCH NEW
BUILDING STANDARD:
~.,.A!" LINEAL FEET WOOD BASE AT $6.00 @ LF $ ~ I~,()O
28 LINEAL FEET CASING AT $4.92 @ LF 137.76
4 LINEAL FEET OF TOP CAP AT $7.10 @ LF 28.40
4 EACH ROSETTES AT $9.84 EACH 39.36
1/2 MAN HOURS AT $ 37.50 56.25
SUB TOTAL ~ ;'73,77
NOAH'S ARK MARK-UP 13.3 % ~ .96.+1
TOTAL
$ :}56.~
NOTE:
1) FURRING & PATCHING BY MELCO,INC. PER ORIGINAL BID.
2) TRANSOM WINDOW PER ORIGINAL BID.
3) LIGHT FIXTURES BY JEFFERSON COUNTY.
4) CASEWORK SETUP FEES PER ORIGINAL BID.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
Melco, Inc,
P.O. Box 1567
Sequim. WA 98382
All'n: Carl Going
Re: Jeff Co Courthouse Renovation Ph-3
14 September 1990
Sub: Review of your Cost Proposal to RFP #12
Your proposal is missing documentation which prevents us from compiling a complete
review of this Cost Proposal.
1. We need a breakdown on plasterboard and plaster work,
NOTE: Plastering of the ceiling In this area Is included in the basic contract.
2. Casework as submitted includes a lot of material that was to remain per the
basic contract. I suggest that only the following Items are over and above the
basic contract:
2 I,f, wood base
2 ea. Rosettes
10 1.1. Casing
1/2 hour
$6.00
9.84
4.92
37.50
@
@
@
@
3. Material cost breakdown as submllled by Total Furnishings, NOTE: The
floor area for added material Is only that shown on the original drawings.
Should you have any question of comments please call our office.
Acereldi / .////
~~
ProJect Inspector
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BUILDERS & DEVELOPERS
Post Office &x /567 . Sequim. Wa.shinKton 98J82 . 683.6561 or 68).4571
SEPTEMBER 10,1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WASHINGTON 98368
RE: JEFFERSON COURTHOUSE PHASE 3; R.F.P.~12
ATTN:FRANK HALL
DELETE: LOWERED CEILING FRAMING
ADD: PLASTER BOARD & PLASTER
PAINTING N/C
ELECTRICAL ROUGH-IN
CASEWORK (SEE ATTACHED SHEET)
CERAMIC TILE (MATERIAL ONLY)
SUB-TOTAL
MELCO PROFIT & OVERHEAD 20%
BOND COST 2%
WASHINGTON STATE SALES TAX 7.8%
TOTAL
THANK YOU FOR THIS OPPORTUNITY TO QUOTE.
@t~~
CARL GOING; PROJECT MANAGER
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SEP 121990
JEFFERSON COUNT'
OUBllr WI'"\RI<C 1'"\I::r
$ ( 25.00)
250.00
.00
80.00
350.97
108.50
764 . 47
152.89
917.36
18.35
935.71
72.99
$ 1008.70
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ATTACHMENT TO R.F.P.#3 LETTER
NOAH' ARK BREAKDOWN ON FULL HEIGHT TRIM TO HATCH NEI1
BUILDING STANDARD:
2,Af' LINEAL FEET WOOD BASE AT $6.00 @ LF $ ~ i~.OO
28 LINEAL FEET CASING AT $4.92 @ LF 137.76
4 LINEAL FEET OF TOP CAP AT $7 .10 @ LF 28.40
4 EACH ROSETTES AT $9.84 EACH 39.36
1/2 MAN HOURS AT $ 37.50 56.25
SUB TOTAL ~ :n.3.77
NOAH'S ARK MARK-UP 13.3 o' ~ g6..ot1
/0
TOTAL $ J:3e.'!J7 ~ /0. If'>
----------
----------
NOTE:
1) FURRING & PATCHING BY MELCO,INC. PER ORIGINAL BID.
2) TRANSOM WINDOW PER ORIGINAL BID.
3) LIGHT FIXTURES BY JEFFERSON COUNTY.
4) CASEWORK SETUP FEES PER ORIGINAL BID.
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BUILDERS & DEVELOPERS
/'0." Ol!1<t Box 1561 . Soqulm, W",hln"orr 94J/1} . 68)..561 01' 68)4511
SEPTEMBER 10,1990
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WASHINGTON 98368
REI JEFFERSON COURTHOUSE PHASE 3/ R.F.P.#12
ATTN:PRANK HALL
DELETE: LOWERED CEILING FRAMING
ADD. ~LASTER BOARD ~ PLASTER
PAINTING N/C
ELECTRICAL ROUGH-IN
CASEWORK (SEE ATTACHED SHEET)
CERAMIC TILE (MATERIAL ONLY)
SUB-TOTAL
MELCO PROFIT ~ OVERHEAD 20%
BOND COST 2%
WASHINGTON STATE SALES TAX 7.8%
TOTAL
THANK YOU POR THIS OPPORTUNITY TO QUOTE.
MELCO, INC.
.~A'A.",
$( 25.00) _ '"Z.s..oo
250.00 I so_co
.00 -S-
80.00 eo. 00
350.97 3Io./~
108.50 108- so
764.47 (,~'l, iJ'<
152.89 \ 1-,f. 7+
917.36 '1 +8.4- 'V
18.35 , t.q'1
035.71 '1 r. ..,;31
72.99 5'1,61
$ 1008.70 gt2_93
-----------
-----------
.'
atumenl: hIM 9/11/901.05 PM, From: MeleG Inc, Crellted: 9/111901:06 PM
.;.~: ."',.,.
(2)
ATTACHMENT TO R.F.P.#3 LETTER
NOAH'ARK BREAKDOWN ON FULL HEIGHT TRIM TO MATCH NEW
BuILDING STANDARD'
o/~ LINEAL FEET WOOD BASE AT $6.00 ~ LF
28 LINEAL FEET CASING AT $4.92 @ LF
4 LINEAL FEET OF TOP CAP AT $7.10 ~ LF
4 EACH ROSETTBS AT $9.84 EACH
1 1/2 MAN HOURS AT $ 37.50
$ ~ \1--.oD
137.76
28.40
39.30
56.25
8UB TOTAL ~7-7 "1.73.77
NOAH'S ARR MARK-UP 13.3 % ~ '3,,41
....---
TOTAL $ ,-3!l0797 ~IO,I~
-==========
NO'l'j:;'
1) FURRING & PATCHING BY MELCO,INC. PER ORIGINAL BID.
2) TRANSOM ~INDOW PER ORIGINAL BID.
3) LIGHT FIXTURES BY JEFFERSON COUNTY.
4) CASEWORK SETUP FEES PER ORIGINAL BID.
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BUILDEHS & DEVELOPERS
Pmt Office Box /567 . &quim. Wa~hinKron 98381 . 683-656/ or 683.4571
JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WA 98368
';.Ie. "
SEPTEMBER 24, 1990
'SEP 24 1990
JEFFERSON COLJj~ f '
PUBLIC: WORKS nFI'"
RE: COURTHOUSE RENOVATION PHASE 3: RFP #12
ATTN: FRANK HALL
THIS IS AN EARNEST ATTEMPT TO AUGMENT THE DOCUMENTATION OF
MY LETTER OF SEPTEMBER 10 IN THE FORMAT OF YOUR LETTER OF
SEPTEMBER 14.
1. PLASTER WORK THIS ITEM INCLUDES $100.00 WORTH OF PATCH
WORK DONE IN CONJUNCTION WITH RFP #11. THE BALANCE OF $150
COVERS ERRANDS AND LABOR AND MATERIAL TO ACHIEVE THE WALL
FINISHES, EXCLUSIVE OF CEILING, THAT YOU SEE INSTALLED IN
THE VESTIBULE. IF YOU CAN GET A CHEAPER BID I WILL MATCH IT.
2. CASEWORK I ABSOLUTELY CAPITULATE WITH REGARD TO THE
BASE. THE CONTRACT DRAWINGS CLEARLY ADDRESS THIS ISSUE. lvITH
REGARD TO THE CASING, ROSETTES, TOP CAP, AND LABOR I SUBMIT
THAT WE CAN SCRATCH ENOUGH TRIM TOGETHER TO GIVE YOU BACK
ORIGINAL CONFIGURATION, ALBEIT PATCHED, AT THE INSIDE OF THE
VESTIBULE OPENING. WE WILL THEN ADD TRANSOM TRIM TO MATCH
THE NEW BUILDING STANDARD. WE THOUGHT YOU WOULD LIKE TYPICAL
CASINGS THROUGHOUT THE VESTIBULE AND WOULD EXPECT TO PAY FOR
THEM. SETUP FEES ARE IN THE CONTRACT; SITTING AT THIS WORD
PROCESSOR EVERY EVENING IS STRAINING MY MATRIMONIAL STATUS.
3. CERAMIC TILE WHEN ONE ADDS TILE, ONE ADDS IN UNITS OF
FULL PACKAGES. ONE ALSO ALLOWS THAT THE TILE SETTER NOW HAS
TO LAY OUT THE VESTIBULE AS THE BENCHMARK FOR ALL THREE OF
THE SPACES, RATHER THAN THE ORIGINAL SEPARATE RESTROOMS WITH
MINIMUM CUT CONFIGURATIONS DIVIDED BY A SWATCH OF OLD TILES.
I HAVE NO DOUBT THAT RON WALKER OF TOTAL FURNISHINGS WOULD
GLEEFULLY ADJUST HIS PRICE UPWARD, KNOWING WHAT HIS MAN IN
THE FIELD HAS NOW TOLD HIM. ADDED LABOR AND ANOTHER DIAMOND
BLADE, FOR EXAMPLE. I SUGGEST WE LET THIS ITEM ALONE.
THANK YOU FOR THIS OPPORTUNITY TO CLARIFY THESE MATTERS. I
AM AT YOUR DISPOSAL ANY TIME, AND I APPRECIATE THE FACT THAT
YOU HAVE ALWAYS BEEN FRANK WITH ME.
SINCEREI,Y,
r-
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JEFFERSC!II COUlI-ITY
'DEPARn.~ENT OF PUBLIC WORKS
1820 Jefferson Street
PORT TOWNSEND, w,^, 9836lJ
..
(206) 385.9160
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DATE
JeFF Co C.C<.J.eTHOt..<.SG RE...,CNATIO/-J
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WlnONG.
"AIATHO.el2,ATIOIJ IS H/:RG! B, bIVt:N '10 ADD A :SWlTc",A z: 'Sco>< F""-
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WALL- I../GI-lT II.:> VE'STI13U,l../d' @ 'fZesilZ,CQM.,
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IItlm " F3M GrllVllro, P.O, nOli 2044, Hllrllnrrl, OT on104-2044
(l Wht'lelM Omup, Inc., lOR:.'!
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1"'.00
1.'31."
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Meloo, lno
P,O, Box 1567
Sequlm, WA
All'n: Carl Going
Ref: Jeff Co Courthouse Renovation - Phase 3
Sub: Request for proposal #12
We request a proposal from you to delete the lowered ceiling in the vestibule to the restrooms
and finish with plaster and paint the interior of this area with the trim reinstalled around the transom
glazing,
1820 Jellerson Street
P,Q. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
10 August1990
We also desire to have a light Installed In this vestibule that will splash over the south wall where
we will have future slgnage, Tile light switch Is to be on the north wall just to the left as you enter
the vestibule. The f1x1ure will be furnished & Installed by the owner,
Should you have any comments or suggestions please contact our office,
Sincerely
~A~
Frank Hall
Project Inspector
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P,O, BOX 59
HADLOCK, WA
98339
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Page I
fJ. - #2
#3
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al<. - #5
#6
#7
#8
o't--. #9
#10
#11
#12
1/13
#11.
