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Home My WebLink About18-049 - BN Builders - Public Safety Plan: Justice Center Construction Management (Amendment H-J)1 8-049(j) Council Approval N/A Sheet 1 of 1 CITY OF TUKWILA CONT CT CHANGE ORDER NO. 005 DATE: 1/24/2020 PROJECT NO.: 91630501 PROJECT NAME: PSP — Justice Center TO: BUDGET NO.: 305.98 CONTRACT NO.: 18-049.1 ( j ) You are hereby directed to make the herein described changes to the plans and specifications or do the following described work not included in the plans and specifications on this contract: NOTE: This change order is not effective until approved by the "Owner" and a notice to proceed is issued. Conditions: A. The following change, and work affected thereby, are subject to all contract stipulations and covenants; B. The rights of the "Owner" are not prejudiced; C. All claims against the "Owner" which are incidental to or as a consequence of this change are waived; and D. The Contractor must submit all Field Overhead and Home Office Overhead Rates for approval in advance of all change orders. CHANGE: See Attached Exhibit "A" We the undersigned Contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above and below. ACCEPTED: Date i1/4-61 2- 0 //) By Original Contract (without tax)* Previous Change Order This Change Order (without tax) REV. CONTRACT AMOUNT $ 34,049,999.00 Contractor 1510&t(66/1S Title S Mal"/ APPROVED BY THE CITY OF TUKWILA $ 889,496.00 46,848.00 V By $ 34,986,343.00 -Original Contract Time: 546 days (December 18, 2020) Additional Contract Time for this Change Order: 0 days Updated Contract Time: 546 days (December 18, 2020) Date 2- --- 20 2-0 Deputy City Administrator SOJ Program Director ORIGINAL: City Clerk (1 of 2) Contractor (2 of 2) 0'1 cc: Finance Department (w/encumbrance) Project Management File PW Project Finance File Ks' - *The original contract value is construction only and does NOT include preconstruction or amendments to preconstruction Exhibit "A" C ANGE SU AIRY F C ANGE CITY OF TUKWILA - PUBLIC SAFETY PLAN Project Name Justice Center CO # 5 Project # 91630501 Contract # 18.049, (j ) Date 1/24/20 TO CONTRACTOR: BNBuilders 2601 Fourth Ave, Suite 350 Seattle, WA 98121 COP/CCD # Description Reason Code Amount COP 5019 Fuel Tank in Area A. Removal of unforeseen underground fuel tank in Area A near gridlines M5 in electrical trench and removal/overexcavation of contaminated soil. UFC $1,894.00 COP 5042 Generator Tank Manufacturing Clarification per RFI 135. Added add- on package for generator fuel tank (12' Vent Extensions, 5-gallon Spill/Fill Containment, 90% & 95% Alarm Panel, Overfill Protection Valve, 2" Scully Connector) to ensure compliance with AHJ requirements. AD $5,253.00 COP 5064 South Lot Grade Changes Metal Panels Impact per RFI 227. Revisions to metal panels at south elevation to match stem wall elevation revisions. DC $3,055.00 COP 5067 VRF-A118 in Open Shaft per RFI 162. Added structural stud framing at bottom shaft to provide support for hanging VRF-A118. DC $3,201.00 COP 5072 NLT Canopy Detail Conflict per RFI 237. Added edge flashing at main entrance canopy to allow for minimal edge thickness at this location. DC $8,105 00 COP 5093 Wall Framing Above Detention Walls per RFI 264. Added bulkheads above walls in exposed/OTS spaces or where ceilings are higher than adjacent detention walls. DC $8,940.00 COP 5095 Wall Panel Detail at Stem Wall per RFI 134. Added through wall base flashing at stem walls per JRS (building envelope consultant) recommendation. DC $11,297.00 COP 5102 Kiln Dry Reclaimed Maple Slabs. Contracting with NK Builds to kiln dry the reclaimed maple slabs for the wood signage. OC $5,103.00 Change Order No. 05 $46,848.00 January 3, 2020 SheIs Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for Fuel Tank Removal in Area A Dear Ethan, BNBuilders hereby submits our proposal for the removal of the fuel tank in Area A — refer to attached map for specific location. The total proposal of this subject work is One Thousand Eight Hundred Ninety -Four dollars $1,894.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5019 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (iustinekAsoseaj.com) Geri Urbas (geri.urbas©bnbuilders.com) Steve Schmitz (sschmitz@dIrgroup.corn) BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 I: 206 382.3443 F. 206 382 3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCDIASI #: GENERAL CONTRACTOR: BNBuilders, Inc. COP #: 5019 DATE: 1/312020 DESCRIPTION OF CHANGE: Remove Fuel Tank in area A near gridlines M5 in electrical trench, over -ex contaminated soil BP 31.00 Iliad $1,804.00 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $1,804.00 $90.20 -$0.20 Total Change Request $1,894.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 5% BNB BN Iders TJC Project No. SUBCONTRACTOR: Subcontractor CP Breakdown Summary Iliad Remove Fuel Tank in area A near gridlines M5 in DESCRIPTION OF WORK: electrical trench, over -ex contaminated soil A. DIRECT LABOR COSTS B. MATERIAL COSTS C. EQUIPMENT COSTS D. SUBTOTAL DIRECT WORK ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) (Total A, B, C, and D Above) Cost Event #: CP #: Document #: Date: 21 21 8/1/2019 A. $ 920 546 ,466 G. Subtier Subcontractor Cost 1) 2) 3) 4) (Subcontractor Estimates Attached) H. Subtotal Subcontractor Costs Direct Cost Fee $ - $ $ - $ $ $ $ $ $ - $ A. Fee on Direct Work (Item E) 15% $ 219.89 B. Fee on Subtier Subcontractor Direct Costs (Item H) 6% IV, SUBTOTAL V. TOTAL VI. UNIT PRICE TOTAL SUBTOTAL (Total of Parts I, II, III Above) $ 1,686 Liability Insurance 5.80% $ 98 Bond Costs 1% $ 20.23 TOTAL (Total of Parts I, II, Ill, IV Above) TOTAL 1,804 Is COP Cost Breakdown Project Name: TJC Cost Event #: 21 Project No. CP #: 21 Subcontractor: Iliad Document # Work Description: Date: 7/24/2019 Remove Fuel Tankin area A. near gridlines M5 in electrical trench, over -ex contaminated soil Spec Section Description Quantity. Unit Prod. Hours A. Labor B. Material C. Equipment D. Contract Unit Price Unit Prices Cost S/hour Cost S/Unit Costs $/Unit Costs Laborer 1 ea 7 59.91 $ 419 $ - S - S - Operator 1 ea 7 71.46 $ 500 $ - $ - $ - Mini Excavator 1 ea 7 $ - $ - 33.93 $ 238 S - Loader 1 ea. 7 $ - $ - 44.12 $ 309 $'- $ - - $ - S - $ - $ - $ - $ - $ - $ - $ - $ - - -5 -- $ - $ - $ - $ $ - $ - $ - -$ - $ -- $ $ - -5 - $ - $ -$ - _3 - $ - $ - -Si - $ - $ - $ - $ - $ - $ $ - $ - $ $ $ - $ - $ $ - $ -. $ - S - $ $ - S - $ - $ - $ - $ - $ - $ - $ - S - S - S - $ 5 - $ - $ - $ - 5 - $ - $ $ - 5 - $ - $ - $ - $ S - 5 $ - S - S - Total Cost. of Work A. Total Cost of Unit Price Work $ 920 B. $ C. $ 546 D. $ 1,466 City of Tukwila Justice Center 15045 Tukwila International BLVD Tukwila, WA 98118 Utilities, Foundations, Structure Logistics Plan 4i la' "10 4443. 5NA00.*. *iitheff",•"•'. A:114 ppk, „0,4.44 .•7,;„„ttatil•CP5031-Sc • -1581ST:' Notes: - "CSD" - Contaminated Soils Discovery CP5008 (Exp) CP5010 (Imp) CP5026 (Exp) CP5027 (Imp) CP5029 - Tank CP5030-TanIc/Grease CP5033-Tank 4.611,0Z4 BNBuilders November 4, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI 135 — Generator Tank Manufacturing Clarification Dear Ethan, BNBuilders hereby submits our proposal for RFI 135— Generator Tank Manufacturing Clarification. The total proposal of this subject work is Five Thousand Two Hundred Fifty Three dollars $5,253.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5042 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinek@soseaj.com) Geri Urbas (geri.urbas@bnbuilders.corn) Steve Schmitz (sschrnitz©dIrqroup.com) BNBuilders 2601 4'h Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY EiNBIlilders PROJECT NAME: Tukwila Justice Center CCDIASI #: RFI 135 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: RFI 135 - Generator Tank Manufacturing Clarification COP #: 5042 DATE: 11/412019 BP 26.00 Valley $5,003.00 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $5,003.00 $250.15 -$0.15 Total Change Request $5,253.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 5% "The Electrical Solution's VALLEY ELECTRIC CHANGE ORDER PROPOSAL Tukwila Justice Center Contract: 118021.1-05 PROPOSAL DESCRIPTION: Added option to generator fuel tank to comply with IFC requirements. SL # DATE 8/2/2019 Addendum# VE JOB # 19146 Time Ext Rqrd (days): RFI# 135 VE CP # 005 Self Performed Work LABOR COST 0.00 hrs $90.34 SUPERVISION 15.0% Ibr SAFETY 2.0% Ibr SMALL TOOLS 5.0% Ibr MATERIAL COST $ 4,350.00 EQUIPMENT COST 24' Scissor Lift Month OH & PROFIT - SELF 15.0% Subcontractor Quotes Quote Quote Quote Quote SUBTOTAL COST: SUBTOTAL DIRECT COST QUOTES: OH & PROFIT - SUBS 8.0% Bond Permit Fee BIM hrs 85.00 $ 4,350.00 $ 652.50 TOTAL CHANGE PRICE: 5,003.00 NOTE: 1) Proposal valid for acceptance within 30 days. 2) While Valley Electric considers our proposal amount full compensation for this change, we expressly reserve the right to seek additional time and compensation at a later date for the impact of multiple changes, if any, or for indirect costs that were not reasonably foreseen by Valley Electric at the time of settlement on this change. 3) This construction change has been estimated using the drawings furnished; an engineering evaluation of the drawings, for function and compatibility with the vendor furnished equipment, has not been performed. 4) Permit costs are specifically excluded. Should this change, or it become necessary to procure/pay for an increased permit fee this would become an added cost to the change price reflected above. Our proposal amount does not include the following: - Overtime / Shift Work - Fireproofing Repairs - Concrete/GVVB Repairs - Shutdown Costs - Painting and Patching Valley Electric Co. Job #19146 Detailed Labor and Material Breakdown Contract # 19146 - CP #005 - RFI #135 - Generator Tank Additions Page 2 of 2 Print: 8/2/2019 Description Qty Net Price U Labor U Total Mat(S) Total Hours ENERGY SYSTEMS QUOTE 1 4350 E 0 0 $4,350.00 SUB COORDINATION (As Needed) 0 1 E $0.00 0.00 POSTING/RECORD DWGS 0 0 E $0.00 0.00 CLEAN UP (.5% Lbr) 0 0 E $0.00 0.00 TESTING (.75% Lbr) 0 0 E $0.00 0.00 WARRANTY (As Needed) 0 0 E $0.00 0.00 Totals: $4,350.00 0 CONFIDENTIAL ENERGY SYSTEMS P 0VnE R S YS T ErwS Date: August 2, 2019 . To: Valley Electric ..' .. Attn: Collin Tuthill . Reference: Tukwila Justice Center Change Proposal The highlighted changes tothe generator tank are proposed based onthe document T]CRR#13S. ' Quantity 1'GeneracIndustrial diesel engine -driven generatorsetv*ith |ed6cylinder 10.3L engine, consisting of the following features and accessories: - w Stationary Emerge ncy-Stand6orated * 3OOkVVRating, wired for Z77/48OVAC three phase, 6OHz * Permanent Magnet Excitation ' * Level 2Acoustic Enclosure, 'Steel / o Industrial Grey Baked -On Powder Coat Finish 9 UL142Base Tank . o 72-huurrun time n 294"Lx53"VVx36"H 1592 Useable gallons* 5-gallon Spill/Fill Containment * 12' Vent Extensions ' * Overfill Protection Valve * 2" Scully Connector * UL22OO * EPA Certified ' ° 8CAUMD * H-100 Control Panel o Meets NFPAg9and 11Orequirements o Temp Range -4Oto7Odegrees C u Digital Microprocessor: • Two 4'|inex3Odisplays, full system status • 3 Phase sensing, +/ O.25%di8ita| voltage regulation • R5Z33,RS4O5and Canbusremote ports • Waterproof connections • All engine sensors are 4-20ma for minimal interference • Programmable |/O • Built-in PLC for special applications o Engine function monitoring and control: m Full range standby operation; programmable auto crank, Emergency Stop, Auto - Off -Manual switch = |sochronoUsGoVerpor, +/`0.25%frequency regulation � Full system status onall A[ output and engine function parameters � Service reminders, trending, fault history (alarm log) = |2Tfunction for full generator protection � Selectable low -speed exercise o HTStransfer switch function monitoring and control o 2+wirestart controls for any 2~m/iretransfer switch 0 IBC Seismic Certified * Air Filter Restriction Ind 0 31Light Remote Annunciator o Surface -Mount o Integral Function Relay Board * Battery Charger, l0Amp, NFPA11Ocompliant, installed * Z25AH,115GCCAGroup ODBatteries, with rack, installed w Coolant Heater, Z0ODW,24OyAC w Remote Emergency Stop SxVith,Surface Mount, shipped loose w Stdset of3Manuals 9 lZOVGFC|and 24UVOutlet 0 Alternator Strip Heater m Alternator Tropical Coating 0 Engine Run Relay * Flush Mount Annunciator Kit p MLCB,l00%rated, LS| Electronic Trip o 6OOAmp 0 Secondary MLCB,1QO%rated thermal -magnetic o 6OOAnnp * 1Hour 'factory load testing atreactive (0.D)power factor * 2'YearComprehensive Warranty 0 SD0300KG17103D18HPLY3 0 I-YearMaintenance Contract o Quarterly Check-ups o Extra filters asspecified Generator Tank Modification Cost —~—..........—__~.- Terms and Conditions 1. ES West Coast LL['Energy Systems is a MATERIAL SUPPLIER only. 2. All prices are FOB job site. Off-loading and placement of equipment is by others. 3.Price quoted isvalid for 45days and subject toreconfirmation. 4. Energy Systems terms are payment in full prior to shipment unless credit is approved. S.Credit is subject to approval by Energy Systems upon receipt of completed Energy Systems business credit application, prevailing signed terms and conditions, and prelim notice. 6. With approved credit all products are invoiced from date of shipment and are payable Net 30 days. 7` 1.5Y6per month finance charge will apply on past due accounts annual rate of1D%. O`Manufacturer lead time to be confirmed upon approved release for production letter and receipt of ESapproved PO/ order. 9. Equipment cannot be held by Energy Systems or its suppliers without prior arrangement. 10. Any orders changed or canceled after 14 days from confirmation of order will be subject to change orcancellation fees. 11. No taxes, permits, fuel (and/or fuel for testing) or license fees are included, unless specified otherwise inthis quote. 1%.All other standard Energy Systems terms 8iconditions apply. 13.Terrnsand conditions described inany purchase order and/or contract are incorporated only tothe extent that such are consistent with the terms and conditions hereof. Sincerely, KerryNico|aus oDTGmup X� �� Group P I 44 City of Tukwila Justice Center DATE SENT: 8/1/2019 73-17158-00 C RFI#13 Tank Rpz|a 135 Manufacturing Clarification RFI TRANSMITTAL ID: 00751 f- puRpO5E: Answered \«p: Info Exchange QusST0mr Su55E6Tnm: ' ` The generator tank manufacturer has requested clarification of the requirement for several items ahead ofpreparing shop drawings for review. The list below are not specifically called out in the specifications. Please confirm whether or not these options are required. 1) 13'extended vents 2)9096 fuel level alarm, in additional tothe included 9596alarm. 3)DverfiU protection valve. 4\ Scully fill connector. 5 Alarm panel on the tank. 6) 5-gallon spill/fill containment. Response (Answened)from: Sean Avery (DLR Group) After Discussion with KerryNicnaus with Generactuday, the six items in question are all part of an add -on package for the fuel tank to deal with IFCrequirements that are more often and not being enforced byAH]s. In short, this add -on package will be required for this project, as the IFC requirements these address are enforced in the state of WA. Below are the details. 0 w l. 13,extended vents o. Normal atmospheric vent shall not beless than 12ftabove adjacent grade, per |FC57U427.3.3. ° 90% fuel level alarm, |nadditional tothe included 9596alarm. a. Provide independent means bunotify person filling tank when fluid level ksotgDY6ofcapacity orsooner. |FC57U42.8.7.5(l)1.1\ " Overfill protection valve. o. Overfill prevention valve shall be provided set at 95% of capacity or ooVnac |FC57O42.Q.7.5(1)(1.2) ° Scully fill connector. u Just piece of the overall add -on system to deal with the other items. ° Alarm panel onthe tank. Page 1 of FROM TO DATE: ID: Trans ittar 8/ 1/2019 00751 a. IFC 5704 2.9.7.5(1)(1.1) - Alarm must alert person filling the tank. • 5-gallon spill/fill containment. a. Spill container with a capacity of not less than 5 gallons shall be provided for fill connection. Fill connections shall be positive no leak direct connection design. IFC 5704 2.9.7.8. Liquid tight cap as per IFC 5704 2.7.5.2 NAME Sabrina Ames NAME Bill Brown DESCRIPTION OF CONTE QTY j DATED COMPANY I EMAII. DLR Group sames@dlrgroup.com COMPANY EMAIL BNBuilders om c 7/25/2019 TITLE TJC RFI #135_Generator Tank Manufacturing Clarification.pdf_ bill hrown@bnbuilders.c NUMBER PHONE 206-461- 6094x73-6094 COPIES: Bill Brown Brenna Christensen Dillon Webster Ethan Bernau Geri Urbas Jeff Clark Liz Vanwieringen Sabrina Ames Steven Schmitz (BNBuilders) (BNBuilders) (DLR Group) (Shiels Obletz Johnsen) (BNBuilders) (BNBuilders) (BNBuilders) (DLR Group) (DLR Group) Page 2 of 2 Request for Information RFI No: 135 BNBuilders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 118021.100 Date: July 25, 2019 Submitted To: Steve Schmitz DLR Group, Inc. 51 University Street Suite 600 Seattle, WA 98101 Tel: 206.461.6000 Fax: 206.461.6049 Subject: Generator Tank Manufacturing Clarification Discipline: Electrical Document Reference: Subcontractor: Valley Electric Inc. Question Submitted By: Bill Brown BN Builders, Inc. 2601 4th Avenue, Suite 350 Seattle, WA 98121 Tel: (206)382-3443 Spec Section: 263213.13 Subcontractor RFI No: 14 Date Required: 8/1/ 2019 The generator tank manufacturer has requested clarification of the requirement for for review. The list below are not specifically called out in the specifications. Please 1) 12 extended vents 2) 90% fuel level alarm, in additional to the included 95% alarm. 3) Overfill protection valve. 4) Scully fill connector. 5) Alarm panel on the tank. 6) 5-gallon spill/fill containment. Answer several items ahead of preparing shop drawings confirm whether or not these options are required. See following page. Answered by: Date Answered: Copies To: Company & Contact Fax Notes Page 1 of 1 After Discussion with Kerry Nicolaus with Generac today, the six items in question are all part of an add -on package for the fuel tank to deal with IFC requirements that are more often and not being enforced by AHJs. In short, this add -on package will be required for this project, as the IFC requirements these address are enforced in the state of WA. Below are the details. 1.12' extended vents a.Normal atmospheric vent shall not be less than 12 ft above adjacent grade, per IFC 5704.2.7.3.3. 290% fuel level alarm, in additional to the included 95% alarm. a.Provide independent means to notify person filling tank when fluid level is at 90% of capacity or sooner. IFC 5704 2.9.7.5(1)(1.1) 3.Overfill protection valve. a.Overfill prevention valve shall be provided set at 95% of capacity or sooner. IFC 5704 2.9.7.5(1)(1.2) 4.Scully fill connector. a.Just a piece of the overall add -on system to deal with the other items. 5.Alarm panel on the tank. a.IFC 5704 2.9.7.5(1)(1.1) — Alarm must alert person filling the tank. 6.5-gallon spill/fill containment. a.Spill container with a capacity of not less than 5 gallons shall be provided for fill connection. Fill connections shall be positive no leak direct connection design. IFC 5704 2.9.7.8. Liquid tight cap as per lFC 5704 2.7.5.2 Sean Avery, DLR Group 8/1/2019 REQUEST FOR INFORMATION GENERAL CONTRACTOR RFI NUMBER: TO: BNB PROJECT: Tukwila Justice Center JOB NUMBER: ITEM: 19146 Generator Tank Manufacturing Clarifications VALLEY 'The Electrical Solution" "' ATTN: Bill Brown REQUEST NUMBER: SPEC SECTION: DRAWING(S): 014 DESCRIPTION OF REQUEST The generator tank manufacturer has requested clarification of the requirement for several items ahead of preparing shop drawings for review. The list of options in question are as follows: 1) 12' extended vents 2) 90% fuel level alarm, in additional to the included 95% alarm. 3) Overfill protection valve. 4) Scully fill connector. 5) Alarm panel on the tank. 6) 5-gallon spill/fill containment. Please confirm whether or not these options are required. RECOMMENDATION POSSIBLE COST IMPACT In order to maintain project schedules, we request this information within 7 days. In the event that we are not in receipt of the required information within the specified time, we cannot be responsible for delays or extra costs resulting there from. SIGNED: Keely Shields DATE: 7/24/19 OWNER REPRESENTATIVE'S RESPONSE RECEIVED: APPROVED: DATE: DATE: VALLEY ELECTRIC COMPANY OF MT. VERNON, INC. 1100 MERRILL CREEK PARKWAY EVERETT, WA 98203 LL LIC17 MT) BNBuilders December 30, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI-227 Dear Ethan, In accordance with RFI-227 South Lot Grade Change Metal Panel Impact, BNBuilders hereby submits our proposal for the additional cutting of metal panels. The total proposal of this subject work is Three Thousand Fifty Five Dollars $3,055.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5064 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justineksoseaj.com) Geri Urbas (geri.urbas@bnbuilders.conn) Steve Schmitz (sschmitz@dIrgroup.com) BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: RFI 227 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Additional Through Wall Base Flashing at Stem Walls COP #: 5064 DATE: 2130/2019 BP 07.40 Northshore $2,909.81 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $2,909.81 $145,49 0.30 Total Change Request $3,055.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 5% NORTHSHORE Itemized Change Order Proposal Attention: Liz Van Wieringen Date: NSE Ref: By: 10/16/2019 Project: Tukwila Justice Center NSE 12 COP / REI #: RFI 227 Kristi Gouy Work Description Cut and install insulated metal panels and exterior metal panels around grade changes QUANTITIES LABOR MATERIALS EQUIPMENT No of Unit Units Description $fliour Total $/Unit Total Rate Total Labor Shop Journeymen Per Hr $ 82.43 - - - Shop Foreman Per Hr $ 87.95 - - $ - Field Journeymen 18 Per Hr $ 79.23 $ 1,426.14 - - Field Foreman Per Hr $ 85.22 $ - $ - - Apprentice 18 Per Hr $ 59.13 $ 1,064.34 - - Delivery Driver Per Hr $ 43.77 - - - Material $ - $ 32.00 - $ - $ - $ _ $ - _ $ - _ _ _ $ _ Equipment 20 ft flat bed 0 Per Hr $ - - $ 57.00 - 8 ft 1/2 ton Per Hr - - 32.29 - Finn Power Shear Genius Per Hr - - $ 396.14 $ - RAS 90 Break Per Hr - $ - $ 74.28 $ - CNC Router Per Hr $ - 89.51 $ - Salvagnini Per Hr $ - $ - $ 342.57 - 45 ft boom Manlift (Rented) Day $ - - $ 450.00 $ - 65 ft Boom Manlift (Rented) Day $ - - $ 500.00 - 26 Ft Scissor Lift 1000# (rented) Day $ - - $ 300.00 - _ - - Transportation Subtotals 2,490.48 - S _ 4141 Sof,ty att CApvilSC t 2% of di,,,t ham 74.71 &ft .11-10,,I.....A.1.A.,@ 3% ,,f dlt,ct lb ,A $4.76 per Field Foreman Hour Subtotals without overhead & profit Other Expense: Contractor Total Value of work for $ - , . - $ - $2,490A8 Subtotal of all expenses (labor, materials, & equipment) liability insurance --- 1.75% of labor, materials, & equipment Total value of work for this contract before overhead & profit 15 % overhead & profitY39.11 this contract including overhead & profit $ 2,61L00 $ 45.76 $ 2,660.77 Exclusions: $2,909.81 Note: All owned equipment rates are from the National Roofing Contractors Association's, "Roofing Contractors Equipment Cost Schedule", Ninth Edition. Copyright 2003. Rented euuipment as quoted. Contractor agrees that by ordering Northshore to proceed on such above mentioned work, contractor agrees that such work is above and beyond the scope of the original contract, and accepts this itemized breakdown in its entirety as fair compensation for such work. Contractor further agrees that by ordering such extra work, it shall issue a change order as soon as possible, regardless of whether or not owner approves such changes. CONTRACTOR APPROVAL The Contractor/Owner by signing below hereby orders Northshore Exteriors, Inc. to proceed with the above mentioned extra work, and will issue a formal Change Order as soon as possible. Signature Name (printed) 2,490.48 73.57 add $45 76 after OH&P Date Title NORTHSHORE EXTERIORS. INC. 11831 BEVERLY PARK ROAD, BLDG C * EVERETT, WA 98204 * 425.740.3700 * Fax 425.740 3701 �-�0 �� 0 �� Group Pt PROJECT: City of TukwilaJustice Center DATE SENT: 73-1/158'00 J, ~� W suBoecT: T]C RFl #227_South Lot Grade RFn|c, 227 Change Metal Panel Impact TYPE: RFl TRAmSMz//ALID: 01233 PURPOSE: QussTI0x` suGssSToN` FROM NAME Sabrina Ames Answered m VIA: Info Exchange RF|2D5shows the changes bothe stem wall elevations. Please confirm itio acceptable to have the base of the insulated metal panels and PS-1 2 (W1 a) panels to follow the elevations of the stem wall per the attached. Response (Anamm,,ad) from: Steven Schmitz CDm«Group) Acceptable. Steve Schmitz, DLR Group |Liz Van Wieringen DESCRIPTION OF CONTENTS DLR Group BNBuilders | sarnea@d(rgnoup.conl EMAIL PHONE | � EMAIL }PHONE � Liz)Vanvvhehngen@bnbui � OTY | DATED | TITLE NUMBER SCALE SIZE | | TJC RFl#227_8outh Lot \ 1 ] 9/25/3019 | Grade Change Metal Panel Page 1ofZ 01222 � COPIES: SSteven Schmitz abrina Ames EHU Brown BrennaChrstmnsen Dillon Webster Ethan Bernau {5eriUrbas Jeff Clark Liz Van VVieringon Request for Information RFI No: 227 BNBuilders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 118021.100 Date: September 25, 2019 Submitted To: Steve Schmitz Submitted By: Liz Van Wieringen DLR Group, Inc. BNBuilders 51 University Street 2601 4th Ave Suite 350 Suite 600 Seattle, WA 98121 Seattle, WA 98101 Tel: 206.461.6000 Fax: 206.461.6049 Subject: South Lot Grading Issues Metal Panel Impacts Discipline: Architectural Potential Cost Impact: Yes Potential Schedule Impact: Subcontractor: Northshore Exteriors, Inc. Subcontractor RFI No: 12 Question Date Required: 10/2/2019 RFI 205 shows the changes to the stem wall elevations. Please confirm it is acceptable to have the base of the insulated metal panels and PS-12 (Wla) panels to follow the elevations of the stem wall per the attached Answer Acceptable Answered by: Steve Schmitz, DLR Group Date Answered: 09/27/2019 Copies To: Company & Contact Fax Notes Page 1 of 1 Request for Information NORTHSHORE NSE-RFI# NSE 12 Date RFI Created: 9/25/2019 Date Answer Required: Project Name Address: Tukwila Justice Center Project #: 6009 Northshore Exteriors, Inc. Answer Cornpany/Att To: BN Builders Author Company: Author By:. Northshore Exteriors, Inc. 11831 Beverly Park Rd. Bldg. C Everett, WA 98204 Kristi Gouy Subject: Discipline: RFI 205 South lot grading issues metal panel clarification RFI Category: —ttg„2:iaqzmess„mx,aeaexua:pxeamammye,eeXaXneexekueeeteAeIX:eeel Mat MIMX:a,aeeaal.:XlaeX:M,aee,aaagtaaneXKSXIKK,a AWwnri„IPKOVIPRRXtaMaNlataitaSM:aaeaKteaeagaeaXa0eiaaaiaeet 146400:100asetataillasataitteasideaseasseseneaskaseam RFI 205 shows some curb height changes - please see attached marked up elevations. We assume the base of insulated panels and the base of exterior panels will follow the curb. Please confirm. N Cost Impact No Cost Impact Change in schedule Yes No Calendar Days 20.fli,12AAKIVIMMAKIMARNOMMORMIWWWWWOOMAIMMANPOIPAMOONVAmmodiWgotanmggelagoftwommog*movimpamTomomwawzommozpvomwom444 Answer:owftzogaemmewoommammugoomftw000tammommimaeoutoongmigmeetaamoNaftommummostopArmantamatmompwwwwwomms ,,,„„„,„,,,,a4,..-4„,,amonwaftwogwvagegiwoomqghwatemawy...,,,Pv.,,,,,,,,,vouwokt,towowmtgoenmelaogovomakgmaimmagammimItotoutatomogoogittoWevazgoonvosfRwt NORTHSHORE EXTERIORS, INC. 11831 BEVERLY PARK ROAD, BLDG C * EVERETT, WA 98204 * 425,740.3700 * Fax 425.740.3701 www.northshoreext.com --,-,..., 0110--100 111 :1=11 OI=EMIIEI=1=11 111111:MIIMMII ffilENNI=Elilli — 1=1=111flni=k111=1 IHill 1•11 INNI Migi Ing 11=1 i_E. ANNI ]=1 MEllIIM === , 1 -• '.' - ag ',g'i.. ??, , ' 11 r l' I 0 ' i , P 1 f 0 ' I I . I 0 ." .{,. 0 J 0 0 r ° i l' F P 11111''' P , 49- l'. '149.!..' [ L 1 , ' el 111=113111 • =1111•11111111 11.11.1 ' 11=1111=1 ===1 Err ,,,:',r: inni 1=A I. I I I ' BNBuilders December 30, 2019 SheIs Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI-162 Dear Ethan, In accordance with RFI-162 Framing support for VRF, BNBuilders hereby submits our proposal for the additional framing required to support VRF-A118. The total proposal of this subject work is Three Thousand Two Hundred One $3,201.00. There is a zero -day impact to the Project Schedule. BNB has not proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5067 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (iustinelc(&,soseai.com) Geri Urbas (ceri.urbas(bnbuilders.corn) Steve Schmitz (sschmitz@cilrgroup.com) BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: RFI 162 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Additional framing support for VRF per RFI #162 COP #: 5067 DATE: 12/30/2019 BP 09.20 Northwest Partition $3,048.16 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $3,048.16 $152.41 $0.43 Total Change Request $3,201.00 To the best of my knowledge and belief, certify that all costs listed above are correct. Contractor Signature Date 5% NORTHWEST PARTITIONS To: BNBuilders, Inc. 2601 4th Ave Suite 350 Seattle, WA 98121 Phone: (206)382-3443 Fax: (360)398-2302 Description: Framing support for VRF per RFI #162 Project: External/RCO# GC Ref# Date Sep 03, 2019 Job # 2066 Tukwila Justice Center 15001 Tukwila International Blvd Tukwila, WA 98188 Labor Frame Interior Stock D/VV - Onsite Clean -Up D/W On -site Foreman Quantity UOM Unit Total Rate Total 12.00 Hrs 12.00 72.31 $867.72 0.50 Hrs 0.50 72.31 $36.16 0.50 Hrs 0.50 72.31 $36.16 0.50 Hrs 0.50 77.57 $38.79 Total Labor $978.83 Material Size Quantity UOM Unit Price Total Misc fasteners EACH 1.00 EA 8.00 EA $8.00 6" STUD 1 5/8" FLANGE (43MILS) 18GA 10' 5.00 PCS 1.3068 LF $65.34 6" TRACK 1 1/2" LEG (43MILS) 18GA 101.00 PCS 1.20 LF $12.00 3"X3" ANGLE 16 GA. (54MILS) 10' 1.00 PCS 1.17 LF $11.70 Equipment 19° SCISSOR LIFT-2WD ELEC JLG 1930ES - Genie GS-1930 - SKYJACK-SJ1113219 Total Miscellaneous Charges Quantity UOM 12.00 EA Total Material Unit Price 3.41 EA $97.04 Total $40.92 Total Equipment $40.92 Total Engineering & Shops B&O Tax .48% $1,500.00 $12.6 AUTHORIZED BY: ON BEHALF OF: BNBuilders,Ini PROJECT MANAGER: Harold C Ayers ESTIMATOR: Harold C Ayers Total Miscellaneous Charges $1,538.85 Labor Total: Material Total: Equipment Total: $978.83 $97.04 $40.92 $1,500 Sub Total: 2, Overhead 15%: .65.5:65 15:001./60$.73992.5 Subcontractor Overhead 8%: $38.85Add after OFI&P $0.00 3,048.16 20006 - 144th Avenue NE, Woodinville, WA 98072 T 425-375-2500 F 425-375-2540 http://www.nwpart.com CONSTRUCTION SUPPLY Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 362T125-54 362T250-33 362T250-54 362T250-68 600S125-30 6005125-33 6005162-33 600T125-30 600T125-33 150A150-30 SECUR1.0-16 SECURACLP B1XW B412NB CJGWB LWAP LWTAPING PTAPE X58 X58HI X58MMR X58DURO 400CH-33 400JT-33 XISWLGLAS BULLET3 Bullet Strips 300A300-54 3-5/8" 16 Gauge Track w/ 1-1/4" Leg 3-5/8 20 Gauge Track w/ 2-1/2" Leg 3-5/8" 16 Gauge Track w/ 2-1/2" Leg 3-5/8" 14 Gauge Track w/ 2-1/2" Leg 6" 20 Gauge Stud 6" 20 Gauge Stud 6" 20 Ga Stud w/ 1-5/8°' Leg 6" 20 Gauge Track w/ 1-1/4" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 1-1/2" x 1-1/2" Framing Angle 20 Gauge AMICO Security Mesh 1" x 16 Gauge AMICO Secure Clip 300/Carton B1XW - Corner Bead B4 -1/2 No Bead L Metal Control Joint for GWB #093 USG Lite Weight All Purpose Joint Compnd 3.5 gal Lite Weight Taping Joint Compnd 3.5 gal 2-1/16" Paper Tape 500'/Roll 5/8" Type X GWB 5/8°' Type X High Impact GWB 5/8" Type X Mold & Moisture Resistant GWB 5/8" Type X Cementitious Backer Bd 4" 20 Gauge Shaftwall Stud 4" 20 Gauge J Track 1" Fiberglass Shaftwall Liner Wallboard Ballistic/Bullet Panel Level 3 evel 3 strips x 3" framing angle 16 GA LF LF LF LF LF LF LF LF LF LF SF EA LF LF LF EA EA EA SF SF SF SF LF LF SF SF LF Track Track Track Track Studs Studs Studs Track Track Each Sheets Boxes Boxes Boxes Boxes Box Box Rolls Sheets Sheets Sheets Sheets Studs Track Sheets Sheets Each Each 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF piece container 1000 LF 1000 LF 1000 LF container container container 1000 SF 1000 SF 1000 SF 1000 SF 1000 LF 1000 LF 1000 SF piece piece 1000 LF 1044 1380 1651.2 2403.6 718.8 1380 1183.2 661.2 903.6 331.2 95.58 364.0 364.0 364.0 11.82 11.82 4.8 414 1256.4 594 1098 1254 864 1038 769.524 0 1170 STEELER CONSTRUCTION SUPPLY memo, Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 Code 6005162-43 6005162-54 6005162-68 6005200-54 6005200-68 6005200-97 6005250-54 6005250-68 600T125-43 600T125-54 600T150-43 600T150-54 600T150-68 600T200-54 600T200-68 600T200-97 600T250-54 600T250-68 150U50-54 200A200-43 600FS-33 400FS-54 CRCCLIPHVY 1625125-30 162T100-30 2505125-33 2505LT250-33 250T125-33 3625125-30 3625125-33 3625125-43 3625162-43 3625162-54 3625250-54 3625250-68 362T125-30 362T125-33 362T125-43 Description 6" 18 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Stud w/ 1-5/8" Leg 6" 14 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Joist w/ 2" Leg 6" 14 Ga Joist w/ 2" Leg 6" 12 Ga Joist w/ 2" Leg 6" 16 Ga Joist w/ 2-1/2" Leg 6" 14 Ga Joist w/ 2-1/2" Leg 6" 18 Gauge Track w/ 1-1/4" Leg 6" 16 Gauge Track w/ 1-1/4" Leg 6" 18 Gauge Track w/ 1-1/2" Leg 6" 16 Gauge Track w/ 1-1/2" Leg 6" 14 Gauge Track w/ 1-1/2" Leg 6" 16 Gauge Track w/ 2" Leg 6" 14 Gauge Track w/ 2" Leg 6" 12 Gauge Track w/ 2" Leg 6" 16 Gauge Track w/ 2-1/2" Leg 6" 14 Gauge Track w/ 2-1/2" Leg 1-1/2" Black Iron 16 Gauge 2" x 2" Framing Angle 18 Gauge 6" x 20 Ga Flat Stock Backing 4" x 16 Ga Flat Stock Backing Clip for Cold Rolled Channel Heavy Gauge 1-5/8" 20 Gauge Stud 1-5/8" 20 Gauge Track w/ 1" Leg 2-1/2" 20 Gauge Stud 2-1/2" 20 Gauge Slotted Track 2-1/2" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Stud 3-5/8" 20 Gauge Stud 3-5/8" 18 Gauge Stud 3-5/8" 18 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Joist w/ 2-1/2" Leg 3-5/8" 14 Ga Joist w/ 2-1/2" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 18 Gauge Track w/ 1-1/4" Leg UOM Container Per Unit Price LF Studs 1000 LF 1306.8 LF Studs 1000 LF 1640.4 LF Studs 1000 LF 2065.2 LF Studs 1000 LF 1791.6 LF Studs 1000 LF 2254.8 LF Studs 1000 LF 4317.6 LF Studs 1000 LF 2008.8 LF Studs 1000 LF 2538 LF Track 1000 LF 1135.2 LF Track 1000 LF 1459.2 LF Track 1000 LF 1200 LF Track 1000 LF 1507.2 LF Track 1000 LF 1888.8 LF Track 1000 LF 1777.2 LF Track 1000 LF 2104.8 LF Track 1000 LF 3979.2 LF Track 1000 LF 1651.2 LF Track 1000 LF 2403.6 LF Each 1000 LF 436.8 LF Each 1000 LF 625.2 LF Each 1000 LF 970.8 LF Each 1000 LF 873.6 EA Pieces 1 EA 0.828 LF Studs 1000 LF 594 LF Track 1000 LF 562.8 LF Studs 1000 LF 447.6 LF Track 1000 LF 954 LF Track 1000 LF 519.6 LF Studs 1000 LF 532.8 LF Studs 1000 LF 997.2 LF Studs 1000 LF 1296 LF Studs 1000 LF 986.4 LF Studs 1000 LF 1286.4 LF Studs 1000 LF 2580 LF Studs 1000 LF 2060.4 LF Track 1000 LF 478.8 LF Track 1000 LF 950.4 LF Track 1000 LF 1226.4 Nevada: (702) 365-9312 Idaho: (208) 342-7168 Colorado: (720) 644-9246 Alberta: (587) 774-9040 15 September 2019 Northwest Partitions 20006 1141h Ave NE Woodinville, WA 98072 ATTN: Mr. Chris Ayers Subject: Lochsa Change Order Request for Tukwilla Justice Center Lochsa Number: 194129.00 Lochsa Change Order #: 1 Dear Mr. Ayers Lochsa reserves the right to evaluate any changes in scope that vary from those listed within the original proposal and/or contract. At Lochsa's discretion, changes in scope can/will be subjected to cost change orders. Pending client approval and/or on -going negotiations, Lochsa reserves the right to halt work on the above listed project until new terms of compensation have been agreed upon by both the client and Lochsa. We are submitting the following change order for the above mentioned project. Change Order Scope: Create a calc and sketch package for the formal RFI 162 response. Fee: RFI 162 Cale and Sketch Package Submittal: = $1,500, Lump Sum Temis: The terns of this change order are in addition to the terms and scope as previously listed in the original proposal and/or contract. Such terms would include but not be limited to: fees, exclusions, reimbursables, rates, methods of payment, etc. Sincerely, LOCHSA ENGINEERING OF IDAHO, PLLC Sr. Engineering Manager 1 y Mahaf -y, P.E. Pr cipal Lochsa Enaineerina wwvv.lochsa.com 1-866-606-9784 Page 2 of 2 Lochsa #: 194129.00, LCO #: 1 Title Date Client Project Name Accepted: Print Name Signature Company Name Client Project Number ng Address (Electronic Invoice) I nrhcp Fnninpr5rinn www lochsn corn .1-866-606-9784 NORTHWEST PARTITIONS Sales Rep: Connor Ball Ahern Rentals Cat -Class Cat/Class Description 620-5745 SCISSORLIFT,19',32",ELECT Account Pricing *All Pricing is confidential* Typical Make/Model Electric Scissor Li Skyjack S.11113219 Account #265218 Contact #: 425-241-8004 Effective Date: 9/1/18 Rates Expire: 6/30/19 Daily Weekly 4 Week 115 250 345 620-5754 SCISSORLIFT,26',32",ELECT Skyjack S11113226 $ 165 325 575 620-5755 SCISSORLIFT,26',46",ELECT Skyjack Si 1114626 $ 165 325 $ 575 620-5784 SCISSORLIFT,32',46-48",ELECT Skyjack 511114632, JLG 3246E5 185 $ 475 $ 795 All Electric Scissor Lifts larger then 32please call for quote 620-5759 SCISSORLIFT,26',68",GAS,4X4 Fuel Scissor Lifts (4x4) Skyjack 516826RT, Genie GS-2668RT $ 195 $ 450 $ 865 620-5786 SCISSORLIFT,32',68",GA5,4X4 Skyjack SJ6832RT, Genie GS-3268RT $ 215 $ 515 $ 990 620-5798 SCISSORLIFT,43',GAS,4X4 Skyjack SJ8243, Genie GS-4390RT $ 285 $ 720 $ 1,500 620-5799 SCISSORLIFT,53',GAS,4X4 Genie GS-5390RT $ 347 $ 941 $ 2,500 All scissor lifts larger then 53' please call for quote 605-5645 FORKLIFT,3600-5000LB,15'7",YARD Yard/Warehouse Forklifts Hyster H50, Yale GP050 $ 140 $ 495 $ 885 605-5670 FORKLIFT,5900LB,19',TELESCOPING Xtreme 5919 $ 195 $ 595 $ 1,595 605-5675 FORKLIFT,6000LB,36',TELESCOPING Skytrak 6036 $ 340 $ 1,175 $ 1,925 605-5683 FORKLIFT,8000LB,42',TELESCOPI NG Xtreme XR842, Skytrak 8042 $ 365 $ 1,275 $ 2,350 605-5686 FORKLIFT,10000L8,54',TELESCOPING Skytrak 10054 485 $ 1,575 $ 3,250 615-5711 615-5721 LIFT,PERSONNEL,12',ELECT,2 MAN LIFT,PERSONNEL,20',DRIVABLE,ELEC JLG 1230E5, Snorkel TM12 JLG 20MVL, Genie GR20 I $ 105 $ 125 200 $ 250 350 $ 400 600-5799 BOOM,ARTICULATED,30',NARROW,ELEC, W/JIB JLG E300AJ $ 200 $ 800 $ 1,475 600-5850 BOOM,ARTICULATED,40',ELECTRIC,NARROW JLG E400AN, Genie Z40/23N $ 325 $ 900 1,575 600-5857 BOOM,ARTICULATED,45',ELECT JLG E450AJ, Genie Z45/25J DC $ 325 $ 900 $ 1,575 600-5852 BOOM,TELESCOPING,40',D5L,4X4 rn Lifts Gas/Diesel/Propane JLG 4005, Genie S40 $ 350 $ 895 $ 1,625 600-5797 BOOM,TELESCOPING,45',DSL,W/JIB Snorkel TB47.1, Skyjack SJ45T $ 350 $ 895 $ 1,625 600-5866 BOOM,TELESCOPING,60',DSL,4X4 JLG 6005, Genie S60, Snorkel TB60 $ 420 $ 1,095 $ 1,995 600-5879 BOOM,TELESCOPING,66',DSL,W/3113,4X4 JLG 66051, Snorkel TB66J $ 420 $ 1,095 $ 1,995 All reach boom lifts larger then 66' please call for quote. Additional: * All pricing is in U.S. Dollars and does not include Sales Tax or Environmental Recovery Fees * Delivery and pick up will be charged at $75 each way (per truckload) on standard loads withi n 30 miles of the servicing Ahern branch. * Deliveries over 30 miles, requiring permit, oversized loads or outside of normal business hours may be subject to additional fees. Add $150 roundtrip delivery/pick-up fee, Environmental Fees and WSST (10.1% in most cities) to the above rates. Take monthly total, add round trip fee, add in 10.1% for taxes to come up with a total. Take the total and divide by 20 man days in a rental month to get cost per man day, divide by 8 to get hourly rate. Example: 19' scissor lift: $345/month + $150 trip fee = $495 x 10.1% for tax = $545 $545/ 20 man days = $27.25 /day /8 hours = $3.41 per hour = charge rate. Page 1 of 1 Ahern Initials Customer Initials DLR Group PnO]ECT` SUBJECT: TYPE: � I~ � � _ m 40 11 *1 ni City ofTukwila Justice Center DATE SENT: 8/13/2019 73-17158-00 ` T3CRFI#1 18|n Open RFI|D: 162 Shaft RFI TRANSMITTAL ID: 00863 � � t. 4K PURPOSE: Answered VIA: Info Exchange VRF-A118 is located in Mechanical Room A119i w/h|dl is partially open to the shaft above. This VRFunit itself sits under the open shaft oothere is no ceiling above it. Please provide additional structural supports to hang unit inspace. ANSWER: Response (Answered) from: Jordan Lee (DLR Group) Provide structural stud framing at bottom shaft to support forhanging VRF- FROM NAME Sabrina Ames TO NAME Brenna Christensen COMPANY DLR Group COMPANY | EMAIL | sames@d|rgroup.conn PHONE i 6094x73-0094 breMDaChr�t�nsen��bn | BNBU1|ders | ' |2OO-382-3443 DESCRIPTION OF CONTENTS QTY DATED 8/7/2019 TITLE } in Open h ft df I COPIES: Bill Brown Brenna Christensen /BNDui|de Page 1 of R DATE: lC, Dillon Webster (OLRGroup) Ethan Bernau (5hieLs(]b|etzJohnsen) Geri UrbeS iBNBUUdersl Jeff Clark (BN8ui|de Liz Van VNeri eO (RNBui|ders) Sabrina Ames (OLRGnoun) Steven Schmitz (DLRGroup) F1 Transmittal 8/13/2O1g 00863 Page 2of2 Request or Information RFI No: 162 BNBuilders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 118021.100 Date: August 07, 2019 Submitted To: Steve Schmitz DLR Group, Inc. 51 University Street Suite 600 Seattle, WA 98101 Tel 206.461.6000 Fax 206.461.6049 Subject: VRF-A118 in Open Shaft Discipline: Mechanical Document Reference: See attached Subcontractor: Question Johansen Construction Co., Inc Submitted By: Bill Brown BN Builders, Inc. 2601 4th Avenue, Suite 350 Seattle, WA 98121 Tel: (206)382-3443 Spec Section: Subcontractor RFI No: 019 Date Required: 8/14/2019 VRF-A118 is located in Mechanical Room A119, which is partially open to the shaft above. This VRF unit itself sits under the open shaft so there is no ceiling above it. Please provide additional structural supports to hang unit in space. Answer Provide structural stud framing at bottom shaft to provide support for hanging VRF-A118. Answered by: Jordan Lee, DLR Group Copies To: Company & Contact Fax Date Answered: 8/12/19 Notes Page 1 of 1 ic. 20109 144th Ave NE Woodinville, WA 98072 (425) 481-.2266 Bus (425) 486-6933 Fax DCVR/ RFI DESIGN CLARIFICATION VARIATION REQUEST / REQUEST FOR INFORMATION RFI #: 019 PHONE NUMBER: 206-492-0363 DATE: 08/07/19 FAX NUMBER: 206-382-3440 TO: BN Builders, Inc. ATTENTION: Jeff Clark 2601 4th Ave, Suite 350 FROM: Cory Slack Seattle, WA 98121 PROJECT: Tukwila Justice Center ITEM: VRF-A118 in Open Shaft REF. A119, PB-SK-19 DESCRIPTION: VRF-A118 is located in Mechanical Room A119, which is partially open to the shaft above. This VRF unit itself sits under the open shaft so there is no ceiling above it. Please provide additional structural supports to hang unit in space. DATE: 7-Aug-19 SIGNED BY: COST IMPACT: TBD SCHEDULE IMPACT: TBD Cory Slack REPLY REQUIRED BY: 08/12/19 CLARIFICATION: VARIATION REMARKS: APPROVED DISAPPROVED: RECEIVED BY: DATE: APPROVAL: DATE: A C i T IC FE I lEA S. E R ti(I C E 1546 NW 56th St, 547 Seattle, WA 98107 (206)880-0944 I Info@pacbim.us REQUEST FOR INFORMATION RFI # 19 Project: 1003 - TJC Subject: VRF-A118 in Open Shaft Attention: Cory Slack Authored by: Mollie Postma Date Authored: 08/02/2019 Ref DWG: Question: Potential Cost TBD Date Required: 08/09/2019 Reference Spec: Reference Other: PB-SK-19 VRF-A118 is located in Mechanical Room A119, which is partially open to the shaft above. This VRF unit itself sits under the open shaft so there is no ceiling above it. Please provide additional structural supports to hang unit in space. Proposed Solution: Reply: Response by: Date: Name/Company PAC BIM I Date: 08/02/2019 VRF-A 118 in Open Shaft Skelch Tllle: Skeleh Number: PB-SK-019 IP 1©f2 Job Ttbn: TJC I JobNumb.r: 1003 HVAC PLAN, FIRST LEVEL - AREA A HVAC PLAN, SECOND LEVE -AREA A M1.2A OPEN SHAFT Date PAC B I 08/02/2019 VRF-A118 in Open Shaft Sketch Title: PB-SK-019 Sketch Number: I 2 of 2 Page (C): Job Title: TJC Job Number: 1 0 0 3 BNBuilders December 30, 2019 SheIs Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI-237 Dear Ethan, In accordance with RFI-237 NLT Canopy Detail Conflict, BNBuilders hereby submits our proposal for the blocking and flashing changes. The total proposal of this subject work is Eight Thousand One Hundred Five Dollars $8,105.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5072 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinek@soseai.com) Geri Urbas (geri.urbas@bnbuilders.corn) Steve Schmitz (sschmitzdIrgroup.corn) BNBuilders 2601 4 Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BN BuHders PROJECT NAME: Tukwila Justice Center CCDIASI #: RFI 237 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Additional Through Wall Base Flashing at Stem Walls COP #: 5072 DATE: 1213012019 BP 09.20 Northwest Partition BP 7 40 Northshore $5,614.00 $2,104.68 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $7,718.681 $385.93 $0.39 Total Change Request $8,105.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date NORTHSHORE Itemized Change Order Proposal Attention: Liz Van Wieringen Date: 10/28/2019 Project: Tukwila Justice Center NSE Ref: NSE 14R COP / RFI #: RFI 237 By: Kristi Gouy Work Description NLT Canopy - Supply and install modified edge metal and fascia - wood not by Northshore. QUANTITIES LABOR MATERIALS EQUIPMENT No of Unit Units Description S/Hour Total $/Unit Total Rate Total Labor Shop Journeymen 3 Per Hr $ 82.43 $ 247.28 Shop Foreman Per Hr $ 87.95 Field Journeymen 8 Per Hr $ 79.23 $ 633.84 Field Foreman Per Hr $ 85.22 Apprentice 8 Per Hr $ 59.13 $ 473.04 $ Delivery Driver Material Per Hr $ 43.77 $ 22 GA Galvanized (Clip) 3 Sheets $ Equipment 20 ft flat bed 0 Per Hr 57.00 8 f /2 ton Per Hr 32.29 Finn Power Shear Genius Per Hr $ 396.14 RAS 90 Break 2 Per Hr $ 74.28 $ 148.56 CNC Router Per Hr 89.51 $ Salvagnini Per Hr $ $ 342.57 45 ft boom Manlift (Rented) 65 ft Boom Manlift (Rented) Day Day $ $ 450.00 $ 500.00 26 Ft Scissor Lift 1000# (rented) 1 Day $ 300.00 $ 300.00 Subtotals 5 1,354.16 Safety act expense @ 2% of direct labor Small tools expense @ 3% of direct labor Transportation $4.76 per Field Foreman Hour Subtotals without overhead & profit Other Expense: Subtotal of all expenses (labor, materials, & equipment) Contractor liability insurance = 1.75% of labor, materials, & equipment Total value of work for this contract before overhead & profit 15 % overhead & profit Total Value of work for this contract including overhead & profit $ 1,354.16 448.56 448.56 1,802.72 31.55 1,834.27 270.41 $ 2,104.68 Exclusions: Note: All owned equipment rates are from the National Roofing Contractors Association's, "Roofing Contractors Equipment Cost Schedule", Ninth Edition, Copyright 2003. Rented eauipment as Quoted. Contractor agrees that by ordering Northshore to proceed on such above mentioned work, contractor agrees that such work is above and beyond the scope of the original contract, and accepts this itemized breakdown in its entirety as fair compensation for such work. Contractor further agrees that by ordering such extra work, it shall issue a change order as soon as possible, regardless of whether or not owner approves such changes. CONTRACTOR APPROVAL The Contractor/Owner by signing below hereby orders Northshore Exteriors, Inc. to proceed with the above mentioned extra work, and will issue a formal Change Order as soon as possible. Signature Name (printed) Confirmed not imluded m 0148d, Date Title NORTHSHORE EXTERIORS. INC. 15211 RPVPPt V PARK' riciAn RI nr; C * FVFRF.TT WA 9R204 * 425.740.3700 * Fax 425.740.3701 NORTHWEST PARTITIONS To: BNBuilders, Inc. 2601 4th Ave Suite 350 Seattle, WA 98121 Phone: (206)382-3443 Fax: (360)398-2302 Description: RFI #237 Adding metal framed parapet at NLT Canopy Page 1 of 1 Ref.# COR-0011 Exte nal/RCO# GC Ref# Date Oct 22, 2019 Job # 2066 Project: Tukwila Justice Center 15001 Tukwila International Blvd Tukwila,WA 98188 Labor Exterior Framing Stock D/W - Onsite Clean -Up D/W Quantity UOM Unit Total Rate Total 48.00 Hrs 48.00 72.31 $3,470.88 4.00 Hrs 4.00 72.31 $289.24 2.00 Hrs 2.00 72.31 $144.62 Total Labor $3,904.74 Material Size Quantity UOM Unit Price Total 6" STUD 1 5/8" FLANGE (43MILS) 18GA 10' 6.00 PCS 1 3068 LF $78 41 6" TRACK 1 1/2" LEG (43MILS) 18GA 10' 25.00 PCS 1.20 LF $300.00 Equipment 40-42STRAIGHT BOOM -4WD FUEL - JLG 400S - Genie S-40 Total Miscellaneous Charges Quantity UOM 48.00 EA Total Material $378.41 Unit Price 11.18 EA Total $536.64 Total Equipment $536.64 Total B&0 Tax .48% GL Insurance 1% $23.13 $48.43 Total Miscellaneous Charges $71.56 AUTHORIZED BY: ON BEHALF OF: BNBuilders, Inc. PROJECT MANAGER: Harold C Ayers ESTIMATOR: Harold C Ayers Labor Total: $3,904.74 Material Total: $378.41 Sub Trade Total: $0.00 Equipment Total: $536.64 Sub Total: Overhead 15%: Add $71 56 after OH&P $4,819.79 0 15.00% $722.97 $5,614.00 20006 - 144th Avenue NE, Woodinville, WA 98072 T 425-375-2500 F 425-375-2540 http://www.nwpart.com STEELER bmmrmuv CONSTRUCTION SUPPLY Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 Code 6005162-43 6005162-54 6005162-68 6005200-54 6005200-68 6005200-97 6005250-54 6005250-68 600T125-43 600T125-54 600T150-43 600T150-54 600T150-68 600T200-54 600T200-68 600T200-97 600T250-54 600T250-68 150U50-54 200A200-43 600FS-33 400FS-54 CRCCLIPHVY 1625125-30 162T100-30 2505125-33 2505LT250-33 250T125-33 3625125-30 3625125-33 3625125-43 3625162-43 3625162-54 3625250-54 3625250-68 362T125-30 362T125-33 362T125-43 Description 6" 18 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Stud w/ 1-5/8" Leg 6" 14 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Joist w/ 2" Leg 6" 14 Ga Joist w/ 2" Leg 6" 12 Ga Joist w/ 2" Leg 6" 16 Ga Joist w/ 2-1/2" Leg 6" 14 Ga Joist w/ 2-1/2" Leg 6" 18 Gauge Track w/ 1-1/4" Leg 6" 16 Gauge Track w/ 1-1/4" Leg 6" 18 Gauge Track w/ 1-1/2" Leg 6" 16 Gauge Track w/ 1-1/2" Leg 6" 14 Gauge Track w/ 1-1/2" Leg 6" 16 Gauge Track w/ 2" Leg 6" 14 Gauge Track w/ 2" Leg 6" 12 Gauge Track w/ 2" Leg 6" 16 Gauge Track w/ 2-1/2" Leg 6" 14 Gauge Track w/ 2-1/2" Leg 1-1/2" Black Iron 16 Gauge 2" x 2" Framing Angle 18 Gauge 6" x 20 Ga Flat Stock Backing 4" x 16 Ga Flat Stock Backing Clip for Cold Rolled Channel Heavy Gauge 1-5/8" 20 Gauge Stud 1-5/8" 20 Gauge Track w/ 1" Leg 2-1/2" 20 Gauge Stud 2-1/2" 20 Gauge Slotted Track 2-1/2" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Stud 3-5/8" 20 Gauge Stud 3-5/8" 18 Gauge Stud 3-5/8" 18 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Joist w/ 2-1/2" Leg 3-5/8" 14 Ga Joist w/ 2-1/2" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 18 Gauge Track w/ 1-1/4" Leg UOM LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF EA LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF Container Studs Studs Studs Studs Studs Studs Studs Studs Track Track Track Track Track Track Track Track Track Track Each Each Each Each Pieces Studs Track Studs Track Track Studs Studs Studs Studs Studs Studs Studs Track Track Track Per 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1 EA 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF Unit Price 1306.8 1640.4 2065.2 1791.6 2254.8 4317.6 2008.8 2538 1135.2 1459.2 1200 1507.2 1888.8 1777.2 2104.8 3979.2 1651.2 2403.6 436.8 625.2 970.8 873.6 0.828 594 562.8 447.6 954 519.6 532.8 997.2 1296 986.4 1286.4 2580 2060.4 478.8 950.4 1226.4 CONSTRUCTION SUPPLY Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax: (253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 362T125-54 362T250-33 362T250-54 362T250-68 6005125-30 6005125-33 6005162-33 600T125-30 600T125-33 150A150-30 SECUR1.0-16 SECURACLP B1XW B412NB CJGWB LWAP LWTAPING PTAPE X58 X58H1 X58MMR X58DURO 400CH-33 400JT-33. X1SWLGLAS BU LLET3 Bullet Strips 3-5/8" 16 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 2-1/2" Leg 3-5/8" 16 Gauge Track w/ 2-1/2" Leg 3.5/8" 14 Gauge Track w/ 2-1/2" Leg 6" 20 Gauge Stud 6" 20 Gauge Stud 6" 20 Ga Stud w/ 1-5/8" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 1-1/2" x 1-1/2" Framing Angle 20 Gauge AMICO Security Mesh 1" x 16 Gauge AMICO Secura Clip 300/Carton B1XW - Corner Bead B4 - 1/2" No Bead L Metal Control Joint for GWB #093 USG Lite Weight All Purpose Joint Compnd 3.5 gal Lite Weight Taping Joint Compnd 3.5 gal 2-1/16" Paper Tape - 500'/Roll 5/8" Type X GWB 5/8" Type X High Impact GWB 5/8" Type X Mold & Moisture Resistant G 5/8" Type X Cementitious Backer Bd 4" 20 Gauge Shaftwall Stud 4" 20 Gauge J Track 1" Fiberglass Shaftwall Liner Wallboard Ballistic/Bullet Panel Level 3 Level 3 strips LF LF LF LF LF LF LF LF LF LF SF EA IF LF LF EA EA EA SF SF B SF SF LF LF SF SF LF Track Track Track Track Studs Studs Studs Track Track Each Sheets Boxes Boxes Boxes Boxes Box Box Rolls Sheets Sheets Sheets Sheets Studs Track Sheets Sheets Each 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF piece container 1000 LF 1000 LF 1000 LF container container container 1000 SF 1000 SF 1000 SF 1000 SF 1000 LF 1000 LF 1000 SF piece piece 1044 1380 1651.2 2403.6 718.8 1380 1183.2 661.2 903.6 331.2 95.58 364.0 364.0 364.0 11.82 11.82 4.8 414 1256.4 594 1098 1254 864 1038 769.524 0 NORTHWEST PARTITIONS Sales Rep: Connor Ball Ahern Rentals Cat -Class Cat/Class Description 620-5745 SCISSORLIFT,19',32",ELECT Account Pricing *All Pricing is confidential* Typical Make/Model Account #265218 Contact #:425-241-8004 Effective Date: 9/1/18 Rates Expire: 6/30/19 Daily Weekly 4 Week Electric Scissor Lifts Skyjack S.11113219 $ 115 250 345 620-5754 SCISSORLIFT,26',32",ELECT Skyjack S11113226 $ 165 $ 325 575 620-5755 SC1SSORLIFT,26',46",ELECT Skyjack S11114626 $ 165 325 575 620-5784 SCISSORLIFT,32',46-48",ELECT Skyjack 511114632, JLG 3246ES 185 475 795 620-5759 SCISSORLIFT,26',68",GAS,4X4 All Electric Scissor Lifts larger then 32' please call for quote Fuel Scissor Lifts f4X4 Skyjack 5J6826RT, Genie GS-2668RT 195 $ 450 $ 865 620-5786 SCISSORLIFT,32',68",GA5,4X4 Skyjack SJ6832RT, Genie GS-3268RT 215 $ 515 990 620-5798 SCISSORLIFT,43',GAS,4X4 Skyjack 518243, Genie GS-4390RT 285 $ 720 $ 1,500 620-5799 SCISSORLIFT,53',GAS,4X4 Genie GS-5390RT All scissor lifts arger then 53' please call for quote 605-5645 I FORKLIFT,3600-5000LB,15'7",YARD 605-5670 FORKLIFT,5900LB,19',TELESCOPING $ 347 rehouseForklifts Hyster H50, Yale GP050 140 $ 941 2,500 495 $ 885 :orklifts Xtreme 5919 $ 195 595 $ 1,595 605-5675 FORKLIFT,6000LB,36',TELESCOPING Skytrak 6036 340 $ 1,175 $ 1,925 605-5683 FORKLIFT,8000LB,42',TELESCOPING Xtreme XR842, Skytrak 8042 $ 365 $ 1,275 $ 2,350 605-5686 FORK LI FT,10000LB,54',TELESCOPING Skytrak 10054 485 $ 1,575 $ 3,250 AMOMMOMMONV 615-5711 LIFT,PERSONNEL,12',ELECT,2 MAN JLG 1230E5, Snorkel TM12 $ 105 200 350 615-5721 LIFT,PERSONNEL,20',DRIVABLE,ELEC JLG 20MVL, Genie GR20 $ 125 $ 250 400 600-5799 BOOM,ARTICULATED,30',NARROW,ELEC, W/JIB JLG E300A1 200 800 1,475 600-5850 BOOM,ARTICULATED,40',ELECTRIC,NARROW JLG E400AN, Genie Z40/23 N $ 325 900 1,575 JLG E450A1, Genie Z45/251 DC 325 $ 900 1,575 BOOM,ARTICULATED,45',ELECT ga151:;;ZSittt:!:'g:',SaiafSir4t1gnitg):gP''M''''Y'"'"""'''IagitiatgigO1 ;t:710*4Cik-A"1tataVllaftatgidk11%;gtt,,,ME111M1XVR11,,gf11Rqtf 600-5857 600-5852 BOOM,TELESCOPING,40',DSL,4X4 JLG 400S, Genie $40 350 895 1,625 600-5797 BOOM,TELESCOPING,45',DSL,W/JIB Snorkel TB47.1, Skyjack 5J45T 350 $ 895 1,625 600-5866 BOOM,TELESCOPING,60',DSL,4X4 JLG 6005, Genie 560, Snorkel TB60 420 $ 1,095 $ 1,995 600-5879 Additional: * All pricing is in U.S. Dollars and does not include Sales Tax or Environmental Recovery Fees * Delivery and pick up will be charged at $75 each way (per truckload) on standard loads within 30 miles of the servicing Ahern branch. * Deliveries over 30 miles, requiring permit, oversized loads or outside of normal business hours may be subject to additional fees. BOOM,TELESCOPING,66',DSL,W/J1B,4X4 JLG 660SJ, Snorkel TB66J All reach boom lifts larger then 66please call for quote. 420 $ 1,095 $ 1,995 Add $150 roundtrip delivery/pick-up fee, Environmental Fees and WSST (10.1% in most cities) to the above rates. Take monthly total, add round trip fee, add in 10.1% for taxes to come up with a total. Take the total and divide by 20 man days in a rental month to get cost per man day, divide by 8 to get hourly rate. Example: 19' scissor lift: $345/month + $150 trip fee = $495 x 10.1% for tax = $545 $545/ 20 man days = $27.25 /day /8 hours = $3.41 per hour = charge rate. Pagel of 1 Ahern Initials Customer Initials DLR Group DLR Group PROJECT: City of Tukwila Justice Center DATE SENT: 10/16/2019 73-17158-00 SUBJECT: TJC RFI #237_NLT Canopy Detail RFI ID. 237 Conflict TYPE: RFI TRANSMII I AL ID: 01341 PURPOSE: QUESTION: SUGGESTION: ANSWER: FROM Answered VIA: Info Exchange 1. The NLT roof canopy cantilever is supported by a T beam shown on S1.3B and spans the full width of the canopy. The trim profile for the edges of the NLT canopy covers the under side of the exposed canopy by 4-3/4" that runs around the canopy perimeter. This will conflict with the T beam. Please confirm it is acceptable to cut back the T beam 5" from the end of the NLT on both sides. 2. The detail for the canopy edge (14/A4.2) does not have a way to attach to the canopy or adequately terminate the roofing. The proposed solution is to add stud framing along the perimeter of the canopy that would match the adjacent parapet heights . The TPO roofing and cover board would turn up the small parapet wall and terminate . A coping flashing would be added on top of the framing wall and a two piece flashing would extend from the coping, and return under the NLT deck. Please confirm the proposed solution is acceptable. Response (Additional Information Needed) from: Ivan Farias (KPFF Consulting Engineers (WA)) Remarks: 1. It is acceptable to cut back only the stem (vertical plate) of the T-beam 5" from the edge at both sides. The horizontal plate is to remain in place. IF - KPFF 10-15-2019 Response (Answered) from: Steven Schmitz (DLR Group) Remarks: 2. See ASK 237.1 attached. An edge flashing without added height is desired at the canopy to allow for minimal edge thickness at this location. Steve Schmitz - DLR Group 10/15/19 NAME COMPANY EMAIL PHONE Lisa Ridley DLR Group Iridley@dIrgroup.com 206-461- Page 1 of 2 TO NAME NAME COMPANY COMPANY Liz Van Wieringen BNBuilders Bill Brown BNBuilders Brenna Christensen ` BNBuilders Dillon Webster Ethan Bernau Geri Urbas Jeff Clark Sabrina Ames Steven Schmitz DESCRIPTIOiN OF CONTENTS QTY i DATED DLR Group Shiels Obletz Johnsen BNBuilders BNBuilders DLR Group DLR Group TITLE 10J8J2019 TJC RFI #237_NLT Canopy Detail Conflict.pdf F DATE: ID: EMAIL EMAIL Liz.Vanwieringen@bnbui Iders.com bill.brown@"bnbuilders.c om brenna.christensen@bn Tra s tta 10/16/2019 01341 PHONE 6031x73-6031 PHONE 206-382-3443 206-382-3443 dr.m 206-382-3443 builesco ..... __ dwebster@dlrgroup.com 206-461- 6045x73-6045 ethanb@sojsea.com 206-838-3705 geri.urbas@bnbuilders.c 206-382-3443 iom Jeff.Clark@bnbuilders.c om 206-382-3443 206-461- sames@dlrgroup.com 6094x7 6094x73-6094 sschrnitz@dlrgroup.com •1EER SCALE 206-461 6044x73-6044 SIZE Page 2of2 Request for Information B N|0mi|denn Tukwila Jus%icaCtr Construct. son: TukwilaInte: o*g Tukwila, WA 98188 BNB Project #118021L100 Date: October 08,2O1g Submitted To: Steve Schmitz o8lGroup, Inc. 51 University Street Suite6nV Seattle, WA 98101 Te|:2Oh.461.60OO Fax: 205.401.5049 Subject: N[TCanopy Detail Conflict Discipline: Architectural Document Reference: S13B, 14/A4.2 Potential Cost Impact: Yes Subcontractor: DNBui|ders Submitted By: NorthshoneExuedons, Inc. 11831 Beverly Park Road, Bldg Everett, WA 98204 Tel: (*25)487'1111 Fax: (425) 485'3503 Spec Section: Potential Schedule Impact: Subcontractor RF1 No: Question Date Required: 10/15/2019 1. The mLTroof canopy cantilever is supported by a T beam shown 5138 and spans the full width of the canopy. The trim profile for the edges of the NLT canopy covers the under side of the exposed canopy by 4'3/4''that runs around the canopy perimeter. This will conflict with the Tbeam. Please confirm itisacceptable tncut back the Tbeam S"from the end ofthe NLTon both sides. 2. The detail for the canopy proposed solution is to add stud framing along the perimeter of the canopy that would match the adjacent parapet heights .The TPOroofing and cover board would turn upthe small parapet 'wa||andterminaue.AcuphngOasmngwmu|dbeaddedontupofthe framing wall and atwo piece flashing would extend from the coping , and return under the NLTdeck. Please confirm the proposed solution isacceptable. 1.Iti0 the 5" from the edge at both sides. The horizontal plate is to remain in place. 10-15-2019 2. See ASK 237.1 attached. An edge flashing without added height is desired at the canopy to allow Stevefor minimal edge thickness at this location. Schmitz ~nDLR Group Answered by: DateAnswered: 10/15/2019 Copies To: Company mContact Fax Notes Page 1 of 1 Item #1 Item #2 Trim Conflict with T Beam Parapet would continue onto NLT canopy and return to the parapet on the other side Date l 10/15/2019 Project 1 Tukwila Justice Center Project # l 73-17158-00 Page I ASK - 237.1 Computed by I SS 60 MIL MEMRANE, FULLY ADHERED /2" COVERBOARD SECUROCK) 6" WIDE PRESSURE SENSITIVE COVER STRIP CUT EDGE SEALANT DRIP EDGE METAL FASCIA SELF -ADHERED AIRNAPOR BARRIER, WRAP OVER NAILER AND LAP EDGE WOOD NAILER METAL FASCIA METAL FASCIA WITH DRIP EDGE, FASTENED TO NLT Checked by I EDGE AT FRONT CANOPY DLR Group Elevate the human experience through design STEEL SUPPORT BEAM WHERE OCCURS THERMOSET / THERMOPLASTIC MEMBRANE AFX DETAIL NOT FOR USE ON 25—YEAR WARRANTY PROJECTS. ACCEPTABLE EDGING SHALL CONFORM WITH THERMOSET DETAIL U-1 Al WHEN USING EPDM MEMBRANE OR AFX-1B WITH TPO MEMBRANE. SecurSEAL DRIP EDGE OR FASCIA (BY OTHERS) NOTES: 6" (152mm) WIDE PRESSURE— SENSITIVE COVER STRIP IN CONJUNCTION WITH PRIMER `I11111 i11}Jd1l1 IT inuminriii WOOD NAILER (BY OTHERS) 1-1/2" (38mm) RING SHANK NAILS © 6" (152mm) O.C. 1. USE APPROPRIATE COVER STRIP & PRIMER BASED UPON MEMBRANE TYPE. FOR EPDM, REFER TO THERMOSET U-1 A. FOR TPO, REFER TO THERMOPLASTIC U-1 A. 2. WOOD NAILER MUST EXTEND PAST TOTAL WIDTH OF METAL FASCIA DECK FLANGE. 