#15
#16
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July 27, 1990
Melco Inc.
P.O. Box 1567
Sequim, WA 98382
Dear Carl,
As requested, please rewiew our submittal and marked drawings.
#I
Room #203 Courtroom (I) one duplex rec., (I) one phone outlet and (I)
one microphone was added by owner, also (I) one floor microphone has
been deleted (date installed 7-23)
Room #202 (I) one phone outlet has been deleted.
Room #206 No changes from drawings.
Room #207 No changes from drawings.
Room #20B (I) one 4"x 1 1/2" gutter has been added by owner.
Room #209 2-3 gang switch hove been moved and (I) one ceiling pull chain
has been deleted.
Room #205 Pipe and wire at (2) two locations wUl be removed.
Room #204 (1) one phone outlet has been added, (1) one wire mold plug has
IlCen added, removed old switch, light fixture and plugs.
Room H203 Remove pipe and wires in wall. - f,).^-<d:~- kl :?A".P.
Room #203 Removed pipe and wires In cel U ng. V
Change to wire mold.
Remove outlet.
Leave outslde fixture as is.
Move (I,) four dimmer switches.
Remove J box and wires.
Rooms 1/202 and #205 owner to remove old light fixtures and install new
light fixtures on exlsting outlets.
Owner must provlde contractor with fixture weight for raomS #203, #209,
and #210. If flxture weight :I,~, excessi~e, llflcking cross members must
he Instnlled to support weight. fixtures. Maxlmum wattnge per circuit
1000 wa Us .
Room #203 Dimmer switches for' ceil ~n8' lights sholl be routed back to
power panel III1Stalrs thon bnck to main cel Un8 for the entrance to wlre
mold.
Removo wiros and pipe.
Remove wires nnd pipe.
Room 11207 will have (3) three I" Racewny. (I) olle 3/1," for the return
control circuits to rlx~lres In room #203, these raceways will he
mounted on kIndorf channel on the walls tight to the coiling.
No Rpnrt:! rncownyo.
Nl8
H19
nO
#21
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REVISED-
Key notes * Added or deleted costs to electrical system
Costs $185.00 o~
Credit <$20.00>~
N/G 40,00 ,-
N/G ,J. I ' rJJ-'-""
Costs $573.00 -I- ..4p"--'l"';) f4<-'" ""D T i/
Credit ---<$40.00> other~ise pull chain if swithces
no change.
$165.00 - oK
$190.00 ,,'-'IL.
$135.00
$220.00
-$6T.t'l()' "Jjc/
~
#1
#2
#3
#4
#5
o~ #6
o/<.- #7 Costs
o~ #8 Costs
po o/:. 1/9 Costs
~'#10 Costs
"I> #11 Costs
pc 1112 Costs
ulL, #13 N/C
o~_ #14 Credit
4(- #15 Costs
bK.- 1116 N/C
#17 Costs
H8 Costs
oK-#19 Costs
01("'" 1120 Costs
1121 N/C
Totol Costs
<$65.00>
$145.00 _GIll...
-o~
$400.00 (if cross members
$1495.00 -+ p.k..~ ....-.L
$85.00
$20.00
$3,698.00
are in stud walls
Page 2
Fe- PIZ,C.GD
are used) - (C tJE-
Total Credits <$125.00>
SAles tax (if Appl)
$278.00
TOTAL COSTS $3851.00
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Document: FaM 10/4/90 1.29 PM, From: Melto Inc, Crealed: 10/4/90 1:30 PM
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P.O. BOX 59
HADLOCK. WA
98339
_.w,~
MELCO INC.
P.O. BOX 1567
SEQUIM. WA 98382
JOB SITE: JEFFERSON COUNTY COURTHOUSE
JOB DESCRIPTION. EXTRA'S ABOVE BID/RFP-9
/.,.E'1-#.3
ITFJ>! 11
ITEM 17
ITEM '8
ITEM '9
ITEM II 4
ITEM 'J5
'~~:.: ~~:.. SEB-BO'l'JXJM-FOlI-DKTAILS
ITEM n 9
ITEM '20
SUBTOTAL
TAX (IF APPL)
PO ,2166B
AUGUST 29.J990
4-<J,a"
SIBS.QS ~~p
J65.00 V
190.00 ::::
13'.00 /
<6'.00)V
145.00&/
1 ~-Zi::;}- g {' P do ,[; (~O
85.00 ...
20.00 v<
$2207.00
172.!"-
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437;2206.
PAlO OIJ eL:># I
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MELeO INC.
JEFFERSON COUNTY COURTHOUSB
T~AlrAf1OUN'l'-DUE- 1l;2:'l7"l IS ' .
.****.******~.*******.*****<<"***M.~***~.~..**'~~~vvwvvvvv,*******.************
ITEM 18A CREDIT DETAILS LABOR 1 JOURNEYMAN 3 HOURS
~ MATERIALS 120' 112 WIRE
10' '500 WI REMOLD
2 WIRE HOLD STRAPPS
10' 3/4" E/iT
1 3/4" LB
2 3/4 PJIT STRAPPS
TOTAL CREDIT DUE
*NOTE. TlIIS CREDIT liAS BEEN APPLIED TO THE INVOICE AIlOVE.
TlIANl YOU.
DAWN ELECTRIC. INC.
~~, r::<,:;.,t.~'fni":':;lW."1.~~;.."'~~ffl~~1."';;. I' -...
<$120.00>
<28.00>
< $148.00 >
[RECEIVED
SEP 0 ~ 1990
MELCO INCi.,~_
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Sequlm, WA g8382
(206) S83.6561 (206) 663-4571
FAX (206)683.1655
TO: (l,,*,t.\c'" \~.K S
ATTENTION: ~ UAw....
GENTLEMEN: We ore ..ndlng you &fl/.. Herewith
!:l PLANS 0 PRINl'S
C SPECifiCATIONS
o TRACINGS
COPIES
3
DATED
\jVI \ ';.L.
C SHOP DIIAWINGS
C SAMPLES
'.91t 1 af 4
TRANSMITTAL FORM
NO.
DATE \0 ---1 ~6~ JOB NO, \ \ 2_
JOe NAME Jo~r <'"'> "':l,
JOB LOCATION p,..
RE: R.F p'S,,/CLJA.Jl"~&:" CY8y='L ~ '2
o Under lePlr.te coYIf' the following lums
CJ CATALOGUE CUTS
CJ CHANGE ORDER
C PURCHASE OROER
CJ COpy OF LETTER
\ N\I Ole.\ to-JG.
NO.
DESCR IPTlON
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THESE ARE TRA'NSMITTED I.. checked betDW)
o FOR APPROVAL 0 APPROVED AS SUBMITTED
o FOR YOUR USE CJ APPROVUD AS NOTED
o AS REOUESTED 0 RETURNBD FOR CORRECTIONS
o fOR REVIEW AND COMMENT C
CJ FOR.B,IDS DUE
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REMARKS:
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jellerson Street
P.O, 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Melco. Inc,
P.O, Box 1567
Sequim,WA 98382
All'n: Carl Going
Ref: Jeff. Co, Courlhouse Renovation
-Phase III
6 July 1990
Sub: Requested change to Utility Wall
Room 209 & 210 (R.F. P. # 3)
Approval Is here-by given to install a 17" utility wall common to both subject rooms, The
east side of this wall shall be located such that the finished wall fits tight to the window
frame In room 209 bu1 shall not incorporate the window frame into the wall.
This will require the relocation of the existing floor drain in room 210 approximately 4" to
5.to the west. Section of wall Including door # 12 will have to be moved approximately 4.
to 5" to the west. Toilet Partitions will need to be re-dlmensloned while maintaining
handicapped requirements per code,
Note there Is to be no change In the common entry way to restrooms off of room #208,
The size of the vestibule will be Increased east to west approximately 4. to 5".
I would also like to see as part of Target Plumblngs re-submiltalthe inolussion of a
submillal on wall mounted carriers for back-to-back Installation of wall hung siphon jet
bowls, Model ZR -1203-ND4 manufactured by ZURN,
Should you have any questions or comments please contact me at 385-9160,
Very Truly Yours
~~/
Frank Hall
Projectlnspeclor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORK'S
1820 Jaffalson Street
PORT TOWNSEND, WA 98368
(206) 385-9160
TO MJ:LCO,
IS{,..7
WA 9838z..
"CAeL- ~^\JIS-VA/()I-J
-, ..REVIl::0. I NDICATG
l., _b.ll '"
DATe
7.. '7 "J"u.I-,,<
1990
SUBJECT
~eG 1lZ.1 C.AI.
5", ffMITn:!<..
1(eU/5'E 71-1&1 e. LETiI2IZ. ACCuE-DII-lCia Cl.<L.-
ITIiii:-H. OF l2REDIT /(!C5T AJ..lD Fi-1CNl'SH
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a.s:: <:?cp~' CJF ,auc //rTACNi'-n:J
y"",,', "', ,"":", lIt1m" F3no Orllvnro,r.o, Onl( 20044, flllrllt'lrd, OT 061004.200404
. "'. CI WhDftI4ll' Oroup, 1M., lOB"
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OF PUBLIC WORKS
eo 1ft -~
Jellerson Streel
), Box 1220
nsend, WA 98368
6) 385-9160
.E., Director
~t. P.E., County Engineer
MeJco, lno
P.O. Box 1567
Sequim, WA
All'n: Carl Going
Ref: Jeff Co Courthol
Sub: Request for Proposaril9(Revisedj'" ,,-,,-
In response to our meeting with Kim and Richard 01 Dawn Electric I am preparing herewith an
accounting of the issues as discussed and resolved at this meeting, Using the format previously
presented by Dawn Electric the following is 10 be Issued as RFP #9 (except as Identified),
28 September1990
Article No,
1 SEE RFP #1 N/A
2 Room 202; Change phone outlets from fioor to wall N/C
outlets.
-----='
3 Room 206; Add lwo wall jacks for telephone c;;J
4 Room 207; No Changes IA
5 SEE RFP #17 N/A
6,a Room 209; Install swl1chlng as surface mounted N/C
6,b Room 210; Install switching as surface mounted, N/C
Delete pull chain fixture and wiring,
7 Room 205; Remove conduit and wiring as directed 165.00
by owner, This was oxistlng active wiring,
8,a Room 204; Add one phone outlet and one duplex 190,00
and change existing switch to duplox,
8,b Room 204; Credit to delete contractor rough In for N/C
new A1 fixturo, Work already done,
9 Room 203; Remove active conduit and wlros 135,00
10 Room 203; Remove pipe and wires In coiling N/A
11.a Room 203; Use wiromold along baseboards 65,00
11,b Room 203; Delote 2 new outlets on north wall - 65,00
12 Room 203; Remove fourplox on north wall N/C
13 Exterior; Leave fixturo unconnected N/A
100% Rocycled Pape'
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14 Room 203; Move 4 dimmer switches (Note: Dimmers
are not to be Installed),
15 Room 203; Remove active j-box and wiring
16,a Room 202; Credit to delete contractor rough in for
new A1 fixtures,
16b Room 205: Credit 10 delete contractor rough In for
new A2 fixtures,
17.a Room 203; To be submilled separately for our
evaluation on RFP #11.
17.b Room 209; Speciat requirements to hang A2 fixtures
17,c Room 210; Special requirements to hang A2 fixtures
18 Room 203; To be submitted seperately for our
evaluation on RFP #18.