3. METAL FASCIA DECK FLANGE MUST BE TOTALLY COVERED BY PRESSURE —SENSITIVE COVER STRIP WITH MINIMUM 2" (51mm) COVERAGE PAST NAIL HEADS. 4. TO REMOVE FINISHING OILS, SCRUB METAL FLANGE WITH WEATHERED MEMBRANE CLEANER; ALLOW TO DRY PRIOR TO APPLYING PRIMER. 5. APPLY PRIMER TO METAL FLANGE AND MEMBRANE SURFACE PRIOR TO INSTALLING PRESSURE —SENSITIVE FLASHING. WHEN METAL FASCIA BY OTHERS IS USED, FASTENER TYPE AND FASTENING FREQUENCY SHALL BE RECOMMENDED BY METAL EDGE MANUFACTURER. DIMENSIONS mm O 1/2" 13 TO 1„ 25 2" 51 MIN. JOINT COVER CARLISLE UNIVERSAL SINGLE —PLY SEALANT (BELOW JOINT COVER FLANGE) CONTINUOUS CLEAT <c- AFX MEMBRANE ASPHALT/COLD APPLIED —APPROVED SUBSTRATE -- SEE NOTE(S) SecurSEAL DRIP EDGE FASCIA For additional information, refer to Specifications A DETAIL NO. =-X A AFX ADHERED Bt4Builders December 30, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFl-264 Dear Ethan, In accordance with RFl-264 Wall Framing Above Detention Walls, BNBuilders hereby submits our proposal for the additional bulkheads above detention walls in OTS spaces. The total proposal of this subject work is Eight Thousand Nine Forty Dollars $8,940.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5093 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justineksoseaj.com) Geri Urbas (geri.urbasbnbuilders.corn) Steve Schmitz (sschmitzdIrciroup.com) BNBuilders 2601 411' Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBililders PROJECT NAME: Tukwila Justice Center CCD/ASI #: RFI 237 COP #: 5093 GENERAL CONTRACTOR: BNBuilders, Inc. DATE: 12130/2019 DESCRIPTION OF CHANGE: Wall Framing Above Detention Walls LBP 09.20 Northwest Partition 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $8,514,001 $8,514.001 $425.70 $0.30 Total Change Request $8,940.00 To the best of my knowledge and belief, I certify that al/costs listed above are correct. Contractor Signature Date 5% Page 1 of 1 NORTHWEST PARTITIONS To: BNBuilders, Inc. 2601 4th Ave Suite 350 Seattle, WA 98121 Ref.# COR-0013 External/RCO# GC Ref# Date Oct 30, 2019 Job # 2066 Project: Tukwila Justice Center 15001 Tukwila International Blvd Tukwila,WA 98188 Phone: (206)382-3443 Fax: (360)398-2302 Description: Added GWB bulkhead at detention walls at OTS per RFI #264 Labor Layout Frame Soffits / Ceilings Hang Interior GWB Finish Tape Stock D/W - Onsite Clean -Up DM Material 3 5/8" STUD 1 1/4" FLANGE (33MILS) 20GA 3 5/8" STUD 1 1/4" FLANGE (43MILS) 1BGA 3 5/8" TRACK 1 1/4" LEG (54MILS) 16GA 3 5/8" TRACK 1 1/4" LEG (33MILS) 20GA HILTI KH-EZ 1/4"X1 7/8" (100) 5/8" TYPE "X" DRYWALL! X58 L-SHAPED 1/2" NB PAPER FACED TAPE ON METAL 90 DEG PAPER BEAD WITH METAL EXTRA WIDE EVEN LEG LITE TAPING COMPOUND LITE ALL PURPOSE COMPOUND Equipment 19' SCISSOR LIFT-2WD ELEC - JLG 1930E5 - Genie GS-1930 - SKYJACK-SJ1113219 Total Miscellaneous Charges Size 13' 6" 10' 10' 10' 1 4'X12' 10' 10' BOX BOX Quantity UOM Unit Total Rate Total 2.50 Hrs 2.50 77.57 $193.93 38.00 Hrs 38.00 72.31 $2,747.78 13.00 Hrs 13.00 73.76 $958.88 21.00 Hrs 21.00 70.77 $1,486.17 2.00 Hrs 2.00 72.31 $144.62 6.00 Hrs 6.00 72.31 $433.86 Total Labor $5,965.24 Quantity UOM Unit Price 21.00 PCS 18.00 PCS 8.00 PCS 8.00 PCS 1.00 EA 10.00 SHT 8.00 EA 17.00 EA 2.00 EA 6.00 EA Quantity UOM 72.00 EA .9972 LF 1.296 LF 1.044 LF .9504 LF 38.28 PCS .414 SOFT .364 LF .364 LF 11.82 EA 11.82 EA Total $282.71 $233.28 $83.52 $76.03 $38.28 $198.72 $29.12 $61.88 $23.64 $70.92 Total Material Unit Price 3.41 EA $1,098.10 Total $245.52 Total Equipment $245.52 Total B&0 Tax .48% GL Insurance 1% Total Other Disposal Charges $35.08 $73.44 Total Miscellaneous Charges $108.52 Total Rounding $0.01 Total Other Disposal Charges $0.01 AUTHORIZED BY: ON BEHALF OF: BNBuilders, Inc. PROJECT MANAGER: Harold C Ayers ESTIMATOR: Harold C Ayers Labor Total: $5,965.24 Material Total: $1,098.10 Sub Trade Total: $0.00 Equipment Total: $245.52 Sub Total: Overhead 15%: $108.52 Add after OH&P Total: 0 0 • • I 111 $ $7,308.86 15.00°!$.1 $8,514.00 20006 - 144th Avenue NE, Woodinville, WA 98072 T 425-375-2500 F 425-375-2540 http://www.nwpart.com CONSTRUCTION SUPPLY Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 Code 6005162-43 6005162-54 6005162-68 6005200-54 6005200-68 6005200-97 6005250-54 6005250-68 600T125-43 600T125-54 600T150-43 600T150-54 600T150-68 600T200-54 600T200-68 600T200-97 600T250-54 600T250-68 150U50-54 200A200-43 600FS-33 400FS-54 CRCCLIPHVY 1625125-30 162T100-30 2505125-33 2505LT250-33 250T125-33 3625125-30 3625125-33 3625125-43 3625162-43 3625162-54 3625250-54 3625250-68 362T125-30 362T125-33 362T125-43 Description 6" 18 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Stud w/ 1-5/8" Leg 6" 14 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Joist w/ 2" Leg 6" 14 Ga Joist w/ 2" Leg 6" 12 Ga Joist w/ 2" Leg 6" 16 Ga Joist w/ 2-1/2" Leg 6" 14 Ga Joist w/ 2-1/2" Leg 6" 18 Gauge Track w/ 1-1/4 Leg 6" 16 Gauge Track w/ 1-1/4" Leg 6" 18 Gauge Track w/ 1-1/2" Leg 6" 16 Gauge Track w/ 1-1/2" Leg 6" 14 Gauge Track w/ 1-1/2" Leg 6" 16 Gauge Track w/ 2" Leg 6" 14 Gauge Track w/ 2" Leg 6" 12 Gauge Track w/ 2" Leg 6" 16 Gauge Track w/ 2-1/2" Leg 6" 14 Gauge Track w/ 2-1/2" Leg 1-1/2" Black Iron 16 Gauge 2" x 2" Framing Angle 18 Gauge 6" x 20 Ga Flat Stock Backing 4" x 16 Ga Flat Stock Backing Clip for Cold Rolled Channel Heavy Gauge 1-5/8" 20 Gauge Stud 1-5/8" 20 Gauge Track w/ 1" Leg 2-1/2" 20 Gauge Stud 2-1/2" 20 Gauge Slotted Track 2-1/2" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Stud 5/8"' 20 Gauge Stud -5/8" 18 Gauge Stud 3-5/8" 18 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Stud w/ 1-5/8 Leg 3-5/8" 16 Ga Joist w/ 2-1/2" Leg 3-5/8" 14 Ga Joist w/ 2-1/2" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 18 Gauge Track w/ 1-1/4" Leg UOM LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF EA LF LF LF LF LF LF LF LF LF LF LF IF LF Container Per Studs Studs Studs Studs Studs Studs Studs Studs Track Track Track Track Track Track Track Track Track Track Each Each Each Each Pieces Studs Track Studs Track Track Studs Studs Studs Studs Studs Track Track Track 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1 EA 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 000 LF 000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF Unit Price 1306.8 1640.4 2065.2 1791.6 2254.8 4317.6 2008.8 2538 1135.2 1459.2 1200 1507.2 1888.8 1777.2 2104.8 3979.2 1651.2 2403.6 436.8 625.2 970.8 873.6 0.828 594 562.8 447.6 954 519.6 532.8 997.2 1296 986.4 1286.4 2580 2060.4 478.8 950.4 1226.4 STEELER CONSTRUCTION SUPPLY Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 362T125-54 362T250-33 362T250-54 362T250-68 6005125-30 6005125-33 6005162-33 600T125-30 600T125-33 150A150-30 SECUR1.0-16 SECURACLP B1XW B412NB CJGWB LWAP LWTAPING PTAPE X58 X58H1 X58MMR X58DURO 400CH-33 400JT-33 X1SWLGLAS BULLET3 Bullet Strips 3-5/8" 16 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 2-1/2" Leg 3-5/8" 16 Gauge Track w/ 2-1/2" Leg 3-5/8" 14 Gauge Track w/ 2-1/2" Leg 6" 20 Gauge Stud 6" 20 Gauge Stud 6" 20 Ga Stud w/ 1-5/8" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 1-1/2" x 1-1/2" Framing Angle 20 Gauge AMICO Security Mesh 1" x 16 Gauge AMICO Secura Clip 300/Carton B1XW - Corner Bead B4 - 1/2" No Bead L Metal Control Joint for GWB #093 USG Lite Weight All Purpose Joint Compnd 3.5 gal Lite Weight Taping Joint Compnd 3.5 gal 2-1/16" Paper Tape - 500'/Roll 5/8" Type X GWB 5/8" Type X High Impact GWB 5/8" Type X Mold & Moisture Resistant GWB 5/8" Type X Cementitious Backer Bd 4" 20 Gauge Shaftwall Stud 4" 20 Gauge J Track 1" Fiberglass Shaftwall Liner Wallboard Ballistic/Bullet Panel - Level 3 Level 3 strips LF LF LF LF LF LF LF LF LF LF SF EA LF LF LF EA EA EA SF SF SF SF LF LF SF SF LF Track Track Track Track Studs Studs Studs Track Track Each Sheets Boxes Boxes Boxes Boxes Box Box Rolls Sheets Sheets Sheets Sheets Studs Track Sheets Sheets Each 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF piece container 1000 LF 1000 LF 1000 LF container container container 1000 SF 1000 SF 1000 SF 1000 SF 1000 LF 1000 LF 1000 SF piece piece 1044 1380 1651.2 2403.6 718.8 1380 1183.2 661.2 903.6 331.2 95.58 364.0 364.0 364.0 11.82 11.82 4.8 414 1256.4 594 1098 1254 864 1038 769.524 0 BiU'ToAddreao NORTHWEST PARTITIONS 20ONJ144thAve NE Woodinville WA 98072-4461 Standard Order 581916400 Hihi|mc. 5400Gnuth 122nd East Ave. Delivery Address NORTHWEST PARTITIONS Tukwila Justice Center 15O81TUKVV|LAINTERNATIONAL BLVD SEATTLEVyA 98188-2208 Page 1M\ Order Type: Order Date: Our Contact: Standard Order 1029/2O18 1029/201g Cory Driver Customer Number: Purchase Order Nu' Your Reference: Your Main Contact: Your Main Contact Tel.: 10788103 00399 CHR|8AYERS 425-375-2500 Item No. Description Ordered Quantity Net Price/Unit Net Value 423473 Screw onoKH^EZ1/4rx1-7/8" Line Total 38.28 BOX 153.11 153.11 Final Total USID 153.11 All transactions subject toHi|U'sTerms and Conditions available advmmw.hilti.com. NORTHWEST PARTITIONS Sales Rep: Connor Ball Ahern Rentals Cat -Class Cat/Class Description 620-5745 5CISSORLIFT,19',32", ELECT Account Pricing *All Pricing is confidential* Typical Make/Model Electric Scissor Lifts Skyjack 511113219 Account ff 265218 Contact tl: 425-241-8004 Effective Date: 9/1/18 Rates Expire: 6/30/19 Daily Weekly 4 Week 115 250 345 620-5754 SCISSORL1FT,26',32",ELECT Skyjack 511113226 165 325 575 620-5755 SCISSORLIFT,26',46",ELECT Skyjack SJIII4626 165 325 575 620-5784 SCISSORLIFT,32',46-48",ELECT Skyjack SJI114632,1LG 3246E5 185 475 795 620-5759 SCISSORLI FT,26,68",GAS,4X4 All Electric Scissor Lifts larger then 32please call for quote Fuel Scissor Lifts (4x4) Skyjack S16826RT, Genie GS-2668RT 195 $ 450 $ 865 620-5786 SCISSORLIFT,32',68",GAS,4X4 Skyjack S16832RT, Genie GS-3268RT $ 215 $ 515 $ 990 620-5798 SCISSORLIFT,43',GAS,4X4 Skyjack 5J8243, Genie GS-439ORT 285 $ 720 1,500 620-5799 605-5645 605-5670 SCISSORLIFT,53',GAS,4X4 Genie GS-5390RT All scissor lifts larger then 53' please call for quote FORKLIFT,3600-5000LB,15'7",YARD FORK LI FT,5900LB,19',TELESCOPING Yard/Warehouse Forklifts Hyster H50, Yale GP050 Xtreme 5919 $ 347 $ 941 140 1 $ 495 $ 195 $ 595 2,500 $ 885 $ 1,595 605-5675 FORKLIFT,6000LB,36',TELESCOPING Skytrak 6036 $ 340 $ 1,175 $ 1,925 605-5683 FORKLIFT,8000LB,42',TELESCOPING XtremeXR842, Skytrak 8042 365 $ 1,275 $ 2,350 605-5686 FORKLIFT,10000LB,54',TELESCOPING Skytrak 10054 $ 485 $ 1,575 $ 3,250 615-5711 LIFT,PERSONNEL,12',ELECT,2 MAN JLG 1230E5, Snorkel TM12 $ 105 $ 200 $ 350 615-5721 LIFT,PERSONNEL,20',DRIVABLE,ELEC JLG 20MVL, Genie GR20 125 250 400 600-5799 BOOM,ARTICULATED,30',NARROW,ELEC, W/JIB JLG E300AJ $ 200 800 1,475 600-5850 BOOM,ARTICULATED,40',ELECTRIC,NARROW JLG E400AN, Genie Z40/23N $ 325 $ 900 $ 1,575 600-5857 600-5852 BOOM,ARTI CU LATED.,45', EL ECT BOOM,TELESCOPING,40',DSL,4X4 JLG E450A1, Genie Z45/25J DC JLG 4005, Genie S40 $ 325 350 $ 900 $ 895 $ 1,575 1,625 600-5797 BOOM,TELESCOPING,45',DSL,W/JIB Snorkel TB471, Skyjack SJ4ST $ 350 $ 895 $ 1,625 600-5866 BOOM,TELESCOPING,60',DSL,4X4 JLG 600S, Genie 560, Snorkel TB6O $ 420 $ 1,095 $ 1,995 600-5879 BOOM,TELESCOPING,66',DSL,W/J1B,4X4 JLG 6605J, Snorkel TB66J All reach boom lifts larger then 66' please call for quote. $ 420 $ 1,095 Additional: * All pricing is in U.S. Dollars and does not include Sales Tax or Environmental Recovery Fees * Delivery and pick up will be charged at $75 each way (per truckload) on standard loads within 30 miles of the servicing Ahern branch. * Deliveries over 30 miles, requiring permit, oversized loads or outside of normal business hours may be subject to additional fees. $ 1,995 Add S150 roundtrip delivery/pick-up fee, Environmental Fees and WSST (10.1% in most cities) to the above rates. Take monthly total, add round trip fee, add in 10.1°/0 for taxes to come up with a total. Take the total and divide by 20 man days in a rental month to get cost per man day, divide by 8 to get hourly rate. Example: 19' scissor lift: $345/month + $150 trip fee = $495 x 10.1% for tax = $545 $545/ 20 man days = $27.25 /day /8 hours = $3.41 per hour = charge rate. DLR Group DLR Group PROJECT: City of Tukwila Justice Center 73-17158-00 DATE SENT: SUBJECT: TJC RFI #264_Wall Framing Above RFI ID Detention Walls TYPE: RFI PURPOSE: QUESTION: SUGGESTION: ANSWER: FROM NAME Sabrina Ames TO NAME Liz Van Wieringen Answered TRANSMII I AL ID: 10/25/2019 264 01422 VIA: Info Exchange Please refer to the attached plans with mark ups at the detention wall areas. Please advise on the conditions above the marked detention walls and how the framing should interface with the top of detention wall panels. Response (Answered) from: Steven Schmitz (DLR Group) Remarks: See marked up plans. No partitions or bulkheads required where concealed above ceilings or between holding rooms, see green marked walls. Provide bulkheads above walls in exposed/OTS spaces or where ceilings are higher than adjacent detention walls. Steve Schmitz - DLR Group 10.25.19 DESCRIPTION OF CONTENTS QTY DATED COMPANY DLR Group COMPANY BNBuilders Iders.corr) TITLE TJC RFI #264_Wall 10/23/2019 Framing Above Detention Walls.pdf EMAIL sames@dlrgroup.com EMAIL PHONE 206-461- 6094x73-6094 PHONE Liz.Vanwieringen@bnbui 206-382-3443 NUMBER SCALE SIZE Page 1 of 2 Trans Ittal 10/25/2019 01422 EHU Brown BrennaChhstensen Dillon Webster EthanBernou Geri Urbas Jeff Clark Liz Van VVieringen Sabrina Ames Steven Schmitz (8NBu1|dery) (BNBu||ders) (DLRGroup) (Shiels[Jb|etzJohnsen) (BNBui|ders) /BNBui|de (GNBui|ders) DLRGroup) (DLR Group) Page 2Vf-2 Request for Information RFI No: 264 BNBuilders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 118021.100 Date: October 23, 2019 Submitted To: Steve Schmitz Submitted By: Liz Van Wieringen DLR Group, Inc. BNBuilders 51 University Street 2601 4th Ave Suite 350 Suite 600 Seattle, WA 98121 Seattle, WA 98101 Tel: 206.461.6000 Fax: 206.461.6049 Subject: Wall Framing Above Detention Walls Disa;o/ine: Architectural Document Reference: A1.1A, A1.1C Subcontractor: Northshore Exteriors, Inc. Spec Section: Subcontractor RFI No: 007 Question Date Required: 10/30/2019 Please refer to the attached plans with mark ups at the detention wall areas . Please advise on the conditions above the marked detention walls and how the framing should interface with the top of detention wall panels. Answer See marked up plans. No partitions or bulkheads required where concealed above ceilings or betvveen holding rooms, see green marked wails. Provide bulkheads above walls in exposed/OTS spaces or where ceilings are higher than adjacent detention walls. Answered by: Steve Schmitz - DLR Group Date Answered: 1 0/25/2019 Copies To: Company & Contact Fax Notes Page 1 of 1 Outgoing ��U�U ... . NORTHWEST PARTITIONS Job Name: Tukwila Justice Center RF"#RF-0Q0O7 ' GC# 'Date Oct 22,2O19 To: BNBuUdem,|nc 26O14thAve Seattle, WA 98121 Phone: (206)382-3u443 Fax: (360)398'2302 From: Harold CAyers Reason for Request Insufficient Information Action Requested Direction Requioed- Response Date - , Possible � Cost- � Unknown ' Time '. REFERENCE: DRAWING NO. A11A SUBJECT: What is happening above detention walls to structure DRAWING NO. A1.1C INFORMATION NEEDED: Nothing is ^- Uyshowncdfaoecfdmt nUonwoUahnm0opofdetenUonwo|tostructure Please specify what io0obe provided here nanything. , Thank you, RECOMMENDATION 20006 \44mAvenue NE, Woodinville, noA9xo7z r4zs-375-z5uO F4o5-u75-z54o December 30, 2019 Steels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI-134 Dear Ethan, In accordance with RFI-134 Wall Panel Detail at Stem Wall, BNBuilders hereby submits our proposal for the additional base flashing at stem walls. The total proposal of this subject work is Eleven Thousand Two Ninety Seven $11,297.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5095 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justineksoseaj.com) Geri Urbas (geri.urbasbnbuilders.com) Steve Schmitz (sschmitz@dIrgroup.com) Bl\lBuilders 2601 4Avenue, Suite 350 Seattle, INA 98121 T: 206.382.3443 F•nnn 'no gitAn Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCDIASI #: RFI 134 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Additional Through Wall Base Flashing at Stem Walls COP #: 5095 DATE: 12/30/2019 BP 09.20 Northwest Partition $10,758.95 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $10,758.95 $537.95 $0.10 Total Change Request $11,297.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 5% NORTHSHORE Itemized Change Order Proposal Attention: Liz Van Wieringen Date: 8/6/2019 Project: Tukwila Justice Center NSE Ref: NSE 01R col, / RFI tt: RFI 134 By: Dave Masters Work Description Add for a base of wall flashings to cover the insulation at grade QUANTITIES LABOR MATERIALS EQUIPMENT No of Unit Units Description S/Hour Total S/Unit Total Rate Total Labor Shop Journeymen 16 Per Hr $ 82.43 1,318.83 Shop Foreman 2 Per Hr $ 87.95 $ 175.89 Field Journeymen 40 Per Hr $ 79.23 $ 3,169.20 Field Foreman Per Hr $ 85.22 Apprentice 32 Per Hr $ 59.13 $ 1,892.16 Delivery Driver 3 Per Hr $ 43.77 131.31 Material 24 GA Stainless Steel Flat Sheet 19 Sheets 75.44 $ 1,433.36 Backer Rod 0 Rolls 11.63 (116.30) Equipment 20 ft flat bed Per Hr $ 57.00 $ 171.00 8 ft 1/2 ton Per Hr $ 32.29 Finn Power Shear Genius RAS 90 Break 14 Per Hr Per Hr $ 396.14 $ 74.28 $ 1,039.92 CNC Router Per Hr $ 89.51 Salvagnini Per Hr $ 342.57 45 ft boom Manlift (Rented) Day $ 450.00 65 ft Boom Manlift (Rented) Day $ 500.00 26 Ft Scissor Lift 1000# (rented) Day $ 300.00 S Subtotals Safety act expense @ 2% of direct labor Small tools expense @ 3% of direct labor Transportation $4.76 per Field Foreman Hour Subtotals without overhead & profit Other Expense: 6,687.39 1,317.06 1,210.92 6,687.39 1,317.06 1,210.92 Subtotal of all expenses (labor, materials, & equipment) Contractor liability insurance = 1 75% of labor, materials, & equipment Total value of work for this contract before overhead & profit 15 % overhead & profit Total Value of work for this contract including overhead & profit 9,215.37 161.27 9,376.64 1,382.31 $ 10,758.95 Exclusions: Note: All owned equipment rates are from the National Roofing Contractors Association's, "Roofing Contractors Equipment Cost Schedule", Ninth Edition, Couvright 2003. Rented collie:smolt as quoted. Contractor agrees that by ordering Northshore to proceed on such above mentioned work, contractor agrees that such work is above and beyond the scope of the original contract, and accepts this itemized breakdown in its entirety as fair compensation for such work. Contractor further agrees that by ordering such extra work, it shall issue a change order as soon as possible, regardless of whether or not owner approves such changes. CONTRACTOR APPROVAL The Contractor/Owner by signing below hereby orders Northshore Exteriors, Inc. to proceed with the above mentioned extra work, and will issue a formal Change Order as soon as possible. • Signature Name (printed) Date Title NORTHSHORE EXTERIORS, INC. Ephram Harsh Fromm: Khsh Gouy xkrist4gnorthshoreextoom> Sent: Friday, October 2S,2Olgli}OPM To: Ephram Harsh Cc: Jeff Clark Subject: RE: T]C CO#1 ' RF| 134 Attachments: CONSE#1Revised -RF|#134add for base ofwall f|ashingstucover grade insu|ation.pdf,201908191127]E2S9-pdf,'0190418O85S26OO4.pdf, Hello, See attached revised giving adeduct for the backer rod. VVestill used additional sealant for this work sothere isno credit there. Stainless sheet pricing varies, and |don't know where Dave got his pricing from, but ;attached are acouple of samples of prices we've paid inthe past months. His pricing isinthe mix. VVegot about !G0feet ofmaterial per sheet =94OLF. Safety expense was deleted. Thank you, KrisbGou Project Manager NodhghoreExteriors, Inc. 425-740-3700 From: EphrannHarsh <Ephr mnJHarsh@bnboi|der zon1> Sent: Friday, October 25,2O19O:3OAM To: KrisbGouy<kristK@northshoreext,conn> Cc: Jeff Clark <Jeff.Oark'bnbui|dersznnl> Subiect:T]C CO ~#1'RH134 Please see my comments on the attached and below. 1.Please show credit for deleted backer rod and sealant IProvide backup for material 3. Safety expense isnot chargeable as it isconsidered tobepart ofOH6kP Give me a call if you want to go over any of these comments. Ephram Harsh I BNBui|de,s 2601 4th Avenue, Suite 350 Seattle, WA 98121 Click Here to Send Me Files Twitter I Fooebook j Unkedn I BNBui|dem.omn 1 18Apr19 08:45 SALES ACKNOWLEDGMENT Sold By: Pacific Metal Company 7416 South 228th Street Kent WA 98032-2930 Tel: 253-796-2840 Fax: 253-796-2845 Sold To: (236791) NORTHSHORE SHEET METAL 11831 BEVERLY PARK RD BLDG "C" EVERETT WA 98204 Taut 1% 10 net 30 Frt PREPAID Con KRISTI'GOUY Slp Shelli Brevik No: SEA WS-363479 Ship To: (001) NORTHSHORE SHEET METAL 2822 119TH ST SW SUITE 400 EVERETT WA 98204 Ord 18Apr19 Due 19Apr19 Via OUR TRUCK FOB DESTINATION PO/Rel 304528KG/KRISTI Tel 425 487-1111 Fax 425 485-3503 SALES ACKNOW L EDGMENT REC HOURS 6AM-2PM MON-FRI 1 5052 Aluminum Sheet W/#9833 Vinyl .125 X 48.0000" X 120.0000" MATERIAL 2 304-2B Stainless 24 Ga X 48.0000" X 120.0000" NO INTERLEAVE MATERIAL Sheet 3 304-2B Stainless Sheet 18 Ga X 48.0000" X 120.0000" NO INTERLEAVE MATERIAL PVC ALL ALUMINUM SHEET WITH #9833 ALL AUTOFEED SKIDS HAVE NO INTERLEAVE NO DUNNAGE REQUIRED BETWEEN AUTOFEED SKIDS 4600 LB MAX SKIDS (PREFERS 3500 LB MAX SKIDS) AUTOFEED SKIDS ON ORDER LINES OF 10 PCS OR MORE ************************************************** FUEL SURCHARGE INFORMATION: The current fuel surcharge is $17.00 per delivery. We will continue to monitor our fuel costs on a quarterly basis and adjust the surcharge accordingly. Thank you for your continued business. 1 SIDE Order Totals: ******************************************************** Material Processing Freight Other SO No SEA WS-363479 63 PCS 3 Items Taxes 4,400 LBS 2,022 LBS 3,842 00 2,022 LBS 8,444 LBS ************ ORDER AMT ************************************************************************* Page: 1 .... Last 19Aug19 11:04 SALES ACKNOWLEDGMENT Sold By: Pacific Metal Company 22601 76th Ave South Kent WA 98032-2930 Tel: 253-796-2840 Fax: 253-796-2845 Sold To: (236791) NORTHSHORE SHEET METAL 11831 BEVERLY PARK RD BLDG "C" EVERETT WA 98204 Trm 10 10 net 30 Frt PREPAID Con KRISTI GOUY Slp Shelli Brevik No: SEA WS-365329 Ship To: ( 1) NORTHSHORE SHEET METAL 2822 119TH ST SW SUITE 400 EVERETT WA 98204 Ord 19Aug19 Due2lAug19 Via OUR TRUCK PO/Rel 615/KRISTI Tel 425 487-1111 S A L E S ACKNOW REC HOURS 6AM-2PM MON-FRI FOB DESTINATION EDGMENT SO No SEA WS-365329 1 304-2B Stainless Sheet .0240 Nom X 48.0000" X 120.0000" NO INTERLEAVE, NO PVC MATERIAL 50 PCS 50 PCS 74.7100 EA PVC ALL ALUMINUM SHEET WITH #9833 ALL AUTOFEED SKIDS HAVE NO INTERLEAVE NO DUNNAGE REQUIRED BETWEEN AUTOFEED SKIDS 4600 LB MAX SKIDS (PREFERS 3500 LB MAX SKIDS) AUTOFEED SKIDS ON ORDER LINES OF 10 PCS OR MORE ********************************************* FUEL SURCHARGE INFORMATION: The current fuel surcharge is $17.00 per delivery. We will continue to monitor our fuel costs on a quarterly basis and adjust the surcharge accordingly. Thank you for your continued business Order Totals: ******************************************************** Material Processing 3,735.50 *************************** **a******************* Freight Other 2,022 LBS 3,735.50 1 Items 2,022 LBS *********************** Taxes ORDER AMT 3,735 50 USD ********************** Page: 1 .... Last DLR Group PROJECT: sueoE[T: TYPE: City ofTukwila Justice Canter 73-17158-00 T]CRFI U Panel Detail at Stem Wall RFI 0~ m I' 'r � DATE SENT: mp/m` TRANSMITTAL ID: 44 I I ni 7/31/2O19 134 00744 � � 40 PURPOSE: Answered VIA: Info Exchange QUESTION: mySvVsx: FROM NAME Sabrina Ames 11 At the base of all metal vva|| panel conditions at stem walls, a sealant and backer rod is called out to make the connection between Insulated Metal Panel and Rigid Insulation below grade water tight. The materials used for this connection are generally not compatible and could pose a risk for ' waterinfiltration. The details also gest a peel and stick type waterproofing extending to the bottom track of the cold -formed nnatai framing, although not specifically called out. This poses constructibility and schedule challenges to use this system. Please confirm the attached detail from Kingspanis an acceptable solution for preventing water intrusion in ||eO of the sealant and backer rod � condition. Response (Amsvvened)from: Adam meugebauer(JRSEngineering) l Please see attached JRS mark-ups of the referenced architectural details mremove the noted sealant joint and to add a through -wall flashing (similar to what is shown on the provided manufacturer's drawings). For the self -adhered transition membrane, JR5 recommends a below -grade product such as Cetco Envirosheet. To reduce exposure of the transition membrane after installation, recommend installing this membrane after the sill track or steel angles are in place. If the transition membrane needs to be installed before the sill track or steel angles are in place, then recommend leaving the release paper in place for the loose portion of the membrane and protecting the membrane until the sill track and steel angles are in place. If the membrane is damaged, an additional strip could be installed and lapped over the sill track or further up the steel angle to hold it in place until the metal flashing and panel can be installed and fastened into place. Refer to attached. i COMPANY | EMAIL ! OLR(Sroup | sarnea@d|rgroup.corn 3OG-4O1- To Page 1 of 2 RFI »» ��Y��itta| 7/31/2O19 00744 —�| -- _memE CDMpAmY EMAIL / PHONE ZVBnwiehngen BNBui|ders L�/�8nwi8Mng8n0�bDbU| 306-382-3443 DES[KIFTVNOFCONTENTS NUMBER SCALE 7/24/2019 I Detail at Stem Wall.pdf Bill Brown Brenna Christensen CU||on Webster Ethan8ernau GeriUrbaa Jeff Clark LizVonvNering8n Sabrina Ames Steven Schmitz (BNBuUders) U3N8ui|dens> ([>LRGroup) [Shie|sC}b|etz Johnsen) (BNBui|ders) (BNBVi|ders) (BNBui|ders) OLR(Sroup (OLRGrDup) Page 2of2 Question Request for Information RFI No: 134 B N Builders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 11802 . 00 Date: July 24, 2019 Submitted To: Steve Schmitz DLR Group, Inc. 51 University Street Suite 600 Seattle, WA 98101 Tel: 206.461.6000 Fax: 206.461.6049 Subject Wall Panel Detail at Stem Wall Discipline: Architectural Submitted By: Liz Van Wieringen BNBuilders 2601 4th Ave Suite 350 Seattle, WA 98121 Document Reference: 25/A10.1, 34/A10.1, 35/A10.1 Spec Section: Subcontractor: Northshore Exteriors Subcontractor RFT No: Date Required: 7/31/2019 At the base of all metal wall panel conditions at stem walls, a sealant and backer rod is called out to make the connection between Insulated Metal Panel and Rigid Insulation below grade water tight. The materials used for this connection are generally not compatible and could pose a risk for water infiltration. The details also suggest a peel and stick type waterproofing extending from the stem wall to the bottom track of the cold -formed metal framing, although not specifically called out. This poses contractibility and schedule challenges to use this system. Please confirm the attached detail from Kingspan is an acceptable solution for preventing water intrusion in lieu of the sealant and backer rod condition. Answer JRS CaMIVIENTS (.05,1114; 07/30/19): Please see attached JRS mark-ups of the referenced architectural details to remove the noted sealant joint and to add a through -wall flashing (similar to what is shown on the provided manufacturer's drawings). For the self -adhered transition membrane, JRS recommends a belovi-grade product such as Cetco Envirosheet. To reduce exposure of the transition membrane after installation, recommend installing this membrane after the sill track or steel angles are in place. If the transition membrane needs to be installed before the sill track or steel angles are in place, then recommend leaving the release paper in place for the loose portion of the membrane and protecting the membrane until the sill track and steel angles are in place. If the membrane is damaged, an additional strip could be installed and lapped over the sill track or further up the steel angle to hold it in place until the metal flashing and panel can be installed and fastened into place. Answered by: Date Answered: Copies To: Company & Contact Fax Notes Pane 1 of 1 15: Horizontal Installation Panel Attachment at the Base Install base trim per project shop drawings. Trim must be level and set in butyl sealant. © Apply beads of butyl sealant on vertical mending plates as shown. Vertical supports (not by Kingspan) Continuous butyl sealant both sides of trim 1/4" - 14 Hex head fasteners with 11/8 bonded washer Continuous butyl sealant below base flashing Base flashing Base channel set in sealant (not by Kingspan) - Fastener to concrete (not by Kingspan) rat Vertical supports (not by Kingspan) Continuous butyl sealant - both sides of trim 1/4" - 14 Hex head fasteners with 11/e" bonded washer Base flashing Base channel set in sealant (not by Kingspan) Fastener to concrete (not by Kingspan) 15: Horizontal Installation Flush Base Detail .Illiil!^u i Single skin panel base flashing Overhang Base Detail Single skin panel base flashing Vertical supports (not by Kingspan) Vertical supports (not by Kingspan) Butyl sealant continuous beads Continuous butyl sealant both sides of trim Base channel set in sealant (not by Kingspan) Continuous butyl sealant below base flashing Butyl sealant continuous beads Continuous butyl sealant both sides of trim Base channel set in sealant (not by Kingspan) Continuous butyl sealant below base flashing 41) m r r m C 0) I 0 'D'{ 0 oyD O0 co Tm ➢>v. S c =y 780. omm mnvm>.c.vmG0 .. 1x. Max. a 0 zP OD mP.0 zv 0mo. 0co . >. O:p G 2mmsmm mco bi og. m. g m - -Dd S 0(})� q m? m vs� O #' A am 0 O S m:0 m ONIHSV1J 3SV8 v CO 0 —4 � Z m 77, a.o is BNBuilders January 9, 2020 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for Contracting With NK Builds Dear Ethan, BNBuilders hereby submits our proposal for contracting with NK Builds to kiln dry the reclaimed maple slabs to be used for the wood signage. The total proposal of this subject work is Five Thousand One Hundred Three dollars $5,103.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5102 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim austinek(soseaj.com) Geri Urbas (geri.urbas@bnbuilders.com) Steve Schmitz (sschmitz dlr rou .com) BNBuilders 2601 4'h Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: GENERAL CONTRACTOR: BNBuilders, Inc. COP #: 5102 DATE: 1/912020 DESCRIPTION OF CHANGE: Contracting with NK Builds to kiln dry the reclaimed maple slabs for the wood signage. Note the disclaimer as provided by NK Builds. BP 06.40 BNB (Architectural Casework) $4,860.00 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $4,860.00 $243.00 Total Change Request $5,103.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date Tukwila Justice Cenber SUBCONTRACTOR CHANGE ORDER REQUEST SUMMARY CALCULATION PROJECT NAME: Tukwila Justice Center CCD/ASI #: COP #: 5102 Contractor Name: BN BuildersBO 06.40 DATE: 119/2020 DESCRIPTION OF CHANGE: Kiln dry/stabilize reclaimed maple slabs - provided by City of Tukwila Disclaimer: The Owner acknowledges that the results of the kiln process on natural wood slabs can be unpredictable. Heat and ambient changes in moisture can cause wood to move, check, cup and/or change in character. The kiln being used has processed many thousands of slabs successfully, and care Is taken to monitor and regulate treatment for optimum results. The wood will be dried and stabilized at the completion of the project. However, NK Build and hte kiln operator cannot be held responsible for changes, including those listed above, which may result. The Owner agrees to pay the balance of the completed project upon delivery of the slabs, without question of outcome. Subcontractor Direct Costs (attach all necessary substantiating documentation) Labor (Excluding Labor Premium) Material Equipment Subcontractor's Total Direct Cost Subcontractor's Mark-up (Excludes Labor Premium) Labor Premium $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Direct Costs + Mark-up + Labor Premium $0.00 Total Sub -tier Subcontractor Costs Subcontractor's Mark-up on Sub -tier Subcontractor(s) $4,500.00 $360.00 Total Subcontractor Change Request $4,860.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 15% 8% NK Build LLC 2350 McGilvra Blvd. E Seattle, Wa 98112 (206)200-7571 PREPARED BY JOB Noah Kriegsmann QUANTITY 7 slabs, priced as total W1-W7 TO: DELIVERY DATE TBD, approx. late Feb/early March 2020 Date: December 5, 2019 Jeff Clark I BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 206.382.3443 office 206.550.0960 cell PAYMENT TERMS DUE DATE 50% upon acceptance, Balance at completion 15 days UNIT PRICE DISCOUNT LINE TOTAL 4500.00 4500.00 Tukwila Reclaimed Maple Treament SHIPPING METHOD Delivered to BNBuilders upon completion by NKB ITEM # DESCRIPTION KILN dry/stabilize Reclaimed Maple Slabs, obtained from city of Tukwila. NK Build will pick up designated slabs from Fire Station S3, bring them to Kiln facility, and coordinate with operator to load kiln based on sizes/timeframe. Slabs will be kept in heat and airflow for approximately 6-8 weeks to dry, stabilize and cure material structure. NK Build will then coordinate with operator to retrieve slabs and deliver them to BNBuilders' workshop for further use. Slabs specified are: W 1— 4'-6" X 11'-3" W 2 —1'-5" X 8'-2" W3 — 1'-4" X 7'-8" W4— 1'-3"X 8'-6" W5 — 3'-6"X 9'-0" W6 — 4'-6"X 7'-6" W 7 — 3'-1"X 8'-0" SHIPPING TERMS Included in total costs BNBuilders has confirmed, to the request of NK, that the slabs selected have been milled fora minimum of one year, allowing for the proper amount of air drying, prior to kilning. By accepting this project agreement, BNBuilders acknowledges that the results of the kiln process on natural wood slabs can be unpredictable. Heat and ambient changes in moisture can cause wood to move, check, cup and/or change in character. The kiln being used has processed many thousands of slabs successfully, and care is taken to monitor and regulate treatment for optimum results. The wood will be dried and stabilized at the completion of the project. However, NK Build and the kiln operator can not be held responsible for changes, including those listed above, which may result. BNBuilders agrees to pay the balance of the completed project upon delivery of the slabs, without question of outcome. Total Discount Subtotal SalesSales Tax Total $4500.00 n/a - resale $4500.00 50% Deposit due to begin project. Balance due at completion. Hand -built in Seattle, Wa. THANK YOU FOR YOUR BUSINESS! Tukwila Justice Centei OAC Meeting Distribution: Name Company Name Company Austin Proctor BNBuilders 0 Rachel Bianchi City of Tukwila B Bill Brown BNBuilders Brandon Miles City of Tukwila Dwayne Goddard BNBuilders 0 Erica Loynd DLR Geri Urbas BNBuilders Steven Schmitz DLR o , Jeff Clark BNBuilders • Dillon Webster DLR 0 Rick Philipovich BNBuilders ® Ethan Bernau SOJ Ephram Harsh BNBuilders • Justine Kim SOJ 0 Adam Strutynski SOJ 0 Steve Amento= Amento eeting /22/2020 Next Meeting: 1/29/2020 Time: 9:00 AM Venue: Jobsite Trailer January S M T W TH F 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Holiday February S M T W TH F S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PawP1of5 ITEM DATE DESCRIPTION RESP ACTION BY DATE DATE CLOSED 1.010 4/3/2019 ull PPE is required on -site. This includes safety vests, ork boots, gloves, safety glasses and hard hats. All Ongoing NB plans to have a test evacuation on -site for practice in he case of an emergency tomorrow at 1:00 pm BNB 1/23/2020 : NB to notify neighbors of practice drill BNB 1/22/2020 : NB to request police reports from previous break-in BNB M , r '10,68, ft� 3.010 12/11/2019 Critical Work BNB On -Going N/A Refer to previous meeting minutes for additional history Project is on schedule lOZU Ongoing 4-WeekLook-ahead points: N/A Ongoing N/A Review 4Week schedule 1/22/2020 TlB Closures will begin this week 3.030 Ongoing Upcoming 8i|estonem- ].032 ]0�3 ' - a Substant�|Completion ��J\| /^"r�8oxVa|kAreaA_Leve|2 127/lO20 9/21/20I0 3.040 4/3/2019 DeaTacMilitary Road Proiec± Refer toprevious minutes for additional history 3.046 1/15/2020 BNB requests date for SEATACplan topour curbs so that coordination can behad with Landscaping. City 3.047 1/23/2020 BNB toschedule meeting with SEATACtngoover curbs& placement ofvault BNB T8Q 3.050 Critical Information See previous minutes for additional information ' .062 1/15/2020 Panic Hardware info needed DLR 3.063 1/23/2020 BNB received 40for feature wall Closed 3.064 1/22/2020 Still pending light fixtures for Feature Wall DLR 3.065 1/32/2020 BNB request AS|that changes landscaping. It's critical DLR that BNB get information for site wall footings. DLR to provide bootleg copy offoundations. � =on now lomp 4.020 FF@E See previous meeting minutes for additional history 4.028 1/22/3020 Dillon iareviewing invoice for any 6escreponcies.Once DLR resolvefo to Rachel d �7��an d Ethan f /�'!` ' 411) ,''1/.� � 403O Neighborhood— �L� Xr—/� / _-- � �'��uT�-� 4.035 4.036 '4.037 `. ' . '._-_-'`-- 1/8/2020 1/15/2020 1/22/2020 ~008's �^�-�-��`��'� '''� `��'``�� ' � `�` Meeting was held with Deli owners for future improvements onproperty. Final design still tocome. DLR toprovide sketch for area between T|Bproperty and ChurchProperty.DLRtoprovidesketchthisweek.- Matador will need tobeonT0Csite for installation of new foundations. Easement has already been completed, however, BN8reminded team that they must abide by insurance requirements. � �`' �-�` DLR DLR City ACTION~�--_ - Bv DATE_ |'. DATE 5.020 ' QuoUtvLog Review Non -Conformance Log 6.022 1/2/2020 DLR isprovided updated A8tofire department DLR 6.024 1/22/2020 BNB continues totrack SignegePermit ^ 8013 6.025 1/22/2020 BN8.pruvide6permit number for electrical tothe city. BNB tofollow up with U confirmtheyreceived permitextension �� /�� BNB 20 4,,L -T�v t��. 6.026 1/22/2020 Updated Fire Sprinkler nnEast Canopy has been submitted BNB ' ~� � 7010 Fiber Refer toprevious minutes for additional history 7.030 7.031 1/15/20I0 �� 1/22/2020 #' waterline Along T|Q BNB BNB/DLR 1/22/2020 1/22/2020 Refer to previous minutes for additional history �N8toprovide ROM for waterline material BNB reviewed ROM. Still needs togotoDLR for o6dtionalsevie 7�038 -~157fii` Future A8tocome withLands-~�-- DLR T8D 7.040 7.041 7.042 7'043 7.044 1/2/3020 1/15/I020 1/22/3020 1/22/2020 1/32/2020 Holding Rooms: CombiUnits DLR BNB DLR DLR BNB Closed DLR toprovide sketches for review oncombiunits in holding rooms. DLR request tntemporary place hold undelivery of[nmbi units. 8N8toreach out and confirm lead times CombiUnits have not been released. Information needs beknown within the next month for release ofmaterial tomaintain schedule. Design team isworking onresolving compliance with privacy issues brought upon[umbiUnits BNB toget restocking fee and drop dead date for 7.080 7.082 7.090 7.098 7.300 7.303 9.010 11.010 13.010 13.202 13.205 13.206 14.072 15.003 15.005 15.006 15.007 1/22/2020 1/22/2020 12/18/2019 12/18/2019 1/2/2020 1/22/2020 1/22/2020 Refer to previous minutes for additional history. DLR to provide wordcount to city for sign Lobby Wood Wall Design Refer to previous minutes for additional history. Still pending light fiktures for Feature Wall Art presentation dates: Final Presentation will be 1/27/20 Meeting is scheduled for 2/24 BNB to provide new values this week A DLR DLR DLR N/A Johansen BNB ultiple 1/15/2020 Jeff to forward final Application information to Adam BNB 14 1/15/2020 Concerns were brought up by Johansen Mech. to reevaluate duct leakage class with addition of building mechanical during BIM Design. Design team is reviewing and will get back with BNB resign team reviewed leakage class requirements but does not believe anything needs to be considered except on a case by case basis. DLR 1/15/2020 BNB requests that team review acrobatic material to BNB/DLR develop plan for installation 1/22/2020 BNB requests to review gutter shroud mockup on site BNB/DLR 1/22/2020 BNB stressed potential schedule concerns with any future All design changes. ACTION BY DATE 1/27/2020 2/24/2020 1/22/2020 N/A 1/17/2020 1/24/2020 1/15/2020 1/22/2020 Info cad N/A Closed Closed Closed Closed Pmoo/1 nf� Upcoming Meetings TBD 1/27/2020 @ 9:30 am 1/22/2020 @ 11:00 am 2/24/2020 2/3/2020 2/19/2020 Upcoming Vacatipns/Out of Office: 1/30 0'0 Steve 2/17-2 21 Ethan 1/24 Bill 4/6-4/10 Austin Site Closures: SCL Vault Lid Adjustment Meeting Box Walk for Area A Level 2 MCU Meeting Council Pres. for Apprenticeship Safety Lunch Project Neutral Page 5 of 5 Id Submittal Packages 0 —J ro E Cr) 18021.100 Ak Steve Schmitz (DLR Group) (DLF (t) .0 0 0. (3 CL 0 -13 0 0 •)T. co co CD C) a. z 2 a .N E _c a) 0 Il ci) z c .X 0 0.. C") 0 0 0 cA) c‘i 0 c C:j CC) mitz (DLR Group) (D a) a) CI) 7) a. 0 a. cis CC) 0 LI- ca a) 00 (0 CS) •cr CN Ca a) a) .0 E a a a Request for Information Summary Log - Outstanding BNBuilders Inc 118021.100 ikwila Justice Ctr Construct. CO CO .4.-• CO C 1-1 CO fp Co a 0 0 u .0 (1/ Ci *c3 to t7 1:3 IV 0) fn t-1 Reviewer 0) .0 LA 0 N DLR Group, Inc. 0 Fence Location in N 0 0 rn NW Complete CML Security, LLC Commercial Fence Corp Northwest Partitions Northwest Partitions Northwest Partitions Northwest Partitions ON ON C0 0 0 0 0 0 0 0 ,--1 ri N N N N N N N N --, ---, --- ---, "--.... rn 0 0 N 00 Ca c:s —I ,-.1 cs- N rn ,--I N N in ol rn rn CD ---- -- --... --- --, --- N r .—, ,—I r-1 /-I v-I 1-1 Csi 4-1 CD 0 C) 0 0 0 0 0 O' Co 0 0 0 0 CD 0 0 CS .--1 ,-I N N N N N IN N N ---. ---, -..., - ...., ...., COS rn In Lt1 ,--i rn ol ,-I N 0 .4 N N N N IN N , , ---, -, ---. IN IN 1-1 •-•I .-4 I —I v-1 1--1 1-1 I —I •—I 0 0 0 0 0 0 0 CD **- Li 07. WG-1 & WG-2 Image I DLR Group, Inc. 0. 0 CC 0 0, DLR Group, Inc. DLR Group, Inc. Sallyport Mounting along South Site Wall DLR Group, Inc. Sound Absorbing Wall Unit Horizontal Renlita and Storefront Interface TJC RFI #374 Exposed Refrigerant Lines en V" DLR Group, Inc. Gypsum Wall Types Floor Plans Lfl Task # Title Description List Location Status Date created Comments Row Labels Box Walk - Area A - Level 2 - 2020-01-28 NCR QA/QC Site Walk Request Grand Total Open 18 4 37 2 61 Closed 0 29 27 0 56 Grand Total 18 33 64 2 117 44 Area around elevator pit needs proper finishing Area around elevator pit needs properfinishing. Conco to come up with solution CIA/QC Area B Open 8/15/2019 at 12:19 AM 45 Unfinished concrete around pipe penetrations Unfinished concrete around pipe penetrations QA/QC Area B Open 8/15/2019 at 12:22 AM 46 Unknown hole in concrete slab Unknown hole in concrete slab in area A QA/QC Area A Open 8/ 2019 at 12:39 AM 79 Roof air pockets Roof pockets in tpo were discovered during site walk. Per action item on JRS FRR.010 on 11-13-19, Carlisle is to conduct a field inspection of the TPO membrane ballo oning. NCR Area A Open 11/12/2019 at 4:00 PM This is a typical issue that arises from a crease in the membrane prior to welding the seam shut. This is not an air pocket as mentioned but it is a detail that requires fix prior to warranty, thank you for bringing it to our attention. 82 Crack in concrete slab Crack in concrete. BNB is looking for solution. Possibly putting. threshold over area. QA/QC Area B Open 11/20/2019 at 4:52 PM This should be good to go with BNB's coordination with Rob's on site. 86 North Lot Sidewalk Slope During DLR's site walk on 12/4, it was brought to BNB's attention that the sidewalk grading is sloping away from TJC's property. Elevations were shot on 12/9 and confirmed that elevations do not match RFI 257. Caliber to remove sidewalk and pour correctly. NCR North Lot Open 12/9/2019 at 1:06 PM sidewalk has been removed. Concrete will be placed when we do curbs along 150th 88 Spray foam at parapet transition elevations JRS noted that there should be continuous spray foam back- sealed to the framing where parapets change elevations. RFI 308 confirmed NCR Roof Open 12/11/2019 at 7:31 AM 89 Insulated Panel Patch Plumbers placed a penetration through the insulated panel in the wrong location. Received patch instructions from Kingspan QA/QC Area C Open 12/11/2019 at 9:01 AM 94 Weld X-Bridging on Joists Install x-welded bridging (minimum of 1 Y4" x 1 %" x .109) between the two joists in the next bay over straddling grid line G. OA/QC Area A Level 2 Open 1/2/2020 at 4:00 PM 96 Storefront Windows - Metal Sill Flashing Where metal sill flashing has been installed per metal wall panel shop drawing 19/9.09, JRS recommends providing a continuous drainage path behind the metal sill flashing NCR Area A & B Open 1/7/2020 at 3:04 PM It was noted in the OAC meeting on 1/15/20 that BNB is to provide Adam with JRS photos of added flashing. 113 Refer lines in Level 2 gym Can refer lines move south and up so they're not as low. Site Walk Request Area A Level 2 Open 1/14/2020 at 4:00 PM Discussed with Johansen. Johansen to provide cost 115 Unsupported GWB Bottom of GWB not supported. Will blow out. Also, a variance in finish needs to be decided upon (GWB to floor or cut back to top of foundation wall) QA/QC Open 1/19/2020 at 4:00 PM 119-127 Relite Insulation Bottom of relite needs insulation. QA/QC Open 1/22/2020 at 6:32 AM 127 Open duct Duct needs to be covered with blue film. QA/QC Area A Level 2 Open 1/21/2020 at 4:00 PM Closed 128 Exposed Mechanical Piping Near Staff Stairs It was requested by the design team to hide exposed mechanical piping near the staff stairs. BNB is reviewing options on moving pipe or relocating wall to accommodate. Site Walk Request Open 1/22/2020 at 3:57 PM 129-150 Relite Insulation Bottom of relite needs insulation. QA/QC Open 1/22/2020 at 4:00 PM 171 Vestibule Level 1 Area A Gyp Board Vestibule in Level 1 Area A gyp board needs to be swapped out for impact resistant QA/QC Area A Open 1/29/2020 at 7:19 AM Created by Bill Brown (bill.brown@bnbuilders.com) on Wednesday, January 29, 2020 PlanGrid.com 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 PI Rik il i, • g Weekly Planner City of Tukwila Justice Center Commencement Date: 4/1/2019 Planner View Date: 01/29/2020 OVERALL PPC 91.8% 4/1/2019 9/21/2020 Custom Date 1/20/2020 Variance Quantities Variance Qty Variance Qty 42 0 1 2 3 4 5 6 7 1 1 1 0 1 0 0 0 8 9 10 11 12 13 14 15 0 0 0 0 0 0 1 0 245 244 243 242 241 VARIANCE LIST: 0 NO ISSUE 1 WEATHER 2 PREDECESSOR NOT COMPLETE 3 MANPOWER DEFICIENCY 4 PROCUREMENT 5 SUBMITTALS NOT APPROVED 6 UNCLEAR INFORMATION / DEFICIENT DETAILS 7 OWNER CHANGE / REQUEST 43 44 45 240 239 238 237 236 235 234 233 232 231 230 229 228 227 226 225 224 1/20 1/21 1/22 1a3 1/24 1/25 1/26 1/27 1/28 1/29 1/30 1/31 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 ACTIVITY DESCRIPTION MOBILIZATION ******01*Ellriittoti*,Eitti***.,***„ ,i4kik**Ei„,010,00, ‘044,308. ,‘9„ 011,4041Wat„. "kt IhtiAlKeqkt k\k‘IskNikkAktkitakkkkkAtIWkAkkOk****4011**A4A*44.41,Q4414 kgaikdikka.*4: "‘"A'A" ‘**.ds.an" `V,"‘lakkka, kk&k,INA*kkkakettaktk k MILE-3050 City of Sea Tac Military Road Upgrade (180 Days) EARTHWORK AND UTILITIES NORTH LOT 32-335080 North Lot Site -Form & Pour SCL Pad -Weather Dependent EARTHWORK AND UTILITIES SOUTH LOT traiZTtii90479,F,K,A9t, ftirei% • a.400,04,00,a 14,1 A. ',ma' 4 t0.1 ,aat, kattakikkk, s \ROW klvkNi0A tiliWitatok 30-338700 Cut / Fill West Notch 30-338740 Install Light Pole Bases / Conduit 30-338750 Prep for Curbs / Sidewalks lkitalattkit*ttttittOiNattrtksvvii*NEEAltAttElkAkitik,EkiitkoNiAlkultia4ffatEawi , 4111140100'10 111,10191"1\9994"1191190991977- 3090, 400-9904 r114tai/katatittas;k4#1,0\441Vitkil7tkEakiktik41t1ktatAltEENE111\ilit0illqraX0',\EMUk0kat\t4 is**EAtiitt0shiiitiO401****** 30-331213 Water/Domestic Service 30-331219 Water/Fire Service 30-338520 Set Corn Vault 30-338000 Site Communication Ductbank 30-265620 Site Gas Service to Buildiing 30-338530 Site Run Vendor LV Line to Vault ***0 alma 1 AKkrAttekRATMW,ONVAPW' MITITKrckAKalk41 ANA, ,‘keVkks'Ark,WA'sOktkl4A4‘kkkklikk`tY Afkk.1} ,,k,A.1A4kskkAkAk4, 4k4VV44*40\ AMV*4.144tt'444?knd, . 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NO•‘4..'0 , t*",t4Afl't • NkIA•sisA, , • A** M x x x 'Mks*, „WiTtitit titLA -#74 k it 0 -4, TO: 18-049(i) Council Approval N/A Sheet 1 of 1 CITY OF TUKWILA CONT CT CHANGE ORDER NO. 004 DATE: 12/18/2019 PROJECT NO.: 91630501 PROJECT NAME: PSP — Justice Center BUDGET NO.: 305.98 CONTRACT NO.: 18-049.1 (i) You are hereby directed to make the herein described changes to the plans and specifications or do the following described work not included in the plans and specifications on this contract: NOTE: This change order is not effective until approved by the "Owner" and a notice to proceed is issued. Conditions: A. The following change, and work affected thereby, are subject to all contract stipulations and covenants; B. The rights of the "Owner" are not prejudiced; C. All claims against the "Owner" which are incidental to or as a consequence of this change are waived; and D. The Contractor must submit all Field Overhead and Home Office Overhead Rates for approval in advance of all change orders. CHANGE: See Attached Exhibit "A" We the undersigned Contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above and below. ACCEPT‘ED: Date Contractor By Title Original Contract (without tax) Previous Change Order This Change Order (without tax) $ 182,543.00 ./ By Mayor EV. CONTRACT AMOUNT $ 34,939,495.00,/ $ 34,049,999.00 APPROVED BY THE CITY OF TUKWILA $ 706,953.00 Original Contract Time: 546 days (December 18, 2020) Additional Contract Time for this Change Order: 0 days Updated Contract Time: 546 days (December 18, 2020) Date i2/Zii Deputy City Administrator SOJ Program Director ORIGINAL: City Clerk (1 of 2) Contractor (2 of 2) cc: Finance Department (w/encumbrance) Project Management File PW Project Finance File (11/2014) Exhibit "A►'ttrt C AN E E SU A Y IF C E 0 H 1 G CITY OF TUKWILA - PUBLIC SAFETY PLAN90 Project Name Justice Center CO # 4 l Project # 91630501 Contract # 18-049.1 (i) Date 12/18/19 TO CONTRACTOR: BNBuilders 2601 Fourth Ave, Suite 350 Seattle, WA 98121 COP/CCD # Description Reason Code Amount COP 5005 Additional Manholes in North Lot per RFI 007. Revisions to storm drain plans at North Parking Lot to add three (3) manholes and re -configure the Stormtech chamber system based on input from the manufacturer during shop drawing review. DC $13,410.00 COP 5021 Export of Unsuitable Native Soils and Import of Structural Fill. Portions of the site contained structurally unsuitable native soils that were excavated, exported and replaced with imported structural fill as determined by the Geotechnical Engineer to provide adequate bearing capacity for the building and site improvements. In other locations and where feasible, native soils were stockpiled and re -used. Pricing is based on bidder's unit costs per contract. UFC $139,531.00 COP 5022 Fire Riser Coordination per ASI 009.1. Revisions to the 6" wet fire protection pipe and added footing blockout at SE corner of building. Coordinated with Fire Dept. inspector. DC $7,159.00 COP 5025 Mechanical and Electrical Schedule Revisions per ASI 008. Revisions to HVAC condensing units to meet a new product generation rollout that occurred since design. Also revised HVAC equipment to dual point connections to meet design intent. DC $10,056.00 COP 5044 Additional 4" Conduit for Comcast Service. Added 4" conduit running along south retaining wall to provide a pathway across site for Comcast service. OC $2,380.00 COP 5059 Civil Revisions per ASL016. Revisions to address Seattle City Light service letter and coordinate adjacent property improvements, protections, and requested additional improvements. AD $10,007.00 Change Order No. 04 $182,543.00 BPI Builders August 21, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI 007 — Additional Manholes in North Lot Dear Ethan, BNBuilders hereby submits our proposal for RFI 007 — Additional Manholes in North Lot. The total proposal of this subject work is Thirteen Thousand Four Hundred Ten dollars $13,410.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5005 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (iustinekRsoseal.com) Geri Urbas Oeri.urbasbnbuilders.com) Steve Schmitz (sschmitzdIrgroup.corn) BNBuilders 2601 Avenue, Suite 350 Seattle, WA 98121 206382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY PROJECT NAME: Tukwila Justice Center GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: RFI 007 - Additional Manholes in North Lot CCDIASI #: COP #: 5005 DATE: 713112019 IBP 31.00 Iliad 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $12,771.001 $12,771.00 $638.55 $0.45 Total Change Request $13,410.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date BNB Subcontractor CP Breakdown Summary TJC Project No. SUBCONTRACTOR: Iliad ADS added 3 SDMH Contomud tel revisions Cool Event M, CPA CS 2 Document In MP 02 DESCRIPTION OF WORK: ItamH A Date: 522/2019 A. DIRECT LABOR COSTS B. MATERIAL COSTS C. EQUIPMENT COSTS D. SUBTOTAL DIRECT WORK. ( Per Cost Breakdown Attached) ( Per COSI Breakdown Attached) 3, ( Per Cost Breakdown Attached) C. S 2.4 (Total A, B, C, and °Above) G. Subtler Subcontractor Cool 1) 2) 3) 4) (Subcontradlor Estimates AOaehed) H. Subtotal Subcontractor Costa Direct Coat A. Fee on Direct Work (Item E) B. Fee on Subtler Subcontractor Direct Costs (h SUBTOTAL (Tearer Parts I & laAbare) Uobdl7 lmurence Bend Costs TOTAL cost or TOTAL 0. H. IV Alloy.)2,771'.) 4-The ¢v i .4-Tha o-rt COP Cost Breakdown Project Name: TJC Project No. Subcontractor: Work Description:. Iliad ADS added 3 SDMH Cost Event #:. CP#: Document # MP02 Date: 2 Spec Section Description Quantity, Unit Prod. Hours A. Labor. B. Material C. Equipment Vilna Costs D. Contract. Unit Price Unit Prices Cost $/hour Cost 3/Unit Costs Structure 3 ea 12 5 - 692.21 $ 2,077 S - $ - casting 3 ea 3 S - 395.90 $ 1,188 $ $ - Riser/Mudding 3 ea 0.75 $ - 172.01 $ ,.516 S - $ - Base bedding 3 too 0.5 S - 32.95 $ 99 $ - $ - Operator .(2 operators) 1 ea 32 71.46 5 2,287 $ - S $ - Pipe layer 1 ea 16 62.48 S 1,000 $ - " $ - $ - Pipetayerforman 1 ea 16 80.90 S 1,294. $ - $ - $ - Excavator (Ex 320) 1 ea 16 5 - $ - 65.11 $ 1,042 S - Loader 1 ea 16 $ - $. - 44.12 $ 706. $$ - tool truck 1 ea 16 $ - $ - 8.04 $ 129 $ - compactor 1 ea 16 $ - $ - 23.40 $ 374 $ - laser 1 ea 16 5 - $ - 9.97 $ 160 $' $ - $ - S - S - $ - $ - S - $ - $ _ $. $ - $- 5 - $ - $ - $ - $ - S - $ - $ - $ - S - $ - $ - $ - 5. - $ _ $ - - S - S - 5. - $ - $ - $ - $ - $. . S - - 5 - 5 - $ - _.. $ $ - $ ' $ - $ - 5 - 5 - $ - $ S $ $ Total Cost of Work A. Total Cost of Unit Price. Work $ 4,581 B. $ 3,879 C. $ 2,410 D. $r10,670 DLR Group City ofTukwila Justice Center 73-17158-00 T]CRFI#O07_Additional Manholes inNorth Lot RFI DATE SENT: RBur TnAN5MITTxLxo: pumPose: Answered VIA: Info Exchange QUESTION: sussesTuOm: NAMF Sabrina Ames TO �nmn| | | Bill Brown I �w 1 [0 ; Manholes in North Lot.pdf Please confirm the additional 3 manholes needed for the stornntech chamber system c/nthe north lot referenced from the storm drain subnnitta|1-334OOO-1. Response {Ansvven:u}from: Michael Herseth(mprrConsulting Engineers [mA]) Per contractor submittal 1-334000'1, storm drain plans have been updated toinclude manholes as shown in the supplier's shop drawings. See attached plans for documentation. COMPANY BNBuilders }EnAJ | biU.broVvn@bnbui|decs.c |om �TK|/ M|OnL 206-382-3443 8/| Comcs' Page 1of2 t DATE: AshleyAads (8NBui|ders) Ethan Bernau [Sh|e|sC}betz]ohnsen) Geri UrbaS (BNBuj|d8ra) ]effC|ark (5N8ui|ders) Sabrina Ames (DLRGr0Up) Steven Schmitz (DLRGroUp) Trans 'ttal 4/23/2O1Q 00104 Page 2 of 2 Request for Information RFI No: 007 BNBuilders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 118021.100 Date: April 17, 2019 Submitted To: Steve Schmitz Submitted By: Bill Brown DLR Group, Inc. BN Builders, Inc. 51 University Street 2601 4th Avenue, Suite 350 Suite 600 Seattle, WA 98121 Seattle, WA 98101 Tel: (206)382-3443 Tel: 206.461.6000 Fax: 206.461.6049 Subject: Additional Manholes in North Lot Discipline: Civil Document Reference: Spec Section: 334000 Potential Cost Impact: Yes Potential Schedule Impact: Subcontractor: Subcontractor RFI No: Question Date Required: 4/19/2019 Please confirm the additional 3 manholes needed for the stormtech chamber system on the north lot referenced from the strom drain submittal 1-334000-1. Answer Per contractor submittal 1-334000-1, storm drain plans have been updated to include manholes as shown in the suppliers shop drawings. See attached plans for documentation. M Herseth 4/22/2019 Answered by: Date Answered: Copies To: Company & Contact Fax Notes Page 1 of 1 dno.o j-jd SfOR4 DRAINAGE NOTES jirbi ACAA WA AA A.A.Ali 4B G) • LI AMP. AAA PA RA AAA IAA WA wuiwens iIwaaa Ja}ueo aansnr eI(MWU. c' w6S'i� - 6N 'tt A ?j STORM DRAINAGE NOTES 1rcuiwensiiwaad Ja1ua3 aopsnr epm�nl wm-10 9-6l,JrAm-M+,mmoVN, 43 ert1 rfcan6610011-I60\7 w-aw ass a - as uo,o4 tme w1144V dnoi U ZITLZ 101S6 VA, ". 1.10,r1 so...V.51011 .011.100,0 1V.L1.101811S18121381 Jalueo eoRsnr eivANni 00 0 CD Fcc•iE, 0 F • 00 Yb' t's BMI Lzr•zi (PA Allisli;ritcrr% 69493 9V614Y1 NIS (NM) LVISS•31 ((a .ei) sricc.31 (3 Al) SVILTN31 I MUNN:8 11311 INNS 7 (11 .;8) Ll'ICSN31 I (3 Ai) st'itt.31 1901STN1118 `, I I 01Si RINGS 11 ,S910C 'isto+ti INS -11 I bo blQ sa' sM' a 0; Pl g A g (N .1,a) (N ad) NI (cc -31 (3S .6) iS 1(1,31 I It erts.188 COO HMS 18 ,SCSI 'zitt-Frz ‚MIS (N MSS•31 (m.go OtZttN31 (3 .81) NI IST•31 6SCN113 IN ,S183 'SLINKS NIS (N (3 .81) OLZSYN31 61.'1 > IINCS 8 339 96 TISt+CZ NIS "s‘ F, ,SINIS '5531381 co •S' 1 .8511 - 61IX dnoaD N1a 11/1111.18(1S11111143.1 Ie)ua3 eO!)Snr ejiM )nl X to \• 1l dD O Cr▪ A w-- J O QCC ▪ B d 'Rtl-us 'WBT'Sl\m-nA , Mrin dnaoV,Vvvvi nava vvaan aaar 0070,14 T Tit/ -roLuvvens1119613.1 _Iowa° eonsnr emni W 6 z 2 § 0 M01313 330 3NI1H313,19 8 2 o 53 N.016717.31 (S .93 16771.3i 149'011.691 L019 164080 V3119 -11,9159 4991L+SI 71.5 (N9) trSte.31 (59 .9) 8,55S-3 .5)orryort.64 554 N5r55 0355Y 11 ,L1 OL 'tt-m+st 150 -4 (NM MA 31 .9) 19'917.31 .91'.'903'''.1% tad lova° V3NY ,6909 I 715 (IN .9) 52711.31 (3 .3) 103555-31 ,961(17.14111 1016 WHO Y3HY 8 111719 7151.91 71.9 19 66, (N .9) 16917.31 99111.661 :L1 ,L59S 310559KI .*Z) L1111.3 (3 .9) 19111.31 \ I Z6711.616 ((SN ..g911))201111:1.01 , 115151 7149/.1SI 10S 09,4 WI50731 L101 HMS 19 39291 7411/171 715 vq, 06(s .0) %St:wit1:: 77'091.11111 101 mos 1596966585+15 (N .9) S9717.31 (3 .13) S9777.31 116117.1161 11 ,11'56 4161.9-151 11.5 3A08Y 335 138101311 an,vannnv,An...n avdnpn'ava vka van vvavv, \ an - vox 76 a dnoap NI] rternroat ov7,4=g; chi TYITTFTV creme VAn.”4,1 G.St Jawao aopnr La.1 CC 0 CC 0 8 g 5 oOn g OE '-Z1111Ifl IIIIl II 1!!!! II IIIIIIIIII11111111111 10 6 LJJ CD CI CD CD —I 0 0 F— o Lai —I I — LT_ 1-- ,T10-05-0292—TACOTAATT OUVAAIT3 T 4,1 (090. 600011-10DTTIVI dnoaD 10126VM 0091.1.5 ...4,115 1091 v+11...MV rat. iLLIIN115 11183d Jelueo aonsnr eipAri 8 CD 62 4E) Li 1,•1 It9t011 66.11-1C00011VI ,AS - 66% 71 A BNBuilders December 13, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for Import/Export for Unsuitable Native Soils Dear Ethan, BNBuilders hereby submits our proposal for the export of the unsuitable native soils and import of structural fill per the Geotech field reports. The total proposal of this subject work is One Hundred Thirty -Nine Thousand Five Hundred Thirty -One Dollars $139,531.00. Note that this change proposal incorporates the use of the over excavation bid allowance incorporated into bid package 31.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5021 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinek©soseaj.com) Geri Urbas (qeri.urbasbnbuilders.corn) Steve Schmitz (sschmitzdIrgroup.com) BNBuildel s 2601 4'1' Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: GENERAL CONTRACTOR. BNBuilders, Inc. COP #: 5021 DATE: 1211312019 DESCRIPTION OF CHANGE: Export and Import due to unsuitable native soils per the Geotech reports BP 31.00 Iliad $132,886.48 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $132,886.48 $6,644.32 $0.20 Total Change Request $139,531.00 Tukwila Justice Cenber SUBCONTRACTOR CHANGE ORDER REQUEST SUMMARY CALCULATION PROJECT NAME: Tukwila Justice Center Contractor Name: Iliad CCD/ASI #: COP: 5021 DATE: 12/1312019 DESCRIPTION OF CHANGE: Export and Import due to unsuitable native soils per the Geotech reports Subcontractor Direct Costs (attach all necessary substantiating documentation) Labor (Excluding Labor Premium) Material Unit Price Subcontractor's Total Direct Cost Subcontractor's Mark-up (Excludes Labor Premium) Labor Premium $0.00 $0.00 $132,886.48 $132,886.48 $0.00 $0.00 Total Subcontractor Direct Costs + Mark-up + Labor Premium $132,886.48 Total Sub -tier Subcontractor Costs Subcontractor's Mark-up on Sub -tier Subcontractor(s) $0.00 Total Subcontractor Change Request $132,886.48 Included 8% COP Cost Breakdown Project Name: Tukwila Justice Center Project No. 118021.100 Contractor BNBuilders, Inc. Work Description: CCD/RFI: CP#: Date: 0 0 1/0/00 Description Quantity Unit Prod, Hours Al, Labor A.1. Labor Premium B. Material Unit Price $/hour Cost $/hour Cost $/Unit Costs $/Unit Costs Bid Allowance: Over Excavatiion -1250 $ $ - 58,00 $ (72,500) Import 1841.36 $ — $ - 43.00 $ 79,178 Export 2176 $ - $ - 58.00 $ 126,208 $ - $ - $ - $ $ - $- $ - $ - $ $ - $ - $ - $ - $ - $ $ $. - $ - $ $ - $ - $ $ - $ - $ _ $ - $ - $ $ - $ - $ - $ - $ $ - $: - $ - $ $ $ - $ $ - $- $ $ - $ - $ $ $- $ $ - $ $ $ - $ - $ - $ - $ - $ _ $ - $ _. $ - $ - $ - $ • $ - $ _ $ $ - $ _ $ - $ - $ _ Total Cost of Work A. $ - $ - $ - B. $ - C. $1:32,886 Company KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR KRR Date 9/20/2019 9/20/2019 9/20/2019 9/20/2019 9/24/2019 9/24/2019 9/24/2019 9/24/2019 9/24/2019 9/24/2019 9/24/2019 9/25/2019 9/25/2019 9/25/2019 9/25/2019 9/25/2019 9/25/2019 9/25/2019 9/25/2019 9/26/2019 9/26/2019 9/26/2019 9/26/2019 9/26/2019 9/26/2019 9/27/2019 9/27/2019. 9/27/2019 9/27/2019 9/27/2019 9/27/2019 9/30/2019 9/30/2019 9/30/2019 9/30/2019 9/30/2019 10/2/2019 10/2/2019 10/2/2019 10/2/2019 10/2/2019 Import Log Ticket # 119507 119560 119603 119651 120369 120405 120463 120495 120554 120614 120677 120757 120792 120826 120902 120955 121003 121042 121083 121178 121225 121291 121332 121359 121412 121598 121644 121705 121765 121926 121966 122185 122227 122260 122309 122343 123227 123215 123237 123255 123269 Qty. (Tons) Location 32.98 Phase 1 Subgrade 30.29 29.85 31.34 31.28 31.86 32.75 31.33 31.99 32.09 31.87 32.7 31.03 31.37 30.78 30.66 32.38 31.06 32.1 32.46 31.93 31.21 31.76 30.85 30.89 31.93 31.24 31.24 31.21 31.62 30.31 30.85 30.12 30.01 29.15 30.18 13.01 14.57 14.56 13 Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade f Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade ✓ Phase 1 Subgrade Phase 1 Subgrade I Phase 1 Subgrade f Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade .� Phase 1 Subgrade ✓/ Phase 1 Subgrade i Phase 1 Subgrade Phase 1 Subgrade / Phase 1 Subgrade ./ Phase 1 Subgrade Phase 1 Subgrade e+' Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade ✓,r Phase 1 Subgrade v4 Phase 1 Subgrade Phase 1 Subgrade ✓ Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade Phase 1 Subgrade 15.48 Phase 1 Subgrade I KRR 10/2/2019 123287 13.54 Phase 1 Subgrade I KRR 10/2/2019 123301 13.85 Phase 1 Subgrade KRR 10/2/2019 123311 13.07 Phase 1 Subgrade KRR 10/2/2019 123325 13.84 Phase 1 Subgrade KRR 10/3/2019 123514 29.83 Phase 1 Subgrade KRR 10/3/2019 123563 32.38 Phase 1 Subgrade KRR 10/3/2019 123610 30.12 Phase 1 Subgrade KRR 10/3/2019 123651 29.96 Phase 1 Subgrade I KRR 10/3/2019 123695 30.05 Phase 1 Subgrade I KRR 10/3/2019 123742 30.35 Phase 1 Subgrade KRR 10/3/2019 123784 29.96 Phase 1 Subgrade KRR 10/3/2019 123815 29.93 Phase 1 Subgrade I// Cal Portland 10/7/2019 2199152 13.72 Phase 1 Subgrade ✓ Cal Portland 10/7/2019 2199143 14.34 Phase 1 Subgrade ' KRR 10/7/2019 124616 14.28 Phase 1 Subgrade I KRR 10/7/2019 124627 17.51 Phase 1 Subgrade KRR 10/7/2019 124741 14.42 Phase 1 Subgrade I KRR 10/7/2019 124742 16.69 Phase 1 Subgrade ✓/ KRR 10/9/2019 125383 14.64 Phase 1 Subgrade J/ KRR 10/9/2019 125289 15.16 Phase 1 Subgrade ✓/ KRR 10/9/2019 125308 14.76 Phase 1 Subgrade I KRR 10/9/2019 125388 13.58 Phase 1 Subgrade I KRR 10/10/2019 125603 31.2 Phase 1/2 Subgrade i KRR 10/10/2019 125652 31.01 Phase 1/2 Subgrade ✓/ KRR 10/10/2019 125706 32.28 Phase 1/2 Subgrade ✓/ KRR 10/10/2019 125755 31.33 Phase 1/2 Subgrade ✓ KRR 10/16/2019 127451 15.48 Phase 1/2 Subgrade / KRR 10/16/2019 127481 13.99 Phase 1/2 Subgrade KRR 10/16/2019 127579 14.55 Phase 1/2 Subgrade KRR 10/16/2019 127673 13.62 Phase 1/2 Subgrade KRR 10/16/2019 127678 14.63 Phase 1/2 Subgrade Company CMR CMR CMR CM R CMR CMR CM R CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR CMR Ticket # 66999 67103 66995 66996 67150 67051 128691 67151 67152 67107 128692 67154 128693 67055 67155 128694 67156 67056 67057 67158 67207 67159 67208 67059 67160 67209 67161 67162 67210 123787 67212 67211 67168 67216 Export Log Quanity (Yds) Qyantity (Tons) Daily Total (Tons) Date 85 255 9/20/2019 85 9/20/2019 85 9/20/2019 85 85 9/23/2019 85 85 9/24/2019 85 221 9/25/2019 34 9/25/2019 102 9/25/2019 85 238 9/26/2019 85 9/26/2019 68 9/26/2019 51 85 9/27/2019 34 9/27/2019 12 J 17 136 9/30/2019 60 fJ 85 9/30/2019 24 ✓ 34 9/30/2019 24 341 85 10/1/2019 36 51} 10/1/2019 481 68 J/ 204 10/2/2019 48 i{ 68 J 10/2/2019 48 J 68 10/2/2019 48 1 68 1 119 10/3/2019 / 36 51 J// 10/3/2019 36 51 J / 102 10/4/2019 36 / 51 ✓> 10/4/2019 36 1 51 d 102 10/7/2019 36 / 51 10/7/2019 48 d 68 - 136 10/9/2019 48 ✓ 68 / 10/9/2019 72 102 10/10/2019 48 . 68 136 10/11/2019 48 1/ 68 +f 10/11/2019 24 1 34 J 85 10/16/2019 36 , 51 ,� 10/16/2019 60 60 1. 60 41 60 I 60 17/ 60 24d 72 60 f 60 48 36 J 24 SW Report # Location Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable 071 Phase 1 unsuitable Phase 1 unsuitable 072 Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable 073 Phase 1 unsuitable Phase 1 unsuitable 074 Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable 075 Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable Phase 1 unsuitable 076 Phase 1 unsuitable Phase 1 unsuitable Phase 1/2 unsuitable Phase 1/2 unsuitable 077 Phase 1/2 unsuitable Phase 1/2 unsuitable Phase 1/2 unsuitable Phase 1/2 unsuitable Phase 1/2 unsuitable P.T.I. Truck Ticket No. 66999 Ponglia Trucking Inc. Date P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatruckingyahoo.com Load Time Material Material Material Project No: TruckNo., Time T&TSolo �Irt P S 4 6 ` 8 d 9 10 11 12 13 14 15 Notes � � � � .. � . _ TOTAL STAND BY TIME Signature of thlsjinvolce will, be considered our intent to Ilen this project, if necessary. Interest at 1.1/2% will be charged on all past due invoices. Charges are due the 10th of the month following dale of delivery. Customer agrees to pay for any expenses to Portage Rucking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Accepted By: Time Start Time End Total Hours P.T. Truck Ticket No. 67103 Ponglia Trucking Inc. Date P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking©yahoo.com Load lime Material Material No. Loaded Hauled Loaded From 2 4 Project No: Truck No. Material lime Delivered To Unloaded TSTSolo Stand by Time 8 10 11 12 13 14 15 Notes: TOTAL STAND BY TIME Signature of this invoice will be considered our Intent to lien this project, if necessary. Interest at 1 112% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Pongga Trucking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Accepted Time Start Time End, Total Hou>l3 ;5� P.T.1 Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongifatrucking©yahoo.com Load Time Material Material No. Loaded Hauled Loaded From Delivered To Unloaded Stand by Time Truck Ticket. No. 66995 Date Project No: ? . Truck No. Material Time T & T Solo 2 4 6 10 11 12 13 14 Notes: TOTAL STAND BY TIME Signature of this invoice will be considered our I will be charged on all past due invoices. Charges am due Customer agrees to pay for any expenses to Penglla Truc Including attorney fees for Driver X. Accepted By: if necessary. Interest at 1 1/2% perms following date of delivery collection of principal or Interest, Time Start �' Time End Total Hours Yt RT.1. TruckTL ke*No. 66996 P©nglla Trucking Inc. Date ,. .. °. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010. Email: pongliatruckingyahoo.com Load Time Material Material No. Loaded Hauled Loaded From 4 6 8 9 Project No: Truck No. Material Delivered To Unloaded Stand by Time Time T & T Solo 10 11 12 14 15 Notes; Driver X Accepted By. TOTAL ST of this invoice will be considered our intent to Nen ttiis proj n all past due invoices. Charges are due the 10th of th to pay for any expenses to Pongfie hocking Inc. for col Incli]ding;attorney fees for this ticket. ,., Time SAS Time End Total Hours TIME at 1 1/2% per month date of delivery. of principal or interest, Driver X P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled /Loaded From 2 4 6 7 8 10 11 12 (3. Truck Ticket No. 67150 t� a Date f Project No: Truck No. Material Time T & T Solo Delivered To Unloaded Stand by Time 14 15 Notes: TOTAL STAND BY TIME _7.t.)11-1 C)1 Signature of this Invoice will be considered our intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charge s a1$ due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia Th►cking Inc. for collection of principal or Interest. InClud`'rtg attorney fees for this ticket. Time Stan - nq Time End Total Hours Accepted By:. NI M V. 1 i 1 LOAD A R PU P,O. ROX nowt) REAI"TLG, err wii t6 PI IONE (263) 860.1726 orecilytinflOielirr0,03111 WI( NO LIIAL h4AT?ltL A rl trtants kTlfLfvf)1i i) O CITY TRANFE#2, INC. (-cTrjANG! CTrr SUPPLIERS AND SUBCONTRACTORS (JOINTL— REFFERRED TO AS "CTI"), WAR OLD HEREUNDER CONFORM TO CTI'S OU)TA71ON, C71 MAKES NO REPRESENTATION OF WARRANTY OF ANY OTHER KIND, EXPRESS RESPECT TO THE MATERIALS, WHETHER AS TO MERCHANTABILITY. FITNESS FOR A PARTICULAR PURPOSE OR ANY OTHER Y LIMITATION OF LIABILITY: CTTs liability to customer, however caused, whether In contract, tort or otherwise, Including wlltiout limitation, any Indemnlflcallun, liabilities mage for property or personal loss, shay In no event exceed the Iola] compensation paid CTI hereunder. This limitation shall survive the completion or d this transaction. ENT shall be made to CTI on or before the 101h day of each month loteoy lance, (elute by Customer to act towfedge the dWery ticket by signature andforC nl obligationn. All dorwery tickets ere available al the CTI offices during business ho nd-a•half (1.5%) percent interest per month from (he date duo unlit paid or at paid bycustoriter. Driver X cepted BY FORM - 10a2 efivery tickets rice provided W Customer as a courtesy and coive a del tkg€ot shall not excuse Customor'e notice, All sums not paid when due shall bear Interest led by law. All costs of collection, Time Star Time End TOTAL HOURS y, , \ u _.., 1 Driver X RTaI. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking©yahoo.com Load Time Material Material Material Time Truck Ticket No. 67152 Date Project No:� Truck No. " TSTSolo •>•-.• •..nw•vM .10Y'vy a 4.••YVI. WWI. Sir. .V M..Iw....Sit•• "main/ Lay Iliffe y. �+l 2 s^ P aF 4 at 7 tea.,.. 4r D f—rn_I �` ° �. .. ,.. € '..a�,.w �. w•w", ,. 8 r� 10 0 11 12 13 14 15 Notes: TOTAL STAND BY TIME Signature of this invoice will be considered our intent to lien this project, If necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglla'trucking Inc. for collection of principal or interest, Including attorney fees for this ticket. Time. Start t V1 Accepted By: .: _..._ Time End Total Hours' P.T.I. Truck Ticket No. 67147 Ponglia Trucking Inc. Date P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded From Delivered To Unloaded Stand by Time Project No: Truck No. Material lime T & T Solo 2 4 5 6 7 8 9 10 12 13 14 15 Notes: TOTAL STAND BY TIME Signature of this invoice will be considered our Intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on ell pest due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Pongila Mucking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Time Start Accepted By: Time End Total Hours ROa pox 88670 DELIVERY NO. s. a c rr SEATTLE, WA 98138 PHONE (253) 850-1775 ar©cltytrensferinc.conc.com � DA ,.- CUSTOMER: PROJECT _PROJECT NO RENTAL t O. TRUCK NO. TRUC TYPE � (---64 el LOAD NO# ARRIVE TIME TIME LOADED MATERIAL HAULED MATERIAL LOADED FROM MATERIAL DELIVERED TO ARRIVE TIME TIME UNLOADED LOAD SIZE STANDBY TIME t } r I I 1750 /Z3b ft WARRANTY: CITY TRANFER, INC. ("CTI") AND CTI'S SUPPLIERS AND SUBCONTRACTORS (JOINTLY REFttRRED TO MATERIALS SOLD HEREUNDER CONFORM TO CTI'S QUOTATION. CTI MAKES NO REPRESENTATION OF WARRANTY OR IMPLIED, WITH RESPECT TO THE MATERIALS, WHETHER AS TO MERCHANTABILITY, FITNESS FOR A PARTICULAR MATTER. LIMITATION OF LIABILITY: CTI's liability to customer, however caused, whether in contract, tort or otherwise, Including without or damage for property or personal loss, shall In no event exceed the total compensation paid CTI hereunder. This limitation termination of this transaction, PAYMENT shad be made to CTI on or before the 10th day of each month for any materials delivered. Delivery tickets are provided convenience, failure by Customer to acknowledge the dlivery ticket by signature and/or Customer's failure to receive a delivery payment obligation, All delivery tickets are available et the CTI offices during business hours upon reasonable notice. All sums at a rate of one -and -a -half (1.6%) percent interest per month from the date due until paid or et the maximumn legal rate permitted Including attorneys fees, shall be pardby Customer, AS "CTI"), WARRANT OF ANY OTHER KIND, PURPOSE OR ANY limitation, any indemnli'cation, shall survive the completion to Customer as a ticket shall not excuse not paid when due shall by law. All costs of ALL EXPRESS OTHER liabilities or courtesy and Customer's bear Interest collection, Time Star( Driver X Standby Time EndStandby Accepted By• TOTAL HOURS FORM -1002 ■■ aia Trucking Inc. sox 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded From 2 4 5 6 Truck Ticket No. 67154 Date ? d . f Project No: Truck No. Material T & T Solo Delivered To Unloaded Stand by Time 10 1 12 13 14 15 Notes: TOT AND BY TI Signature of this Invoice will be Considered our Intent to lien this will be charged on all past due invoices. Charges are due the Customer agrees to pay for any expenses to Ponglia Truoking Inc. for coil including attorney fees for this ticket. Driver X tineStart Accepted By: Time End Total Hours P.Ot BOX B8670 DELIVERY NO. 2 OCPIN I LC, YYM UO I JO r PHONE (253) 850-1775 +�� e ar@citytransferinc.com DATE' CUSTOMER: PROJECT i' PROJECT NO, tl RENTAL CO. TRUCK NO, TRUCK TYPE LOAD NO# ARRIVE TIME TIME LOADED MATERIAL HAULED MATERIAL LOADED FROM MATERIAL .DELIVERED TO ARRIVE TIME TIME LOAD STANDBY TIME �UNLOrAADED ] 7 4iU pSIZE t�3 qC I 4 1 1Z5 WARRANTY: CITY TRANFER, INC. {"CTI")`AND CTPS SUPPLIERS AND SUBCONTRACTORS (JOINTLY REFFERRED TO AS "CTE"), WARRANT ALL MATERIALS SOLD HEREUNDER CONFORM TO CTI'S QUOTATION. CTI MAKES NO REPRESENTATION OF WARRANTY OF ANY OTHER KIND, EXPRESS OR IMPLIED, WITH RESPECT TO THE MATERIALS, WHETHER AS TO MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR ANY OTHER MATTER, LIMITATION OF LIABILITY: CTI's liability to customer, however caused, whether In contract, tort or otherwise, Including without lImItation, any Indemnification, liabilities or damage for property or personal loss, shall in no event exceed the total compensation paid CTI hereunder. This limitation shall survive the completion or termination of this transaction, PAYMENT shall be made to CTI on or before the 10th day of each month for any materials delivered. Delivery tickets are provided to Customer as a courtesy and convenience, failure by Customer to acknowledge the dlivery ticket by signature and/or Customers failure to receive a delivery ticket shall not excuse Customer's payment obligation. All delivery tickets are available at the CTI offices during business hours upon reasonable notice. All sums not paid when due shall bear Interest at a rate of one -and -a -half (1.5%) percent Interest per month from the date due until paid or at the maximumn legal rate permitted by law. All costs of collection, Including attorneys fees, shall be paid by Customer. Time Start Driver X Standby Acre tad B Time End P y' Standby _.�� TOTAL HOURS FORM-1002 P.T.I 1. Truck Ticket No. 6 7 0 5 5 Ponglia Trucking Inc. Date )/,' P.O. Box 13506 Des Moines, WA 98198 Project No:.. • . Ph: 206-261-1010 Truck No. Email: pongliatrucking©yahoo.com Load Time Material Material Material Time T & T Solo No. Loaded Hauled Loaded From Delivered To Unloaded Stand by Time 1 2 4 5 7 12 14 15 Y Notes: TOTAL STAND BY TIME Signature of this Invoice will be considered our Intent to lien this project, If necessary. Interes will be charged on ai past due Invoices. Charges are due the 10th of the month followin Customer agrees to pay for any expenses to Ponglia 'Ducking inc. for collection of pri t 1 1216 per month ate of delivery. Ipel or Interest, P.T.I. Truck Ticket No. 67155 Ponglia Trucking Inc. Date P.O. Box 13508 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking©yahoo.com Load Time Material Material No. Loaded Hauled Loaded From Protect No� Truck No. Material Time T & T Solo Delivered o Unloaded Stand by Time 2 i'� a a. 4 7 10 11 12 13 14 15 Notes: TOTAL STAND BY TIME i P'* P* s.'',..v, .K,»mas �,w'ti 5✓:'^'�r,t:,+ . $,"x C L^,... ,A f Signature of this invoice wig be considered ow 6rtent to lien this project, if neraqsary, Interest at 1 1/2% per month will be charged on all past due Invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for Driver X Accepted y expenses to Ponglfa Trucking Inc. for collection of principal or Interest, including altoYney— ales torn* ticket....„ USTOMER: LOAD NOS ARRIVE TIME P,O, BOX 88670 SEATTLE, WA 98138 PHONE (253) 850-1775 nr cl I y I ra n s le r I n c<com TIME LOADED MATERIAL HAULED 2ANTY: CITYTRANFER; INC, rCTI') ANDC1TS RIALS SOLD HEREUNDER -CONFORM TO CTI PLIED, WITH RESPECT<TO THE MATERIALS., TAT1ON OF LtABILtTY: CTrs kabitr image for property or personal loss, rmination of this transaction.: DELIVERY MATERIAL LOADED FROM TRUCK TYP MATERIAL DELIVERED TO ARIVE TIME TIME UNLOADED UPPLIERS AND SUBCONTRACTORS.(JOINTL REFFERR a TO AS "CW),;WARRANT.ALL t2UOTATION.' CTIMAKES NO REPRESENTATION ©F WARRANTY OF ANY,OTHER KIND, EXPRESS NETHER AS TO MERCHANTABILITY, FITNESS, FOR A PARTICULAR PURPOSE OR ANY OTHER„ ho 4ever caused, whether in contract, tort or otherwise, including without limitation, any Indemnification root exceed the total compensation paid CTI hereunder. This limitation shall survive the completion or PAYMENT shall be made to CTI on or before the 10th day of each month for any.materials delivered. Delivery tickets are provided to Customer as a courtesy and ' , convenience, faiure by Customer to acknowledge fire dlivery ticket by signature; and/or Customer's failure to receive a delivery ticket shall not excuse Customer's payment obligation. All delivery tickets are available at Me CTI offices duririg business hours upon reasonable notice, All sums net paid when due shall bear interest rate of one -and -a -half (1 percent interest per month from the date due until pail or, ximumn legal rate permitted by law. All costs of collection,- ing attomeys tees; a tie paid by tarstoriazr.. TimeStart Driver X Time End Accepted By: TOTAL HOURS Standby andby FORM - 1002 P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatruckingiyahoo.com Load Time terial No. Loaded Hauled 2 6 9 10 12 14 Notes: Material Loaded From Truck Ticket No. 67156 Date s 1w r Project No: , Truck No. Material Time T & T Solo Delivered To Unloaded Stand by Time TOTAL STAND BY TIME Signature of this Invoice will lie considered our intent to lien this proJect,.if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 1 t)th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglla Trucking Inc. for collection of principal or interest,. Including attorney -fees for this ticket. Driver X Time Staff Accepted 8��r End `r P Y� z Time n Total Hours. 6 ■.■■ a ma Jck Ticket No.. 670 5 Ponglia Trucking Inc. Date P.Q. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material . Material Material Time T & T Solo No. Loaded Hauled • aded From Delivered To Unloaded Stand by Time. 6 10 12 14 Notes: Project No: Truck No. TOTAL STAND BY TIME Signature of this invoice will be considered our intent to lien this project, if necessary...interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia 7lrucking Inc. for collection of principal or interest, Including attorney fees for this ticket. Driver X Time Start Accepted By: Time End Total Hours P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded From Truck Ticket No. 67057 Date Project No: Truck No. Material Time Delivered To Unloaded T & T Solo Stand by Time 4 7 8 10 11 12 13 14 Notes: TOTAL STAND BY TIME Signature of this invoice will be considered our intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia Trucking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Time Start Accepted By: Time End Total Hours P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongiiatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded Fro r 4 6 7 10 12 13 14 15 Notes: Truck Ticket No. 67158 Date 14 Project No: Truck No. Material Time T & T Solo Delivered To loaded Stand by Time TOTAL STAND BY TIME Signature of this invoice will be considered our intent to lien this project, If necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expense's'to Ponglla Bucking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Time Start; Accepted By:. Time End Total Hours:��"a. P.T.1. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded Fro 4 6 9 10 11 12 14 Notes: Truck Ticket No 67207 Date Project No: _ Truck No. Material Time Delivered To Unloaded TOTAL STAND BY TIME T &TSok° Stand IyyT Signature of this Invoice will be considered our intent to lien this project, if neceeaary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia Trucking Inc. for collection of principal or Interest, including attorney fees for this ticket. Driver X Time Start tt Accepted By: Time End �.�. Total Hours PUTRI. Truck Ticket No. 67159 Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatwcking©yahoo.com Load lime Material Material No. Loaded Hauled Loaded From 2 4 9 10 12 14 Notes: Date Project No: Truck No. Material Time T & T Solo Delivered To Unloaded Stand by Time TOTAL STAND BY TIME Signature of this invoice will be considered our intent to lien this month will be charged on allpast due invoices. Charges�� Interest � 1 1/2%per.m©nth �9 are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglla Ticking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Time Start By: Accepted � p �s� � � �. � Time End. Total Hours �'�.� P.T. I I. Truck Ticket No. 67208 Ponglia Trucking Inc. Date P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load lime Material Material No. Loaded Hauled Loaded From 7 9 10 11 12 13 14 Notes: Delivered To Unloaded TOTAL STAND BY E Project No: Truck No. �� u Material Time _ Y T & T solo Stand ibyTme Signature of this invoice will be consider dour intent to lien this project, if nec:emary. Interest at 1 112% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglla 'frocking Inc. for collection of principal or interest, including attorney fees for this ticket. Driver X Time Start Accepted By: a F Time End Total Hours '` pmT Pon...., Driver X P.O. Box 5d8 Des Moines, WA 98198 Ph: 206-261-1010 Email: p©ngliatrucking©yahoo.com Load Tim Material Materiel . ` � vad©d �Material Time T & T Solo Hauled Lr art+ d From Delivered To Unloaded Stand uck Ticket No, 67059 Date Project No: Truck No. Signature of this invoice will be considered our intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia Trucking Inc. for collection of principal or interest, including attorney fees for this ticket. Time Start 7'-' Time End Total Hours • 206 2 . Email: �o p©nglla Load N. Time 8198 1010 king©yahoo.com Material Material ded F Signature of this invoice will be considered our intent will be charged on all past due invoices. Chi Customer agrees to pay for any expenses t including attomr Driver X Accepted By��.r 'ate Propjet No: Truck No. Material ve, To P.T.I. Truck Ticket No. 67209 Ponglia Trucking Inc. Date P.Q. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded Fro 4 10 12 13 14 15 Notes: Project No: Truck No. Material Time T & T Solo, Delivered To Unloaded Stand by'Time TOTAL STAND BY TIME Signature of this Invoice will be considered our intent to lien this project, if necessary. Interest at '! '112 6 per month will be charged on all past due invoices. Charges are due the 10th of the month following dateof delivery. Customer agrees to pay for any expenses to Ponglia Ti ucking Inc. for collection of principal, or Interest, including attorney fees for this ticket. Driver � �� Time Start Accepted By: Time End m� Total Hours P.T.I. Truck Ticket No. 67161 Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pang liatrucking@yahoo.com Load Time Material Material No. Loaded Hauled ,, ° °Loaded Fro 3 4 5 9 10 12. 13 14 15 Notes: Date Project No: w '_ Truck No. Material Time T & T Solo Delivered To Unloaded Stand by Time TOTAL STAND BY TIME Signature of this invoice will be considered our intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia Trucking Inc. for collection of principal or interest, including attorney fees for this ticket. Time Start Time End Total Hours P.T.I. Truck Ticket No. 67162 Ponglia Trucking Inc. Date i P.O. Box 13506 Des Moines, WA 98198 Project No: Ph: 206-261-1010 Truck No. Email: pongllatrucking©yahoo.com Load Time Material Material Material lime No. Loaded Hauled Loaded From Delivered To Unloaded Stand by Time T&TSolo 4 .....„t 9 i... 6 "` ` '''. 7 8 � a 9 g � 10° 11 12 13 14 Notes: TOTAL STAND BY TIME Signature of this Invoice will be Considered our Intent to lien this Oct,proif necessary. Interest at 1 will be charged on all past due invoices. Charges are due the 10th of the month following date o Customer agrees to pay for any expenses to Pongila Trucking Inc for collection of principal or Interest, including attorney fees for this ticket. Driver Accepted By: '1'i'rne Start ....e Time End Total Hours �,.€...W ... P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking gyahoo.com Load Time Material Material No. Loaded Hauled Loaded From Truck Ticket,No.. 67210 Date Project No:`r Truck No. Material Time Delivered To Unloaded Stand by"Time T & T'Solo 2 4 6 8 9 10 11 12. 14 15 Notes: TOTAL STAND BY TIME Signature of this Invoice will be considered our intent to lien this project, If necessary. Interest at 1 1/2% I will be charged on all past due Invoices. Charges are due the 1 oth of the month following date of del Customer agrees to pay for any expenses to Ponglia Trucking Inc. for collection of principal or Interest, Including attorney fees for this ticket. month Driver X Time Start Accepted By Time End Total Hours £v� raAcro P.O. BOX 88670 DELIVERY •� SEATTLE, WA 98138 PHONE (253) 850-1775 ar@citytransferinc.com rssc NO. $ 37 87 DATE. " CUSTOMER' PROJECT PROJECT NO. A / d C RENTAL CO. TRUCK NO. TRUCK TY LOAD NO# ARRIVE TIME TIME LOADED MATERIAL HAULED MATERIAL LOADED FROM MATERIAL DELIVERED TO ARRIVE TIME TIME UNLOADED LOAD SIZE STANDBY TIME. 3/' CI ...r' wv $.+,'.. , y1 ¢ ew✓'" P �r ;p ,+'f`{".';V` .� d � `.. d" i ; g p �±'� l ,P ', .3� ' "" €.. 1j k 'w"' �A""''t r „J+ , $$4 4 V8r WARRANTY: CITYTRANFER, INC. ('CTt') AND CTfS SUPPLIERS AND SUBCONTRACTORS (JOINTLY REFFERRED TO AS "CTI"), MATERIALS SOLD HEREUNDER CONFORM TO CTI'S QUOTATION. CTI MAKES NO REPRESENTATION OF WARRANTY OF OR IMPLIED, WITH RESPECT TO THE MATERIALS, WHETHER AS TO MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE MATTER. LIMITATION OF LIABILITY: CTI's liability to customer, however caused, whether in contract, toil or otherwise, includIng without limitation, or damage for property or personal loss, shall in no event exceed the total compensation paid CTI hereunder. This limitation shall termination of this transaction. PAYMENT shall be made to CTI on or before the 10th day of each month for any materials delivered. Delivery tickets are provided convenience, failure by Customer to acknowledge the dtivery ticket by signature andlor Customer's failure to receive a delivery ticket payment obligation. At delivery tickets are available at the CTI offices during business hours upon reasonable notice. All sums not at a rate of one-and=a-half (1.5%) percent interest per month-fromihie'date due until paid or at the maxlmumn legal rate permitted Including attorneys fees, shall be pm �pld by Custoer' „ '' WARRANT ALL ANY OTHER KIND, EXPRESS OR ANY OTHER any indemnification, liabilities survive the completion or to Customer as a courtesy and shall not excuse Customer's paid when due shall bear interest by law. All costs of collection, Driver X ACOeptei- FORM -1002 w Time Start Time HOURS Standby By: Standby End TOTAL P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded From Truck Ticket No. 672 1 2 Date Project No: Truck No Material Time T & T Solo Delivered To Unloaded Stand by 2 4 10 12 13 14 15 Notes: TOTAL STAND BY TIME Signature of this Invoice will be Considered our Intent to lien this project If necessary. Interest at 1 1/2% will be charged on all past due invoices. Charges we due the 10th of the month following date of de Customer agrees to pay for any expenses to PongUe'Fucking Inc. for collection of principal or inters Including attorney fees for this ticket. Driver XTime Start Accepted Bk- ime End Total Hours. RT.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load lime Material Material No. Loaded Hauled,, Loaded From Truck Ticket No. 67211 Date Project No: Truck Nok< Material Time Delivered To Unloaded T&TSolo Stand by Time 4 5 6 9 10 12 13 14 15 Notes: TOTAL STAND BY TIME Signature of this Invoice will be considered our Intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglis Trucking Inc. for collection of principal or interest, Including attorney fees for this ticket. Driver X Time Start Accepted By Time End n� r Total Hours Driver X P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time \ Material Material No. Loaded Hauled Loaded From Truck Ticket No. 67168 Date $0-- Project No: I Truck No. 3— Material Time T & T Solo Deliveredjo Unloaded Stand by lime 1 2 (14 4 6 7 8 10 12 13 14 15 Notes: TOTAL STAND BY Ti Signature of this Invoice will be Considered our Intent to lien this project, if necessary. Interest at 1 1/2% per month will be charged on all past due invoices. Charges ere due the 10th of the rn following date of delivery. Customer agrees to pay for any expenses to Ponglia 'Rucking Inc: or collection orincipal or interest, including attorney,fees°for this ticket. Time Start I Accepted By: ` Time End Total Hours Accepted By: P.T.I. Ponglia Trucking Inc. P.O. Box 13506 Des Moines, WA 98198 Ph: 206-261-1010 Email: pongliatrucking@yahoo.com Load Time Material Material No. Loaded Hauled Loaded From 2 4 5 6 7 Truck Ticket No. 1 67216 Date it Project No: av Truck No. Y5 Material Time T & T Delivered To Unloaded Stand by Tl ,e 10 11 12 13 14 15 Notes: TOTAL STAND BY TIME Signature of this invoice will be Considered our Intent to lien this project, if necessary. Interest at 1 1/296 per m will be charged on all past due Invoices. Charges are due the 10th of the month following date of delivery. Customer agrees to pay for any expenses to Ponglia Trucking Inc, for collection of principal or interest, including attorney fees for this ticket. Driver Xlime Start Time End. Total Hours h NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98100 • (208) 702-2566 Kangiey Rock & Recycling Locations KANOL6V KT (Plant/ 21) 32500 SE Koni•Konpley Rd. Raw nsdalo, WA 98051 BLACK RIVER (Phut 0 22) • (200) 6504412 510 Momfer Rd_ Renton, WA 98055 LAKE FRANCIS (Planl 23) - (298) 858-0822 22501 SE Lake Francis Rd. Maple Valley. WA 98038 A DIVISION OF Ge.s9Y MERLIN° CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation . 17877 Cedar Grove Rd. SE. Maplo Varoy, WA 98038 PI881 /20 - (208) 858-0913 OELIVERY TICKET AccoutintqG FAX. SALE cm -RR DE - MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVEJOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT 0 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOBADDRESS l'.1,:',....it.6:-;.: '`..1.-' t ' - '-'., 't t" ti t'itq.'.. tt,I Vi.,..1 ,',. 1.=,-t.,I, Il•' COLLECT ()N DELIVERY (C.O.D.) 119507 D CASH D CHECK # I:3 CHARGE ". ,",.. • CARD # ' EXP. / SPECIAL INSTRUCTIONS 0 VISA ., I:I iVIASTEFICAFID EJ DISCOVER QUANTITY U.M. PRODUCT CODE DLSORIPTION TONS TOTAL UNIT PRICE AIVI0111,4T- 1 i''...'1 , -..t. 1 4'1" f,!..4.:' t,...•t. , , : .',.i. ':`,1 ';'..",..•:_ ":. ; . • :'..f-,' -..I „Tr?" ' ''','.. 32.98 ,, , / ,....... , „, . DRIVER TRUCK No, •7; -,',7•`;,. • ORDERED BY . REMIT PAYMENT TO • 912S 'I Ottl AVE. S. SLID -TOTAL , DISPATCHER TAX CODE `?",//.. TIMEDUE "SEATtL.E. WA 98108 ",-; ''',.. t ';...t• , TERMS ON REVERSE SALES TAX RELEASE — CIASTf‘,PALR flEt.FASC-S AND .Rt.:(--_i; TO HOLD FIAAMI.E.liS KANGLEY ROCK & ECYCLING. A DIVISION c,r (:ii \FN'Y ;;,1Eflt INC cloNsTR 1(ITICiN COMPf_kt4)",--INO. fc:iflAtiY OfkivIAC;E ro HIS REAL OR PERSONAL PROPERTY i''..",1!5-,FL; BV I,,:i ,VERY or NIATEititsL".=. LvEr: 00/4.11....s oiri,-i-E,JEFIsE DALAIACE FORWARD CUSTOMER SIGNATURE -4;":../.4::•"4 .--;.1..---. --..—_______ 4 . TOTAL PRINT NAME . DATE AMOUNT REV 04-2009 CLEECJMER (OFY KANGLEY ICangley Rock & Recycling Locations ROCK & RECYCLING KANGLEY PIT (Plant 21) 32500 SE Kent•Kangley Rd., Ravensdala, WA 98051 , BLACK RIVER (Plant I 22) - (208) 858-0912 ACCOUNTING: 9125 TENTH AVENUE SOUTH 510 Monster Rd. Renton, WA 98055 SEATTLE, WA 98108 • (208) 782-2568 LAKE FRANCIS (Plant I 23) - (206) 658.0872 22501 SE Lake Francis Rd. Maple Valley, WA game A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation • • 17877 Cedar Grove Rd. SE, Maple Valley, WA 90038 Plant .20 - (208) 858-0913 DELIVERY TICKET ACCOUN I NG .(2.0q r FAX f2riff; I SALES & MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT CUSTOMER NAME CUSTOMER PA JOB NO PLANT N DEUVER,i TICKET NO. JOB ADDRESS AGG K18-1141,,,110t-4k..,I It SPECIAL INSTRUCTIONS D CASH CARD # COLLEMON DELIVERY (C.O.D.) 119560 CHEOtc # 0 CHARGE EXP. El VISA 0 MASTERCARD 0 DISCOVER PRODUCT CODE DESCRIPTION . . TONS . • :1•s•,,,4,11••••;•••••1 • • 1 .9' •:0 .— • 30.29 TOTAL UNIT PRI 1, A E .AMOUNTt Tittf-f.:T1.1 trT DRIVER TRUCK NO. ORDER By DISPATCHER TAX CODE vol A TIME DUE 1 '1 REMIT PAYMENT TO 9125 10th AVE. S. • SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CU.S1OMER RELEASES AND AGREES TO HOLD HARASS'S KANGLEY,,ROCK & RECYCLING, A DIVISION GAnY tylERLINO CONSTR „ICTIONC,OMPANY 1 ION ANY'DAN1AGE: TO.,08 HEAL OR PERSONAL PROPERTY CAUSED SY DELIVERY OF MATERIALS LiSIEO,ArrOVE. DI:TAI!'. REVERSE':. CUSTOMER SIGNATURE PRINT NAME DATE SUB -TOTAL SALES TAX REV 04.2009 BALANCE FORWARD TOTAL AMOUNT OUSTOVIER COPY NGLEY :ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATFLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, Kangley Rock & Recycling Locations KANGLEY PIT (Plan' 21) 92500 SE Kent•Kangley Rd, Revenadale, WA 98051 BLACK RIVER (Rent r 22) • (206) 656-0912 610 *paler Rd. RenIon, WA 98055 LAKE FRANci6 (Plant* 23) (208) 656-0672 22601 SE Lake Franole Rd. Maple Volley, WA NON INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd, SE, Maplo Valloy, WA 96038 Plant *20 - (208) 858-0013 DELIVERY TICKET ACC:A-311N] iNG (.21,)61 FAX 1'20E1 7(.-.C2 SALES & ORDER : MAP LOCATE EAVE PLANT ARRIVE JOB LEAVE JO ARRIVE PLANT DATE ;USTOMER NO. ORDER NO. PROJECT PLANT *I CUSTOMER NAME CUSTOMER P.O. OS NO. DELIVERY TICKET NO. JoB..ADDRESS . . . . 1.5411::.4 SPECIAL INSTRUCTIONS QUANTITY U.M. DRIVER PRODUCT CODE TRUCK NO. , 7,751). . DESCRIPTION DISPATCHER TAX CODE TIME DUE "VilfS1(1 S 4.320060 Li CASH CARD # ' COP-Ear.ON DELIVERY (C.O.D.) 119603 0 CHECK # 0 CHARGE EXP. 0 VISA 2985.: REMIT PAYMENT TO 9125 10tI) AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD WRMLESSOAGLEYROCK & RECYGUNO, A DIVISION Di 9,,,n1 Nidi:SLINO C;ON,:3TRIJC TION El i I 11., F.OR 4,J.4.,6-,DAfa'AGF.1.-TO HIS P.EAL OR PERSONAL PROPEMY CAUSED BY DELIVERY OF MATERIALS LISTED I BOVE. DUAIES.Till EEVENRE. CUSTOMER SIGNATURE PRINT NAME DATE lEVOd-2000 CUSTOMER CORY 0 MASTERCARD TOTAL UNIT PRICE 0 DISCOVER SALES TAX BALANCE FORWARD TOTAL AMOUNT AMOUNT " KANGLEY !ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Kengley Rock & Recycling Locations KANGLEY PIT (Planl I/ 21) 32500 SE Kenl-Kangley Rd., Revensdale, WA 98051 BLACK RIVER (Plant 0 22) - (205) 558.0912 510 Monster Rd. FIardpn, WA 98055 LAKE FRANCIS (Plant 0 23) - (208) 85841872 22501 SE Lake Ramie Rd„ Maple Valley, WA 98039 Cedar Mountain Reclamation I7871 Cedar Grove Rd, SE. Maple VaIley, WA 98038 Plant 020 - (206)958-0913 DELIVERY TICKET : AccouNIING f20131 SALES & ORDER DESK (20‘,1) 700-1 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. 6264 47 PROJECT PLANT CUSTOMER NAME 41.p. CUSTOMER P.O. JOB NO, DELIVERY TICKET NO, JOB ADDRESS ' '' '&1 -,4 PIT:2 SPECIAL INSTRUCTIONS couggrpNcoguvERy (C.O.D.) 119651 El CASH DCHEQK4I 0 CHARGE CARD ti , EXP. / D VISA El MASTERCARD 0 DISCOVER QUANTITY U.M, PRODUCT CODE DESCRIPTION S. TONS TOTAL UNIT PRICE 31 34., AIVIDIJN'T , DRIVER TRUCK NO. ORDERED BY DISPATCHER TAX CODE TIME DUE O REMIT PAYIVIENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS iSANGLEY-FRTCK & RECYCLING, A DIVISION OF GARY MERLIN() COl./STETUiOlq COM-FA'alY, INc,,,,EOR ANY 13V,1,(JIAGE.30 H15 REAL OR PERSONAL PFIOPERTY • CAI iF,ED DELIVERY OF MATERIALS LISTEC-k..ETET:VE., DETAII,S4DN'REVIET-ISLEL CUSTOMER SIGNATURE :PRINT NAME DATE SUB -TOTAL SALES TAX - BALANCE FORWARD TOTAL AMOUNT REV 04-2009 C UST OMER GOP( NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA'9810B • (208) 762-2586 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant i21) 92500 SE Kent-Kenpley Rd., Revenadale, WA 98051 BLACK RIVER (Plan 0 22). (208) 858-0812 510 Monster Rd. Renton. WA 08055 LANE FRANC IS (PIdn1Y 23) - (208) 656.0672 22501 SE Lake Panda Rd. Maple Valley, WA 99038 Cedar Mountain Reclamation 17877'Cedar Grove Rd. SE, Mapla Wiley. WA 98038 Plant 020 - (206) 656-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK t20(>) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLAIT DATE CUSTOMER NO, )l-3g 1 ORDER NO. jj Ir,1.Si.-i2: yy t PROJECT PLANT 4 CUSTOMER NAME I'1".1 T4;d'4jJ1:r 1 P l it`-• CUSTOMER P.O, l?:O : JOB NO. li' DELIVERY TICKET NO. r: JOB ADDRESS ?i. G iN t"I: f\I' 3'(:)P ',: PA. 7`I-r �., ;sO t i-! COLLECT ON DELIVERY (C.O.D.) 120369 ❑ CASH ❑ CHECK it ❑ CHARGE NI: Ac GARD # EXP. 0 VISA 0 MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY" U.M. PRODUCT' CODE DESCRIPTION e , TONS TOTAL UNIT PRIDE AMOL�NT , .... i 'r:�•:r :� . " k ,135, • RE3 IN i;?5{9 +1 A 11�_ .� .it.f.';CI 1.3 1 i/ il_ 1 1 f':l 1.rtc..i$ i�., 'r ,. �.. B}1; 7:.1f.t.. 1..I f r � ` �' (i,�tl'(.�d, x..d:()�+.. �73,Str�_rI :c!io (34i)00 1�1r4=, ,... it , , i{;r1` t. .... Nr I ,'.i:. c11t kf DRIVER TRUCK Na I ,, ORDERED EY � REM IT. PAYMENT. $12510th TO AVE.' S. SUE TOTAL ti DISPATCHER TAX CODE , 5}t TIME DUE SEATTLE, I 3.3) »TPRMS ON WA 88108 REVERSE SALES TAX RELEASE — CUSTOMER RELEASES ANUTAC REFS TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION OOfy(PANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALfiq,L,1S1`,U ASOVE1 DETAILS ON REVERSE. BALANCE FORWARD] {r ' 1, CUSTOMER SIGNATURE TOTAL PRINT NAME 14 L..2' DATE AMOUNT REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) T62-2568 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kengley Rock & Recycling Locations KANGLEY PIT (Plan) / 21) 32500 SE Kenl-Kangly Rd. Ravansdala, WA 98051 BLACK RIVER (Plant I22) - (206) 850.0912 510 Monster Rd, Renton, WA 98055 LAKE FRANCIS (Plant A 23) • (206) 858-0872 22501 SE Lake Fronde Rd. Maple Valley. WA 99038 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plan! /20 - (206) 658.0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT CUSTOMER NAME ! i}ter (r•:ef Ht',(-;p 1... CUSTOMER P.O. i 1co iii JOB NO. ',,,t-1 liy DELIVERY TICKET NO. .fl•. e- JOB ADDRESS . ,GCa ?)`):Fi:iS )IjItt_,rNS1l(. ('.Ei..Vi .i' s;)?f ')"i .,', COLLECT ON DELIVERY (C.O.D.) 120405 ❑ CASH ❑ CHECK N ❑ CHARGE 'SEA (r'`.(. CARD ( EXP. 1 SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD 0 DISCOVER QUANTITYf U.M.' . PROCODU DECT DESCRIPTION TONS TOTAL -TOTAL, UNIT PRICE AMOUNT 21 li,I 'R 8f.3 TN i:,- !:!(t4) TN (' 1i^4 R�. P`,al_- CRS A lA ,1 i ENViROt\(ME.N.,)_Ai., Eii.ii;(,:i.-±='",',:;t,rs t 1-, , 31 31 31.86 ` S:6 • 6 l'15 )f DRIVER TRUCK NO. '- 1*! ' ORDERED BY REMIT PAYMENT 912510th TO SUB -TOTAL AVE. S. DISPATCHER TAX CODE TIME DUE SEATTLE, WA 98106 SALES TAX 1 %I_�u� TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOL a HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY. JNC:} ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS USTED i(BOVE. D�TAICS;ON REVERSE. CUSTOMER SIGNATURE . J I'! , '} TOTAL PRINT NAME "�'r�'k DATE AMOUNT REV 04-2009 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA gams • (2ea) 762-2508 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant 21) 32500 SE Kent-Knngloy Rd., Avondale, WA 98051 BLACK RIVER (Plant 22)• (206) 6511-0912 610 Monster Rd. Renton, WA 00055 LAKE FRANCIS (PInnl # 23) - (206)85843872 22501 SE Lake Fronds Rd. Mei* Valley, WA 90030 Cedar Mountain Reclamation 17077 Coder Grove Rd. SE. Moraki Vann WA 08038 PIanl 820 -(206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JO LEAVE JOB ARRIVE P DATE •,,flot•1'04„;',7011,1 CUSTOMER NAME CUSTOMER NO. ORDER NO. 1:12142/1.1 PROJECT JOB ADDRESS • " ki'4AITODNA1 A)At. SPECIAL INSTRUCTION PLANT N CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. COLLECT ON DELIVERY (C.O. 4120554 0 CHARGE 0 CASH CARD # 0 CHECK # 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY U.M. PRODUCT COD .10 K NO: • ..TOTAL DESCRIPTION TONS 160 11"30 1-114 RC eliSE (:::PS A- Kr.). TAIF ENVROMAENTAL St11-4"H a(T:t 43440 UNIT PRICE AMOUNT 16'4. 21. ORD ED BY PATCHER PRINT NAME REV 04-2000 TAX CODE TIME DUE *, WA3 t 1 1.e..si RELEASE — CUSTOMER RELEASES AND AGREdS ' HOLDUARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, IN ,FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY - s CAUSED BY DELIVERY OF MATERIALS LISTED, ARO .10ETAILS ON REVERSE. / - , --- CUSTOMER SIGNATURE 1:-.,„ i• '. , ..., ) i I— „fIJATE RM1T PAYIIJIENT TO SUB -TOTAL 912510th AVE. S. TAX TERMS °N REVERSE SALES 9 199 ATTLE WA 13 BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangiey Rock & Recycling Locations KANGLEY PIT (Plant It 21) 32500 SE lionl•ganpley Rd., Revankdale, WA 98051 BLACK RIVER (Plant 22) - (20B) 6511-0912 510 Monster Rd. Renton, WAND-45 LAKE FRANCIS (Plant • 23) - (206) 8564872 22501 SE Lake Rands Rd. Maple Valley, WA 96038 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98030 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (200) 76B-1000 MAP LOCATE .._.. LEAVE PLANT , , . ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 090/0.019 CUSTOMER NO, 1 E3I:443 1 ORDER NO. 0:361:141 PROJECT PLANT CUSTOMER NAME rlre r!';1:4,PWi.:,:.! N';" CUSTOMER PD. le.:;.";*-H'",; JOB NO. 2}-1c1,:•1 DELIVERY TICKET NO. , ; N'ild-"i'',.' JOB ADDRESS AGC:2 . INTERNAltONN, 'f', vt) 1:i4.1b0141 COLLECT ON DELIVERY p.o.o.) 120463 0 0 CHECK # ID CHARGE S;,:\ l'AC CASH EXP. i CARD # °VISA 0 MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY U.M. PRODUCTTONS DESCRIPTION - TOTALsUNIT PRICE ' AMOUNT': 32.7'.3 32 7S . 47.4ro i ; 10'1411,- TN t-.) 'i t- 700. TiO DO is) 1 -41.411(; BSE CRS A-i T i 5 Cs:NVIPONMEIVAt S34.)F1 CI- i I ilf,;'A 434.0.i.K) ITT ; 3275 V(.."A 32. ... ; , _ „.... f P4r41 f.651,)0 il , $ DRIVER T UCK NO, ORDEREDORDEREOBY RETVIIT PAYMENT TO , • SUB TOTAL 9125 1001 AVE. S. DISPATCHER TAX CODE Witj TIME DUE *, SEATTLE, WA 98108 :- TERMS ON REVERSE SALES TAX , RELEASE — CUSTOMER RELEASES OF GARY MERLINO CONSTRUCTION AND AGfItiEr TO HOLD HARMLESS KANGLEYROCK RECYCLING, A DIVISION COMPA.M INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS W70 A WE/DETAILS ON REVERSE. CUSTOMER SIGNATURE , . ...-, TOTAL _ . ... AMOUNT PRINT NAME / DATE .. REV 04-2009 ,__9'USTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (205) 762-2586 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANISLEY PIT (Plant ti 21) 32500 SE Kent-Kangley Rd., Ravensdale, WA 96051 BLACK RIVER (Plant 22) - 1200 658-0912 510 Monster Rd, Renton, WA 98055 LAKE FRANCIS (Plant 0 23) • (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, lidipto Valley, WA 99038 Plant P20 -(206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE t..11.:1'''''iej..`,4) i',.;.) CUSTOMER NO. it.:,t!.•.t:.4,,r,.' I ORDER NO, ii''....',13'.;341 PROJECT PLANT # ,„.., . , CUSTOMER NAME i '11'''i" 'i ,t...)1kt,...!,;(...1:-.: tt4dr CUSTOMER P.O. ..:i-$,-...;-1c-; JOB NO. /'Itt,..1 DELIVERY TICKET NO. JOB ADDRESS 4/'',.' li)Nfli... r..3i"..,..Vt9 ,'..!k l',.'4,1'fi-1 COLLECT ON DELIVERY (C.O.D,I 120495 0 CASH 0 CHECK 4 0 CHARGE 7: CARD it EXP. --I--- 0 VISA 0 MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY U.M. . PRODUCT CODE ' .. .TOTAL DESCRIPTION . ,. TONS UNIT PRICE AIVPOUNT . :)'1. 3,, , i i IN , . TN (1,) . 1.1/4 f.-1(.:: is';F, (..i..1''''S 1.1.-...,'1;:',11 .. : :-.‘e.,..:. ..14i:).1.)0 .1`17.7.1.:: .: f?.,"1 ':-'i:3 ,. ..,,,„, , 31.33 ;/: 3, ..., , ....,,,,/ ,..., t .., .. .,, j';'..", . 16(,(11. . DRIVER TRUCK NO, . ORDEREDORDEAEDBY REMIT PAYLIIENT TO SUB -TOTAL . 9125 10th AVE. S. i DISPATCHER i, TAX CODE TIME DUE '''. SEATTLE, WA 96108 . . 1 I 1:1)9 -TERMS ON REVERSE SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD "CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS -ON REVERSE.N , CUSTOMER SIGNATURE ; '‘',.1:`-..s.,-- ,)A S\ N".. TOTAL ',,,.. it PRINT NAME 's, q 4 t AMOUNT ' • DAT REV D4-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH' SEATTLE, WA 98108 • (208) 782-2588 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plan! 21) 32500 SE Kenl•Keraley Rd., Ravenadale, WA 98051 SLACK RIVER (Plant 22) - (208) 6.59.01112 510 Monaler• Rd, Renton. WA 98055 LAKE FRANCIS (Plant 123)-(206) 858.0872 22501 SE Lake Francis Rd. Maple %Way, WA 98038 Cedar Mountain Reclamation 17977 Ceder Grove Rd. SE, Maple Valley, WA 08038 Plan? 120 - (206) 658-01113 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (205) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE )14 CUSTOMER NO. ORDER NO. PROJECT PLANT it CUSTOMER NAME 1TY IRLAN,1534S.t JOB ADDRESS Ai;( tT1Ai )NA, :;10 SPECIAL INSTRUCTIONS CUSTOMER P.O. i:016 JOB NO, DELIVERY TICKET NO. COLLECT ON DELIVERY (C.O.D.) 120614 47i if4.21 CASH DCHECK# D CHARGE CARD* EXP. / D VISA DMA&TERCARD DDISCOVER QUANTITY U.M. PRODUCT CODE DESCRIPTION TONS TOTAL t. 0 •`;.;-..`f..11; -1Pi 1:11:- ESE CRS A •163 E NOR ()NM N 32 ().`:) 32 32.09, jij UNIT PRICE 3tI 'AMOUNT f,) 641.13.0 TRUCK NO. ORDEREDY ! DISPATCHER 'VVA TAX CODE TIME DUE 310 3 ' t RELEASE — CUSTOMER RELEASES AND AGREES TO HOLR-14ARI4LESS KANGLEY ROCK OF GARY MERLINO CONSTRUCTION COMPANY, INC. F OR ANYDAMAGE TO HIS REAL ;CAUSED BY DELIVERY OF MATERIALS LISTED AEIRVE-DWIL-g ON REVERSE. CUSTOMER SIGNATURE PRINT NAME REMIT PAYMENT TO 9125 10th AVE, S. SEAT TERM TLE, WA 98108 • *S ON REVERSE * YcLiNG, A DIVISION PERSONAL PROPERTY DATE SUB -TOTAL. SALES TAX BALANCE FORWARD TOTAL AMOUNT REV 04-2009 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant! 21) 32500 SE Kenl-Kanglay Rd., Ravensdale, WA 90051 BLACK RIVER (Plant l22)-(206)658.0912 610 Monster Rd. Renton, WA 06055 LAKE FRANCIS (Plant 123) - (206) 658.0672 22501 SE Lake Francis Rd. Maple Valley, WA 06038 Cedar Mountain Reclamation 178T7Cedor Drava Rd. SE, Maple Valley, WA 90036 Plant 02D-:(208) 6511.0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2356 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT' CUSTOMER NAME • t 1:.t 7 t {Cti)i` CUSTOMER P.O. N`t lire JOB NO. f'1 t t : DELIVERY TICKET NO. �. JOB ADDRESS y. �.' i s Y .. Y i t i a1 i� t t,, ,, (r...,i COLLECT ON DELIVERY (C.O.D.) 120677 0 CASH ❑CHECK # ❑ CHARGE EXP. 1 SPECIAL INSTRUCTIONS__ .. . I tt I UP ) 17 ' t� 4..1 ti 3 it ";P ,:'t 3 bt . ,;, ! C€: (N LU I) CARD # O VISA 0 MASTERCARD 0 DISCOVER QUANTITY U. PRODUCT CODE DESCRIPTION TONS TOTAL• " e e UNIT PRICE AMOUNT'. : , ,( t 1�:? 1,..i.i.7'-,T I07 '( (if (Si) IO 1. .�(10 • Y)11 I -. f t4'{ .�..yh•>t:_Si�i.... R_.i r4 ':e> "si{ .: tte 15_5'+a{VSf ?.)N si((_w i�7�t.,. S ?1 (rt-41,S r. =PIP 1,..:42t.ti( t) (l , ,j (}tly(:f:. fff r �P �u•rF` f i 1. 1 ;/-,,, IJ:1 DRIVER TRUCK NO. t'- ORDERED 6Y REMIT PAYMENT Tt) "` 912510th AVE."S.' ... ". " . ~'�SUB-TOTAL DISPATCHER TAX CODE ``t TIME DUI4 SEATTLE, WA 98108 ? a$u= 'TERMS ONREVERSE _ �� " SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS tCANGLEV ROCKA RECYCLING, A DIVISION OF GARY MEF1LINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAG TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REV BALANCE FORWARD CUSTOMER SIGNATURE t' ~ w TOTAL l ; PRINT NAME `, „t` 1. ', DATE AMOUNT REV 04-2000 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING; 8125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 782.2568 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant ' 211 32500 SE Kcnl-Kung!oy Rd., Ilnvancdale, WA 98051 BLACK RIVER (Plant W 22) - (200) 650,0912 510 Monsler Rd. Roman, WA 99055 LAKE FRANCIS (Plant I 23) - (208) 658.0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17877 Cedar (]lave Rd. SE, Ma We Valley, WA 98038 PIan1820 • (205) 858-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 766-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB ' LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO, ' ORDER NO. PROJECT PLANT Il CUSTOMER NAME ,•j`,-.j.: 01'.t,y;:;,z':)'.I�:e+*! CUSTOMER PA JOB NO. DELIVERY TICKET NO. JOB ADDRESS r • I ." S.t ; ,,;s'' yJ1 : E.<i irl~1. &l COLLECT ON DELIVERY (C.O.D.) 120757 El CASH CI CHECK # 0 CHARGE {'LT,' ik.. j1%.c EXP. CARD # --1 -- 0 VISA 0 MASTERCARD a DISCOVER SPECIAL INSTRUCTIONS QUANTITY U.M. ' PRODUCT DESCRIPTION • TONS . TOTAL . ; UNIT PRICE AtyfK�lT.' ,.a: 70 ..' r'.! .;1 S)'. i 15)!1. S5CODE IN Ill;i);0 Y r c } � 1jo'.)';}". tt::;)rr 1-i. f (.. l.ft'it.. C3'o�`r A IV i5 Ei V( (C) La4(':1' 1 A.i.. !:it ))`-4—.1-i .::ra i 'f ' i.'•ri ?. r x�,q. {I;'Ii,-ii r' f ,;((} 'G: f. r .. atx C°I ;i•.:,,, iiii. DRIVER TRUCK NO, i; v.::. ORDERED BY REMIT PAYMENT TD SUB -TOTAL 912510th AVE, S. DISPATCHER TAX CODE WA TIME DUE SEATTLE, WA 9$1O$ 1 7:l u -TERMS ON REVERSE SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY'BNCC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY QIF MATE_RIAIsS AB61 -, DETAILS ON REVERSE. (ISTED JJ ii e_ p5? CUSTOMER SIGNATURE: ;i 1 TOTAL AMOUNT, PRINT NAME DATE REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 99100 • (206) 762-2566 Kangley Rook & Recycling Locations KANGLEY PIT (Plaid 21) 3250(1SE Kenl•KanglAy Rd., RAvonsdaid, WA 98051 BLACK RIVER Mani Y 22) - (206) 659.0912 510 Honer Rd. WW1, WA 96055 LAKE FRANCIS (Mord 23) - (206) 1350•0872 22501 SE Lake Francis Rd. Maple May, WA 96038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation MAP LOCATE DATE LEAVE PLANT CUSTOMER NO. 161601 CUSTOMER NAME r,` OS ADDRESS A CiG ORDER NO. 63(1984 17877 Cedar Grove Rd. GE, Maple Valley, WA 98038 Pled 220 - (206) 858-0913 11‘; ECIAL INSTRUCTIONS AVE JOB CUSTOMER P.O. DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 760-1000 JOB NO. ARRIVE PLANT PLAN DE VERY TICKET NO. COLLECT ON DELIVERY (C.O.D420792 0 CASH 1:1 CHECK *I CARD # 0 VISA 0 CHARGE EXR 0 MASTERCARD 0 DISCOVER t7iv:33, DRIVE I Cr0 K NO. 1 -114 RC i3SE. CFIS A-13 T ENVHONMENIAL SURCH ORDERED BY DISPATCHER AXCODE 7:51-1 DUE 31 -0'3 31.03 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 ~TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES T HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INO..E0R-A,),IY DAMAGE TO REAL OR PERSONAL PROPERTY CAUSED BY bELIVERY OF MATERIALS LISTEO.ABOVE:IIMILS ON REVERSE. CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE 3; 3 TOTAL AMOUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 WA 99 08 TENTH •SOUTH 2 SE)) 762-2586 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, Kangley Rock & Recycling Locations KANGLEY PIT (Plant 0 21) 32500 SE Kenl-Kengley Rd-, Revans al �012 9110S1 BLACK RIVER (Plant N 22)- (206) 510 Monster Rd. Renton. 1YA90055 LAKE FRANCIS (Plant ! 23) • 1206) 0.'+8.0022 22501 SE Lake Francs nu. Meple Veiny, WA99039 INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Meple Valley, WA 88038 Plan? 120 - (208) 658.0913 MAP LOCATE LEAVE PLANT ARRIVE JOB DATE CUSTOMER NO. ORDER NO. PROJECT CUSTOMER NAME ),;kit'. 08 ADDRESS AGG 1f'... !AtiONAs•(. i i!r t :1iI PECIAL INSTRUCTIONS DRIVER PRODUCT CODE TRUCK NO. 117.1-02 DISPATCHER COD ORDERE TI RELEASE — CUSTOMER RELEASES AND AGREESfTO. OF GARY MERLINO CONSTRUCTION COMPANY, INC, CAUSED BY DELIVERY OF MATERIALS USTED ABOVE/. CUSTOMER SIGNATURE PRINT NAME REV 04-2009 EAVE JOB CUSTOMER P.O. E3 CASH ❑ CHECK CARD 0 EXP, 0 VISA 0 MASTERCARD 0 DISCOVER 1 JOB NO. DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK i2O6) 76H-1000 ARRIVE PLANT PLANT IJ DELIVERY TICKET NO. COLLECT ON DELIVERY (G.O,D.) 120826 0 CHARGE DESCRIPTION ' TONS 1 ' I/ A- 8' b Y REMIT PAYMENT TO 912510th AVE. 5, SEATTLE, WA 98108 `TERMS ON REVERSE • ,vaD (lAR , S KANGLEY ROCK & RECYCLING, A DIVISION FOR ANY -DAMAGE TO HIS REAL OR PERSONAL PROPERTY AILS ON REVERSE. DATE SALES TAX BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 90108 • (206) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. MAP LOCATE LEAVE PLANT Kangley Rock Recycling Locations KANGLEY PIT (Plante 21) 32500 SE Kenl•Ken9toy Rd., Revonsdate, WA20051 BLACK RIVER (Plant l:22) - (206) 658•0912 510 Monster. Rd. Ronlon, WA 90055 . . LAKE FRANCIS (Plant Y 23) - (206) 858-0872 22501 SE Lok0 Francis Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation t7077 Ceder Grove Rd. SE, Maple Valley. WA 98038 Plenl 820 - (20B) 658-0913 ARRIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2356 SALES & RDER DESK (206) 768-1000 ARRIVE PLAIT DATE t1 CUSTOMER NAME ' 1`r' I' : ,l JOB ADDRESS tjxl.;i ii{ty31l7 E_aI', CUSTOMER NO. t':T 51,1 ORDER NO. PROJECT PECIAL INSTRUCTIONS PLANT CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. COLLECT ON DELIVERY (C.O.D.) 102 O CASH CARD fi EXP. ❑ CHECK 1i D CHARGE 0 VISA 0 MASTERCARD 0 DISCOVER UANTITY ;U DRIVER DISPATCHER PRODUCT CODE TRUCK NO. 1�- TAX COD RELEASE CUSTOMER RELEASES AND MR OF GARY MERLINO CONSTRUCTION CO MP`! CAUSED BY DELIVERY OF MATERIALS 1 IS ITA CUSTOMER SIGNATURE PRINT NAME DATE DESCRIPTION i 1i4.1:1; L S 1 RDEREG BY TIME DU TO )tip oo REMITPAYMENT TO 9125.1 0th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE HOLD HARMLESS'KANOLEY ROCK EIL RECYCLING, A DIVISION FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY DETAILS ON REVERSE. REV 04-2009 TOTAL UFVIT PRICE Al • OUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96106 • (206) 762-2566 A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC. Kangley Rack & Recycling Locations KANGLEY PIT (Plant ► 21) 32500 SE Konl-Kengkey Rd, Revensdale, WA 98051 BLACK RIVER (Plant I22) - (206) 658.0812 SID Mosier Rd. Renlon, WA 98055 LAKE FRANCIS (Plan) 123) - (208) 658.0672 22501 SE Lake Fronds Rd. Maple Valley, WA 05038 Cedar Mountain Reclamation 17877 Ceder Grove Rd. SE, Maple Vann WA 98038 Plans ►20 - 12061658-0813 DELIVERY TICKET ACCOUNTING (206) 702-2566 FAX (206) 762-2358 SALES & ORDER DESI< (205) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER O. PROJECT PLANT JJ CUSTOMER NAME 'iV," T'c':r"ahi};:i=.:�. �ii:i; CUSTOMER P.O. ;�l0"11= JOB NO. !1.r.:1; DELIVERY TICKET NO. ',il; .. JOB ADDRESS rt .:X_., ;Mi ceft;A I+,J aM..1-i. ',,° ,1 J5..00'1 COLLECT ON DELIVERY (C.O.D.) 120955 0 0 CHECK # D CHARGE A 3 ,:. CASH EXP.. / .: CARD # 0 VISA El MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY U.M. T DESCFilPTION4 R RcOoDnUFC TONS. TOTAL UNIT PRICE AMfiUNT;,'A `i,l :`i ; i t i`3 .. ia 'Sli'4i t .t btl (i f t' i ii( llir -'t1.i,)',.r 4 -.I ; !i?' OR ry,^. s ,£] T pf�3 ItiC;p:G.�.S�' ::?-�i..> !1-i<:. c t t`".e ::T4VlR;]f�?i'oiEt4 Ai- `:AIF..1":i- .('are 435N 00 't't� :A1'.1' t J' S :: -r J 3©.6''� rt,yr , s3w7 "7t?i ,at .lC '1 (PO,;� t � DRIVER TRUCK NO. ,-f i;. ,, ORDERED BY IT PAYMENT TO 912510th AVE. S. SUB -TOTAL DISPATCHER TAX CODE WA TIME DUE - SEATTLE, WA 98108 , i t 1:0S `TERMS•ON REVERSE 4 SALES TAX RELEASE — CUSTOMER RELEASES OF GARY MERLIN()CONSTRUCTION AND AGRFES'TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION COMP JY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTS ABOVE DETAILS ON REVERSE CUSTOMER SIGNATURE :. �r ----- -- TOTAL ` PRINT NAME l DATE AMOUNT REV 04-2008 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING; 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMP Y, INC. Kangley Rock & Recycling Locations KANOLEY PIT (Plaid I21) 32600 SE Kenl-Kangley Rd., Ravenedela, WA98051 BLACK RIVER (Plant 8 22) . (208) 650.0912" 510 Mansler Rd. Rankin, WA 98055 LAKE FRANCIS (Plant 8 23) - (208) 958-0872 22501 SE Lake Fain&. Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17877 Ceder Grove' Rd. SE. Maple Valley WA98038 Plant 420 - (206) 85B-0913 DELIVERY TICKET . ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK L206) 766-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE iti:7'y; sf.,% (..) CUSTOMER NO. i3-}t� F1 ORDER NO. B ii Z3l3'i�1%' PROJECT PLANT II i $ CUSTOMER NAME i' I t'tr "I i q;a ftcl1 P i I( CUSTOMER P.O. t,1'� JOB NO. ti i_? 7 DELIVERY TICKET O. 1 :II:), ;' JOB ADDRESS iY r 'IA ( `<` ; , . .. z� COLLECT ON DELIVERY(C.O.D.) $ OCI3 0 CASH ❑ CHECK It 0 CHARGE ,1 jl: '-;fi' EXP. _: • 7 CARE)/ 0 VISA 0 MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY ._ U;M. PRODUCT: DESCRIPTION h CODE TONS.,< . TOTAL a ` UNIT PRICE AMOUNT« M y2,Y.6 .. yr 7% t firr'.'IO 4 N TOO i -1./4 '2 1313E CRS A8J ,. 5.. 'i VSP 7F4)slk`6V2 i AL .. W .! .r'i ."� ). to•{,f !:.i,2, 3;8 32. 8 f DRIVER TRUCK NO ORDERED 13Y . , REMIT PAYMENT TO 12510th AVE. S. ` . SUEt-TOTAL. DISPATCHER TAX CODE � 1 1 lME DU SEATTLE, WA 981t1 i�- E 01 TERMS ON REVERSE `. SALES TAXRELEASE — CUSTOMER RELEASES AIL e OF GARY MERLINO CONSTRUCTION NDP NYSINC. TOH OOLD R ANY HARDAMAGE TO HIS REAL OR PERSONAL PROPER TYBALANCE .:1T'i'E) ABOVE. DETAILS ON REVERSE. CAUSED BY DELIVERY OF MATERIALS FORWARD .".' CUSTOMER SIGNATURE, : r ;'. " TOTAL PRINT NAME J ..° f i, DATE. AMOUNT <: REV 04.2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 782-2580 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANOLEY PIT (Plant I 21) 32500 SE Kent-Kangley Rd., Ravens&le, WA 98051 BLACK RIVER (Plant 0 22) • (208) 658.0912 610 Monoter Rd. Renton, WA 08055 LAKE FRANCIS (Plant 29) - (28) 650.0872 22601 SE Luke French Rd, Maple Valley, WA 96038 Cedar Mountain Reclamation 17877 Cede( Grove Rd. SE, Maple Valley, WA 98038 . I2f1 aaa.fl913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE .............. LEAVE PLANT ,---, - — ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO, ORDER NO. PROJECT PL&NT CUSTOMER NAME ,68.,k.,,,:t' CUSTOMER P0. JOB NO. DELIVERY TICKET NO. JOB ADbRESS " COLLECT ON DELIVERY (C.O.D.) 121042 0 CHARGE f AC. 0 CASH 0 CHECK # EXP. CARD # SPECIAL INSTRUCTIONS a VISA a MASTERCARD 0 DISCOVER Cl.0A-INJTITY U.M. , P TS;i tECT DESCRIPTION TO ..TOTAL UNIT PRICE :FeKt (I 11/4 RC 13SE CPS 0,- 1K; T 6 FIVROWIE.1-1At ii.)rel 43.504,0t) fri.E ; `'i I 31.0 .„.f ! I 44.14 ;.;' :;!) ()*. , DRIVER TRUCK NO. - ORDERED BY ' REMIT PAYMENT 9125 10th , TO , .• SUB -TOTAL , AVE. S. . . DISPATCHER TAX 0 WA TIME DUE . SEATTLE, ' 12:54 TERMS ON WA 98108 REVERSE SALES TAX RELEASE — CUSTOMER RELEASES OF GARY MERLiNo CONSTRUCTION AND AGREES COMPANY, TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DMSION INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD. CAUSED BY DELIVERY OF MATERIALS LISTED ABOV1, DETAILS ON REVERSE. 1 /''''' CUSTOMER SIGNATURE .-- TOTAL PRINT NAME AMOUNT . .., DATE , REV 04-2009 , • - CUSTOMER COPY ANGLEY OCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 88108 • (206) 752-2568 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant I 21) 32.500 SE Konl-KaNaixy Rd„ RrivanadaIa, WA E18051 BLACK RIVER (Plnat* 22) - (200) 5590912 510 Manatee Rd. Renton, WA 08055 LAKE FRANCIS (Plant 23) • (200) 8513-0072 22501 SE Lake Fra lulu Rd. Maple Vale*, WA 99035 Cedar Mountain Reclamation 17077 Cedar Grave Rd. SE, MapIa Valloy, WA 98038 Plant 020 - (205) 558-0913 DELIVERYTICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 758-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAV JOB ARRIVE PLANT DATE. [CUSTOMER NAME JOB ADDRESSIt .. CUSTOMER NO, 11.M) I ORDER NO. 6?6914:14 PROJECT SPECIAL INSTRUCTIONS CUSTOMER P.O. 'V;171(:i PLANT # JOB NO. DELIVERY TICKET NO. 1,f71,3 COLLECT ON DELIVERY (C.O.D.) 121083 CASH DCHECK# 0 CHARGE CARD # EXP. / VISA MASTERCARD 0 DISCOVER IPUANTITY U.M. DRIVER PRODUCT CODE H51) TRUCK NO. (125? ' . DESCRIPTION TONS TOTAL UNIT PRICE -1111 fiSE CRS ElsIVIRONMENT .SURC.11',\14(i1' ORDERED BY DISPATCHER TAX CODE TIME DUE HELEASE — CUSTOMER RELEASES AND AG hp TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION E OF GARY MERLINO CONSTRUCTION COMP NY. INC. romANy DAMAGE TO HIS REAL OR PERSONAL PROPE CAUSED BY DEU VERY OF MATERIALS UsT p YAI;1 OVE. DETAILS ON REVERSE. CUSTOMER SIGNATURE PRINT NAME DATE REV 04-2009 REMIT PAYMENT TO 9125 10ttl AVE. S. , AMOUNT (-7;e2i1()S:i SUB -TOTAL SEATTLEWA 98108 . `TERMS ON fiGUERGE SALES TAX BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING. ACCOUNTING: 9125 TENTH AVENUE SOUTH. SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEV PIT (Planl # 21) 32500 SE Kcill-KonnIoy Rd, Rovenscluto, WA 98351 BLACK RIVER (Plimil t 22) - (205) 055-0712 510 Monster Rd. RenIcrL WA 98055 LAKE FRANCIS (Plani I 23) • (206) 658,0372 22501 SE Laka Francis lid, MBA, Valley, WA 98039 Cedar Mountain Reclamation 17877 Cellar Grove Rd. SE, Maple Valley, WA88038 Rani #20 - (205)056-09f 3 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK c_22g 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. fr.:ciFiCrt ORDER NO. PROJECT PLANT I? CUSTOMER NAME ijv JOB ADDRESS N.:A; KIERNAllONIV.. 131 Vf) 1.1./ SPECIAL INSTRUCTIONS JOB NO. ; CUSTOMER P.O. DELIVERY TICKET NO, lit COLLECT ON DELIVERY (C.O.D.) 121178 El CASH 0 CHECK II DCHARGE CARD # ID VISA 0 MASTERCARD 0 DISCOVER UANTITY DRIVER PRODUCT CODE 00 TRUCK NO. f.'17 I DESCRIPTION TONS 0T9TAL UNIT PRICE AMOUNT 1- U c:;14,S A r AL ; 440.00- ! 