19 Room 203; Remove active wires and conduit
20 Room 203; Remove floor box and wires
21 Room 207; Mount raceways on klndorf channel
Total this RFP
Melco 20%
Bond 2%
W.S.S,T, 7,8%
Grand Total
Should you have any comments or suggestions please contact our office.
Sincerely
~~
ProJect Inspector
"
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-65,00
,!35.00- 14-'3
NlC
NlC
N/A
NlA
85.00
20,00
N/C
705,00
141,00
16,92
-6Z.a1
930,23
o.'llJle,,!~ 1/13/9010.15 11M. From: Meleo Inc, C,..eled: 1/1"9010:16 11M
MELCO, INC.
llIU/LDERa 5t OIll:VI!:LOPERQ
P.D. sex 16&7' BEQUIM. WABHINGTDN 983B2
6B3.65& 1 DR 6El3-45;71
10 ~C~;u,n?'~'I:. ~R~uc ~~
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REQUEST FOR PROPOSAL # 9"""...,.."..."."..."..."..."...,............""......."" $705.00 ... \+,...../- \b ""~1,,1
9,1
9,2
SEE RFP #1
Room 202; Change phone outlets from floor to wall
outlets,
9.3
Room 206; Add two wall jacks for telephone
9,4 Room 207; No Changes
9,5 SEE RFP #17
9,6,a Room 209; Install switching as surface mounted
9,6.b Room 210; Install switching as surface mounted,
Delete pull chain fixture and wiring,
9,7 Room 205; Remove conduit and wiring as directed
by owner, This was existing active wiring,
9,8,a Room 204; Add one phone outlet and one duplex
and change existing switch to duplex,
9,8,b Room 204; Credit to delete contractor rough In for
new A1 fixture, Work already done,
9,9 Room 203; Remove active conduit and wires
9,10 Room 203; Remove pipe and wires In ceiling
9,11,a Room 203; Use wlremold along baseboards
9,11,b Room 203; Delete 2 new outlets on north wall
9,12
9.13
9.14
Room 203; Remove fourplex on north wall N/C
Exterior; Leave fixture unconnected N/A
9,15
9,16,a
9,16,b
9,17,a
9,17,b
9,17,c
Room 203; SEE RFP 1/11
Room 209; Special requirements to hang A2 IIxtures N/A
Room 210; Special requirements to hang A2 fixtures N/A
N/A
N/C
40,00
N/A
N/A
N/C
N/C
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165,00 +~ .
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190,OO"'~
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9,18 Room 203; To be submitted seperately for our
evaluation,
9,19 Room 203; Removo acllve wlros and conduit 85,00
Room 203; Move 4 dimmer switches (Note: Dimmers - 65,00
are not to be Installed),
Room 203; Remove acllve I-box and wiring _135:oll /45,00
Room 202; Credit to delete contractor rough in for N/C
new A1 fixtures,
Room 205; Credit to delote contractor rough In for N/C
new A2 IIxtures,
J ';' \ ""i;J"/'",:...:,\:.'lt:l::""',:'''':~"' 1< ,>...,,',,"~':'I
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N/A
65,00
- 65.00 ,.
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9.20
Room 203; Remove floor box and wires
Room 207; Mount raceways on klndorf channel
20,00
N/C
763,39
9,21
REQUEST FOR PROPOSAL #12
Delete the lowered ceiling in the Vestibule to Room Nos. 209 & 210.
06001 - Carpentry $( -25,00)
06410- Casework 310,18
09215 - Plaster 150.00
09311 - Ceramic Tile Flooring 108,00
09900 - Painting I\VC
REQUEST FOR PROPOSAL #14""",,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,NIC
Install carpet in room#206 using extra materials provided under Section
#09686-1.07, Contractor to furnish additional materials as required to
complete this installation. (cost traded for credit on RFP#15),
REQUEST FOR PROPOSAL # 15,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,.,,,.,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,.,""N/C
Substitute Reliant 45 by Hollytex for the specified Belmont style by
Deslgnweave, (credit traded for cost on RFP#14),
REQUEST FOR PROPOSAL # 16",,,,,,,,,,,,,,,..,,,,,,,,,,Q,~.7,!:?-:,,,:)?~,,!{,~~,,..,- 182,53
Delete the locks for restroom door #11 & #12
REQUEST FOR PROPOSAL # 19""..""".""..""..""""..,,,....,,,,,......,,...,..,,,.....,,,,,,,VOID
Insulate two copper pipes at south end of room # 209
REQUEST FOR PROPOSAL # 20"..."..""..",Q.a:?I9.""..~,~"",..",,,,,,,,,.- 648,74
Delete door # 16 & # 17 in room # 203
REQUEST FOR PROPOSAL # 21 ""..",,,,,,,,,..,,......,,,,,,,,,,,....,..,,,,..,,,,,,,,..,,,,,,,,,,,,,,,,,N/C
TOTAL TO DATE
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THE JEFFERSON COUNTY COURTHOUSE
RENOVATION PROJECT
PHAse THREe
DISTRICT COURTROOM
SECOND FLOOR RESTROOMS
PROJECT HCH0872_S73
DOcUMENTS PREPARED BY
lHEJEFFERSON COUNTY DEPARTMENTOf' PUBLIC WORKS
1820 JEFFERSON STREET
PORT TOWNSEND, WA 98368
(206) 385-9160
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E.. Director
Robert G, Nesbitt. P.E.. County Engineer
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( Addendum Number ~
~S'orfCOunfY couffnouse District Court Renovation
Project # CH0872-873
April 4.1990
Owner:
Jefferson County
1820 Jefferson Street
Port Townsend, WA 98368
Frank Gifford
Architectural Project Coordinator
(206) 385-9160
Contact:
To All Bidders:
Attenllon Is called to the following lIems effecllve April 4, 1990. which
shall be added to, deleted from. or changed from the CONTRACT
DOCUMENTS dated March1. 1990. thereby Incorporallng the
addendum as part of the CONTRACT DOCUMENTS,
Item One:
00020 of the Speclflcatlon:Bld Call: date of bid opening reads: 11 AM on
Monday. April 23. 1990", This should read. .11 AM on Monday, May 7,
1990',
End of Addendum One
100% Rocyclod Pnpor
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JEFFERSONqOUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
C:=um ::~:::~
Gary A. Rowe. P.E., Directof
Robert G. Nesbitt, P.E.. County Engineer
Jefferson County Courthouse District Court Renovation
ProJect # CH0872-873
April 9.1990
Owner:
Jefferson County
1820 Jefferson Street
Port Townsend. WA 98368
Contact:
Frank Gifford
Architectural ProJect Coordinator
(206) 385-9160
To All Bidders:
Attention Is called to the following Items effective Aprl/9, 1990. which
shall be added to. deleted from, or changed from the CONTRACT
DOCUMENTS dated March 1. 1990. thereby Incorporating the
addendum as part of the CONTRACT DOCUMENTS,
Item One:
00020 of the Speclflcatlan:Bld Call: date of pre bid site
Inspection. Wednesday. April 11. 1990 at 2 p,m, ., This should read.
.Wednesday. April 18. 1990 at 2 p,m:,
End of Addendum Two
100% Rocyclod Pnpor
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CHO 881 ASBESTOS A8ATEMENT ~
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DAMES & MOORE
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500 MARKET PLACE TOWER, 2025 FIRST AVENUf:, SEATrLE, \l;/A~HI~,jCiTON 9.::H21
(206) 728-0744
January 3, 1990
Jefferson County Department of Public Works
1820 Jefferson Street
P. O. Box 1120
Port Townsend, Washington 98368
Attention: Mr, Frank Gifford
Proposal
Asbestos Services
Jefferson County Courthouse Roof Abatement
Port Townsend Washin2ton
Dear Mr, Gifford:
INTRODUCTION
Dames & Moore is pleased to present this proposal for the preparation of asbestos
abatement specifications, and an asbestos abatement cost estimate for asbestos abatement of
cement-asbestos roofing tiles at the Jefferson County Courthouse in Port Townsend,
Washington, We understand that it is your desire to limit the scope of this project to
reviewing an existing asbestos assessment report, reviewing photographs of the site, and
preparing the documents listed above based on the information in the assessment report and
photographs.
SCOPE OF WORK
The following tasks outline the work effort,
Task I: Review of Existing Asbestos Assessment Report
Dames & Moore will review the existing assessment report to gather information
concerning the quantity, location, accessibility, and asbestos content of the cement-asbestos
roofing tites on the building, Dames & Moore will evaluate the report for completeness and
accuracy, A field visit to verify the contents of the assessment report is not included in this
proposal,
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Jefferson County Department of Public Works
January 3, J 990
Page 2
Task 2: Preparation of Asbestos Abatement Specifications
Dames & Moore will work closely with Duarte/Bryant and will prepare detailed asbestos
abatement specifications to be included in a general reroofing bid package, A cost estimate
for the planned abatement will be prepared to accompany the removal specifications,
SCHEDULE
Dames & Moore is prepared to begin work within one week after your authorization to
proceed. Completion of the assessment report review and preparation of draft specifications
will require approximately three days. Preparation of a construction cost estimate will require
an additional two to three days,
FEE BASIS
We propose that our services on this project be provided on a time and expense basis with
accordance with our standard Schedule of Charges and General Conditions, copies of which
are attached and form a part of this proposal. For the review of the existing assessment
report, preparation of abatement specifications and abatement cost estimate are estimated at
$1300,
Our work will be performed, our findings obtained, and our recommendations prepared
in nccordance with generally accepted environmental science practices at the time our work
is performed, This warrnnty is in lieu of nil other warranties, expressed or implied.
Your authoriZlltion of our services and ncceptance of our linbility provisions cnn be made
by signing in the appropriate space provided, If you require limits of liability higher than
the standard limits state by the General Conditions, a fee for increased limits will be billed
in addition to our fee for the services described herein, Please inform us accordingly of your
requirements, ff our services are authorixed without your request of higher liability limits,
it is agreed that the stnndnrd limits of liability set forth in the General Conditions will apply,
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DAMES & MOORE
Jefferson County Department of Public Works
January 3, 1990
Page 3
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We appreciate the opportunity to provide this proposal and look forward to working with
you on this project. If you should have any questions or require further information, please
do not hesitate to contact the undersigned in our Seattle Office.
DK:jc
Attachment
Schedule of Charges
Appendix
General Conditions
Respectfully Submitted
fl!:;;;~
David Keller
Industrial Hygienist
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'[fit DAMES & MOORE
^ I'ROFESSIONAL LIMITEO rARTSERSIlIr
SCHEDULE OF CHARGES
UNITED STATES
The compensation to Dames & Moore for our professional services L<; ba.~d upon and measured by the following elements, which are
computed as set forth below.
1,0 PERSONNEL CHARGES
1.1 Charges for employees arc computed by multiplying the total direct salary cost of our personnel (expressed as an hourly rare) by a
factor 0(2.5. The total direct salary cost shall be a sum equal to the direct payroll cost (computed by di,,'iding the annual payroll cost by 1.940
hours) plus40 percent of same to cover payroll taxcs, insurance incident to employment. sick leave and other employee benefits. The time of a
partner or retained consultant devoted to the project is charged at an assigned billing rale.
1.2 The 40 percent cmployee benefit factor is used for work performed by personnel assigned to offices in the Voiled States. For work
pcrformed by personnel in our offices in other countrics, it will vary depending on the employee benefits paid in the particular location.
1.3 When out'iide the United States. employeL'S' and partners' tOlal direcl salary cost will be increased by the premium customarily paid
by other organiZlltions for work at Ihal location.