46 441.420 BY DISPATCHER TAX CODE TIME DUE ,•\ RELEASE — CUSTOMER RELEASES AND AGREES T,6 H OF GARY MERLINO CONSTRUCTION COMPANY, gym ,F0 CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE/DET CUSTOMER SIGNATURE PRINT NAME HARMLESS KANG ANY DAMAGE TO 1,LS ON REVERSE. REMIT PAYMENT TO 0125 1011) AVE. S. SEATTLE, WA 9131013 TERMS ON REVERSE Y ROCK & RECYCLING, A DIVISI) S REAL OR PERSONAL PROPER N DATE REV 04-2009 SUB -TOTAL, SALES TAX BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 A DIVISION OF GARY MEFILINO CONSTRUCTION COMPANY, INC. Kengley Rock & Recycling Locations KANGLEY PIT (Plant 0 21) 32500 SE Kent-Kan0lcy Rd„ Ravanadole, WA 90051 BLACK RIVER (Plant Y 27) • (206) 656-0912 610 Mailer Rd. Renton, WA 98055 LAKE FRANCIS (Mani / 23) • (20e) 658.0672 22501 SE Lake Francis Rd. Maple Valet', WA 9803E Cedar Mountain Reclamation 17877 Cedar ChM Rd. SE, Maple Valley, WA90038 Planl 120 - (208) 658-0913 , DELIVERY TICKET ' ACCOUNTING (206) 762-2566 FAX (20G) 762-2350 SALES & ORDER DESK (206) 766-1000 LOCATE LEAVE PLA ARRIVE JOB SAVE JO ARRIVE PLANT DATE CUSTOMER NO. ORDE 0. (� •t 72 PROJECT CUSTOMER NAME CUSTOME P. OB NO. PLANT A DELIVERY TICKET NO. JOB ADDRESS 111GG {NI V.;'r'Ziy` tri.((fx Ps i'Af ( PECIAL INSTRUCTIONS COLLECT ON DELIVERY (C.O.D.) 121225 ❑ CASH ❑ CHECK # ❑ CHARGE CARD # EXR' D VISA 0 MASTERCARD 0 DISCOVER DRIVER SPATCHER PRODUCT'. CODE TN fib TRUCK NO. Iiw?yn DESCRIPTION TOMS TOTAL UNIT PRICE AMOUNT,, "{ -.' {.y ;.: s ,1 18.3 . t:N ')ii1. lti("t(:;N ;' AL. . 1.+.1-4C —1 ORDERED BY TAX CODE TIME DUE RELEASE — CUSTOMER RELEASES AND AGREES TO OF GARY MERLIN() CONSTRUCTION COMPANY, INC CAUSED BY DELIVERY OF MATERIALS LISTED ABO.1 CUSTOMER SIGNATURE 31.9„3.. REMIT PAYMENT TO 9125 10th AVE, S. SEATTLE, WA 9810B ' TERMS ON REVERSE D HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION -ANY DAMAGE TO HIS REAL OR PERSONAL PROPER II1S ON REVERSE. -` `(u�`' PRINT NAME r '; t DATE REV 04-2009 TOTAL AMOUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, IN Kengley Rock & Recycling Locations KANGLEY PIT (Flue 121) 22500 SE Kent•Kanflley Rd., Ravenedale, WA 98061 BLACK RIVER (Plant 8 22) - (206) 050-0912 610 Manslor Rd. Ramon, WA 88055 LAKE FRANCIS (Plan( I 23) - (208) 858.0872 22501 SE Lake Fronde Rd+ Maple Valley, WA 98038 c. Cedar Mountain Reclamation 17877 Cedar Greve Rd. SE, Maple Valley, WA 98038 Pfanl /20 - (206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLA15T DATE >„ ,r:'It?, CUSTOMER NO, •d.,.- ORDER NO, R PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS AGG'N,.r::.;""diVfl*'..-[`fiA)..NAIL! c',6IH.., COLLECT ON DELIVERY (C.O.D.) 121291 0 CASH ❑ CHECK # ❑ CHARGE CARD # EXP. ❑ VISA 0 MASTERCARD 0 DISCOVER SPECIAL_I,NS't (UGTIONS.,-.- ---- -1-? --- , ; ('i AMA(..: iN i _(aAF..' QUANTITY r j" ) ;1 . a"� S7C ,% i2 iit,:, U.M. i;ic. PROCODEDUCT j ,• l h-i1 Ill �t1 i .i; t DESCRIPTION 6 p f Tip N'C•E S r+ 12 i'{ E ' t.'�t F`4 t-" '.:',:y!'t�, 1:..•, _i 6'i• LC1.` • £' f-t` 4 (i ((,il',ltJj(:$a ({1(_ I.,(i :{..("( 3,w 4:3440.OL TONS s}E �.. " 1 iB':,;•,.. • t 1, • L d • Y�r ., TOTAL •� ;? N UNIT PRICE !i' €p�.) 4 `2+.:') ra AMOUNT DRIVER TRUCK NO. . t-r,•t ORDERED BY REMIT PAYMENT TO "' SUB -TOTAL • , 9125 10th AVE. S_ DISPATCHER TAX CODE E D JE SEATTLE, WA 98108 • • TERMS ON REVERSE ' SALES TAX RELEASE — CUSTOMER RELEASES AND AGREE TO HFj 4D'f1ARMLESSI ANQLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANON -jj $R ANY DF MAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS USTE( :ABO' E. ETAILSSON•REVERSE. _ ___ ___ ._--.__.., . CUSTOMER SIGNATURE TOTAL • _ _ AMOUNT PRINT NAME ; '." `(—' A . DATE t T REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING • Kangley Rock & Recycling Locations KANGLEY PIT (Mani 21) 32500 SE Kerd•Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant 0 22) - (206) 858.0912 DEU VERY TICKET __ _ _ _ _ . _ triu monster rw. neaten, Ywkedua SEATTLE, WA 98108 • (206) 782-2566 LAKE FRANCIS (Plant *23) - (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 89038 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY INC, Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valtay, WA 98038 Plant #20 - (206) 658-0913 ACCOUNTING (206) 762-2568 FAX (206) 762-2350 SALES & ORDER DESK (206) 760 1000 MAP LOCATE LEAVE PLANT ARRIVE OB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. n 71 '173 PROJECT PLANT JI , CUSTOMER NAME ; •-q-f y ii,J:t A,t':—..' ....: I Cs, kJ' CUSTOMER P.O. '4.011':,` JOB NO. '.i'..1 DELIVERY TICKET NO. •':'-'., I ' .,., '1 JOB ADDRESS AGG: INTERMATIO14:15\i , fl',4 '111.) .''., iti.al. H ' * COLLECT ON DELIVERY (0.0.D.)121332 0 CASH El CHECK 41 0 CHARGE ::•,1-1, i Ae- CARD # EXP. 1 : 0 VISA 0 MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY U.M. PRe°0DEVECT DESCRIPTION ' TONS s k.. UNIT PRICE AMOUNT ' .;011- 550 I N MO iit 00 Lt.) 1-114 RC.1.3'.3.F1,..:Fe..!; ik- if.r.'.1 '1; :f.; 1:-:-,i.VIRONMENTAi ':31)E,tc.t f aro 43,1:10 00 j3F2.TOTAL 31.76 i , 6,1I.;*;: ,3:,,-,,Y,,<51 DRIVER TRUCK NO. Cf;"/11,:;t; ORDERED BY REMIT PAYMENT ... . 9125 1011) TO AVE. S. ' SUS -TOTAL . DISPATCHER TAX CODE PIA TIME DUE SEATTLE, WA 1 ,p.. 3 TERMS ON 98108 REVERSE • • SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES.TO HOLDHA MLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY mERLINo CONSTRUCTION GOMPANVINCI.FOR,ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED Ae0v0ATAts ON REVERSE. BALANCE FORWARD CUSTOMER SIGNATURE 44 ' . TOTAL _,...• i \ PRINT NAME 1" I/ *\-*-'''...--' DATE AMOUNT • REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 782-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. AP LOCATE DATE CUSTOMER NAME USTOMER N :till VE PLA ORDER NO. r2 Kangley Rock & Recycling Locations KANGLEY PIT (Plan)121) 32500 SE Kenl-KanpleyRd„ Ravensdele, WA95951 BLACK RIVER (Plant /22) • (206) 658.0912 510 Monster Rd. Renton, WA 98055 LAKE FRANCIS (Pla) t23) - (206) 658-0872 22501 SE Lake French Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17877 Ceder Grove Rd, SE, Maple Valley, WA98038 Plan) /20 - (206) 658.0913 ARRIVE JOB PROJECT CUSTOMER PA. OB NO. DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (20E1768-1000 ARRIVE PLANT P DELIVERY TICKET NO. JOB ADDRESS 6,.pie,' SPECIAL INSTRUTJQSjS -. COLLECT ON DELIVERY (C.O.D,)121359 ❑ CASH ❑ CHECK # ❑ CHARGE EXP. CARD N 0 VISA ❑ MASTERCARD 0 DISCOVER QUANTITY. U.M. ',DRIVER PATCHER PRODUCT CODE TRUCK NO. DESCRIPTION • TONS !3SE {.r i-tS - 8'3 I 1:: °;lit(a"15.)}' is•j%.:. T4CN.Sl,)f"'1t; ORDERED BY TAX000E TIMEOUE 1015c_ ELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KA F GARY MERLINO CONSTRUCTION COMPANY. INC. FOR ANY DA . _- AUSED BY DELIVERY OF MAI hHIALS USTEDABOVE. DETAILS ON RC USTOMER SIGNATURE PRINT NAME REV 04-2009 REMIT PAYMENT TO 9125 1Oth AVE. S. SEATTLE, WA 98108 - • TERMS ON REVERSE - ROC) & RECYCLING, A DIVISION RETL-OR PERSONAL PROPERTY DATE TOTAL UNIT PRICE BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kangley Rock & Recycling Locations KANGLEY PIT (Plant 0 21) 32500 SE Kant•Kangley Rd., Ravenadele, WA 98051 BLACK RIVER (Plant 0 22) • (206) 658.0912 510 Monster Rd. Renton, WA 98055 LAKE FRANCIS (Plant 23) • (206) 058.0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant 020 -12rXi 650-0913 DELIVERY TICKET ACCOUNTING (206)762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 70-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. 114:171 7';) PROJECT PLANT 8 .= CUSTOMER NAME lL.):". !):0r4_,242.:, ,,E.,.' .1 ;i.i, CUSTOMER P.O. 1,. '* if' JOB NO. DELIVERY TICKET NO. JOB ADDRESS A.s.'*.i..1 I) t. t t•,,,•11A 1 i' )14:11:,ti . t3i .\11.4. ..t!.., tt,:,t) t t—Lt ._ . , COLLECT ON DELIVERY (C.O.D.) 121412 0 CASH 0 CHECK # 0 CHARGE :•1t1•JITAi". E>CF'. CARD # El VISA I:3 MASTERCARD CI DISCOVER SPECIAL INSTRUCTIONS QUANTITY U.IVI. PRODUCT DESCRIPTION C DE TONS UNIT PRICE A IMOUNT O..4'.I,'..-t l'i'll 4:;;) l'ilt A; /.1 1 -1/ 4 i'i(-, .1_:'E-, (-.11;',:.‘i A. 11)1i r 1,-) i1*,,`•tviti-,-1.()1"•\11,,,IE1-41 /1,1 .{,c, 4:.;440':..:',0 lP1.-"- '... 1.1.1) 131;3 30.89..„..( 13 • 1'4, yt 3 10 • DRIVER TRUCK NO. t:. r:;•:t.::,i ORDER BY REMIT PAYP#ENT TO 9125 10th AVE. S. - SUB -TOTAL . DISPATCHER TAX CODE TIME DUE , SEATTLE, WA 98105 TEFIIVISON REVERSE • • SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD 1-1ARniccebs KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANKf„DANIAGE10 HIS REAL OR PERSONAL PROPERTYBALANCE FORWARD CAUSED BY OEUVERY OF MATERIALS USTED ABOVE. DETIIIS1,1 REVERSE. ..4...,?......--- : CUSTOMER SIGNATURE /.....--' ' I TOTAL / AMOUNT PRINT NAME i DATE REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant 21) 32500 SE KenI-Kangley Rd., Ravenedale, WA (most BLACK RN/ER (Plan( 0 22) - (206) 658-0912 610 Mosier Rd. Renlon, WA 98055 LAKE FRANCIS (Plant 23) - (206) 658.0872 225018E Lake Francis Rd, Maple Valley WA OB038 Ceder Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley. WA 98038 Plant 020 - (208) 858-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2353 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. ,:e; PROJECT PLANT # CUSTOMER.NAME ' CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS" ' \ ' ' " ' ' ''''''' 1"; !..1-11:111\likiirtNIN Pi! \in S, I .1111-1 • COLLECT ON DELIVERY p.o.D.t 21598 0 CASH 0 CHECK # 0 CHARGE •;:.;'EATA.c..: CARD # EXP. / SPECIAL INSTRUCTIONS CI VISA D MASTERCARD 0 DISCOVER QUANTITY U.M. PFT0DDUECT DESCRIPTION * TONS TOTAL ot UNIT PRICE AMOUNT 31 .93 31.93 .' Gift .'i .`•• I 07: 1 i'.4 1:•:•!;1) TN 700 • (30 00 ol,) f 'NIA. 1.31,-..;E 1..:RN A. 11.-i",:.1 :7 ''.-: ENVIRONIvriT At_ ':14..IC; . i a r o 43500.00 tqJi--.- ; '..-1.9:.!i. . 31.93; •1.- ' / ,•0 • ..; .. • * Ni ..13 . t3:31;v:i0.'1; • , a E DRIVER TRUCK NO. r,i1-...1,•;,i ORDERED BY REMIT PAYMENT T SUB TOTAL . . 9125 10th AVE, S. DISPATCHER TAX CODE WA TIME DUE SEATTLE, WA 9E1100 3 'f:f.)fi TERMS ON REVERSE - SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES T 'HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MEFILINO CONSTRUCTION COMPANY, IlkI ,! FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS USTED AN. DETAILS ON REVERSE. CUSTOMER SIGNATURE TOTAL .. .. ,..--.- . - AMOUNT PRINT NAME ..' i1 DATE ' REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH • SEATTLE, WA 96108 • (205) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (plant/ 21) 32600 SE Konl•(anpfey Rd., Ravensttale, WA 98051 BLACK RIVER WWI 22) - (206) 658-0912 510 McKellar Rd. Renton, WA 080S5 LAKE FRANCIS (Plant I 23) - (2OB) 858-0872 22601 SE Lake Francis Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant 820 - (206) 858-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE Aft CUSTOMER NAME CUSTOMER NO. iMir;r4 t ORDER NO. PROJECT CUSTOMER P.O. JOB ADDRESs ' • ' ""I • " VI) 1tr;TP SEA' 'IA SPECIAL INSTRUCTIONS 0 CASH CARD # JOB NO. PLANT N DELIVERY TICKET 'NO. — _ COLLECT ON DELIVERY (C.0.0)121644 0 CHECK # 0 CHARGE EXP. 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY U.M. PRODUCT: CODE ; DRIVER TN t3f-10 TRUCK NO. 1.114 11C .13SE (11:1S'; A- I lfal .1..rirT DERED BY DISPATCHER TAX CODE TIME DUE .41 r, RELEASE — CUSTOMER RELEASES AND AGREES TO I-10w H411MLESS KANOLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR A DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED I3Y DELIVERY OF MATERIALS LISTED ABOVE. DE AI ,N REVERSE. 24 31.242' CUSTOMER SIGNATURE PRINT NAME REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 9810B TERMS ON REVERSE • DATE :.TOTAL. REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 762-2588 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANOLEY PIT (Plant 21) 32500 SE Kant-Kanaley Rd., Ravansdaie, WA 98051 BLACK RIVER (Plant 22) - (206) 659.0912 510 Monsler Rd. Renton, WA 98055 LAKE FRANCIS (Plant 0 23) - (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 98030 Cedar Mountain Reclamation 17677 Cedar Gann Rd. SE, MapIe Valley, WA 0803B Plant 020 - (20E0 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 766-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE i• '.';',',.' '1.1.4)1 .4. CUSTOMER NO. ORDER NO. PROJECT PLANT il CUSTOMER NAME ! fl -•..= 't t.-,',,N'.. 1 '!"-1,,. II:Jr CUSTOMER RO. gv-, iv' JOB NO. '21 '::',' , DELIVERY TICKET NO. -: JOB ADDRESS' AGG - IN TI.:.'RNIA.11):1)Nic 130,4) Pi iY,IF t- t COLLECT ON DELIVERY (C.O.D.) 121705 0 CASH 0 CHECK # 0 CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS 0 VISA 0 MASTERCARD 0 DISCOVER : QUANTITY U.NI. PICODE . , . . ' DESCRIPTIONTONS ' . TOTAL UNIT PRICE /1 k - ANKAINT ',.."ri 24 ::t I ?it i i 1 trit'-:f. f N 050 IN /00 80,00 u0 I - 114 11C /3S.E. (IRS .1.; ...M 1 5 ENVittztatt.flvtENTAS,. ti I, JPCH 1 at.o. 4:3F1100 00 IPF ' 31.24 .,-.1:...t3ti 3 31.24.&-* )T Nit.: i 41 E.12480 et, . t i DRIVER I TRUCK NO. I rt ;2tt..t3 ORDERED BY ' REMIT PAYMENT . 9125 10th TO AVE. S. " SUB TOTAL ! DISPATCHER TAX CODE TIME DUE SEATTLE, WA -TERMS ON REVERSE 98109 ' SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TOrLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF OF GARY MERLINO CONSTRUCTION COMPApINCVFOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DEU VERY OF MATERIALS LISTEq ROVE: DETAILS ON REVERSE. CUSTOMER SIGNATURE ./...--.;"*, "., TOTAL AMOUNT PRINT NAME .-" DATE REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 782-2588 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY. INC. Kangley Rock & Recycling Locations KANDLEY PIT (Ploni I 21) 32500 SE Kont-Konaloy Rd., Ravensdale, WA 98051 BLACK RIVER Winn! I 22) - (20e) 8.58-0912 510 Monster Rd, Renton, WA 98055 LAKE FRANCIS (Plant I 23) (206) 858-0872 22501 SE Lake Francis Rd. Maple Valley, WA 9/3038 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98033 Plant 020 - (238) 858,0913 • DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DES (206)168- 1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE O272)W CUSTOMER NO. ORDER NO. 37353 PROJECT , PLANT # CUSTOMER NAME t f ri' fRrk.hr2, FR C CUSTOMER P.O. 19:1 fi JOB NO. 011,1`.?:1ii DELIVERY TICKET NO. JOB ADDRESS \Citti INTERIM -I ION& 1.3124D .- COLLECT ON DELIVERY (C.O.D.) 0 CASH CI CHECK 4i 0 CHARGE ., / /1 CARD # EXP. D VISA 0 MASTERCARD 0 DISCOVER , SPECIAL INSTRUCTIONS l._ f QUANTITY U.M. PnbDucT • . CODE DPO S RITIN • ' TONS • TOTAL it k UNIT PRICE ?.:n 71 :30 I I i ,..44-0.,,, 1,,4-i.,,0 IN IN Of, f320 i 1C4 7001') l'r OP c:CIURSE A 4 TYPE_ 1 FNIARONMEN }At i •:,,re AY:1(11,3 ( `) 10.71 ET 30 71 /A No f ..1,41:! 00 1DRIVER TRUCK NO. ORDERED BY -I" 1 tt"..N:•:;•;+.-.7 REMIT PAYMENT TO : 9125 10th AVE, S. SUS -TOTAL ' !DISPATCHER TAX CODE VIA 1 TIME DUE ` SEATTLE, WA 98108 11,11 , • TERMS ON REVERSE ' SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY. INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DRVILS ON REVERSE. CUSTOMER SIGNATURE • , 1, TOTAL AMOUNT • ;PRINT NAME DATE tlEv 04-2009 1 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2568 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, Kangley Rock & Recycling Locations KANOLEY PR (Plan; a 21) 32500 SE Koni-Konplay Rd., Ravansdam, WA 99051 BLACK RIVER (Kroll # 22) - (206) 8500312 610 Monster Rd. Renlon, WA 80055 LAKE FRANCIS (Planl I 23) • (206)658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 INC. Cedar Mountain Reclamation 17877 Cedar GrcNe Rd. SE, Maple Valley, WA 88038 Plant 020 - (208)858-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (2(16) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE P tOT • DATE ili71,":r 'if :741 (.4 CUSTOMER NO. 1 (4ciriAl ORDER NO. R',..'..:7221,4 PROJECT PLANT CUSTOMER NAME 1. 4. TH: CUSTOMER P.O. !F.',;,. ';': JOB NO. ',).1! DELIVERY TICKET NO. JOB ADDRESS AGG liTIERNA RONA( BI.Nr.I. ,F'. I I.',.0.- -.I COLLECT ON DELIVERY M.O.D.} 121765 0 CASH 0 CHECK # °CHARGE Sf.ATN:: CARD EXP. SPECIAL INSTRUCTIONS tt # 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY U.M. PRODUCT CODE DESCRIPTION° ' ' . : TONS ' TOTAL UNIT PRICE ,, :;ANIOONT',:' 31 2 I itsr.'"': 114 700 20 00 1- }1-4 RC l'...;;.::, CRS J. lif3?, I I 5 ENAVIONIA Elq I Ai . '1-.;.k4 P. 43600.00 (PE ', :14 21 / 31.21 / !,,/ .. . DRIVER TRUCKNO. i:'.f. ,8. ORDERED BY RENIIT PAYNIENT TO . 9125 10th AVE. S. . , SUB -TOTAL . DISPATCHER TM CODE TIME DUE ' SEATTLE, WA 08108 , 'TERMS ON REVERSE SALES TAX • RELEASE — CUSTOMER RELEASES AND AGREES TO HOLDHA,RMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FeiR. AN DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DEiTAMON REVERSE. „..:',;:„.. ----- CUSTOMER SIGNATURE ' TOTAL -........ - AMOUNT i PRINT NAME („ /- I /' * DATE I i CUSTOMER COPY KANGLEY ROCK & RECYCLING ;.: ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC, Kangley Rock & Recycling Locations KANGLEY PIT (Rant e 21) 32500 SE Kent•Kartgioy Rd„ Revensdate, WA 08051 BLACK RIVER (Plant 0 22) - (205) 558-0912 510 Monster Rd. Hanlon, WA 98055 LAKE FRANCIS (Plant 0 23) • (2081 658.0872 22501 SE Lake Francis Rd, Maple Valley, WA °Boa Cedar Mountain Reciamallon 17877 Cedar Grove Rd. SE, Maple Meilay. WA 98035 Plant 020 - (206) 658-0913 MAP LOCA ARRIVE JOB ME JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 ME PLANT DATE CUSTOMER NAME JOB ADDRESS Ai.:;(i • INTERN:Al IS USTO ER NO, I ORDER NO, 1:1!1:M9 OJECT SPECIAL INSTRUCTIONS 31 62 62 DRIV DISPATCHER PRODUCT CODE TN 40..C.1() CUSTOMER P. 10'111.: 08 NO. PLANT DELIVERY TICKET NO, COLLECT ON DELIVERY (C.O.D.) 121926 El CASH 0 CHECK # 0 CHARGE CARD # EXP. / 0 VISA 0 MASTERCARD 0 DISCOVER DESCRIPTION' , TONS . TOTAL UNIT PRICE AMOUNT - '114 RC:: C.RS A.113:71 a "cket # 2 966, 30.31 on. Requesting re TRUCK NO, ORDERED BY TAX CODE TIME DUE 1, • A 4t)0 00 9125 lDlh AVE. S. SEATTLE, WA 98108 -TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREESA0 HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY; INC. FOR ANY. DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED /WOVE DETAILS ON REVERSE ,;‘• REV I34-2000 CUSTOMER COPY BALANCE FORWARD TOTAL AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • •(206) 762-2566 Kangley Roc & Recycling Locations KANGLEY PIT' (Plan) it 2i I' 32500 SE Kent-K8n61ey Rd., Ravensdale, WA 98051 BLACK RIVER M#. g2)4206) 850.0912 4. 510 Monster Rd..Ronl6ri, WA 98055 - . • LAKE FRANCIS' (Plant,+123) t (208) 858.0872 22501 SE Leke Frands Rd. Maple Valley, WA 98038 A DIVISION, OF GARY MERLINO CONSTRUCTION COMPANY, INC._ . Ceder.Mountfln Reclamation ' • 17877 Cedar Grove Rd. SE, Maple Valley WA'98038 MAP LOCATE „: DATE CUSTOMER NAME °-,i! yr TRA 'LEAVE. PLANT.. CUSTOMER NO. sRae'C? Bi4f' JOB ADDRESS" ` • . AGO IN 1 FRN TIONAf 12, ORDER NO. .. 6372,89 Plant N20 ; (206) 658-0913 , •. , , . ARRIVE,J08 SPECIAL INSTRUCTIONS CUSTOMER CASH 'CARD # DELIVERY TICKET [ ACCOUNTING (206) 762-2566 FAX. (206) .762-2358 • SALES & ' :'ORDER DESK' _ (206) 768-1000 (ARRIVE: PLANT PLANT # P.O. DELIVERY TICKET NO. COLLECT ON pELI1tERV.(C.Q.D.) O CHECK # ❑ CHARGE JOB NO, . C) .MASTERCARD G] DISCOVER QUANTITY DRIVER DISPATCHER PRODUCT CODE TRUCK NO, • TAX CODE DESCRIPTION ORDERED BY TIME DUE REMITPAYMENT TO 9125101h AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE =- CUSTOMER RELEASES AND AGREES•TO HOLD HARli4T ^ NGL y ROCK'& RECYCLING, A' DIVISION OF GAR MERLINOCONSTRUCTION .COMPANY,ING:.FOR ANY DAMP AGTf7HIS REAL OR PERSONAL•PROPERTY BY CAUSED DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON�'s` . JE" S CUSTOMER. SIGNATURE t r 'PRINT NAME REV 04-2009 ;y. DATE INVOICE COPY AMOUNT TOTAL UNIT PRICE SALES TAX BALANCE FORWARD TOTAL AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTI • 9125 TENTH H SEATTLE, WA 9910BE • SOUS}762-2565 ADIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, MAP LOCATE CUSTOMER NAME ......,r; 't.i:?Aid+)!il 1:= JOB ADDRESS ';i:Ai SPECIAL INSTRUCTIONS QUANTITY DISPATCHER Kangley Rock & Recycling Locations KANGLEY PR (Mill Wal) W , n vesddeA 0A051 02500 SE Kanl•Kangl0Y Rd., Rnve s&le BLACK RIVER 'NAM* 22) • (2 ) T l0 Mangler Rd. Minton, WA00055 LAKE FRANCIS IPlanl C 33l • (= ) 658,0672 007a879Bfl38 22501 SE Lsku Franda Rd. ?AWL) NdloY, Cedar Mountain Reclamation 17877 Cadar CowlRd. SE, Maple V01laV, WA90039 ARRIVE JOB ORDER NO. ITV et) ORDERED BY TAX CODE TIME DUE WA 1 SS {fA' G ' EY ROCK & RECYCLING, A DIVISION Ca f0 ISEAL OR PERSONAL PROPERTY RELEASE GRY - CUSTOMER RELEASES AND N COMPANY, AGREES TO HOLD CAU OFFSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETA SE.0 Q i -i r CUSTOMER SIGNATURE PRINT NAME LEAVE JOB CUSTOMER P.O. I"`• �' COLLECT ON DELIVERY (C.O.D.)1 22185 0 CHARGE 0 CASH ❑ CHECK EXP. ❑ DISCOVER CARD * ❑ VISA DELIVERY TICKET ACCOUNTING �206) 762 206) 56 6 FAX 6 SALES & 20G 768-1U0C! ORDER DESK ( 7 00 RIVE PLA OB NO. DELIVERY TICKET NO. REV W. REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE CUSTOMER COPY RCARD GEFORWAR ARRIVE JOB PROJECT NGLEY ROCK & RECYCLING ACCOUNTING. 9125 TENTH AVENUE SOUTH SEATTLE, WA 96166 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. DATE 1111r.1(1•.2.t\ i CUSTOMER NAME JOB ADDRESS lActiCi INTERNATIMM, 1.50TH CUSTOMER NO. . 1.LAV:1,01.• Kangley Rock & Recycling Locations KANGLEY PIT [Plant I 211 32500 SE Koni-Kenlay p4..Ravensdato. WA 9fiCr51 BLACK RIVER (Pleat I 22) - (290) 050,0912 510 Monster Rd. Rankin, WA 911055 LAKE FRANCIS (Plant tr 231 - (209) 050-0072 flS01 SE Lake Fronds Rd. murAn yaw?, WA 98030 Cedar Mountain Reclamation 17077 Cadet Bravo Rd SE Moptu Volley, WA 99030 Plant 1/20 - (200 0513-0913 ORDER NO. Er.11,13.14 SPECIAL INSTRUCTIONS LEAVE JOB CUSTOMER PA. . . . COLLECT ON DELIVERY (C.O.D.) QUANTITY U.M. PRODUCT DEsoRIPTioN. t'Itt() I() I -1/ r4C fliGEJS A- IR3 -r TNE\JMEU-St)r-tf. TAX CODE TIME DUE VI1A ii*.52 RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD NARMLEss OF GARY MERLIN() CONSTRUCTION COMPANY; INC. FOR ANY DAMAGE CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS ON REVERS CUSTOMER SIGNATURE PRINT NAME 04-2 --C B NO. DELIVERY TICKET ACCOUNTING (205) 762-2566 FAX (2061762-2358 ORDER DESK (2101,17 5-11.100i SALES & ET NO. 12222°7 CHARGE 0 CASH 0 CHECK CARD It EXP. 0 VISA 0 MASTERCARD 0 otscovo • TOTAL \ UNIT PRICE • AtitIOUN • •- ....... ...„ 3012,..- • REMIT PAYMENT TO 9125 10tii AVE. S. SEATTLE, VVA 98108 - TERMS ON REVERSE LE'R;i(VECYCGt A DIVISION ig t. OR PERSONAL PROPERTY DATE TOMER COPY SUB -TOTAL. SALES TA)( — BALANCE FORWARD TOTAL AMOUNT ) NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH SEAmE, WA 98108 E•SOUTH•(208 62-2588 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. LOCATE CUSTOMER NAME LEAVE PLANT CUSTOMER NO. t i i!z'1 ORDER NO. Kangley Rock & Recycling Locations KANSLEY PIT (PIAn1 I 21) 32500 SE Kont•Knngley Rd.. R aven5Jele, WA 08051 SLACK RIVER (Perna 22) • (260) e59.0912 510 Horsier Rd. Renton, WA 00355' LAKE FRANCIS (Mond 123) • (200) 650-0072. 22501 SE:Litho Rondo Rd. Maple Valley, WA 95030 Cedar Mountain Reclamallon 17677:Cedar Grove Rd. SE, MAP] Valley, WA90030 Plant 920 • (20e) 858-0013 IVE JOB PROJECT J ADDRESS AO_* s 4) E t? 4)V I :( l rA. SPECIAL INSTRUCTIONS UANTITY HER U PRODUCT CODE EASE — CUSTOMER RELEASES AND AGREES T+_ F GARY MERLIN() CONSTRUCTION COMPANY, INC) AUSED BY DELIVERY OF MATERIALS LISTED ABOVE USTOMER SIGNATURE PRINT NAME REV 04-2000 DESCRIPTION /IF> .)N)vl 4) :41 'LEAVEJOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 766-11000 CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. COLLECT AN RELIVERY (C.O.D.) 122260 ❑CASH ❑CHECK.# 0 CHARGE CARD 1Y EXP. 1 1a VISA :1 MASTERCARD 1, 0 DISCOVER REMIT PAYMENT TO Si2510th AVE S. SEATTLE, WA 08106 TERMS ON REVERSE HAKANGLEY ROCK & RECYCLING, A DIVISION AAMAGE TO HIS REAL OR PERSONAL PROPERTY 'ON REVERSE. DATE CUSTOMER COPY TOTAL AMOUNT NGLEY ROCK & CYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE. WA 06108 • (206) 762-2568 A DIVISIO KangleyRock & Recycling Locations KANOLEY PIT (Plant A 211 32500 SE Konl•KnngkY ric ruwanSdnlc, WA 05051 BLACK RIVER (Flom ! 22)(2G6) 658-09 t2 510 Modeler Rd_ Rnnlnn WA 98055 LAKE FRANCIS (Plant A 0) • (208) 659.0072 22501 6E Leko Frnncln Rd. Mapto:VMny, WALDO1R OF GARY MERLIN() CONSTRUCTION COMPANY, INC Cedar`Mounlflln Reclamation MAP LOCATE LEAVE PLANT DATE I CUSTOMER NO. USTOMER NAME ORDER vc JOBAOORESS fk1.It:a iN±lGIN1(. t() 4P:a. 131:tl1).stA )�1 I7BT7 Cedar Glove Rd. SE, Maple VnIlny, WA 98078 Plant 820 • (20B) t 58-0910. JE PROJECT IAL INSTRUCTIONS UANTITY RIVER PROGIUCT CODE UCK NO. DISPATCHER TAX CODE DESCRIPTION LEAVE JOB CUSTOMER P.O. ❑ CASH OBNO. DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358� SALES & ORDER DESK i20G) 768 1000 ARRIVE PLANT PLANT p DELIVERY TI KET NO. C01.1 poy QN O UV RY {C.O.D.)122 09 ❑ CHECK # 0 CHARGE EXP. —� — CARD ❑VISA `0 MASTERCARD 0 DISCOVER ' TOTAL Cif S 3:31 is 1RQ h1E DUE 1` Ire 4.348000 RELEASE — CUSTOMER RELEASES AND AGi3,It T:Q OF GARY MERUNO CONSTRUCTION CQMPANY`11N0^ CAUSED BY DELIVERY OF MATERIALS eiSTEO ABOVE; / CUSTOMER SIGNATU PRINT NAME REV 04-2000 REMIT PAYMENT TO 9125 10th AVE S. SEATTLE,:WA 98108 TERMS ON REVERSE {11u UMLESS KANGLEY ROCK & RECYCLING, A DIVISION n-AN3 DAMAGE TO HIS REAL OR PERSONAL PROPERTY' AILS ON REVERSE: CUS10 :R COPY UNIT PRICE AMOUNT ICE FORWARD KANGLEY Kengley Rock & Recycling LocatlofE KANGLEY PIT (Plod R 21) ROCK & RECYCLING 72500 SE KoId•Knn;i0 Rd., Ramsdell), WA96051 BLACK RIVER IRlard R 22) • POO 6584912 ACCOUNTING? 9125 TENTH AVENUE SOUTH 510 'donator Rd. Renton, WA90055 SEAITLE, WA 98108 • (206) 782-2568 LAKE FRANCIS 22501 SE Lako Prtmdal Rd,2Maple Valley. WA 90009 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17102 r Gr 8eRd,83,MapleValey,WA08D38 C MAP LOCATE VE PLANT ARRIVE JOB LEAVE ACCOUNTING FAX SALES & ORDER DESK A DATE 111:")rVAI CUSTOMER NAME CUSTOMER NO, itiiL"srY:F' ORDER O. PROJECT CUSTOMER RO. O. JOB ADDRESS ICI.+i.:i •)litl(","•-!('ti: 1 Y)y1J`,!..i','ri_11f_S PECIAL INSTRUCTIONS QUANTITY U.M. DRIVE TRUCK NO. DISPATCHER TAX DE RELEASE — CUSTOMER RELEASES AND OF GARY MERLINO CONSTRUCTION C CAUSED BY DELIVERY OF MATERIALS U CUSTOMER SIGNATURE PRINT NAME REV 04-2008 0 CASH 0 CHECK€. EP PLANT A DELIVERY TICKET (206) 762-25190. (206) 762-2358 ) 768-11100 T DELIVERY TICKET NO. COLLECT ON DELIVERY (C.O.D.) 122343 ❑ CHARGE CARD* --- EXR 0 VISA CI MASTERPRRD, O DISCOV DESCRIPTION' TONS Y 11:31 REMIT PAYMENT TO 9125 101h AVE. S. SEATTLE, WA 95108 TERMS ON REVERSE EL'S TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DM61 2: FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPEF OVE'DETAILS ON REVERSE. DATE CUSTOMER COPY TOTAL UNIT PRICE SALES TAX TOTAL AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 + (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC Kangley Rock & Recycling Locations • KANGLEY PIT (Plant # 21) 32500 SE Kent-Kandley.Rd., Ravdnsdale, WA 98051 BLACK RIVER (Plant 8 22) - (206) 658-0912 . 510 Monster Rd. Renton, WA 98055 • LAKE FRANCIS (Plant # 23) • (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 C ?der Mountain Reclamation 17377 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant *20=(206)658-0913 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 ARRIVE PLANT DATE 10/02/2019 CUSTOMER NAME' ILIAD INC CUSTOMER NO. 422800 ORDER NO. JOB ADDRESS AGG -15045 INTERNATIONAL PROJECT TUKWILA SPECIPOiSTRUCTIONS CUSTOMER P.O. JOB NO. JUSTICE CENTER ❑ CASH CARD # PLANT* DELIVERY TICKET NO: COLLECT ON DELIVERY (C.O.D.) ❑ CHECK # 123227 ❑ CHARGE EXP, ! ❑ VISA ❑ MASTERCARD ❑ DISCOVER QUANTITY 13.01 1301 Gross U.M. PRODUCT CODE TN 69) TN 700 00.00 DESCRIPTION 0 . 1-1/4 PC BSE CRS A-1831 5 ENVIRONMENTAL SURCM 24060.00 TONS E ; 1301 J GE 13.01 TOTAL IJNIT PRICE 27.58 Net AMOUNT DRIVER TRUCK NO. TMPPTI8 ORDERED BY DISPATCHER TAX CODE WA TIME DUE 1 10:42 RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HAR OF GARY MERLINO CONSTRUCT . + OMPANY, INC. FOR ANY CAUSED BY DELIVERY OF MAT- IALS ISTED ABOVE. DETAILS CUSTOMER SIGNATURE' PRINT NAME REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON.REVERSE ESS KANGLEY ROCK & RECYCLING, A DIVISION AMAGE TO HIS REAL OR. PERSONAL PROPERTY REVERSE. SUB -TOTAL SALES TAX BALANCE FORWARD DATE REV D4-2009 TOTAL AMOUNT KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, IN - , KangleyRock & Recycling Locations KANGLEY.PIT (Plant # 21) .. 325)0 SE Kent-Kangley Rd., Ravensdale, WA 96051 BLACK RIVER (Plant # 22) - (208) 656-0912 510 Monster Rd. Renton, WA 98055 LAVE FRANCIS (Plant N 23) - (206) 658-0872 225 )1 SE Lake Francis Rd. Maple Valley, WA 98038 C. Cedar Mountaln Reolamatlon 178'7 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant #20 - (206) 658-0913 DELI TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 10/02/2019 CUSTOMER. NAME IUAD INC JOB ADDRESS AGG -15045 CUSTOMER NO. 422800 ORDER NO. PROJECT TUKWLA SPECIAL,.(ALSTRUCTIONS CUSTOMER P.O. PLANT 8 JOB NO. DELIVERY TICKET NO. JUSTICE CENTER 404250 123215 COLLECT ON DELIVERY (C.O.D.) ❑ CASH . a CHECK # ❑CHARGE CARD # ' ' EXP. I 0 VISA ❑ MASTERCARD ❑ DISCOVER QUANTITY 1457 14.57 Gross DRIVER PRODUCT CODE TN 52860 00 700 TRUCK NO. TMPPTl5 DISPATCHER TAX CODE A DESCRIPTION 0 .. 1-1/4 RC BSE CRS A-183 5 ENVIRONMENTAL SURCI ORDERED BY TIME DUE 1 1029 E 14 GE 14 REMIT PAYMENT TO 9125 10111 AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON F EVERSE. CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE /0 TOTAL UNIT PRICE 1.57 N . 29140.00 SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT AMOUNT KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC angley Rock & Recycling Locations NGLEY PIT (Plant,/ 21) 500 SE Kent-Kangley Rd., Ravensdale, WA 98051 CK RIVER (Plant # 22) - (206)'658-0912 - ` 0 Monster Rd. Renton, WA 98055 KE FRANCIS (Plant # 23) - (206) 658-0872 • 501 SE Lake Francis Rd. Maple Valley, WA 98038 -•ar.'Mountain Reclamation 1 877 Cedar Grove Rd. SE, Maple Valley, WA 98038 PI: nt #20 - (206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP'LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 10/02i2019 CUSTOMER NO. 422800 ORDER NO. PROJECT PLANT# 22 637748 CUSTOMER NAME. • H AD INC CUSTOMER P.O, JUSTICE CENTER JOB NO, 400250 DELIVERY TICKET NO. 123237 JOB ADDRESS . AGG-155045 INTERNATIONAL COLLECT ON DELIVERY (C.O.D.) 0 CASH O CHECK # 0 CHARGE TL1KYtiL1A CARD # EXP. /. SPECIAj�j1{STRUCTIONS t�"' 11,i 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY 14.56 14.56 Gross U.M. 56720.00 PRODUCT CODE TN 65010 TN 70015 DESCRIPTION .. 1-114 RC ENVIRONMENTAL Tare BSE CRS A-183 TYPE SURCHARGE 27600.00 TONS : 1456 14.56 TOTAL •� N' UNIT PRICE ► .14 29120.00 AMOUNT DRIVER TRUCK NO. 69125 ORDERED BY REMIT PAYMENT TO SUB -TOTAL 10th AVE. S. ____.. .__.. WA 98108 SEATTLE'S0 TERMSSALES TAX ON REVERSE DISPATCHER A_...._ TAX CODE YV �i Tl1 E DUE AAA 10 RELEASE - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS OF GARY MERLINO CONSTRUCTION COMPANY, INC. F R ANY DAMAGE CAUSED BY DELIVERY OF CUSTOMER SIGNATURE MATERIALS L�ABOVE. LS ON PEVERSE. KANGLEY ROCK & RECYCLING, A DIVISION TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD TOTAL PRINT NAME AMOUNT DATE REV 04-2009 KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC angley Rock & Recycling Locations NGLEY PIT (Plant i121)'.• 2500 SE Kent-Kangley Rd., ,Ravensdale, WA 98051 LACK RIVER (Plant.* 22) - (206) 658-0912 • Monster Rd. Renton, WA 98055 • KE FRANCIS (Plant # 23) - (206) 658-0872 1 SE Lake Francis Rd, Maple Valley, WA 98038 edar Mountain Reclamation 7877 Cedar Grove Rd, SE; Maple Valley, WA 9803B lent u20-(206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE" LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 10/02/2019 CUSTOMER NO. 422800 ORDER NO. 63774I# PROJECT - PLANT # 22 CUSTOMER NAME ILIAD INC CUSTOMERP.O. :IUS E CENTER JOB NO, 400750 DELIVERY TICKET NO. y93 t JOB ADDRESS COLLECT ON DELIVERY (C.O.D.), CASH ❑ CHECK # ❑ CHARGE AGG - 15045 INTERNATIONAL TUKWILA . CARD # EXP. 1 ❑ VISA 0 MASTERCARD ❑ DISCOVER SPECIAL INSTRUCTIONS F' 1 l QUANTITY U.M. PRODUCT CODE DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT 13 00 13.00 Grass . 49720.00 iN 65010 TN 70015 1-1/4 RC ` ENVIRONMENTAL BSE CRS A-'183 SURCHARGE ' E : 13.00 13.00 55.14 Tare 23720.00 Net 26000.00 DRIVER TRUCK NO. TMPFrf15 ORDERED BY REMIT PAYMENT TO SUB -TOTAL 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE SALES TAX DISPATCHER TAX CODE *�!� TIME DUE 11 SS KANGLEY ROCK & RECYCLING, A DIVISION TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD REVERSE. RELEASE —CUSTOMER RELEASES AND AGREES TO HOLD HARML OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON TOTAL CUSTOMER SIGNATURE PRINT NAME AMOUNT DATE REV 04-2009 KANGLEY'S COPY Kang!ey Rock & Recycling Locations KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. KANG EY PIT (Plant # 21) 32500 E Kent-Kangley Rd„ Ravensdale, WA 98051 BIAC RIVER (Plant # 22) - (206) 658-0912 510'M 'ster Rd. Renton, WA 98055 LAKE RANCIS (Plant # 23) - (206) 658-0872 22501 E Lake Francis Rd. Maple Valley, WA 98038 Ced 'Mountain Reclamation 17877 edar Grove Rd. SE; Maple Valley, WA 98038 Plant # 0-.(206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT AF RIVE JOB LEAVE JOB . ARRIVE PLANT DATE 10 2J2O19 CUSTOMER NO. 422800 ORDER NO. PROJECT PLANT # 22 637748 CUSTOMER NAME 11'IAn INC CUSTOMER P.O.` JOB NO. DELIVERY TICKET' NO.! 123269 JUSTICE CENTER 400250. JOB ADDRESS AGG -1RTIONAL 5045 iNTENA COLLECT ON DELIVERY (C.O.D.) 0 CASH ❑ CHECK # ❑ CHARGE TUICWILA CARD # EXP. y 0 VISA 0 MASTERCARD 0 DISCOVER SPECIASTRUCTIONS t't t QUANTITY 15.48 15.48 . Gross. U.M. » i I PRODUCT 1 CODE TN 65010 TN 70015 100 DESCRIPTION 1-1#4 Rai ENVIRO Tare BSE GRS A-183 TYPE AL SURCHARGE 24080.00 TONS ; . 15.48 15.48 TOTAL Net UNIT PRICE I.62 3 t)0 AMOUNT DRIVER TRUCK NO. ORDERED BY . REMIT PAYMENT TO SUB -TOTAL TMPPT113 9125 10th AVE. S. DISPATCHER TAX CODE WA TIME DUE 1 11:16 SEATTLE, WA 98108 TERMS ON REVERSE SALES TAX RELEASE — CUSTOMER RELEASES ND AGREES TO HOLD HARMLESS OF GARY MERLIN() CONSTRU COMPANY, INC. FOR ANY DAMAGE CAUSED BY DELIVERY OF MA RIA LISTS ABOVE: DETAILS ON REVERSE. KANGLEY ROCK & RECYCLING, A DIVISION BALANCE FORWARD TO HIS REAL OR PERSONAL PROPERTY CUSTOMER SIGNATURE TOTAL PRINT NAME AMOUNT DATE . REV 04-2009 KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. C8 Pla ngley Rock & Recycling Locations IGLEY PIT (Plant # 21) XrSE Kent-Kangley Rd., Ravensdale, WA 98051 CK:RIVER (Plant# 22) - (206) 658-0912 Monster Rd."Reriton, WA 98055 H FRANCIS (Plant # 23) - (206) 658-0672 11 SE Lake Francis Rd. Maple Valley, WA 98038 gar Mountain Reclamation 7 Cedar Grove Rd. SE, Maple Valley, WA 98038 t #20 -1206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT \ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # 10/02/2019 422800. ..637748. - CUSTOMER NAME 0 IA[f INC CUSTOMER P.O. JUSTICE CENTER JOB NO. 400250 DELIVERY TICKET NO. 123287 JOB ADDRESS AGG -15045 INTERNATIONAL COLLECT ON DELIVERY (C.O.D.) 0 CASH ❑ CHECK # 0 CHARGE .LA 'CARD # EXP. ! SPECIia i4STRUCTION$ F' 11 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY 13.54 13.54 Gross U.M. . 54680.00 PRODUCT CODE TN 65010"0:, TN` 70015 • DEc . .1-114 R? ENVIRONMENTAL are :RIPTION SSE-CRS Ar1€I ,'tYPE:S. SURCHARGE 2/600.00 TONS " 1354 1354 TOTAL ;,.;16 UNIT PRICE 27060.+ I AMOUNT DRIVER TRUCK NO. TMPIfi ORDERED BY REMIT PAYMENT 9125 10th TO AVE. S. SUB -TOTAL DISPATCHER TAX CODE WA. TIME DUE 1 . 1.1:28 ;, SEATTLE, WA TERMS ON"REVERSE 98108 SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOW HARMLESS OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE CAUSED BY DELIVERY OF MATERIALS Tl". ABOVE. AILS ON REVERSE. KANGLEY ROCK & RECYCLING, A DIVISION TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD .-- CUSTOMER SIGNATURE /r ,% TOTAL PRINT NAME DATE AMOUNT REV 04-2009 KANG.LEY'S COPY KANGLEY'KAN ROCK & RECYCLING' 32500 SE Ken[-Kangley Rd, Ravensdele, WA98051 ACCOUNTING: 0125 TENTH AVENUE SOUTH BLAC RIVER (Plant # 22)_ (805858-0912 510 M .nster Rd. Renton, WA 98055 LAKE RANCIS (Plant # 23) - (206) 658-0872 22501 SE'Lake Francis Rd. Maple•VaRey, WA 98036 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Ced r Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant 0 - (206) 658-0913' SEATTLE, WA 98108 • (206) 762-2566 Kan ley Rock &Recycling Locations . DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT A RIVE JOB LEAVE JOB ARRIVE PLANT DATE • 1019 CUSTOMER NAME II IAD .INr JOB ADDRESS AGG-1 CUSTOMER NO. 422800 ORDER NO. 637748 INTERNATIONAL P'OJECT TUKWILA SPEOIAiiiSTRUCTIONS CUSTOMER P.O. JOB NO. WSTICE CENTER PLANT # DELIVERY TICKET NO. 123301 COLLECT ON DELIVERY (C.O.D.) 0 CASH 0 CHECK # 0 CHARGE CARD # EXP. / ❑ VISA ❑ MASTERCARD 0 DISCOVER QUANTITY U 13.85 13.85 Gross PRODUCT CODE 51420 00 DESCRIPTION 1-1/4 ENVW O -S yE CRS A-183 ENTAL SURCI TONS ( TOTAL UNIT PRICE AMOUNT VE IRGE Nat .01 27700 00 DRIVER TRUCK NO, TMPPTI5 ORDERED BY DISPATCHER TAX CODE WA TIME DUE 1 11:40 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAVIAGE'TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON 'EVERSE. CUSTOMER SIGNATURE PRINT NAME DATE SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT REV 04-2009 KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, IN DATE CUSTOMER NO. 1OR 2/2019 CUSTOMER NAME 111A JOB ADDRESS AGG SPECIAMISTRUCTIONS QUANTITY U.M. DRIVER DISPATCHER PRODUCT CODE TRUCK NO. ORDERED BY TAX CODE TIME DUE to 1 ' Ka giey Rock & Recycling Locations KAN LEY PIT (Plant # 21) 3250' SE Kent-Kangley Rd., Ravensdale, WA'66051 BLA K RIVER (Plant # 22) (206) 658.0912. 510 .nster Rd. Renton, WA 98055 LAK FRANCIS (Plant / 23) - (206) 658-0872 2250 ;SE Lake Francis Rd. Maple Valley, WA 98038 arMountain Reclamation 1787' Cedar Grove Rd. SE, Maple Valley, WA 98038 Plan (206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 ARRIVE PIA PLANT # ELIVERY TICKET NO. COLLECT ON DELIVERY (C.o.D.) ❑CASH ❑ CHECK # CARD* ❑ VISA 0 MASTERCARD ❑ DISCOVER TOTAL DESCRIPTION TONS ,,, ,r UNIT PRICE AMOUNT ❑ CHARGE EXP.. 1 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE = CUSTOMER RELEASES AND AGREES TO HOLD HARML' SS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY D AGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIAL ABOVE. DETAILS ON - EVERSE. CUSTOMER SIGNATURE PRINT NAME DATE REV 04-2009 KANGLEY'S COPY SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kangley Rock & Recycling.Locations KANGLEY PIT (Plant# 21) 32500 SE Kent-Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant # 22) - (206) 658-0912 510 Monster Rd. Renton, WA 98055 LA (E FRANCI8 (Plant # 23) - (208) 858.0672 22601 SE,(.ake Francis Rd. Maple Valley, WA 96038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar, Mountain Reclamation 17677 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant #20 - (206) 658-0913 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX • (206) 762-2358 . SALES & ORDER DESK (206) 768-1000 ARRIVE PLANT DATE 10/02/2019 CUSTOMER NAME CUSTOMER NO. 422800. ORDER NO. PROJECT 637748 IIJAD INC JOB ADDRESS. AGG -15045 INTERNATIONAL SPECIAMISTRUCTIONS CUSTOMER P.O. JOB NO. JUSTICE CENTER PLANT # DELIVERY TICKET NO. 123325 COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # 0 CHARGE CARD.# EXP. / 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY • U.M. PRODUCT CODE DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT 13.84 1324 Gross DRIVER DISPATCHER 1-1/4 RC. @SE CRS A.. ENVIRONMENTAL SURC 55280 TRUCK NO. ORDERED BY TAAPPM6 TAX CODE TIME DUE WA 1 12:07 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE -- CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIAL LISTED ABOV. DETAILS ON_REVERSE. CUSTOMER SIGNATURE PRINT NAME DATE REV.04-2009 SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT ' KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, IN .• • Kangley Rock & Recycling Locations KANGLEY PIT (Plant / 21) 32500 SE KanI.Kangley Rd., Ravenadale, WA 98051 BLACK RIVER (Plant/ 22) • (208) 658.0912 610 Atomic/ Rd. Rarrlan, WA 06055 'LAKE FRANCIS (Planl / 23) - (200) 860.0872 22501 SE Latta Francis Rd. Maple Valley, WA 98638 C. Ceder Mountain Reclamation 17877 Cedar Grow. Rd. SE, WM° Valloy, WA 86038 Plant /20 .1206) 658.0913 DELIVERY TICKET ACIOr.)U147IHG Cif,,La: CoDEP MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE z.k1;:lt-It'i•,rti‘, CUSTOMER NO, iiit:I" j'; : ORDER NO. ,:;'7,-,:::.:,..,:z, PROJECT PLANT CUSTOMER NAME . • Ir•-...'* 1 '.:11,..i:.t,'-`,7' ':::':::- CUSTOMER P.O. ' ' .. :::v:;•:::: JOB NO. . DELIVERY TICKET NO. JOB ADDRESS INTERN'ATiONIV, P,CAti,-..'i '..,. ‘'.!:-•ii l':i . coLigqr N DELiVERY4C.O.D4 123514 0 CA$H °CHECK # CI CHARGE CARD # EXP. SPECIAL INSTRUCTIONS . 0 VISA p MASTERCARD 0 DISCOVER . QUANTITY ' . U.M. . ,,,DESCRIPTIONIOTAL L.' .., , . . , TONS UNIT PRICE' . •.--"AMOLINT.' -11i '1•4'.!.t,':.'.1., . . . . ). ici-3S - .. . '-( ::?f.-;: rv, :....1.'!"' „ 4.0. (JO • If, EV,IiriCiT.-.,,,EN'i A!. '..::t ii4i..i i . . . .. , . . . .. , . - 0,0 ',,..57,1- '.,:•-• .•:::.,; . 29.83 , , , ,-. -/ . -, ' • .. . DRIVER TRUCK NO, ,:•,;:.::,:-5,:4 ORDERED BY RENT PAYMENT . . . . . . 9125 10tIt AVE. .. TO , ' ' S. ' SUS -TOTAL DISPATCHER TAX D WA11 TIME DUE ' SEATTLE, WA i TERMS ON REVERSE 98108 , SALES TAX . ., RELEASE - CUSTOMER RR_ JASES AND AGREES TO HOLD HARMLESS,KANG.k.EY ROCK & RECYCLING, A DIVISION O GARY mE,R1 (wo OONSTP ICTIoN COMPAII. INC. FOR ANY,pf:MAGE TQ. HIS .1-1EA OR PEFISOHAI, PROPERI BALANCE FORWARD r;,•,..usED By DELIVERY Or MA1EW:18 LIIINLirkiry,,,,E bE0,11_t, oltRE:,‘,4,Rs'E, CUSTOMER SIGNATURE ...- .:1---:' I:- 4.:‘,... -.:"--....... TOTAL .,- AMOUNT PRINT NAME ,. -.* DATE REV 04-2009 C:USTC)MEJ4 COP Y KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH - SEATTLE, WA 91310B • (206) 762-2686 Kangley Rock & Recycling Locations KANBLEY PIT (Plant Y 21) 32500 SE Kent•Kangley Rd., Ravenedele, WA 90051 BLACK RIVER (Plant • 22) - (206) 550.0912 510 Monster Rd. Renton, WA 90055 LAKE FRANCI6, (Plant / 23) - (208) 858.01172 22501 SE Lake Francis Rd. Maple Valley, WA 913O3B A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, (NC, • Cedar Mountain Reclamation .. • 17677 Cedar Grove Rd. SE, Maple Valley, WA08036 Plant 020 - (208) 858.0913 DELIVERY TICKET SALES <"< MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. �:Zlt.`zf'i ORDER NO, PROJECT CUSTOMER NAME CUSTOMER P.O. PLANT # JOB NO, DELIVERY TICKET NO. r iL -- SPECIAL INSTRUCTIONS QUANTITY U.M. PRODUCT CODE 43-10 DRIVER DISPATCHER TRUCK NO. TAX CODE ORDERED BY TIME DUE ❑ CASH CARD # COLLECT ON DELIVERY (C.O.D1 123563 ❑ CHECK # ❑ CHARGE EXP. I ❑ VISA REMIT PAYMENT TO 9125.1(It11 AVE. S. SEATTLE, WA 98108:" TERMS ON REVERSE RELEASE .— CI.ISTDMER REI EASES AND AGREES TO HOLD I lARM_ESS KA¢1GLEY f10C)S & RECYCLING, A DIVISION OF GARY MERLIN`.% CON` FEIIJGT ION COMPANY, INC. FOR ANY UAMAG1z Tr)Hl ; REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MA1ERIALS LISTED ABOVE`, UETraI,"�yfil r4 CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE 0 MASTERCARD 0 DISCOVER SUB-TOTA SALES TAX. . BALANCE FORWARD TOTAL' AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 9810E • (208) 762-2568 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, Kangley Rock & Recycling Locations KANOLEY PIT (Plant 8 21) 32500 SE Kent-Kengley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant 8 22) - (206) 658-0912 610 Monster Rd, Hanlon, WA 98055 LAKE FRANCIS (Plant 823) - (206) 658.0672 22503 SE Lake Francis Rd. Maple Valley, WA 98038 INC. Dedar Mountain Reclamation , 17877 Cedar Grove Rd. SE, Maple Valley, WA 98038 Phial 020 - (206) 65,9.0913 SALES 8. MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT I CUSTOMER NAME CUSTOMER P.O. JOB NO. ' DELIVERY TICKET NO. COLLECT:ON DEUVERY:(C.O,D.)123610 El CHECK ft. D CHARGE JOB ADDRESS AG:G • SPECIAL INSTRUCTIONS ❑ CASH CARD It EXP: t ❑ VISA , C7 MASTERCAR.D, . ; Q DISCOVER DRIVER sl TRUCK NO. ORDERED BY DISPATCHER TAX CODE TIME DUE EMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUE I OMER RELEASES AND A011FEE TO HOLD Hi,li:;il.°E& KANGCEY ROCK & RECYCLING, A DIVISION OF GARY Ivif_RLIND COIJNTI ;DL ::Old COMPANY, INC:. FOR AT,JY, REAL OR PCI-?SC'NAL PROPERTY CAUSED El Y DELIVERY OF PM1.ATEO1.ALS I-1.4Tafi; t3GVE. D19:Aii: �t i 69_=V ERDE. ... _.../-ice • CUSTOMER SIGNATURE PRINT NAME DATE BALANCE FORWARD TOTAL AMOUNT OUNT,`' REV 04-2009 us oM ER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kangley Rock & Recycling Locations NANG:LEY PIT (Plant 21) 32500 SE Kenl•Kengley Rd., Ravensdele, WA 98051 BLACK RIVER (Plant N 22) - (206) 858•0912 510 Monster Rd. Renton, WA 90055 LAKE FRANCS (Plant 0' 23) • (208) 658.0872 22501 SE Lake Francis Rd, Maple Valley, WA 88038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17077 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant I/20 - (206) esaoa13 • DELIVERY TICKET 10,G. ,.".,Crt•L> FAX SALES & • MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JO.B . ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT II CUSTOMER NAME . ;.t/'•''.. CUSTOMER P.O. ' • JOB NQ. ' ' DELIVERY TICKET NO. JOBADDRESS '.. ' • ' • '. j,:.-„,„,.,..:::L. - .1;'.i1'l2c1tY„iktilklAi.,13i.:It:..*/ i:', "1'5iYi'l I • ' 123651 COLLECT ON DELIVERY ) (C.O.D• • • • • . . .. • 0 cASH 0 CHECK # - - 0 CHARGE CARD* EXP.' / SPECIAL INSTRUCTIONS .:: • I:] VISA 0 tv1ASTEFICAIRD. 0 DISCOVER • QUANTITY '1:,,,,',.;1. f.7:if3 ' ',.,?..":::i r,-te l';,4-4r,.r.;.:,-,' U.M. ' . I i.1•`...'..,1-....'..-}C$ . . CODE '',-.1'.*.-- ..`1,'/."":,, r'...;',„i. 7i.-:4);',:-...; . , , i),I1) , . DEqdRipTioN ' . '',1 ' i '''s ';'..i l'ii"` t:it'...'... "!:::37,' ):, '7,,.. I' . itto,'-‘,5';':;-..*,:..)?.,ti,(1.1-..--....:-J,i.J.,..,1,. s;‘,):,,,,i';',i';',,,,....f.t,;.;.., . . . . I -i7.,1-7... 4`,i'd8e) Oi..), • TOWS ,1.-Ir,,!: ' '.,,,74 '11.,,. '..2•.,,-.3."..:---,,,.','.1 ....,. , 29.96 ,,,,'" ... /'` f °TAL t. ', - . „ - . . t',,izt UNIT PRICE ,L.,.:::,`..1•,i , . ti, AMOUNT': - • ,t./- L '-' -• . DRIVER TRUCK NO. ,''.'t-t..--.!..,:-;*t-t ORDEMED BY REMIT PAYN1ENT TO • ' 9128 10tI1 AVE. S. ' SUB -TOTAL DISPATCI4ER TAK CODE . . TIME DUE SEATTLE, WA 98108 • . , . . TERMS ON REVERSE • ' . , - sALES TAX . RELEASE — CUSTOMER REI,EASES AND AGREES 'f 0 1-iot.r.) IlArilvILESS KAt1GLEY ROCK & RECYCLING, A DIVISION (31. GARY NIPIALII-40 0()NS15 JeTtOt4 OL)MFAN'e, INC FOR AN'('CI%1AGE-T() I-ICS REAL OR PERSONAL PF.1(DPER1Y CAt.ISED BY DELIVERY OF tvIATERiAt.SI„Iffif.,,I'ilit.:NF,„ ett.'411,1-!:5 .,ON'PE'JER8E, BALANCE FORWARD CUSTOMER SIGNATURE ..,----('''' t -" t° - ,..--''':----:-."------:. TOTAL ' PRINTNAME . .. DATE AMOUNT - , 1REV 04.2009 KANGLEY ' ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 782-2588 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, Kangley Rock & Recycling Locations KANGLEY PIT (Plant / 21) 32500 SE Kanl•Kaigloy Rd., Ravensdalo, WA 98051 BLACK RIVER (Plant I 22) - (206) 658.0912 510 Menses/ Rd. Renton, WA 98055 LAKE FRANCIS (Plant d 23) • (20B) 658-0872 22501 SE lake Francis Rd. Maple VaUay, WA 9Bp30 INC, Cedar Mountain Reclamation 17/377 Cedar Grove Rd. SE, Maple Vailay, WA9E030 Plant /20 - (206) 658.0913 VERY 1 CKET MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. CUSTOMERYNAME xy Cm! ' 171AN-SF JOB ADDRESS SPECIAL INSTRUCTIONS QUANTITY U.M. DRIVER ORDER NO. PROJECT PLANT B PRODUCT CODE TRUCK NO. ";',•5g TAX CODE Wik RELEASE — CUSTOM1 R (i'%LEAS i:JE= CiARY MERL1110 ;ONCiHUC7 CAUSED 13V DELIVERY OF MATERIALS LISTED ru CUSTOMER SIGNATURE PRINT NAME REV 04-2009 £2 AND ORDERED BY CUSTOMER P.O, ❑ CASH CARD ll JOB NO. DELIVERY TICKET NO. COLL CT ON DELIVERY (C.O.D.J 236 5 0 CHECK 41 0 VISA DESCRIPTION TONS REMIT PAYMENT TO 912510tt1 AVE. S. SEATTLE, WA 08108 TERMS ON REVERSE ID MOLD H/ RMI. Si; KANGLEY ROCK RECYCLING; A DIVISION INC. FOPS F4�1`f.IAMA,CE TO1 HIS REAL OR PERSONAL PROPER ! :YE. DETAI,LS'OPI REVERSE, 0 CHARGE EXP.:"f ' 0 IVISTERCARD ❑ DISCOVER TOTAL SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT US1OMluA COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2586 A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC. Kongley Rock & Recycling Locations KANOLEY PIT (Plan! 0 21) 32500 SE Kent-Kangley Rd., Revensdale. WA 98051 BLACK RIVER (Plant 22) - (206) 658-0912 510 Mueller Rd. Renton, WA 98055 LAKE FRANCIS (Planl 0 23) • (206) 058.08/2 22501 SE lake Francis Rd. Maple Valley, WA 58038 Cedar Mountain Reclamation 17077 Cedar Grove Rd. SE, Maple Valley, WA 98038 Rar4/20 - (206)658-0913 DELIVERY TICKET , it-ct FAX SALES & ORDER DEst<_ OCATE LEAVE PLANT ARRIVE JOB LEAVE JOB 'ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT It CUSTOMER NAME C4TYTi`. -5 43.0, CUSTOMER P.O. • JOB ........ DELIVERY TICKET NO. JOB ADDRESS Fq.A111) Tj if VAC, SPECIAL INSTRUCTIONS QUANTITY U.M. DRIVER DISPATCHER DESCRIPTION CODE TRUCK NO. TAX CODE ORDERED BY TIME DUE 1 1 438.8.4 ot) COLLECT ON DELIVERY m.0.04123742 CASH 0 CHEOX # 0 CHARGE CARD # EXP. / Et VISA 0 MASTERCARD DISCOVER TONS 30,35 REMIT PAYMENT TO 912510th AVE. S. SEATTLE, WA 98106 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOID HARMLESS KANGLEY ROCK-8.'REDYCLING, A DIVISION OF CrRY MERLIN() CONSTRUCTION COMPANY, INC, FOP ANY DAMAGE Ta tifS"REAL OR PERSONAL, PROPERIV CAI ICED RY DPI VERY OF MATERIALS LISTED ADOvfi,- Del AILS ON REVERS:E.:'• CUSTOMER SIGNATURE , 'PRINT NAME DATE REV 04-2000 TOTAL UNIT PRICE SUB -TOTAL SALES TAX BALANCE FORWARD KANGLEY ROCK & RECYCLING ACCOUNMNG: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 782-2568 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PET (Plani 21) 325D0 SE Kanl-Kangley Rd., Flavensdela, WA S9051 BLACK RIVER (Plen1 t 22) - (2D8)1156-0912 610 &inflator Rd. Renion, IVA 88055 LAKE FRANCIS (Plant t 23) - ROO 659-0872 22501 SE Loki Franck Rd. Maple Volley, WA 08038 Cedar Mountain Reclamation 1787? coder Grove Rd, aE, maple Volley, WA 9903a Plant 020 - (206) 659-0813 DELIVERY TICKET ACCU.'11,171HC:;: f:;?.ft.Y) FAX 1,23:;) & ORDER DESK MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. 16950 ORDER NO. 323 PROJECT PLANT CUSTOMER NAME TP.A.r.,...t!.2).:19:1'. JOB ADDRESS LLVL)sH:,;at.-1 SPECIAL INSTRUCTIONS CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. COLLECT ON DELIVERY:(C.0A) 123784 El CASH 00 a CHARGE EXP./ ID VISA E mAs-rmQ,?1/4Rp o DISCOVER CARD # . - QUANTITY U.M. t'f:1 PRODUCT CODE o TONS•-• TOTAL'. UNIT PRICE AMOUNT DESCRIPTION f DRIVER TRUCK NO. i..rn DISPATCHER TAX CODE 11Vii TIME DUE REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA MOB • TERMS ON REVERSE RELEASE - CUSTOMER RELEASES AND AGREES To HOLD HARMLESS KANGLEY OF GAIlY MERND CONSTRUCTION Cor•.ipANY, INC. FOR ANY DAVAGE:TD'HIS CA! ISED OEUVERY DE MI,TEHIALS DETpLa.011.11EVEFISE CUSTOMER SIGNATURE. • ,PRINT NAME SUB -TOTAL OCK & RECYCLINC-, A DIVISION EAL DE PERSONAL PROPERTY DATE SALES TAX BALANCE FORWARD TOTAL AMOUNT PEV 04-2009 C Li STO MER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762.2566 A DIVISION OF GARY MERINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANOLEY PIT (Planl #21) 3250D SE Kenl-Konpley Rd., Revenad/no, WA 00051 BLACK RIVER (Plant # 22) - (208) 658.0912 610 Monster Rd. Renton, WA90055, LAKE FRANCIS (Plant V 23) - (20G1853-0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17077 Cada: Grow) Rd. SE, Mapes Valley, WA 98038 Plant #20 - (208) 058.0013 DELIVERY TI KET S/ LE'S ?e ORDER r" MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JQB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT 1! CUSTOMER NAME CUSTOMER P.O. JOB NO. ELIVERY TICKET NO. COLLECT, OW QgLIVgRY (C.O.b.)i 23815 0 CHECK 1! JOB ADDRESS SPECIAL INSTRUCTIONS 0 CASH CARD # ❑ CHARGE EXP.. =— ( VISA ❑ MASTERCARD .: ❑;DISCOVER PRODUCT CODE ,00 DESCRIPTION TONS" 29.93 TOTAL a1, UNT`r'' DRIVER TRUCK NO. 25. ORDERED BY , DISPATCHER TAX CODE TIME DUE RELEASE .— CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGL OF GAARY MERLIN() CONSTRUCTION COMPAN" INC,. FOR ANY DAMAGE ;!CAUSED BY DELIVERY Of, MAi TRIALS LISTED AR(k1E..JL:IPc,,S, R11,41: E.RSE;� ICUSTOMER SIGNATURE !PRINT NAME REMIT PAYMENT TO 9125.10th AVE. S. SEATTLE, WA 18108 TERMS ON REVERSE Y ROCKS RECYCLI OR PERSOI , A DIVISION PROPER`IY DATE SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT ' REV D4-2000 • 4 1) 3 , iviER COPY RECD BY 705A AGG SEATTLE 4002 WEST MARGINAL WAY SW 10/7/2019 8:28:32 A SE -Ai T LE, WA 981061208 IIHhll 11111 11111 iiiil 11111111111Nii NM INN Customer' 1017354 II IAn INC Project: P.O.. Product: Delv To: 37639 TUKWILA JC 8545 AGO 2019 LIST PRICE Job Number. TUKWILA JC 1 1/4" MINUS QUARRY ROCK CSB Weighmaster: TUKWILA JUSTICE CENTER SEATTLE WA 98106 Hauler: 999 FOB PICKUP Truck: PTIBSS PTI TRUCK #8 DATE OTT [AL7Ql'TL 2199152 Copy DEIJMERY TOTAL! 7 7R06 770 30 GERMER, BIANCA DATE 1017001987B79AM 10/07019 8 13 56 AM SOURCE Srt sle Agn Seattle Aqq Ibs 51,640 24,200 Tons 25.82 12.10 THE 23.42 10,98 Gross 27,440 13.72 12.45 Not 705A AGG SEATTLE 10/7/2019 8:22:01 A i Mill HMI Mill HMI illy iiii iiiii Customer Project P.O.: Product Delv To: TUKWILA JUSTICE CEN 1 ER 4002 WEST MARGINAL WAY SW SEATTLE, WA 981061208 SEATTLE WA 98106 Hauler: 999 FOB PICKUP Truck: PTI5SS PTI TRUCK #5 SOLO RECO BY DATE 1017354 ILIAD INC 37639 AGG 2019 LIST PRICE TUKWILA JC Job Number: TUKWILA JC 8545 1 1/4" MINUS QUARRY ROCK CSB Weighmaster: DATE SOURCE 1 cw712019 8:21:58 AM Seattle Agg 10P/2019 7:59-01 AM Seattle Agg 0 Driwr otr F 0.00 $0.00 $0.00 $0.00 $0.00 CALPORTIANU NO: 2199143 copy LOAD DELIVERY TOTAL.s TODAY PROJECT 1 12 caw 14,34 206.58 GERMER, BIANCA lbs Tons THE 52,540 26.27 23.83 cress 23,860 11.93 10.82 Tare 28,680 14.34 13.01 Net PRODUCT FREIGHT ENV FEE TAX TOTAL AMOUNT $0.00 $0.00 $0.00 $0.00 $0.00 KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, AP LOCATE USTO NA E EAVE PLANT CUSTOMER NO. It ;An 1 " JOB ADDRESS GG - 1 S ITERIAT)O SPECIALISTRUCTIONS IVER DISPATCHER TRUCK TMPPTIB Kangley Rock & Recycling Locations KANGLEY PIT (Plant N 21) 32500 SE KenI-Kanglay'Rd,, Ravensdale, WA96051. BLACK RIVER (Pico d 22) - (206) 658-0912 510 Monster Rd. Ren04i,"WA86o55 LAKE FRAI C10 1Plesi1 F 23) - (208) 858-08?2 22501 SE Lake Fraiicls Rd, Maple Valley, WA 96038 INC, Cedar Mountain Reclamation 17877 Cedar Grove -Rd. SE, Maple Valley, WA 98038 Plant /20- (206) 858-0913 ORDER NO. 6.i121 TAX CODE WA. ARRIVE JOB PROJECT DESCRIPTION 0 1-1/4 RC BSE CRS A-1 LEAVE JOB CUSTOMER P.O. TICKET ACCOUNTING (206) 762-2566 I FAX (206) 762-2358 SALES & ORDER DESK 120B) 768-1000 JOB NO. ARRIVE PLANT PLANT DEUVERV TICKET NO. 3195TTCE C EP 4te.VF . COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # CARD # ❑ CHARGE EXP. / 0 VISA 0 MASTERCARD 0 DISCOVER ENVIRONMENTAL SURD Y-GI 1428 ORDERED BY TIME DUE RELEASE — CUSTOMER RELEASES AND AGREES TO OF GARY MERLINO CONSTRUCTION COMPANY, INCy,' CAUSED BY DELIVERY OF MATERiA.�6 LISTED AEOV! , � e� a CUSTOMER SIGNATURE PRINT NAME REV 04-2009 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE D HARI;1LESS KANGLEY ROCK & RECYCLIN ANY DAMAGE TO HIS REAL OR PERSONA S ON REVERSE, DATE A DIMS-) PROPER TOTAL UNIT PRICE SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT AMOUNT INVOICE COPY KANGLEY ROCK & RECYCLING ACCOUNTING; 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. ATE DATE CUSTOMER NAME DRESS AGG-1 sI R -i© VE PLANT CUSTOMER NO. ORDER NO. 2 TUKWILA PECIgt .IIa(STRUCTIONS QUANTITY DRIVER DISPATCHER -1/ ENVIR BNI IE Y L 5U Kangley Rock & Recycling Locations KANGLEY PIT (Plant # 21) 32500 SE Kent-Kangley Rd., Ravensd le, WA 98051 BLACK RIVEN (Plants 22) - (206) 658.0912 510 Monster 61d:+1Br IRA 98055 LAKE FRANCIS (Plant * 23)-(206) 658.0872 22501 SE Lnko Francis Rd. Maple Valley, WA 98038 Cedar Mountain Reclamation 17677 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant #20 • (206) 058-0913 ARRIVE JOB PROJECT DESCRIPTION TAX CODE TIME DUE VA 1 11:04 LEAVEJO CUSTOMER P.O JOB NO. DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 I ARRIVE PLANT PLANT # DELIVERY TICKET NO. COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE CARD # EXR / ❑ VISA 0 MASTERCARD 0 DISCOVER PE : 17.51 G[ 17.51 flEN1IT PAYMENT TO "? 91.25 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — a Ll, T MER HET EASES AND AGREES TO Ht:7LG H S KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLICTION: COMPANY: INC. FOR AQNN DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE,. CUSTOMER SIGNATURE PRINT NAME REV 04-2009 TOTAL UNIT PRICE AMOUNT TOTAL AMOUNT INVOICE COPY Kangley Rock & Recycling Locations KANGLEY PIT (Plant # 21) 32360 SE KentiKangley Rd., Ravensdale, WA 98051 BLACK RIVER # 22) - (206) 656.0912 510 Monster?d.'Rer)t 8n7VVA 98055 LAKE FRANCIS (Plant 23)-1206) 658-0872 22501 SEtake Francis Rd. Maple Valley, WA 98036 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation 17877 Ceder Grove Rd. SE; Maple Valley, WA 96038 ,Plant 820-,{206) 656.0913 KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 95106 • (206) 762-2566 MAP LOCATE DATE 1O/ 712019 CUSTOMER NAME II_CAC:) INC LEAVE PLANT CUSTOMER NO. 422800 ARRIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 'ARRIVE PLANT ORDER NO. 638121 PROJECT PLANT* JOB ADDRESS AGG - 15045 IN IERNATIC»NA TUKY!''IL4 SPECIPINSTRUCTIONS CUSTOMER P.O. JOB NO, I�)Sila::E= :E,J I c.R 4C DELIVERY TICKET NO. 'i24741 COLLECT ON DELIVERY (C.O:D.) ❑ CASH ❑ CHECK CARD # ❑ CHARGE EXP. I ❑VISA ❑ MASTERCARD ❑ DISCOVER QUANTITY 14.42 14.42 DRIVER DISPATCHER TRUCK NO. TAX CODE 700 1-1/4 RC BSE CRS A-183 T ENVIRONMENTAL SURCH ORDERED BY TIME DUE REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES-ANE, AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION)COMPANY, INC, FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPER CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE NIT PRICE AMOUNT a21 BALANCE FORWARD TOTAL AMOUNT INVOICE COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENT Kangley Rock & Recycling Locations KANGLEY PIT (Plant # 21) 32500 SE Kent•Kangley Rd., Ravensdale, WA 98051 BLACK RIVER- (Planta' 22) - (206) 658-0912 DELIVERY TICKET SEATTLE, WA 98108 • (206) 762-2566 LAKE FRANCIS P 'nl a 23I - (206) 658-0872 ( 22501 SE Lake Francis Rd. Maple Valley, WA98038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd, SE, Maple Valley, WA 98038 Plant #2° - (206) 6584913 ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK 2061768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 10107i 2019 GUSTO MER'NO. . 422 &K ORDER NO. 63 121 PROJECT PLANT # ,e. c. 2 CUSTOMER NAME if lAD f )C CUSTOMER P.O. .id IR WrF Cf JOB NO. JTFP 075 DELIVERY TICKET NO. I%PA .' JOB ADDRESS AGG - 15045 INTERNATIONAL COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # 0 CHARGE TUKWILA CARD # EXP. / SPECIALI ISTRUCTIONS 6� S 99 - ❑ VISA - 0 MPISTERCARD -❑ DISCOVER QUANTITY U.M. PRODUCT CODE DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT 16.69 . _ ,-.,r i t. TN tiaI 1/4 RC BSE CRS A-1 TiPE ENVIRONMENTAL SURC°)tRG 16.69 16.69 6 90 DRIVER TRUCK NO. ORDERED BY I REMIT PAYMENT TO 9125 10th AVE. S. SUB -TOTAL d' DISPATCHER TAX CODE TIME DUE SEATTLE, WA 98108 TERMS ON REVERSE SALES TAX RELEASE — Cl/STOVER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY. INC FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.. DETAILS OH REVERSE CUSTOMER SIGNATURE TOTAL PRINT NAME DATE AMOUNT REV 04-2009 KANGLEY ROCK ~& RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kan KAN 3250 BLA .510 LAK 2250 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC, Ce87d Plant ley Rock & Recycling Locations LEY PIT (Plant#21) SE Kent•Kangley Rd.; Ravensdale, WA 98051 K RIVER (Plant # 22) - (206) 658-0912 nster Rd. Renton, WA 98055 FRANCIS (Plant # 23) - (206) 658-0872' SE Lake Francis Rd. Maple Valley, WA 98038 r Mountain Reclamation Cedar Grove Rd. SE, Maple Valley, WA 98038 0 - (206) 658-0913 . 4110 DELIVE TICKET ACCOUNTING (206) 762-2566 FAX . (206) 762-2358 SALES & ' ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT. DATE 10/0912019 CUSTOMER NO. 422800 ORDER NO. 638360 PROJECT PLANT # v CUSTOMER NAME ' II !An INC CUSTOMER P.O. JUSTICE CENTER JOB NO. " 40024 DELIVERY TICKET NO. 125383 JOB ADDRESS AGG - 15045 INTERNATIONAL COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE huK� CARD # EXP. SPECIFlinSTRUCTIONS #' 1 ❑ VISA 0 MASTERCARD 0 DISCOVER QUANTITY 14.64 14.64 Gross. U.M. PRODUCT CODE DESCRIPTION TONS 14.64 14.64 TOTAL ek 44.56 Net UNIT PRICE :,:. 29280 00 AMOUNT 52880.00 TN• 65010 TN 70015 1-114 RC ENVIRONMENTAL, Tare BSE CRS A-183 TYPE: SURCHARGE, 23600 00 DRIVER TRUCK NO. - 15 ORDERED BY REMIT PAYMENT TO SUB -TOTAL 9125 10th AVE. S. DISPATCHER TAX CODE WA TIME DUE 1 1121 SEATTLE, WA 98108 - TERMS ON REVERSE SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON FEVERSE. KANGLEY ROCK & RECYCLING, A DIVISION TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CUSTOMER SIGNATURE. TOTAL AMOUNT PRINT NAME DATE REV 04-2009 KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Ka gley Rock& Recycling Locations KAN LEY PIT (Plant # 21) SE Kent-Kangley Rd., Ravensdale, WA 98051 BLA K RIVER (Plant #22)-(206)658.0912. 510 •nsterRd. Renton, WA98055 LAK FRANCIS (Plant # 23) - (206).658.0872 225r SE Lake Francis Rd. Maple Valley, WA 98038 C - • ar Mountain Reclamation 178 Cedar Grove Rd. SE, Maple Valley, WA 98038 PI 0 - (206), 658-0913 DELIVERY TIC T ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 10109.12019 CUSTOMER NO. 422800 ORDER NO. 633360: PROJECT PLANT # 22 CUSTOMER NAME III INC CUSTOMER P.O. IJOB NO. DELIVERY TICKET Na 125289 JUSTICE CFNTFR; 4 5D. DRESS JOB ADAGG-1IT�)NAL 5045 NTERNA COLLECT ON DELIVERY (C.O.D.) ❑ CASH O # 0 CHARGE TUKWILA CHECK CARD # EXP. El VISA 0 MASTERCARD 0 DISCOVER SPECLASTRUCTIONS QUANTITY U.M. PRODUCT CODE DES RIPTION TONS •. 15.16 15.16 TOTAL •► UNIT PRICE AMOUNT 15.16 Net 320. 15.16 15.16 Gt s 20.00 TN 65010 TN 70015 1-1/4 RC ENVIRONMENTAL Tare BSE C RS A-183 TYRE SURCHARGE 2.3600.00 DRIVER TRUCK NO. TMF PR'l5 ORDERED BY REMIT PAYMENT TO SUB -TOTAL 9125 10th AVE. S. DISPATCHER TAX CODE WA. TIME. DUE 1,..:. 9:11 - SEATTLE, WA 98108 • TERMS ON REVERSE SALES TAX RELEASE — CUSTOMER RELEASES OF GARY MERLINO CONSTRUCTION AND AGREES TO HOLD HARMLESS COMPANY, INC. FOR ANY DAMAGE KANGLEY ROCK & RECYCLING, A DIVISION BALANCE FORWARD TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON FEVERSE. CUSTOMER SIGNATURE , , : .......... ' TOTAL ...a+a PRINT NAME AMOUNT DATE REV 04-2009 KANGLEY'S COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF.GARY MERLIN() CONSTRUCTION. COMPANY, INC. MAP LOCATE LEAVE PLANT Kangley Rock & Recycling Locations KANGLEY PIT (Plant # 21) 32500 SE Kent-Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant# 22) - (206) 658.0912. 510 Monster Rd. Renton, WA 98055 LAKE FRANCIS (Plant # 23) - (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley. WA 98038. Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98038 Plant f20-.(206)658-0913 ARIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 ARRIVE PLANT DATE 19 CUSTOMER NAME ILIAD INC JOB ADDRESS' AGG-1 CUSTOMER NO. {� 422800 . ORDER NO. RNA11ONAL P ROJECT TUKWILAA SPECIW .y STRUCTIONS CUSTOMER P.O. • .II I.STIf:E r_F JOB NO. VTFR PLANT # DELIVERY TICKET NO. 400?:,•0 125108 COLLECT ON DELIVERY (C.O.D.) ❑ CASH O CHECK # ❑ CHARGE CARD # EXP. � ❑ VISA ❑ MASTERCARD ❑ DISCOVER QUANTITY U.M. 14,76 14.76 :.Gross DRIVER PRODUCT CODE 00. TRUCK NO. TMPP118 DISPATCHER TAX CODE A DESCRIPTION TONS 1.114 R • BSE CRS A-183 TYPE : 14.76 E ' I' • ENTAL SURCHARGE 14.76 ORDE TIME DUE 1 9:38 RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARM. OF GARY.MERLINO CONSTRU ON, COMPANY, INC. FOR ANY D• CAUSED BY DELIVERY OF M • EAI LS LISTED ;'EVE. DETAILS ON CUSTOMER SIGNATUR PRINT NAME REV 04-2009 24260.00 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108. TERMS ON REVERSE SS KANGLEY ROCK &RECYCLING, A DIVISION AGE TO HIS REAL OR PERSONAL PROPERTY EVERSE. . KANGLEY'S COPY TOTAL UNIT PRICE AMOUNT SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kargley Rock & Recycling Locations KANGLEY PIT (Plant # 21) • 32500 SE Kent-Kangley Rd., Ravensdate, WA 98051 BLACK. RIVER. (Plant# 22) - (206) 658-0912 510 Monster Rd: Renton, WA 96055 LAKE FRANCIS (Plant 0 23)- (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 98038 A DIVISION OF GARY, MERLINO CONSTRUCTION COMPANY, INC...Cod: r Mountain Reclamation 1787, Cedar Grove Rd. SE, Maple Valley, WA 98038 •PlantM20-(208),858-0913 MAP LOCA LEAVE PLANT ARRIVE JOB • LEAVE JOB • DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 ARRIVE PLANT DATE CUSTOMER N AE NC JOB ADDRESS AGG -15045 INTERNATIONAL TUKWILA SPECIA .y1STRUCTIONS CUSTOMER P.O. JUSTICE C CASH CARD # 0 VISA 0 MASTERCARD 0 DISCOVER OB NO. DELIVERY TICKET NO. , COLLECT ON DELIVERY (C.O.D.) ❑ CHECK '# 0 CHARGE EXP. ! QUANTITY Gro U.M. PRODUCT CODE 514e"')i :00 DESCRIPTION 655010 1-1/4 RC BSE CRS A-183 13 70015 ENVIRONMENTAL SUR E 13 TONS TOTAL UNIT PRICE AMOUNT • 24.00 DRIV TRUCK NO, ORDERED BY DISPATCHER TAX CODE TIME DUE -WA- 1 . ,. 11:29 REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARML:SSKANGLEY ROCK & RECYCLING, A DIVISION OF' GARY MERLINO CONSTRUCTION' COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATE STED ABOVE. DETAILS ON F EVERSE. CUSTOMER SIGNATURE - PRINT NAME DATE REV 04-2009 SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT KANGLEY'S.COPY. KANGLEY ROCK & RECYCLING ACCOUNTING:9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant N 21) 32500 SE Konl-Kangley Rd., Ravenidale, WA 90051 °LACK RIVER (Plant I 22) • (208) 658.0912 510 Mortaler Rd. Renton, WA 06065 LAKE FRANCIS (Plant N 23) - (206) 658.0872 22501 SE Lake Francis Rd, Maple Valley, WA 96038 Ceder Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA 98036 Plant 820 • (208) 658-0913 DELIVERY TICKET ORDER DESK MAP LOCATE LEAVE PLANT ARRIVE JOB VE JOB ARRIVE PLANT DATE CUSTOMER NO. Sia3` 0' ORDER NO. PROJECT PLANT N CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS SPECIAL INSTRUCTIONS DRIVER DISPATCHER RUCK NO. ORDERED BY I5IE DUE DESCRIPT COLLECT ON DELIVERY (C.O.D.)125603 CASH ❑ CHECK#' CARD # EXR. 0 CHARGE 0 VISA .0 MASTEROARD ; O DISCOVER REMIT PAYMENT TO 912S 10th AVE. S, SEATTLE, WA 98108 TERMS ON REVERSE. P.EL7 ;15F — Cd13PCii41H HEl LASES AND AGRI:ES TO i- OLD IHAf1ML.E S KANG3`.EY R+ Clf & CYCLItIC, A DIVI J( GAR' jvi I.ID Cr.)h !RUCTION '.:01,1FANf, INC..I OR ANY 7AT t I 'f0 Fl!!> I I OF I IE!SONP.I, PROP c:;:kuSFL`.; 13Y I)EI,l'VE RY OF 1/11Al'EllIALS U.TED A114.0tirli. DFT/,Il-:Oh1-RK`/Erv1-,F, CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 Kangley Rock & Recycling Locations KANGLEY PIT (Plant W 21) 32600 SE Kenl•Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant / 22) • (20B) 650-0912 510 Mauler Rd. Renton, WA98055 LAKE FRANCIS (Plant d 29) - (208) 658.0872 22501 SE Lake Franda Rd. Maple Valley, WA 98038 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA9B038 Flerlr g20 - (200) 650.0913 DELIVERY TICKET { ACGOUN1ING FAX SALES & ORDER DESK (200 70E;1cO MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. riti3v ORDER NO. PROJECT PLANT p CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS SPECIAL IMST(UCTI,ONSP:: COLLECT ION QELIVERY (C:O.D.)125652 0 CASH ❑ CHECK q ❑ CHARGE CARD 41 EXP, . / ❑ VISA 0 MASTERCARD. ❑ DISCOVER ODUCT DRIVER DISPATCHER TRUCK NO. TAX CODE , A RELEASE — CUSTOMER RELEASES AND AGR OF GARY MEPLIhIO CCNSTRiICTION COMPAI CAI )SED BY DELIVERY OF MATERIALS LISTED CUSTOMER SIGNATURE PRINT NAME REV 04-2009 ORDERED BY TIME DUE ES TO HOLE) I•i R JLE Y, INC FOR :. DE;jls l'.StiI,R,EVERSE. REMIT PAYMENT TO 912E 10th AVE. S, ... SEATTLE, WA 98108 TERMS ON REVERSE Y ROCh S' REAL DATE YOUNG, A PIVISIO R PERSONAL PROPER UNITPRICE':. SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT CUSTOMER COPY • KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 981013 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, Kongley Rock & RecyclIng Locations KANOLEY PIT (Plant* 21) 32500 SE Kenl-Kanaley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant 22) - (206) 658-0812 510 Monster Rd. Renton, WA 08055 :LAKE FRANCIS (Plant'. 23) - (206) 658-0872 22501 SE Lake Francis Rd. Maple Valley, WA 88038 INC, Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Mepl8 Valley, WA 96036 Plant 6201 (206)658-0913 DELIVERY TICKET Ary,\. rTiTcH, FAX SALES & ORDER MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 1,3 CUSTOMER NO. 169501 ORDER NO., PROJECT CUSTOMER NAME CUSTOMER P.O. PLANT 4 JOB NO. DELIVERY TICKET NO. JOB ADDRESS iNft'RNAT fONAt f.?)1. 44)17)1 I SPECIAL INSTRUCTIONS 0 CASH CARD COLLECT ON DELIVERY p.o.D4125706 o CHECK # 0 CHARGE EXP. " 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY U .m. PRODUCT CODE 20 On DESC PTION " • TONS TOTA • ), UNIT PRICE AMOUNT NtL 32.28 DRIVER TRUCK NO, CI ORDERED BY DISPATCHER TAX CODE 'NA TIME DUE REMIT PAYMENT TO 912,510th AVE, S. SEATTLE, WA 95108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY. ROCK & RECYCLING, A DIVISION or OAR': MERLIN° COILS rouci 01 OI ii ANY !NC. FOR ANY DAVAGE1,'0 REAL OR PERSONAL PROPERT' BY DELIVERY DP IrTERIAISLTSII D.At)riciE, DETIASvcIITREVEPSE. CUSTOMER SIGNATURE PRINT NAME DATE SUB -TOTAL ' SALESTAX BALANCE FORWARD TOTAL AMOUNT REV 04-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING; 9125 TENTH AVENUE SOUTH• SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC • Kangley Rock & Recycling Locations KANGLEY PIT (Plan) 8 21) 32500 SE Kent-Kengley Rd., Ravensdale, WA98051 BLACK RIVER (Plant 122) - (206) 6566912 • '510,Moncler Rd. Ranson, WA 08055 } ?I-AKE FRANCIS (Plan) A 23) - (208) 658-0872 22501 SE Lake Francis Rd. Mapta Valley, WA 96038 Cedar Mountain Reclamation 17877 Cedar Glove Rd. SE, Maple Valley, WA 98038 Plant 020-1206) 656.0913 DELIVERY TICKET COIiNTING y206j 7F;2 566 2DEr 7(3:1-2n 5F3 SALES & ORDER DESK I2Glit-?Ga.10;:i) MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER SS.. NO. ORDER NO, . . PROJECT : PLANT # CUSTOMER NAME I ,,.... . • CUSTOMER P.O. '•::: ": JOB NO. _ DELIVERY TICKET NO. JOB ADDRESS j y } t t."-`F , ,4'i�43 bi Z COLLECT ON DELIVERY (C.0-D.)125755 :.,i • t 0 CASH ❑ CHECK# ❑ CHARGE EXP. f SPECIAL INSTRUCTIONS CARD # El VISA 0 MASTERCARD 0 DISCOVER QUANTITY ',, . U.M ' PRODUCT',. . , t :' .. : ; DESCRIPTION . TONS' IOTA! UNtT PRICE AMC?UNT ,;` • .. .. ,.'_ . :y,-,? : +ili i t'CODE t?�h t+•l -t� ri'ir c11.)ric2, ,,rr i? f : r 44 i13i).O0 i�.i4e', • ... .. tti ?' 2-ii),O, DRIVER TRUCK NO. ,,.;, ORDERED BY RlrM3T PAYMENT 912p loth TO. SUB -TOTAL . AVE. S. DISPATCHER TAX CODE ,',i.A TIME DUE SEATTLE, '> 1 3:18 TERMS ON WA 98108 REVERSE SALES TAX , RELEASE — CUS10'.1ER RELEASES Alit AGREES TO HOLD HARULE:SS KANGiEY ROCK & RECYCLING. A DIVISION —_ OF GAR`.+. MERLINO CONSTRUCTION COMPANY INC, FOR ANY-£i7� 3AeE'f0 =-li3 REAL OR PERSONAL PROPEF(rY BALANCE FORWARD, ' • C:i;i.IjCD SLY DELIVERY OF MA1'E RIALS I-'ST-C li ,LEry', i r' E E LL I i tal')T>L GR r. ,a CUSTOMER SIGNATURE .-- ;= .,.. ' = - TOTAL AMOUNT • PRINT NAME DATE REV 04-2009 KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. • Kangley Rock &Recyclirtg Locations KANGLEY PIT (Plant # 21) 32500 SE Kent-Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant # 22)- (206) 659.0912 510 Monster Rd, RQQnton, WA98055 LAKE FRANCIS- (Plem V 23) , (205) 658-0872 22501 SE Lake Francis Rd, Maple Valley, WA 98038, Cedar Mountain Reclamation 17877 Ceder Grove Rd. SE, Maple Valley, WA 98039 Plant #20 - (208) 658-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE ,10/16 19, CUSTOMER NO. . 422300 ORDER NO. 6)099 PROJECT . PLANT # CUSTOMER NAME "x ILIAD INC CUSTOMER'p..O. JUSTICE CENTER JOB NO.' 400250 DELIVERY TICKET NO. . 127451 JOB AonREss -1�i1�t5 II�I�ERI+IATINAL. © COLLECT ON DELIVERY (C.O.D.) 0 CASH ❑ CHECK* ❑ CHARGE CARD.* EXP ' SPECI,STRUCTIONS O VISA 0 MASTERCARD ❑ DISCOVER QUANTITYr U.M. PRODUCT CODE DESCRIPTION TONS TOTAL UNIT PRICE 1 AMOUNT Gros s O0.00 1d4'RC , E , A-1 ENVIRONMENT ; L CEI Tare 23940.00 R 15.48 Net DRIVER TRUCK NO. 'TMPPTI8 ORDERED BY REMIT PAYMENT 9125 10th AVE. TO S. SUB -TOTAL DISPATCHER TAX CODE WA TIME DUE SEATTLE, WA 98108 1 7:41 TERMS ON REVERSE SALES TAX RELEASE — CUSTOI.iER'RELEASES AND AGREES TO HOLD MLESS KANGLEY ROCK & RECYCLING, A DIVIS ON, OF GARY MERLINO CONSTRUCTI COMPANY, INC. FO NY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATE AL LISTED A OVE. D AILS ON REVERSE. BALANCE FORWARD CUSTOMER SIGNATURE TOTAL d% PRINT NAME 1 _ DATE AMOUNT REV 04-2009 INVOICE COPY Kangley Ro9k & ReC cling Locations ROCK & RECYCLING 'KANOLEYPIT (POI#21) 32500 SE Kent-Kangley Rd..'Ravensdale, WA 98051 ACCOUNTING: 9125 TENTH AVENUE SOUTH BLACK RIVER (Plant # 22) {908) 658-0912. 510 MorstefA0 RenIDnf WA$8055,,, SEATTLE, WA 98106 • (206) 762-2566 LAKE FRANCIS (P 123) ,(2oa),658.0672 22501 SE Lake F w t Rt8, t ple Valley, WA 98038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation ' 17877 Ceddr Grave Rd,' SE, Maple Valley WA 98038 'P10#20 - j206),85&D919 KANGLEY MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB DELIVE TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER. DESK (206) 768--1000 ARRIVE PLANT DATE. 0/16 CUSTOMER NO. 422800 ORDER NO.. �9 PROJECT PLANT # CUSTOMER NAME ILIAD INC JOB ADDRESS AGG - 15045 0 STRUCT!ONS, DELIVERY TICKET NO. 254 74 COLLECT ON DELI ERY ❑ CASH ❑ CHECK # CARD # ❑ VISA 0 MASTERCA 0 CHARGE '❑ DISCOVER QUANTITY U.M. PRODUCT CODE DESCRIPTION TONS Gros F DRIVER DISPATCHER 0.00 TRUCK NO, TMPPTI8 TAX CODE WA 4'RC BSE ENVIRONMENT. Y IME DUE 1 8:23 A-' s Tare 23940.00 REMIT PAYMENT TO 912910th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISIO OF GARY MERLINO CONSTRUCTION w PANT, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPER CAUSED BY DELIVERY OF MATERI LIS ED ABOVE: DETAILS ON REVERSE, CUSTOMER SIGNATURE PRINT NAME r` DATE REV 04-2009 TOTAL UNIT PRICE •► 27980 ({ SUB -TOTAL SALES TAX BALANCE FORWARD TOTAL AMOUNT AMOUNT CUSTOMER P.O. JOB NO. JUSTICE CENTER 400 INVOICE COPY KANGLEY ',.: ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, IN DATE 10/16,2019 CUSTOMER NAME B ADDF S ABC CUSTOMER NO. 42280 SPECI4{,,.,)gISTRU CTIONS QUANTITY GrosF DRIVE DISPATCHER PRODUCT CODE ORDER NO. ORDERED BY TIME DUE Kangley Rock & Recycling Locations KANGLEY PIT (Plant C 21) 32500 SE Kent-Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plant #' 22) - (206) 658-0912 510 Monster-Rd.iRenton, WA Ross . MAKE FRANCIS'(Pt n M-23j:'- (206)`658-0872 22501 SE Lake ,FrIkrbakRI AKpla Valley, WA 96036 Cedar Mountain Reclamation 17677 Cedar Grove Rd. SE,,Maple,Valley, WA 96038 ,Pleiil..1120'..,(206) 655-0913 PROJECT DESCRIPTION 37, GUST ER P.O. DE VE TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & .ORDER DESK (206) 768-1000 JOB NO. PLANT PLANT* DELIVERY TICKET NO. 127C7 COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # CARD ❑ VISA ; ❑ MASTERCARD '❑ DISCOVER 23940.00 REMIT PAYMENT TO 912C10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK RECYCUNG. A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERJAI LISTED ABO % DETAILS ON REVERSE, - CUSTOMER SIGNATURE PRINT NAME 1 r .+ .a r DATE REV 04-2009 0 CHARGE TOTAL UNIT PRICE AMOUNT SALES TAX BALANCE FORWARD TOTAL AMOUNT IN\,OIOr OOP Y KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kangley Rock & Fie ling Locations KANGLEY PIT (Plant # 21) 32500 SE Kent•Kangley, Rd., R avensdale, WA 98051 -BLACK RIVER (Plant k.P2) - (206) 656-0912 510 Monster Rd.,Ren1on, WA 96055, LAKE FRANCIS''(Plent A'23) - (206);658-0E72 22501 SE Lake'Filknt:!!Rtr[uldple Valley, WA 9903E A DIVISION ©F GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar'Mountain Reclamation 1787Gedar Grove,Rd. SE, Maple Valley, WA 98038 Plan) #20 - (208) 65B-0913 MAP LOCATE LEAVE PLANT ARRIVE 8. LEAVE JOB DEL TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES &' ORDER DESK (206) 768-1000 ARRIVE PLANT DATE 1t?I1�19, CUSTOMER NO. 422800 .ORDER NO. PROJECT CUSTOMER NAME IUAD INC JOB ADDRESS AGG - 1 SPEOLVIIISTRUCTIONS CUSTOMER P.O. JUSTICE CE JOB NO. LATER .4 PLAN T# 22 DELIVERY TICKET NO. 25() 127673 COLLECT ON DELIVERY (C.O.D.) D CASH ❑ CHECK # O CHARGE CARD # , EXP. ! d DISCOVER 0 VISA O MASTERCARD QUANTITY U.M.PRODUCT CODE DRIVER DISPATCHER 0.00 TRUCK Na TMPPT15 DESCRIPTION 114,RC I'SE GR EI 01RONMEWTAL S 1 CHI ORDERED BY TAX CODE TIME DUE WA 1 12:' Tare REMIT PAYMENT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, FOR ANY DAMAGE. TO HIS REAL OR PERSONAL PROPER CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS ON REVERSE. CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE TOTAL UNIT PRICE Net 4 BALANCE FORWARD TOTAL AMOUNT AMOUNT INVOICE COPY Kangley Rock & Raiding Locations KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENU KANGLEY PIT (Plant # 21) 32500 SE Kenl-Kangley Rd., Ravensdale, WA 98051 BLACK RIVER (Plan) d2).- (206) 658-0912 DELIVERY TICKET SEATTLE, WA 96108 • . 50 kdanstor Rd.,Renlcul;.WA 98055 - (206) 762-2566 LAKE RANCISt(Plent'0 23) - (206)' 858.0872 22501 SE Lake Ptar4 JTh J, ple Valley, WA 98038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877Cedar Grove Rd. SE, Maple vhllay,.WA98038 PlantW20,- (206)'858.0913 ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (206) 7681000. MAP LOCATE . LEAVE, PLANT ARRIVE JOB 1 LEAVE JOB ARRIVE PLANT DATE 1011612019 CUSTOMER NO. 422800 ORDER NO. , 639099 PROJECT - PLANT # 22 CUSTOMER NAME I ILIAD INC CUSTOMER'PO. JUSTICE CEWTER JOB.NO. DELIVERY TICKET NO. JOB ADDRESS AGG - 15045 INTERNATIONAL COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK# ❑ CHARGE . CARD SPECI TRUCTIONS' ' # EXP .. ❑ VISA , tJ AAASTERCARD . ❑ DISCOVER QUANTITY U.M. PRODUCT CODE DESCRIPTION TONS TOTAL rM . UNIT PRICE AMOUNT Gros; 1.174 RC 3SE I II°.A-1 ENVIRONMENTAL SURC Tare 23940.00 Gt, 14.63 Net 29260.0 DRIVER TRUCK NO. TMPPTIS ORDERED taY REMIT PAYMENT TO SUB -TOTAL 912 µ 10th AVE. S. DISPATCHER TAX CODEr> TIME DUE SEATTLE, 12: WA 98108 ON REVERSE SALES TAX RELEASE RELEASE — CUSTOMER RELEASES AI OF GARY MERLINO CGNSTRUCT�+ CAUSED BY DELIVERY OF MATE ACS JD AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION. oMPANY, INC. FOR AN),13AMAGE TO HIS REAL DR PERSONAL PROPERTY BALANCE FORWARD IS A E. DETA(I ON REVERSE. CUSTOMER SIGNATURE�� TOTAL PRINT NAME DATE AMOUNT REV 04-2009 IN` ICE COPY' BNBuilders November 21, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for ASI 009.1 Dear Ethan, In accordance with ASI 009.1 dated 7/19/19, BNBuilders hereby submits our proposal for the fire riser coordination. The total proposal of this subject work is Seven Thousand One Hundred Fifty -Nine dollars $7,159.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5022 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinek@soseaj.com) Geri Urbas (geri.urbas@bnbuilders.corn) Steve Schmitz (sschmitz@dIrgroup.corn) BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 I': 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: ASI 009.1 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: ASI 009.1 - Fire Riser Coordination COP #: 5022 DATE: 11121/2019 BP 03.00 BNB (Foundations/Structure/Waterproofing) BP 31.00 Iliad $3,453.86 $3,364.00 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $6,817.86 $340.89 $0.25 Total Change Request $7,159.00 5% Tukwila Justice Cenber SUBCONTRACTOR CHANGE ORDER REQUEST SUMMARY CALCULATION PROJECT NAME: Tukwila Justice Center Contractor Name: BN Builders DESCRIPTION OF CHANGE: ASI 009.1 Fire Riser Coordination CCD/ASI #: ASI 009 COP #: 5022 DATE: 1111912019 Subcontractor Direct Costs (attach all necessary substantiating documentation) Labor (Excluding Labor Premium) Material Equipment Subcontractor's Total Direct Cost Subcontractor's Mark-up (Excludes Labor Premium) Labor Premium $2,673.36 $150.00 $180.00 $3,003.36 $450.50, $0.00 Total Subcontractor Direct Costs + Mark-up + Labor Premium $3,453.86 Total Sub -tier Subcontractor Costs Subcontractor's Mark-up on Sub -tier Subcontractor(s) 0.00 Total Subcontractor Change Request $3,453.86 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 15% 8% COP Cost Breakdown Project Name:. Tukwila Justice Center Project No. 118021.100 Contractor BNBuilders, Inc. Work Description: CCDIRFL CP #: Date: 1/0/00 0 Description Quantity Unit Prod. Hours A.1. Labor A,1. Labor Premium B. Material C. Equipment $/hour Cost $/hour Cost $/Unit Costs $/Unit Costs Form, Pour Blockout and Strip for AS1 009.1 1 EA 36, 74.26 $ 2,673 150.00 $ 150 5.00 $ 180 $. - $ - $ -. $ - $ - $ - $ - $ - $ - $.. $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $. -. $ - $ - $ -. $ - $ - $ - $ - $ - $ $ - $ - $ $ $ $ - $ - $ - $ - $ - $ - $ -. $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ $ $. - $ - $. $ - $ - Total Cost of Work A. $ 2,673 $ - $ - B. $ 150 C. $ 180 BNBuilders Inc Job Cost Journal - Detail Page 6 System Date: 11-19-19 System Time: 12:33 pm Record Security: Disabled 119700.000 COTJC SP BP03.00 FNDN/Struc/WP Date Range: Cost Invoice #/ Code Pay ID/Ref 1 to 11-19-2019 Period End Date Description ASI 009.1 - Fire Riser Coordination Vendor/Employee Hours REG REG 06-15-2019 PR c 06_15_2019 pR e:sstt carios. s° AlarconoGd.1)..yricia 100 g oo REG 7-2'7-2019 PR cost Gjas:c.liouisl''AlAs:rs':s1G01':14 1- 00 REG 07-27-2019 PR cost Anthony I.aviano 4. 00 BNB BN Builders TJC Project No. SUBCONTRACTOR: Subcontractor CP Breakdown Summary Iliad DESCRIPTION OF WORK: Install fire line changes per ASI 009.1 CONT Cost Event #: CP #: Document #: 28 28 Date: 7/31/2019 A. DIRECT LABOR COSTS B. MATERIAL COSTS C. EQUIPMENT COSTS D. SUBTOTAL DIRECT WORK ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) (Total A, B, C, and D Above) ,074 1,269 91 2,734 G. Subtier Subcontractor Cost (Subcontractor Estimates Attached) 1) $ 2)3) $ 4) $ H. Subtotal Subcontractor Costs $ Direct Cost Fee A. Fee on Direct Work (Item E) 15% $ 410.06 B. Fee on Subtier Subcontractor Direct Costs (Item H) 6% 0.00 SUBTOTAL (Total of Parts I, II, Ill Above) 1$ 3,144 Liability Insurance 5.80% $ Bond Costs 1% $ TOTAL (Total of Parts I, II, Ill, IV Above) TOTAL 182 37.73 3,364 1$ COP Cost Breakdown Project Name: TJC Project No. Subcontractor: Iliad Work Description: Install fire line changes per ASI 009.1 Cost Event#: 28 CP #: Document # Date: 7/31/2019 Spec Section Description Quantity, Unit Prod. Hours A. Labor B. Material C. Equipment D. Contract Unit Price Unit Prices Cost S/hour Cost S/Unit.. Costs S/Unit Costs 5/8 crushed 1 yd S - 32.00 S 32 S - S - Operator 1 ea 10 71.46 S 715 S - S - $ - Laborer 1 ea 6 59.91 S 359 S - S - $ - Mini Excavator 1 ea 6 5 - S - 65.11 $ 391 5. - 12" Class 50 Sleeve 18 LF $ - 32.90 $ 592 $ - 5. - Allthread 40 LF S - 12.90 $ 516 S - S - Star Bolts 8 ea S - 16.10 $ 129 S - S - - $ 5 $ S - S - S - S - S - S - S $ - S $ - $ - S - S $ 5 S $ - 5 - S - S - 5 S - S - S - S - $ - S - 5 S $ - S $ - S - $ S - S $ - $ - S $ - S 5 $ S - S - S - S - 5 - S - S - S - S - S S - 5 - 5 - 5 S - S - $ - 5 - S - S - S - S - S - 5 - $ - S S - 5 - S S $ - 5 - 5 - Total Cost of Work: A. Total Cost of Unit. Price Work $ 1,074 B. $ 1,269 C. $ 391 D. S 2,734 OCU ent Architect's Supplemental Instructions 71 I TM 2017 PROJECT: (name and address) 73-17158-00 City of Tukwila Justice Center Tukwila, WA OWNER: (name and address) City of Tukwila 6200 Southcenter Blvd Tukwila, WA 98188 CONTRACT INFORMATION: ASI INFORMATION: Contract For: General Construction ASI Number: 009.1 Date: April 2, 2018 Date: July 19, 2019 ARCHITECT: (name and address) DLR Group Inc. (a Washington Corporation) 51 University Street, Suite 600 Seattle, WA 98101 CONTRACTOR: (name and address) BNBuilders 2601 Fourth Avenue, Suite 350 Seattle, WA 98121 The Contractor shall carry out the Work in accordance with the following supplemental instructions without change in Contract Sum or Contract Time. Proceeding with the Work in accordance with these instructions indicates your acknowledgment that there will be no change in the Contract Sum or Contract Time. (Insert a detailed description of the Architect's supplemental instructions and, if applicable, attach or reference specific exhibits.) ASI 009.1 - Fire Riser Coordination This update to the plan coodinates the 6" wet fire protection pipe into the building near gridline E-2. This better provides information relating to the blocking at footing FW1L Drawing Attachments: S1.1A - FOUNDATION PLAN - AREA A • Update FW11 with fire blockout information • Update refeence to new blockout section 1/S4,3 S4.3 — CONCRETE DETAILS • New sheet added for additional details • Added detail 1/S4.3 - SECTION AT FOORING BLOCKOUT for fire riser. ISSUED BY THE ARCHITECT: DLR Group Inc. (a Washington Corporation) ARCHITECT (Firm na SIGNATURE Erica Loynd. Project Manager PRINTED NAME AND TITLE June 19. 2019 DATE AIA Document G710TM — 2017. Copyright 0 1979, 1992 and 2017 by The American Institute of Architects. All rights reserved. WARNING: This MAR Document is protected by U.S. Copyright Law anti International Treaties. Unauthorized reproduction or distribution of this AJAR DOCUMent, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 13:51:59 ET on 07/19/2019 under Order No. 0563223301 which expires on 04/26/2020, and is not for resale. User Notes: (3B9ADA4F) urn Wu. ...n .NnWAN dnoiD YU. 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VAt oAr� 1N3a3I1snV1M)n1_:+ R iL ..i:_,_. § °o SECTION AT FOOTING BLOCKOUT I I13 SI „; BNBuilders December 13, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for ASI 008 — Mechanical and Electrical Schedule Revisions Dear Ethan, BNBuilders hereby submits our proposal (Rev 1) for ASI 008 — Mechanical and Electrical Schedule Revisions. The total proposal of this subject work is Ten Thousand Fifty -Six dollars $10,056.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5025 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justineksoseai.com) Geri Urbas (qeri.urbasAbnbuilders.com) Steve Schmitz (sschmitzdIrgroup.corn) BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY PROJECT NAME: GENERAL CONTRACTOR: BNBgldemmc DESCRIPTION OF CHANGE: Mechanical and Electrical Vcmodulenow,mn, DATE: 12113/2019 BP 26.00 Valley 1o#ierSubcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment Total Change Request "The Electrical'Solution"e VALLEY ELECTRIC CHANGE ORDER PROPOSAL Tukwila Justice Center Contract: 118021.1-05 PROPOSAL DESCRIPTION: ASI-008 Mechanical Electrical Schedule Revisions ASI # 008 DATE 7/30/2019 Addendum# VE JOB # 19146 Time Ext Rqrd (days): RFI# VE CP # 003=RI Self Performed Work LABOR COST 68.98 hrs $55.18 $ 6,565.52 SUPERVISION 0.0% lbr SAFETY 2.0%-lbr - $ 131.3.1 SMALL TE OLC S 3% ILr $ 328.28 MATERIAL COST $ 1,252.17 BIM 6 hrs $ 85.00 $ 510.00 EQUIPMENT COST 24' Scissor Lift Month $ - OH & PROFIT - SELF 15.0% Subcontractor Quotes Quote Quote Quote Quote OH & PROFIT SUBS Bond Permit Fee SUBTOTAL COST: $ 8,787.27 $8,327.68 $1.249.15 SUBTOTAL DIRECT COST QUOTES: 8.0% TOTAL CHANGE PRICE: NOTE: 1) Proposal valid for acceptance within 30 days. 2)Whi a feet iders our proposal amount full compensation for this rye he right to seek additional time and compensation a ' n,t - " + rnu tiple changes, if any, or for indirect costs that were not rease .y alley Electric at the time of settlement on 3) This construction change has been estimated using the drawings fu ed; an engineering evaluation of the drawings, for function and compatibility with the vendor furnished equipment, has not be n performed. 4) Permit costs are specifically excluded. Should this change, or it become n essary to procure/pay for an increased permit fee this would become an added cost to the change price reflected above. $ Our proposal amount does not include the following: - Overtime / Shift Work - Fireproofing Repairs - Concrete/GWB Repairs - Shutdown Costs - Painting and Patching Owner Contract language for change orders governs 9,576.83 Valley Electric Co. Job #19146 Detailed Labor and Material Breakdown Contract # 19146 - CP #003 - ASI-008 - Mechanical Electrical Schedule Revisions.xls Page 1 of 1 Print: 7/11/2019 Description Qty Net Price U Labor U Total Mat($) Total Hours 3/4" CONDUIT - EMT 559 64.96 C 6.2 C $363.13 34.66 1" CONDUIT - EMT -253 111.06 C 6.8 C ($280.98) -17.20 3/4" CONN COMP STL - EMT 10 21.74 C 37 C $2.17 3.70 1" CONN COMP STL - EMT -4 40,44 C 43 C ($1.62) -1.72 3/4" COUPLING COMP STL - EMT 55 26.92 C 17 C $14.81 9.35 1" COUPLING COMP STL - EMT -25 48.31 C 20 C ($12.08) -5.00 3/4" TYPE LB STD CONDUIT BODY - EMT -ALUM 7 20.89 E 0.62 E $146.23 4.34 3/4" CONDUIT BODY COVER - EMT 7 5.11 E 0.13 E $35.77 0,91 3/4" CONDUIT BODY NEOPRENE GASKET - EMT 7 3.04 E 0.06 E $21.28 0.42 3/4" BUSHING - PLASTIC 16 4 C 14 C $0.64 2.24 1/2" BUSHING GRDG INSUL 150 DEG - STEEL -2 218.71 C 23 C ($4.37) -0.46 3/4" BUSHING GRDG INSUL 150 DEG - STEEL -4 229.1 C 25 C ($9.16) -1.00 1/2 OR 3/4" CONDUIT SNAP CLOSE CLIP W/ 1/4-20 THRD HOLE 57 34.25 C 7.75 C $19.52 4.42 1" CONDUIT SNAP CLOSE CLIP W/ 1/4-20 THRD HOLE -26 44.08 C 9.25 C ($11.46) -2.41 1/2" FLEX -LIQUIDTIGHT METALLIC - GRAY -3 91.48 C 5 C ($2.74) -0.15 3/4" FLEX - LIQUIDTIGHT METALLIC - GRAY 42 124.5 C 6.2 C $52.29 2.60 1/2" CONN STRAIGHT- LIQUIDTIGHT DIECAST -2 127.2 C 18 C ($2.54) -0.36 3/4" CONN STRAIGHT- LIQUIDTIGHT DIECAST 4 173.04 C 22 C $6.92 0.88 3/4" CONN 90 DEG - LIQUIDTIGHT DIECAST 8 1211.33 C 22 C $96.91 1.76 #10 THHN BLACK 768 122.47 M 8.75 M $94.06 6.72 #12 THHN SOLID BLACK 1560 97.77 M 7.5 M $152.52 11.70 #10 THHN SOLID BLACK -243 152.96 M 8.75 M ($37.17) -2.13 # 8 THHN BLACK -972 197.33 M 11.25 M ($191.80) -10.94 #12 XHHW BLACK 224 134 M 8.7 M $30.02 1.95 #10 XHHW BLACK 32 208.13 M 10.6 M $6.66 0.34 WIRE CONN RED 24 14.83 C 8 C $3.56 1.92 WIRE CONN RED (#16 TO #10) -4 14.83 C 8 C ($0.59) -0.32 WIRE CONN BLU (#12 TO # 6) -8 25 C 10 C ($2.00) -0.80 4x 2 1/8" SQ BOX COMB KO 7 70.45 C 35 C $4.93 2.45 4" SQ BLANK COVER 1/2" KO 7 645.77 C 9 C $45.20 0.63 4 11/16x 2 1/8" SQ BOX 1" KO 1 2355.44 C 35 C $23.55 0.35 4 11/16" SQ BLANK COVER 1/2" KO 1 1772.24 C 9 C $17.72 0.09 1/4-20x 2 1/4 WEDGE ANCHOR - 1 1/8" MIN DEPTH 16 16.67 C 20 C $2.67 3.20 1/4 - 1-1/2 DRIVE PIN 16 34.18 C _ 20 C $5.47 3.20 1/4" THREADED ROD - PLTD 94 30.32 C 4.62 C $28.50 4,34 1/4-20 HEX NUT - PLTD STL 31 2.38 C 3.25 ' C $0.74 1.01 HAMMER -ON CLIP TO 1/4" FLANGE W/ 1/4" THRD ROD HNGR 31 89.75 C 6.25 C $27.82 1.94 20A 3P BREAKER -NEMA 1 2 605.57 E 2.03 E $1,211.14 4.06 30A 3P BREAKER - NEMA 1 0 713.29 E 2.03 E $0.00 0.00 40A 3P BREAKER - NEMA 1 1 605.57 E 2.03 E $605.57 2.03 50A 3P BREAKER - NEMA 1 -2 605.57 E 2.03 E ($1,211.14) -4.06 #12/3C +GRD MOTOR TERM TO 600V 5 0.01 E 1.07 E $0.05 5.35 #10/3C + GRD MOTOR TERM TO 600V 1 0.01 E 1.33 E $0.01 1.33 # 8/3C + GRD MOTOR TERM TO 600V -2 0.01 E 1.72 E ($0.02) -3.44 #12/3C + GRD EQUIPMENT TERM 1 0 E 1.07 E $0.00 1.07 SUB COORDINATION (As Needed) 0 1 E $0.00 0.00 POSTING/RECORD DWGS 0 3.4487525 E $0.00 0.00 CLEAN UP (5% Lbr) 0 0.3448753 E $0.00 0.00 TESTING (75% Lbr) 0 0.5173129 E $0.00 0.00 WARRANTY (As Needed) 0 0.6897505 E $0.00 0.00 Totals: $1,252,17 68.98 CONFIDENTIAL nt 7 Architect's Supplemental Instructions TM 2017 PROJECT: (name and address) 73-17158-00 City of Tukwila Justice Center Tukwila, WA OWNER: (name and address) City of Tukwila 6200 Southcenter Blvd Tukwila, WA 98188 CONTRACT INFORMATION: Contract For: General Construction Date: April 4, 2018 ARCHITECT: (name and address) DLR Group Inc. (a Washington Corporation) 51 University Street, Suite 600 Seattle, WA 98101 ASI INFORMATION: ASI Number: 008 Date: June 13, 2019 CONTRACTOR: (name and address) BNBui]ders 2601 Fourth Avenue, Suite 350 Seattle, WA 98121 The Contractor shall carry out the Work in accordance with the following supplemental instructions without change in Contract Sum or Contract Time. Proceeding with the Work in accordance with these instructions indicates your acknowledgment that there will be no change in the Contract Sum or Contract Time. (Insert a detailed description of the Architect's supplemental instructions and, i [applicable, attach or reference specific exhibits.) ASI 008 - Mechanical and Electrical Schedule Revision This update to the schedule updates the condensing unit schedule to meet a new product generation rollout that occurred since design. Also, some of these units were meant to be dual point connections which were not caught in the original bid documents. This update indicates updates both the quantity and value of MCA/MOCP in the units. Drawing Attachments: M6.1 — MECHANICAL SCHEDULES • Revise VRF OUTDOOR UNIT SCHEDULE as indicated. E2.3 - ROOF POWER PLAN •Added second connection to CU-Al, CU-A2 and CU-C1 per mechanical E7.2 - MECHANICAL CONNECTION SCHEDULES • Added units to Draft Barrier Heater schedule. These connections already showed up on panel schedules and in floor plans, but a graphic issue hid them from this schedule. • Revised VRF Outdoor connection schedule based on 2-point connections. •Added toggle switches for disocnnects for branch controllers and indoor VRF units. E7.3 - MECHANICAL CONNECTION SCHEDULES • Revised note schedule under DOAS schedule (Previously said Exhaust fan) adding requirement to furnish duct smoke detectors per Div 23. E8.1 - PANEL SCHEDULES • Revised Panel schedule HMCI per Mechanical Changes E8.2 - PANEL SCHEDULES • Revised Panel schedule RHMA2 per Mechanical Changes ISSUED BY THE ARCHITECT: DLR Group Inc. (a Washington Corporation) ARCHITECT (Firm name) AIA Document G7IOTM — 2017. Copyright© 1979, 1992 and 2017 by The American Institute of Architects. All rights reserved. WARNING: This AIM, Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 16:26:39 ET on 06/13/2019 under Order No. 0563223301 which expires on 04/26/2020, and is not for resale. User Notes: (3B9ADA4B) SIGNATURE Erica Loynd, Project Manager PRINTED NAME AND TITLE June 13, 2019 DATE AlA Document G710T" — 2017. Copyright© 1979, 1992 and 2017 by The American Institute of Architects. All rights reserved. WARNING: This MAR Document is protected by U.S. Copyright Law and international Treaties, Unauthorized reproduction or distribution of this AIM Document, or any portion of it, may result in severe civil and criminal penalties, and will he prosecuted to the rriacirriurn extent possible under the law. This document was produced by AIA software at 16:26:39 ET on 06/13/2019 under Order No. 0563223301 which expires on 04/26/2020, and is not for resale. User Notes: (389ADA4B) dnao 8 a VAV TERMINAL UNIT SCHED U a 8 Y ti 1.4 iS g. as O 8 8 i a YENO81 AO uia 2l31N3O 3oaasnr V1IM11111 i rc 0 m8 8 8 UW 8 8 2 O 2 03 i 8 OU O y1 tom. 8 OS co 2 w.:r.+8• eloraa ild touvry, uryyr.iya, dnoiD N-Rej Plf10.4.:=1;0.1. V1INOthl dO ALIO 1:131N3D 3011S!If V11M}1111 c‘i w LEGEND NOTES 3 LI•- L qo' El '51 • , • - LI 00 00 kde u_ 0 0 z 0 fig W.Itt.610.16 dnoa! �1a APYP^Y9P^4fl ER ❑ W U z O U z U wW 4N F 0 1111111111111111111111111111111111111 11111111111111111111111111111111 1111111111111111111111111111111 11111111111101111111111111111111 11111111111111111111111111111111111 111111111111111111111111111111111111111 immomilimmommi commommomimmumm immommimmoill J I:k1.1N:[Na1.II:I011114:;K01.1.1xNINIZIR N: NrimoujO ,WO 2J31N30 3311Slf H1IM71f11 w W 0 0 F w z 0 0 O 0 iAi4:11:1dA10:[NiINO1x+'31€U.1-10:14.l1147. wduz<a�ov�� 4444 .4,, E"4444 YX4-40, dnao N-Rj SPLIT SYSTEM INDOOR UNIT CONNECTION SCHEDULE az 25 E5 22 22 AIR COMPRESSOR CONNECTION SCHEDULE 2 25 4 'EM CONDENSER UNIT CONNECTION SCHEDULE go 21 25 3 ra 5 33 1 EATER CONNECTION SCHEDULE 55 55 0 A 32 X 0 to 0 22 2 0 0 20 2 0 F; g a 55 22 5 SPLIT SYSTEM HEAT PUMP INDOOR CONNECTION SCHEDULE :5 .41,44U. 0444444,4 41,441.0. heiming AO kuo aagiN93 32usnr WIIMN111 51 0 22 0 54 2 0 0 0 a. Q. 2/1 10 >- 551 31 •Y 5 — — — — — n grg.'giRRgg iii - - -ohhhhhhh hhhh h 5 5`ii;-;::.:::2:=•,,,ZZE..,Z7, 8 12 gg 51 g.„,5„,*„.1,„1„1, 1239.11: 3:121-11:.g2 g.42120. 21 ;E a a E e g se r.hi E,.E.! 2222 2 .12 0 ua x `' 2 2 2 h '41 .4," 5, aee ea 0 2 0 F u21 2 2 0 0 z a le. t- co = Liaa'e-aaaaaaa-aa 555 - i,5 55g Ra E e 5, egerrhhE ,n' P. 5 5 x F.E,egge h ti..55E92EE5EE E E E e 1. 24 V n g 2332 ;42' Pf: EEE5'.. asgh. _: . e e.:,a •", a A 5 ri 2 9 i; 5 5 g. g a 5sp55:35.gg5ga 2 g., 1 33 HRV CONNECTION SCHEDULE 82 ig 2 22 23 92 Lt. b MUM, ,444•444.5—,44,4.-4,2-424,1—00451"4/44,60 ...49 tuanuraq, dnao yia VTNNIIJAOADD 1131N30 30u_snr VlIMNILL ad fp p °.r A '4 E .,, S ,hg gEgf 25 t ....1,,,,..r.12RWAKIeg XX14.44V4 2.1 S22S5g.MRAEV tei g gg ggi. ELEggaggggggg:AA;;;;;;;;; g'gigFIg ggigggiEgFEL gp R2.AP8RPRARRARR2PRS,PPPPRPARRMRPFRAPgPRFRP 1 g g L . 5 g 6 gA ea e 6 X g g g p5gagaaaaag gE ,..p . gp RKPMPPMFMARR P MP AMPIERMFRAkrg ggPFPER,PRRR8 14 g g 2535 flflt2.''flg.1 ;2A.Y. 3 t s & -- ggggg g 5'“;.`gtg ,......,,,,,,,, %g—pn-....vr—, g 2;Eg t L''' P16 A fi Lii Egg ggi -11 5' . 1 8 2 4 I I 1 F,... i; - gI _ z '''':111411111 I g I 6 I 6 , . ft,' a X56.15 . ' 1 I A 4 RR E - .a 4 4 - e g a ,a—E. . e 6. : g eeel .., . § .i.F. a gg ,a g ., i .451F i - ,.. , . . . 1 .. MR n a. op aaagaggaa g h i q li . .21 E gg - 1 ga aga 6A . ,. .....,.,.............._ ; g - ig 6 1 w;g6 .11 n g6S R A g 6.- OgXXXXXXXXX gf ' e , R: .!, 666666666 5 5 g ....aagaaaamaganna aga WeIPZLCV 610011, dnao 6916.6 Vt, .1.1% WIINWIld0A110 H311\130 3oasnr v-wv\ >Ira SCHEDULES "i 2 gn -N. ' ?, n.,..2 7.1,2 WArMAVAMM84.714:V ..;.1.271I V":„,1,2. 2 . - gg EFAi -1 . 2 ''. , L. AA R-„gggintlignfflhe, g i g 0 g e nAg pc,§g Eg .W . 5 t - - ; : 3, 9 • . . . ' g.a.,...,„a - 8 'E-E- g ' " L , qii 3 E Ill 2 2 mccommemoommosio EP 11111111111111111111111 1111111111111 HIPENIMMI mummummum. uncummuumor F141111 1111111111111111111111. 1011011111111111111111- 1416 1111111111 11111 J i 1 1 g I 1 giumillimmullp DIIIIIIIIIIIIIIIIIIIII 1111111111111iiiiiiiii AMINININN Iiiiiiiiii numno iningtIMAIMIENEM ' i '1 MI 1111 FRI MOE na. E : PAX! .V... E illjr V.. Ef gp aaa gggg nnn_tgn ngg If ne il Z 2 g .. 2 _ _ ti 2 8 a y... .... . . .... .. n gp kMARRnfIRRRRARAAARRA ffi iii. wV&AV. Vinin 0 a 2' a BNBuilders December 16, 2019 SheIs Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for Comcast Conduit — Additional 4" Conduit Dear Ethan, Per Owner direction, BNBuilders hereby submits our proposal for the additional 4" conduit for Comcast. The total proposal of this subject work is Two Thousand Three Hundred Eighty dollars $2,380.00. There is a zero -day impact to the Project Schedule. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5044 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (iustinekAsoseaj.com) Geri Urbas (geri.urbas(bnbuilders.com) Steve Schmitz (sschmitz(&dIrgroup.com) BNBuilders 2601 4Avenue, Suite 350 Seattle, WA 98121 T: 206,382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: Comcast Conduit GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Additional 4" Conduit at South Retaining Wall for Comcast COP #: 5044 DATE: 1211312019 IBP 26.00 'Valley 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $2,266.711 $2,266.71 $113.34 -$0.05 Total Change Request $2,380.00 To the best of my knowledge and belief, I certify that all costs listed above are correct, Contractor Signature Date 5% "The Electrical Solution" VALLEY ELECTRIC CHANGE ORDER PROPOSAL Tukwila Justice Center Contract: 118021.1-05 PROPOSAL DESCRIPTION: Additional 4' Conduit for South Retaining Wall (For Comcast) SL # DATE 8/26/2019 Addendum# VE JOB # 19146 Time Ext Rqrd (days): 2 RFI# Self Performed Work LABOR COST SUPERVISION SAFETY MATERIAL COST EQUIPMENT COST 24' Scissor Lift VE CP # 006-R1 12.00 hrs $90.34 $ 1,084.08 0.0% Ibr 2.0% lbr 21.G8 OH & PROFIT - SELF 15.0% Subcontractor Quotes Quote Quote Quote Quote Month SUBTOTAL COST: SUBTOTAL DIRECT COST QUOTES: OH & PROFIT - SUBS 8.0% Bond Permit Fee BIM NOTE: 1) Proposal valid for acceptance within 30 days. hrs 85.00 TOTAL CHANGE PRICE: 886.97 $ 2,046.94 $ 307.04 additional time and compensation at a later date or e reasonably foreseen by Valley Electric at the time of settlement on this change. 3) This construction change has been estimated using the drawings furnished; an engineering evaluation of the drawings, for function and compatibility with the vendor furnished equipment, has not been performed. 4) Permit costs are specifically excluded. Should this change, or it become necessary to procure/pay for an increased permit fee this would become an added cost to the change price reflected above. Our proposal amount does not include the following: - Overtime / Shift Work - Fireproofing Repairs - Concrete/GVVB Repairs - Shutdown Costs - Painting and Patching 27 266.71 our ro osal amount full compensation for this change, we expressly reserve the right to seek for indirect costs that were not Valley Electric Co. Job #19146 Contract # Detailed Labor and Material Breakdown 19146 - CP #006 - Comcast Conduit in South Wall Page 2 of 65 Print: 8/26/2019 Description Qty Net Price U Labor U Total Mat($) Total Hours 4" CONDUIT - PVC40 220 190.96 C 9.8 C $420.11 0.00 4" ELBOW 90 DEC - PVC80 2 19979.33 C 84 C $399.59 0.00 4" ADAPTER FEM - PVC 4 208.84 C 40 C $8.35 0.00 PVC CEMENT STANDARD (1-QUART) 2 29.46 E 0.8 E $58 92 . 0.00 SUB COORDINATION (As Needed) 0 1 E $0,00 0,00 POSTING/RECORD DWGS 0 0 E $0.00 0.00 CLEAN UP (.5% Lbr) 0 0 E $0.00 0.00 TESTING (75% Lbr) 0 0 E $0.00 0.00 WARRANTY (As Needed) 0 0 E $0.00 0.00 Totals: $886.97 * 0 CONFIDENTIAL FIN Builders October 24, 2019 Sheds Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for ASI 016 — Civil Revisions Dear Ethan, BNBuilders hereby submits our proposal for ASI 016 — Civil Revisions. The total proposal of this subject work is Ten Thousand Seven dollars $10,007.00. There is a zero -day impact to the Project Schedule. BNB has not proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5059 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (Iustinek(@soseal.com) Geri Urbas (qeri.urbasbnbuilders.com) Steve Schmitz (sschmitzdIrqroup.com) BNBuilders 2601 4 Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY PROJECT NAME: Tukwila Justice Center CCDIASI #: 016 COP #: 5059 GENERAL CONTRACTOR: BNBuilders, Inc. DATE: 10/2412019 DESCRIPTION OF CHANGE: Civil Site Revision in response to SCL service letter revisions and coordinate adjacent property improvements preotections, and requested additional improvements BP 03.01 Site Concrete $3,675.80 BP 31.00 Iliad 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $5,854.52, $9,530.32 $476.52 $0.16 Total Change Request $10,007.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date BNB ONBuilders TJC Project No. SUBCONTRACTOR: Subcontractor CP Breakdown Sum Iliad Excavate and backfill for electrical conduit and DESCRIPTION OF WORK: vaults per ASI 016. IsiSUBCONTRACTORS— Cost Event #: CP #: Document #: 5059 ASI 016 Date: 10/24/2019 A. DIRECT LABOR COSTS B. MATERIAL COSTS C. EQUIPMENT COSTS D. SUBTOTAL DIRECT WORK ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) (Total A, B, C, and D Above) ,060 30 ,667 4,758 SUBTlER SUBCONTRACTORS G. Subtler Subcontractor Cost (Subcontractor Estimates Attached) 1) 2) 3) 4) H. Subtotal Subcontractor Costs Direct Cost Fee $ $ $ $ $ - $ - $ diskiiideialmaltoso Eigmika."- A. Fee on Direct Work (Item E) 15% 713.68 B. Fee on Subtler Subcontractor Direct Costs (Item H) 8% SUBTOTAL (Total of Parts I, II, Ill Above) Liability Insurance 5.80% Bond Costs 1% 65.66 5,472 317 TOTAL (Total of Parts I, II, Ill, IV Above) TOTAL 6,864.62 COP Cost Breakdown Project Name: TJC Project No. Subcontractor: Iliad Work Description: Excavate and backfill for electrical conduit and vaults per ASI 016. Cost Event#: CP'#: 5059 Document # ASI 016 Date: 10/15/2019 Spec Section Description Quantity Unit Prod, Hours A. Labor B. Material C. Equipment D. Contract Unit Price Unit. Prices Cost $/hour Cost S/Unit Costs $/Unit Costs $ - 5- $ 5- operator 1 ea 16 71.46 $ 1,143 5 - $ - $ - laborer 1 ea 16 59.91 $ 959 $ - $ - laborer 1 ea 16 59.91 $ 959. $ - $ - $ - excavator 1 ea 16 $ - $ - " 52,05 $ 833 $. - loader 1 ea 16 $ - $ 44.12 $ 706 $ - tool truck 1 ea 16 $ - $ - 8,04 $.. 129 $ Sand bedding 1 ton $ - 30.00 $ 30. $ - $ - $ - $ - $ $ _ $ $ $- $ - S - $ - $ - $ $ $ $ $ - $ - S - $ - $ $ - $ - $ $ - S - $ - S - $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ $ $ 5 - $ - 5 $ S $ $ $ - $ - $ - - $ - $ - $ - $ $ - S - $ - $ - S - $ - $ - - $ - $ - S - $ $ - $ - $ - $ - $ - $' - $ - Totai Cost of Work A. Total Cost of Unit Price Work $ 3,060. B. $ 30 C. $ 1,667 O. $. 4,758 Tukwila Justice Cenber SUBCONTRACTOR CHANGE ORDER REQUEST SUMMARY CALCULATION PROJECT NAME: Tukwila Justice Center CCD/ASI #: 016 Contractor Name: BN Builders DESCRIPTION OF CHANGE: Cement Concrete Courtesy Curb (12"x6") COP #: 5059 DATE: 1012212019 Subcontractor Direct Costs (attach all necessary substantiating documentation) Labor (Excluding Labor Premium) Material Equipment Subcontractors Total Direct Cost Subcontractors Mark-up (Excludes Labor Premium) Labor Premium $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Direct Costs + Mark-up + Labor Premium $0.00 Total Sub -tier Subcontractor Costs Subcontractor's Mark-up on Sub -tier Subcontractor(s) $3,40 . 2 $272.28 Total Subcontractor Change Request $3,675.80 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 15% 8% CONCRETR — CONSTRUCTION INC. PATTERNED CONCRETE OF SEATTLE Date Due : October 22, 2019 3:00 PM Prospective Project Contractor Att. : Estimator or Bid Coordinator Re. : Tukwila Justice Center - ASI 016 Courtesy Curb Loc. : Tukwila, WA ITE BID ITEM & DESCRIPTION Cement Concrete Courtesy Curb (12"x6") QUANTITY 128 UNIT LF Proposal # : 1 Authored by : Todd Approved by : Todd PRICE $26.59 AMOUNT $3,403.52 Project Total: $3,403.52 SECTION 1.0 - NOTES The pricing contained herein is dependant on all work items listed being performed by Caliber Concrete Construction Inc. Any addition/deletion of work items or quantities could result in amended pricing. All above quantities are approximated based on information given at time of bid. All final payments will be based on field measurements. Due to current backlog Caliber Concrete Construction Inc. cannot guar'antee meeting the exact schedule. The insurance coverage Included In this proposal is the Master Pak Endorsement "CG 84 12 03. Any additional endorsements will be provided at $1,000.00 per project. SECTION 1.1 - EXCLUDED Pumping, night work, sub grade, layout, embeds, joint seal & sealant, saw cutting, concrete washout (eco pan), sand blasting, traffic control, flagging, barricades, scaffolding, fall protection, extruded curbing, pipe bollards, job water, bonds costs, permits, material testing, pretreat design fees, inspection fees, engineering, exterior site, retaining, or masonry walls or footings, precast concrete, hardeners and sealers, water proofing, shade sand, demolition and removal of any existing (including asphalt), utility adjustments, assessed penalty clauses. SECTION 1.2 - EXPIRATION Caliber Concrete Construction Inc. reserves the right to withdraw this proposal if not accepted in writing via signed letter of internet or proposal within 30 days of bid due date. Acceptance of the prices contained herein constitutes agreement of all the terms and conditions in the above sections. Caliber Concrete Authorized Sianature Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are hereby accepted. Caliber Concrete is authorized to do the work as specified. Payment will be made as outlined above. Acceptance: P.O. Box 1881 • Milton, WA. 98354 • Office (253)927-0707 • Fax (253)927-0706 • CALIBCC1 CA cu ent 71 Architect's Supplemental Instructions T BIM PROJECT: (name and address) 73-17158-00 City of Tukwila Justice Center Tukwila, WA OWNER: (name and address) City of Tukwila 2600 Southcenter Blvd. Tukwila, WA 98188 CONTRACT INFORMATION: Contract For: General Construction Date: April 2, 2018 ARCHITECT: (name and address) DLR Group Inc. (a Washington Corporation) 51 University Street, Suit 600 Seattle, WA 98101 ASI INFORMATION: ASI Number: 016 Date: August 9, 2019 CONTRACTOR: (name and address) BNBuilders 2601 Fourth Avenue, Suite 350 Seattle, WA 98121 The Contractor shall carryout the Work in accordance with the following supplemental instructions without change in Contract Sum or Contract Time. Proceeding with the Work in accordance with these instructions indicates your acknowledgment that there will be no change, in the Contract Sum or Contract Time. (insert a detailed description of the Architect's supplemental instructions and, if applicable, attach or reference specific exhibits) ASI 016 — Civil Site Revisions - In response to SCL service letter revisions and coordination, adjacent property improvement protections, and requested additional improvements. DRAWING REVISIONS: Sheet C3.00 — Update drawing to describe protection of existing adjacent property improvements that encroach onto site. Sheet C4.00 — Update drawing to include SCL vault and handhole instructions. Sheet C4.01 — Update drawing to include SCL vault, handhole, and conduit instructions. Addition of SCL future stub out. Sheet C4.10 — Remove utility profile, existing conduit to be utilized per SCL. Sheet C7.00 — Update drawing to include SCL vault and handhole instructions. Addition of step at court holding. Sheet C7.01 — Update drawing to include SCL vault and handhole instructions. Sheet C8.00;— Addition of step at court holding. Addition of courtesy curb at asphalt paving edge at building' exterior. ISSUED BY THE ARCHITECT: DLR Group ARCHITECT (Fire: name SIGNATURE Erica Loynd, Project Manager PRINTED NAME AND TITLE August 9, 2019 DATE AIA-Document G7107" — 2017.-Copyright © 1979, 1992 and 2017 by The American Institute of Architects. All rights reserved. WARNING; This AIAk' Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAs Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 14:09:24 ET on 08/09/2019 under Order No. 0563223301 which expires on 04/26/2020, and is not for resale. User Notes: (3B9ADA4B) 1 dnoa6 jia DEMOUTION NOTES E o E g 6 00088 b1IM7ln19O AIM Jaaua3 aapsnr a(iMjnl taton-sAm-coy mM.,u .1, \ 00 dnao 5S gu e -1 Urbi uust 01 nvnNni do u10 1a1ua0 aallsnr ellM)nl z CL w U eo,ria,-mrrr,�m-m�+�Aaon�n�n d�.a�a.n,n asoo-,neamuI-gGrena dnoaD NIG tr•570'.2 Mal alaraaaalt 415101 chi Ma& vn,aX aa 1.,,aLLaaaT a1a,10.01, viimmi do )uio Jewao aonsnr eipmni 0104(1 1,0.1\ 44.43 4.00l - 811X 11. dnao Nip tue131410.1,.. it$57[910I 10.61.,111t, 00914,4,Van.Av as ION I Jelueo eopsnr eiplANni H ° c) 0 33S aNIIHOIYII 8 E g 5 t3 3A09Y 335 ,3NnHoivn AJAX \ OarAm, Dry, u.os - .waw ...Oa ,rome dnoaD 1 B 1..1% •p. 1°47 0.1io.vramm WW1 SOO. dO A110 Jetuao a3nsnr eipri 0 t'4 B C.) Ivro- cc- xAm-roW,IvriA.1.5 • .1,,r1 sce Armco- ocottV1 - ita rr &AMg dnoiD yia JJ as-arm. <-] • -",•; S. "-.1°4 7t1v0// , 33 ' VlIAANni JO A113 .1113Ille3 BOgsnr el;mr.L R 8 5 MI g 5 t 3 A' 0 II wAaniirj Mr6 d nao yin sf — 10i86 -1;14,7z nth' riyto717—minin ap41,t- g 4fr4IN 7.T .11a,ny py,rneue,,==4 viimmni JO ADO Jaiueo aopsnr eI!M)ni —.. VerN1W4 „ „ , 4kot "-A g 0 - 615I .I0 18-049(h) Council Approval N/A CITY OF TUKWILA CONTRACT CHANGE ORDER NO. 003 DATE: 11/21/2019 PROJECT NO.: 91630501 PROJECT NAME: PSP — Justice Center TO: BUDGET NO.: 305.98 CONTRACT NO.: 18-049.1 (h) Sheet 1 of 1 You are hereby directed to make the herein described changes to the plans and specifications or do the following described work not included in the plans and specifications on this contract: NOTE: This change order is not effective until approved by the "Owner" and a notice to proceed is issued. Conditions: A. The following change, and work affected thereby, are subject to all contract stipulations and covenants; B. The rights of the "Owner" are not prejudiced; C. All claims against the "Owner" which are incidental to or as a consequence of this change are waived; and D. The Contractor must submit all Field Overhead and Home Office Overhead Rates for approval in advance of all change orders. CHANGE: See Attached Exhibit "A" We the undersigned Contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above and below. ACCEPTED: Da (1' By Contractor tt_N.) AA Title !Li Original Contract (without tax) $ 34,049,999.00 V APPROVED BY THE ITY OF T KWILA Previous Change Order $ 561,765.001 Date / This Change Order (without tax) $ 145,188.00 -"/ By REV. CONTRACT AMOUNT $ 34,756,952.00 "// Original Contract Time: 546 days (December 18, 2020) Additional Contract Time for this Change Order: 0 days , Updated Contract Time: 546 days (December 18, 2020) Ma Deputy City Administrator SOJ Program Director ORIGINAL: City Clerk (1 of 2) Contractor (2 of 2) cc: Finance Department (w/encumbrance) Project Management File PW Project Finance File (11/2014) Exhibit "A"t C ANGE O ER - SU ARY OF CHANGE CITY OF TUKWILA - PUBLIC SAFETY PLANck Project Name Justice Center CO # 03 Project # 91630501 Contract # 18-049.1 (h) Date 11/21/19 TO CONTRACTOR: BNBuilders 2601 Fourth Ave, Suite 350 Seattle, WA 98121 COP/CCD # Description Reason Code Amount COP 5010 Import and placement of structural fill (3,608 tons) to replace the contaminated soils encountered and removed at former gas station property, JC-7. This amount was above the contracted bid allowance and priced at unit cost as bid. Unforeseen Condition. UFC $128,808 COP 5033 Removal of underground storage tank encountered and removed at former gas station property, JC-7. Unforeseen Condition. UFC $948 COP 5057 Revisions to the Emergency Generator Automatic Transfer Switches per submittal review with Owner. Upgraded system from Open Transfer Switches to Closed Transfer Switches to eliminate the brief loss in power when the switches are flipped during testing and ensure that the switches are tested with the generator (monthly) without impacting building operations. Design Change. DC $11,484 COP 5068 Added interior soffit at Room B107, per RFI 182, to accommodate revised dimensions of VRF (HVAC equipment). Design Change. DC $3,948 Change Order No. 03 $145,188 September 17, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for Structural Fill to Replace Removed Contaminated Soil Dear Ethan, BNBuilders hereby submits our proposal for the placement of structural fill to replace the removed contaminated soils. The total proposed value is above the bid allowance value. The total proposal of this subject work is One Hundred Twenty -Eight Thousand Eight Hundred Eight dollars $128,808.00. There are no impacts to the schedule but the change may have cumulative impacts to the subcontractor's work. BNB has proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5010 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinek(@,soseaj.com) Geri Urbas (geri.urbasbnbuilders.com) Steve Schmitz (sschmitzdlrgroup.com) BNBuilders 2601 4th Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 r: 206,382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Structural fill to replace removed contaminated soils COP #: 5010 DATE: 9117/2019 Note: This is above the bid allowance BP 31.00 Iliad $122,674.10 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $122,674.10 $6,133.71 $0.19 Total Change Request $128,808.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 0 0 10 COP Cost Breakdo C) E 0w L5 a) th a) Labor Premium 6 .0 as -J 0 0 C 0 0 0 0 0 Hours I $/hour 0 C a) = CI 0 0_ 0 0 0 a $ - I I Is I Is - IIIIIIIIIIIIIIIIIIIIIIIIIII 64 64 64 64 64 64 64 64 04 64 64 64 64 64 64 64 .64 (5 IIIIIIIIIIIIIIIIIIIIIIIIIII O4 64 644ft ft64 64 64 64 64 64 64 64 64 O4 Di IIIIIIIIIIIIIIIIII111111111 64 6% 64 64 64 V4 64 64 6,4 64 64 V3 Total Cost of Work A. Tukwila Justice Cenber SUBCONTRACTOR CHANGE ORDER REQUEST SUMMARY CALCULATION PROJECT NAME: Tukwila Justice Center Contractor Name: BN Builders DESCRIPTION OF CHANGE` Structural Fill to replace removed contaminated soils. Note: This is above the bid allowance CCD/ASI #: COP #: 5010 DATE: 9/1712019 Subcontractor Direct Costs (attach all necessary substantiating documentation) Labor (Excluding Labor Premium) Material Total Unit Cost Subcontractor's Total Direct Cost Subcontractor's Mark-up (Excludes Labor Premium) Labor Premium $0.00 ' $0.00 $122674.10 $122,674.10 $0.00 $0.00 Total Subcontractor Direct Costs + Mark-up + Labor Premium $122,674.10 Total Sub -tier Subcontractor Costs Subcontractor's Mark-up on Sub -tier Subcontractor(s) $0.00 Total Subcontractor Change Request $122,674.10 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date Included 8% Project Name: Tukwila Justice Center Project No. 118021.100 Contractor BNBuilders, Inc. Work Description: COP Cost Breakdown CCDIRFI: CP # Date: 0 5004.1 7/10/19 Description Quantity Unit Prod. Hours Al. Labor Al. Labor. Premium B. Material Unit Cost $/hour Cost $/hour Cost $/Unit Costs $/Unit Costs Structural FIII 3608.7 $ - $. - 43.00 $ 155,174.10 Bid Allowance -755.814 $ - $ - 43.00 $ (32,500.00) $ $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ $ - $ - $ - $ $ - $ $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - 5 - $ $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ $ $ $ - $ - $ - TotalCostofWork A. $ - $ - $ B. $ C. $122,674.10 tIGLEY ROCK & RECYCLING ACCOUNTING: 0126 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (200 702-2888 A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC, MAP LOCATE LEAVE PLANT Kangley Rock & Recycling Locations KANOLEV PIT (Plant ft 21) 32300 SE Kent-KangIoy Rd., Ravanadale, WA 303E1 BLACK RI VER (Plant 22) (208) 856-0912 510 Monaler Fa Renton, WA 113055 - LAKE FRANOIS (Plant / 23) - (206) tisevirs 22501 SE Lake Ronda Rd. Maple Vakey, WA 211033 Cedar Mountain Reclamation 17677 Cedar ChM Rd. SE, Maple Volley, WA 03030 Plant #20 (2(36) 668-0913 ARRIVE JOB LEAVE JOB DELI VERY TICKET ACCOUNTING '(206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK ' (425) 226-1000 DATE Gi2)2O19 'PROJECT ARRIVE PLANT PLANT 4 22 CUSTOMER NAME 11744 TRANgEict JQB ADDRESS • Pi.e.14,ASft•ERkATIO: S TAC SPECIAL INSTRUCTIONS UST ER RO. • , ' , JOB NO. . DELIVERY TICKET 1f1916 .._, . Olfirtin - • WaRtR4.0 COLLECT ON DpuveRy 'M.O.D.) 0 CASH 0 CHARGE 1:1 CHECK # CARD # 0 VISA • p MASTERCARD EXP. / • : • • Gross DRIVE DISPATCHER „ 'CODE *- • 4210.446 7 14' TRUCK NO. CT14;32 TAX CODE , WA 1. DESCRIPTION *TOkiS UNIT PRICE AMOUNT • 'pp.. A-1fr3 * 333? .• ENTAL SURCHAPU if 3,1.72 0130,BriED BY RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANdLEi ROCK & RECYCLIHG, OF GARY MERUHO CONSTRUCTION COMPANY, INC,- FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPE CAUSED BY DELIVERY OF MATERIALS LISTED ABO ETAIL REVERSE CUSTOMER SIGNATURE PRINT NAME nEycii-200e DATE USTOMER-cOPY Tara 4.15 _ 441); R 2115Tt10thAE N, • - SUB8108 S.TOTAL SEATT WA AVE. S. • BALANCE FORWARD TOTAL SALES AMOUNT TAX NGLEY ROCK & RECYCLING Kangley Rock & Recycling Locatlone kAruaLey PIT (Plan!' 21) o MOO BE KonNteAgley Rd., Ravenadfila, WA EseS1 BLACK RIVER (Plant it 22) - (206) 650-0212 DELIVERY TICKET fit.J6.01...11.411111111.14 I/ 1C, 4,111111 inv ;caw,. u,,,,, ; 11 1 610 t1101111181 FPI. KErEork WA FLW.54 . SEAT LE, WA 9E108 0 (206) 762-2666 LAKE FRANCIS 1Plane #23). (201:1) 6E84872 2260t SE Lake fault.% Rd. Map% Velloy, WA 08088 A DIVISION OF GARY MERLIN° CONSTRUDT1014 COMPANY, INC. Cedar Mountain ReclamatioWA 98038 n 17877 Cedar erovia Rd, 8E, Mapta VaPay, , • :. • . , . . • . Plant Pao . (208)65a-0019 • . . ' ACCOUNTING (206) 762-256(3- I. I FAX (206) ??84..2.366 : " SALES & . ORDER DE I< 4 5 226-10 MAP LOCATE . LEAVE PLANT ARRIVE JOB - • LEAVE JOB ' , , . • • ARRIVE PLANT DATE 0529 CUSTOMER NO. I 4)0 1 • ORDER NO. 62124:44 PROJECT ' . ' . • ' • -• PLANT II CUSTOMER NAME . . • . ' CUSTOMER PO. .' . .• • ' lt416 JOB No. • • • 01,.%,11e DELIVERY TICKET NO. 1 , (4PA'13e44i _.,1 JOB ADipRESS . . .. . . .A iS, -INTfERNATIC)ttta. VO 4 r TH • . . . • .. . . .. , COLA. 1° org pEtAvErilt. p.o,o4 ( Li CASH 0 CHECK ft . ' • 0 CHARGE • .5 E--ATAC • . . ' ' * ' * ' * ' ' ' • EXP. / CARD # : . . . . • ,• . . 0 VISA :I:3 MASTERCARDD DISCOVER SPECIAL INSTRUCTIONS . .. . • • . QUANTITY , U . , PRODUCT , • . , . .. • , • , , DESCRIPTION TONS TOTAL , UNIT PRICE • AMOUNT 1p ••• - •,.,,,„- • , . • '.: t - ,. t. , •, • • •.•, . . , - • . , . .. . . • . . . . . . . Grtia-s TN , : . 01401 42O24IC 1-(KY1ti • , ...• .: • . • ,• , . • (.:', - . ' . t14 CO 17 A..irS • .,.. . . . EtaffilatiltvIt:.AtiAL. SitRC.,,f1A1('E , . . . , . • -.-. . . . . • . . . • Tare 41500;0 il,gi 3112 •• . ,, ,- • - . •• . . . . . • • . • • ...• • • , -• .. • .. • • . •• • . . .' ' • , . . . . . . . . . , • - . . • DRIVER TRUCK No: 114:42 ORDERED BY REMIT PAVMEN • 0125 10t11 ..._ i TO , _• SUB TOTAL ' AVE.. S. . ZI 'II DISPATCHER • • TAX COOE • • W7fit ' 'I TIME DUE ' SEATTLE, 7:63 TERMS ON WA 98108 REVERSE SALES TAX , . neLgass - cusrompRRELEASES AND AGREES TO HOLD RARMLESS KANGLEY ROOK & REDYCLI2G, A DIVISION _ . OF GARY MERLIN° CONSIFIUCTION COMPANY: INC, FOR AqY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD MATERIALS DE,T re ON REVERSE. ' 4 CAUSED BY DELIVERY OF LISTED E. . . CUSTOMER SIGNATURE ' • AMOUNT PRINT NAME . DATE • etiv o.i.z000 CUSTOMER COPY ' • • I, .!• NCLEY ROCK & RECYCLING r±nf11 IMT1M(.01 ��TFMTu dVFMI: IC :Qr11I Kangley Rock & Recycling Locations KANc*LEY PIT (Planl I21) 32600 SE Kum-Kangley Rd., Ravensdale, WA 28051 BLACK RIVER (Finn( # 22) • (2001 056•0912 „DELIVE Y TICKET •••.....- ,'..._..--,-..,.•.• - 61Qmonster no. Ramon, WA9B056 SEATTLE, WA 98106 • {20E6 702-2566 ' LAKE•FRANCIS (Plant 123) - (206) 650-t1072 22501 SE Lake Planets Rd. Maple Valley, WA 98959• A DIVISION OF NARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation .17877 Cadai drove lid. BE, Maple, Why,WA9003E • Flom I20 • (2013) cos-cc1p . ACCOUNTING (206) 762-2565 • FAX ' , . (2Q0 7624358 SALES tt : -, ''ORDER DESK (425) 228.1000 ,! MAI? LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB •, • . ; ARRIVE PLANT DA��T#E' $$ . CUST��OggMEEFy NO.. CEDEyR;NyO.(Y PROJECT .: PLANT # ' CUSTOMER NAME • ,. CUSTOMER P.O. .. •. JO. .: • ' 'DELIVERY TiCKEr NO. JOB ADDRESS A -f ?#QLL+CT QN rig#NI�ilY {G.b.D.)' '" ❑ CASH O # ❑ CHARGE , ETA.: !CI-IgC.K CARD # i ' EXP d • 0 VISA Q MASTERCARD ® DISCOVER ' t - P I t T N QUANTITY .: PRO it • ®� iTESCitIPf1O)y . TUNS TOTAL ®, UNIT PR AMOUNT'' :4 2. . .. •, .. ..:... ,� s+ �ar(GES ..r:. : ! { 3.(W ) 4f mois Id -: ` ..-•-.a. .. . C 17 ..1V10.3 i ft ; AL f.€ CHARt: ...... .lC Y•- 1.-'.-_.. r ..'- ate.- --.-,--.; • Tare 41500.00 .:, .-..{.-r - l.y.. 4.+-J • f „ . t30. ...-. e • I DRIVER , TRUCK NO. t }43 t ORDERED BY REMIT PAYMENT TO SUt3 TOTAL _.: ZJ12510MAVE S�` • ;```' . . �C? -DISPATCHER ' • TAX CODE • . WA TIME DUE . ,SEATTLE, WA 9131011 SALES'TAX `' TERMS QN REVERSE RELEASE '- CUSTOMER RELEASER AND AGREES -TO HOLD HARMLESS KANGLV 1110CK & KIEOYFL(NG A DIVISION OF •GARY_MERLINO CONSTRUCTION COMPANY, INC. FOR.ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD „ BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON E SE, 3 ;• :CAUSED CUSTOMER SIGNATURE . TOTAL AFo OUNT PRINT NAME DATE — E REV 0,1-2009 OUST ER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH •• SEATTLE, WA 98108 * (206) 762-2666 A DIVISION OF GARY MERUNO CONSTRUCTIONCOMPANY, INC. . • -. • • . • . MAP LOCATE DATE •05/'23.6A)19 CUSTOMER NAME '• • SEATAC. - • U TO LEAVE P ORDER NO. Kangley Rook & Recycling Locations KANCiLEY PIT (Month 21) 02000 SE Keni-Kunglov Rd, Ravansdale, WA 90051 BLACK RIVER (Plant # 22) • (208) 550.0912 618 Monator Rd. Nolen, WA 0E055 • LAKE FRANCIS (Plant, 23) • pm 058.0872 22501 SE Lake Fronde !ie. Maga Valley, WA 9806B Cedar Mountain Reclamation 17077 Cadar Grove Fld. SE, Maplo Valley, WA 88038 Plant #20 • (205) 358.0913 ARRIVE JOG PROJECT •SPECIAL INSTRUCTION IVER ISPATCH ER ',PRODUCT. - 'CODE.' • ' ' - • " DESCRIPTION r are 41500:00 Cu DELIVERY TICKET .7 I ACCOUNTING (206) 762-2566 FAX (20S) 762-2355 SALES .5", • ORDER DE (426) 6-I0 TOMER P.O. •-•• JOB NO. ° • • 16 el9'716. • . • . CPUXOT.QN DEITIViRY (0.0.04 ARRIVE PLANT P 22 DEUVERY TICKET NO. 0 CASH 0. 