1.4 Time spent in either local or inter-city Iravcl, when tmvel is in the intercs1 of the work. will be charged for in accordance with the
foregoing schedule; when traveling by public carrier, a maximum charge of eight hours per day will be made.
2,0 EQUIPMENT CIIARGES
2.1 Computer control of projccl cost'i will be billed at 11 rote of S 1.25 per each $50 of jab chargcs or fraction [hereof.
2.2 Other Dames & Moore equipment, if used, will he hilled at the rates noted in the Appendix.
3.0 OTIIER SERVICES AND SUPPLIES
3.1 Chargcs for services, equipmcnt and facilities nOl furnished directly by Dames & Moore. and any unustlnl items of expense not
customarily incurred in our normal operations, arc computed as follows:
3.1.1 Cost plus 10 percent includes shipping charges, subsistence. transportation. printing nnll reprolluction. long distance
communication, miscellaneous supplies and rentals.
3.1.2 Cost plus IS percent includes surveying ~rvices, Innd drilling equipment. construction equipment, le.'iting Inhorntories.
contract labor.
3.1.3 Cost plus 25 percent includes aircraft, wRtercrnft. helicopter nnd marine drilling equipment and orcration.
115,5 (7.RR)
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SCHEDULE OF CHARGES - APPENDIX
Dames & Moore
EQUIPMENT
AUTOMOTIVE
Vehicle, per hour (maximum of 8 hours per day)
Mileage, per mile ."..".,.,..,"
S 4.00
S ,25
SOIL
Soil sampling and compaction control equipment, per shift hour
Soil sample rings and containers, per sample "".,,'"
S 5.00
S 5.00
LABORATORV
Soil, water and biologic testing equipment - per employee, per hour . , , , , . . , , , , S 10,00
Dynamic Testing Equipment will be quoted as required
DIVING
SCUBA diving, per diver, per day """.""""..".,"""" S 100.00
REPORT PREPARATION
Word Processing Equipment, per hour
In-House Reproduction, per sheet .,
S 10,00
S .10
ENGINEERING COMPUTER SERVICES
The use of Dames & Moore's in-house computer faclllties wl11 be charged in accordance with the
"Engineering Computer Applications Billing Schedule" (attached), Computer time and other
services provided by outside vendors wl11 be charged at cost plus 15%, Tenninals, plotters, fonns,
and computer supplies will be charged at cost plus 15%,
FIELD
Because of the varied nature of equipment, locntion and use, these rates will be quoted as required,
tl5.4 (REV. 2.82)
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GENERAL CONDITIONS-FORM D
1.0 BILLING
1.1 Invoices will be issued every four weeks, payable upon receipt. un1c.<;s otherwise agreed.
1.2 Interesto( IIh%pcr month (but not exceeding the maximum rate allowable by law).....i11 be payabh:on any amounl'l nOI paid within 30
days, payment thereafter to be applied first to accrued interest and then 10 the principal unpaid amount. An)' auorney"s fees or other costs
incurred in collecting any delinquent amount shall be paid by the Client.
1.3 III the event that the Client requests termination of the work prim to completion of a report. Damt."S & Moore reser..'cs the: right to
complete such analyses and records as are necessary to place its files in order and. where considered by it necessary to preted its professional
reputation, to complete a report on the work performed to date. A termination charge to co\'er the cost thereof in an amount not to exccro.
30% of all chargl."S incurred up to the date of the stoppage of the work may, at the discretion of Daml."S & ~'Ioorc. be made.
2,0 WARRANTY AND LIABILITY
2.1 Dames & Moore warrants that its services arc performed, within the limits prescribed by its Clients, with the usuallhoroughness and
competence of the consulting profession, in accordance with the standard for professional ser\'icl."S at the time those ser\'ices are rendered. No
other warranty or represenlation, either expressed or implied. is included or intended in its proposals. contraCl\. or reports,
2.2 Dames & Moore's liability shall be limited 10 injury or loss caused by the negligence of Dames & Moore. its subcontractor.;.. and/or
agents hereunder. Dames & Moore has neilher created nor contributed 10 the creation or existence of any hal.ardous, radiooctj\'c. toxic,
irritant, pollutant, or otherwise dangerous substance or condition at the site. and illt compensation hereunder is in no way commensurate with
the potential risk of injury or loss that may be caused by exposures 10 such substances or conditions.
2.3 Dames & Moore's liability for injury or loss arising from (I) professional errors or omissions and/or (2) radiation. nuclear reaction, or
radioactive substances or conditions; and/or (3) any other toxic, irritant, pollutant, (1f waste gases, liquids, or solid materials shall not exceed
$5,000 or our fce, whichever is greater.
2,4 Dames & Moore's liability for injury or loss urising from comprehensive gcneralnnd auwn10bile exposures shall not exceed S I 00,000.
2.5 Increased liability Iimil\ may be ncgutiatcd upon client's wriuen request, prior to commencement of services, and agreement to
pay nn additional fee.
2.6 The Client, agrees to defend, indemnify, and hold Dnmes & Moore hmrnlcss from any claim, liability, or defense cost in ex.cess of1he
limiLlt determined above for injury or loss sustained by uny pouty fmm ex.pusures "Urgedl)' cllused by Dames & Moore's performance of
services hereunder.
2.7 In thecvent Ihe Client makes n c1nim against Dnmes & ~1oore, at law or olhcr,vise, fllf :lny nllegl'd error, omission orothl'r 3ctluising
out of Ihe performltnCC of its professiol1nl services, lInd In Ihl.! I.!xlenl the Client fails to pawl' such claim, then the Client shall pay all COSl'i.,
including attorney's fees, incurred by Dames & Moore in defending itself ngllinsl thl' claim.
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DAMES & MOORE AI'ROFb"O~ALLlMmOPARTNERSH1r
Jefferson County Department of Public Works
January t2. 1990
Page 4
AUTHORIZATfON
The scope of services and contractual conditions as described in this proposal are
acceptable and Dames & Moore is authorized to proceed.
Date: April 16,1990
This Agreement entered into as of the day and year first written above.
OWNER
Board of Jefferson County
Commissioners
George C. Brown, Chairman
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B.G. Brown, Member
Date
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O, Box 1220
Porl Townsend, WA 9B368
(206) 385.9160
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt. P.E.. County Engineer
Att'n: Diane Puetz
Queen City Sheet Metal & Roofmg, Inc.
1711 Occidental Avenue South
Seattle, WA 98134
Ref: Jefferson County Courthouse
Phase IV - Project # CH0940
Subj: Application For Payment #4
I have attached a copy of A.I.A Document #0702-1983 showing the changes made to
reflect the actual cost to the project. Note the change on line #7. This $.70 elTOr Carried
over from Payment #3. This results in a total of $0.66 added to line #8 also. Therefore the
total Current Payment Due is $117,292.97.
15 Sept., 1992
Please carry over these figures when you prepare your next Application for Payment.
Should you have any comments or questions please call our office,
Sincerely,
~
Fronk HaH
Project Manager
c.c: A. E. Bryant
file
100% Rocyclod Paper
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CHANGE.
ORDER
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'--...--' ARCH ITECT
CO:-:TRACTOR
FIElD
OTHER
AlA DOCUMENT C701
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Jefferson County Courthouse
Renovation Project Phase 4 CHANGE ORDER NUMBER,
1820 Jefferson Street DATE, August
Port Townsend, WA 98368 ARCHITECT'S PROJECT NO,
Queen City Sheet Metal & Roofing
171l Occi denta 1 Avenue South CONTRACT DATE,
Seattle, WA 98134
PROJECT:
(name, address)
Five (5)
31, 1992
8915.0
Apri 1 1, 1992
Reroofing and Masonry
TO CONTRACTOR,
(name, address)
CONTRACT FOR:
The Contract is changed as follows:
Provide all labor and material for tuckpointin9 the top eleven (11) courses of the
boiler Chimney along the west side of the building. Provide a new concrete slurry over
the'existing sandstone chimney cap. Extend the slurry inside Chimney 2 ft. below
top elevation. Provide a sloped surface on the cap top to the outside. This work
is in addition to Change Order No. 03 which included cleaning, spot pointing and sealing
of the boiler chimney. Provide all cost for the above including associated costs
and time. Include Washin9ton State Sales Tax. See attached proposal no. 015
Proposal request no. 015
$2432.28
o
Not valid until sIgned by the Owner, Archltectllnd Contractor.
The original (COOl",cr Sum) (Gu:lr:mtced~l:l.inmm-Price) was, . , , , , , , , , , , , , , , , , , , , , , . $
Ner ch:mge by prevlDuslyouthDrlzed Change Orders """"""""""""",.",$
The (CDn.",ct Sum) (Gulll':>l'llCed MlI.in"Ift~POOe) prior to this Change Order wa.', , , , , , , , , , $
The (CDnrrac. Sum) (6.llf'lt"'oed-M.";"'.~H'rl<e) "'iii be (IncrC:l.'ed) (dcerat.<<tI)
o(~onsed)byrhISChangeOrderln'he:mlDuntof""""""""""""", ,$
The new (Con.rac. Sum) EGu<_lO<tI ~"'Niml_Pric.) including .hls Ch:mge Order wlil be " $
The COOleoc. Time wlil be (IA"'.....a){<Jo<"';l,"'~) (unchanged) by
The dale of Subst:m'I.1 CDmple./on :IS of .he d.,.e of this Ch:mge Order .herefDre Is
512,328.00
29,405.78
541,733.78
2,432.28
544,166.06
Zero ( 0
September 20, 1992
) dol's,
NOTE: TIlls liUmm:lry does nOE reflect changes In the COntr;Jct Sum, Controlcl Time or GU;lr:mleed MaxImum Price which h::l\'(' been :luthorlled b~'
Construcllon Change Olrccth'e.
o
Duarte Bryant Architecture
ARCIllTECT
209 ! 1st Avenue South
Addrcs.1
se~tt~, Wf.p8~4
BY ~,c ~
DATE August 31, 1992
DATE
Queen City Sheet Metal
CONTRACTOR
1711 Occidental Avenue
AddrCM
Seattle,/WA 98134
BY .--::(/~;<.. . / ,1<" ),:,;~,' '/; / BY
DATE /> /(~/ /::;..J-.-' c-J
& Roofi ng
OWNER
South
Address
WA 98368
AlA OOCUUENT Q701 . CIIANon onOER 1987 tDlnoN . AlA- . lOll)S7 . Tlln
AMERICAN INSTITUTE OF ARCIIITECTS, I?n NnW YORK AVE., N,W" 1;X'A.t;IIINGTON, O,C. 20006
G701-1987
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August 28,1992
1711 OCCIDENTAL AVE, SO" SEATTlE, WA, 98134. (206) 623-6020
Duarte Bryant Architect
209~ First South
Seattle, WA 98104
Ref. Jefferson County Courthouse
Mr. Al Bryant
Dear Sirl
Please find enclosed the cost breakdown for change proposal No. 15;
Subcontractor-Olympic Masonary $2051.17
10% Overhead & Profit 205.12
Sub-total
$2256.29
175.99
$2432.28
W.S.S.T. 7.8%
o
Total
If the signed change order is received by us after Sept. 8,1992, increase
the amount of the change order by the following amount;
Scaffold rental per week- one week minimum $1241.00
10% 124.10
Sub-total
1365.10
106.48
$1471.58
per week
W.S.S.T. 7.8%
Total
We also reqest a time extension for the number of days change order
is delayed past Sept. 8,1992.
RECEIVED
DIJI,RrE 8HYt.~iT
,v')r 1,11'tr:,..TIIG(':
/'
Very trurY yours,
Queen city s~eet e~al & Rfg. Inc.