9HEQK # ... 0 CHARGE V i ARD II ' \ ''' '' ' . . . EXR ../. .. ; 1:1 VISA d WISTER9ARP: . . . b DiscovER. TONS - UNIT PRICE AN101JNT - 1:{EMIT PAYMENT TO - . •- • - - - - .. SUEI-TOTAIL. - ' 9125 1011) AVE. S, . • - , • . SEATTLE If /A 98108 TERIVIS ON REVERSE - - SALES TAX • . . ELEASE CUSTOMER RELEASES AND AGREES TO HOLD I-IARMLESS KANGIerY. ROCK & FIEOYPLING, A DIVISI pr*GARY MERUNO CONSTRUCTION COMPANY. INC. tpF1 ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY .CAIJSED GY DELIVERY OF MATEfirALS LISTp.ABo - DETAILS ON'FIEVERSE. IUSTOMER SIGNATURE 1: ,1.1 • ;PRINT NAME (IIEV041-20017 TIRUGKND. Cn432 TAx CODE WA •• • DATE CUSTOMER COPY BALANCE FORWARD • KANGLEY & RECYCLING ':.ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 00100 • (208)'762-2666 A DIVISION OFGARy MERLIN() CONSTRUCTION COMPANY, Kangley Rock & Recycling Locations KANGLEY PIT (Plant 1121) 32500 SE Kenl.Kangloy Rd., Rovonadalo, WA 00051 BLACK RIVER (Plant it 22)- MOM 050.0912 510 Monitor Rd. Renton, WA 80055 LAKE FRANCIS (Plant 9 03) - (200) 858.0872 22601 BE Lake Pronely Rd. Maple Valley, WA 00030 iir Ceder -Mountain Reclamation 17077 Cedar Grove Rd. BE, Margo Valley, WA DB030 p - (200) 05a.D013 DELIVERY TICKET ACCOUNTING (200) 762-2566 ,FA),<,•.• . (206) 702,0% SALES & 'ORDER DESK (426)226-1000' • ATE LEAVE PLANT ARRIVE JOB LEAVE JOB. , ARRIVE PLANT DATE • al:kn. /201f) CUSTOMER NAME TAC CUSTOMER ND. • 1 501 SPECIAL INSTRUCTIONS ORDER nn. 43224.49 • PROJECT PLANT It 22 USTOMERRo. • •• ..104.14o. : • , DELI VERY TICKET NO, 1424(-1 ' 0:19;i:16 ' 1600 • ••coLLE:r...p0 DgmERy, (c.o.D.) • :f: 0 dAsH o cHqcFc if • Cl CHARGE CARD # ' , . . , .• : • EXR , / , . •.... ••', . , 0 VISA , 0 MASTERCARD. . 0 DISCOVER • TRUCK No. ar102 OISPATCNER - ' • DESCRIPTION - Trate -41500.09' TTAL ,-TONS - UNIT PRICE AMOUNT ' . : FisEENIATIT PAYMENT S. Ea. UB-TOTA1-' ... •1251 th 8108 . . TLE, WA ALES TA , TERMS ON REVERSE • • • S. EASE --CUSTOMER RELEASES AND AGREES TO HOLD HARMLESs•KA;NGLEY hock & RECYCLING, A tii‘/liarofzi OF 'GARY MERLIN° CONSTRUCTION CoMPANy,• INC, FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS p .REVERSE. • CUSTOMER SIGNATURE PRINT NAME REV 04-2004 ORDERED B DATE CUSTOMER COPY BALANCE FOFivVAIlD TO'TAI.. AMOUNT : • NGL f. ROCK 81 RECYCLING • • • ACCOUNTING; 9125TENTH AVENUE SOUTH SEATTLE, WA MOO I (21; 762-2588 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, MAP LOCATE EAVE PLANT Kangiey Rock & Recycling Locations KANOLEY PIT (Kan( # Pi) 32500 SE Kuril-Kara:ray Rd., Rawinsriale, WA 88061 SLACK RIVER (31snl 0 22) • (208) 058-0812 610 Monster Rri Fier:Ion, WA 88066 . *LAKE PflANCIS (Mani 0 23) - (208) 65843872 22501 SE Lain Francis Ad. Maple Volley, WA 98088 INC. Cedar Mountain Reclamation 17877 Oadar awe Rd. SE, Maple Valley, WA 90028 Plant 020 • R06)668.0813 ARRIVE Jon LEAVE JOS DELIVERY TICKET ACCOUNTING • (2 ) 2-2566 F.• (206) 762-2358 SALES ORDER'DESK ARRIVE P DATE CUq"IOMEFI NO, 65/2j/2019 f69501 ORDER ,N, PROJECT CUSTOMER NAME iTYTwutiSff4.119c JOS ADDFIESS •'% : . ' • AWil'IPITERNKFIONAt RIND SEATAC 'SPECIAL INSTRUCTIONS . PRODUCT : . PTION DRivi,ij • REMIT pAYLIENT*To Su TAL • . 9125 10tti AVE. S. AT ER .TAX6000. ' SEATTLE WA 98108 • • WA TER11:IS ON REVERSE • LEAsE CUSTOMER RELEASES AND AGREES TO HOLD. HARMLESS, KANGL'EY ROC & flECIi"CLiN,!3, A DIVISION. OF GARY MERLINO CONSTRUCTION COMPANY, INC: FOR ANY OJIoIGE TO HIS REAL' OR PERSONAL PROPERTY .GAiisED'EY DELIVERY OF MATERIALS LISTED ABQOETAj.0FREVERSE. -CtJSTOMER SIGNATURE AMOUNT PRINT NAME DATE CUSTOMER RO, ‘.. . • • }: JOS NO....• DELIVERY TICKET NO. 192i6i J 01g040.'" ' . ' . Wt5013 ' (-'•,- •... , ,. ••1 'I •.., 1.0,, .. • ..,., . • C1:34LCEP:ON. pti.lytiri, (CAD,) 0 CASH 0 CHECK #1.: , ..:... ,-. ' "', . CI CHARGE ..i , T CARD # . . . . EXP. . / 1 . „ 0 VISA 0 MASTgRcARp,. . p DISCOVER •-•;, .• • TOI\IS - • UNIT 1,1110E PLANT N .. • -2000 TRUCK NO. q1102 TIME DUE, . CUSTOMER COPY L3ALANCE FOR1VARD* • . . 22 Arv1OUNT ORDERED Y YR ACCO HOLEY CK & RECYCLING ING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 762-2566 A DIVISION 0 :; ARY MERLINOCONSTRUCTION COMPANY, INC LOCATE R NAME RELEASE — GUSTO OF Y:)ARY MERLINO. CAUSED BY° q. EAVE PLANT S•TOMER NO. ORDER PRODUCT CODE oRDEIiED BY Kangley Rook di Recycling Locations KANOLEY PIT (Plant 1'21 32600 SE Kent•Kengley Rd,. Ravansdale• WA22061 BLACK RIVER (Plant 221 • (206) 656-0612 610 Monatar Rd Pardon, WA 08066 LAKE PRANCIB (plant N 28) -(208) 660.0070 22501 BE take French/ Rd.l,Aaple Valley, WA.98036 Ceder Mountain Reclamation 17877 Cedar ©rove Rd SE, Maple Valley,WA 08038 • Plant 120•(206)8SB-0013 ARRIVE JOB PROJECT LEAVE JOB, ELIVERY TIC ACCOUNTING (206) •7 -2 EAX..., (200 A. -.2 $ALES&,. ORD R DESK (%&1220-1 ARRIVE P r NT ERY TICKET NO. -• . • COLLECT -ON ❑ CASH ❑ CHECK jI D CHAR CARD rY EXP. . El VISA . t. ASTEICARD . , . ❑ DISCOVER REMIT PAYMENT TO )1281011) AVE. S. M1' SEA TLE, WA 9810E TERMS ON REVERSE RELEASES AND AGREES TO HOLD HARMLESS KANMIT R{ IC &TtECYCLING, A DIVISION. NSTRUCTION,COMPANY, INC. FOR ANY D• AGE' TO HIS REAL OR PERSONAL PROPERTY OF MATERIALS LISTED ABOVE. D AILS • °• EVERSE NATURE CUSTOMERCOPY TOTAL:,. UNIT BALANCE FORWARD TOTAL AMOUNT NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (256) 762.2555 A DIVISION OFGARY MERLIN() CONBTRUCT#ON COMPANY, INC. MAP LOCATE ` DATE OR3 9 .CUSTOMR NAME Cf ' lA , JOB AD SEATAC LEAVE PLANT USTOMER NO, ORDER NO.. . Kangley Rock & Recycling Locations KANGLEY PIT (Ppkud i 21 32000 SE Kenl-Kengley Rd, Raven dale, WA'08861 BLACK RIVER (Plant I22) - (200 858.0912 510 Monier. Rd, Renton, WA 88065 LAKE FRANCS [Neel 123) • (208) 858.0872 22501 6E Lake French Rd Maple Valley, WA 00038 Cedar Mountain Reclamation 17877 i � 20e (2 o) 56 d. 30 Maple Valloy, 4A 98939 ARRIVE JOB PROJ SPECIAL INSTRUCTIONS A fSPATONE F30DUCT, CTI i32 `ELEASE — CUSTOMER RELEASES AND A It I=U3ARERLIDF,LN()IVERYONOPSTRMATEHIALON6,ASED'BY CUSTOMER SIGNATURE PRINT NAME EV 04-EPOS CRIPTION ORDERED BY • DEILIVEIY TICKET l'INTINQ (206) 762=2566 (206) 762.2356 S 8c DESK 425 226 1000 CUSTOMER P.O.: j JOB NO. • ELIVERY.TICKET NO, COLLECT•ON DE.UIVERX (C.O.D.) DCASH EICHECK* ❑CHAI:GE CARD N • EXP. CI VISA ❑ MASTERCARD ❑ DISCOVER TON REMIT PAYMENT T0:' �31251011% AVE. S SEATTLE, WA 98108, TERMS ONREVERSE • IRE6S TO HOLD HARMLESS KANGLEY INC, OR ANY DAMAGE TO HIS D AB' - DETAILS ON REVERSE. GUSTOI COPY OTAL' UNIT PRICE ALANCE FORWAI TOTAL AMOUNT AMOUNT KANGLEY ROCK & RECYCLING ACCOUNTING: 9128 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 782-2568 . LAKE FRANCIS (Plant 23) - (200) 06B-0072 22561 SE Lake Fronds Rd. Maple Valley, WApooas A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. . . Kangley Rock & Recycling Locations KANOLEY PIT (Plant /7 21) 320D0 SE Kenl-Kangley Rd„ Raunodalo, WA 98061 BLACK RIVER (Plan! R 22) • (200) 00-D01i 510 Mon I r Rd. R WA Cedar Mountain Reclamation .17877 Cedar Grove Rd. 8E, Maple Vela, WA 90038 n - • DELIVERY TICKET • ACCOUNTING (208) 762-2566 F/9( • • POO 762-2358 SALES.8, MAP LOCATE , LEAVE PLANT ARRIVE JOB • LEAVE JOB , . • , , ARRIVEPLANT r,•,, 'DATE . 06/23/2019.1. CUSTOMER NO. • • I • ORDER NO. . 67. PROJECT • . . . PLANT # , ' CUSTOMER NAME '• - • • ' . • ilt . i''.tiv l'OArkOrF4 tw.-.'. .. ' CUSTOMER P.O. • • '• JOB NO. • • ' : • -DEUVERV TICKET NO. , JOB 600FtEap. . .. . Atl (-4 - . : , " ." . i.A4 .. ' .. • • ' COLLECT ON PELIyEillf.p.O.D.) , ....,........ ...., , . CASH 0 CHECK II 0 CHARGE • SEATAC • • SPECIAL INSTRUCTIONS C. AHD # EXP. / 0 VISA 0 IVIASTEFiCARD . " DISCOVER • , -........ • UANTIT( , . . • . . . PRODUCT , . .. . . DESCRIPTION rprls TOTAL.., . UNIT PRICE .-..AMOUNT • ' - ' ! . • , . ,, . . . • . • . • . • „ .:. ,• .. • • . • . . . . . . • . • .. . ." • . . ,. ' . • Gross '31- ; - • , • ••' . „ 4" 4 ... . -.. 1 1 • i••'..n. , %••••i. ..:' ' • .,• • , •,. . . • . .... . • 170:::4.0$ .trE...11 A 133 ENVIRONMENTAL StIRCHARCiE , .,,, . 7 • . • . . • • • • . . • • • • . . . . . • . . . ..• . Tar . 1115(10.01Y 2 .6fi . • • • • • . , .. . . . .. •• .,. . . • -• ' i • • . . - .. • . .. . • . • ' • . • • Wst.5 . . - • • . . • . ' • . A . .. . • • • • . • . DRIVER • TRUCK NO. c n MUFFLED Y . - . . .. ........ . ... . . . . ' * • •• RENI1T PAYMENT TO •- " ''' '. .:- . • , . . . . . SUB -TOTAL" '•.", 91'S lOtti AVE.S. ', .: - , . . . . '• ' ' DISPATCHER . . • • TA t COI?E . WA I 11 a DUE . ' SEATTLE, WA 98108 ' . • • ' ' • ' - ; - 12:23 . - -TERMS ON REVERSE SALtS TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEV ROCK tt RECYCLING, A DIV -OF GARY MERLINO CONSTRUCTION COMPANY, IIVI. FOR DAMASE TO HIS REAL OR PERSONAL PROPERTY . BALANCE FORWARD ' CAUSED BY DEU VERY OF MATERIALS LISTED A 120E. DEIXILS ON REVERSE. ; • CUSTOMER SIGNATURE • '' 'TOTAL• . . . . AN OUNT ' PRINT NAME • ' DATE . - - • . - . . . . REV OA -2069 . CUSTOMER COPY 1.• }f.,. I'➢GLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEAI"TLE, WA 98108 • (205)762-2568 'A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, 4. ,CUSTOMEEI NAME (TN TRANSF= JOB ADDRESS AGG LATER • P LOCATE INC. Kangley Rock & Recycling Locations KANGLEV PIT WW1/ 21) 32E60 BE Item-Koo I y Rd., Revenedale, WA 99051 BLACK RIVER (Pleat 22) -(206) 656-0912 . 510 MonslerAd, Renlon, WA 98055 "`LAKE FRANCIS (Mull 1' 23) - (200) 858-0872 22501 SE Lake Free* Rd..Meple Valley, WA 98030 Cedar Mountain Reclamation 17977Ceder Grove Rd. 9E, Maple Valley, WA98038 Plant I'20 - (206) 058.09 W AVE PLANT ' B AVE JOB DELIVERY TICKET ACCOUNTING (200792-2586 FAX: (206) 782-2358 :.SALES & • ORDER DESK (425)•226-1000 ARRIVE PLA /DATE 2j{2O11 EATAC: CUSTOMER ORDER NO. 49. PROJECT SPECIAL INSTRUCTIONS 9RNER ,iPISPATCHER TAx CODE WA CUSTOMER P.O. . JOB NO. T DELIVERYTICI(ET NO. COLJ.ECT ON pW 1VERY C.O.D.) CASH E3 CHECK # CARD `#.- N.- 0 VISA VISA • El MASTERGARD 0 DIS REMIT PAYMENT TO 912510t1) AVE. S. SEATTLE, WA 9810LI TERMS REVEIISE EASE -- CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY Rock & RECY IKG; A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS, LISTED ABOVE.DETAILS 94REVERS .'' ' CUSTOMER SIGNATURE PRINT NAME tIEV 04-2009 DATE CUSTOMER COPY TOTAL BALANCE• FOFLWAf AMOUNT r. KANGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 50100 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Kangley Rock & Recycling Locations KANDLEY PIT (Plant N 21) 32E00 SE Kenl-Kanglay Rd., Pavan:Wale, WA Beast SLACK RIVER (Plant 1 22) - (208) 858-0812 .810 MonaMr Rd. ReMon, WA Be,045 • . LANE FRANCIS (Plare If 23) • (20B) 858.0872 22501 SE Lake FrenEls Rd, Maple ValloY. WA 90035 Ceder Mountain Reclamation . • parr Ceder Grave Rd. eq, Maple valley, WA 9802a . Kra N2.3 • (206) 5884013 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX(206)76,22358 'IDRDER DESK • (4251225-T000 •MAP LdOATE AVER NT A RIVE JOB • ..{ I. AV JOB . • • ' ." ' '' ° * '' RIVE • • • ;DATE . . . , ,....q4.1,23 .. ..... '.. .• .. CUSTOMER N. '1E".6‘CP1. ORDER NO, ... . • Mi'lli . . PROJECT - • ,. , • . . . , , .. ., . , .. - . . . . . . 'N'T CUSTOMER NAME • - . • . . • . . • : • • -.K.;:frYIT1 FE I ' C • • ' • '. • ' . • • ' ' - • CUSTOMER RO, • '...,.. 1 ' -19216.' • • ' '. JOB NO:: .•..- • .2 . :' .t)19216,.'1'. 'DELIVERY TICKET NO, • ' '` • .' 9t1522$.. D :FINATii)rilltik BLVD '6:.150:114. ''' ••• - . • '. :•• • • ..•.. ... ., ••• - • .". . : ,!•• • . • Cpi.LoTo,N•illej_jyrFry.(0.o.p.) ... - .. 0 CASH a OHCK p CHARGE EATAC; . ; .: 7 . ._ ,.. • . '.... • ' -ii - . - .. CARD 4 ' '''' " '' ` ''' : ' " ' - E)(P.. SPECIAL INSTRUCTIONS ' • - .• . : . • . :!' 0 VISA . C) MASTERCARo.... : .1;1,1;4:SC01/X1i • - - — • - • •• • ' ' ' • — "...",1',..giLl4Ntify- :'..,-" -',.. Ci:Ol.-.."*' "-:•. •.. • - -•.'-••. ••-• CIESCRICill ..EiN :- 7•:..:*.-- - • * -- - :TONS TOTAL UNit.liklOR•.' '' • ' •..A4OUNT '''.•,•-:'• •••:,,!131f.j121.,-•':! . • .,.0-........ - .', ''''.'',.. ';...-. ..: .::...:•-,.:: . . ...,,... . . ,. .., ,,...• ,,. ,... ..,., . ..•. • . . : ' ." . Ci f itS5` "-:."'•TN ' - TN .., ., . . - • : ', . . , - .. . 1()204 J),0" .....4 4R .. io,-."PMR�t* .,. , ,. . • . .. '-'. ::!'-.1.:..'. I. '.:- ... .; - .. • . • • . • • . . , . OS TYPE174.A..ltrIc:-•,:‘.- . kt,ITAL SU : '. ''. ' ... ....... • . .. - : . - -, :.... • • '... • -''I .11......,.."..::,qt: -.': ''.:: : •• . .-.,,:. -::- • ...... ...v...., — . - .. . • . , . . . . . • . . . : * ' . . . . • ' ' ' . . . ' . • • . • .• • ' • . . .• ' . . • • .,,,-• ` ' ". fail!, 40- 154)()11; ..-•,-`,, "'.: , ' it ''''27' • ., • ..•,,,,,`,......,...:;.;,.(..:;:z:1.!. ,.,,i• . * . . . . . .. . . • , • • .. ••. • . . . - . . . . ..: . - - h.-. , ..' ...''‘,.., , •,-..,: .,, . . .-1U..'.....:::.•',:i.ii....! . : ' ' • ' - .. - ,. . -.• Otiit .... •••••:;.i..:A "..:••':-. v . , .. ?.. : , ,.... . -•'. `..k",.11..-'!„..''',..i:*:`-:'...,. ..... • • • :. ". '. • - - -' . - ... : • - • .. ... . . . ' i ,''''''''......... . ... • • . . , • e - ... , , . ' • . . . . • • • . • .. . . .. , • . DRIVER . TRUCK NO. CTI.432. ORDERED' . ..„.,. ..„ .. .. . '' -.' nEMIT i)AywiNT. . . - . .. „ To -.... • , . . SUB TOTAL ... DISPATCHER TAX DODE V.VIA 1 . . . TIME LI .',' ' .. - . SEATTLE;VA ..3. 1 46 . . '''.. ;.:,- %''TERMS'ON ... . . . .. , 98106 ". : . . .. REVERSE - . . '' ... , .. . . . . . . •- . ' -. . ".SALES'TAX. „ ::•.- : . . - .. .- RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION . OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY ..BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTE OVE. DV' IL S ON REVERSE. .. .. .. . . . , .. • . . . . . . CUSTOMER SIGNATURE ..‘"'" . ' - ' ' 'TOTAL ,• , • . AMOUNT : '. ' „ . ' '. PRINT NAME DATE , , , „ , . ,.. . ..., . ... , . . .. . , . , , REV 04-2004 CUSTOMER COPY 22 GL ROCK & RECYCLING ACCOUNTING: 0125 TENT1-1 AVENUE SOUTH SEATTLE, WA 061,4 • (206)762-2666 Kongley Rook & Recycling Locations KANGLEY PIT (Mani I 21) 32500 BE Kenl•Kanglay Rd., Ravensdale, WA 0E051 BLACK RIVER (Plant r 22) • (200) 858-0012 510 Moonier Ad. Rerrlon, WA 98065 LAKE ETIANCIS (PIAN 0 28) - (208) 658-0872 22501 SE Lake numb Rd. Mapin Valley, WA 08030 .A 01VISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Cedar Drove Rd. SE, Maple YaIlay, WA OMB Platy' $20 266 6150-00 3 • DELIVERY TICKET ACCOUNTING (200) 762-2566 FAX (200) 762-23613 SALES & ORDER DESK (425) 226-1000 MAP OCATE LEAVE PLANT ARRIVE JOG LEAVEJOB ARRIVE PLANT DATE O;.3/2..e) I CUSTOMER NO. 1 ekt)501 ORDER, '''22441,:i PROJECT PLANT II 22 CUSTOMER NAME r.''ry Ti:U4195:',',1-4:P itqt- CUSTOMER PA it?i',7"Ifi JOG . ,...)•1 DEUVERYTICI<ET NO. 1:1.4imiliR JOB ADDRESS AI—*(:‘ ITFRt,itekT((...)NP .... . LV) . 15, T1-1 COLLECT ON DELIVERY (C.O.D.) ! SrL'A`rAc 0 OASEi 0 OHECI< # 1::ICHAFII3E EXP. SPECIAL INS1BUCTIONS C CARD (I • EI VISA 0 MASTERCARD 0 DISCOVER . • . l """'" ' ' ' "' * ' -' '• ' ' .";•'''''. ' ' •••• - ' e-'.:::i'utjAN,I,ITy .*.,'-. . " '"" ' ".•':U.ht/..., PRODUCT ' P. . " oODE- • ,*: :,'...1" ',"".•• . -• hiptioN. •. , , . , . i:kic. ' * ,. T TOr4S .. NIT PRICE ••,-. 'AIVIOUNT '32,224 32_4 . ..... , i 1 1-..irt.(r5.5 N . .. • . 44r4 70.1 ) RCA COS TYPE I / A•1.3 vi?oNvENTAt. su4c.rA-, • - . - * . • 'fare 41.(300.,04) 3724 274 fitrit `44BO.00 . ... . - GRFVR TRUCK NO. OROERROBY izi 9125 10th AVE. SEMIT PAYMENT TO SUB -TOTAL .. . . . . .. ,.. , -.- . - .. . - . 0ISPATOR TAX000E WA ' TIME DIE t SEATTLE,-WA 96108 -. - . . ..,. SALES TAX C71' 9 TERMS ON FIEVERSE ' ., • • • - RELEASE All MERLIN() CONSTRU0110N ACNCIA 1)IVISION COMPANY,'INC. FC) H HEAL C)11 l'EPICI°14AL i'llaPEFITY 13ALANaE* F°n" VI'IARD"' "- CAUSEDBY DELIVERY OF MATE)11ALS LISTED ABOVE. • CUSTOMER SIGNATURE "* • TOTAL ; PRINT NAME DATE Iritv 04 -204t1 CUSTOMER COPY a NGLEY iROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH SEATTLE, WA MOB • (208) 762-2666 h DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY. INC, MAP LOCATE DATE 05P30.019 CUSTOMER NAME crrY TpANRIT JOB ADDRESS LEAVE PLANT CUSTOMER NO. if4.601 Kangley Rock & Recycling Locations KANGLEY PIT (Plant.? 21) 32600 SE Kenl•KannIoy Rd., Riwonsdabo, WA 00051 BLACK RIVER (Planl 22) - (208) 050-0912 510 Manlier Rd. Renton, WA ODOM LAKE FRANCIS WWII 23) • (2(16) 060-0072 22601 SE Lake Pram!. Rd. Maple Valley, WA 08033 Cedar Mountain Reclamation 17077 Cedar Grove Rd, SE, Maple Valley, WA 08030 Plant r2D. (ma) 850.0913 ARRIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 7824868 FAX (208) 762-2858 SALES & ORDER DESK (425) 226-1000 ARRIVE PLANT ORDER NO. 627.449 AGG /NTERNATIONAL. BLVD 1_1(15011-1 SENTAC; PROJECT SPECIAL INSTRUCTIONS UANTflY If: Ciro DRIVER TN TN XI 421)2,1RC 10015 TRUCK Isla t-JTI,1717, DISPATCHER CUSTOMER P.O. 192113 PLANT m JOB NO. DELIVERY TICKET NO, 019716 iVad(ri COLLECT ON DEUVERY (C.O.D.) 0 CASH 0 CHEOK # CARD # 0 VISA RCA COS TYPE 17 N-lin ENVIRONMENTAt . ARCH:AD ORDERED BY TAX CODE TIME DUE WA 'I RELEASE — CUSTOMER RELEASES AND AGREES TO HOLE HAR OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR. ANY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS 0 CUSTOMER SIGNATURE PRINT NAME nEv 04-2009 41'600.00 REMIT PAYMENT TO LI MAS i hHOARD • 9125 lOtit AV . S. SUB -TOTAL TSgERAMT ST ONEI-' 141(1AE VgE8 81 °8131Es 8. S :TA X SS KAWqLEV ROCK a RECYOLINO, A DIVISION 6 fulACIE Tr) HIS REAL OR PERSONAL PROPERlY ',EV " B. CUSTOMER COPY BALANCE Fortt,vARD . TOTAI... AMOUNT 0 CI-IARGE EXP. DISCOVER OF GARY MERLIN() CONSTRUCTION COMPANY, INC. CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. 1 CUSTOMER SIGNATURE PRINT NAME RC-V LA -2009 NGL ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH SEATTLE, WA 90108 • (205) 702-255+3 A DIVISION OP GARY MER LINO CONSTRUCTION COMPANY, INC. MAP LOCATE LEAVE PLANT Kangley Rock & Recycling Locations KANGLEY PIT (Man! 21) 32600 SE Kerd-Kongiey Fid., Rovonsdelo, WA 28081 BLACK RIVER (Rani • 22). (250 05841012 810 Monster Rd. Renton, WA 98055 LAKE FRANCIS (Plant N 23) - 1206) 1358.0872 22601 SE Lake Freocla ad. Maple WIlay, WA 880311 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Map% Volley, WA 05038 Plant N20 - (208) 060-0913 ARRIVE JOB LEAVE JOB DELIVERY TICK ACCOUNTING (20B) 762-2568 FAX (206) 762-2358 SALES & ORDER DESK (426)226-1000 ARRIVE PLANT DATE ' ONO3.6.i.019 CUSTOMER NO. i69501 CUSTOMER NAME icny -1144NWI2P ORDER NO. 622443 OB ADDRESS AGO - INTERNATIONAL BLVD & 150Tt I SEATAC: 1.11$TIPPP :R TRACY. MASTIC iN LOAD ••11:1UANTITYJ"I'i".":•"".liM..".."".":""I""""i Gro DRIVER TN TN 102160, PROJECT PRODUOT • , ' DESCRIPT101\1- 42024RC 70015 TRUCK NO. 1.17fliKci RCA COS TYPE 17 A-18 ENARONMENTAL SURC1. BY DISPATCHER TAX CODE TIME DUE WA 1 Svitl A11E100.00 CUSTOMER P. . El CASH CARD # PLANT 2Z DELIVERY TICKET NO. 41-1/1.1-0--) COLLECT ON DELIVERY (C.O.D,) D CHECK it JOB NO. WIZ °CHARGE EXP. 0 VISA 0 MASTERCARD 0 DISCOVER UNIT PRIC'E AMOUNT - 3023 :•.1(),213" REMIT PAYMENT TO _ ' - _ • SUES -TOTAL 9125 10(11 AVE. S - Net 6%60,00 SEATTLE WA 98108 TERMS ON REVERSE - SALES TAX REI PriE — CUSTOMER RELEASES AND AGREES TO HOLD IARMLESS KANGLEY ROOK & REC FOR Y ETAI GE TO HIS REAL OR PE ER8E. YCLINO, A DIVISION RSONAL PROPE DATE CUSTOMER COPY BALANCE FORWARD TOTAL AMOUNT 1, iICANGLEY Kangley Rock & Recycling Location/3 ROCK & RECYCLING KANDLEY NT (Mani 0 21) I 02EDO SE Itenl.X891319y Rd., Ravondel% WA 28051 BLACK 91199() (Plant /I 22) - (200) 058-0212 DELIIIEItlY 'TICKET ACCOUNTING: 9126 TEt4TH AVENUE SOUTH ' 510 Monster Rd. Renton, WA b605S SEATTLE, WA 90108 • (20B) 762-2586 LAKE FRANCIS (Plant 0 22) - (208) 058-0872 221501 SE Lake rrancla Rd. Maple V8119y, WA 90038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Cedar Clinvo Rd, SE, Maple Valley, WA 98038 Plant 02(1- (208)658-0213 ACCOUkTING (200 782-2686 FAX (206) 762-2850 SALES & ORDER DESK (425) 226-i000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT . DATE i)14 i-I f.P'7,;(1'.:1, CUSTOMER Na 16'95(11 ORDER NO. 62244 PROJECT PLANT II f CUSTOMER NAME 1 1 n•Y -I :' - .../:7 F .:." ':: CUSTOMER PO. 1921i3 JOB NO. 0 1'1216' DELIVERY TICKET NO. Q,':•1 A ..01 e Joe ADDRESS i AraG • INI EIMA-110NA1.131.31t1-1 a 1 9.1TH , COLLECT ON DELIVERY (0.0.D.) 0 CASH °CHECK(/' 0 CHARGE • eAl'AC CARD # EXP. SPECIAL INSTRUCTIONS ' 0 VISA D MASTERCARD 0 DISCOVER v -' diJANTITY - ' • _ DESCRIPTION TONS TOTAL, UNIT PRICE AMOUNT 31.ia21 31 63 , . . e.:3T Es TN TN 103rirg) "4I:1 d?.024P.C; 70t.).15 f-.C.A COS 14PE 17 A .1 ..1.'4'. E. N.OfIONh4ENTAt... SI ,IRCRk. , .. Tare 41%) 00 31 .03 it. ;?- .03 1.' / i 1 \ 1 ,.) it , r \ / ' Not 57.060.00 4' DRIVER mum< NO, ORDERED BY REMIT PAYMENT 9125 10th TO AVE. S. - DISPATCHER TAX CODE VVA TIME DUE SEATTLE, WA 98108 9:21 \ TERMS oN REVERSE _SALESTAX ., RELEASE — CUSTOMER RELEASES AND AGRMS TO HOLD HARM ES • ROCK LING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY D MAG 18 REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON .., BALANCE FORWARD 34 / 1 CUSTOMER SIGNATURE . : r, TOTAL PRINT NAME DATE AMOUNT 1 , REV 04 -2832 ; CUSTOMER COPY HOLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH , A SEATTLE, WA aai D8 • (206) 762-2506 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC, Kanlley Rock & Recycling Lo-catIone KANGLEY PIT (Plant' 21) 32600 SE Kent-Kangly Rd., Ravanadale, WA 88051 BLACK RIVER {Plan' t 22) - (208) 350-0012 61D Monater Rd. Renlon, WA 98058 LAKE FRANCIS (Rant 23) • (204) 859-0872 22501 SE Lake French, Rd. Maple Valk3y, WA 93038 Ceder Mountain Reclamation 17877 Carta- Grave Rd, BE, WO, Valley. WA 9B038 PJr #20 • 208 05B-0313 DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORpER DESK (425)226-1000 MAP LOCATE LEAVE PLANTARRIVE JOB LEAVE JOB ARRIVE PLANT . DATE 0!itil/.317()1i1 CUSTOMER NO. (igli01 ORDER NO. (P:41,449 PROJECT PLANT CUSTOMER NAME CII'Y "1"!'''.ANSF: 't7. CUSTOMEH R.O. JOB NO. DELIVERY TICKET NO JOB ADDRESS 1...V1:1 & '1, COLLECT ON OELIVERY (0.0.0,1 E] cl CHECK 0 0 C/-IARGE SE',Al'AC CASH EXP. / CARD fl 0 VISA 0 MASTERCARD Ei DISCOVERQ SPECIAL INSTRUCTIONS Uisi A,,,TITY' . , ' u .01.- - PRODUCT , - - - 1:IESCIIIPTION . TONS - UNIT PFtICE AMOUNT 32.6"/ 431.o 5.; IN TN 2O(4O. 40241-1C 7()015 RCA COS YYPE.' 11 A-Th3 F1'ilVIR,ONP,'$ENIAL SUF4Cf -1A1( , 7 • Tai•e, 41600.1:X) 32.01 if 32 67 319. . U Nitt • t3.1,.7$3110.()t) .,, DRIVER TRUCK NO. ORDERED BY REMIT PAVIA ENT TO - 9125 10t11 AVE. S.. SUB -TOTAL DISPATCHER TAX CODE WA 'I TIME DUE , SEATTLE, WA 98.108 :9:',37 .. '; TERNIS ON REVERSE - SALES TAX RELEASE — CUSTOMER RELEASES OF GAFIY MEI-11-1NO CONSTRUCTION AND AGREES TO HOLD I IAPINII,ESS , OLSY ROOK & RECYCLING, A DIVISION_ COMPANY, INC. OR ANY DAMAG ATO HIS PEAL OR PERSONAL PFiOPE BALANCE FORWARD. CAUSED SY DELIVERY OF MATERIALS LISTED ABOVE DETAILS ON EVER.R CUSTOMERSIGNATURE I Toi AL \ 4\,. , \/ '\./ 'AMOUNT PRINT NAME Di\ -/ REV 04-2039 CUSTOMER COPY KANGLEY ROCK & RECYCLING / Kangley Rock & Recycling Locations t KANGLEY PIT (Plan! / 21) 32500 SE Kenl-Kanglay Rd., Ravonsdalo, WA 90051 SLACK RIVER (Plant 22) • (206) 650.0912 DELIVERY TICKET 510 Ma:meant Hd. Hanlon, WA00055 SEATTLE, WA 06108 • (206) 762-2566 LAKE FnANcle (Neat # 23) • (2(J0) 050.01172 ' 22501 SE Lake Pravda R. Maple Volley, WA 98038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, IN-rt • Cedar Mountain Reolaniatton17877 Cedar Grove nd, SE, Maple Valley, WA98038 mamma°. (20050-0913ORDER ACCOUNTING (208) 762-2566 ; FAX (206) 762-2358 " SALES & DESK (425) 226-1000 , MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVEJOB ARRIVE PLANT : ATE CUSTOMER NO. 14.3W50"1 ORDER NO. 62.24.4g PROJECT , PLANT ft . 22 CUSTOMER NAME CUSTOMER P.O. JOB NO. DEUVERY TICKET NO. JOS ADDRESS AGG • INTERNAllONA.1. BL.'ilt`) b. '15011.-1, COLLECT ON DELIVERY (c.o,D.) ',•.if.:•.`,Al'it`t4.":. El CASH I:I CHECK II CI CHARGE li CARD # EXP. / SPECIAL INSTRUCTIONS 0 VISA El MASTERCARD IlD DISCOVER , ,,..:-.; ..,,,-; ,,,.., .,:. utufile in ,I •. . ., hn". - ... "-Iv., * . -pRoDucT-, ' coDE - •• EsonipTioN i , - TONS . ce - - UNIT PRI • ONT - AMU - 31,35 31 35 . • Gro.s14, r i T'•' , 10430i). 420241:C '10015 .,. )CJ Ri:;ik COS TYPE 11 A-193 Er4V(flONMF:NTA1. SI..111(:`-i-lAtI( . T-ore II 'f(7S4)0.00 31 ..Y.,`i if 3'1.35 ... / ,,, ..,r . DRIVER TRumi NO. ORDERED BY REMIT PAYMENT TO • , 9125 10th AVE, S.. - SUB TOTAL 171911VICF11F1 TX CODE WA 1 TIME DUE SEATTLE I.VA 98108 - 10:35•TREn.1:1!MK 6 °N',,,' REVERSEYCLIN • , - - SA' LES 7:4X„ • . If D, A DIVISION RELL.ASV - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS TO OF GARY MERLIN° CONSTRUCTION COMPANY, INC, FOR ANY DAMAO RSONAL PROPERTYBALANCE.FORVJARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS ON IIEVEt1 E. , CUSTOMEF1 SIGNATURE TOTAL • - AMOUNT PRINT NAME A REV134-2009 CUSTOMER COPY NGLEY ROCK & RECYCLING A000UN11NG: 9125 TENTH AVENUE SOUTH SEATTLE, WA SE108 • (20S) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Kong ley Rock & Recycling LocatIons [(ANSLEY PIT Plant N 21) 32500 8E Kenl,Kangfay Rd., Revenadele, WA 28061 BLACK RIVER (Plant 0 22). (200) 662.0012 610 Mangler Rd. Halton, WA N065 LAKE FRANCIS WIER 11" 23) • (208) 65842672 22691 88 Lake Franda Rd. Maple Veiny, WA 92030 Cedar Mountain Reclamation inn Cedar Grova Rd. SE, Maple Valley, WA t,r. 030 Rani 020. (200) 1360.0013 DELIVERY TICKET ACCOUNTING (206) 76272666 FAX (206) 762-2360 SALES & ORDER DESK (425) 226.1000 :MAP LOCATE I LEAVE PLANT ARRIVE ,JOB LEAVE JOB ARRIVE PLANT , DATE t)5f23,11;r()11) CUSTOMER NO, 1 t19.1,;01 ORDER NO. 622449 PROJECT PLANT II e.,,-.,,,, CUSTOMER NAME CilY Trtif:),tiLc:FFI:',.. ttqr: CUSTOMER PA .1t471$3, JOB NO, fi1e12-it`; DELIVERY TICKET NO, ftg!nif)74 - JOB ADDRESS A(G • INTERNATIONAL i?.-LVO ):tf. 1 ' COLLECT ON DELIVERY P.O.D,) 0 0 CHECK # El CHARGE EATAC:: CASH . EXP. J CARD # 0 VISA 1:3 MASTERCARD 1:3 DISCOVER SPECIAL INSTRUCTIONS •UAD„ITITY'' '' EIPT-- • - , t)SCRION. TOTAL,. -1 F3RI uNICE: '''A -. -, AUNT . -, 28,11s) 28 t'D .. , . .... . . Gros TN TN • '":".(cITYi0.0) 42024Ftt 7(X) if; , RCA COS TYPE 17 A,•133 ENVIRONMENTAL SUr4C.',HAll'" . . . Taro 4113/10.0C) 2,8 ,6i , i18,60 / 441 •.., 1.,,I.1,1 ' i17200.00 ( . ii •. • DRIVER TRUCK NO. ORDERED BY t. • . - REMIT PAYMENT ,.. . ' 9125. intli To • , - . . AVE. S'.... ' ' - sun -ToTAL - ., - DISPATCHER TAX CODE tAtA 'I TIME DUE i 'SEATTLE, WA 96105 - t'l:'12 ..- TEIIN/S ON 1:3EVECISE ' -- _ SALES TAX - -- -„ . . . - RELEASE — CUSTOMER RELEASES OF GARY NIERLI1q0 CONSTRUCTION . __ AND AGREES TO HOLD HARMLESS GLEYRbOK A RECYCLING, AFIDrEIVIBRIOryN .... FORWARD COMPANY, INC, FOR ANY DAMAGE HIS EAL OR PERSONAL P.BALANCE_FORVV, CAUSED BY DELIVERY OF MATERIALS LISTEb ABOVE. DETAILS ONI1EVERS _ . TMOOTUA CUSTOMER SIGNATURE , . • - ' ''. 1/4 NI"' T . A \ PRINT NAME DATE .• REV 04-2006 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTMG: 9125 TENTH AVENUE SOUTH 1 SEATTLE, WA 93108 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY INC. MAP LOCATE DATE (gji.23/201.9 LEAVE PLANT Kangley Rock & Recycling Locations KANO LEY PIT (PlanI # 21) 32600 SE Kont•Kanglay lId,, Revenstiale. WA 118061 01-ACK RIVER (Plea( # 22)- (206) 66E0012 610 Monster Rd. Renton, WA 6605S LAKE FRANCIS (Plant I 23) (206) 658-0872 22601 BE Lake Francla Rd. Maple Va6ov, WA 06098 Cedar Mountain Reclamation 17677 Coder Clove Rd. SE. Maple Valley, WA 610036 Planl #20 - (2oo) 650'DOI ARRIVE JOB LEAVE JOB 1 1;) • DELIVERY TICKET ACCOUNTING (206) 762-2666 FAX (206) 762-2368 SALES & ORDER DESK (425) 226-1000 ARRIVE PLA !,) CUSTOMER NO. 10501 CUSTOMER NAME Ore 7P,ANSFER INC JOB ADDRESS AGG INTE.RNATK SEATAC ORDER NO. (122449 & MTH PROJECT SPECIAL INSTRUCTIONS 30.65 GrotT5 DRIVE TN Thk i02900. Jo PRobtiPT 42024 RC 7016 TRUCK NO, DISPATCHER TAX CODE WA 1 RELEASE — CUSTOMER RELEASES AND A$REE8 TO HOLD,HAR L OF GARY MERLINO CONSTRUCTION COMPANY. INC. FOR ANY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAIL'S ON r•tCA COS TYPE 17 A-183. ENVIRONMENTAL. :SURCHAR Tilim 4 -1600.(X) CUSTOMER SIGNATURE PRINT NAME 'REV 04-2009 CUSTOMER P.O. PLANT U 22 JOB NO. 01.92/8 DELIVERY 'TICKET NO. 171( APA 117 COLLECT ON DELIVERY (C.O.D.) D cAsH LJOHECKit CARD EXP. / 0 CHARGE 0 VISA 0 MASTERCARD b DISCOVER TONS L . UNIT PRICE." AMOUN1' ... • . 11E1'411 AY11.11ENT TO 0126 10111 AVE:S. SEATTLE WA 98108 . • • TERMS ON REVERSE • . . • 61300.00 SUB -TOTAL . SALES TAX -. 9L & REGYOUNG, A DIVISION /141 OR PERSONAL PROPERTY DATE CUSTOMER COPY BALANCE FORWARD - - NGLEY ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 Kongley Rock & Recycling Locations KANOLEY PIT (Ptartt 21) 32600 SE Kent•Kanglny Rd, Rmartidide, WA 96061 BLACK man (Menlo 22) • (206)666-0012 610 Mangler FaL Rankin, WA eaosa LAKE FRANCIS (Plant # 22) -(206) 656-0E172 22501 SE Lake Francis Rd, Maple Valley, WA 28036 DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Itflountaln Reclamation 17077 Cedar Grove Rd. SE, Maple Valley, WA 96030 Plant #20 • (200) 658-0013 .DELIVERY TICKET • ACCOUNTING (206) 762-2566 FAX (20B) 762-2858 SALES & ORDER DESK (425) 226-1000 MAP L DATE oni.,13/2 0, '0 UsTOMER NAME E P CUSTOMER NO. —1,11 OcIADTYD&N5SFEP AGG INTERNATIONA SEA -MC FIND ORDER NO. 522.441 ARRIVE JOB PROJECT SPECIAL INSTRUCT LEAVE B USTOMER RO, 916 COLLECT ON DELIVERY (C.O.D) 0 CASH CHECK # 0 CHARGE CARD 41 EXP. / 0 VISA 0 MASTERCARD El DISCOVER .49 Gru5E. DRIVER DISPATCHER 1"P PRODIJOT' DE, „scRIpTioli 42024RC 70015 TRUCK NO, :11.1T3 TA% CODE WA TO TOTAL *UNIT PRICE - A .N101../Nt ) RCA COS TYPE 17 A.1D3 3't A9 ENVIRONNtErTrAL (31.111CHArli:i TIME DUE 1232 RELEASE — CUSTOMER RELEASES AND AGREES TO HO OF GARY MERLIN() CONSTRUCTION CADMPANY, INC, FOR ANY D CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON Tare 411300.00 CUSTOMER SIGNATURE PRINT NAME REV 04-2009 GEOH FE .912510111 AVE. S. - SEATTLE WA 98108 • TERMS ON REVERSE - SALES TAX 629130.00 REN1IT PAYMENT TO . SUB-TOTA-L OK & RECYCLING, A DIVISION EAL OR PERSONAL PROPERTY \V 1/ \cj CUSTOMER COPY BALANCE FORWARD NGLEY OCK & RECYCLING :ACCOUNTING: 9126 TENTH AVENUECOU Kangley Rook & Recycling L008110116 KANGLEY PIT (Plant 21) 32600 SE Konl-KaAgley Rd., Ravonadole, WA 98051 BLACK RIVER (P18n1 0 2 • (206) (158.0912 DELIVERY TICKET . t o SEATTLE, WA salsa • (206) 762-2566 LAKE FRANCIS (Plant # 23) - (206)60a-0372 29801 SE Lake kande R'cl, Maple Valley, WA 00038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY WO. Cedar7trMountainrpvdrstlianirrtliatny, wA 0 Plant 020 - {200) 658-0913 ACCOUNTING (206) 762-2566 FAX (200) 762-2358 SALES & ORDER DESK (425) 226-1600 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE J013 ARRIVE PLANT DA E CUSTOMER. NO. 11:1950 ORID4 54t1 . PROJECT PLAN't it CUSTOMER NAME CITY 'TRANSFER INC r, CUSTOMER RO, 19216 JOB NO, 01921C DELIVERY TICKET NO. 9(151136 f jr)f.4 ADrigpsp,_ -AT.Sik.-"....-NTErz:NATT(.)14,1AL fil.V1),' & 15011'1 .. COLLECT ON DELIVERY (C.O.D.) Ea CASH 9 CHECK # 1:301-1ARGE SiriIkl'AC . I. CARO it EXP. i !SPECIAL INSTRUCTIONS 0 VISA 0 MASTERCARD 0 DISCOVER . ". -r,--4,',,,:,„,•.,.• *.r.• .. '...''' ..''',..4‘..i",` I i Y.. -' • :,,.''' - • ' '''''"'P'... .-PRODUOT•.'• -' CODE ..1 - .. . '' '' . ''' ` ' '- DEPP n I Pr!ON - ' • . ,.. ' . ,TONS . . . UNIT PRICE - '" AMOUNT. ..-. .. 4. . 27 72 . 1 4 Gras IN TN 9704().() 42024RC 10(.;v15 ' ,*(../.44 COS ' V 1.-.: ' / A--1i33 ENVIRONNIEN1A1... ,5.:1..I.R4::--IA , . • T.,re. 4160().00 27./2 / . . - r )ftt ).i.n, • (-3 Nitt . 55440.d)0 • . i ..,. i. ,-. . ,.. i k ' . ... , DRIVER Ti()1.1911 O. ORDERED ey " • REMIT PAYMENT - ..... 9125i Ott) TO :., - AVE, S. ...„.. SLID -TOTAL . . DISRATDI-ER TAX OtfiyA . TIME LILT io -SEATTLE, VVA - TERMS ON 98108 . • - REVERSE ... .. . . .... - . SALES TAX • . . RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD 'ARML - KANGLEY FloOK & RECYCLING, A DIVISION . .OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR Y DA A TO HIS REAL OR PERSONAL PROPERTy BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS:ON R VE1S. i • CUSTOMER SIGNATURE ., ` • . TOTAL 1 PRINT NAME lir . AMOUNT .. : DATE . REV 04-2000 • • CUSTOMER COPY .KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 r 06) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations tSANCILEY PIT (Plant 121) 322500 BE Itanl'Kargley Rd., Ravened Ede, WA 88051 BLACK RIVER (Pianl 0 22) - (206) 8 6-0912 610 Menaler Rd. Raman, WA90066 LAKE FRANCIS (Plea 023)- moo $50.0872 22601 BE Luke Francis Rd, Maple Valley, WA 08038 Cedar Mountain Reclamation 17877 Cedar Grave Rd, BE, Maple Valley, WA 90038 Plant 020 - (208) 668.0913 DELIVERY TICKET ACCOUNTING (206) 762-2568 FAX (206) 762-2358 SALES & ORDER DESK (4 5) 226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOR ARRIVE PLANT DATE _��yy , 5ll} /2O1'i CUSTOMER }N}O, I!J{;)5{)Y ORDER N . O, 622449 PROJECT PLANT 0 '.-e., CUSTOMER NAME `.T"EY TRANSFE.R €I' C CUSTOMER P.O. 19)s' JOB NC. Ea DELIVERY TICKET NO. ? r JOB bckp es A .ita , I T RNA'110 tl_. EN + is ' f COLLECT ON OELiV RY (.O.D.) E1 CASH 0 CHECK # 13 CHARGE i CARD# EXP. SPECIAL INSTRUCTIONS 0 VISA 0 MASTERCARD 13 DISCOVER QU4NTiTY al.. i 2I7:51 .i yN; r1 ij true m U M .> T13 R 062( :° PRODUCT : CODC. 4 'E( r 70015 r0 GIESGRLi'TLON Rf. A E:"()F, -i i' ENI f(Rc)> NIE: TAL.. St.JC CHl =tt1 • TIiI.I e 41¢J0.00 a TOMS.. 2 ., ') 2951 .. ;TOTAL• Net UNIT PRICE 5 k 0,00 AMOUNT .DRIVER TRUCK . I�TId'r,'.SUB-TOTAL- OR RED BY :'. : REMIT PAYMENT TO . .' 912510th AVE. S. DIBPATO R TAX COPE irk 'i 11ME IAJ r SEATTLE, WA 9810L1 -13: i0 SALES TAX; TERNIS.CIN E3fz5IERSE ELIEASE USTOMER RELEASES AND AGREES TO HOLD HARMLESS ANO Reek & REOYO,LING, A CIVISION `" GARY MERL.INO CONSTRUCTION COMPANY, INC. FOR ANY DAMAG TO S REAL A F ONAL PROPERTY UALANCt rORWARD , : t• AUSED BY DELIVERY OF MATERIAI,.S LISTED ABOVE. DETAILS ON REVERSE. itUSTOMER SIGNATURE '' TOTAL t .. 1. tI ® ` AMOUNT j PRINT NAME • REV 04-2009 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 08108 • (208) 762-2586 Kongley Rock & Recycling Locations KANGLEY PIT (Plant/ 21) 32500 SE Keill-Kancley Rd., Revensdele, WA 981)61 BLACK RIVER (Pram 02.2)- (200 I:89.01:112 610 Monster Rd. Renton, WA 8805A LAKE FRANCIG (Nero 23). (206)658-0872 22501 DE Lake FrEncle Rd. Maple Valloy, WA 00038 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd. 8E, Maple Vaney, WA 9003e . , • Rani 00 7 (206) 858-0013 —DELIVERY TICKET 'ACCOUNTING (206)762-2566 FAX ' • (206)762-2356 :SALES -a ORDER DESK (425)2264000 MAP LOCATE • . LEAVE PLANT . ' ARRIVE JOB . • LEAVE JOB . ' - • . • ARRIVE PLANT DATE. ' 05/22;2019 CUSTOMER NO. 169b01 ORDER NO. • 6'2271. PROJECT . . • . .. • 22 CUSTOMER NAME • • ' . . : • - Cii.Y TrtANSFFR INC CUSTOMER P.O.. , : 19216 JOB. NO. ... '; 619216- • • DELIVERY TICKET NO. ' 91A631. • • ssl. Ne ' ,n.1 IERNATIC/40 A. . _ it 150TH• • • • COLLECT ON, DELIVERY (C.O.D.) . .. . . 0 CASH 0 CHECK ii ° CHARGE , -ATAC • • • • . • ..... ' , , . . • • • CARO e • - • , . • • . . . . . E XP. SPEOIAL INSTRUCTIONS • . -. ••1 . . . ...,... • . ....,„ ... .. , . . ri VisA CI MASTERPARc): ci DISCOVER ' • . • . . t • • . I. ' . * • . • ' .'”. (.•..•••: i'l ,;. ••• . •.... • • •• . ' .C• '• .,...vr.Qt.)../ANTIILY• :` '..":. . PRODUCT ,. ' • . , DESCRIPTION ':. - - - - TONS - , '. ,91AL . - ...UNIT PRICE', .- AMOUNT ..- '.: ..'n: . ir- . • ': ''. ' ' ..,..42024PC • •'.4:teA•C • SIVE 17' -A,1t13':••••"-•-:', : ,":','3. '., . .:.:'-..-134(i '..",..".:"::: ".* - •",' • "-• ..'• -: '....: • .. -32.00 - .-- :,' : •• • . - • .t. ••• . . . Gross 'TN • . . 1 4 .)0 ' • 1()015.- ' - • .-. • , -:• , • • • . . - . - - "ENVIROINENITAL SkiRCHt414C1E . , .,. - .. • .- - , • .. . .. , •..... .. , ..,... - . , - .. . . . , . . . ... . . , , .... . , . .. ,... .. . . • • . . ... . . , . .. .. . . • . . • • . . • . . . - • . . • .. . . .... , . . • . - . • Tam 41440,60 , '''''5ie.:00-' ' ' - • • . " . . , • . . - . • . • • . , . ..., . . .. '' '''''''''''''' -,... , -: .• '-' ". :- : . • • • . • -. . • . • . - . t4elt ' "..• ' ' '. . .., .. . ••.... . - • . .• ..• -. ..•. t. • • • • • . . . .. • 84000E00 " • ' • • • • . . . . • . ... . . _ • . . • . • . . . . . 6RIVE11 V l< , ORDERED BY • .... . REMIT : ,.. 0125 1001 NT TO . , . AVE. S. ' - - . . ^ . TOTAt. - - Pi PATCI4ER TAX A TIME1DUg .. -'' : .- SEATTLE;IMA 0i1106 ' . . ,1:1,,Iti .•..TERMS ON REVERSE• • , . - ' . - RELEASE - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION', OF GARY MERLIN() CONSTRUCTION COMPANY 1‘10, FOR aPt DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED OVE. D 'ICS ON REVERSE, . . ,., , BALANCE FORYvARD. - ' • . ..•••F CUSTOMER SIGNATURE -e,..,,,,--- : ... PRINT NAME DATE . AMOUNT -. - ' - • ' - . RFN 04-2009 CUSTOMER COPY • 1 ••••. •-••-• •• NGLEY ROCK & RECYCLING Kangley Rock & Recycling Locations KAN eLay PIT (Plant 2 El) 32600 eE Kenl-Kangley Rd„ Ilavatudale, WA 98061 2 • DELIVERY TICKET 4' ACCOUNTING: 0125 TENTH AVENUE SOUTH 0ifoiCk.NINitIi St:R.110)11m, WA 6105.5 . , . • SEATTLE, WA 93108 * (20B) 762-2586 ' 'CAKE FEIANC is. (P)NN N 03) • (200) 638-0073 ' 22001 SE Lake Francis A. Maple Vann WA 00031) * . A DIVISION OF GARY ME-RUNO CONSTRUCTION CON1PANy, INC, Ceti et NIountain Reclamation : '• ' . --:,- 17077 Cedar Breve Fld. -SE, IVisple lay, WA 00030 Yal• ' ACGOLINITIN (206)°762-2566 l• . FM ' . (2,08)*Z6?-2358 •ORDER DESK, (425) 226-1000 PlAtit #20 • (206) 050,0913 MAP LOCATE LEAVE PLANT ' ARRIVE JOS LEAVE ' ' y' " ARRIVE PLANT DATE • qu ()LAE .NO. / , - ' ORDER. - P J 9T , . • . . . - . . :. PLANT • CUSTOMER NAME ' • CITY TRANSF 'Lrt INC Eji1Ji1uIER RO. • ': 19216 JOB NO, •••' • : • .: 019216.: •bELIVERY TICKET NO. • ' ' ' . toi714 ' • .401:16.DOREs§_.' • ..._ , till NATic)VIAL 131,\iI) a 160111 COLLECT ON DELIVERY (C.O.D.) • % • • • ..: . '.• 'CI SEATAC ' • ., • ' CASH 0 CELEct# , . , CHARGE • '. * • 1D(R 000• . CARD If • . •SpEC)AL INSTRUCTIONS • • ... . . . „,. . . . . . • .. . •• . . . . . CI V.Isi . • 0 Mi\qr.f-fig).\i/P,.. -Pi 01.SQQYgr.1., • 61.1ANTI I Y. ,,,.. • , ' ,, PRODUCT - - - • DEscRipTioN . TOMS,T UNIT PRICE . AMOUNT '` •':' '33.113.:''. * • * • . • • ' • •• • . . • . : . • • . • * • Gress `-' IN*.- . . tO . . . 2411C 1. 7 5: . • -• • . :•• , , • ' ' . .. . • 10 CA 'TYPE ,.. 7, A 1.." .P31,41)010 kVA. . V . . , . . ..- . , . • ..:-: • • ,,, ,. . . • • . • * . • . • • ' • • • •• • • . • . • • . • • . • * i . . . , . • * . •' Tito 41440. . ,,,,, • . ,?•.• • ,. - . , •, .; . . , . • . . . • • • • • . . • ! : • . - . •• , . . • • • '. • ••• ' • • . .•••:, .;. Ir. .. ... A • r • . • * • • * . • . : • ••••• . ••• . • • ,, Nt. . . ,,,,•,...-• • .....',... • • . • • 1 • • • * • *. * • • * : • "•• . *: ' ' . * '• • . • . . I, ' 6826t).00 .. . •. ., ., • . .: • • i •• • •• • • • . , r .. • • • . • • • • . • • . • . • . . „ • • •• . DR/En rilv . , ORDERED BY REMIT PAYMENT TO' SUB -TOTAL •D18PA1tOER T I * T1MEJ)Ug , SEATTLE, I:44 TERMS 01\1 WA ealoa REVERSE -$ALCS TAX RELEASE — CUSTOMER RELEASES OF GARY MERLINO CONSTRUCTION AND AGREES DompANy, TO HOLD HARMLESS lalloLEY ROCK SZRECYCLIN , k D)VlION .. _ ____. AL 0rDALANcE FORINARD . INC. FOR ANY DA GE TO HIS REAL OR PERSONpR : CAUSED BY DELIVERY OF MATERIALS LISTED ASOVE ItS ON VERSE. 1, CUSTOMER SIGNATURE TOTAL 0,- E Ah OUNT .,1 NAME DATE PRINT REV 04-2009 CLIS-COMER COPY -. . . , 001 KANGLEV ROCK & RECYCLING ACCOUNTING: 9125 -TENTH AVENUE SOUTH Kangley Rock & Recycling Locations KANOLSV PIT (Plan( t 27) 32800 SE Koni-KIngioy sd.. Ravenadele. WA 98061 BLACK RIVER intuit 22) .12c03) 6513-0012 610 MonIe • tt f”. DELIVERY TICKET ..,Geti I LC, I.V.f1aall.10 .: tZtiEr9 (1:1Z-z-tititi LAKE FRANCIS (Plant t ea) .(18) 0513-0872 • 22601 SE Lake Freocla R'd. Maple Valley, WA 08038 . A DIVISION OF GARY MERI.INO CONSTRUCTION COMPANY, INC, Cedar IVIOUntain Roolamotion '17877 Cedar Grove Ad, SE, Maple Wiley, VVA008 68 . ' ' ' • ' pints ego- (2.06) 668-0013 ACCOUNTING (206)762-2566 FAX . . . . ,(206) 762-28E8 SALES & . . - ' ORDER DESK (426)226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOBF.AVE . J0.13 . . ,.. . . , • .... . , . . . . . ARRIVE PLANT DATE • - 05/28/2019 CUSTOMpn N . if.0,391 ' ORD , „ PROJECT • .. - . • .. • . , . • PLANT „..1,.. x.z. . USTIOMER NAME 4 (Iry TEIANSPER INC," : l':;1 CUSTOlvIE13 PD. • , , 116-'. 92. '. JOS.NO. • :. .' . 01021k'. .DELIVERY TICKET NO, '' . Tiiti742 ' , . , . • • • , .6Y2R-FIRrEFINATIC)NAL Ett.VE) • . • .. COLLECT ON DELIVEriV (C.O.D.) • •• • • .. -MAC: , . • . • •. •• - .. • . • CASH El OH -Oft,i. #. CH.AR GE • • . • ' . , .1 .... • • •I3 . . . • . , . ...... . . • •. • ' .• tioi ,•.;•;..0..o.. %;".,,"••,,,.••.-..'''' ' ` • . . . ... • CARD it : '. : , exp. i . .. .. • ...i:IVISA • 0MASTERCARD • : .. 0 DISCOVER • • • • '• •-. •.' • , • . • •. . . 144. AN. i/TY ' - . . -' °,-•1•Vi . -PRo9;:)DiciUtC-T- - ' ' DESCRIPTION .". , T(:)NS - TOTAL UNIT PRICE. . _ AMOUNT - ,• • 20 42.4RC, ACE .:. 7 I 7. .. '..1 3..:-::: „ ••:',.% • ... .. = • 2 4- i . . " . .• . • ; • %",-- ..-."-- . . , ' , • • . • . • Grass Th i . . iti . 7V:015 • '. . • .. • .,....,,, .. . . • . . • t141111Rb - L.. CRtil( • . • : • , .„ .. . . .. • . — - . . .• . .. ..• - .. : .. . . • . • • . . . • . . , .. :.... , , ,., , _,., . , .„ ... i.,: ., 7,... , „..,.... " . • . , • • - . • ' - - ' . • . . . • . . , . . • . . • • . • . • , . , • , Tare 4'14,40..4X. , if.' •. . . , - . . ., . .: ... .,.,-,-, . • - . • . . • , . • . • , . ., , . • • : . .,::. .... 7...7, ,.,....: . ' • - . . . . • , • . •• . .. ••• . .. .t., . . , . .„ • •• .., ' -. . - . . • . . — . ' . • 6'4920,00 . ., ' • . . . • . , . . . . . . .. • . . • . • , • . • . , • ' • • ' , onivER • ..)i$IPIO' ORDERE BY EMIT PAYMENT 9125 10th TO AVE. S. • SUB -TOTAL, ISPATCHER TAXcpp TIME sEATTLE WA 08108 Y' '..1:4, - TERMS ON REVERSE - SALCS TAX • • 'RELEASE — CIJSTOMER RELEASES AND AGREES TO HOLL)14AVIMLESS t•tANGLEY ROCK & IFIF.DYCLING A "DIVISION - OF GARY MERUNO CONSTRUCTION COMPANY, INC, FOR ANY DmAAGt110 HIS REAL on PEF(q0NAL: PROPERTY BALANCE FOAWAHD.-. CAUSED SY DELIVERY OF MATERIALS LISTED ABOVE. r)ErAit.s.. 'RE fisE. CUSTOMER SIGNATURE ' TOTAL AMOUNT PAINT NAME DATE . RSV 04-200 CUSTOMER COPY • • rrr! tr: • NGLEY ROCK 8z RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE; WA 98106 • (206) 782:2566 Kangley Rock & Recycling Locations KANGLEY PIT (Plant J/ 21) 32500 SE Kent•Kangley Rd„ Floventdale, WA 98051 6LACK RIVER (Pim if 22)- (208)858-0912 510 Monster Rd. Flenton, WA 88058 LAKE PRAN018 (Plant 22). (208) 858-0072 ' • 22.501 GE Lako Ranh: Rd. Maple Valley. WA 02088 -A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INCCedar Mountain Reclamation.17677 Ceder Stove Rd. SE, Maple Valley, WA nom . . • Plan920 - 20T8 650-0913 • DELIVERY TICKET ACCOUNT! (2 ) 7 2- 6 FAX (206)762-2358 SALES . ORDER DESK 425 226-1000 LMAP LOCATE • . i': . ' . .t..... LEAVE PLANT • ARRIVE JOB LEAVE JOB . • .. ..' . ARRIVE -PLANT • . - ..., .. • • ATE . .is. •, .,it...CUSTOMERNO . 0 DE1 NO, R2712 PROJECT ' 7# • 2 . . 1'CUSTOMER NAME .crty TRANSFER INC . - cusyomERP,O. :.. .. 1921 ' '..-. - JOB NO.: .... • :.; • ", " 019216 ''-' : VERY TICKETNO, " • Wirt, - JOB ADDRESS .frlici(ii.- INTF_'RNA*11QNAL.3LVD & ViTj• . • .. . . ' COLLECT ON DJ VERY (q.o.r).) • ' - . . 0 CASH 0 CHECK #. ... D CHARGE TAC . . . , .., . ,.. ..• , :: . . , CARD ' ' SPECIAt..INSTRUO ONS • ' ' * . • . .„- . .. .. # ' ". • ' ' . 0 VISA . ...0 MASTERCARD '‘ .; IJ DISCOVER .•• . . QUANTITY UM .. .. . ...;p,, .00.13..0. c.T•:•...... .... -• '.' ESCRIPT1C:IN -.... ''''''-- , . , ... ' TONS',. :..: ... . TOTAL._ • . -... '. • • ' UNIT PRICE " : • ...:.;• i: , . . _ - AMOUNT ' AMOU.: .....'.'. . . .. 1,-;',•.; .; -i/'..', ". 377"' .. . . •.• . ... : ., . • , . • • • . . ' • ' . • ., • . •• • ''' .' . . . • . • . • :::"..T ' -....TT4 . ' . .. . -.. 42O24C '7.00i5. • . • .. • • . ' : RCA OS 3YPE 17 ,-A.1M!!..t...'.. F:NlitizONtvit.fitAL,•s(ft:IcHAr. 4(i : • •-.• • ••• . . .. . • . • . . • . . . ,- • . • • . . . • . • . . . . ° . . • ' . • . • . - • . * . . Tilre 41444:0t1 . 1., . : • *.' .. . • ..- ..,.... • . • . . .. • , . . ' . , • ° . ';'•••••''''' '-'**.N , .. , ..., .. . . • ' • '• . ..". '-: . - , ° - *.• . Ngt ' '1.'' •,. . ., •• - • '. '° ' . • . - —* • '.. ,. .' ' • ° ."' . . . .. . .. . . • . • *1.541t.t110. - * -*!-* *** .. .. • ...... . .. • . . . . . . . . . . • . • • - ' .. . . " .. .. . . .. . . • . ' . . . . . . . • : - , PRNER r) TRUCK NO. Cf'FI432 ORDERED DV ..... ., • .. ,.. _. .... .. ---.. - ... FILIVII I .PAYIIIENT TO ., ' ,-• ' * • '°" , . ..•••.' .. . . suEt-TOTAI.' • . '.• • ,. • • 9125,10th AVE. S. .. ... ' . " . . . . . "..., . .. . ...: . . i ot9pArct-IER .,. TAX 0 f)t. 1 TIME '' -. -,'• '::: SEATTLE,. WA 8100,...:. • '- • . .:-- • , . - • - ....71 .- -.. . , ' • -.. 'TERMS ON FIEVERSE ...:. ,'• ' ..- -- ;-: • SALES - . .. . ,. ., . . .. . . .. . , . , . . OF g.:/A,,: fvtE — CUSTOMER RELEASES AND AGREES TO HOW HARMLESS t(At4GLEY ROOK & igEoyoLING, A DiviSION • : '- . '. ' ' : . '. ' ' .': RLIrsio CONSTRUCTION COMPANY, INC, FOR ANY DAMAGE TIQIIS REAL OR ' PERSONAL PROPERTY. BALANCE FOE) WARD :- CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS N REVE E'',' CUSTOMER SIGNATURE Z '... . ' -' : . .... . . . - AN OUF4T ' ... . PRINT NAME DATE .. .... . , . . .- . . .- 04-2800 CUSTOMER COPY ICANGLEY ROCK & RECYCLING ACCOUNTING; 9125 TENTI-I AVENUE SOUTH Kangley Rock & RecyclIng.Locations KANOLEY PIT {Plan! A' 21) 32500 9E10114,0106y Rd., Ravenadcdn, WA 85051 BLACK RIVER plant V 22)- POO 1358 -0012 DELIVERY TICKET _ ............,..-... -..-...-., . - ..,- ., SEATTLE, WA E.18105 0 (2a8) 762-2586 LAKE FRANCIS (Milt 4',23).• Cittla6B4B72 22501 SE Lako Pratt R. Maple Iloy, WA 98030 , •FAX DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Moutltaln RecialnatIOn WA EROSS , 17077 Gadar Growl Rd. SE, Mapto Vallay, • • - . , Plant #20 - POO) 0.513-0013 ' - .. . ' /?.CO.C.)1iiilTIN (206) 762-2568 ' ' (206) 762-2358 .. SALES & - ORDER DESK • (425) 226-1000 i MAP LOCATE . .. . LEAVE PLAt•IT • ARRIVE JOB LEAVE JOB : • .. ••, .. . • ARRIVE PLANT • CIJStiTOME . ll' ORD • 3 , 2 . PROJECT . • PLANT 22 ' . CUSTOMER NAME • • . • CtIY, IFtANSFER-ifite •• -. . - . . , - • • . • CUSTOMER P.O. ' •'•• - •19216-''', . JOB NO: • '• ,".' • .019216' . e DEL TIC NO. . . . r .4, • A V : . ' • - . . • . ' .- • .. . . ..., , . . . • • •• . - C01-i-cr. ON Pg0,1YgRY.(000-1?•)•• •,- ; . . • • I . , , • • . ,, . El CASH 0 CHECK ili • • : * ' 0 CHARGE • • , . . • • . , CARD AI SPECIAL INSTRLICTIONS . , .. .. . • • : . . .: . . . . . .. 0 9ISA Li MAST.Ell.A131) . 0 DISCQV.C,F3 • 40A.1011:r ''.•'-':' .?: U M . PRODUCT'.-..-...; 0 .....-. '''•:`42.024Fie - •..„ ••••• DSSCRipkicip :' : • • . .. ' 1•0Ns. ••' • •TOTAL .... . . . -- ....• UNIT PRICE .-:-7"...ANIOUNT,..-., • ..--• • ..,'. - .• • : . ..,. • ..t.v• ''''.*:"F'2.....:',1'; ' „ ... • ,... u.. . : • • • , - . •.: . • , . • • . karesv . .... • ... " - '' . • . )O)O " • • • • .. .. • ;:i:f ' • • - • ' -.'''•`.:"1. '',' • '', . „ • _ . • .. , . • • - • . • r * 0 OS •• 4•E'17': —1 '3',,:':*.• • , "' ". - `7';'•.••:•;"••; '•-•-'.'." •• '...."..'- ' -- • -,•„-• • ".' '.': " , .. -.. . . .... • • - . .,, , , , ,. ., , . . - . , . . . . . • - • ,..- .. • • : •• . - • ... . . . . . • • . , .., .. .. • . . „. •. . • .., . . . . • ' • , - ". ' . • . . • . , • . . Taro 41440.0 ' '''' I. 4 !.....'1.''' . • • " ' • ': ',‘:, • • . . ., . . , ... . . . . . . • ' ' '. .; • ''..•-•tr:!'•-•''. .f..!.. ., ... . , . . . Nt e • r.,1•:::.....,2..,.,;::,;,:':". • : • .. • • . . • • • . . . . . . . . . • . • ' ''.: ',.*. • -: : .., .- • ..•-•.. . , . . , . .. .. , , • . : '• '• • . R t'.9.11.121,4NO. . ..., .. . , OR23Y ,- .1 ..:: :- .t1EMIT.PAYIVIENT . . 9125OtAti,:s ... . . . . . TC)..': . *. 1. r. ... . . ..: .. '. . - EIERATC1-1E11 TAX qpitri 1 . T ... . , i SEATTLE, WA . 1 . . . :TE9Ivi5GN . B8.10[1. . . 1..VERSE r. ..' ' ,. .. ' -. " ' .. . ' • '...' .- . . .. : ' SALES TAX •,.'. - .• RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROOK & RECYCLING, A DIVISION..L.:,..,_.- . . OF GARY MERINO CONSTRUCTION COMPAN\ INC. FOR ANY DAMAGEC) HIS REAL OR PERSONAL PROPER ' BALANCE FORWARD *- . CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, t)ET It* ON REVJSSE, . , . . . . . . . CUSTOMER SIGNATURE . ' " 'TOTAL ' .'. .. . AMOUNT PRINT NAME . ,. DATE ir CUSTOMER COPY NGLEY :ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH VV Kangiey Rock & Recycling Locations KANOLSY PIT (Plen)r 21) 32800 8C Kont•KangIey Rd, Ravenedale. WA 831381 SLACK RIVER (Mani 0 22). (206) 6513•D9I 2 DELIVERY TICKET 1... btAl I LE, WA 813108 * (208) 76212566 LAKE FRANCIS ,t(Pkin,II•iiI --00 ' '1)672 • ..iii, • 22501 gELrk/146 Francis R.d. Valley, WA so.f.)38 • , Ceder fAourtteln ReclaiTtatton • : . • • . . * " k•DIVistoN*OF GARY MEIILINO CONSTRUCTION COMPANY IWO. 31877 cow Groot) rtEi. 8E. h4,4.,,k, v4tit,y, WA n03E1 , . , T •• ....i * i. . * * " " PlanI 0•20,•• (ape) 85840913 • . . ‘.. • . . . ,:.,,,, , 'MAP • ACCOUNTINe. •1200) 702-2ses . FAx • • : (2!).6) 7.6-,2,•?5EI . • . : . SALES & . .. . • ORDER SK • ' 42 . , AT , • • LEAVE PLANT : . . ARRIVE JOB • . LEAVE JOB :"., . • ..• . ... • -.• • . ARRIVE PLANT . , it,. .' • .. OHS 8 . ' N9. 'v * ' 9 D • .. 2 . PROJECT • ' • P,LAFIT# .. CUSTOMER NAME. .. - CUSTOMER PA O. 019216 : Ay TICKET NO,ClVIMSFERNC 0$844'. - • , . • . j')At'N'',,iVIERNATI.011,1,41.--..•BLVD. . . • - ' . . • ' • • . - ... '• 091107,TON.P.g1.,IVE.RY(C.0.0.) .• ' ',, ' SEA-rc . .V . 0 CASH' • [3cH4Q.K.#. d CHARGE * ' ..,. , . .,... ........., . .,... . . CARD ' SPEQIAL INSTRUCTIONS • . . • • • • • * . . # , , .:... i,, ... . , . ... • , El VISA . ...f:JI MA$TEROARD ., : ., ... 0 p 1 $ c q y t F i , • ' , . ::f.,,,,,...,..:. ,• QUANTITY,-....-, . !...•''• t - • • :'.PRODUCT :;' •. -'. 'CODE". :. ' • . .. . , . . ..* :,. ... 1- . iE•61,11Ftic..,N' ...::-'' • ., . .°• • ' L'• - - • '. ' • - • : - . • TONS ...., • -. • • .. TorAl- '. 6t,,IITpir,;"ste6 •• . .. . • : ' AMOUNT '• " . . . ., ....... .. ..., , ' *. .... •••• .... • ... * • ".• • • . • • . •• . • • • . • • • , . ' • • .. • '-, Gros '1 ? 2 '' :•• • .... • • ,'. `4x",,I.45 • "'424RC -.1 6: . - .. ... , . ,;,.,.. . .., ....... ** . • r . • . . • ':.:..,'RC C .TYE:;1/..‘:.:06,1 • . • .: ...... • ' 4i..., si,mci-tAt:tc:it - . . . . . . .... . , . . ,.. . . .. ,.... .... ;*, A ' . • 4.. * * * • . . ; • • * . * • * " * " • " " " " ... " • • . • . , • • • i * • . . • • 4 " " • ... I . • , .• • • • . ... ., . , • . • • . • :. ' * • • , . * ' :. ' • " • • • • • TVLI'f,v, 44J99 .• . . 1:„ ':' - . ... ... .. • . • • . . • r . VV * • .• •• • • • • . . . . ' .. .. :. ,..:.::;,!..,......,.....t........,....... '.: t ' ' " *. '' ' ' " . * . . • • • • . • ....... -.. " • • • • • • ••• . .• • *. * • • . •• * . i . • I • • • • . * ..r. 6.,,F')"...;(..;10.65 .., . ..... . .. : :... , • ". * • • * .. • . . • • . • • • . 4 . • • . • • . ' • I • . . * . . .* • • • . • . t.1?FlIVER TPILICK . r1.101 ORDERCOBY - ' PlEMIT PAYIVIEt4TVV TO • -.. . • , . . • . . . . • . SUTOTAL .- .. - .. . . Ct ' • , ' ' rfi 26 -loft; AVE. S.• ' ' . ' . • - .' " . DISPATCHER TAX C . . TIME DUE _ * SEATTI-E; WA 98198 -• - • • - ,: • . : . •• • ; V • , SALES TAX* 10:34 TERMS ON REVERSE .•. ,. . • . . A DIVISION. . • ' *._. ,.... ' • RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS 10'/,NGLEY ROCK.. rIECYCLtNG, • . . . OP GARY IVERLII40 CONSTRUCTION COMPANY, INC. FOR ANY DAMACkg.TO HIS REAL OR PERSONAL PROPERTY . - BALANCE FORWARD CAUSED SY DELIVERY OP MATEPIFALS LISTED ABOVE, ILS ON Pt , :RSE• VVV . : TOTIki. . ... ,. . . . CUSTOMER SIGNATURE -.•;., . • .., , At PRINT NAME DATE , ,ilOUNT, CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH Kangley Rook & Recycling Locations KANOLEY PIT (Pent/ 21) 22600 E3E Ka n1-1(angloy Rd., Ravenedele, WA 813051 BLACK RIVER (Nam 122). (2oeissa-ost2 ELIVERY TICKET ....., ....................,..„, ..,,,,,....,„, SEATTLE, WA 136108 • (200 762-2566 LAKE FRANCIS (Pito' I 23) - (208) 853-6372 22801 SE Lake Ramie Rd. Maple Valey, WA 33333 ' DI VISION OF GARY MERLINO CONSTRUCTION COMPANY, INC.. 11g1Ttlilnlallitidllorttioan‘tile?lialy WA I . • , ' '* ilansA r— , ACCOUNTING (206) 762-2566 .. FAX ' ' ' • (206).762-2358 " SALES & " • .• ORDER DESK. ' (425) 226-1000 • MAP LOCATE . LEAVE PLANT ARRIVE JOB . .. . LEAVE JOB ., ... , . .. ,. . ARRIVE PLANT D T 8/20*1 CUS • , ' NO, 1. ORD 12 PROJECT • , - . PLANT # .... 22 , CUSTOMER NAME ., • • . , • CITY TRANSFER INC CUSTOMER P.O. ! -..• . 19216 JOB ND. . •••• . Olf)216': • DELIVERY TICKET NO. • 985384 • 04driL,R RNPilioNAL I3LVD . -0 . . ' ' . : ' % ' 601.1ECT QIN DELIVERY (C.O.D,) . . EJ CASH ' El CHECK I3 CHARGE E'1;;TAC ' ' •• - ' • . „ . . . • . . ' • ' .. CARE) If , '.: ' ' ' ' ' ' •'' '. EXP. / SPECIAL INSTRUCTIONS . . , . . . . • . . . . . .„ .0 V. '... E;I MAs?TEfipPIRI;?., Z0 1)1§00V.E,14 • : • . , ••• , • , , QUANTITY ** '., • • U".' - • .,, PRODUCT ' '‘ - .. •- ', .... DESCRIPTION TONS TOTAL •, . . . UNIT PRICE AMOUNT 741273 ' • • I. • ,, , .. • . • i„.•, : . , . ......, r' . , . . I.- ..,.... lir .,., ... '''. ° : ,...- brtilltS Tf• ' ' : ,, .., . . . . 10:iii)/tAt • . 4 24iztc .ix,pi . , ,:i.t.;',... • . .; ....RcA.. Li-. p 37..;.A... ...: :• • '' ft4VO?MENrAL WRtI11 . ..,,, : - -.„.. . .. , ... _ --,.......--- . % • `• . . • - . . •' ._ • . , . ••: - , • , . • . ' - .. . . . . . . .. , • • Tare 41'4. . f(J ; 0,.. .,.;. .4...... - • ' % ' • ... . ..,,.... - -, -- -, 7.- ,".....',,....,;"7-:',.,'; ` . ' . . . t,Iftt ' ,...,,::...:-;i: 2...„. ...-: • • --- ,•:'''• ''='•'':•"'Il•''i.,?„±-- ., .. . , ' • • 624O4X ..., ... .. . • •-., , -' ., • ''. ' . ''...;'-,-.. '. -"'-'•-•'-'••-' '' ' ' . . • • • . - • , wen ' tfffWf,P°. ORDERED BY , REMIT PAYMENT TO • 9125 10lIr AVE. S. . . SUB TOTAL DISPATCHER TAXCDP 1 ICE21 SEATTLE, WABOIOS, TERMS ON REVERSE • SALESTAX . RELEASE - CUSTOMER RELEASES AND AGREESTO HOLD HARMLESS KANGLY RQ & 11 YCL1NG, A DIVISION OF GARY MERuNO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE T IS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAIL REVE .. BALANCE FORWARD ' , CUSTOMER SIGNATURE TOTAL OFIINT NAME DATE ANIOUNT • CUSTOMER COPY NGL JIOCK /ft RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • ROM 762-2666 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. LOCATE LEAVE PLANT Kangley Rock & Recycling Locations KANGLEY PIT (Rant / 21) 32500 SE KentKenciley Rd., Ramnsdale, WA 118061 BLACK RIVER (FUN / 22) • (206) 65E3.0912 610 Monsier Rd. Ramon, WA 08055 LAKE fRANC19 (Plan) / 20) - (208) 1150-0672 22501 SE Lake Frenale Rd. Mega Valey, WA000SB Cedar Mountain Reclamation 17077 Cedar Bravo Rd. SE, Maple Valley, WA 90036 P1601120 - (208) 858.0913 ARRIVE JOB LEAVE JOB DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ( ORDER DESK 425) 226-1000 ARRIVE PLANT A CUSTOMER NAME CAP( IRANSFER INC P OJEC PLANT U 22 CUSTOMER P.O. It.12.16 JOB NO. 019216 Y TICKET NO, $56112 .elif!R-ENTERNAllONAL PL.VEI 1501"H sEklAC PEC1AL INSTRUCTION El CASH CARD COLLECT ON DELIVERY (C.O.D.) CHECK if D CHARGE EXP. , / • 0 VISA 0 MASTERCARD b DISCOVER 3 22 4.3rol".-5 DESCRIPTiON )4f-t „ ENVIRONMENTAL- SlRCHARC'ir 31.22 Tire 41540 00 •TOTATONS - UNIT PRICE AMOUNT Wet 4.8 62440,40 RIVER ORDERED BY PAT TAX A I E T.b9 "irIT *.• . • PAYMENT TO ' .SUB -TOTAL - '9125 10t11AVE. S,'- SEATTLE, WA 98108 . - TERMS ON REVERSE - - SALES TAX RELEA8 —CUSTOMER RELEASES ANDAGREES TO HOW HARMLESS KANGLEY ROCK OF GARY MERUNO CONSTRUCTION COMPANu, 010 FOR ANY DAMAGE TO HIS REAL • CAUSED BY DEUVERY OF MATERIALS LITIED A A REVERSE. CUSTOMER SIGNATURE • PRINT NAME REV 04-2000 DATE • Y LINe, A DIVISION R PERSONAL PROPERTY CUSTOMER COPY BALANCE FORWARD TOTAL AMOUNT NGLEY OCK & RECYCLING ACCOUNTING; 8125 TENTH AVENUE SOUTH SEATTLE, WA 9B108 (200) 782-250B A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. MAP LOCATE LEAVE PLANT DATE CUSTIO)ga NO, 051;g3,201 fr./ 11:0`3(,) t Kangley Rock & Recycling Locations KANCILEY PIT (PlaM A 21) 32500 SE Ken1-1<anglay Rd., Ravansdale, WA 001051 BLACK RIVER (Planl R 22) - (200) 050-0912 510 Monslar Rd, Renton, WA 00055 LAKE FRANCIS (Plant R 29)- (208) 8800872 2e801 BE Lake Rancla Ni. Mopki why, WA 980313 Cedar Mountain Reclamation 17077 Cada( Grano Rd. SE, Maple Valley, WA 08038 P1014120 - (206) 850-0013 ARRIVEJOB LEAVE JOB DELIVERY TICKET 1 ACCOUNTING (206) 762-2686 FAX (208) 782-2358 SALES & ORDER DESK (425) 226-1000 ARRIVE PLANT ORDFigv,12 'CUSTOMER NAME CITY TRANSFER INC 1914.98,ENIE--ANATIONAL3LVCI8,15011-1 SPECIAL INSTRUCT PROJECT PLANT ;!2 IONS CUSTOMER PD. 1021f3 D CASH CARD H !JOB NO. DELIVERY TICKET NO. 019216" X.-15716 COLLECT ON DELIVERY (C.O.D.) 0 CHECK # VISA D CHARGE EXP. El MASTERCARD 1p DISCOVER IF ER TIM 106540, JO PRODUCT 4202/IRC 70011:. N9.§-r• DESCRIPTION :US '" " 7 -1B3 ENARON114ENTAE. SURC2HARt ;DISPATCHER ThX CIRPA 7 Tarp 415M0 . . . . .!TONS TPIC Net • • FIEMI1' PAYIVIENT Tt:1 ' .9125 10tI1 AVE. S. SEATTLE,WAGOIOB - TERMS ON REVERSE SALES ELEASE — CUSTOMER RELEASES AND AGREES TO H MLES1S KANGLEY ROOK & RECYCLING, A DIVISION GARY MERUNO CONSTRUCTION COMPANY,:,INC. Foil AN DAE :TO HIS REAL OR PERSONAL PROPERTY ipAUSED BY DELIVERY OF MATERIALS LISTED ABOVE DE I,0 R SE. • 1!1; ItUSTOMER SIGNATURE \ • PRINT NAME • REV 04-2008 DATE CUSTOMER COPY SAI.ANCE FORWARD j IF ' .. NGLEY Kangley Rock & ReOyollng Locations f KANGLEY PIT (Pin!, 21) ROCK & RECYCLING 32500 SE Ken1Kangley Rd., FlevensdWd, WA 90051 SLACK RIVER (P1onl # m)- (200) 650,0912 ACCOUNTING: 0126 TENTH AVENUE SOUTH 510 Monelor Rd. Renton, WA 00050 SEATTLE, WA 98108 ' (200) 762-28038 LAKE FRANGIS (Rem # 29) • (200) 0580072 22501 SE Lake Francis Ril Maple Valoy, WA 90038 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17077 Coda( Grove Rd. SE. Maple Vallog WAS8035 Plant 020 • (OM 660-0913 :;. ' I• DELIVERY TICKET . . . ACCOUNTING (206)762-2606 FAX (206) 762-2368 SALES & ORDER DESK (426)226-1000 MAP LOCATE LEAVE PLANT ARRIV LEAVE JOB ARRIVE PLANT DATE (15,9111/2()19 CUST05111110. ORDa PROJECT CUSTOMER NAME CITY TRANSFER INC jcIt13,51R-ENTE:„RNA11ON 3I_VD & 1501H SEAFAC SPECIAL INSTRUCTIONS CUsTOkIER PD, 19216 JOB NO. 0192'16 COLLECT ON DELIVERY (C.O.D.) D GASH 0 CHECK if CARD It El VISA 0 MASTERCARD PLANT 2? DELIVERY TICKET NO. 9851/10 Cl CHARGE. EXP. b DISCOVER .13(3 • PRODUCT 1 (Y'..c2fird DRIVER ISPATCFIER TAX ccoligt, v vry TIME tos DESCRIPTION rYPE. ;-1 Tare 0540.00 TONS if. 31 86- TOTAL UNIT PRICE AMOUNT - Net REMIT PAYMENT TO • - • " stiti_TOTAL E125 10th AVE. S. SEAITLE WA 98108 • TERMSON REVERSE SALESTAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD ARMLESS KANGL ROOK & REoycLING, A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC. FOR A I> MAGE TO IS REAL PR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DTAIL; ON • EVERSE. CUSTOMER SIGNATURE PRINT NAME ibATE FIEV 04-2009 JCUSTOMER COPY • BALANCE FORWARD KANGLEY ROCK & RECYCLING Kangley Rock & Recycling Locations KANDLEY PIT (Plant # 21) 92860 SE Kenl-Kenplay Rd, Ravenadalo. WA 90051 BLACK RIVER (Plant # 22) • (206) 8e11.0912 DELIVERY TICKET A(JLARIAll I IA/L1:111d0 1 IN Ill AVKIIUt bliLl Ill 610 Monster Rd. Renton, WA 06055 SEATTLE, WA 08100 a (206) 762.2666 LAKE FF1ANCIS (Plant il 2.3) • (200) 856-0012 2E661 SE Lake Franota Rd. Maple Valley. VVASB038 A DIVISION OF GARY MEfiLINO CONSTRUCTION COMPANY, INC. Cedar Mountain ntoin Reclamation Rd.rova SE, Maple Valley, WA 211026 $20 068•08tti ACCOUNTING (206) 762-2606 FAX (200 762.'2368 SALES & °EIDER DESK (426) 226-1000 .. V. ' Plant a(r20a) , MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT I DATE Olii2812(14.1 CUSTOMER NO, 1 til;l5frl ORD&R NO. tt2.2712 PROJECT PLANT '4't CUSTOMER NAME CITY TP,141\1!.3f-IFt;' tNr: CUSTOMER P.O. lt3210 JOB NO. ()192'143 DELIVERY TICKET NO. (ilrl7f-13 , JOS &PLIfla$6 . 1 f:',FtNA lIONAL 61..110, & 15()-1 VI COLLECT OM DELIVERY (C.O.D.) ' SEATAC a CASH 0 CHECK 4 a CHARGE * EXP, /I SPECIALNSTRUCTIONS C CARD It 0 VISA a MASTERCARD 0 DISCOVER • QUANTITY. U.M. ' , , DESCRIPTION -TOTAL TONS UNIT PRICE ' AMOUNT ' .. 3038 3() IH • 1 ilf455 *. '11‘ 1'r,E3 1 .,}0 42024I-1 :: 7001S RCA COS -1-YPE. 11 A-1r-ta ENVIFIONivir5NTA1. SkiRCI-IA11( I ili'V, 41540.04) 3.Th if 30.78 i , ,.,,' v l7 1" ../ / Net ; 1 1, 1 i DRIVER TRUCK NO. ORDERED\DY REMIT PAYMENT TO _ 9125 1 Ott) AVE. S. SUB -TOTAL — DISPATCHER TAX OopE VvA 1 TIMEQLIE SF.:ATTLE, %VA 98106 . I 1 - TERMS ON REVERSE - SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD • 9 I NOLVY ROOK & filE0VOLING, A DIVISION OF GARY MERLIN° CONSTR ICTION COMPANYINC. FOR DAMkO TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS N CUSTOMER SIGNATtIRE ,., TOTAL. PRINT NAME 0DATE AMOUNT AMOUNT. , I REV 04.2806 CUSTOMER COPY • • • Kangley Rock & Recycling Locations KANOLEY PIT 1Planl 21) 32602 SE lient-Kartgley Rd., Reyenedele, WA 02061 ACCOUNTING: 9125 TENTH AVENUE SOUTH • till OK FINER (Mini R 22) • Roe) 058.0812 510 Monslet Rd. ReMen, WA 00055 SEATTLE, WA 98108 • (206) 762-2505 LAKE FRANCIS (Plant 6' 231- PO 060-01372 22501 SE Wm Francis Rd. Maple Wiley, WA 08038 A DIVISK)N OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation 17677 Ceder GAN° Rd. BE, Maple Yellin, WA 98030 Meal. i20 • (200) 062.0613 NGLEY ROCK & RECYCLING DELIVERY TI ACCOUNTING (206) 762-2588 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 KET, . . MAP LOCATE LEAVE PLANT ARRIVE JOR LEAVE JOB ARRIVE PLANT - DATE 12( )114 CUSTOMER NO. .ifit:f'it)*1 ORDER NO. 6227i ',.•)- PROJECT PLANT ',)2 CUSTOMER NAME - CITY Tft'f,ANSFE:R ti'cIC CUSTOMER P.O. 1921(1. JOB NO. (J19::•'?..1(.'; DEUVERY TICKET NO. 1135312 j°A1•6..4VF1,7,,i611"ERNikTION(1,1._ E31...\i1.). ).!t 150Ti-1 COLLECT ON DELIVERY (C.O.D.) !3E-ATAC: a CASH C:i CHECK # D CHARGE CARD # EXP. i SPECIAL INSTRUCTIONS El VISA 0 MASTERCARD 0 DISCOVER • ‘..,--,•.... Y PRODUCTTOTAL . DESCRIPT10/4 TONS UNIT PRICE AMOUNT :,'.. If) :43.10 • .1 I 1 • G r 1.) S" FA TN TN 10774f:1.. 42024 C 7()-0 i5, '', Flf,:.A C:OS TYPE 17 A,1133 E..'Nkiff,,'„C)r1.1tirlE=.11,t'i-At... SUF./CHAP, .1 • • rRi'e 41540,0,) :f 33.10 ..