,'- g~.-./~ ~",~"r.".
~~ ~~ai ~nager
AUG 2 9 1992
c'
SHEET METAL FABRICATORS. BUILT UP ROOFING. SINCE 1945
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MASONRY RESTORATION
3820 Hastings Ave, W,
Port Townaond, WA 98368
(206) 385.5757
Pago No
of
2
Paa(',
"ItOPOlAL I\,I,,I,II"[D TO
~Tu~en c; r. Sheet M"tal & RooCllllJ Inc.
1711 Occidental Ave. So.
tiN. lfAT[ AND lIP CODl .
, Se~ttle.~~. 98134
ARCHlfU:r ~ : I QAlt or 1'\."'"
Duart.p. Oryant __ _ L
w. ""rlb)' ,...to."11 ..,I..,.,f,,..,.")n, a"'d ul;ma.u 10'
Grind out and Tu~kpoint top 4 ft. of
Boiler Chimney_ Patch and ~~9rout too 2 ft. of the interior
of Rniler Chimney. Remove lIl<.>rtal." jOi;1L" ilt sandstone cap,
replace with new beveled mortar c~p.
'pHOh[' L
O._'~' -6020' 126L
100.^M Seifer~on ounty cou~fhouse-
Renovat1on-Phase Four
JOI. Inr:"'IO"
1020 J"fC..rson St.Pt.~'wnsnd.Wa.9,8368
JOu ....IUNI
P1:0.iioct *c:!:O-9-l0
)85-6104
Labor= $ 1433.46
Equipment'" 370.09
Materials" 50.34
Total= $ 1653.89
Q 10% Profit'" 185.39
Total" $ 2039.27
State B & 0 TaKU 9.97
City B & o Tal(= 2.03
Total= $ 2051.17
II, IIropdd' ha'"by to 'Ilrnl.h Mat.rlll and I_be' - eompl.'. In
Two thousann fifty one and
)''''ll'It 10 m.". U lJl\l,I'-;'-'"
17
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:~::~~j:;::.I::.::fl:t~.:Oh4~:(.t1:::clll::,.~:,~ ~ ~~=I',:.III.:.:':;::~~~. Aulfwt"'M
I~I t1111f1h1t1l, ..". r.I" "'"I tI. '1....Iw ...., "'"" .,",''' .14.... .... ..I" IMC~ '" Oi,,,,t,,,.
::I~~l~~~~ ~:~ ~~i:~:~~~~~'~~,.;a,:~:;~~~~':'II~~''::'::~~:'I:~~:~~ Not'l 'tll. sw~..r "Ur iN
0", """,Un .11 ,,,n.. I.""", ~ w."",.,,'. elo"""""'t.ollkoft 1"W1II"":'. .nhd,aw" by vi II not KCtp'ed wllhln
PrQ,~
30
"ttl'l1tUn.r... tlf Jlrn&2p.Ilul - ,.. ...... P''''', '1*"",\,0"
'"If tMcfillof'll Itt ulld.el6" ."" .'. "''''11, uUpt.d. v~ It. I~t.o,....d
10 d, 'h. wft,It." Irttl'jWl ".,.,,\11'11 will btI MU. U ell"'''" .bcl__..
a'I".tur. -..
Ol'e of Atup""Ct:
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MASOt-{RYRE!:jTORATIO,N, INC.
3820 Hastings Ave, W,'
Port Townsend. WA 98368
(206) 385-5757
t~bor: Estima~ed time frame 2 men 3 days
B~sic Wages~ $20.72 X 48 hrs.
Fringe Benefits~ 3.78 X 48 hrs.
Labor & Ind. Ins.= 2.32375 X 48 hrs.
FICA~F~o. Ins. 6.2 X 1176.00
Medicare= 1.45 X 1176.00
Futa=.008 X 1176.00
Suca= .0396 X 1176.00
Equipment:
Mortar Mixer 2 days @ 25.00 per day
Wnp,p.l barrow 2 days @ 6.00 per dkY
TuckpointAY ~^w I d~y @ 6.00
One 7" ni^mnnd blade @ 125.00 ea.
PYP~suer washer 3,000 PSI 1/2 day
6' step ladd~r @ 7.00 per day
3/4 ton pickup truck @ 39.95 PQr day
Allt.n Tns. for truck @ B.99 PQr day
Rental equipment subject to wsst @ 7.B%
Materials:
o 0 flllpArHnp. s~nd @ 4.50 ea. X 3
1/4 yd. Mason sand
White cement @ 17.00 p.n.
Lime @ 7.59 ea.
Color additive @ 3.25 lb.
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$72.<)1
1 7. ill
$89.96
S 994.%
191.44
$1176.00
111.54
B9.96
9.40
46_56
$1433.46
$ ';0.00
12.00
6.00
62.50
115.00
21.00
119. B5
26.97
$ 343.32
26.77
$ 370.09
13.50
9.00
17.00
7.59
3.25
$ 50.34
CHANGE
, ORDER
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AHell ITECT
CONTHACTOR
FIELD
OTIIEH
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AlA DOCUMENT G701
"
PROJECT: Jefferson County Courthouse
(name, address) Renovation Project - Phase 4
1820 Jefferson Street
TO CONTRACTOR, .
(name, address) Queen Cl ~y Sheet Metal
1711 Occldental Avenue
Seattle. WA 98134
Four(4)
CHANGE ORDER NUMBER,
DAT~ August 20. 1992
and Roofi~~CHITECT'S PROJECT NO, 8915.0
South CONTRACT DATE: April 1, 1992
CONTRACT FOR, Reroofi ng and Masonry
The Contract is changed as follows:
Provide all labor and material for providing new copper downspouts sleeves as indicated
on the attached Change Prposal No. 07R. Provide all cost for the above including associated
cost and time. Amount indicated shall include Washington State Sales Tax.
Change Proposal No. 07R
$805.05
()
Not valid unlll signed by tho Owner, Architect and Contractor.
The original (Contr.ct Sum)(~X~X~&}:*X"llX.l{,y.lV~~w:lS , , , , , , , , , , , . , , , , , , , , , , , ,I 512,328.00
Netch:mgebyprevlously.uthorizedCh:mgeOrders,."""""""""""""",1 28,600.73
The(Conlr'cISum)(l';l(,itcll>liXW~XWiK~prIDrtDthIsCh:mgeOrderw:lS""""" 1 540, 928. 73
The (Cont,"ct Sum) (~~lllOOiJ!~>>X&JS ,,,111 be (Increased) /<i&&X*X<XJ
/(J\W~.x:Ilby lhls Ch.nge Order In the omount of """"""""""" ",.,,1 805.05
The new (Cont,"ct Sum)(l{;kix.lill(iKl'J(Il!x,x~;(,)Ittil!clllncludlngthlsCh:mge Order will be "I 541,733.78
The Contr.ct Time will be (~~~iK&lI*&l\ (unchanged) by zero
The d.te of Sub,,:mtl.1 Completion as of tile d;lIe Dr tills Ch:mge Order therefore Is September 20. 1992
NOTE,
o )d.l's,
nll~ summary doe.1II not renect ch::ange:..1ln the Q)nlr.lC1 Sum, Conlr:lCI Time or (i1l:lr:mlC"'C"'d M:txlmum Price whIch !la,'e been :lulhorlzed b~'
Conslnlcllon Change Dlrectl\'c,
County_
....2.t.-.Io~ t.lJL...98368-
BY 'QJ?~
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Duarte Bryant Architecture
ARCllITECT
209 1/2 1st Avenue South
Address
-Uuean City Sheet Metal & Roof~ Jeffer~on
CONTRACTOR OWNER
1711 Occidental Ave. South P 0 Box 1220
Addrer... AddrCM
...s,," tt 1 ". WA-.9.8l3/i
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DATE
DATa
AlA DOCUMENT Q701 . CHANGB ORDER . 19R? I!OmON . AlA- . tt>19R7 . TilE
AMERICAN INSTITUTP. OP ARCIIITf:CTS, "'5 NEW YORK AVE.. N,W., '<<'ASIIlNCTON, D.C. 20006
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c3ueen euy .skeet.Atetal & J(oo/ing~ kc.
Aug. 14,1992
1711 OCCIDENTAL AVE, SO., SEATTlE, WA, 98134. (206) 623.6020
Duarte Bryant Architect
2091:1 First South
Seattle, WA 98104
Ref. Change Proposal No. ;v.r C>, ~
Dear Sir.
At Frank Halls request. we are submitting the following change
proposal for the fabrication only of the new copper downspout sleeves.
The installation would be done by the employees of Jefferson County.
o
Material
Field Measure 2hrs. @30.55
Shop labor 12 hrs. @30.55
Labor tax
72.00
61.10
366.60
149.69
$649.39
97.41
15% Overhead & Profit
7.8% W.S.S.T.
$746.80
58.25
Total
$805.05
fqt:oe:,v~o
DU^'UE ilil'lJII.r
~R(~J.f"Fr.Tllr,f!
AUG r 5 1992
"......)
& Rfg. Inc::.~._____.,
SHEET METAL FABRICATORS. BUILT UP ROOFING . SINC~ 1945
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OWNER
ARCHITECT
CONTRACTOH
FIEI.Il
()TIII.:1l
AUG 0 :j 1992
I JEFf f.:RSUI'! COUNTY
IPUBLlC '//OQ.K:
CHANGE (')Rm~~TC'-Three"T3r
DATE, July 31, 1992
AlA lJrlC/lMF^'7' (,'701
PROJECT,
(name, address)
Jefferson County Courthouse
Renovation Project-Phase 4
1820 Jefferson Street
PO Box 1220
Port Townsend, WA 98368
ARCHITECT'S PROJECT Nl) 8915.0
CONTRACT DATE, Apri 1 1, 1992
CONTRACT FOR, $512,328.00
TO CONTRACTOR,
(name, address)
Queen City Sheet Metal
and Roofi n9
1711 Occidental Ave. S
Seattle, WA 98134
The Comract is changed as follows.
Provide all labor and materials for:
RFP No.6: Interior masonry repair of gable wall
at attic level. No time extension.
New painted sheet metal cap. No time extension
Clean,(r~pair, and tuck point chimney. On west side.
Three 3) day time extension.
Y RFP No. 11: Additional repair, tuck pointing and spot pointing
on five (5) chimneys. Seal six (6) chimneys with
Siloxane. Six (6) day time extension.
x RFP No. 12: Clean, spot point, ana seal boiler stack.
Five (5) day time extension.
$2,359.90
RFP No.8:
vRFP No.9:
1,149.61
3,523.90
8,204.46
7,901.83
'0
Note:
Provide all costs for the above including associated costs and time. Amounts
listed include Washington state sales tax.
Not valid until signed by tho Ownor, Architect and Contmctor.
Theoriglnal(Con'l':IctSum)(~~Willl(,l\J(IXrX:l!)....."",., ,
Net ch:mge by previously 'U'hDrI7.ed Ol2J1ge Orde,. , , , , , , , , , , , , , , , , , , , , , ,
The (Contl':lct Sum) (~~~m)priortolhis Ch:mge Order wa." , , , ,
TIle (Conll':lct Sum) (t~w KlUIltIliX~l<:lb will he (IncICL<ed) (dI*lI:K.J(,lIl<
(~IC.)(-.li~)by this Change Order In theamoum of ,,"', " "" '" , , , "I
The new (Con'l':Ie' Sum) (<<",*"~~&Ku\J(1X~) Including Ihl. Change Order will he "I
The Coml':lct Time will he (Increa.'iCd) (&J('~*-lOYiHllW(1l(~-.I() hy
The dale of Suhst2ntl:t1 Completion 2.'i of Ihe.' d21C or Ihls Ch2nRc Order thtOrl'forc: Is
$512,328.00
5,461.03
517,928.73
23,139.70
540,928.73
Fourteen (14 ),h,l"
September 20, 1992
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NOTE:
Till" SIU1ll11:ITr docs nm rt'llt'\" rhOlnj.\t':'oo III lilt' COlllr.Kl SUIll, ellllu,lel Tin\(" or <ill;lr;Ulh'l'd M.I\;I1IlUI1l Pnn' whidl h.ln' hc."t."n .ulthorl/c.'c.1 h,
COm;fnll"lhlll <:h;mMC 1)lr(.'("II\'I'
Duarte Bryant Architecture
A RCIIITHCT
209 1/2 First Ave. S
~.;;~ __...'_____h. '_,...
Seatt WA 98104
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IIAn .----,_'1L'tY/,,:Y1-z, '.",.
Queen City Sheet Metal
and Roofing
Jefferson County Department
of Public Works
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(;(lNTHA<:"J'<)U
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Alliin'"""
Seattle, WA 98134
1I\~'2jL'~?dc~ v./ III
IIATI ,',' ,J0~b.J.:-..
Addr'.....
Port
Townsend, WA 98368
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AlA DOCUIaHT Q70, . C1IANliI Otllll,tl . 11,Itl':' Hill/ON AIA-. l<'l'l"~ . 1111
AMJ!RICAN IN!riTlTlln: 01' ANcttlTl'C",. 17\' NI'W \'IIH" AVI, N\l:'. \\'A.\IIINciICIN, 1)1 JIWUt',
0701-1087
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Att'n: Diane Puetz
Queen City Sheet Metal & Roofmg, Inc.
1711 Occidental Avenue South
Seattle, WA 98134
o
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. 80x 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
28 July, 1992
Follow up to our phone conversation of today.
I have attached a copy of A.l.A Document #0702-1983 showing the changes made to
reflect the actual cost to the project. Note the change on line #4. nus $.70 error when
adjusted through reflects a reduction of $.66 in the paymenL
Additionally on line #9 the retained funds are to be added in.
Should you have any comments or questions please call our office.
Sincerely.
~-#
Project Manager
c.c: A. E. Bryant
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CHANGE
ORDER
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AlA DOCUMENT G701
OWNER
ARCHITECT
CONTRACTOR
FIEI.D
OTHER
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PROJECT: Jefferson County Courthouse
(name, .ddress) 1820 Jefferson Street
Pt. Townsend, WA.
TO CONTRACTOR:
(ruune, .ddress) Queen Ci ty Sheet Meta 1
1711 Occidental Avenue
Seattle, WA 98134
Renovat i diiHANGE ORDER NlIMIlER, 02
DATE, July 15, 1992
ARCHITECT'S I'ROJECT NO, 8915
and Roofi~SNTRACT DATE, Apri 1 1 1992
South '
CONTRACT FOR, Reroofi ng and Masonry
The ContClct Is clunged :os follows:
Provide all labor and material for reV1S10ns as indicated as Change Proposal No.2
and Change Proposal No.5. Copies of the breakdowns are attached.
Cost shall include all assoicated cost including all cost and time.
o
Change Proposal Request No.2
Change Proposal Request No.5
$1415.25
No Cos t
Nol valid until signed by tho Owner, Architect and Contractor.
~eorfg\tul~~~u;:>eI$.um)(QHfIl9lJm~~\V:I5""""" "" ", " "",.
Net d,g,,8"l:1fl>rt:vIoibsIY.aut!lod1led Q\*tge 0rdetI . , , , . , , , . , , , , , , , , , , , , , , , , , , , , , ,.
The(cOrlliiici'SimI)(~l!ll.1l~pdorlolhIsOungeOrderw:as"""", ,.
The (Conlr.iCtSUm) (<<~~~~ will be (Incre:ased) ~<I)
(~bylhIsClwlgeOrderlnlhellltlOW1tof""",..""""""""" ,.
The new (Conll:lCl Sum) (<lU6lQl6W l<<4~ Includllljl this Ch.nRe Order will be , ,.
512,328.00
4,045.78
516,373.78
1,415.25
517,789.03
The ContraCl Time will belQK~W~'lI<<l (unduftRCd) by
The dale of Sub.t:lftIW Complellon :as of the WIe of 0\1. Ol:anRC Order therefore Is September 6, 1992
(0 ) dol'S,
NOTl!: nlls &ummary does not rclk-c.:1 dl;.Ul~ In the (AKUr,K1 SUfH. COIll,;"'t TUlIl' or (itl.lr;lnt('('d ~bl(ilmlln IIw:c whit'h hOl\'(,' hc.'t'n :authmii'.c.'d h)'
ConMRJctJon 01ange Directive,
Duarte Brvant Architect~~
ARCJIITECT
,?Oq 1/? 1 ~t Iute......SOllth
AlIdres.~
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c~~~t"(."f)11 ty-5hee.LMll.taLLRoo ~:.w,~~e.f.f.&S1lll-County--
~~Occ-i don ta~.-Av9nu9-Sou t h Aii7<~.-JlO)L1220
.seatt.l~~JlA.'f81~.._._----,. ,Pt_.Town~nd.-WA.1d.3.~~___-
IIY ~dd..J?IL~;Y:v../} II' ___&~_a____.___,___
IlATn IlAH ?~ ? h..J- IlATI' -p'/"12-
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cfl.ueen euy .sheet Aktal & J(ooting} Ync.
1711 OCCIDENTAL AVE. SO,. SEATTLE, WA. 98134.(2061623'6020
June 23,1992
Duarte Bryant Architect
209~ First South
Seattle, WA 98104
Ref. Jefferson County Courthouse
Mr. A. Bryant
Dear Sirll
Proposal request No. 2 will not cause any change in the contract
amount or time of completion.
c}
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Very truly yours,
Queen City Sheet Metal & Rfg. Inc.
~,~ '---~
Dou9?spii'zenberg';;;.-, Project Mana'ger
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SHEET METAL FABRICATORS. BUILT UP ROOFING. SINCE 1945
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cfl.ueen euy $keet.Atetal & tl(oo/ing) k.
July 10,1992
1711 OCCIDENTAL AVE, SO" SEATTLE, WA, 98134-(206) 623.6020
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Duarte Bryant Architect
209~ First South
Seattle, WA 98104
Ref. Jefferson County Courthouse
RFP-5
Mr. A Bryant
Dear Sirl
Enclosed please find the cost breakdown from Tollshark Construction
for change proposal Number 5.
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Cost to Queen City Sheet Metal & Rfg. Inc.
10% Overhead & profit
$1193.50
119.35
W.S.S.T. 7.8%
$1312.85
102.40
Total cost to owner
$1415.25
& Rfg. Inc.
'- "";/~;?:;-#~-
nb~rger, ~~oject Manager
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SHEET METAL FABRICATORS. BUILT UP ROOFING. SINCE 1945
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TOLLSHARK CONSTRUCTION, INC.
P.O. BOX 100
CHIMACUM, WA 1183215
PH: (208) 732....080 FAX: (208) 732....081
TO: QUEEN CITY SHEET METAL Il ROOFING INC.
1711 OCCIDENTAL AVE. S.
SEATTLE, WA 11813-4
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JOB NUMBER: 1121
DATE: July 2IIl2
PAGE :112
PROJECT: JEFFERSON COUNTY COURTHOUSE
COURT HOUSE ROOF
CHo.lI-40 (1-211-92)
ATTENTION: Mr. Doug Spllzenberger
Ph: 208-823-8020
.........-...................--------......-...........--................----....--..-..-..............--..-......-.......-..-...--.....-...............-.....-.................--........--......---....................-............
CHANGE ORDER PROPOSAL # 15
Fax: 208-2112-9708
..-......-.......................-..-........-....--.........-.................-.................-..-.............................---.............................-....-....-......-....-......-................-..-....-..........-..-......-...........
lIamlzed QuolllUon for chllnaes In thll Contrllct Sum lind/or Tlmll Incldllnllll to llroDolllld modlncaUons
to the COntrect Documents. 8S deacrlbed below.
DIY
DESCRIPTION
8 WOOD
Revisions to new wood fremlng In the Atllc Level:
o
1,) Sister new refters to exlsllng railers In pIece of Install all on
between exlsllng as indicated, Nell w/16d @ 12" O,C, Two rows.
stagger nailing pattern ( Ie, nailS at 6" O,C,)
2,) Add framing connecllons at ridge beam of south gable;
3.) Add 4x6 knee brace at northern colums of south roof framing
below exlsllng ventilator:
4,) Add 2x8 frmlng lie to North, East, South and West sides to
the trusses and columns to structure;
5,) Add JOists to each side of exlsllng railers notChed al SE dormer,
Extend new JolSIS 24" beyond eaCh notCh;
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LABOR 35,00
MATERIALS 85,00
SUB TOTAL 120,00
10% P&O 12,00
TOTAL
LABOR 50.00
MATERIALS 15,00
SUB TOTAL 65,00
10% P&O 6,50
TOTAL
LABOR 140,00
MATERIALS 50,00
SUB TOTAL 190,00
10% P&O 19,00
TOTAL
LABOR 0490.00
MATERIALS 50,00
SUB TOTAL 640,00
10% P&O 54,00
TOTAL
LABOR 50.00
MATERIALS 15,00
SUB TOTAL 65.00
10% P&O MQ
TOTAL
AMOUNT
$132,00
$71,50
$209,00
$59MO
$71,60
~:)
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TOLLSHARK CONSTRUCTION. INC.
P.O. BOX 100
CHIMACUM. WA 983215
PH: (206) 732....080 FAX: (206) 732....081
TO: QUEEN CITY SHEET METAL a ROOFING INC.
1711 OCCIDENTAL AVE. S.
SEATTLE. WA 9813-4
JOB NUMBER: 921
DATE: July 2192
PAGE: 212
PROJECT: JEFFERSON COUNTY COURTHOUSE
COURT HOUSE ROOF
CH~-40 (1-29-92)
ATTENTION: Mr. Doug Spltzllnbllrgllr
Ph: 208-823-<<1020
--.................................-..............---.........-............---..---...........----......................-......---...........--...........--.......-.........---..........---....--..---............-------.......-----
CHANGE ORDER PROPOSAL # 15
Fax: 208-292-9708
..........----.............---..---....---..---.......................---..--....---.....---....--..........--........-..................................---........--........--......---...........--.....-..-..-..-..-....-------.....
6.) Add double 2X8 to western beam Ihal has denecled at valley LABOR
support. Ralsa beam (axlstlng) before Instellatlon of double 2x8's: MATERIALS
SUB TOTAL
10% P&O
TOTAL
LABOR
MATERIALS
SUB TOTAL
10% PliO
TOTAL
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7,) Delete eddlllonal rafters along west side above elevator machine
room,
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GRAND TOTAL
275.00
40,00
315,00
3150
(175,00)
(35,00)
(210,00)
(21,00)
-'~l: '.
AMOUNT
$346,50
($231.00)
S1.193,50
'f"&l(~~~l\Ila~.._.