• • DRIVER TFtu0K,1:40„ ORDERB3 SY REMIT PAYMENT 9125 1011) AvE. TO S. - - • SUBTOTAL - jDBPATCHER i TAX OM N VA TIME fil SEATTi-E, WA TERM t ON REVERSE 08108 SALES TAX 'RELEASE — CUSTOMER RELEASES AND AGREES TO LESS PCANGLEYt/lOCK & RECYCLING, A DIVISION OF GARY MERLINO OONSTFIUOTION O.OMRANY, INC, •Fl . DAMAGE TO),IIS REAL on PERSONAL PROPERTYBALANCE FOFIVVARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. 0.,-rAIL ON VERSE. CUSTOMER SIGNATURE I . / ? TOTAL PRINT NAME 1, DATE AMOUNT REV 04-21330 CUSTOMER COPY KANGLEY ROCK & RECYCLING Kong ley Rook & Recycling Locations KANaLRY PIT (Plant I 21) 32600 SU Kent-Kangray Rd,, Ravenatlala, WA 08061 BLACK RIVER (Plant P7). (NM a68-0012 DELIVERY TICKET "to Vil U111111% V I gP I C1,8 I rl twcratJa OtJU I n of Bia Monster NI Rentbn, WA 00066 , SEA1TLE, WA 93108 • (200) 762-2666 LAKE FRANCIs (Wad il 23)- (2013) 060,0872 22601 SE Lake Francis Rd. Maple Valley, WA 33338 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. ge,11...ar Mountain RecianlatIon 8 7 cedar Grow, Fkl. SE, Maple Valloy, WA 98030 Plant 020 * (200 06601)16 ACCOUNTING (206) 762-2666 .FA)( (206) 762-23)56 , . SALES & , DES ORDER K (426) 226-1000 : , MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT , r DATE (6,1280(119 CUSTOMER NO. 169501 ORDER NO. Ii22712 PROJECT PLANT B . , .-)? s....... CUSTOMER NAME (-1TrY F'IANSI:E'-t1 INC: CUSTOMER P.O. 102113 JOB NO. 01921(3 DELIVERY TICKET NO, . 985t34.1 i '.. JOB ADDRESs AG - tiVIE1-INATICINI.A.1 Bl...VID & •150Tiat r: COLLECT ON DELIVERY (0.0.1:).) i . 1,3EATAC: EI DASH 0 CHECI( 4t D CI-IARGE is , . EXP. 1 ' SPECIAL INSTRUCTIONS CARD It E3 VISA 'CI MASTERCARD a DISCOVER '.' • .. QUANTITY-'.....,,'.....:*.. v...:.r. ,.t.I.:'k• ,ps,iCOODDUT:' :':.: .. . ......DE..., S.. O.R. 1P. ,T...ION...:,:, . ..- ..... . .f"......, TONS .:. .......-. „TOTA. L• ... .,UN, IT PRICE, :. :. . '. AMOUNT. 1;,•,,,...;.' 11 42 31 4. (,ust; -_ t (N )043E ' ...204F:( 15 If iCA (} repL„ 17 A- '-' E.W.iiri()NME,VITAI... StillCilAt,1,1:if. TeAr 'LI 415,410.i)() 31.- .. $1.42 .. 845X Nrot. .)..-.. ,... .. • . , . . • - 0. 3: :.. • : i- Ii. -i, DRIVER -,,-..1,119gvo. ORDERED Y . REMIT PAYMENT TO - . ' • .., • • . ... .. . .'' :SUB -TOTAL , : ... 9125 lOtii AVE. : S. . , s. - ' ' ' . • . - ?7,. DIBPA101-ER TAX cPP WA 1 liME QLE :42 SEATTLE, WA 96100 . . . ' .. TERMS ON REVERSE . . • . SALES TAX. RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & REOYCLING, A DIVISION • : ' _ - ' . OF GARY MERLINO CONSTRUCTION OONAPANY, INC. FOR ANY AMAGE TO HIS REAL OR PERSONAL ppopE .• BALANCE FORWARD MATERIALS LISTED ABOVE DErIL 8 0 FIEVRSE, ' .. . - . .. s... CAUSED SY DELIVERY A OF . . . . . . . . . . . , . . . . . . • . - CUSTOMER SIGNATURE • - . ' TOTAL ' . .. - .. .. AMOUNT .'. ... . PRINT NAME SATE . . :.,.„. ..... . ... .. . . REV 04-2000 \ CUSTOMER COPY NGL ROCK at RECYCLING Kangley Rock & Recycling Locations KANoLey prr (PnlV21) 32600 BE Kent-16311010y Ravadsdolo, WA 98051 0I.ACK RIVER (Plug • 22) (206) 66B-0012 DEU VERY TICKET %)(J11111,161: V 140 II:III ti FAVCIMIJC OL1LJ In . 610 Monalor Rd. MAIM, WA 211055 i SEATTLE, WA 96108 • (206) 762-2666 LAKE FRANCIS (Meat 2 23) - (206) 6E8-0672 i 22601 SE (alto Francis Rd. Maple Valley, WA 02028 ?‘ DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC, Cedar MountaIn FleoltIrnatIont 17877 Cedar Grove Rd. SE, (utopia Valley, WAI(6038 Plant #20 - (SOS) 06/3-02ia ACCOUNTING FAX SALES ORDEFI (208) 762-2666 4 (206) 762-2350 & ., DESK {425) 228-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVEJOB ARRIVE PLANT CUST,Qt4IF,t,(0. Acr 011DEE,N19,„ ,. PROJECT PLANT N CUSTOMER NAME C.:rTY `tRAiktS'FE:Ft INC CUSTOMER RO. '1$:42*11.5 JOB NO. 01$7)211:5 DEUVEFIY TICKET NO. 9,Etzr)fiiiI9 `1°Ptel:eRYNTEC:ZNA.11C)NAL. 61...VEI, & lfpO'r1-1 COLLECT ON DELIVERY (C.O.D.) Cl CASH CI CHECK # El CHARGE ' Sfifl,l'Ae. EXR / CAFID 41 I::3 VISA El MASTERCARD 0 DISCOVER SPECIAL INSTRUCTIONS QUANTITY . . ti.M.- PMODUT. ' DE-SO111F3TIOINI* - T'ONS TOTAL . . UT PRICE * AMOUNT ;14) 'ID ' fiii.t)fi Idk 1-(4 1019'2.0. 42C/2417-1t 7t()1'fr. -. Ct ' PE 11 . -°1 f.". VIFIC)t4hilfil:trf,i1... St.;14CI-iAF:1( • • i l'Ir e 41540.00 ..)i _ 9 4f *,'') 19 iO4.1',. . Net , 60.°310.00 ,. t t'' i ..S 1 E' DRIVER IFIUCcli 440, ...1t(0., ORDERED tlY . REMIT PAYMENT ° 9125 10111 TO ' AVE. S. - SUB -TOTAL - - DISPATCHER 1XO55A 1 TIME 0liSEATTLE, VISA TERMS ON 98108 REVERSE SALES TAX RELEASE » CUSTOMER RELEASES AND AGREES TO I-IOLD ARrjLE8. KANGLEY NOOK & RECYCLING, A DIVISION _ _ _ OF GARYMERLIN° CONSTRUCTION COMPANY, INC. FOR ANY AMA E TO$ REAL OR PERSONAL PROPEMY BALANCE FORWARD LISTED ABOVE, DETAILS ON B. CAUSED BY DE,LIVERY OF MATERIALS - CUSTOMER SIGNATURE -. TOTA L, AMOUNT PRINT NAME DATE nev 04-2000 CUSTOMER COPY • ... . . • P.O. BOX 88670 DELIVERY NO 11658 ' Kflir".r. " arcitylrensfelino.com 440,110 DATE: .— II CUSTOMER PROJE ' PROJECT NO. col RENTAL CO, TRUCK NO. 142.4) TRUCK 'TYPE 'Tit rn LOAD NGII ARRW TIME TIME LOADED MATERIAL HAULED MATERIAL LOADED FROM MATERIAL DELIVERED TO ARRIVE TIME TIME UNLOAD ' r LOAD SIZE STANDBY. TIME •— 1QC-- — ii P-e-4.. ILK' pot,„o$0.... 'ILAv.-ea - .• r r 1 1 %.SV ee r., (...- W24- 7re4s- ,> 41; 01 31,02.,. a 6.3 b ce atctr 2414 • rdz•LEC' zo .Et • 1 I lot ce - (I 1413r 3E4:1 1 WARRANT('. CITY TRANFER, INC, Jr) ANP DTI'S SUPPLIERS AND SUBCONTRACTORS (JOINTLY REFFE . El) TO A$ 'urn WARRANT AU. MATERIALS SOLD HEREUNDE • ••• NFORM TO CTIS QUOTATION. CTI MAKES NO REPRESENTATION OF W . • • ' TY OF NIT OTHER Itlf6), EXPRESS OR IMPLIED, WITH RESPECT • • THE MATERIALS, WHETHER AO TO MERCHANTABILITY, FITNESS FOR A PA - ULAR PURPOSE OR ANYOTHER MATTER. LIMITATION OF LJABILI MTh RabIllty to customer, honvver caused whether In conmot, bit or otherwise. including vitlh . Imitation, any indennificalion, ilatoNliss or damage for properly . personal loss, °hull In no event exceed the total compensation paid CTI hereunder. This Umllelion a . survive Um compleUen or termination of Mb Ira actbn. PAYMENT shall — made to CM on or before the 10th day of each Infiniti for any materials delivered Dellvaiy (Meta are provided lo ustomet as a courtesy and convenience, f .. re by Customer to acknowledge the divery ticket by sIgnalure erbdior Cadmium% failure to receive a delivery tiokal . .. I not excuse Cuslomera payreont obi', . lion. Al delivery tickets am avalable at the C11 offices during bustnesa hours upon reasonable nuke. All sums not paid ... n due Mal bear Iniaresi at a rate of Wand -a -half (1.5%) percent [Memel per month from the dela due unifl pold or al the Maidmurm legal rate permitted by law. ' cools dcoliedian. iricludin. . ttorneys foes, ahall be paid by Cuslomer. rX Accepted By: - 1002 Time Start Time End TOTAL HOURS '1,1•44— Stan Sta NGLEY ROCK & RECYCLING Kongley Rock & Recycling Locations KA NGI_EY PIT (Pkint g 21) 92500 6E1(051-K0900y Rd., Ravensdale, WA 98051 BLACK RIVER #50011 22) - pain 660-0012 ACCOUNTING; 9125 T4NT11 AVLNUh SUU III 610 5400010r Rd. Hanlon, WA98056 svA.rrLE, WA 98108 a (206) 702-2596 LAKE PFIANOIS (Plaid # 23) - (205) 058-1)072 22501 SE Lake Freida r9:1, Maple Varlay, ViA90038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, II, Cedar itilountain Reclamation 1767705liter Grovo Rd, SE Maple V000y, WA 98035 ' ' ACCOUNTING (206) 762-2566 FAX (206) 162-2358 SALES & ORDER DESK (425) 226-1000 Plant #20- (206) 050-0913 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOFI ARRIVE PLANT I DATE (.,f. i2.a121,/ 19 CUSTOMER USTOMER NO, 169.*.i'1 ORDEFI NO, t322112 PROJECT PLANT 6 CUSTOMER NAME CITY TW*SFER INC CUSTOMER RD. 19210 JOB NO. tY192'16 DELIVERY TICKET NO. 985(395 j.alkti9C1?/R,EIKIEFtNATtOt'klAt.. El+L.V(-.3 IN li,ciiTit -I COLLECT ON DELiVERY (C.O.D.) SFAI'AC A . 0 CASH 0 CHECK # Li CHARGE EXP. i 'SPECIAL INSTRUCTIONS ....., ., C CARD 4 0 VISA 0 MASTERCARD El DISCOVER ; QUAN1''IlrY . NI, • coDE IDES° - TOTAL - • 1.. UNIT f:,RICE d'iMOLINT 42,024.RC RCA COS TYPE '17 A-103 90.90 94.. , .3014()•T4 :tt() 1 . rl ° • • , L ; ' ,.1 rt, :-, s TN %0:-.):( ;°A0 : itIid'ilf )0 l':.19VIRONI4ENIA1,.;:i(.11:1C1-11AR(ik . • .1 .,-,s-4.! 412.00.00 ',IC,I3t1 / V :‘,147t..••• . r NA,It- . r 13189().0(1 . • ' 0 DrirVER TRUCK NO. .. 0 FIED BY REMI-r 9 PAYMENT TO 0510th AVE, S. - . ... SUB -TOTAL • coePATCH f WA 1 TIME DM sEATTLE, 7-.',Ill *rEFtNis WA 98108 ON REVERSE . SALES TAX RELEASE — CUSTOMER RELEASES 2,,F‘LIGSAEFIDYBI$EDREil_1114?FiTONFSITViRA"WFTIllitr.IS AND AGREES TO HOLD IAINA'elT)I-AEN:‘OlfEAT LHEIlf IFICElic\311.< ORP2`4':4'sIhl'Ac..'‘,'IR510VPIIII4C)IN11 :ITRA INC: Ol'l't'IANti BALANCE FORWARD OW I'LEC:, LISTED _ _ 11,8 ON REVERSE. CLISTOMER SIGNATURE ,!.:.:*.- E--ii:le,.).&-y TOTAL ' = PRINT NAME DATE ANIOtiNT '* _ REV 0, -2009 CUSTOMER COPY DELIVERY TICKET 1 .k; 1 • • • KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (2DE) 762-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. MAP LOCATE LEAVE PLANT Kangley Rock & Recycling Locations KANGLEY PIT (Plant N 21) 32600 SE Kenl•Kanghly Rd., Ravemsd616, WA 02.os t BLACK RIVER (POnt I/ 22) • (2OO) 656-0612 610 Monstar Rd. MAW), WA NOSE LAKE FRANCIS (Plant # 23) • (206) 068-0672 22501 SE Lake Francis Rd. Maple Valley, WA Cedar Mountain Reclamation man Cedar agave Rd. SE, ma* vnlim WA 20008 Mani #29 • (206) 658.13013 ARRIVE JOB LEAVE JOB DELIVERY TICKET' ACCOUNTING (206) 762-2666 FAX (200)762-230B SALES & ORDER DESK (426)226-1000 ARRIVE PLANT DATE. (Y)12,-(.1r20 u> CUSTOMER NAME C ITY TRANSFER INC JORaRE TER luD cusrO. ORDallni 2 PROJECT PLANT # BLVD 11150TH SEATAC SPECIAL INSTRUCTIONS CUSTOMER P.O. 19216 JOB NO. 01)2 16 DELIVERY TICKET NO. 9r.15726 COLLECT ON DELIVERY (C.O.D.) 0 CASH CHECK CARD 11 OVISA 0 MASTERCARD ;I! 0 CHARGE% EXP. 12 DISCOVER nails 10000. PRODUCT - CODE' .C.07.4 RC 700'15 DESCRIPTION • 1-:FiVtILIC)N114:E:14TAL a 417,00.00 DISPATCHER :119Tr. DERED Y TAX 1:1M,I 1 TIME T62 r. 3;15 31 .75 .REMIT PAYMENT TO • . 9125 10111 AVE. S. SEATTLE, WA Id10B TERMS ON REVERSE RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROOK & RECYCLING, A DIVISION OF GARY MERLJNO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS USTED ABOVE. DETAILS ON REVERSE, CUSTOMER SIGNATURE INO-145-"" E,1.'43S-1 PRINT NAME DATE REV 04-20011 CUSTOMER COPY AMOUNT - Ps. 11 •1 Net UNIT PRICE SUB -TOTAL SALES TAX • BALANCE FORWARD NGLEY ROCK & RECYCLING Kongley Rook & Recycling Locatione KANGLEY PIT (Plant / 21) 32600 SE KarkKangley Rd., Ravansdele, WA 98051 fiLAOK RIVER (P1001 I 22) - (200) 650.0912 • DELIVERY TICKET ACCOUNTINC3; 9126 TENTH AVhINIUt b1.01) I 11 610 Id069ter Rd. R004011. 81A116066 SEATTLE, WA 98108 • (2043)762-2866 LANE FBANOIS (Plant I 23) , (206) 669,0072 22601 SE Lake Francis Rd Maple Valloy, WA 96036 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY INC. C70d11ll677owarMaatunovetaiRrin ilseEc. mleaornefavatileileyn. WA 08028 1- ACCOUNTING (208)762-2860 fAX (206)762-2368 SALES & ORDER DESK 426) 226-1000 I; (206) 668.0013 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 0Si2312019 CUSTOMER NO, " (19501 ORDER NO. (322712 PROJECT PLANT 9 22 CUSTOMER NAME CITY TRANSFER RIC CUSTOMER PA 19218 JOB NO. 011-3216 DELIVERY TICKET NO. 03437(.iCI jpk1.6.47:r-E1KIEFINATIC.)NAt...111..‘,C,1 & 1,50T1-1 COLLECT ON DELIVERY (C.O.D.) 13E.ATAC a CASH Cl CHECK # a CHARGE, EXP. / SPECIAL INSTRUCTiONSt‘ C CARD # 0 VISA Ei MASTERCARD Li DISCOVER I = QUANTITY- • =kn...., PRODUCT ., DESCRIPTION Is -TOTALs t, UNIT PRICE ANIOU 31.(2 3'1.02 . . . Gr o•;.;;..1. TN TN 11)324(1 42024R ' Y6011-.1 . . 1(.) • 14(..:1 C.:OS TYPE'. '17 A-19.3 1:=_N'iiROlklivIENTA1... St.IRC HARI' . . . . (.1.4,1-t 4.12.01).(/) i 31.02 Net 67. . , ,,. • , _ -... t 1 DRIVER PLIcK 6Ia oRDERED BY REMIT PAYMENT ' 9125 10th l'O SUB-TOTAL-14'.4k; AVE.,,, - DISPATCHER TAX 10 1 TIME gu.3 SEATTLE,WA TERIVIS ON 9E108 ri. REVERSESALES TAX i. RELEASE — CUSTOMER RELEASES OF GARY MERLIN° CONSTRUCTION AND AGREES COMPANY, TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION .. _ -I INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPE , BALANCL FORWARD t CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. CUSTOMER SIGNATURE 1-- °E' TOTAL . t; Is AMOUNT . PRINT NAME DATE 'e REV 09-2009 CUSTOMER COPY KANGLEY ROCK it RECYCLING Kangley Rock & Recycling Locations KANGLEY PIT (Plan' 0 21) 02500 SE Kent•Kangloy Rd, Ravenedalo, WA 128061 BLACK Riven (Pant 22)(2os) oca-ost 2 DELIVERY TICKET _ _ _ SEA111-E, WA oiloil . {2-061762-2568 . 1.11AVEF;W:ceir,igNi Te'rtialill'ilal!u(TO'fi) ssa•oon 22601SE Lana Rends Rd. Mapla Valtin WA011030 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17677 Cedar Grove Rd, 0E, Moto Valloy. WA 96036 Plant 020 • 1206) 658.0913 ACCOUNTING (208) 762-2566 FAX (208) 762-2358 SALES & ORDER 1)58K (425) 228-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 06 I 2 ' (1 1:°trig CUSTOMER NO. 1 C.ii) ;-1,() 1 ORDER NO. ‘3,.. 2 71 ;./. PROJECT • PLANT H ....r ,,. 1 ._. CUSTOMER NAME Or? *I'FIlif,;SFEIR INC CUSTOMER P.D. 19,'?16 JOB NO. 0162I 6 DELIVERY TICKET NO, • 1.116'579I3 JO8 E-sADNIa . likriir..t.,NAT °NAL. BLVD 8 it'Al.)11-1 COLLECT ON DELIVERY (C.O.D.) • ci CASH 0 CHECK # El CHARGE 1 SEA • , CARD # EXP. SPECIAL INSTRUCTIONS 0 VISA 0 MASTERCA D 0 DISCOVER QUANTITY ' - (-1; • PIT DESCRIPTION • - TONS TAL UNIT PRICE AMOUNT 2 IN 'T-Yfe,F.I. .64 6 64 GTo.SE 1 t‘.I :.341460.i), 42024R ..". 7(ya1s I RCA cos 17 A.183 El'ilti)i-Z(Nivit:IttIlki. ‘.."Ft.JRC:1-1,4iRt • "I-tre 41200:00 26.64 1 1.6Si4 / . , . /1 - , • INiet. . 5280.00 ...., . DRIVER TRUCK NO. (:rI.II-It'. oioono BY REmn; PAYMENT -9125 10th TO . SUB -TOTAL AVE, S. - oiSPATotica TAX cow WA TIME DUE ., SEATTLE tt/A 98106 * 9• 3 i SALES TAX., gA RELEASE — CUSTOMER RELEASES AND AtiREES TO HOLD HARMLESS KANGLEYTIIEJF)10MKS&7110RYECVLEINRGS, DIVISION _ _ OF GARY MERLIN() CONSTRUCTION CONIPANY, INC. FOR ANY DAMAGE TO HIS RE.At. OR PERSONAL PROPE BALANCE FORvvAHD CAUSED BY DELIVERY OF NIATEr4IALS USTED ABOVE, DETAILS ON REVERSE, CUSTOME9 SIGNATURE \A'..X(''C't."'"-- *Tr:,1D`::-I' .. . TOTAL AMOUNT PRINT NAME DATE CUSTOMER COPY • I; ; NGLEY ROCK & RECYCLING ICangley Rock & Recycling Locations KANGLEY PiT (Plant 21) 82500 SE Kenl,Kangloy Rd., liavensclatemA 08051 BLACK RIVER (Plant 22) - (206) 652-0912 DELIVERY TICKET bit) monster ma. nonion, WRINSI.Ibb SEATTLE, VVA B8108 . (206) 762-256B I.J8KE• FliteNOIS (Paula 23). (206) 053.0672 22201 SE Latta Ftanr.ls Rd. Mille Valley, WA 98333 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar...cJ,. Matintaill RecianlatIoll ua7EKIII Grove Rd. BE, Maple Valley, WA 92038 Mate a2o . (6) 850-0213 ACCOUNTING (206) FAX (206) SALES & ORDER DESK (426)226,-1000 762-2666 4 762-2366 .-.' ill MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE f.'f6/2.f3/20 it.) CUSTOMER NO. 1 tic1.301 ORDER,,,,d,j,Ot ,, 2.z I 1 e. PROJECT PLANT ii CUSTOMER NAME CI lY "IfIANSFE1411\IC CUSTOMER P.O. '192.1i3 JOB NO. fk1ti216 DELIVERY TICKET NO. 985fi-35 j°1R16..Iiiil?R-IYITERNATIONAI.131_111) It 15.1-1 t COLLECT ON DELIVERY (C.O.D.) 0 CASH 0 CHECK it D CHARGE SEA -it\ C CARD!! EXP. / 0 VISA 0 MASTERCARD 0 DISCOVER SPECIAL INSTRUCT IONS „‘ -QUANTITY ,,- U-M PRODUCT oociE - DORII)TION , TONS -" TOTAL , DNI1' PRICE ACVIOUNT 30.58 :3() Sit . .. ' t 4:',4ro.,...,s TN 'Till . 10`'ko.:3130. /120241,1e 7001i • . JO fIC"..A COS TYVf 17 A-1 3 l-:NVII.IONIA/11-71,110.1., St .11-,!C;1-4A11( 11,0 r . ; . "Fitt-ia 41200.(.)() .$0$8 .,f 30.58 , . 7'18.8,. • t',.itti: 6111.1(.),00 .. , . ;.13RivEll Trivol( NO, ORDERED BY REIVIIT PAYMENT •. 9125 10th TO - - UBTOTA AVE. S. 1 DISPATCHER TAXCC• 1 TIME DUE 1021 - TSEE'RAmT Ts LoEt is WRAE ve ES F t't OsSE s A L E 9 TA x RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION CoMPAN54 INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY LIEU VERY OF MATERIALS LISTED ABOVE, DETAILS ON t-k ERSE, CUSTOMER SIGNATURE 47......e4r3-,',,..":" ) TOTAL • • 41. AMOUNT - PRINT NAME DATE • REV 04.2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING • Kangley Rook & FleoyclIng Locations KANCILEV PIT # 21) 92500 BE Konl•Kringloy Rd., Ravonadale, WA 013051 1BLACK RIVER (Nord N (206) 6580312 ; DELIVERY TICKET — a i u monaler titt. lieritan vuvoi) , reek SEATTLE, WA 9811.3-8 • (2-06)762-2566 LAKE FIIANCIB (Plant NE3)- (WE) B50.0872 22501 SE Lake Handal R(L Maple Valley, WA08038 $ olvisioN OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain igeolamatIon I 17077 Cedar Grovel Rd. SE, Maple Valley, WA 0E060 Plan) 820 -(206) 668-0910 • ACCOUNTING (206) 762-2808 r0 , FAX (208)782.2368 : SALES & ORDER DESK (420228-1000 ' . MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE OB ARRIVE PLANT DATE ()SiA2.1) f 9 CUSTOMER NO. 16'954)1 ORDER NO. .622712 PROJECT PLANT # y.) CUSTOMER NAME CITY 'friANSFEfl ITNIC CUSTOMER P.O. 19°210 JOB NO. 01t1216 DELIVERY TICKET NO, 91351171) JOB ADDRESS AT:,:ir.-I . iNiTi.i:iNAT1()NAL fii,_kak0 i,li. 15()11-1 COLLECT ON DELIVERY (C.O.D.) 0 CASH a CHECKS a CHARGE SEATAC CARD # EXP. / SPECIAL INSTRUCTIONS I . El VISA a MASTERCARD Ei DISCOVER t ,‘ QVANTITY ' ROQ coos _ DESCIIIPTION 1\14 TOTAL , UNIT PRICE • , 'AMOUNT „".. :312/ :11.27 ; 1 C80 .c!...* i 7N ^ ' 4 , CP*/ 40; 42(.)24RC 10015 . )O RCA COS TYPE? 17 A. lt33 ENVIFi()NMI......NTAI SLIkCILIARG . .. Titrc. 41204.1.4X) :112' 31'27 i.vi I377.1-4 Net • 62540.00 , . DRIVER TRL101( NO. ORDERED BY FlEiVIIT PAYMENT 9125 10th "10- - AVE. S. - • ' SUB -TOTAL - DISPATCHER lfAX ,-A cV. I TIME „. ., EAT 1. , 7T:13 _ ELMS ON 9 8 .. WA 810 REVERSE ALEs AX . . RELEASE- CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK 8; REOYOUNG, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DEU VERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. BALANCE FORWARD CUSTOMER SIGNATURE 0 j TOTAL ?PINT NAME DATE AMOUNT V 04-2000 .,4 CUSTOMER COPY : 4 ..; NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH , SEATTLE, WA 98108 • (206) 762-2588 Ka noisy Rock & Recycling Locations ItANSLEY PIT (Plcint 21) 92600 BR Kord-Kanglay Rd., Ravenadelo, WA 613051 BLACK RIVER (Phil M 22) - (200)050-0912 510 Mortals! Bd. lientqn, WA (*Due • , . LAKE FRANCIS (Plan) • 29) - (200 0,50-0872 22E91 SE Lake Fran* Rd. iplaValley, WA 00038 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC, Coder Mountain Reclamation DELIVERY TICK:4 ACCOUNTING (206) 762-2!; FAX • (20E3) 78-(i SALES & • ' • ' . 'Olint ilia ;0(44 &Dab— I ORDER DESK - (426)226-10 MAP LOCATE • LEAVE PLANT • • ARRIVE JOB . . . , LEAVE JOB '''' ° ; . . . . . ARRIVE PLANT • ' DATE . .0540.12.649 CUSTOMER,t4o,., , . ORDER NO. 22712 PROJECT . •.... .... .. , . PLANT 4 . .. . . , 22. . • CUSTOMER NAME CITY TRANSFER INC ' CUSTOMER P.O, • •• 192if - ' JOB NO. : • (fl9218 DELIVERY TICKET NO, • 9Ufi70:3 .,,, . ... . . . "— I ..RiNIA-RoNAL, glitill) &:1501i-I . • ''. . • ' . ' ' , . COLLECTION 0 CASH 0 CH CHECK'' • • CARD* DELIVERY (MOM.) .. •'- *It •''''' • . ' 0 ORAN ' CEATAC . • . . • • • . • • RP, 'SPECIAL INSTRUCTIONS . • • : —1---- . . , : . .0 VISA ,... ,0,MASTKICARI):,. . 0 DISCOVER . • tI••• V,• • • Gross „DISPATCHER 4 °'• DESORIPTION • RCA COS TYPE 17 A,2103 ENVIPORIVIEIVAL. StiriCt-iARC Imm 42140.00 !RELEASE — CUSTOMER RELEASES AND AGREES TO OLD HARMLESS KANGL j'OF GARY MERLINO CONSTRUCTION COMPANY, INC. ,:OR ANY DAMAGE TO HISREAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVEO , RALS ON REVERSE. CUSTOMER SIGNATURE P,PRINT NAME DATE -• TONS .:AVE,E,M1215T1P0iAYMENT ll TO S ON R 61°3 -.'TSEERAMTTLE'klIAEV°E. VERSE K & RECYCLING, A DIVISION' CUSTOMER COPY TOTAL ' •'1," 2,641"" irpRic AMOUNT_ SUB -TOTAL SALES TAK • BALANCE FORWARD TOTAL AMOUNT ". - - • NGLEY poi( & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH Kongley Rock & Recycling Locations KANGLEY PIT (Plant if 21) 32600 SE Kont•Hanglay Rd., Ravon90010, WA 90051 BLACK RIVER (Plant # 22)• (208) 850,0912 glo mantle/Renion, A 20065 SEATTLE, WA 915108 * (20B) 762-2566 'LAKE FRANCIS (Plant223). (208)08e 0072 22601 SE Lake Ronda R. Fhaplo Valloy, WA 08038 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation • 17871 Codur arm Rd. 0E, Ma9I0 Valor. WA 0803a • P • ' • ' • LIVERY TICKET ACCOUNTING (206) 762-2566 FAX , . (20) 762-2356 SALES & 2 MAP LOCATE ye PLANT ARRIVE JOB . . , _ LEAVE JOB . • • _ __ . ...... — ..... ARRIVE PLANT DATE OI,JSTOMER NXO. QRDERNO PRO EOT ' • • . • . . . • , . , PLANT 22 CUSTOMER NAME • 11; CITY TPNANScl-TR INC • . . • • • • CUSTOMER P.O. • 19216 JOB NO, '• , ..`01-92"i6. DELIVERY TICKET NO, 1365730 ,,,JOB 4C)D • . . • , ; • A&CiI. • -RNrilIONAL. BLVD 11( 1 ' • , . . . • COLLECT ON DELIVERY (C.O.D.) • , . . 1 SEATAC, . . . . . . . ® CASH a K CHECfi i:ICHARGE . • . . • • • • • • • SPECIAI. INSTRUCTIONS • , • . . . EJ VISA . .C.,IMASTEriGAR(7) % 1-.:i DISCC)VEIzi . . . • • • • - • • • - . • • • •• I , .. . .„ , , ,, ... , , . 1 • • • ... • • . . , . • . , t3rt)ss TN - • •• . . 56 .1' JOEli, .. • ,, - . . .-.. : . . . . . • • .• ... . , • • • . .. . ',1 C 'S."*.l'i'PE'*'17 •:A-18'.., • ' EictliAl„, S4iFIC'ttARI: • • . . . . •• . , • • .. • • . . • • , • . • • • . • • T&XY4 42140.(XJ I 31 ZI . . • • „ • . . . . • : • • . , • . . . • . Net • • • - . ... • ... • • . , . . .-• : • • ..- , . . , . . . . - • • .. . . • .. . . 62212().00 • • • . • . . . . ... . - , .. . . . .. . . . . • 1...I. i i DRIVER • 42 • ORDERED BY REMIT PAYN ENT TO - • • DISPATCHER TAX CpJ . 1 TI1jU SEATTLE, WA 5B108 . tL1J3 - TERMS °N REVERS` ' SALES TAx ,. - izleiLF•AosE —• CUSTOMER RELEASES ANDFIEES TOlii-iOLD HARMLESS KANGLEY ROOK &FIE 1 , A 01),08)(7N COF GARY MERLIN° CONSTRUCTION COMPANY, INC FOR ANY DAMAGE TO HIS REAL GBpERROI‘LAL pRopti::,Ty BALANCE F0II,WAtio - CAUSED BY OF:i.JVEFIY OF lvtATERIAI_SiLIS-refo Aeov . DETAILS ON REVERSE, CUSTOMER SIGNATURE 2. ,,,,o''' TOTAL , PRINTNAME AMOUNT •• DATE RE D -2009 CUSTOMER COPY • NGLEY ROCK & RECYCLING . . 02600 •SE Ken1-Kongley ., Havana:101e, WA 08051 BLACK RIVER (Plarg 0 22)- (208) 850.0912 , 510 Monier Rd, R40100, WA 199055 LAKE FRANCIS (Plant I 23); (200)050.0072 22501 SE Ulm Erando R. Maple Van., WA 90038 A DIVISION OF GARY MERLIN° CONSTRUC11ON COMPANY, INC, Cedar Mountain Reclamation . - . • - • ,„ .. 1/077 °odor Mom Rd. BE, Maple Vail*, WA 08038. . : • , : • • . . * . Hari 120 - (2051858.091Q ,. . . ACCOUNTING 9125 TENTH AVENUE SOUTH SEATTLE, WA 99108 • (206) 762-2506 ...• Kangley Flock & Recycling Locations HANDLEY PIT (Plant 01242 . : DELIVERY TICKET ACCOUNTING (206)-762-2566 FAX : • • ' • (206) 762-235S S.ALES & . • -'•• '-ORDER DESK ' 426 226-1000 • MAP L.00A E . . LEAVE P NT • . AnnivE Jo , • • .; . ... . .. ' ARRIVEPLANT . .• • .r28/2019CU9O ORD PROJECT PLANT1 CUSTOMER NAME [...fry TF)ANSFER INC • CUSTOMER P.O. 1 ..; 19216 , JOB NO, ..• ..• . • :019216 DELIVERY TICKET NO. . ' . 3LVO 150TH — . . COLLECT ON tie1,,,111E0y (O.O.D.) • • . - • • • . 'SEATAC • El ASN CEIEcK #, 0 CHARGE • ' , : : ' .0 , , ... . .. • . • . . . C D I/ : OCP, i SPECIAL INSTRUCTIONS .. . . .. . .. . , , . , , . • . . • 0 VISA — ' 0 IVIASTE_ROARD . • : b oiscpvER CLIANI. ''., • TY T U. IV1 oDEP. TOTAL UNIT PRICE . . .. AMOUNT ,, ...".. .- • , .. . • . . : • - - • • • . • • r • z. • . .... 5, . * . • Grass , 'iTN . . • • . . . It15.. 42024RC 015. . . .. • • • • • " -' .•:' . 'ik, ' ..$,T: PE:17. lk103:::',1.;::'' . . . . i' ' ....,,• RONNIENTAL 8till . . •, • - • ., • . . . . • . . — - • . . .. • 4 . • . . . • ... • " • . ; • . • . • . . • . . . ' . ' . . • . • • Tare 42i40.00. • ';'•.'•.,$i:59.:..,:, i.y: *•---1,31 • . . - • • . .. • . • ' • • ' • .... .• . . . . .. • . . . . . • . • • . . . • • , .. . : • . .. . . ' • ..• • . . , . . . . " . ... . '. .. • . . . r • ' • • • • '' ... .... . . . ". . • ' Nytt ., . .. • • . . . • - • .. • . .. • • • • . . , • , .. . ' , • . ".. z . • • • i33180.00 . • .. : • . , , • , • . . , . . . . . . * DRIVER f Tgugy„no. 14.4zr . _ ORDERED BY VIIT PAYN/ENT TO REI 9125 10111 AVE. S, , .......... . T TAL i ipATc4iFsi ..„ ,,. TAx cot • T :&2....,, SEATTLE,A 08 g TERMS ON REVERSE SALES TAX ELEA E — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KA GLEYK RECYCLING, A DIVISION ',. I: GARY MERLINO CONSTRUCTION COMPANY, INC, FOR AN' DAMAGE ,c) HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED SY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS M.REyEASE. 7 1 " ..' '21 "....1-"" CUSTOMER SIGNATURE ' TOTAL .1- DATE AMOUNT PRINT NAME ... REV 4-2009 • CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: wiRS TENTH AVENUE SOUTH SEATILE. WA Salo (208) 762-2566 •A DIVISION or GARY MERL)NO CONSTRUCTION COMPANY, INC • ' Plen1 /20 - 85E1.01)13 Kangley Rock & Recycling Locations KANGLEY PIT (Ram 32600 SE Kent•Kangloy Rd., Ravenedele, WA Host BLACK RIVER (Pleat 11 22) • (208) 668-0912 510 Monster Rd. Radler), INA 020'4 LAIca FRANCIS (Plait 23) • (208) 05041072 22601 SE Lithe kends Rii. Meek) Valley, WA 98038 • Cedar Mountain Reolamation 17877 ander breve Rd, 8E, MapleVlIIay, VVA 9p03g DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX ' (206) 762-2366 ALES'S ." ' ' • .- ORDER DESK (426) 2264000 • MAP LOCATE • • LEAVE ARRIVE JOB LEAVE JOB ' • ' '' — ' .. ". ' ARRIVE PLANT ' • • i.r.. /20.1' 9 • GUST NO.. • A OflD ,. • 4: - P EOT . • • . . . • . '• • ' . • PLA di ;CUSTOMER NAME .CUSTOMERP. CITY -.T&TAIIISPER.Ittle • .• . . . • • . ... - • O. •••• 19216, .. ... 'JOB NO. '! - • '-, ....- . 2: 6:- • DELIVERY TICKET )40.. '. 7,.' 4o . , . • • . ,.. . li.111/tgt0144II,L.I..31Nri.. &1 I. . • • . . ' .. opLk.pcii0,t4 o CASH D CHECK .. . • .. • . . peL•IVEFtY (9,p,a) ..... . . # 1 • . • " 0 CHARGE - , • j 1.AC . . • . . . . . • ' ' . • C:ARD # SPECIAL INSTRUCTIONS • . . . . . . • , OsA.. .,. .... P. IY14,STEf3DARP... , p, Ri§c9yR ..:. ...,,,., , ... ,.. • : . -- •,' . ',..,;.-.%...1',...., ,'•-;..? -.f.' -'' 'FiciobLICT,::;* .,<*.•••:9!'.1117. Y-,::::::: .'.1V:.4.- -....7.00DE... .:.. ' ,'7.- '.. -.•-.., ...... . DE'llipric.,,i. : .. 7....TONS. :•:.... ...TAL UNITPRICE '. ''..,:•'• AMOUNT:: ,,,•• •-; :••••,,' • , .:.-9"... . - . ' . ' ' .1 • '. . .... • . • . . . . .. . . • . •, • .q ., ' • ' . , • ,.... :,. ..'.....-.‘.f '',Ii4 . ,: 4,204RC . ' '''' " '' .',- . . , .. . • . -, .%-t ...:' '...•;,• ,&t, .p..,E7,..4,..:1a3::;;!.:1. 1.,E1(010*"IIftigIkft-AL.1,1LIFICIiM(' .. . . . . . .. ., . . r . . • • • • • , . . , . ' . . . ' .• • . • . . . . • 'rilF5., 42140-00 . • ..t 21-ji.79:,...7.,..1..r..i.. r . . ' .. • . .- • ` ". • . . • .......,,,, ..., ., .. , . „..1 .. . • . '.•• .. , • Nilt. :,:-.:,.:.:. ,.:•::, ................ • • • ' . . .. • . .. • ., ... ' .. ... . , .. • • ••• •• • ••••' • ' • . . • . . 5.,9580.. •• : '..,..,„:-.... „, • ... . . . .. . , • . . .. .. : . . ' • • . . • • fit?J8VE11 1.1, • jsio. cRotala) BY • REMITPAYMENT TO. • ./ . .912510111 AVE:S, ' ' ' .' • . . . .'. - ' .'"•,. . • SPAT 11ER TAX VM 1 TIME nu .... ' : SEATTLE, WA 06100 . ', I:1: 1 TERMSON9EVERSE., • . . . : .. . - • ' SALESTAX - -- '-'- EASE — CUSTOMER RELEASES AND AGREES TO ILIC3LD HARM ESS KANGLEY ROCK & RECYCLING, A DIVISION, ' ' - ' ' ' • ' *F GARY NIERL1110 CC)1481-1:1UC11ON COMPANY, IWO. Fori ANY D'AMAC3E TC5 HIS REAL OR PERSONAL PROPERTY .BALE FORWARD' ANC CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETALsp4 REVERSE.. ....., '-'1.-c,r2''' CUSTOMER SIGNATURE • PATE . . • 'N. . . . . . .. . , ...... •. . - PRINT NAME .' ... . ... REV 04-2000 CUSTOMER COPY INGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 0610E ► (206) 762.2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANDLEY PIT (Plant 21) 32500 BE KeM•Konnley Rd., Ravenadale, WA 00051 BLACK RIVER (Plant M22) • P00)858.0812 , 810 Monelar Rd. Renton, WA 08055 LAKE FRANCIS (Plant Y 23) . (208) 05B.0872 • 22501 BE t.alra Francis Rd, Maple Valley, WA08038 Cedar Mountain Reclamation 17877 Cedar Grove Rd, SE, MapleVaHey,+WA 00033 Plant /20 • (208) 858-0913 DELIVERY TICKET ACCOUNTING (206) 702-256 FAX (206) 782-2358. SALES & ORDER DESK (425) 226-10DD :MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB : , .. ARRNE PLANT 7 ATEp �u �g 1` k. 1 x.'tf w lRpi!'19 CUSyTOMER.NO. ` 1 • .' 0 &. ORDErR� �yO...sy l.P,N E 1P. PROJECT • '' PLANT4 .22 CUSTOMER NAME CUSTOMER P.O. : - JOB NO. • . DELIVERY TICKET NO, JoB'Agot?RESS , . = I1 • ro. " ? ' , , 1 • • • . COLLECT ON DELIVERY (C.O.D.) AT 13 CASH 0 OHEOK # tU CHARGE AC.. ., :_ , CARD itEXR x S EGIAL INSTRUCTIONS „ . • CFVISA ... 0 MASTERCARD • . • •• •1:1 DISCOVER • QUANTITY U M PRODUCT DESCRIPTION TONS: TOTAL "" UNIT PRICE AMOUNT 1 ` Gro' I €I.. 4R • # "§� � 9 . • • Tate. 42' 4 O .. • 31,E • . • .., . "1 • . • t}RNER TRUCK NO. G'T1425 ORDERED BY REMIT PAYMENT TO SUES TOTAL`' ....� '' ;. 91251atl1 AVE.:S. . ,tosPATCItCR TAX0W)E TIMED E SEATTLE;WA9S1t)I3 TERMS ON REVERSE SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES>TO HOLD ARMLESS KANGLEY ROOK & REOYOUNG, A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY,/INC. FOR NY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAJ)IS ON REVERSE. CUSTOMER SIGNATURE t ' TOTAL • f+ , . rV Z PRINT NAME DATE AMOUNT REV D4-2009 CUSTOMER COPY it NGLEY ..ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH Kongloy Rock & Recycling Locations KANOLSY PIT (Plant 32600 SE Kanl-Ranpley Rd,, Ravonedela, WA 00051 BLACK RIVER (Plant # 22) • (206) 058.0012 DELIVERY TICKET ear I LE, WA 93100 . (20B) 702-2566 LAKE PRiiii6iE (P)ani iiP.ij - ‘200) 658.0872 22501 SE Luke Francis Rd. Mapie Yale% WA oases • • • if..• . ilA DIVISION OF GARY MERLINOCONSTRUOTK)N COMPANY, INC, g:;1701.&14,Ati(f:srtaelirildneltleilmetalp7otti?itwil WA 98000 • : . • • ''', i ' 0'. • ,... Plant 420 -1200Tv068.0.010 ' - • • ACCOUNTING (206)762-2586 FAX : ' ' (206) 762358 'SALES & ' ORDER DESK 1425)220-1000 MAP 'LOCATE 11. ' . . . . • LEAVE PLANT ARRIVE JOB • LEAVE J013 .. „ ' ' ' • ARRIVE PLANT • ';. DATE . • ' ()5/2aItal9 CUSTOMER NO.., 165501 ORDER Nf). 6.2'271 . PROJECT • PLANT, it 72 • CUSTOMER NAME • . .. CftY TRArtiSFER INC . CUSTOMER P.O. .., ig2143 JOB No,...... . 1(.)2. ' • DELIVERY TICKET NO:. - ' MOB2 ' • 9 PtIF.--1,1#1.1f.F.ON4Itii,iikt. 1...1/' . . . ... - . . . COLLECT ON DELI VERY (c:O.D.) . „ El CASI-1 0 CHECK # 0 CHARGE - • • . ,_.... -... • ' . . . ,. - • •••• • .. ... • • ' ' ' ' • SPEDIAL INSTRUCTIONS. • . • , - • CARD II • • EXII ___L,_ • 0 VISA , _, p mAsTEFwA9p, :. 10 DISCOVEF3 ., ';•,::,:•.•e4UANTITy‘*•.' -•:'..3.'2•".`.41.- • ' .. ... '.....n:41 ' : • — ••••• ',,;• '4,'`I ...,, .. ..." t . ..... . • • * .* ... • , Gross ,,:-U:M,'"•.-' -"TN • . • :.'• '•.••:. ...' . " 1, , .. PJT., -- • ; co - - •• "" ' . 4,. .... • ;, - , • • •.• ' : • . : '''. .. • " :' :%.•••%. . . . • . • . . • ..• . . 10 -2 „, - • -..•- :DEscRipTioN . , -.. . .".."R v 7...C.` ,.. ,.. .. E:ir.; %. - : . . . . .. , .,,... . . .: .. ...Y., .:!...:,J1 :....::::/•.i4..: ... '... r.: ' 1. '• ... . • • ' . . . , .. . . . . . ' . . , . . . e * • . . I . . • , . , • ' . , . . . . k Tart 42141 .. --foNs .-,, ,. . .i ,.....,.:.c. ... .. ... : • .',. : '. . •• • ... * . • .. ' • . . . .. . • . . . • . . .• TOTAL ' • -.: • : , . • .• , • • . . . , .„ • ... : . - . UNIT OFii6E.. .'... • .'t , •,.. ,...,: . , . • , . . , . . ' ' • ',.... . 64620.00 :• . •:. . ,•. . — : .. : :-:..AMaLikr, .. .- . . • . 4, ' • . . . • • , . , ... • . , . 1 . . . . . . . • . • . . . • , . • , . .. . • ,TRUCK NO. 0 DERED BY 2•• • REMIT PAY "' .,ENT TO .. '•• - • • ,t - -:• •• . •. ,.....,AVE -•912o 'Mtn AVE. S. • -• ' ' - .-- • • • " - ' • : : :. •-• •'• rSUB-TOTAL.. -... :,, ' : ' ' • ' - DisPATONER TAX CODE WA 1 TIME DUE ' ' • 'SEATTLE,..WA ealop. ' . *.:„. ... 11-,'114 .....,......._ ., FE R (VI$ ON FIEvER. ,. •:,•.' „,•. ..' . .• .. . ,. . .. .,: ; ..., L. ..: ,.. L SALESTAX : .....„..,„-7 ...... . _ RELEASE - CUSTOMER RELEASES AND AGREES TO HOLI)'HARMLESS KAN LEY OCK & RECYCLING, A DIVISION .• ' : ' ' ' '. ' '. • ' - ' : OF GARY MERLIN° CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO7 E REAL OR PERSONAL PROPERTY . BALANCEALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DETAILS ON REVERSE, .. ' ' CUSTOMER SIGNATURE , . . • / . . . . . • . .... . ... / - , PRINT NAME " . . . ' : ...... AMOUNT - ..--.., ... DATE . -2000 CUSTOMER COPY • NGL1EY POCK & RECYCLING �i1�..n, uITnIn° n1fl eu+ onl rru 'Cangley Rock & Recycling Locations KANal.QY PIT (Plant I21) 326E10 SE Kent.KaneleyRd, Ravenedela, WA Boas BLACK RIVER (PIanI B 22):• (20a) 050.0B12 VERY TICKET ,.,.____.. ... _._ _... _....... �...---.--.. pit/ N10fW60liS0,11UI1W1h VIARnvan= SEATTLE,. WA'9$10e +(SOB) 762-2566 LAKE FRANCIS (Plant 0 23) - (222) 2 • 22501 SE Lake Female Fed. Maw Valley, WA dao3o A DIVISION OF 0MW MERLIN° CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation• .:'SALES• 17877 Ceder Grove Rd, SE, Maple Yeley, WA 08030 Plant /20. (2 ' 65a'0213 1 AOCoUNTINQ (006)762-2566 FAX -(206) 762-2358 °•ORDER DESK ' (425) 226-1000. MAP LOCATE . LEAVE PLANT ARiiIVEJDB LEA. tit?. `' ARRI1/ PLANT D CUS +k O, OHD PROJECT . PLANT:2 • • CUSTOMER NAME • -erry TRANSFER! CUSTOMERP,O; : ".t `" 1 • JOB NO. ., ..'DELIVERY ''• 1 1 • TIC KET• NO, • 17 . , ,10 r R A; ION ,. ),. . 1 COLLECT Ohl DELIVIEFRY•:(C.O,I) ), •. • . 0 CASH ❑CHECK# :JOHAROE. ;.,: . CARD# : EXP:: ' 1 • ❑ VISA, - Q MAST ERCARD I�, p15COVF..Rt PECIAL INSTRUCTIONS • CIt7ANTtTY PF;ObtiCT CODE,/-(^ = DESCRIPTION :' ; TONS rOTAL, • UNtT PRICE Atv70UNT i tIT�°• .ri' 8 .�. +"',�( „ :'��yaT ,. t• { :r I.,, ..• 1 Wfosy.: • 1 2 q!'°lL.. 8 r 1r, )O p�rgi,�$ { t,,'kti �r y�"&q k A1. M1 is tAFt6t • ' 1� .. 1 ^4 Taws 4114060 •iF +ry i.74.& r., �.• • 4..1 ,• 1 , • 67.i44V.iii . • .. .. , DRIVER o. a ORDER C31 BY ;', REMIT PAYMENT TO .. 9125.100).AVE 5 SU 3-TOTAL DISPATCHER TAX 1 TIME DV SEATTLE, WA`90108 ' TERMS ON•REVERSE' ; SALES TAX - RELEASE — CUSTOMER RELEASES D AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISiON' ,' $ OF GARY MERLIN® t?QNSTRUCTI 1 COMPANY, INC, FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY I3ALANCE FORWARD CAUSED BY DELIVERY F LISTED ABOVE. DETAILS ON REVERSE. g .. .-�..° ;.CUSTOMER SIt�t� T' RE 1 ..• TOTAL �` _ ': = w.. } .; � ••. rM. j AMOUNT PANT NAME \A.._ DATE „/ iEV 04-2000 . CUSTOMER COPY .., . ''‘to t. fi" ,.. 1.,KANGI.EY .i i Kangley Rock & Recycling Locations ; ' KANOLEV PIT 1Plent P 21) ' i 0C, & RECYCLING 02500 SE Rimt•Kangley Rd., RDvaNdale, WA 90051 BLACK RIVER (Plant 4? 22) - (206) 65S-0912 .; ACCOUNTING: 9126 TENTH AVENUE SOUTH DELIVERY TICKET SEATTLE, WA 98108 * ROM 762-2566 ilit'K.E;;;ZitCTi 2(74711sit'ig):72i9 668-01172 ' 22501 SE Lulu) Frands R0, L0000 1/008y, WA92020 , . A DIVISION OF GARY MERUNO CONSTRUCTION CCIMPANY, INC. Cedar Mountain Reclamation ‘ . .. • . • . 1707'7 Collar Prove Rd, SE, Ivistpla Why, WA 99036 . . ' Plant iko - (209) 050.0018 . • • ' • ' • ' • ACC9'0111-ING (206) 762-2666 FAX , „ (206) 762-235a ...),i t•.,„ * "''''' '-`• ' °HOE9bESK" (426) 226-1000 MAP LOCATE • LEAVE PLANT ARRIVE JOB , , ' LEAVE JOB . . ' ' ' ARRIVE PLANT • PATE/. • . P5t28/24)19 CUSTOM5 NO. . I 1. ORDt • 2 ''3° • PROJECT . ,PLANT • # • . CUSTOMER NAME " ' • • cal( TRANSFEll !W.', CUSTOMER RO, .. 192..1(3 JOB NO.;•• :". .. 0192% ' !DELIVERY TICKET 110.. ' ' ' • 9., 7' •AdtrITqffERNAIIDNIIii- til..VO-&15011-1 , • - . • cou_geT ON,Di-tVERY-p.o,D4 - , • i . , El CASH * I:3 CflECK # : • t.:101-11ARGE , '. •SE-AIAC .• . . . ' 1 • - • • .. . " • . • • . OARCY# - • - • ' - • '. ' • • • ' • • - ' • SPECIAL INSTRUCTIONS , • . • ' ' ' • . . '.t? t 0 yi$A. , .. M/.kSTgEQAHP . . • ' • ' :: • ' • - UANTITY' ' PRODUCT + • coDE - • ' - -- . . ' - DESCRIPTION -1 TONS- TOTAL 4 q UNIT PRICE ‘- - AMOUNT ‘ '•'', ;532s-1 ' ,*` --: ••• • 4Re . .. * . !,:,:it.1 ..' • ' •••;`)-.1 • .-137 ' • '' .';',...: '''...'''''. . ' .: -''''. ''. ' .. ! '. • : ' - • . 'A- . • . • . '1,;, • le . " • 1 . tPti . ' . ' . • . A 1()388•01. . ' ''.' ' 'f5; - • . . . . • - ...•-•• ... 4ilfilRoPittilEt4TAL SilfICIIM( „ ... ... • • • • . , .. •A • . . . , . • . , , „ • , . . • . • . • . . • . .... . . .. . • • . . • • A . are 41'146.00 ,''' ' ' . • . */ • • . . • . : • . • • ,9 ...:.'";• ' '-: .• •:' ... •• • . . •• : '.•• .: , • ,.. .. A . • . . : • • • Nat i' - ' ' .? •• '.....• : • • • • • l• •., ..• . . • . . , • i27•40,(X) .. : .• . * " ' • • . .. • • . . . . , • .. • DRIVER , TRUCKNO. 0'11,122SUB ORDERED BY REMIT PAYIV1ENT 9125 10111 TO AVE. S TOTAL DISPATCHER TAX CO? E ilk 1 TIMEDUE SEAITLE, la: ‘,5 TERMS ON WA 98108 • REVERSE ' SALESTAX ',RELEASE -•- CUSTOMER RELEASES A b AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION r'T,3P GARY MERLINO OCINSTFIUCTIO1‘1 • OMPANY, INC, FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY ICAUSEC) BY DELIVERY ii IVIATERIA LISTED ABOVE. DETAILS ON REVERSE. _ BALANCE FORWARD. le••••-...., itsUSTOMER. SIGNA E s, I1/4. ......,.........-- . . TOTAL ! ' PRINT NAME -- • ..-s,.. -. DATE' REV 04-2609 CUSTOMER COPY ,:* NGLEY ROCK & RECYCLING Kongley Rock & Recycling Locations KANGLEN PIT (PInnl 21) 32B00 SE Kenl-Hangloy Rd., Ravenadelo, WARM! BLACK RIVER .(PWni I 24) - (2(18) 6584912 DELIVERYTICKET ......_..........,_ . — . -6-Ai-iCE, wA 'iii6ii a. (2-06) 762-2568 u Ili IVIcliTS.W$ fie. 001710111, VVP.9 tARRN) LAIta FRANCIS (Meet # 23) . (200) 000-0572 • I. . ' 22501 SE Lake Rands Rit Maple Valley, VyA 03E45 • .. : A DIVISION OF GARY mERLJN0 oONS•TRUGTION OOMPANY,• INC. Cedar Mountain Reciarnadoti . , . . ' . ..' - • , , . . . -i7ari Cede) Drve Rd. SE, Meek) Valley, WA08038. 1. •, .. • • : ' *... • .. , Plant /20 . (205)o858-0913. ACCOUNTING (206) 762-2586 i:FAX'. (206) 762-23,5E1 .SALES ' • . 0RDEP1 ijESK - (42 226-1000 MAP LOCATE . LEAVEPLANT ' • ARRIVEJOB . ' LEA JO . • . . ••,.. - ' ARRIVE PLANT . . . 2019 • cusgo : OR' f 342 : PROJECT . . • . • • .•. • • • ... • •• •-• : • P • V . • 22 • • .OUSTOMER NAME . • ' Ic.:;ITY TRANSrER ii%1C . , • . " :. • • . CUSTOMER PA • " :• . . 19210 • 1 00.N0:: ,., . .:., . -. 1 ..". DELIVERY TJC-I(ET NO. - $)85771. -. . A, riAN. * WitH. • .,. .. ,.. , . ,.. . . COL,LE01"..9N-DRL,VOY (0,0..13) • • • .• • • .. . •, •• . ... • 0 CASH CI CHECK it. • '. ID CHARGE 3EATAC • . • .. . . , :. . . , - • .1, CARD i ••••' ' ' • • • '.• EXP ,•'. . .., ' ' 0 VISA ' • . C:i MASTERCARp., :. . i-...? RISCO:it ER SPECIAL INSTRUCTIONS . • • • • • • • ° ' ' * ' . ' ' ' . • - • '-.:•.. : • : . . ' -;.,,.. -::: ... '.• `--•....*1... i:•'...... „ ' PRODUCT - 1-::q00)./...rY, . - : UM• - ., CODE:'-. . ' ' DEst,-.ti-ipTi......v,m... •, - -, , . TONS TOTAL . uNIT I.,--niu-E , , . ,AMOUNT -... ••• :;.*".;k5.- 44' ' '' -..-.! ' • -4202411e ..- ..1.C1 ..i.V„..• -,,,c3':i .• 't.E.:17.,;A•lit.ia.: ..'...*. • --f-'.i,',....••.:'•' .4 : 1-!••••••,-, •: -.: •,.. • • . :. ° , ..;: i.• .- ‘... -• .!•• t •::•: ... . . . , , . . . , • • . . - - • - - . Gr4115 • - , • . . . ,.1: : INYI.,5 .r:••. • • . . .... , . .., . . . • triP1113,b*ItNTAL;SLIR CHANGE . .. . • - . • - . • • , . • - . • . . ... . . • . .. . . , . • . . . . • . , , • .. . . . . . . . . . . . Tar 41140.6t1 , ... .. ' : • . ., • ' ' .. ••:- • . . . • . . . . - . • . • . ..• . • t....;!;•.,. ., -: -: • . • • . Net . , .. , . , ••,,..... ... - • ...., ,. .., .. ... . - .•„ •.. • ,,. .. -, . .. ...,., • .. - . 8410.00 .. :,—; . - . . , • , . . . • • • - • - 1 . . .. • .. • .. -. . .. -• . •• • .... • • . • . . • • • . . ... . .. . . , . . . , . . • ORDERED REMIT PAYIVIENT TO .. • - . 9'125 10Ih AVE:. S. • SUB -TOTAL , .. . DISPATCHER T 1 Ti - SEATTLE, WA 918108 ii TERMS ON REVERSE . %. . SALES TAX 'etIELEASE - CUSTOMER RELEASES AND 4GREES TO HOW HARMLESS KANGLEY ROCK & RECYCLING. A DIVISION• OF GARY MERLINO coNsTRit,c.noN 0.-9 PANY, INC. FOR ANY DAMAGE TO HIS REAL. OR PERSONAL pRor! teAUSED BY DELIVERY OP MATERIALS STED ABOVE. DETAILS ON REVERSE. BALANCE FORWARD: .. . ..!!.....• CUSTOMER SIGNATURt" •• . - • - TOTAL - . , . PAINT NAME OAT AMOUNT REV 54-p009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH .Kangley Rock & Recycling Locations KANOLEY PIT (Plant # 21) 3260Q E Rent4<angley Rd., 118vensdale, WA 98051 BLACK RIVeR (Plan! 22)- (208) 858-0012 DELIVERY TICKET SEATTLE, WA 98109 . (200) 702.2506 . ..... . . .. IAkiiiiiiiidiii R;n1i2.13.7i06) 660'0072 22601 SE Lake Francis Rd. Ma* Valley, WA84088 . •' A DIVISION OF GARY MEIR LINO CONSTRUCTION COMPANY, INC, *F77717agrr Crov__t2iRcAristcliliPleaV°048:i/ WA 98888 .• ." ' . ''. . • . • • • ... • ,.' . . " 120 .4208) oba-ov13' ' . ' ACCOLIIITING (206) 702-2E66 FAX . " (206) 76.2 -2358 ORLDEIR&I)ES'K • (1425) 226-1000 . MAP LOCATE " • ' LEAVE PLANT ARRIVE JOB . . ... . . ., LEAVE JOS '.."•-• • : " .. • ARRIVE PLANT •, 'DATE 1 •05128/201 i CUSTOMER NO. . lA . 1 ORDER NO. . 0227•1.2 PROJECT . . ,.-.. . . . . !CUSTOMER NAME l',. C-.:rrie TAANSFER INC CUSTOMER P.O. • • • 19216 •• ..,I013 NO. • : • • ••• . 01921, • ELIVERY TICKET NO. • ' ' 98801. i JOB ADDR - • • ERNA11C/N4. EILVO 1. TH • .. , . . ... • : • • :gok.!-EPTDR'PELIVPRY, (c‘o.P.). t. . • . • a CASH CI 01-101•5# 1.1.41,:- . . . . . . . - . . . ,. .... CARDS '''' ' ..' '.''''.' ' EXR SREOIAL INSTRUCTIONS. • . . . . . . . • I::] VISA . 0IV1ASTEFtpArf:? . .0C?1S0OVR . ., . . . ' • PtI•,,, .N...„1TY i ' ' U .m,,„ .`-' pilooLiorTOTAL :- DIESCRIPTION " • - TONS - q UNIT PRICE -- AMOUNT , ,,,, •;74.,.; - .: . ' . ' • .: ' ... . .. . . . , . P . . . . - - • .. ,. , GrinS •:-.:‘,- T443j41 . - ' • , . - • . . . IOVAKIJ . ... . . •• . . . . . . . • ... . )0 , .2. :: C ',co :TYTh 17.,..Az1 ,':,. ‘., t" • ' . - )541•3ti1 . • • .. ... ... • . . • . . • . • .. . . • • . , . .. - • . • • • , • • . . • • . . . Tare 41140.00 • 1.. ‘ ,., . ' -......• 1 " ' I ,,,, .. :' , , . : • . ,..,.%. . ....wi,,, . ' '... ',!...',!....: .. : - , ,:. •- . . I •,:•;:-.. •‘: .. • -. - i- ,:, , . • ..' -..''• . . . . • : .• • . . Sgi'1,40.00 . .,.: ... ..,. , - •.. . . • • • . . D V ORDERED BY REMIT PAYMENT B 125 10111AVES. TO SUB -TOTAL . , )DISI'ATCHEH li TAx ctiplIA. -,,I 1 INIEgita SEATTLE WA 108 . 'RELEASE - CUSTOMER F4ELEASES AND • GREES TO HOLD HARMLESS KAIVOLgY ROCK & RECYcLING, A DIVISION _ OF GARY ML=RLINO CON RUCTION CO PANY, INC. FOR ..ANy DAMAGE TO HIS REAL OR PERSONAL PROPERTY. BALANCE FORWARD ICAUSED BY DELIVERY OF ATERIALS L • ED ABOVE. DETAILS ON REVERSE, CUSTOMER SIGNATIA3 .,.--, ,k,,,,,m,,„„.,.„,„,„........,.,.....---'' . -,----.: "- PRINT NAME DATE r REV 04-21819 CUSTOMER COPY 4. NGLEY ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH Konglay Rock & ReoyclIng Locations KANGLEY PIT (Plan( I 21) 32500 SE Kon1710m0kw Rd., RAVVILKIRID, wA88051 BLACK RIVER (Pleat I 22)- MO 0830912 r• bELIVER •TICKET SEATTLE, WA 98108 • (208) 762-586 ii'20A.T...4ttl:tri:14,d2.31'.4";(pfalefeT.Vi7‘teu;e. .Ft!PIRR10 non ADIVISION'OF GARY MERLIN() CONSTRUCTION COMPANI.Y, INC. 17:,1782rtntRipdS . • •,,. . . . E, Ma kfiV411014 WA 08038 ' .. ''''•':' . Rani= - (2polpfis.poiS ,. • ACOOLINTINCI • i,(206):1622506 . Fi?A : . .... '. (206).702.7368 ;SALES & :' • '•!,•.'•'-'.. '....,;•.''." ' • `'• FIDER DESK': ''',' 425 225-1000 . MAP L9QATE . . ' • LEAVE PLANT . • ARRIVE JOB .. . , . • . LEAVE J El, • ,, ... r ...: •• ., - :., • • .. ..,.. ,. • ..r.9.V.::P...0 .;•••L ' • . I.'..., 4,?,: :' • ' ' 1 , . . . • S • N . ORI) 2 • PROJECT ' • . ... .: • PLANT CUSTOMER NAME . 'v• Crrifli:tANSF R. .. .... - . CUSTOMER P.O. ' • 19216- JOB No. • • DELIVERY TICKET N. .• • • ., R..iVrii-thwit. t , : 1 • . ... ..• . , :.... . . COL!...gOT ON.pELAVERY,(C.o.D.),., ...,..,.... ' •.,.1EATAC - o CASH El CHE.bki.1 0,01-11 kRcIE . . . . . . . ... ....„ -.,..,..,..,.: . • -- - -... . • . PEGIAL STRUCTIONS ' . . . ...... ,.• . • : • • El VISA . .. 0 MASTERCARD ... : ..b.D1popvEl3 .'"..... ... ...... • - . .. . . • . • . . -.. . . -. • • .... - ....: .. . • ... . -... -. .. :.. _...-..',..,.,.-:::;;,.)-:,'.-...::..f.,:. '''''•••IDUANTITT:',;': ..''''; , - • . .,.4).liabluo.r.::-,,...‘,.,. ;•:'''.., CODE , „, DESCRIPTION • : " ''. . ,,.,..rtro,s, ,_., , : TOTAL 1., ilicirtpiiic..... b• .,- ....: 'AlviuUNT:.•.;"....• " 1". ?... 3 '......... • ' :' •-: : 4i. C •:-Fi.;1k,- , ..K.-•' • •:,,,,.,..„'•-•,,.,,,. .*' 51 .:: - , .. . : .4 . • f.t. ...„, .. ,. .. . . ' -1: . • ; ., •, - .,,z., ' - . . ; , i. ,A. !.' ' .. . • ..- . ... .,... .- • • • e • GrOSS. , . : .. . .. ,.. •. :,: ' • . • . - . ., - ... ... -• . '.. . .i.,•... . . . .. .. . . ..' . 4 ' . ' • • • .-.. . • - Etwipi.g)NMENTALS -$.. ., ...,. • • _ • - -• • ' • _ - ... . . ... ... , . . ... -. 1. . ' ., „ .. , • • .. .• • '. • . . . . , .... : .. _ , • .,. • . •.- . ., . . • ,. •„ ... , .. • , • . . . . • •;. • , . . • • • . . . . . • • • . . • • . • , . , . * .- . ' . . . ., . . . • , . TV.PB 41140.(1f.) s • :41.4:.•14'••...:-..' ..• - -. • .' -• -.: . .. . . ..' ,. ' .. • . .. . • : . . . ' :!. . • . . . • • ... . . . . . . . . . ..;. ' .. r , :•. • :• . - ... • . . . • - • . " ".. tki ..., .:. • -: .. . . . . ; ...... * ' . ..... ,•,. • . !,,,. • • . . 64%0.00. . , . , • . .. . , . . • • ,. . ., • . . ; . . • . • • . • .. ,. . ' . . AVER J li 23fliNkl°' ERED sY ', '•":•:: • '•••'.• •TIENIIT PAYMENT • :.- r'''.:' L.,:,': :Di 5inifl II) •• ':: ' . • Av'-.'; •-'1 '...' :... '. . . . ... . : SUIT -TOTAL '''' , : , • ... ' - • . •• ''•-' ' - ' ' i:. TO Eli Y. ...: TAX CQ 1 TIME SEATTLE, WA,98108 IVP71 ..-..: ',TERMS ONREVERS ., ::,, ''...:• ..-• :,:• SALFS -:•: .1, • (ELEASE — CUSTOMER RELEASES AND ' GREE$ TO HOLD HARMLESS KANO' LEY ROCK Ik RECYCLING', A DNISIN • • OF GARY MERLINO CONSTRUCTION co ' pANse, INC. FOR ANY oAtvIAGE TO HIS REAL OR PERSONAL. PBALANCEROPERTY -:•ALA0d• FC3111.,./YARD:' CAUSED BY DEUVERY OF MATERIALS LIS : 0 ABOVE. DETAILS ON REVERSE. . .. . - - GUST0MER SIGNATURE .. . . . - . , •,.. PRII\IT NAME DATE ,.....N... . . ..... , , . ..,.. ,. . REV 0472009 CUM OMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2586 .A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC.. •' • Plant a20 - (2g5) 659-0913 • EAVE PLANT DATE 015(28P1)19 CUSTOM : y Crilt TRANSIT:A INC SeATAf,:: OWE "tRi4Aiio4i0::.1361641s4-rti • . • • Kangley Rock & Recycling Locations KANGLEY PIT (Plug 0 21) 32600 SE Nera-Kangley Rd„ RovensdAle, WA 93061 ELAOK RIVER (Rant 0 22) • (206) 658-0312 513 Monster Rd. Renton, WA 08034 LAKE FRANCIS .(Plant 0 23) • (208) 084•0872 22601 SE Lake Franc*Rd. Maple Volley, WA Game Cedur.Mountain Reclamation 17377 Cedar Grove Rd. OE, Maple Valley, WA mods ARRIVE JOB PROJECT '• 1. SPECIAL INS ThUCT1DNS , • • • • IVEIl DISPATCHER • •.•,• -• • • • • • • '•••'• :*•'.• • .• ••••• . . . PESCFilPTION • LEAVE • • DELIVERY TICKET ',ActOUNTING (206) 762-2566 • - • '(2o6y 762,1g358 • ;SALES & . - •.• ORDER DESK • 425 226-1000 ARRIVEPLANT : CUSTOMERP.O,...Jol : ,DELIVERY TICKET NO; • 1921! • • (19216 kl 682 RELEASE — CUSTOMER REL.ASESj OF GARY MERLIN() CONSTRUCT' N CAUSED GY DELIVERY OFMATERIL CUSTOMER SIONATOrt PRINT NAME REV 04.20$39 • • ORDEREDuy iP.o.o„) 0 CASH •0 cpic.k - AHD* ' : . ' EXR • p VISA 0.1y0.1492ptiO, ' REMIT PAYIJIENT TO IMUE, SEATTLE WA 05106 TERMS ON REVERSE - ND AGREES TO HOLD I4ARMLESS ICAlkIGI.EY ROCK 8, RECYCLING, A DIVISION COMPANY, INC. FOR ANY DAMAGE TO 1-iIS REAL OR PERSONAL. PROPERTY LISTED ABOVE. DETAILS ON !REVERSE „._._ INIS • • UNIT PRICE - :AMOUNT OATE '1; CUSTOMER COPY • BALANCE FOF1'IP/ARD • • ° AMOUNT, . • 131 NGLEY ROCK & RECYCLING ACCOUNTItIG:9125 SOUTH • SEATTLEA W98108H E• (08 ) 762-2568 A DIVISION OF-GARY MERLINO CONSTRUCTION COMPANY, MAP LOCATE STCMER NAME.. O DRIVER RE DISPATCHER LEAVE PLANT CDUCT: ODE'.. Kangley Rock & Recycling Locations KANQLEV PIT (Plats 0 21) 32000 OE KeM-Kangley Rd„ Ravarmdako,.WA 00051 BLACK RIVER (Plant #22) - (208) 000.0917 860 Monster Rd. Renton, WA 090E5 LAKE FRANOIS (Plant 023). (200)) Q60-0872 22601 SE Lake Francis Rd. Maple Valley, WA 98038 INC. Cedar Mountain Reclamation 17077 Cedar Orovo Rd, SE, Maple Valley, WA 08038 Plant R20 - (208) 668.0010 RIVE JOB P • CTtIPTION' Two 41606.60 0 RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANG OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO CAUSED BY. DELIVERY OF MATERIALS LISTE BOVE MAILS ON REVERSE. CUSTOMER SIGNATURE PRINT NAME REV 01-2000 EAVE J CUSTOMER P.O. • 19'16 CASH CARD 8 DELIVERY TICKET ACCOUNTING . (206) 762-2560 AX , , (206) 762-2358 SALES & ORDER DESK _1425) i226-1000 JOS NO. ARRIVE. PLANT PLANT )t 22 ELIVERY TICKET NO. 94 COLLEC7.ON DELIVERY (0.O,D.) ❑ CHECK it. . El VISA TON. MIT PAYMENT TO`, 'AVE. S.• EATTLE, WA 9010t3: ERMS ONREVERSE YCLING; A OIVI ION PERSONAL PROPER DATE CUSTOMER COPY • ❑ CHARGE EXP s; MASTERCARD.., O DISCOVER IT PP.1 ALANCE FORWARD OtUN7 KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 96108 • (206) 752-2569 A DIVISION OIF GARY MERLINO CONSTRUCTION COMPANY, Kangley Rock&,Recycling Locations KANSLOY PIT (Plant M 21) 32500 SE Kent•Kangley Rd, Ravanadata, WA 00051 BLACK RIVER (Plant # 22) -(206) e50,0012 610 Alonsler Rd. Ranlon, WA OB055 LAKE FRANCIS (PIani # 23) - (206) 858.0072 22501 SE Lake FrendalIa. Maple Valley, WA 06030 INC. Cedar Mountain Reclamation . 17077 Cedar Qmve Rd. SE, Maple Valley, WA0B036 DELiVERY TICKET ACCOUNTING' (206) 762-2560 FAX (206) 7.62-2358 SALES & ORDER DESK • 426) 226-1000 rlamWlDv•.,vw T MAP LOCATE 1LEAVEPLANT. ARRIVE JOB f LEAVEJOB •. ARRIVE PLANT DATE. ] 2i2 OUS g NO. (DREWNQ, PROJECT l 1 `; ' ' ARD4 22 CUSTOMER NAME , CITY TRANS d- • C. CUSTOMER P.D. ' ' JOB NO, ' DELIVERY TICKET NO. ') ►a R1 t� $ 1k I 1 V • 1S a ' COLLECT -ON Cal LIVERY•(Cr.,U-D.) ❑CHARGE ID CASH' 0 CHECK #... . EXP.';'! SEATAC C CARD fl • . ❑ VISA _ . ©MAST.ERCARD. _ - C. DISCOVER , . . 5R 1ST bisrpER •i (.:,'lr. (I 'IC IN LOAI • t?F o>7u r :.•CODE ; : DISPATCHER l0ERE0 BY TIME IJRCHARCif 31.. TzrR 4 ( ) (RE{Vlir`PAYMENIT. 'IJ 912510.111 AVE.`S SEATTLE, WA 96108 TERMS ON FIE11ERSE' RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANOLEY ROCK & RECYCLING, A DIVISION ;OF GARY MERLIN() CONSTRUCTION COMPANY, INC. FOR ANY DAMAWO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DET lb.S ON REVEIaSE. CUSTOMER SIGNATURE PRINT NAME EV 04.2000 CUSTOMER COPY TOTAL UB-TOTAL SALES TAX ANCE FORWARD NGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 9810B • (206) 762-2660 Kangtey Rook & Recycling Locations KANBLEY PIT (Plant 121) 32500 S E Kent-Kangley:Rd., Ravened°la, WA 08001 BLACK RIVER (Plant 4 22) - (200) 850•0912 530 Monster lid, Renton, WAA 98065 • 'LAKL PRANGS (Plans S 23) • (KM 858-0872 2260,1 SE Lake Frannie Rd. Maple Valley, WA0903B A DIVISION DAP( MERLINO CONSTRUCTION COMPANY INC Cedar Mountain Reclamation OF , 17877 Cedar Brows Rd. SE, Maple Valley, WABB038 MAP LOCATE AT DISPATCI �R Plant 420 • (200) 658-0913 ' LEAVE PLANT USTOMER NQ. ORDER NO. 62 2 PRODUCT 'CODE"',' QRDERED BY RIVE JOB PROJECT DESCRIPTII T �1E 41 NE JOB (VERY TICKET ACCOUNTING (206) 782-2566. FA)i (20E,782-235S SALES & ORDER DESK (425) 228-1000 OS NO. 019216 iIVE PLA PLANT DELIVERY TICKET NO. 4414•: "COLIECT.ON :DELIVERY CASH El CHECK ,,..+ EJCHARG EXP. E VISA, ' ',c1, '. ERCARl7,•, ❑ PISCOVER. REMIT PAYMENT TO 912510th AVE. S. SEATTLE, WA9t)1(U TI RMS ON REVERSE 'RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYQLING,A DIVISION OF'GARY MERLIN() CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY I CAUSED BY DEUVERY OF MATERIALS LISTED ABOVE. C9'' I : ON REV• E. i CUSTOMER SIGNATURE PRINT NAME DATE, REV 04-2900 CUSTOMER COPY UNIT PRICE KMIGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH • SEATTLE, WA 98108 • (206) 782-2566 • A DIVISION OP GARY MERLIN° CONSTRUCTION COMPANY, Kangloy Rook & ReoyelIng Locatione KANGLEY Prr (Kam o 21) 32500 SE 1(enl;Kengley Rd., Bayonetlate, WA B8051 BLACK pavan (Plan) 122)- (208) 8604)012 510 Montle( Rd, Renton, WA 06065 ' *LAKE FRANCIS (Plant if 23) - (200) 858-0872 22501 BE Lake Freres RiL)Mplo Vedloy. WA 95038 *c. Cedar Mountain Reclamation , 17877 Coder (3NTIG Rd. SE, Maple. Valby, WA 88035 Plant:2o. I206) 655-0013 . DELIVERY TICKET ACCOUNTING (206)762-2566 FAX (206) 7Q-2356 SALES & ORDER DESK (425) 226-1000 MAP 0.,ATE LEAVE PLNT ARRIVE JOB , • L.SAVE JOB., • ARRIVE PLANT • - :DATE • i: pr,44-2,019 cus en O. D , 2 • PROJECT , • • • • PLANT , "CUSTOMER NAME • ' • . • CITY WANt3Ff INC CUSTOMER P.O. ' '. 1921I'• ' • JOB NO. ' ' 019216 DELIVERY TICKET NO. • 5;84461 • ej.c.)A0r./IWIII:ERtflA".41ONi4t• . ) & ttOTH COLLgot.oN.0a.ivERy p.o.D.11 ., .. . . - .• ...-- •• -. ,•.• . ... • 0 CASH I:ICHECK,g. * 1:ICHARGE k: TA :: . • . .. .... ,.. . . -. :....,• -•. .... EXP. PER 1• RAC sTIC AO • •-- 2' • •• ' • • • • D VISA . .1:11VIST,PICAI10. . , LI DISCOVER . - • •• ., • •-• (414;410i.rf..- .'-'.• •,-U..M,-- -• ":-. ' ' ...-* fl!coDIF. ... ' •' ' - • !,- -: * • .., • ......;.; :'.;•.-.;,.,....;!*.;:,*-: - l'ON-. * • ::-.*:%,i,"....;.• • * TOTAL . . . UNIT PiltDE k - • • • . . , . - - - AMOUNTII ., .... . . .. . . • - ..... . . . . . . . • . . —,,.: ''...•:.:".' ii.;::„...,,, . ,. • . , . • . • ••• - - - . . • . • . TN.: . ... ..,-„, . '.......,..'.... . 4}24FL". O 5 . . •. • . . . •• • * • • • ••••14CA*1;,.. S.*•••1Wr. •E•*ii,,••!•-A-IP.•• '..:.'. EP;;It,);tgiAtikiTAL SURiellAri.(1 . . , • . . . Ar . . . • • , , . • . . • . . . . • • • . , " . . . • •, . . . • • . • . ... .• • . . . • . • ,. • • . . . . . . • • . - . . • .1 • • , • ' • • • • • fart, 416;ini).00 . . ....', - ..2.7.1313:'-'••••':•Cf: 27.93... — .• . ,... . .. . . . . .. . • ..... . • • . ' . ,, ••• -• • •• ..• • .. • . . • • 4 • I - • • • . . •••••••••.' *;,-m. ....*•''' ' .. .. , . ,, . • • • . . . . •. ••• • : , . •• •• - . • .• • . • Nett , : . ... - . '''•••••.'"•*:••':'.... ••• • • *: . . . . • • . • . . .. . • • . ... -.•••-• - .-• - -. • • I. • . •• .• .'.‘lt64,60 . ' . - . ., . ,,... . . t 2-.- ,. ,. ; - • 1 • . . ... DVEfl 1 yit1214,40. ORDEREDBY .. .. . . , . . ' RMIT PAlityiENT TO • .' • _ .... E ,.. 9125 10th AVE, S: '.- - . . . .. . . . • - -- -- - . - • OISPATC . -R TAX C , 1 illtelEgii 4 . ... :. .:1:111.11‘,16 ON Fl PV E.I3 SE. ''' : ' r .. ';(• ' SALES TAX ‘.' , . ' 1. • • ( RELEASE -,r CUSTOMER RELEASES fiND Aeriqps TO I- oLc,i,FiAR LEgS KANCILEY14001-c & FIEOVOLINO, AOIVIIOIs1 OF ,GARY MERLINO CONSTRUCTION COMPANY, IN . ;OR A AMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD . . . .. . - .... . BY OF MATERIALS AB!. D ON REVERSE, CAUSED DELIVERY LISTED . - • - . . . .../..".C.. .. ;CUSTOMER SIGNATURE ../ -.r • . . • AMOUNT • 4 . . . - PRINT NAME . . .- -- DATE . . . • - .3 REV 04-2000 j CUSTOMER. COPY • HOLEY ROCK & RECYCLING Kangley Rock&,Recycling Loca1Io KANCLEY PIT (Plant 121) 32500 SE I(eM-Kanglay Rd, Ravonsdale, WA 9B051 BLACK RIVER Mont 024 -(206) 058.0012 DELIVERY 'PICKET AC C UUN I INti; a 1 en I try r I1 HV GNIUe OtJU rn 510 Mooater Rd. Renton, WA g6005 SEATTLE, WA 08108 • (200) 762-2560 LAKE FRANCIS (Platt 023),we) 05tt^4012 mot eE Lalie Franca Rtl, Mapco Vary, WA 99036 • DNISIL7N OF GARY MERLINO CONSTRUCTION COMPANY, SIC.' Cedar Mountain Reclamation . 17077 Cedar Stove Rd. SE. Mapco Vauay, WA 00036 ,. P1 Mani .- ACCOUNTING (206) 762-25s FM • • (208) 762.236S 2 SALES,& • ORDER DESK 25 226-i 000 :MAPLOCATE LEAVE PLANT. ARRIVE JOB LEAVE JOB ARRIVE PLANT• DATE CUSTOMER NO. ORDER Nt7. PROJECT PLANTS .CUSTOMEt NAME • CITY TRANSFER# ` ' CUSTOMER P.D." ' ^• •192# ' . JOR NO. ' 11 DELIVERY TICKET NO, ' S( 9434 JOB ADDRESS ;+ CII , 11O .. € • � ' •• . COLLECT ON DELIVERY (C.O.D.) C' i1 adl.0 .:: 0 CASH E) CHl~CK it '. .. ' .. U CHARGE •. ./._____ EXP. SPECIAL INSTRUCTIONS CARD # ,_ • ® VISA . , .CJ htIASTEIICARQ, , ' • d DISCOVER... , h. Ir' ANTI•QUTY LI M:`' PRODUCT,- CODE DESCRIPTION TOTAL: TONS • v UNIT FRICE AMC?UNT I P t a5 i +h # . Tare 41 :III' . . . .. . . :Net • GO) . )' y ' } t a or3VER 1 Tt7 1U�CKN©. eTld34 ORREDSY RE +IIT PAYMENT TC; SUt3 TO'I•,AL n�12"a 10th AVE S •. • DISPATCHER TAX Ct1�E Y' 1lMH DE SEATTLF,°.WA 901 QII :'('ERNS ON, REVERSE` SALES TAX RELEASE — CUSTOMER RELEASES OF GARY MEIRUNO CONSTRUCTION AND AGREES COMPANY, TO HOLD I4Ai MLESO ICAN&LEY ROCK & REoYCl. IG, A DIVISION BALANCE FORWARD' INC. FOR ANY DAMAGE TO. HIS REAL. OR PERSONAL PROPERTY.. a; CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, AILS ' iEVERSE. • CUSTOMER SIGNATURE r' TOTAL t rt AMOUNT PRINT NAME . DATE... • , REV Qd •2009 . ,. CUSTOMER COPY • NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA Bolos • (200) 702-2566 '41 DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC, Kangloy Rook & Recycling Locations KANGLEY PIT (Plant 21) 32500 SE Kent-Kangloy Rd., Flovensdole, WA 98051 BLACK RIVER (Mani #22) -1208) 0E2-0012 510 Monger Rd. Renton, WA 080515 LAKE FRANCIS (Plant 20) • (208) 068-0072 22501 SE Lake French R. Maple Valley, WA 98038 Cedar Mountain Reolamatlon 17077 Ceder Grove Rd. GE, Maple Valley, %mentos Plant 020 • (208) 8584019 , ...., DELIVERY TICKET hi , ACCOUNTING (206)762-2E66 FAX • • (206)762-2358 SALES ORDER DESK (425) 226-1000 MAP LOCATE . • LEAVE PLANT • ARRIVE JOB . LEAVE JOS ARRIVE PLANT Iq N 'DATE • . 051.?1?-r2f)11t( • CUSTOME.RNQ. . . ORDER0,.. PROJECT . . . • . ' . . PLA i CUSTOMER NAME • • CtrY IFIANSFER .; . CUSTOMER PC. ,•• •-• •. ' 19216 .•::- JOB NO, •• . : ()If42.143.•: • . DELIVERY. TICKET NO. . • . 93455(') . 'TERNkil)NALBA)&154,4 . . . . • .. • COLLET ON)4IVERY:(0,6.D.) 1s El CASE -I D CHECK /I 0 OHA G 'i -F,-,Al'AC . . ' • • . , • .••.. . .. •• . - .• • , CARD ll ' ' ..• . ".: • . • • • . . C:3 VISA LItylAqiEriogici . • ID DISCOVER SPECIAL INSTRUCTIONS - . , • '• . . . . . • • • . • • , . , . . ... , • 'fi •..... -. DESCRIPTION . • • , ... . . :TONS . - TOTAL • UNITPRICE . ''.- • ; '"I'• .. AMOUNT. :. ,....: •••••:':;30,' .'"' •'" ' '' ' '42024RC • ' • - -A - •77. E-.11.:A-3.p•-•,,..,:',...,,,, :::,,..„,, . 30 . ' 23 , . ., - . • . • . ,.• . • .. • : . . ' • • • . . . • ..... Cires4 .... • I : .. • • . . .. • - - 932$5,.; 7 • ' 15 '' . • . . • .*: . . . • • . • . . : Xi EffilIFt MENTAL SAIRCI-filftGE: , .. . . . . . • • • . . .. . . . . • • •• . - - . . . ... . . ,......, . • • . . • . .... . • . . . . . • . • ... • , • .. . - . . . . . ... • Tuilat 436,00..00 . • • , • : • . . . . . , . • • • • • - ,., . . • „ . . • • . ' • .. . - •• . . • • • • • • .. • • .. . . . . . . . . , - - • . • • . . , .. . • . . . . . . . ..'„ :- ..41 . , .,.,..'• . ,.: . .,, ..'l, . : •- f '1r : r ' . •.,i ri ..z. • . • , . ,; • 1" • ., , .,..... DRIVER • . , TRUCK NO. cri4:32 ORDERED BY -.• : ........• . • • - • . . ..,- :• ..., .,, ...• ..,.,•••.........REtvoT PAYMENT TO r.,, ,... , •• , ',..- 9125,1(111i AVE. S, ' . - '.: SUB•....T40.r/L ' • ''''. ' ' DISPATCHER c 21 •kFA . . , MED , '' ' '.' .SEATTI-t WA•98108 '' ' ,,l. '' ' ' . ' TERMS ON REVERSE • • . - . .. . . ' --•' • - ' - • • • • . • ., . SALESTAX - • . . .. . . . . . RELEASE - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROOK A RECYCLING, A DIVISIO - ' • • ' OF GARY MERLIN() CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL§PROPERTY BALANCE FOFiWARDr`l. CAUSED EY DELIVERY OF MATERIALS LISTED ABO 0 'REVERSE. - ' • ' .TAILS : .• ' . . CUSTOMER SIGNATURE • TOTAL . .. _ /7 0...--, .• AMOUNT. PRINT NAME :#, ' DATE ., : REV 04.2009 • • ' . , • .. . . . - CUSTOMER COPY .- . • . . • • . _.......... _....... _._........._ __.........,.._____......_. 3 • NGLEY ROCK & RECYCLING iCCOUNTIND: 9125 TENTH AVENUE SOUTH SEATTLE, WA 91310EI • (205) 752-2596. Kongley Rook & Recycling Locations KANOLEY PIT {Plan! 0 21) 32E00 SE Kent-Karpkey Rd. Revaoadale, WA 28061 BLAuK RIVER (Plant 0 22) - 1200)1350-001E . SAO Monster Rd. Renton, WA NOM • 'LAKE PRA Ncts. (Plant it 29). (200) 6504072 22501 BE Lake Francle Rh. Meple Valley, WA 96038 11 DIVISION OF OAR? MERUNO CONSTRUCTION COMPANY, INC: Cedar Mountain Reclamation ' • •• . . . . • 17877 Cedar Grove Rd, GE, Weis Valay, WA SEI030 ', , ''. ; .. , 1 ' • . , . • , Plans no • (DX) 050-0913 . . . ., • LEAVE PLANT ARRIVE JOB LEAVE JOB' MAP LOCATE pELIVERY TICKET . FAX• . (206) 7P272-358 . • BALES & • - -. : • ACCOUNTING (4226-(206) 762:2566 • ' ORDER DESK g5) i CO • • „ ARRIVE PLANT DATE . • . • warisol9 CUS • NO. • ORDERPROJECT .. - • , • . P TO ' . ' • ITV TRANSFER INC • • EflNANNLVD '&150111. • • .• AC PECIAL INSTRUCTIONS (.31ii5".s ATCHEH CUSTOMER P.O. "' JOB NO, ' DELTVEFCY TICKET NO, 19216 • 0-#9216'" 93492. '- • • COLLECT ON PPLIVERY (C.O.D.) • DASH0 OHEOK. • D CHARGE CARD 14 EXP. . . • • . , D VISA .;DMASTEROARD O DISCOVER. REMIT PAYMENT TO 9125 iOttl AVE. S. SUB -TOTAL SEATTLE WA 88108 • • • TE:IIIVIS ON REVE13,SE • SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLE? ROOK & RECYCLiNG, A OF GARY MERUNO CONSTRUCTION COMPANY, INC. FO ANY DAMAGE TO HIS REAL OR. PERSONAL PR CAUSED BY DELIVER? OF MATERIALS LISTED ABOVE LS 0 ,REvERsE. .CUSTOMER SIGNATURE pliNT NAME DATE • OD Da-2009 CUSTOMER COPY ION PERTY BALANCE FORWARD TOTAL AMOUNT NGLEY ROCK & RECYCLING dr nrII.INTl Mc1 0i0, YrA171-I AVCn1111 Cri11T11 Kangley Rock & Recycling Locations KANCLEYPIT (Plant 121 32500 6E Keel-K(140Y no,, fiavonsdolo, WA D0001 131,60K RIVER (Plant 122) - (200) 056•0012 DELIVERY TICKET SEATTLE, WA 9810B . (206) 762-2666 LAKE FRANCIB (plant023) 1206) 658-0972 •• 225018E Leke Planets Rd, Maple V ey, WA 00030 . ' A DIVISION OF QARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation ; .. 17077 Coder {crave Rd. se, Mapto Vatioy, WA98036 •: • Plant 020 - (2,00) 050.0813 ; '•'. ACCOUNTING ., (206) 762-2666 FAX •. (20 762-2359 ' SALES & •, `ORDER DESK • 4261226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB AFiAIVE PLANT • ' DATE 1 CU84 1 O, C7TII�x ,.7' fi PROJECT . PLANT $ 72 CUSTOMER N f MYE6[�H� ss Ef R. c i i Y1'ii.'iW M *K CUSTOMERgg{�Pg.O 1 f y ... •iW f4i, ". JO.BNiyO. •' i1119 +•$ , • QELNERY T1OKE_T.NyO, ex"'i, 36 w — d $o t B ..itici..g 1. - COLLECT QN DEJJVERY {C.O.D.) 0 GASH ❑ CHECK t# : 'El CHARGE- 5EATAC .. .. CARD # EXP. _` ESPECIAL INSTRUCTIONS t , . 0 VISA , • C'] MASTERCARD • .0 DISCOVER` s I ttUANTtTY U M PRODUCT' •' " DE CRIPTION TONS TOTAL •" UNI1' PRICE -; ' AMOUNT .` ''. .i37• •` , .`s; F P ... ' Gti358- )Ci .i)( '4 4 3crrf .. - `. 'O E 7 A.