CHANGE 0 ( 1'X'NEH 1/
ORDER AIH :IIITH. I II
',l ('( )NTHAC :., C II< II
nEJ.I) II
AlA /JOC'{I,\//iJ\'T (;7()J (ITIIJ-:H II
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PROJECT' Jefferson County Courthouse
(n:une, address) 1820 Jefferson Street
Pt. Townsend, WA
TO CONTRACTOIl
(ll~II1lC, addrc.:ss)
RenovationCIIAN(;E .lIlI>EIl NI'MIlEIl 01
[lATE
June 25, 1992
^IlCIIITECI'~ I'llllJECT I'll 8915.0
U IN'J'IlA( T DATE, Apri I 1, 1992
Queen Ci ty Sheet Meta I asonudthROOfi n~ONTIlACT FOil, Reroofi ng and
1711 Occidental Avenue
Seattle, WA 98134
Masonry
The Contracl is ch;lnH~c.J as follo\vs:
Provide all labor and material for new 20 oz. copper 9utters at each of the three (3)
octagonal flat seam metal roof turrets and two (2) conical standing seam metal roof
turrets.
Each octagonal turret @ $527.00 + 41.12 (WSST)
Each conical turret @ $1,086.00 + 84.71 (WSST)
$568.12 x 3
$1,704.36
$1.170.71 x 2 = $2,341.42
$4045.78
See attached letter from Queen City for response to this change. Cost include
all assoicated cost including all cost and time.
o
Not valid until signed by the Owner, Architect and Contractor.
512,328.00
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512,328.00
The mllllnal (Comract ~um) ((J(~~j(,X.x~l(llIl(VI!i.x<>l w;" ,
Nct ch~m~c hy previously ~uthnri7.('d Char1RC ()nkr!'i
The (Contract SU"') ~X,ll/(j)lj(,H.xKtX*)I\l\)lVlltil(l() prior to 'h" Chanlle Order \\,;1.',
The (Contract Sum) (~l(;ltil\1l*'XtXN(:lliIiK\l\)llt'X.K<>I wl.lI he (inc'rc...""llllo/;l<rlE;\t-Ko,'()
(llHt)(~\x') hy lhl'i ChanHc Order in the ~1I1l01lnt of
The new (ContrJct ~lIm) (CXi4Kt>>ltlEoXKIlUOKIXIKVlXil('1O Incllldinlllhls Ch;mKc (lrd'" \\,1111",
The Contract Time will he XXJ\X,1(~~~"'~W)(lInchanlled) hI' zero
Till' tl:lll' clf SuhMantlal C()mpll'llc)O a.~ (If Illl' d~lll' clf thIs Ch;U\~t' Onlc.'r 11Il'rt'hlrt' I" September 6, 1992
4,045.78
516,373.78
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Till" ~llll'l1l:lry \111('" lllll rdlt'll ,1lJIlKI'!'o. 11\ lIlt' ('1l1l\r,1I I ~lllll, I'I.Illl.h I I Ulll' III 1'11,11.11111'1'11 .\1."'11111111 l'lh \' "hll II 11.1\1 I...."." ,ltllllllll/nl 11\
(:llll~lrlltlllln (.h,IIlI.lt' I)Hl'\ll\'('
Duarte Bryant Architecture
^"~~~"1/2 First Ave. South
?~,~e,~,5,\V Sheet Metal & Roofi,~\~" I~efferson County
17rl Occidental Ave. South P.O. Box 1220
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Seattle, ~81 4, '
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1711 OCCIDENTAL AVE. SO.. SEATTLE. WA, 98134. (206) 623,6020
June 23,1992
Duarte Bryant Architect
209~ - First South
Seattle, WA 98104
Ref. Jefferson County Courthouse
Mr. A Bryant
Dear Sir 1/
We are pleased to quote you the following work per request for
proposal No. If:
Install new 20 oz. copper gutters at octagonal flat scam metal roofs.
Material
Shop Labor
Field Labor
Labor Tax
$100.00
21.00
244.00
93.00
$458.00
69.00
11-;:\
Sub-total
15% OH & Profit
.1l!,'~;1 P~\?
Total
$527.00 per turret
To install new 20 oz copper gutters at conical standing seam roofs:
Material
Shop Labor
Field Labor
Labor Tax
$120.00
122.00
488.00
214.00
$944.00
142.00
Sub-total
15% OH & Profit.
Total
$1.086.00 per turret
Inc.
SHEET METAL FABRICATORS. BUILT UP ROOFING. SINCE 1945
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Streel
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G, Nesbitt, P.E., County Engineer
LETTEffi ~W T~AN~OOllTTAL
To: Duarte Bryant Architecture
Att'n: AI Bryant
Ref: Jefferson County Counhouse Renovation
Phase IV - Roofing & Masonry restoration
Subj: Change Order #1
Date: July 1. 1992
Project No: CH0940
Attached are two (2) fully executed copies of Change Order #1. One copy is to be
forwarded to the Contractor and the other is for your use.
d~A//
Project Manager
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CERTIFICATE OF INSURANCE
.......-/
ISSUE DATE II.1MID:J!""'v~
PRODUCER
4/1/92
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTENO OR ALTER THE COVERAGE AFFORDEO BY THE
POLICIES BELOW,
LOVSTED CCMPANY
(""'424 THIRD AVENUE WEST
SEA1~LE, WA 98119
( 206) 285.7735
COMPANIES AFFORDING COVERAGE
~~~~~NY A
AMERICJ\N STATES INSURlINCE CO.
QUEEN CITY SHEET METJ\L &
CCMPIINY, INC.
1711 OCCIDENTAL AVE. SO.
SEA1"rLE, WA 98134
RCOFING
f~~~~NV C
"j~';:~-Y.;;lir\\7 !E!t~-i
J
~~T~~~NY B
INSURED
E~i'i~~NY 0
APR 0
~oumY I
COVERAGES REVISED CERTIFICATE REPLACES ONE ISSUED 3/25-fg.~---__~
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABove FOR''1HE P PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~~~~~NY E
. d~. ( I
CO
TR
POL.ICY EFFECTIVE POL.ICY EXPIRATION
DATE (MMIDDIVY) DATE \MMIODIYYl
TVPE OF INSURANCE
POL.ICY NUMBER
GENERAL. LlABIL.ITY
X COMMERCIAL. GENERAL. LIABIL.ITY
CL.AIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROTo
GENERAL AGGREGATE
PRQOUCTS.COMPIOP AGG
PERSONAL. & AOV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any CIllO lira)
01CC 525335 1/1/92 1/1/93
$2,000. PROPERTY DAMAGE DEDUCTIBLE
PER OCCURRENCE APPLIES
"PER PROJECT AGG. APP I
X S10P GlIP
MEO, EXPENSE (My onft l)IlBOOI S
COMElINED SINGLE
L.IMIT
AUTOMOBILE LIABIL.ITY
0'
ANY AUTO
AL.L. OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
GARAGe LIADILlTY
01CC 525335 1/1/92 1/1/93
$500. PROPERTY DAMAGE DEDUCTIBLE
PER OCCURRENCE APPLIES
BODIL. V INJURY
(Par PQr!lon)
BODIL. Y INJURY
(Pnr accldenl)
x
X
PROPERTY DAMAGE
eXCESS L.IAOIL.ITY
UMBRELL.A FORM
OTHER THAN UMORELL.A FORM
EACH OCCURRENCE
AGGREGATE
WORKeR'S COMPENSATION
AND
EMPL.OVERS'LIABIL.ITY
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-E^CH EMPLOYEE
OTH!R
DeSCRIPTION OF OPERATIONS/I.OCATIONSIVEHICLESISPECIAL ITEMS
THE CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS:
JEFFERSON COUNTY COURTHOUSE RENOVATION PHASE IV - PROJECT #CH0940
CERTIFICATE HOLDER
CANCELLATION
1992
LIMITS
· 2,000.000
· 2,000,000
s 1. 000, 000
· 1.000,000
· 50,000
1,000,000
,'1""....
JEFFERSON COUNTY
PUBLIC WORKS
P.O. BOX 1220
PORT TOWNSEND, WA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DAYS WRITTEN NOTICE TO THo CEnTIFICATE HOLDER NAMEO TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SliALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KINO UPON THE COMPANY, ITS A ENTs.,OR REPRESENTATIVES,
MiTHORI~R'~', ATlv.-J-d-- --, ---
.1 ~Q/r.
7~o~::.r.5U ;cMP~RD CORP~TI<?!i..!!~J
DEPT OF
90360
ACORD 26-9 (7/00) _.___.
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CERTIFICATE:. OF INSURANCE
-.
1...,......)
ISSUE OATE (IJM/ODIYY)
PRODUCER
:f.:1.5/~2
ITS D AS A MAT ER OF INFORMA ION ONe AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
LOVS'I'ED c.'CMP^NY
N424 '11IIRD ^VENUE WEST
~JSE^1"rLE, W^ 98119
( 206) 285- 7735
N1ERIC^N STNI'ES INSlIRN-JCE CO.
COMPANIES AFFORDING COVERAGE
E~i~~~NY A
INSURED
f~;i~'i:N 8
COVERAG,ES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE liSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABove FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
eXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
(lUEEN CITY SIIEET ME'I'^L & ROOFING
CCMP~Y, INC.
1711 OCCIDEN'mL ^VE. SO.
SENITI"E:, W^ 98134
f~T~~~NY C
f~;~~~NY D
f~T~~~NY E
CO
TR
POLICY PlUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIVY) DATE (MMIODIYY}
TYPE OF INSURANCE
GENERAL LIABILITY
LIMITS
"
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR. 0 lee 525335 1/1/92 1/1/9]
OWNER'S & CONTRACTOR'S PROTo $2,000. PHOPEHTY DJIM^GE: m:ilUCI'IIlIE
STOP GIll' PER OCCUllRENCE ^pPJ.IE:S
GENERAL AGGREGATE $ 2,000,000
PROOUCTS.COMPIOP AGO $ 2,000, 000
PERSONAL & AOV. INJuRY S I ,000,000
EACH OCCURRENCE S I ,000,000
FmE OAMAGE (A.ny OM I,rel $ 50, 000
MEO. EXPENSE (Any oOt! per,;onl S ') () 0
COMDINED SINGLE
LIMIT
SHOULD ANY OF TIm ABOVE DESCRIIlED POLICIES ne CANCELLED AEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30._ DAYS WRITTEN NOTtCE TO THE CERTIFICATE HOLDER NAMED TO THE
Lr:~'T. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
U, olLITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHom"D REPR'S.NTATlVE ~~ ./........: ./
1;t./~-~ \.f:::1;.~dp.,;;--- I
;{,} 7' (..4~) I
t;!__.~CO!!D COI'W~1J~990 I
x
x
AUTOMOBILE LIABILITY
l'T':'.V< ANY AUTO
~ ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
Dlec 525335 1/1/92 1/1/93
$500. PROPERTY Dl\MI\GE DEDUCI'T13LE
pE:H OCCURRENCE: M'PL ms
OODIL V INJURY
(Ptlr perlon)
x
X
DOOIL Y INJURY
(Pllr accident)
GARAGE LIABILITY
PROPERTY DAMAGE
excess LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKER'S COMPeNSATION
AND
EMPLOveRS' LIAbiliTY
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
OISEASE-EACH EMPLOYEE
OTHER
DeSCnlPTlON OF OPEnATlONB/LOCA,TIDNB/VfHICLESfSPECIAL ITEMS
THE CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS:
JEFFERSON COUNTY COURTHOUSE RENOVATION PHASE IV - PROJECT #CH0940
I CERTIFICATE HO~DER
JEFFERSON COUNTY DBPT OF
(~') PUBLIC WORK~
'-' P.O. BOX 1220
P0R~ TOWNSENn, WA 90368
CANCELLATION
ACORD 25.9 (719~1--
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1,000,000
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Section 00500 Page 1
CONTRACT FORM
Jefferson County Courthouse
Renovation Project - phase Four
Reroofing and Masonry Restoration
Project No. CHO.940 (1.29.92)
JEFFERSON COUN1Y, WASHINGTON
THIS AGREEMENT, made and entered Into this 24th day of March. 1992,
between the COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners and
the Director of Public Works under and by virtue of Title 36, RCW, as amended and
Diane H Puetz of On...." r.ity Sheet Metal. & roofing Inc.
hereinafter callBd the Contractor,
WITNESSETH:
That In consideration of the terms and conditions contained herein and attached and made a
part of this agreement, the parties hereto covenant and agree as follows:
1.
The Contractor agrees to furnish all materials and do certain work, to-wit: That the said
Contractor herein will undertake and complete the following described work: the PhaSB
Four Renovation Project located at the Jefferson County Courthouse In accordance with
and as described In the attached plans and specifications and the terms and conditions
herein contained, and shall perform any alterations In or additions to the work provided
under this contract and every part thereof.
The Contractor shall provide and be at the expense of all equipment, work, and labor of
any sort whatsoever that may be required for the transfer 01 materials and for
constructing and completing the work provided for In this contract and every part thereof,
except such as are mentioned In the specifications to be furnished by the County of
Jefferson,
2. The County of JBfferson hereby promises and Bgrees with the Contractor to employ, and
does e",ploy the Contractor to provide the materials and to do Bnd cause to be done
the above described work Bnd to complete and finish the same according to the
attached plans and speclflcBtlDns and the tarms and conditions herein contained, end
hereby contracts to pay for the same according to tha attached spaclflcatlons Bnd the
schedule of unit or itemized prices hereto attBched, at the tima and In the manner and
upon tha conditions provided for In this contract.
3, The Contractor for himself. and lor his heirs, executor, administrators, successors, and
assigns, does hereby agree to the lull performance 01 all the covenants herein contained
upon the part 01 the Contractor.
4, It Is lurther provided that no liability shall allach to the County by reasen 01 entarlng Into
this contract, except as elCpressly provided herein.
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Jefferson County Courthouse
Renovation Project - Phase Four
Reroofing and Masonry Restoration
Project No. CHO.940 (1-29.92)
'.'
,--..,
Section 00500 Page 2
CONTRACT FORM
IN WITNESS WHEREOF, The Contractor has executed this instrument on the day and year first
below written, and the Board of County Commissioners has caused this Instrument to be
executed by and in the name of said County of Jefferson the day and year first above written.
Executed by the Contractor March 24th
Queen Citv Sheet Metal & ROQfinq Inc,
contra~.lDY , ~
/~~, /d/~~~ '
By / Diane H pueti, pres/
v
Foregoing Contract Approved and Ratified
Surety
By
Attorney-in-Fact
County of Jefferson
Board of ~missioners
" '~////~~-
Cha~ ) 1\ '
Mrb~ V _I) {2UA,-i
M~ Y'
Approved as to form this
._______ 0,
Prosecuting Attornoy
/ -::,y-
day of
1.----..-----=:=---
8915
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k,4J ?71~/
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Renovation Project - Phase Four
Reroofing and Masonry Restoration
Project No, CHO-940 (1-29-92)
_ . Section 00600 Page 1
CONTRACT BOND FORM
BOND NO. 600825501
CONTRACT BOND
JEFFERSON COUNTY, WASHINGTON
KNOW ALL ~~EN BY THESE PRESENT:
Thai
QUEEN CITY SHEET METAL & ROOFING, INC.
, as Principal,
and AMERICAN CASUALTY roo OF READING, PA , as Surety, are Jointly and
severaffy held and bound unto the County of Jefferson, the penal sum of
FIVE HUNDRED TWELVE 1110USAND 111REE IIUNDRED 1WEN'I'Y EIGHT AND NO/100
Dollars ($ 512,328.00 ), for the payment of which
we jointly and severally bind ourselves, our holrs, executors, administrators, and assigns, and
successors and assigns, firmly by these presents,
The condition of this bond Is such that WHEREAS, on the
23RD
MJ\ROI , A,D., 1992, the said QUEEN CITY SHEET ME'I'^L&ROOFIl'KPrinclpal herein,
executed a certain contract with the County of Jefferson, by the terms, conditions and
provisions of which contract the said QUEEN CITY SI1EET MET^L & ROOFING, INC. ,
Principal herein, agrees to furnish all materials and do certain work, to.wlt: That the said Principal
herein will undertake Bnd complete the following described work:
JEFFERSON COUNTY COUR'n1OUSE RENOVNrION PIIJ\SE IV - PROJECr NO. 010940
In Jefferson County, Washington betwoon Station and
Station , as per maps, plans and spoclflcatlons mado a part 01 said
contract, which contract as so oxocutod, Is horounto attached and Is now reforrod 10 by this
roloronco Is Incorporatod heroin and mado a part horeof as fully for all purposos as If horo set
forth al length,
NOW, THEREFORE, IIlho Principal horoln Shall faithfully and truly obsorve and comply with tho
torms, conditions, and provisions of said contract In all rospocts and shall woll and truly and fully
do and perform all mattors and things by the said Principal undertakon to bo performod undor
tho sold contract, upon tho torms proposod thoroln, and within tho tlmo proscrlbod Iheroln, and
unllltho same Is accepted, and all persons who shall supply such contractor Dr subcontractor
with provisions and supplies for the carrying on of such work, and shall In all rospects faithfully
perform said conlract according to law, then this obligation to be void, otherwise to remain In full
force and effect,
8915
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Renovation Project - Phase Four
Reroofing and Masonry Restoration
Project No, CHO-940 (1.29-92)
WITNESS our hands this 2300
QUEEN CITY SHEET METAL & ROOFING,
PRINCIPAL ~
By: L~ - 'L-e/
RIK PUETZ, VICE PRESIDENT
APPROVED AS TO FORM this
J .:5 f--
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Prosecuting Allorney
day of
Section 00600 Page 2
CONTRACT BOND FORM
MAROI
ItlC. AMERICJ\N CASUALTY m OF RFAnTNG, PA
SURETY COMPANY
By:
By: r:-i'.
A
( ed nd effectively daled Power
of Allorney musl be all ached.)
day of
-,
Ar","~J-
Address of local office and agent of surety company:
424 'lHIOO I\VENUE WEST
Streel
SEm"l'LE
.Clly
8915
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WA
Slato
98119
Zip Code
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1992,
1992.
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. AmerIcan Casualty Company 0
of Reading, Pennsylvania
,'CNA
For All the Commltmentll You Make-
OfflcellChlcago, Illinois
.0 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know "II Men by these Presents, That AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA" corporalion duly o,ganized .nd
existing under Ihe '.ws 01 the Commonwealth of Pennsylv.nia, and having ilS principal oHice in the City 01 Chicago, .nd
SI.le 01 Illinois, does hereby m.ke, conslilule .nd .ppoinl Jeffrev L. Stewa rt. Ca rl M. LOvS ted. Ill.
Cilrl M I ovsted. Inniv iuun I I., .
of Seattle Washinnton :
ils true .nd 'awlul Allorney,in.F.ct wilh full power .nd .ulhority hereby coolerred to sign, seal .nd execute in its beh.1f bonds, undert.kings .nd
other obligatory instruments 01 similar nature
_ In U.,l im1 h>ct 'llmn"nto -
~
.nd to bind AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA Ihereby.s lully .nd to Ihe same extent.s if such instruments were
signed by the duly .uthorized olficers 01 AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA .nd all the .cts 01 said Attorney.
pursuant to the authority hereby given are hereby ratified and confirmed.
This Power 01 Allorney Is m.de .nd executed pursu.nt to .nd by authorily 01 the following By,Law duly adopted by the Board of Directors of
the Comp.ny:
""rllcle VI-Execullon 01 Obllgallons and Appointment 01 "llorney,ln,ract
Section 2, Appointment 01 Allorney.in,'act, The President or Vice President may,lrom time to time, .ppoint by wri1ten certificates .ltorneys,
in,lact 10 .cl in behalf 01 the Company In the execution 01 policies of Insurance, bonds, undert.kings and other obligatory instruments 01 like
nature. Such allorneys,ln.facl, subject to the limitations set forth In their respective certificales of aulhority, shall have lulf power to bind the
Company by their signalure .nd execution of .ny such Instruments and to .1t.ch the seal of the Company thereto. The President or .ny Vice
President or the Board 01 Directors may at any time revoke .11 power .nd .ulhority previOUSly given 10 any .ltorney,in.lact."
This Power of Altorney is signed and se.led by lacsimile under and by the .uthority 01 the lollowing Resolution adopted by the Board of
Directors ollhe Company at a meellng duly c.lled and held on Ihe 11th d.y of November, 1966:
"Resolved, th.t the signalure 01 the President or . Vice President and the se.1 01 the Company may be .lIixed by f.csimile on .ny power
a of eltorney granled pursu.nt 10 Section 2 01 Article VI of the By, Laws, and Ihe sign.ture of the Secrelary or an Assistant Secrel.ry and Ihe
. . . ~r:~.~~:~: .~~~:r~~11b:~.1il~i~~~ ~rn~~~~~~~~ ~~x,~:~~fi~~e s~~~';io~~~hscr.~..;ut:~~~~~r.l:J~~J ;:::i\\~~t~y ~~';\m~a~~~ ~~;~i:;;~~
.nd sealed shall, wilh respect 10 ony bond or undert.king 10 which it is allached, continue 10 be valid and binding on Ihe Company."
presl~e~I~~~S~s~~~~~~:i:~;IRi;~~ hC:.;~A.~r.~e~~~:ANY OFI ntplN~~:~NNSYLVA~~~O~ ~~sed these presents to be Signed, ~~ "Mice
~.dtJ!!"O'~ AMERICAN CASUALTY COMPANY OF READING, PENNSVLVANIA
State of IlUno11 1 IS II ,.~~1'4 :I ~
County 01 Cook I '-\ '"::.,," J ~~~,' (
't'.... . (,i. J E, Purlell VICe PreSlden!.
On this 17 th day 01 January , 19~, belore me ~ersonallY came
~. Jii::.~~~e~:d~~Io' ~'I.\'EWic~~oC:~~~li.rtv"'M~~^'N~r&F d~~~~~~~ W'EdN~Mhv"~N~~.'f~~~~rl;o~l~fi~~II~~:c~lb~~er,,"lfh~' ,;~,~~ ~~~~~~~~: tl;:ta'l:,:~
Instrumenl: thaI ho knows the seal of said Corporation: that Ihe seal alllxed 10 the said instrumenl is such corporale seal: thai It was so .lIlXed
~~~~~~7~dt~e:~~h~~i\~ ~~'~ebiclh:n:~~e~ ~fl g:r3~gi~0~~lr~~d corporation and that he signed his name theroto pursuanl to like authority, and
~~,~) 1}.0r. A,
_ Linda C, Domp.ey 7 /'flOtary PublIC,
CERTIFICATE My Commission Expires NOven\~r 12. 1990
I, Robert E, Ayo, Asslslant Secretory of AMERICAN CASU^LTV COMMNV OF READING, PENNSVLVANIA, do certify thai the Power of Attorney
herein above set forth Is still In force, and further certify that Section 2 01 Article VI of the By,Laws of the Compony and the Resolution 01 the 801lrd
01 Diroclors, sellorth In said ,power 01 Attorney ore still in lorce, In testimony whereof I hove herounto subscribed my name and alii xed the sea' 01
the said Compony this 23RI) day 01 MI\RClI ,19....92-,
'& Co. De",
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-J NOTARV '<
f1UDLIC
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) i~AYO Ai'sslslanl Socrelary,
INV, NO, 0,57442,8
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