- y y a egY�y+ ttlL %'D i'�t l ,;4 41 :7 iR L'rC • • • is -� , • r•e 41500, 1' ' 12. t s 3. • • • Net ..: • . t . - �.. w • ' DRIVER 1TRYCKNO. # yak ORDERED BYREM)TT'AVMENT TO •.'- ? 012510th AVE S. '. .. ;. SUB..TOTAL DISPATCHER TAX °l � p1 TIME ) SEATTL,G, WA 0)310$ TERMS ON REVERSE'; . SALES TAi( ` ` • RELEASE — CUSTOMER REI,PASES ANI3 AGREES TO HOLD HARMLESS K:ANdLRY ROOT( & R;rcYCLINO A DIVISION OF OARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY OAMAOE'Tti HIS REAL OR PERSONAL PROPERTY CAUSED BY DEUVERY OF MATERIALS LISTED ABOVE. A1L$ 0 ,F(EVERSI=. .. . E3ALANCE FORWARD • '' .- " USTOMER SIGNATURE ' TOTAL ' /4, • . r i NAME DATE : AtJI' ' IIPRINT f tiTy04-2000 . • -• • - 1 Itill 11111 F—H l :IIW T hiGLEy InOCK & RECYCLING ACCOUNTING: 8126 TENTH AVENUE SOUTH SEATTLE, WA MOB s (206) 782-2580 A DIVISION.OF CARY MERLINO CONSTRUCTION COMPANY, INC. • Kong ley Rock & Recycling Locations kANGLEY PIT (Flint V 21) 32500 SE Kenl.Kangley Rd, Raventodale, WA 98(151 BLACK RIVER (Man) 22)- (206) 068.0012 610 Monitor Rd. Renton, WA 08055 LAKt PTIANCie (Plant I BS).- (200) 558.0872 22801 SE Lake Rawls Rd. Menlo Valley, WA 90030 Cedar Mountain Reclamation 17077 Cedar Gran Rd. BE, Maple Valley, WA 4E1030 Plant iza - (208) 883-0913 DELIVERY TICKET ACCbUNTIMG (206) 762-2566 • (206) 7.6a72358 • • .ALES &•• 'ORDER DESK 4a5 .226-1000 P LOCATE LEAVE PLANT ARRIVE JOB EAVE JOB • RIVE tANT DATE 05/2Z2.619 CUSTOMER R 2 PROJECT PLANT 22 CUSTOMER NAME errY MANSFV.14. INC E'tqfATIoNALBLVD & SMTA P GIRL INSTRUCTION CUSTOMER P.O. , 19216: • 0 CASH CARD JOB NO. • 019216 ' *ear DELIVERY TICKET NO, ' 39GOHLELGEC#T, 91,4:7 yERY, K• . • • 0 CHARG Exp. •••• i • • •• • 0 VISA .0 MASTERCARO ,0 DISCOVER QUpNT/7'11 30=65 RIVER DISPATCH PlIODUCT'. - CODE 4202411C 70015 " • ' DESCRIPTION TONS RCA -TYP A-1 , * " ENIFIRONixtfgffrAt. SlifARt ICH. 3?)..05 )ELEASE CUSTOMER RELEASES AND AGREES TO HOLD•HARMLESS G Y K & OCLINO, A'DIVISION OF WARY MERLIN° CONSTRUCTION COMPANY, INC.. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPE CAUSED BY, DELIVERY OF MATERIALS USTED ABOVEr DETA LSFON REVERSE. opsromER SIGNATURE ri-3.1 irRINT NAME • *04-2000 DATE i„ • .1••• TOTAL, u NIT PRAIUNT PAYMENT TO SUB -TOTAL - • •9125 AVE. S. - sEATTLE WA 98100 SALES TIX TERMS ON REVERSE • • BALANCE FORWARD CUSTOMER COPY ;A:et .--1KANGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 762-2666 A DIVISION OF GARY MERLINO CONSTRUCTIOWCOMPANY, INC. Karigley Rock & Recycling Locations KANCLEY1317 (Mani P 2S) 3260D SE Kont•Kangioy Rd, ReVonadale, WA 55051 ALACK RIVER (Plard 22)- (206) 65B-0912 610 MDASIOf Rd. Revlon, WA 98056 . LAKE FRANCIS (Plan) # 23) - (200) es.fxsen 225D1 8E Loke Freddie Rd. Maple Valley, WA 90938 Cedar Mountain Reclamation 17977 Cedar Greve Rd. SE, Maple Velloy, WA nose Plant 920 (208)858-0913 DELIVERY TICKET ADODUNTINO (206) 762-2566 FAX (206) 762,g.368 2SAL-ES 'ORDER DESK (425) .226-1000 MAP LOCATE . . , • LEAVE PLANT . .. ARRIVE JOB - • ' LEAVE Jog; , .., . .. .. ..... . .. , ,. • ARR)VE PLANT • . • DATE :: 05/22/20•It. CUS I.!1 . ' . OFID . . • PROJECT • ' '', .• '' - . .. PLANT)) n .,, CUSTOMER NAME -• ' • 'CITY ;1-1NSFE'll'INC- • ,. . .., .. . - • CUSTOMER P.O. • . ' ''. • .• 10216 ' . ..• JOS NO. .• • ' - • . • 0f9216 r)ELIVEFIY TICKET NO. • • 93472'7 t:,1 ..t .- ..E NATtiZ)NAL F.A.s.11).-fg 15011-1 • . • . .. , ' . • COLLECT ON DELIVERY (C,,o.r).) • • . . °CASH p oFigici4 C3OHARGE '. 1 sEATAC. . . . , • • .. . ' ' ... ...: .... .. . . . CARD # EXR • . -1 • • SPECIAL INSTRUCTIONS ' • ' . • '. ", , . . • . • . • • • . • • •• • . • ,, " -. • .. . • • • . EI.VISA ,•,,.I;),11111.ASTEROAfiD. , Cl DISOOVEF1 .. . , • • . • . • , ,. „ • .• • .- . . . , . . . • .. ' ••.-,.. , - ' . . . , . . QUANTITY ,-,-, ., (j.-11,4,..,,, - '.! . PRODUCT- - . .-•:: ......---., DESCRIPTION ..- ',„, - . .. Torsi- .. , -.,: TOTAL-. bhi.T. PRICE .. ,, , •• AMOUNT • ' ''' .- .,.., i ' ' 30.31 , I, • ' F.. 4 . . , • • , ' ' :. - . , . - , . , . ., . . . . , . . . . ' . . . . . , .. • •C•ii6ilig. . . TN TN . • ' *. * . . . . . . 102220.„.1* . 42'0241-1C 70i)1 " • ' .. . • - ' . • . . .•. . . ''RCA pc) . 17 - A-1 ' •• : '' .. - . , ENTAL St:11.1C1-11',illt'A'l . , . . • • -..s. ' . , . • . . .. ' . . . .. . . . • .. -, . . . . . ' ' . . . . . Trt•. 41(19(1.63' . '• 3. • '''• 30,31 . . . • '" ' ... • • • . . • . • • • ....‘ • ' . • . , • • . • • . . . . , .. .. ikitit .. . . ' . . ' .. _ . . • • . . • • • . ... • ' .. . . ' ' O. . . .. . - • • DFlIVEFI ..I • • . . (1,:)?VihNO, ' '' . . 0 D REDDY , • .. REMIT PAYMENT TO • 4 , - . • „ ., ., . . . - ' . . - 912 ' 5 .10th AVE. s. . . . . . . -• . S-L UBTOTA . , . I (..)19PATOI-tEli I F." , . 14,..,-, . - TAXCe p- * 1 . .. . TIME DLIE,....- : SEATTtE, WA 9010B ' . ,',. , , 1.:5*.Zrl, .. :. TERMS ON REVERSE •;.' '". .,: ,• .'„ •.... . '. . • '''' . - , .'" . .. SALE TAX,.... 1 ELEASE — CUSTOM ER.F4EL.EASES AND AEIREES TO HOLD HARMLESS ANGLE? ROCK :& RECYCLIG, A DIVISION - RGARY MERLINO CONSTF)UOTION CDNIPANY.: INC.IND, FOrd IVY DAMAGE TO HIS REAL OR•PEF48014AL,PitIOPE . ' BALANCE FORWARD' . .. . . AUSED BY DELIVERY OF MATERIALS LISTED ABOVE, P,FJLS ON REVERSE. - I - • ..- CUSTOMER SIGNATURE - ..--'1 • . . . • 'TOTL . . . . . 44r7/. •"' AMOUNT .. - PRINT NAME .. DATE . . . , . " - ' . • '" • .., . REV 04.2009 CUSTOMER COPY ; NGLEY ROCK & RECYCLING ACCOUNTING; 0125 TENTH AVENUE SOUTH SEATTLE, WA 08108 • (208) 7824856 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. VSTPMER NAME • C TH Kangley Rock & Recycling Locations KANIILEY PIT (Plant . 211 32000 se Keni•Kaniday Rd., Ravenedule, WA 98051 BLACK RIVER (Plant f R2) - (208)658.0912 510. MOrieter RI Ranion, WA 98055 • LAKE FRANCS (Mini 0 29). (2OB) 858.0872 22801 SELake Frencle Rd. Maple valley, WA 00098 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA98038 PI an% 020 (200) esa-mis EAUC SPECIAL INSTRUCTIONS DELIVERY TICKET COUNTING (206) 762-2566 (206) 7.62-2358 SACES'& ORDER DESK (425) 226-1000 • TOMER P,Q. JoB y • 19216 • onvq._ El CASH CARD It AFIR LANT DELIVERY TICKET NO. 0114260 - COLLECTION DELIVERY (C.O.D,) 0 CIEck tf • OCHARGE • EXP. / 0 VISA C;I MASTERCARD, . b DISCOVER PROCiODOUECT -,21.4- • (, 4 MYER ;.t.1 . ISPATCHER • ,ELEASE — CUSTOMER RF_LEASES AND AGREES TO OF GARY MERLIN° CONSTRUCTION COMPANY, INC CAUSED BY DELIVERY OF MATERIALS LISTED ABOV ZilYaP°. • TONS nki UNITPRICE: - AMOUNT 14%/IRPN.I'vjEt.,i`rAL 111:iellArq( ORDERED BY CUSTOMER SIGNATURE PRINT NAME . * REV 04-2009 • • DESCRIPTION Vt, 4160.00- • • " 520xio • RErvilT PAY111E..1.4T TO , , SUB -TOTAL 9125101,11 AVE. S. SEATTLE WA 981(}£1 TERMS ON REVERSE SALES TAX HOLD HARMLESS KANe'LEY tioOK FOR ANYDAMAGE TO HIS REAL EflJ REVERSE. DATE RECYCLING, A PERSONAL PRO CUSTOMER COPY BALANCE FORWARD • ••• KANGLE'Y ROCK & RECYCLING ACCOUNTINGS: 9126 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-256d Kangley Rock & Recycling Locations KANGLEY FIT IMAM d 21)) 32500 SE KenI•Knngley Rd„ Ravonedgle, WA 06051 BLACK RIVER (Plant M 22) - (206)656.0012 • 610 Mangler Rd. Renton, WA92055 LAKE FRAMole Marti 0 23) . (200) 856.0672 22501 SE Oka Francis Rd. Maple Way, WA 08038 :A DIVISION OF GARY MC-RIJNO CONSTRUCTION COMPANY INC Cedar Mountain Reclamation • 17b77 Cedar Owe Rd. SE, Maplo Volley, WA 00036' Plant 020- (208) 650-0613 { DELIVERY TICKET ACCOUNTING • (206))•762.2.568 . FAX :. (206) 762.2358 SALES & ORDER DESK (425) 226.10dO MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATES . pR CUSTOME015 �tR NO, ORDER NO. PROJECT PLANT 4I J)( CUSTOMER NAME CUSTOMER P.D. . JOB,NO, ,.-„ : DELIVERY TICKET NO. . .( t-a - i,_.. Eh f 1 I �, 150TH COLLECT El CASH ❑ CHECK ON C1ELIVERY # (C•.O.D.) ECHARGE ATAC ; CARP N: EXP. 0 VISA 0 MASTERCARO .. Cl DISCOVER 5�a�1'd V,Tr «Le: X a 111ACY. '�i i t.. IA ... • C�t tANTITY ; U.MS )?FiCiDLIGT .= CODE . E:: I DESCRIPTION "`: TONS TOTAL' n z UNIT t RICE < ..., AMCIUNT *' ,, . { i is 40 . ` • ' . • .' '!. - DRIVER TRUCK NO. CTI4 :1 ORDERED BY R6MIT•PAY . i`O : 9.1251001 AVE.S ' SU>3 TOTAL ... 0)SPATCI1ER TAX CORE ' nMEet3E SEATTLE, WA 98108 ! . ; • TERMS ON REVERSE TAX SALES RELEASE -- CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS • GI- Rb K & REC'CUNG, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE ' 0 HI: RE OR rjE SONAL PROPERTY CAUSED BY DELNERRY OF MATERIALS LISTED ABOVE DETAILS ON'REVERS l3ALANCE FORWARD . •i CUSTOMER' SIGNATURE 1 TOTAL PRINT NAME ,AT AMOUNT EVO4.20 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 762-2566 a , A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. AP LOCA DATE 01'7:221201q CUSTOMER NAME t'ITY TPANSFOR INC .---jFiEsentfl--iNiiiTTCrfilA7 BIND A:1,561TO Kengley Rock & Recycling Locations ICANGLEY PIT (Nara .0 21) 32300 SE Nard.Kancley Rd., rinynnsdele, WA 90051 BEACK RIVER (Plant 22)- (208) 034•0912 510 Mangler Rd. Renton, WA 98056 LAKE FRANCIS Mani 0 23) • (208)838.0872 22801 SE Lake Frail* rd. Maple Valley, WA moss Cedar Mountain lieciematiori 17077 Cedar drove Rcl. 8e, Mania Valley, WA 08038 Kant "ED:(200) 5554813 • ARRIVE JOB PROJECT SEAT IAL INSTRU T1ON LEAVE JOB DELIVERY TICKET ACCOUNTING (208) 762-2686 FAX (208) 7.82-235B SALES & 'ORDER DESK (425) 226-1000 • •• ARRIVE PLANT P CUSTOMER P.O. ` JOB NO.bELIvEF1y -ROW NO. 19216 01 ' R3214 cou..EcT ON DELIVERY (C.0:D.) • • DCASH 0 . •D CHARGE CARD # * • . , EXP. 7 - *0 VISA • [:1 MASTERCARD , • • b DISCOVER •.' • . . f•• 4218 • . • • • • • • C:irt)s. • ThnivFn PRODUCT CEIDE -4MZ4F1 *is TOr•IS , •TOTAL,UNIT PRICE. AUIOUNT RcA�St PE I ie.'A4• • E•01:013 St.Wf4A'ArI' • EASE CUSTOMER RELEASES AND AGREES TO HOL F GARY MERLIN() CONSTRUCTION COMPANy, INC. FOR CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAI CUSTOMER SIGNATURE PRINT NAME DESCRIPTION • Tam 4172 • -(ARM Y ON . . FlEmIt.pAyklEt4T TO 61 iFy 10t1i AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE - .,:SUBTOTAL SALES TAX (ANGLEY ROCK & RECYCLING, A DIVISIbN E TO HIS REAL OR PERSONAL PROPERTY CUSTOMER COPY 1:IALAi\ICE FORWARD TOTAL - - AMOUNT t. KANGI.rEY !ROCK & IRIECYCLING Kongley Rock & Recycl(ng Locel(ons KAN4LEY PIT (Plant / 21) 32300 8E Kan1'Kangley Rd, Ravenadala, WA0B061 SLACK MYER(Plant 122) - (206) 653.0012 1•� DELIVERY TICKET '.•li PO-A.A./UN 111'4U. U tGe / GIN I ri "VGITJF gutrtri 510 Monster Fld. 1ienlon, WA Noes SEATTLE, WA 981 Q$ 0 (208) 782-288i6 LAKE PRANCIB (Plant/ 23) * (2W) 650.0072 22501 8E Lolw Franks Rd. Maple Va0ey, WA 88088'FAX e DIVISION OF OARY MER LINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 1 • , 17077 Cedar Grove Rd. SE, Maple Valley, WA98095 ,ACCOUNTING (208) 762-2.E6O (208) 762°•2358 , SA(-i S & • 'ORDER DESK 425 226-1000 MAP LOCATE LAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT • PLANT N CII'C Mt40AtIC: + - 'CUSTOMER RO. • ' JOB NO. '' � DELIVERY TICKET NO, J B ,7 LRX ✓ ,yy�� yy ; .•.y.::r•}:, t p g•�.,.�. G " e "^k 'ys+d'-E %t�'i ♦y®1, ,// ggpp •�5y �� °f V ° i 6iYn i.! ®I�ps.g•' MJ ��y � �q�p /9 p� p�� VLOLLEC 1 :O,,N NEI,IVER8 .(V.O.&/. r " "I 8 3'r 3-ii # 53� E 4 �9 F i C] CASH q ;CHID, tt , : , El CHARGE " EXP. i SPECIAL ItJBTAUCT1ON8 CARD# • . OVISA. • : C) MASTERCAFID.. ... 0 DISCOVEEF ,. QlANT(Ty U M PRODUCT .. ,.CODC •' .' " ` TOTAL'' tJLSCRIPTEOIJ TONS o 4 UNIT PRICE' AMOUNT . rr}} ��yyy A'-. ,06 )rocs `gyp $ i'N it O'd .t O 4S [�j j,,•5 AI0-1 7r. O RCA (1:` S1 '1 17 . y�{y(g�7 �t�'p¢ gy' �,-+�p�g $ OP M N 6 Ai." SURCHASI ; • Tare 4 , y' ]� 4-<7. - 21 , .., . � - '. • DRIVER TRUCK NO, ' . ORDERED 9Y" REMIT PAYMENT.TO J 2G1oa-AUP,S SUB TOTAL Dtt;PATcHFR TAX CODE TIME DUE ( SEATTI.E, IAA TERMS ON 9810$" REVERSE SALES TAX RELEASE — CUSTOMER RELEASES OF NARY MERLINO CONSTRUCTION AND 'AGREES TO HOLD FIAR LESS ;NGLEY ROCK (RECYCLENQ; A DNISION COMPANY, INC. FOR ANY AMAG TO HIS Rt:AL R PERSONAL PROPERTY FEVER BALANCE FOItWAIII? . CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE; DETAIL 13 D E. , CUSTOMER SIGNATURE j' TOTAL. PRINT NAME t7•,. AMOUNT t . .. REV 04.2009' r,rl to-innM r nr.5V NGL.EV COCK & RECYCLING Kangley Rock & Recycling Locations KANQLEY PIT (Plant Ii 21) 32500 0E Kenl-Kanglay Rd., Ravenadale, WA96051 64ACK RIVER (Plant t • (206) 6E50212 DELIVERY 7itr4 JUre a nna: a 140 1 CI' 1 n Ii WJNUC out/, n •, - • 5141#00# er Rd; Roth" WAO8QSE • SEATTLE, WA 98108 • (206) 762-2560 LAKE PRANOIS (Plant X 23) • (288) 058.0872 22501 SE Lake Francta Rd. MopiaValley. WA A MASON OF GARY MEfTLINO CONSTRUCTION COMPANY. INC, Cedar tiiWunteln Reclerhetiott I .. 17877 Cadar Grove Rd. SE, Maple Valley WA BE038 • Mont #20- R200) 068-0913 ACOOUNTINO FAX SALES ORDER ; l . (206) 762-2566• , , " (206) 762-2358 '. & DESK( 425 ) 226 100U MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB . '. ARRIVE PLANT RATE Out9 CUSTOMER NO. / 0`, ORDER NO. L PROJECT PLANT It L CUSTOMER NAME ' f C.IC. CUSTOMER PA. . ' • , • 1'' JOB NO. . 1i DELIVERY TICKETT NO. . t R R .E• : . CC/L'L CT OW D tf/e Y (CAD.) .,, ®CHARGE • 0 CASH • O CHEQK T/ # .. . CARD 4I EXR •'. / .. ®VfSI4. • O NlASTRCARp,DISCOVER :: • SPECIAL INSTRUCTIONS • G ANTI. U, h9 PRODUCT ..,.CODE ...' : •: DESC# IPTIO .. TONS TONAL: s► UNIT PRICE .; AMOUNT qy.�.■ G sp . • w;�.�:• • • Tara4 r ter'• .. e. ,.,, . • ry SKT.nb "•. gpqgyyp 5A �[^'{Ypp gryryryg`/ry' ^° Fb eV'H. �^. •a ry a • .4 6 DRIVER • TRUCI(NO. ORDERED BY LP1Y:NT TC11•4vT TMO 20th AVE S SUTOTAL DISPATCHER TAX CODE WATERMS TIME DUE 5t*ATTLE, WA`90100 .' ON;REVERSE ; SALES TAX RELEASE --• CUSTOMER RELEASES AND AGREES TO HOIa HAR ; ,ASS NGLEY HOCK $i RECYCL1NC#, A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. FO1 ANY e/IMA 0 HIS REAL OR PERSONAL PROPERTY DETAI1 3 ON f'ji VER " BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. . • CUSTOMER SIGNATURE URE \\\ . • DATE PRINT NAME At/nuNT • t REV 0a-2009 CUSTOMER COPY •NM:EY flOCK & RECYCLING ACCOUNTING: 9125 tENTH AVENUE SOUTH Kftngley Rock & Recycling Locutions KANBLEY PIT (Plant I 21) 32500 SE Kont-Kanglay AcJ.. Ravanulato, WA 08051 BLACK Inver' (Plant 2 2) • (208)008-0012 DELIVERY TICKET SEATTLE, WA 98108 • (208)702-2588 • L'Zi..4;71',.131;rrEgIVQ7(;"8) 850.007g 22501 SE Lake Franc15 RI Mapkc V4IleY. YVA 98980 A DIVISION OF GARY MERLINO CONSTRUCTION COM/DANy. INC. ?radar Mountain Reciumttlion 077 Cedar Grove Rd. SE, Maple Vaifey, WA9803$ Pient,e20,- (286)858,0013 . ACCOUNTING (206) 762-2666 FAX pos) 762 -2S58 .. 'ORDER DESK (425) 226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ' ARRIVE PLANT •-g . • 22102ols us, . v g . DL59'il., PROJECT • '' .. . . . PLANT id 22-. CUSTOMER NAME .. • C,ITY TPIANSFErt 1t4C• • • • -• - ' CUSTOMER ;' ti -- • ' JOB NO. '. ' 01t1216-.- '• DELIVERY TICKET NO. ' • ' g41.444,9r 1 iJOBAQL/I1ESS ' ' ' ' •Pittl.i3 ifirEFiftiAT4rftki t - • " • - - - - • 3 • •; • • .. .. COLLECT . "' ON DELIVERY (C.o.D.) CI CASH 0 0Hq0K 0 EICHARGE i SEATAC . . • . . , . . . . . . .. • ' 4 CARD it '„ - EXP. •-,-1--- 1, SPECIAL INSTRUCTIONS • • • ' • „ . . .0 VISA • CI MASTERCARD . b DISCOVER • , . ..„ . QUANTITY -,U . . M , • • . . . • . PRODUCT * DESCRIPTION • • 2 ' . TONS TOIAL UNIT PRICE . ANIQUN1 .31.1YS, • . • , . • - , -- - • • •- . . .. CsiTti$45 , • TT ir ';'. . ' . 1% *. . : - . • . ) ,..rAL . • ..ftf- ' R(4 . • - • - . ' .. • • . • - - . . . . . . . . • . • • ... • . . • .:,•• • . . • • • . • . . .. , • . . . . , 'f spg - 41r20.00 : .... "" . •.. • • .. , . . . . , • • ' ' --`..- ' . , , • , . ... : : . . . . . - • - - • -• . . . • '. • . •• ' • - • - . . • . , . • . . • . , . .• .. . • • .• . • . • . 2ItItIAO.' ., . • • • • . , DIVER . •.,, eitigvi . ADERED BY - - RE-mir pximENT„ TO • • 912510th AVE, S. , 01sPAT0RER , . TAXQ T 1 \ TERivls (,)N REvERsF SAL ..S RELEASE — CUSTOMER RELEASES AND AGREES TO 1.10LO,cRIVI E N ' • & OIECYCLJNG, A DIVISION OF GARY MIERLINO CONSTRUCTION COMPANY, INC. FOR ' NY MA TO HI. EAL OR PERSONAL PROPE BALANCE PORI:YARD CAUSED SY DELIVERY OF MATERIALS LISTED ABOVE, DETAIL, N • E . . \ . CUSTOMER SIGNATURE• TOTAL • - , • ,- AMOUNT PRINT NAME DATE • hey 041211119 . - . , . . . . . . .. . CUSTOMER COPY •• 1. • . . . • • • NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 08108 s (206)762.2686 Kongley Rock & Recycling Locations KANOLCYPIT (PIanI4 2 ) 32500 SE Kenl•Knnglay Rd,, Revenedale, WA 00051 BLACK RIVER (Plant 122) - (200) 656-0512 510 Manelei Rd. Renton, WA 00055 ' LAKE FRANCIS (Plant if 23) - (200) 858.0072 • ' " 22501$E Lake Frano)a Rd. Mapki Vaaey, WA 00038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation •17877 Ceder Grove Rd. 8E,.Mapla Vaney, WA Biwa • Plum A20.- (208) 65.8.0016 DELIVERY TICKET ACCOUNTING (206) 762-2566 -FM • (206) 762-2358 'SALES & ' ORDER DESK" 420226-1000 A MAP LOCATE LEAVE PLANT ARRIVE J00 LEAVE JOB ;- ARRIVE PLANT DATE. • • •' CUSTOMER NO. ORDER NO. vzraz PROJECT PLANT A ` CUSTOtv1ER. NAME . CUSTOMER P0, • , JOB°NO ..... CIELIVERYTICKET O. JO R , rG' @ ". COLLECT O DEL{VERY (C.O.D.) . 0 CASH 0CHECK# ❑ CHAR GE ; 'VAC , : • CARD ## . - EXP. ' I , .. . 0 VISA •, 0MASTER ARD .., CI DISCOVER ' • SPECIAL INSTRUCTIONS • QUANTI TY • U M .: XAl t eRODIJCT COOE ' 2 DESGRIPT.it7N " • 1 • 1i'L:e. 41 P+ 9J 41 TONS ' 2.07 TOTAL" • , '' UNIT PRICE • • • • ii`fw'aMIM" . ; A•M• OUNT . DRIVER • TTA�UU KN®. It ,l ORDERED8Y REMI'C PAYMENT To ;'^ SUB- 912510t1h.AVE S • TAL DISPATCHER TAXC ' TlI��E SEATTLE,-:WAgal a8 t : SALES fERMS•.C?N`FiEUERSE .' TAX' RELEASE — CUSTOMER RELEASES AND AGREES TO HO H LE S KANGLEY ROCK & RECYCLING, ADIVISIOIJ, OF GARY'MPRUNO CONSTRUCTION COMPANY,'INO, F ANY *A GE TO'HIS REAL OR PERSONAL PROPERTY '. BALANCE FORWARD .. CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DET LS 0 • REV R E. CUSTOMER SIGNATURE TOTAL AMOUNT ' PRINT NAME DATE REV 04-2000 CUSTOMER COPY NGL EY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 . (208) 782-25 Kangley Rock & Recycling Locations KANGLEY PIT (Plant 121 82500 BE Kenl•Kangley Rd, Raltansdnle, WA 98051 BLACK RIVER (Plant N 22) • 06) A5841912 • 810 Monster Rd, Renton, WA 98056 LAKE FRANCIS (Plank 23) • (200116�50•D872 22601 SE Lake Francis Rd Miiple Vol*, WA 98036 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY INC, Cedar Mountain Reclamation 17877 Cedar Grove, Rd, SE, Meplo Valey, WA 68038 Plant 1720 • (206) 556.0913 DELIVERY TICKET ACCOUNTING FAX • SALES & 'ORDER DESK (206) 762-2586 (206) 762-•2358 (426) 228-1 000 MAP LOCATE LEAVE PLANT ARRIVE JCB LEAVE JOB ARRIVE PLANT f`s.r i2.:0' i CU5 lt�. 9t O. OR PROJECT PLANT 8 , USTOMER NAME #3IYT t't CUSTOMER P.O. '.• 191 .JOB NO . ' O1 18...• DELIVERY TICKET NO. , 9 iE1 t � x a Jo DR � ($�t� (a ' • COL I.EC ON pELIVE RY:( O.D,) ... EATAC ❑ CASH O CHECK # L] CHARGE EXP. t...-._ t SPECIAL INSTRUCTIONS • CARD # DVISA 0MASTERCARD• ;C) DISCOVER, ,'• , QtiANTi II.M , PRODUCT �� ,.. = O�F.. ' DESCRIPTION TONS : 1OTAL UNIT ' PRICE AMOUNT -i a fJ7i'Li ; • .S kfiri .l '71 ' r i 7 • [ROWER/AL LI` , • • • 1 •-• 41720.00 r. 3 i •'j c' cf • $ 1, xi °.. ''.,, li `l • oFINEH 3 IataO. OROEREORY tEM•ITPAYMENTT(? ;..;, 125 1001 AVE S. ; SUI TOTAL DISPATCHER TA> $ TIME U SEATTLE, WA 98108 TERMS ON REVERSE SALES TAX n RELEASE CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANtt Y R OF GARY MERL1NO•CONNSTRUCTION•COMPANY, INC. FOR ANY DAMAGE TO IS REOR & arks INN, A•DIVISION .. E"•*NAL PROPERTY BALANCE FORWARD • CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE, CUSTOMER SIGNATURE TOTAL• = \\ :. PRINT NAME AT1r ' •" ' AMOUNT i 1 REV 04-2009 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 88106 e• (206) 762-25E6 ICangley Rock & Recycling Location KANOLEY PIT (Plant f 21) 32500 SE Kanl-Kangby Rd., RaVanedala, WA 98051 BLACK RIVER Men! M 22) • (200) 850:0812 • 510 Moneler Rd. Renlan, WA 88058 LAKE FRANCIS (Plata Y 29) - (200) 850A872 • 22501 SE Lake Francis Rd. Maple Valley, WA88098 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountatn Reclamation 17877 Cedar Orove Rd. 6E, Maple Valet WA 08030 Plant M20. (200) 668.0013 'DELIVERY TICKET ACCOUNTING (206) 762-25i65 FAX. (206)'762.235>8 SALES &'• ORDER DESK (425) 226-1000 MAP LOCATE . LE0.VE PLANT ARRIVE JOB . LEAVE JOB .. " ' ARRIVE PLANT n( fDATE 14 CUST Js )dO. it ORD J + PROJECT PLANT ry 7rY USTOMER NAME croft M GUSTO Ft Rg�O. �•+� ' •. dui 9Sf - .' JOB NO. ;. • • E2 DELIVERY TICKET NO. ., Jt?• F Cil AtiONA . .. L"."OL[.EOT ON DC VERY (CAD.) • ® CASH E3CHECKI.. ` '.. ❑ CHARGE TAC-. , , ., , ; CP RD A EXP. J SPECIAL lNSTAUCTIONS ,. ®VISA •' :o,MASTERCARD' 1 `-�IDISCOVER' QUANTITY .,, • .t°a y, ...• • • qq°ayyflpstl••VaMY �.'ie U M, ;' '' ". {g1psM•.gfggVy}'eLtyy e PRODUCT.. ,CODE� %�'u.._.f'FsL e • DESCRIPTION 3k .'. '+ .ice ....•.i .e..Ff9L �' 1 .. Tarey 72 O • TONS `°•�a,� • • TOTA! .rr••3*a • • .gyp•i. �(pGP,ro& . "••.s1p6yFaL..,•-.... UNIT €'RICE az, .Yl9$ AMOUNT %LIWW1 • 5 y 3}$ dU, ORDERED BY REMIT PAYMENT TO ,' 91251Ot11'AVC S SUE3-TOTAL ,t °DI0PATONER TAxC TIME tt , 44 SEATTLE, WA98106 ." ' ' TERMS ON REVERS :. SALES TAX F; RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KAN!4LEY 4j CK OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE T 'HI$ L yr PE BY DELIVERY OF MATERIALS'LISTED ABOVE; DETAILS "ON REVERSE, YCL4 G 'A DIVISION' ;O PROPERTY '.; BALANCE FORWARD ... " ,CAUSED CUSTOMER SIGNATURE TOTAL. .•, '. AMOUNT • PRINT NAME' DTE REV04.2008 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH ) SEATTLE, WA Gel DB • (206) 762-2566 A DIVISION Or GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plenl 21) Oe000 SE Ken 1.Kenpley Rd., Ravonedek, WA 68061 BLACK RIVER (Rant It 22) -(206) 658,0912 510 &bailor Rd. Renton, WA E8065 LAKE FRANCIS (Fldn1 I 23) -• (208)8684)072 22501 E1E Lake rrende Rd. Maple Valley, WA SOME Cedar Mountain Reclamation 17877 Cedar Grove Rd, SE, tv1eple Way, WA OB038 Plant rzo 206) 658-0019 DELIVERY TICKET ACCOUNTING (206) 762-2566 • FAX . (206) 762-2358 SALES & ORDER DESK 42 226-1000 • MAP LOOATC • LEAVE PLANT ARRIVE JOB LEAVE JOB • • ARRIVE PLANT DATE 2019 ..0.12.2./ CUSTOMER NO. . l'a1501 ORDER O. , 622'302 . PROJECT • . ..,. PLANT it 22 • CUSTOMER NAME „ . . . ' , . c,ITY TicuktPEA. No - , . CUSTOMER P.O.' .. . • pa Not - ; tae ., DELIVERY TICKET NO. , ' 9f3:itY61 °. .1. Ti' - ' - . .. . .. CoLLEcT ON Dgi..1vgRy (0.0.D.) 0 CASH ID CHECK # ' , ElC ARGE .9EATAC -V V ' . . . . . . . , . . . . • CARD # SPECIAL • , INsTRucTioNs • . . . . • . . . • • .. . ' ' El VISA ,EI MASTERCARD. '0 DISCOVER . , ..... . ,,,,......QUANTITY.;::": • , . ',U.M. 7 : PRODUCT- • . .. ..:, : -- - -,. : f DESCRIPTION - • • ' • TONS '; : .: ' : : •. • ,-.:;:, -UNIT PRICE. -- : -: :AMOUNT- -.'.!. .. 32,44 ' • . . . , • ... . ... • . • • , .: . . • • • • . • . •- ." (..4roest- .: • 114 ..., ... . ...,. • . ROO.th 4.- 24R , 7 . - .. . . . . . . ''''• • - Tr ?.. •;17-',M fc. - •-•.:; ,... ),IMa4i.AL::SLIirtiN'c . . . . . . ..•. .. • . . • • • . • . . • . . . • . . . • :.• :. .... • • . . . . • • . • • • • . . . . . . . . • . .. • ' TEM 4172OI0 . . ..,',... . ,. • •••'• i - • ''.'..• •, . . • . . ..• . . . .. . . . .. . . . • , ....:•"•*-.1.2rr...111 ,' ' .• • • ....:*,:. .. ... . . .. ., .. •. .. . . . , . . ..: •.... % .. . .. . • ... -% • • • • 1... • • ::.•.''. '• • ' ' -. , , - . . • .. • • . • . • • .. . . . . • • : , • , • . • .... . , • ....- ••••.• . . . . . • rtivEn TflUclNO. 0ERED BY - REMIT 'PAYMENT TO '. .,. ... : . - . . ... . 9125 10tii AVE. S. : . ' • '.. : • ,.. , " . - . • --SUB-TOTAL . I OTAL . - • . ." . :. . - . .. .. .. DISPATCHER .. • -. CV11 TIME 1 : I. , . - . SEATTLE;WA 90103 : - .* - • :' TERMS ON REVEIRSE . . ...• • . : .. ' -- SALES TAX . ... . . : 'RELEASE - CUSTOMER RELEASES AND AGREES TO 110Lt) HARMLESS , NGLEY1:10CK & RECYCLING, A DIVISION '0'F'GAR\I MERLINO CdtiSTRUCTION COMPANY, INC. FOR ANY DACIA TO HIS REAL. OR PERSONAL I3ROPE • CAUSED BY•DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON PEIE - .E. ' •- ' — - . ' ' ., . ' . -.. ' BALANCE FORWARD - . CUSTOMER SIGNATURE . . . .. .. PRINT NAME . . AMOUNT . . . REV 04-2000 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH Kangley Flock & Recycling Locations KANCILEY PIT 11,1331 9 21) 02600 RE Kenl-Kangley Rd. Ravenatiele, WA 96051 BLACK RIVER (Planl 22). MOB) &30-0912 Kin INA nonce DELIVERY TICKET SEATTLE, WA 98108 * (206) 762-2666 '1::AVE'ti;ins'dri;"i;;;cill';.;:1;,O) 6504$72 22541 $S Lake Francis M. Mtlpk) vafty, WA 98038 • A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation WA S.11040 . . 17477 Cedar Grove Ad, SE„ Meals Valley, . . Plant $20 - (206) 652-0013 • ACOOUNTINCI (206) 762-2566 FAX ' (206) 762-2358 .6ALES & ORDER DESK 42 6-1 MAP LOCATE . LEAVE PLANT ARRIVE JOB LEAVE JOB, . , ARRIVE PLANT DATE 1}5/21.,70I,St. CUSTOMER NO. 169S01, ORDER NO. ' 522215 . PROJECT , , ' • • . PLANT 4 22 CUSTOMER NAME CITY TilANSFI,.R INC CUSTOMER PO. . - ' JOB NO, • DELIVERY TICKET NO. JOB ADDRESS • PA3G:- INTERNATIONAL.. LVD & lf�Yl'H 0c)4..t.EpT ON DkLIVEFiY (0.0.0) . . . . • 1 0 CASH D 01-IECK # • 0 CHARGE TAC: . • ..- . , . • ' • • . , ..... . . CARD # sR,, I lj TL9Ms/35Ft T CY.* PLASTIC IN LOAD . . -• 0 VISA ®,MASTERCARD P DISCOVER QUANTITY •-••• .• ' 31.79 „'o l' 31 .1f) • .. . I , • . 11 • - . • Gros .g ,'J M. • .• • IN42t) . . ' . (O4Th'O.00 PRODUCT • 4RC . . 70015' . DESCRIPTION . . • . . RCA COS TYf3E.,17. A-1 Etsf‘iIRONNIENTAL; WRCHAh ' . ' • ., . . . • . . . Tat* 41200,00 TONS ., :. ':-3 ,7 f- .3 1. • . TOTAL 3 :IS . . . . - . : UNIT PRICE ,..... . . . . . . • • • . AMOUNT . DRIVER ' , TRUCK NO. 1111143 ORDERED Y . . -REMIT PAYIVIENT TO 9125 18111 AVE, S. . • - . SUS •TOTAL 1DISPATCHEn 1. I TAX GODE WA 1 TIME DUB SEATTLE, WA 98108 1306 TERMS ON REVERSE SALES TAX pELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEV ROOK 6, RECYCLING, ADIVISIO _ DP GARY MEFiLiNO CONSTRUCTIONCOMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY , BALANCE FORWARD ,...AIJSEO BY DELIVERY OF MATERIALS LISTED ABOVE. D ON FIE ERIE. 1 ..,,fr ' • •Ous-romER SIGNATURE TOTAL 1'2 ' AMOUNT PRINT NAME DATE • REV 04-2069 1 CUSTOMER COPY NGLEY ROCK & RECYCLING Kangiey Rock & Recycling Locations HAWKEY PIT (Mani / 21) 32600 SE KdAl•KAnglay Rd, Raysnaciele, WA 9E051 BLACK RIVER (Planl It 22 - 1200) 058.0912 DELIVERY TICKET (1,,,,,,,,III I •11,-,I. I.., tr.., I v.,/ I I 1 rli V 1-,01...., ..I.-,1 I I I . on, mantlier Ha. tialtiOtl, WA SEAbb . SEATTLE, WA 981 08 • (208) 762 -5(113 4 LAKE FRANCIS (Plani 020) . (20E) 65114072 22601 se Lake Franoia eel. Maple Vatey, VVA 08030 A DiyISION OF L1ARY MERUNO CONSTRUCTION COMPANY, INC. Cedar Mountain declamation .,, .,, ' 17077 Cddar Glove Rd. SE, MAPIrs =NV. 'OVA 90030 • • . : - • PINS /20 -.1200) 888-0013 ACCOUNTING (2r.se) 762-2588 (208) 762,-23,58 VA.1...ES & , j.ORDER DESK 4 5. '22.0-1 00 MAP LOCATELEAVE . PLANT . ARRIVE JCR . 'VE JOS . , . . i • • • ARRIVE PLANT DATE. • 05121/2015 GUST ER NO, ORDER NO. ' 622'175 PROJECT • PLMT4I 2Z • CUSTOMER NAME • CITY "TI-1.AIkISFEI:IsffiC • . . . CUSTOME . ' ' ' . 16 ' JOO NO.. ' ' . OELIVERYTICKETNO. . . • r4t ' . •... • RNATK.)NAL BLVD 1iO114 . •• t, • COLLECT ON DE1.1yEEty.p.o.D4 . . . . .. • .. . . . . . AT -`•• 0 CASFI El CHECK ii , . 0 CHARGE it ' EXP. - 'SPECIAL INSTRUCTJQNS - • . . • CARD . , . . El VISA • 0 MASTERCARD,. 1:1.DIS0OVER • - . . . • , • A.N1TrY :.- I). 4 - , • • .Th . , • • . . . . • Gross • ‘`."11•M: -:'" ::1 1 ',:. . . .. ' O0t)E ' , 44 24 C ' ..4. , . . . • • . - `- DE DRI!TIDN • ''-UCACQt 1YPE'Ir•A1B08,•,•-•.:, -NVRO'tiiAL JCkAF 1 . . • . •,, • • , • . . . . . . • Tzird ' 40220.00 • . ". ' • ,.. TONS o . O. • . • • ,. — . • • • . .. . • . . . • : ' "-.1 TOTAL ' ' , • • • . • .• . ': - • UNIT PR/OE., • - - . • • • . • ' - , .. . _ . . AMOUNT » , . . . . . • , . • •• DRIVEn CK NO. f.„, t t.1110 ORDERED BY - REMIT PAYMENT To ISPATCHER • TAX 0911)10E WA . TIME iqVg,,z, S , W 1 SALES TAX l'‘''/:,',;41 TERMS ON REVERSE - ' _ . . . . RELEASE — cUF:iTOMEFI RELEASES AND AGREES TO 1-1010 HARMLESS KANGLEY ROOK s...REGY01,4NO, AbMSiON_ , OF GARY MERLIN° CONSTRUCTION COMPANy,,.INc. FOR ANY .DAMAGE TO HIS REAL OR PERSONAL PROPERTYBALANCE t' °AWARD CAUSED 8Y DELIVERY OP MATERIALS L7 ED AGO.Y AILt ON REVERSE. • . - CUSTOMER sIaNATOR JL1LML2 • • " TOTAL • PRINT NAME DATE . AMOUNT .• .. ftEV 04-2009 . • . . • . '' CUSTOMERCOPY . • • . .•• • NGLEY ROCK 8 RECYCLING ACCOUNTING:9125 TENTH AVENUE SOUTH Kangley Rock & Recycling Locations KANGLEY PIT (Plant I21) ' 32500 SE Kenl4KangleyRd., Ravanedele, WA 00051 0I.ACK RIVER- (Plant A 22) - (206) 050.0012 t inu s.oa ..tun nnnee DELIVERY TICKET SEATTLE, WA 9810E * (206)'7G2-2668 LAKE FRANei0 (PIarta3) :Fiji) ass-osr2 22501 SE Lake Francis Rd, Mepto Velkay, WA GSM A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. -Cedar �IOunteIn Aeolamation ' ••, . • t7577CedarGrovand.SE,MeploValleyWA99038 1�1atil020-(20e)658-0012. • ACCOUNTING • (246) 762-256S ' FAX (205) 762 -2358' . SALES & ORDER bESK ($25 1SQD MAP LOCATE LEAVE PLANT. ARRIVE JOB • LEAVE JOS . ARRIVE PLANT DATE CUSTOMER NO. ORDER O, PROJECT PLANT# .CUSTOMER NAME • CUSTOMER P.O, . • JOB NO. DELIVERY TICKET NO. . JO AD RES = E :TRH1,4' " ' x1 COLLECT O;N DgLIVERY (C.O.D.) *ATAC O CASH 0 CHECK# .. f CHARGE • . f , CARD # SPECIAL INSTRUCTIONS - ' . ' , . EXP. •• 0 VISA ' C] MASTERCARD • 0 DISCOVER CIUIS}N{TrITY PRODUCT U M ' COME _ 1•ESCHIPTION TOTAL.. UNIT PRICE. ; A INT. 'q1 .�y�d 3.1:U i' .. . {{RY GI' Ogg. t). ,'F 5:B 'y," t'e • ,SIC Syr •^84^.pggb�$L.J 6$BRr .. �yry �R si"yMg,�'"5.g.�`` g$ 4 i@i.�}$E,.F4k',•g (' .•. •' .k. lt'S"+iir4E Nr L 1 aT".�T�.+F•Y .8 • • TAr t 4022 FtCt# 7yTO/NyS '••`4�ye$/1y 0 <{A ' ' ' • 61 ;• I - QRIVER 'TRUCK NO. Ci'1,140 OR by .' "N IiGMITPAYMENT TO �' 12610th AVE.S. SUB -TOTAL.'` t1ntsPATcHER I - it TAXCDDS A I TIME DUE . ,; SEATTLE, WA 98108 i a"1 TERMS ON REVERSE SALES TAX IELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY Ft it gt i✓►EOYCLING,•A DIVISION r(1F GARY MERLINO'CONSTRUCTION COMP .Y,,INC, FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY '+BALANCE: FORWARD CAUSED BY DELIVERY OF MATE IALpS L STE B0 E. DETAILS ON REVERSE. (• ;USTOMER SIGNATURE `, TOTAL. " . PRINT NAME DATE AMOUNT RSV 04-2009 CUSTOMER COPY :NSTOMER SIGNATURE PRINT NAME REV 04-2009 'KANGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 90100 • (206)762-256B Kancley Rock & RecyolIng Locations KANGLEY PIT (Plerl 0.21) 321560 05 1<ent-I4reiley Rd., Revenedele, WA °sow BLACK RIVER (Planl if 22 • (206) 856-0912 .-.610 Manatee Rd. Renea, WA 08065 LAKE FRANCIS (Plant #23)- (208) 850.0672 225016E Lake Fhands P. Maple Valley, WA 98038 A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY INC..edar Mountain Reclamation 17877 Ceder Prove Rd. 8E, Maple Val*, WA 96038 plant 120 - (206) 668.0913 MAP LOCATE • DATE' AVE PLANT ARRIVE JO LEAVE JO • DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX , (206) 762-2358 ..• & . • ORDER DESK (425)226-1000 ;.. ARRIVE PLANT CUSTOMER NO, 169501 . • CUSTOMER NAME C FIN 4.1141SFER NC- • • ORDER NO, 672010 PROJECT PECIAL INSTRUCTIONS. PLANT Ii CUSTOMER P,O. DELIVERY TICKET NO. • 19216 019216- 923%1 • aouppT, ON ,i41yERY (C.O.D.) • . . 0 CASE! DCHEC5y CHANGE CARD II VISA • .,I;] mAsTEEtcARp. • El DISCOVER .• ''3245* • • • 0 1VER GPOSsi • TN 42024- C 7001 NS. E.• ENVIRONMENTAI,StItICIVIRCif • 2.45 Tao • 41500.00 UNIT -AINOUNT" • - • • '••••••:•••:'' • • • • TRUCK NO. C.71.1n. 1418PATCH ER .s, ,:t,:•_.,,, FI.ENIIT.I';AYLIENT T9...,.. ,...,•:.., ,, ,.....guTpTi)L:.;.:::: :',•:: • . . . .. 9 ..:,..'‘'.•..',...n.......'.TEE13Al2mrtisl.1.1°0EN' wHAEvgE.RSE : . • SALES TAX ..... 0 . — ' . il il' Avt. g. TAX TI , • • . • ,., , • . .. . . . . • . . . 1 , LEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK•& RECYCL1NO, A DIVISION ., GARY MERUNO•CONSTRUCTION CCIVTPAN); INC. FOR ANY OA E TO HIS REAL OR PERSONAL pilopERTy• .,.BALANCE FORWARD. ' AUSED BY DELIVERY OF MATERIALS LISTEC)ABOvE. ' O. L.SON' VERSE, ,••• : TOTAL • • • ,• -.7 AylpUNT. sl ..:.,..,..:.,.. ORDERED BY 4 DATE CUSTOMER CORY NGLE i ROCK & RECYCLING ACCOUNTING; 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 •- (200) 762-2586 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY INC Kongley Rock 8 Hecyding Locations KAN6I.ey PIT [Plan! Q 21) 82500 SE Keet•Karr9Ioy Rd., Revenedelo, WA 90051 BLACK R1VER Were / 22) — (208) 088'0012 610 Monsler Rd, Renton, WA 08065 LAKE RRANDIS (Plan' 6 23) - (208) 0604 072 22801 SE Lelia Francle Rd, Maple Va9ey, WA 90028 Cedar Mountain Reclamation 17077 Cedar Grove Rd. BE, Maple Wiley, WA 98036 •(206)888.0913 DELIVERY TICKET UNTING (201) 762-2586 (206) 762-2358 SALES E. ORDER DESK _ (425) 226.10 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 05116/2019 CUSTOMER NO. 169501 ORDER NO. 62.17 PROJECT PLANT 0 : 2 CUSTOMER NAME 'V- ,A 4 `.ENS' CUBTOMERPA 621.6 JOB NO. t�l 1R DELIVERY TICKET NO. 2 €'': JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ' J CASH C1 GHEGK # D CHARGE EXP. SPECIAL INSTRUCTIONS C CARD II • C] VISA 0 IAA SITRGARD_ Q DISCOVER (QUANTIT • PRODUCT _ a t3 M ,•..,•C1 OE . - . ; ' DES GRIRTION `:. TONS - TOTAL'; r UNIT PRICE .hA�0Ut 1T i '.'#. .. s • Mass . S Yam. 1044,4 D.t R� BwY�. • •®;:1[t'1f.S,t :1, ; .Rtr.r#'45-• • i.nk 3i6c-$d.; �r' f' ' re 4 , .4O c� F. t' . ' r N k ., • 234 O 1.. I I .. it DRiVEI1 . TRUCK NO. , • )�t 2 ORDER DV ` REMIT PAYMENT �.. ;. °91251 tit TO. AVE..S. ° ' SUCi 0-TOTAL•;- ). DISPATCHER TA%GOCIE • WA I • TIMEPUE r.3EATTLE,'WA981DE3' 7:1 x . 't&RNIS.ON,REVERSE• ' SALES TAX ;f RREt.EABE — CUSTOMER RELEASES OF CHARY HER LINO CONSTRUCTION AND AGREES,TO COMPANY, HOLti HARMLESSKANG!,EY RQC K 8c RIE:CYCUUNG, A DNlSION INC. FOR ANY DAMAQP O HIS REAL OR PERSO AL, PROPERTY GALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE, DET R R CUSTOMER SIGNATURE TO GAL PRINT NAME DATE AMOUNT .: . RLV04-2009 • is • CUSTOMER COPY - •. . - . z' KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 90108 • (206) 762-2666 DIVISION OF GARY MERLINO CONSTRUCTION COMPANY INC. P LOCATE DATE LEAVE PLANT CUSTOMER NO. ORDER NO, Kongley Rock & Recycling Locations KANELEY PIT (Plant F21) 3260D 5E Kenf Konglay Rd„ RavensdAle, WA 08061 SLACK RIVER (Plant 6 22) - (200) 056 0912 610 Monster.Rd. Renton, WA 96006 LAKE FRANCIS (PISAI R;23) • (208) 630.0072 226018E Lake Fronde Rd. Moplo valley, WA 99036 Cedar Mountain Reclamation 17977 Ceder Grove Rd. SE, Maple Valley, WA 08030 Plant 120 • (200) 050.0013 ARRIVE JOB PROJECT AVE JOB . DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (4261226-10 ARRIVE PLANT PLANT CUSTOMER NAME CITY TRAISF R' JOB ADDRESS SEATAC J SPECIAL INSTRUCTIONS DR! DISPATCHER PRODUCT- CODE 42624 TRUCK NO. (914:s% . TM CODE WA DESCRIPTION` ORDERED BY USTOMERP.O. . JOB ND. ❑ CASH CARD N DELIVERY TICKET NO. 32551 COLLECT ON DELIVERY (C.O.D.) ° CHECK *. El CHARG EXP. .:/ C7 VISA Q MASTERCARD . E DISCOVER T PAYMENT TO... 0125 10t11 AVE. S. SEATTL.E, WA 98108 TERMS ON REVERSE RELEASE -CUSTOMER RELEASES AND AGREES TO HOLE) H PILESS ItANDLEY RObK & RECYCLING, A DIVISION: OF GARY MERLINO CONSTRUCTION COMPANYNC. FOY DAMAGE' TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS L ISTEDOV SINE, ,,Afr LS ON REVERSE. . CUSTOMER SIGNATURE PRINT NAME REV 04-2009 DATE AMOUNT SUB -`TOTAL. SALES TAX ALANCE FORWAII CUSTOMER COPY NGLEY ROCK & RECYCLING ICGOUNTING: 9125 TENTH AVENUE SOUTH • SEATTLE, WA 98106 • (206) 762-26136 DIVISION OF GAFIY MEFI LINO CONSTRUCTION COMPANY, INC. • -MAP LOCATE DATE 05/16019 CUSTOMER NAME LEAVE CUSTOMER NO, 16%01 ORDER NO, 621 76tiri . . rn'y TRAKIRFFP C JOB ADDRESS ' AGGThfTE -1iNULVD&TH Kangley Rook & Recycling Locations KANGLEYPIT (Plant I 2'1) 32500 SE Kenl-Kartgley Rd., navanedaia, WA 06061 BLACK RIVER (Phu'il 22) (206) 868-0912 .510 Monaler Rd. Renton, WAWA% LAKE FRANcis (Rani, 20)- (20B) 958-13872 22601 SE Lake Rands Rd. Maple Valley, WA 90038 Cedar Mountain Reclamation 17877 Dodo!' Grove Rd. SE. Menlo V656y, WA seam Plant no, (2061 658.0913 AIIRIV PROJECT AL INSTRUCTIONS • 1,) 'Gross DRIVER SPAT HER . DUE 84/ •RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & R YOUNG; A OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR AV/ DAMAGE TO HIS REAL OR PERSONAL PROPE CAUSED BY DELIVERY OF MATERIALS LISTED AB VET In ON REVERSE. CUSTOMER SIGNATURE • PRINT NAME REV 01.2006 DATE CUSTOMER COf'Y 3 EAVE J0E3 CUSTOMER P.O. OS No. DELIVERY TICKET :11, ACCOUNTING (206)762-25E6 FAX (206)762-2358 SALES & ORDER DESK 425 226-10 W16 ' 01921R ARRIVE P LA DELIVERY TICKET N COLLECT ONDELIVERY (C.O.D.) CASH 0 CHECK # AF3D # 0 CHARGE EXP. I. 0 VISA 0 MASTERCARD, 0 DISCOVER. • • TOTAL "'UNIT PRICE - AMOUNT REMIT PAYMENT TO • . • * SUB -TOTAL • 9129 10111 AVES SEATTLE; ON WA °n°6 -TERMS REVERSE • SAL ES TAX • • BALANCE FORWARD TOTAL AMOUNT 4 INIGLEY OCK & RECYCLING Kangley Rock & Recycling Locations KANGLEY PIT (Mord 21) 32500 SE Kenl.Kangley Rd..Ravenstialo WA 98051 CCOLINTING: 9125 TENTH AVENUE SOUTH w gl-3-1Zrti.E;r1111FI'On't:on,s1MAs);4'.5,1ILINNIgerld V HQ N 111%;#0111. SEATTLE, WA 99108 • (206) 762-2566 LAI<B FRANCIS (I'ladI if 23)- (206)669.0t172 225ai SE Lake Francis Rd. Maple VaDdy, WA 93939 :A DIVISION OF GARY MERLIN° e,ONSTI:IUCTION C<JMPANY, INC. Cedar IVIoLini air) Reclamation 17877 Cedar Grove Rd, SE, Ivlaplo Volley,. WAi38030 914331920 • (300) esa.(Ltria - ACCOUN'TING (206) 762-2566 FAX (206)762-2358 SALES & ORDER DE 4 26-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE ".:Itil 11•1 CUSTOMER NO. 1. **I ORDERNO,. • PROJECT . PLANT CUSTOMER NAME CUSTOMER P.O.'JOB 1g2143 NO. Iii W.16 DELIVERY TICKET NO. il4agg_________ JOB ADDRESS • AG (4.- I ,:f1N41"101%oilitt.BLVD ' Ili COLLECT ON DELIVERY fO.O.D.) .__ 0 CASH Li CHECK # • CI 01-IARGE SE.-ATAC . • • CacFID I/ ' ' • EXR I • SPECIAL INSTRUC11ONS • , • • I:3 VISA . 0 MASTERCARD. . I:I DISCOVER ' '- • , . , • QUANTITY - ' • . U,NI, PRODUCT • - • . DESCRIPTION • TONS TOTAL UNIT PRICE AMOUNT . ..., .1:3.-4,,17'• .. . .•, . . . ;., • , .... .. • .. .• e. . • , • . • . . . . . • GI'f)SE - • . ...' • . - . -. •4-.. it0.; • , ,.. . ,,,,, 4• . . . , , . . . • • )4) I•e* -.. . . 3* . * - .. . E.' . cf:. ., . • • .• . : • : ..• • • . • . - • ‘ •.,:;-...., . ..• .i, . . .. . . . • . • . • . • • . . • . . . • • . . • . . • • • • • ... , . • • . . • • .. • . . . . • - • • . . . • • . T-are • 4 3117v,.. ' - • ..31,17,:. : , • . .. • , . • • • • .. . " , . . • '",`•.:•,:.' ,,,r. ....,..•... . ..• • .... •• . • . .. . • • • . . . -. ... . .. ... . ,.. ... Net • •:.• ...:• ,.. .• -• • ....., ., . • .• .. . . . . . . . • . • . . • . ,. . . . 62:34414.0t1 • • . . ' • , .. • , - • . . , . • . . .. . . T - - I DHIVE ' TRUCKNO C'T14•32 ORDEHEOBY , REMIT PAYMENT TO - • • • 0125 10t11 AVE. S. SUB TOTAL OIEIPAT01121=1 TAX000E WA I TIME DUE SEATTLE, WA 98108 ik-.2fi • . TER40S °N.REVEI1SE SAL ES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISIO OP GAf tY MERUNO CONSTRUCTION COMPANY, INC, FOR ANY DAMAGE TO HIS REAL OR PERSON AL PROPERTY BALANCE F011).^11PLRLD CAUSED BY DELIVERY OF MATERIALS Lis -rat) ABOVE. DETAI $ ON'REVERSE. • CUSTOMER SIGNATURE -•4;'-'. • TOTAL ANIOUt4T_ PRINT NAME ' .4— • DATE , I-EV 04:2000 • • . . CUSTOMER COPY • • ... ... ._ __ ..._ ..._..... NGLEY %OCK & RECYCLING CCOUNTING: 0126 TENTH AVENUE SOUTH SEATTLE, WA 08108 • (206) 762-250a ADIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17877 Ceder Wove Rd, SE, Maple Valley, WA 98038 Real /20 • (206) 050-0913 LOCATE DATE 1 6 01 LEAVE PLANT USTOMER NO. STOMER NAME t7 ' 11 A'4Sf ER INC: OS ADDRESS ' I i - ENTER NATIOE+Ul ECIAL INSTRUCTIONS DRIVER DISPATCH, ORDER NO, RODl1CT • CODE RDERED BY ME DUE �Sk ARRIVE JOB PROJECT DESCRIPTION Kangley Bock & Recycling Locations KANGL6Y PIT (Plant I21) 32500 SE Kenl• angley Rd, Arendt o, WA 90061 BLACK RIVER (Rani 122)- (208) 658.0912 510 Hensler Rd Renton WA RossLAIR PnANOIS (Pant % 29) • (200) 6504072 22501 SE Lake Franole RH.Maple Valley,WA 98039 LEAVE JOB D CASH CARD II OVISA— . )JMASTERCARD, DELIVERY TI KET ACCOUNTING (206) 762-2566 FAX (206)762-2368 SALES & 'ORDER DESK (425) 226-1000 REMIT PAYMENT TO 'r 9125''10111 AVE. S. SEATTLE, WA 313108 TERMS ON REVERSE; RELEASE — CUSTOMER RELEASES AND AGREES To HOLD HARML_E•813 KANGL.EY ROOK & RECYCLING; A OF GARY MERUNO CONSTRUCTION COMPANY, INC. FOR ANY MAGE TO HIS REAL OR PERSONAL PR .CAUSED BY DELIVERY OF,MATERIALS LISTED ABOV : DETAIILS�) R VERSE. CUSTOMER SIGNATURE ,PRINT NAME a'`l errs-' DATE 64-2009 CUSTOMER COPY 0 CHARGE ARRIVE PLANT LIVERY TICKET NO. UNIT PRICE UEt-TOTAL SALES TAX NGIEY OCK & RECYCLING KITlhl/` fl4flf. rChITu AVChIl IZ Q!H ITL Kangley Rook & Recycling Locations KAMGLEY PIT (Plan) r 21) 3250D SE Kont•Kangl6y Rd-, Rayentd6l13, WA 00061 BLACK RIVER (Mal f 22) - (206) 050.0012 DELIVE Y TICKET rzvv.......,...., v.�., ..........v .....,..... '• 610 Mtlrlelar lie, Renton, WA awes - SEATTLE, WA 08108 • (20e) 762-2E60 LAKE FRANCIB (Plant 8-23) • (206) ces•o072 22501 SE Lake Fr6nefs Rd, Map16 Valley, WAs8o38 .A DIVISION OF GARY MERI_INO CONSTRUCT)OtJ COMPANY INC: Cedar Mountain Reclamation 17871 Cedar & eV.. Rd. 06, Maple Valley, INA 9803D Plant,Ir20. (206) 050-0913 .. ACCOUNTING (208) 762-2566 FAX (206) 762-2a58 3Al,ES & ORDER DESK (426j 226 i tib0 .'' MAP LOCATE LEAVE PLANT ARRIVE JOB i LEAVEJOBARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT if CUSTOMER NAME r'1 s i'' 7 IAB' d'+yF `` CUSTOMER P.O. : ' .14 #t J08NO, • 6191.244 - .DELIVERY TICKET NO. :{ JOS ADDRESS • coLI,EcT ON DELIVERY (C.O.D.) D CASH ❑ GHEGK # ©CHARGE E L , • :; . ( :. . . : CARD # , • • EXP. s�.1 SPECIAL INSTRUCTIONS VISA �:). IJ MA$TERCAARD • ® DISCOVER Q►1ANTITY = UyVI. PRODUCT '' : • CODEg TONS. .'` TOTAL:: ® NI PRICE AMC}UNT:,';'".: '1� e9 I : • O rc3 qpy 'rN l r I .( {{��, 202i4jsLiC 7O)P . j,�DpCSCpRIPTIy�ON g} ••i �.yry;{Nw�T�/4�Jpryyir ••6 A.wF",.{'i+9wK.�p' F4 pr,.�pkeri,. y.,s�. `N RA }PR'Y t'S0AL & :1CF 'q.^. • • Tare 4 tk(3 tABdi'"f 4 ,nJ�' 3,'P"i.._ F • 611t ••.. �. '... v _ : bRIVER • TRUCK NO. )452 ORDERED SY REMIT PAYMENT TO .. SUB -TOTAL 81251L1ti1 AVE. S.' • ,DISPATCFPI11 TAX CODE ., WA19; TIME: DUE . ; .; SEATTLE, WA 38I108 ': •' TERMS ON REVERSE SALES TAX , RELEASE .-- CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS dtANGLEY ROCK 8 iiECYCL1 , A -DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY. INC. FOR ANY DAM,p�"'E TO HIS REAL Off PERSONAL PROPERTY BALANCE FORWARD - CAUSED BY DELIVERY OF MATERIALS LISTED A6(7VE, (ETI ON E4ERSE. CUSTOMER SIGNATUREr" . : '' .. TOTAL �• PRINT NAME . ft DATE •, AMOUNT .1 REV 04-2000 CUSTOMER COPY NCLEV 'ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 08108 • (200) 762-25 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, P LOCATE DATE USTR NAME C rY TRANS# OB ADDRESS . - imn NrC �SPECI li EAVE PLANT CUSTOMER NO. INSTRUCTIONS RdDUCT CODE OB,S' DRIVER PAT DER® EY E — CUSTOMER RELEASES AND AQREES TO HOLE GARY MERLIN() CONSTRUCTION COMPANY, INC. FOF PAUSED BY DELIVERY OF MATERIALS L(STEDrP�BOVE.J1 ETAI USTOMER SIGNATURE ;PRINT NAME REV 04-2009 Kangley Rock & Recycling Locations KANaLEYPIT (Plarll421) 32500 SE Kal)1-K0n9ley Rd., Revencdale,WA"98051 BLACK RIVER (Plant /22)- (208)B50.0212 510 Maneler Rd, Renton, WA 98085 LAKE PRANGS (Plant A 23) • (200) 058.0872 22801 8E Lake Rends RrJ. Maple Valley, WA 98038 Cedar Mountain Reclamation 17877 Cedar Grove Rd. SE, Maple Valley, WA98038 Plant. 20 • (208) 455D-0813 ARR P DESCRIPTION' CUST IT PAYMENT TO 12510t11 AVE. S. SEATT..E, WA 98108 TERMS;ON'REVERSE EAVE RMLESS KANGLEY ROCK'S, RECYCLING, A DIVISIO DAMAGE TO HIS REAL OR PERSONAL PROPERTY.. ON REVERSE. DATE CUSTOMER COPY JOB NO. DELIVERY TICKET ACOOUNTING (206) 762.2566 FAY( (206) 762-2358 SALES & ORDER DESK (425) 225.1000 ARRIVE PLANT .O.D,) Dc RGE EXP. 1 0 DISCOVER • TOTAL: ` UNIT PRICE UB-TOTAL AI.ANCC FORWAFIb KANGLEY ROCK & RECYCLING ACCOUNTING:9125 TENTH AVENUE SOUTH SEATTLE, WA 08108' . (208) 792-2586 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, IN ICangley Rock & Recycling Locations KANGLEY 1,1T (Plant 8 21) 32500 SE Kont•Krogey Rd Revensdale, WA 00051 SLACK RIVER (Plant // 22) • (206) 650-0912 510 Moniker Rd. Fieriloo, WA 08055 Lake farincle (Plant 8 23) • (208) 050•0072 22501 BE Lake'Frencls lid. Maple Volley, WA 05038 c. Cedar Mountain Reclarnation 17877 Ceded Grove Rd, SE, Meek) Va9oy, WA 00030 Hen( i20 • (206) 050.0013 DELIVERY 'TICKET : ACCOUNTING. (206) 762-2566 FAX (206) 702-2356 SALES & ORDER DESK 42 226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT • PATE (6/16i2019 CUSTOMER NO. 16%01 ORDER NO: 621760 'CUSTOMER NAME 1. (Ire' JOB ADDRESS. ' . AGq*. Wre.ONAlloNALDIVO i60114:. BEATAC PROJECT SPECIAL INSTRUCTIONS CUSTOMER Pa * JOB NO. 102ifi COLLECT ON Daly 0 CASH CI CHECK 41 CARD ' PLANT 0 DELIVERY TICKET NO. I , Y (C.O.D.) El VISA • MABTEBCARO 0 CHARGE • EXP. I 10 DISCOVER DRIVER TRUCK NO. • DISPATCHER TAX CODE WA 1' ORDERED BY TIME DUE 11:47 DESCRIPTION • Tare 420410.00 RELEASE — CUSTOMER RELEASEs'AND AGREES TO HOW HARMLESS KANBLEV ROOK & RatictLING, A DIVISION: OF GARY MERLIN° CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL. PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON 13 TISE. CUSTOMER SIGNATURE ' PRINT NAML REV 04-2002 DATE. CUSTOMER COPY # A 1 TONSTOTAL UNIT PRICE AMOUNT REMIT PAYMENT TO - - 915 10th AVE. S. SUB -TOTAL SEATTLE VA 90100 TERMS ON REVERSE SALES TAX BALANCE FOIlViARL) TOTAL AMOUNT NGLEY ROCK & RECYCLING • Kangley Rock & Recycling Locations KANoLEY PIT IPIanI P 21) sea* SE Keel•Kartgley Rd., Ravensdala, WA 90051 BLAOK RIVER (Mardi 22)- (206) 069-0012 DELIVERY TICKET .----.....— -.-- ..... . „ old alveolar rig. elenren, vdai vadat. SEATTLE, WA 96108 . (206) 762-2568' LAICE PRAliGIS (P61011P 20) - (20(1) 0504X72 moi SE Lake Prue& Rd. Mapke Valley, WA 08038 A DIVISION OF GARY MFFILINO CONSTRUCTION COMPANY, IND. Oecillr 141csiltitaln RecitImatlori . '11,7111,1nTil_Sed.ill: _Scet_.e!_flg..,!)p, Meals VaIle,y, WA B80'38 ' 149 (2UU) 555*°V.14 AbcouN-nr\tia (206)762.-2586 :; FAX (206) 762-2356 -. SAI:ES & OFtDEF1 DESK 425 226-1000 1 ,; MAP LOCATE LEAVE PLANT ARRIVEJOB LEA JOB ARRIVE PLANT DATE . 0/143/2019 CUSTOMER NO, 1(..4501. ORDER NO. 621780 PROJECT . ' PLANT il n ...;1. .... !CUSTOMER NAME - : ) • '.. C•Iri-TRAli,i . . CUSTOMER P.O. . , It41.il JOB NO. • - • • • . Citoi? 1 g • DELIVERY TICKET NO. • 31 .,„ WV R. i7H ,' ,. . . " • ' • ..•..•• . • • '.. . . • . • : • ' • AG317,i' . •EF.Z0...ATtC)NAL.. BI- ' 'litrt,,t) . i: COLLEOT‘ ON OELiveitiv,(o.o.o.) . , !.1 Gi 0CASH C:1 Cl-lECK # El CirlAF1E SaTAC • . . ..... . . • . . . I CARD # EXP ' • ' • 1 ,... SPECIAL INSTRUCTIONS . .:' - ... % . . : " • . . . . .:11:11VISi D Mpl'ErefARc,. , „ .o....niscoyER :... • ... , ::::., ,., :,'t!.. ..,.;.,....,...,:..:-.....,..:;:;...... , ! . '".-., .., ' i ,.. tii:i4i,jii.fNi:',.',..-1,,,,,u.1s;,),:'.... OT •''PFI .. ...... -- ,-..:. ,, L i ' - ijEscRipTioN •-. -• .. .•• . : TONS : TOTAL .. - UNIT ,' PRICE . -• AMOUNT '.',''''• . , .• • . oa • • .• • - . , .• • - • , , • . . . .. . ... . . . • • - . . .. . .. . . ' • • .. , ' .. • • • . . • . • . . . .. . ' ' '' '. .. . . . • • . • . .. . r*t41a5 " '. • ' TN 1. • ••• • . . . . ' .. . . . . , . . . z 10444(X) a( 471)4PC . • ••7)Oli' • • .. . . . . • .. , ' . • . • ' • " • . . . . . . .. .RW.CtS'.' ., . .11. 4,3tgi • . '., ' pit.stIfIct:-ttnct• . . ••. ',.. ....,.. • . . • , .. . . . : • • .. . , . . . . . . • . . . . .., . . • , . . - .. . . . . *. ' ' ' " . • • • . , . . . • • ., . . • • . , . . . - . . P . . . . . • . * . ' . .. . 4 . . ' . . . ' • . ' Thr 4a, '.,. I ' —ftl ',".J.;T..,16-.'1, .... . • • • . ' ' • ' ' • ' . • . • • .. * ,-,, .. ,k, ::.-,:. .....,,i.':, ' ..* • . ''.. . • • ' .1 ' . '''' • ' • • - , •: "!.'....!.',;•'....-: .: .....,, ... . ' . ' '' . • . . • . ..• . • . . . . . • .. .. • " 6-VOM Y * • ... 4, . : ..:••., • .-.., . • i..; .. . • ... • • - i'i ... .. . •:', ` • •- — .; . . . .. - :, • „ . . ..... : , .. •,.,!, . • -. • •,. .,. ,. t. • • ' l'...: • . . . . . . ' ' 1 ..1 • .. . ' • .. . . . ' , DRIVER . TRUCK NO. z•.:i-r14.?? . OFIDETIED ay . • • .. ,. ' ... REMIT PAYMENT TO . . . . . . . . SUB -TOTAL 01 25 I Oth AVE. S: ' : . . . . . . k; . ' ., : 0I8PATC1-1211 . • TAX CODE • • WA 1 TIME 21UE •..: SEATTLE,.WA 9/1108 '• -, •• '' . • ' - . : .: 131,30 . !TERN'S ON*REVErISE• • .' . . ' . . SALES TAX : • . ' .... , • . .... .,..... . . • , i: 14, i ' RELEASE — CUSTOMER FIEL-ASES AND AGREES TO NOI.-D HARMLESS KANGLEY RbCK & R NitLiNA' DIVES! • ' " •- • 4 ' :.. 4 4 OF GARY MERLINO CONSTRUCTION COMPANY, INC, FOR AV.,DAMAGE TO HIS REAL OR PERSONAL PROPERTY . BALANCE FOrdWArlp,. CAUSED BY DELIVERY -OF MATERIALS LISTED ABO it)ET ES-,C)N I'iEVEFISE. . - . . . . .• . . CUSTOMER SIGNATURE• TOTAL - • •• . . . .. AMOUNT ' . : . . ._ . . PRINT NAME - DATE • • ,...: REV 04•.2000 CUSTOMER COPY • 4 aar CEDAR OUNTAIN RECLA TION.. 21010 CEDAR GR'VE ROAD.$E MAPLE VALLE1;•W ACGOUN11NQ , 812E • AVENUE SOUTH MAP LOCATE A N SPECIAL INSTRUCTtO (JANTITY Gross 1 '� owvE�1 LEAVE PLANT .• Ty:mRNO PRODUCT CODE H WA 98108 • (208) 78,3.9716 DER E DUE 1231 ARRIVE JOB. • • • • PROJECT IVERY TIC •, T:_ ACCOUh1TiNG (206) 763 ' 7 FAX pop T SALES & ORDER DESK 120 ' 768-07 LEAVE CUSTOMER P.O,, .. JOB IQ; 1€v 019216 COLLECT ON. DE ❑ CASH • © CHECK #t ARRIVE P KETI 31611i RY (C.O.D.) 0 CHARGE CARD # tXP. / El VISA ;® AATERCARD E1 DISCOVER • DESCRIPTION TONS RELEASE — CUSTOME ' ELEASES AND AGREES TO HOLD HARML ANY DAMAGE TO HIS AL OR PERSONAL PROPERTY CA, EO BY DETAILS ON REVERSE CUSTOMER PRINT NAM ELIVERY OF MATERIA CUSTOMER COPY REI'1ITPAYMENT 10 IJ125 10t11 AVE. S. SEATTI..E,►'A 93108+ TERMS ON REVERSE CEDAR MOUNTAIN RECLAMATION FOR ISTED ABOVE. TOTAL TONS T PRICE AtuMOIJ ALANCE FORWAR) TOTAL At ;QUID CED = ` MOUNTAIN RECLAMATION 21010 CIrDAR 'ROVE,ROAD SE • MAPLE.VALLEY, = A 08038 •• • '•ACQOUNTIN$::.9TENTH AVENUE SOUTH • SEA'iTI E, WA"99100' • (208) 783-97 OCATE' LAVE PLANT ' TOMER)VAME,, • SPECIAL. IN$TRUTICN AT ER RELEASE — CUSTOMER ANY DAMAGE TO HIS DETAILS ON REVERSE. CUSTOMER SIG PRINT NAME PRODUCT CODE t we JO DESCRIPTIO`, T►r ORAEAED BY TOME DUE GASES: AND AGILE OR PERSONAL PR TO HOLD HARMLE RTY CA D BY JO CUSTOMER RO. DE E TI ACc0UNT1NG F206) 7 , -971 FAX ' (206) •' 2.2358 SALES & ORDER DESK t2':) 763-t71 ARRIVE P COJLECT.OI+{ D . IVORY («,O.D,) SH O CHECK # p OHARGE EXP A 0 8TERCARD• "'',,DISCOVER EtJI'IT_PA` 912510I! ( ATTI_E,CVA:96108 :Rr.iS ON REVERSE EDAR MOUNTAIN RECLAMATION FOR (VERY OF MATERIALS LISTED ABOVE. CUSTOMER COPY TOTAL TONS UNIT PRICE':.' BALANCE FORV:ARD TOTAL; At .OUNT Df DPW itilR7a1 . r 1.01i.1.1 V IF I NV. A. .1. i G. s..) Q SEATTLE, WA 08138 r PHONE (263) 850-1776 arc - lylransferina.com DATE: t).---- CUSTOMER: ______ PROJECT PROJECT NO. ..--,—.. ..... STTC-k--: ) 91 , REWTAL CO. TRUCF NO. tS-- TRUCK TYPE 'T.-W--7-- • LOAD NO# ARRIVE TIME TIME LOADED MATERIAL HAULED MATERIAL LOADED FROM MATERIAL DELIVERED TO ARRIVE TIME TIME UNLO P , D LOAD SIZE STANDBY TIME uitv 0.1,/ (Qeijk P i.6 ' ei. di - -, f 1. 17 eio 6- s i • 9 0 qtb. / am 10 t(6- 1 . i(i0 . . I/O Z,J73 i A-,.ely4- iqgt e. niR 1 \ b , ii Lrilj-frA, 11.44- - • ? _.. . • . C?- WARRANTY: CITY IRAN FER, INC. r AND ars SUPPLIERS AND SUBCONTRACTORS (JOINTLY REFFERRED TO AS 'CV), WARRANT ALL. MATERIALS SOLD HEREUNDER C 4 N FORM TO CM QUOTATION. CTI MAKES NO REPRESENTATION OF WARRANTY OF ANY OTHER KIND, EXPRESS OR IMPLIED, WITH RESPECT Ts E MATERIALS, WHETHER AS TO MERCHANTABLITY, FITNESS FOR A PARTICULAR PURPOSE CR ANY OTHER MA it R. LIMITATION OF LIABILITY: t rs Liability to easterner, however cleated, whether to contract lost or otherwise, Including without initellon, any Indemnification. itebStIas or damage for property or • :,sons/ loss, shall to no event exceed the total compensation pdd C11 hereunder. This imitation shell survIve the completion or harmlnallon of this Irene ,.. km, PAYMENT obeli be , - de to CTI on or before the 10th day of each month for any materiels debated. Dellvery tickets are provided to Customer as a courtesy and convenience, ratty • by Customer to aloknoveedge the Army Ileitei by signature andior Customer's faUure lo receive a &Avery Ilciatl shilA not excuse Costontefe payment oblige ',, , All delivery fisketa we ayallabto et the cTI Wilms dung business hours upon reaaonabie notice. Al stints not paid Wien due shall bear Internal ate rale of on: : nd•a-half (1,6%) percent Internet per month from lire dale due until paid or at the mextrinann legal rate permitted by law. All coats ol colfecUon, Includtm a ,t — . :,: :, . • , be pall by Customer. Time Start Time End TOTAL HOURS Standby Standby NOLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH • SEATTLE, WA 98108 • (208) 782-2666 4' • Kangley Rock & Recycling Locations KANGLEY PIT (Plain a 21) 32509 SE Ked-liongley Rd., Rave nod ale, WA 5006 I BLACK RIVER (Plant S 22) - (200) 050-0012 510 Menclar Rd. Renton, WA 9085 LAKE FRANOIS (Planl 23) - (208)858-0572 22801 SE Lake FrancisRJ. Maple Vallsy, WA BEM A DIVIDi 0 N OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation 17877 Cedar Grave Rd. SE, Mimeo Volley, WASSON • DELIVERY TICKET: ACCOUNTING (208) 762-2566 ' FAX (206) 762-2356 SALES & ORDER DESK (425) 228-1000 -,. 'MAP LOCATE • .............. LEAVE PLANT , ,___, ___ _ ARRIVEARR1VE JOB LEAVEJOB ARRIVE PLANT . , . - DATE 05i16120.19 CUSTOMER NO. 1f4'9501 ORDER NOt 821760 PROJECT PLANT N CUSTOMER NAME c.:_rrY TRAN$F,Ef.3 INC CUSTOMER PO, • . 11Y2Iii'. . JOB NO. . 0.1.921 ' .. DELIVERY:TICKET NO. • .91124.4't . .. • JOB ADDRESS ; • 111.-rErtNAT(T). 81-1.4t) & 1 • . . • COLLECT ON DgLIYECIY,(C.O.D4 0 01-1APIGE • . .SEAT*AC . 0 GASH 0 OHEO15 4 • • - • . • EXP. i CARD # . . SPECIAL INSTFIUDI'101‘18 0 VISA EI,MASTERGARD . :. b.-DISCOVER ' - , • • • • • . • • .., . .. . , . . • ' 1 • - • . - ... . • ciiiAkfiTy. •-.• - •. PRODUCT (• • • . . ' . ' DESCRIPTION - - . . TOTAL TONS • UNIT PRICE -• . . .. - , AMOUNT * *3O: ' . .. -. • . ... . . . . ,... .. ... .. . . , ...•. „.. . , • • . . . . •• .. • • . . . ... .. .. • . Grttris- . .••'-u. .. - • . • ..... . . . . . , . . • • ... : . .. ., : 102701,1 . . • .. ..., • *' ' . ,. • 70t)i5:... .-.. :, ••••.; . . .. - • • .. . . ., ..., . • . • . . . . • • . .. • ... . • . . - . • ., . . . .. . . • . . • TYPE42024Re ''.RCA : * ' '7:.'A:: . ... •ti••• ' 4. ' ,.. '*•1‘,Al. ritIM•fiAllt,E • • . . . .. . ... . ... . . . • .. . • . , . • . • • • : . , . . . . . . . . , , . . . . • . . . .. • • . . • • . . . ... - • . . .. . . •. . . . • . • • - . • • , . • . '. . . , .- . . ' T,re .. 4401) • ' . . :3 . . ... . . . , . • . • . . . . • . . , - . , .. . . . • • . 48 ,. . . . .. . • ..,.-„, •:, • ... . . . •. • . .. . .• . .,.,., , .. t ' • ., • . . . . . • . ....'••• •.• .• • : • . . • • ..,..- • ,..,, :•,.,... . . : • . , • • . • . . ' . '... ''.• ... .. . .. - ..... • . . - - . ,.• ... . • '", -to ' . . . , . • • . . . • . ... • .'• . ... . . . . . • . . , . • •. • . . . . , • - ..: . . . , . • ... • . . . . i i . . . DRIVER • .. TRUCK NO. c-ri4tP..s ..... ORDERED BY - • ' .REMIT PAYMENT TO ' . . ... . • 101.11 AVE, S. -..- • •• • .1 'SUB -TOTAL • .. . . ;.• ..* ..9i25 , . . - - • • DIBPATCFIER •. TAX CODE WA' 1 TIME DUE • - '.. ,... SEATTLE* WA 98108 7 ' • • , .• TEIII'ViS 61-•:.111EVERGE • • - .. . ! • ... • . • SALES TAX • * * .. - , . . • • --'. • . . • RELEASE — CUSTOMER RELEASES AND AGRE TO HOLD RWILESS KANGLEY. ROOK &,FIECYCLING, A DIVISION • - • • .., • 0P.PARY 114El:if-IWO CONSTRUCTION COMPANY,„INO, FOR „, . Y DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FOILIWARD CAUSED (IV DELIVERY OF MATERIALS LISTE,6ABOV6. T,IET ILS ON REVERSE, t \ . . • . - TOTAL - • CUSTOMER SIGNATURE ' ,, • , . - • - . . . . . . • . • AMOUNT PRINI: NAIVIEDATE . . !i. REV 04-2000 . • . • • .1 • • . . . . a - • ii . . CUSTOMER COPY - • ',; ..ir 1 . . i ...I , _..... ...._ _........._. 11 1 KANGLEY •ROCK & RECYCLING • Kangley Rock & Recycling Locations KANGLEYpir (Plant P21) 32500 SE 8081-Ken8loy Fld., Raveriadale, WA 98051 MACK RIVER (Held it P. • (200) 0611.0912 '.ACCOUNT1NG: 0125 TENTH AVENUE SOUTH 610 8100518r. Rd. Revlon, WAD8055 SEATTLE, WA 98108 • (206) 782-2566 LAKE FRANCIS (Plant 4 23) : (208)888.0872 22601 SE Lake Fiends Rd. Maple Valey, WA 08030 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, IN c, Cedar Mountain Reclamation 17077 Coder Grove Rd. 8E, Mopte Volley, WA98030 - 058.0913 DELIVERY TICKET ACCOUNTING (206)762-2566 2: FAX . (206) 762-2358 SALES &. •. ORDER DESK (425).226-1000 / • MAP °CATE LEAVE PLANT ARRIVEARRFVEJOB • LEAVEJ0s ARRIVEPLANT DATE ()5/16.rifil9,1t3)5O1 CUsTOME.19140. OROEFt No. 6 . PROJECT PLANT it z2• CUSTOMER NAME 11444ti,(31Frg 0,11 TOMEFI ED. . 19214' • JOS NO. , 011),2•Ae - outvotes? TICKET NO. ciP':)-.i'.---t,c -i 4W' , . • , ' ' . - •At;)'G - Itti:r.,E:htgATIONAL.BL' 1 I COLLECT ON DELIVERY (C.O.D.) • .. . . . • 1:1CHARG ,SATA('„:. • • . El CASH a OI-IEGK # : • • i EXI1 ':. ' SPECIAL INSTRUcTICahIS • . . . C CARD # . CJVISA 0 IVIASTEFICAFiD, . . 0,. DISCOVER •.: . .., .. , ...,.. .... . . ,•,.. ,,,.. „ ,, ,.... ,... .... •. • . • , . .. ' •-•.:' - " • DESCRIPTION, •:'.. ' ..' TONS •,.. ..... ' TOTAL:. . . ... ... . • -. ' •• • . , UNIT pilIcE, ..... -....-AmouNT . • .. ... • .........-. •• • i''' • .,..... -: :::, . . . . ,.•-• . .• ..• . , , . ' . • . . , . . , • . , . . ••,.• : , , • . •. - . , .. . • . • '. IN • . . . . . 037.20..(4) .24-C .:10'16- .., • . . ,., ...... . • . . • .., ,.... •:',.• • ' ' „ , ...,,. ,• .. ., • .., . • • • • . , . . :...., . . • • .. . . . . - • . ..„ . ... PCJCTYPE'•t ' . O.:. ' 7, . AL SLIRCI-f4t . . :•, ..... • - • , . . - • .. • . . . • ..- .. g . .. • . . , , . . - . , . . • .... . . . . • • • • • • • • , • • .. . . .. .. . . . . . • . • ' • . .. . „ . . . . . . . . • .. . . • . . . : . • • • - .. . . • • Tztill ' 42081.1,0() ' . 3227. - , . • . . • : . - . ' ' • • ,. • . . . . . ... • • . • .... ...., . . . • • . • ,, • • . • . . .. . . • "• i7, :., `.'f:'!. •„:. ',. • ' • • • .. ., . • . , . . - • : • • .., . • . . . ... . ... „ . .: , .. - .. • , • .. . , • ,„ • , . . ... ••, . - . . . .. .. •:. . ... ' ft .1•4 ', ..... . .. . • • ... . .. .. . • . , ... : . •,..• , • . • • . . • • „ . . . . • • . , . , . . . • :-.. ..i 1 • DIIIY ' - TRUCK NO. '.;TI•4' ORD Ft BY : ' , '', . 'REMIT PAYMENT •• • 9125 It1- TO • • • • AVE. S. ' • • • • • . .. • SIJB-TO AL • ' •• . . . .• •. .DsiATciEn .. TAX . WA - meOUE.',SEATTL " TERMS 04REVERSE WA98108 -• • ' •. , , s -•. ' SA• LES TAX - •. •.•.•,•• • •. • • RELEASE —"CUSTOICIE1:3 RELEASES r,NE:' AGES TO HOLD HARMLESS .. LEY ROCK i RECYCLING, A °IASI N , • • • • . OF 'GARY MEFILINO CONSTRUCTION OOMPANY, INC, FOR ANY tAM4c8 TO HIS IlEAt: OR. PEI:LS.014AL PROPE ; UALAI4CE FORWARD . .•. ' • '•• • .., CAUSED EY DELIVERY OF MATERIALS Lisie..D ABOVE, DETAILS ON REX/ERSE. .,.."•/ ',it, . , . • - •:I: f, CUSTOMER SIGNATURE ' i ( ,„„.--,• •••,s •/' • il : ' AMOUNT . • i • . .' ' .. . )1,:ti, : .,..," DATE . • . . .• ..... • .. . . . . , . , ••ili •,.. PRINT NMI . REV 04.2009 CUSTOMER COPY • • NGLEY ROCK & RECYCLING ACCOUNTING: 9126:TENTH AVENUE SOUTH SEATTLE, WA 90108 • (206) 702-2566 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, IN Kongley'Rook & Recycling Locations KANOLEYPIT (PlenUR21) 32500 BE KeM'Kon0lay Rd.. Ravondab, WA 8B061 BLACK RIVER (Plant ll22)-:(200) 650.0912 510 Maneler Rd, Ronlon, WA98055 LAKE FRANCIS (Plant E 23) -(209) 668-0072. 22501 SE. Lake Francis. Rd. Maple Valley, WA 90030 Cedar Mountain Reclamation 17877 CarlarGrovo Rd. 9E, Maple Volley, WA 96030 Plant R2o•1200)653.0013 DELIVERY TICKET i ACCOUNTING (206)762-2566 FAX (206)762-2358 v..i Ea ORDER DESK (A25j 228-100 MAP LOCATE LEAVE PLANT ARRIVE JOB LEI.IVEJOB ARRIVE PLANT DATE O5/1 9 CUSTOMER NO. °iWJ"E ORDER NO. r21 PflOJECT . • PLANT 4 CUSTOMER NAME C IT TR $ N 1Me8 CUSTOMER RQ.. • 19216 JOB NO. • 01 s 1k DELIVERY TICKET NO. ., 76 , JOB ADDRESS .' , " ,AEG w114TERPLNTIONALi BLVD& isorfrt COLLECT pN. DELIV , (C.O.D.) 0 CASH 0 CHECK # C! CHARGE. EXP .. 1 . . SPECIAL INSTRUCTIONS CARD # EIVISA 0 IVIATERCARD, - .C1 DISCOVER . • I; , K UANTITY U M PRODUCT CODEy . Dl SCRIPTIOIW TOTAL TONS r `y UNIT PRICE AMOUNT 8R „st• • tl6 . D i€ -� 'YS "'...:-, r }a .., • 1 IC * k + • t . t u ' iS3I ..... } : •... , I' DRIVER' '• TRUCK NO. t uri.i2a ORDERED BY ... REMIT PAYMENT TO 515 : -+ .` : 10th AVE. S. SUB -TOTAL : . DISPATCHER . TAX CODE , ( TIME•D1IE ;SEATTLE, WA 98108 91 - : TERMS ON REVERSE' HOD SALES TAX •RELEASE — CUSTOMER•RELEASES. OF NARY MERLINO CONSTRUCTION AND AGREES TO HARMLESS KANGLEY RECYGLINQ 'A. D1V)S1ON COMPANY, INC, FOR ANY DAMAGE TO HIS REAL OR,PERSONAL PROPERTY BALANCE FORWARD • CAQSEI7 )3Y DELIVERY OF MATERIALS LISTED ABOVE. D AILS ON REVERSE. { CUSTOMER SIGNATURE,TOTAL (� rt— AMOUNT PRINT NAME, • ,' DATE REV04.2009 - . . CUSTOMER COPY • • • NGLEY ROCK & RECYCLING • Kangley Rock & Recycling Locations KANOLEY Prr (Pianl P 2i) 32500 RE Kerd-Kangley Rd. Ravenadala, WA 00051 Lao K RIVER (Plent # 22).(200) 658•0912 DELIVERY TICKET ..__............,...... . __... .. i-A-:ri-i"..E, ..... '9iiiii . (2-oe) 762.2seo .i. monstr-r rta. jictimoni, yvF% voirob LAKE FlIANCIS (Plan) 0 23) - (2138) (i68.otin 22631 SE Lake Nandi Rd, Maple Valley, WA 28030 A DIVISION OF GARY MERLIN° CONSTRIJCI1ON COMPAI\IY, INC. Cedar AlloUtttalti ICteCtaln4allotl 171177 Cedar Grow) rid, SE, Maple Valley, WA 05038 Plant 020 • (EOS) fade-0213 ' ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & 1: ORDER DESK (425,} 226-1000 i. MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE OB ARRIVE PLANT 1 t ,• DATE • ,. ' /2019 CUSTOMER 140. 1�3O1 ORDER NO. ..21?4 PRCJEOT PLANT II 22 CUSTOMER NAME r,rfv TI,IAN. C,TER • CIJSTOME(41RO. • • 19Ziti JOB NO. 1111.!114 '• .DELIVERY TICKET NO. 91•1',261., - JOB ADDRESS• . ' - . TWESIN)Vitt)?4A1_ BLVD 1 . t OpLt.ECT'ON DELIVERY (0,0.D.) I CI CASH 121 CHECK # D CHARGE EATAC . • CAFID # - ' .• E,N(F.—/-..--:—.... . ICI VISA . El IvIASTERCARD . '. 13 DISCOVER; •.. .1,.. if•ZA .Y, Pi 1' LO ' .. . • , .I:PANTITY ' '', ' - ' '".'' '. ' • . . • • . " . ,- , • . . . , . • • *• . 9 . U.IVI. * ... . - • . .. _ pI40E)IJOT ,,,Inc, --..,- • 42:-04Rt. •,• . 7 . •• • • • - . .... . :. . , - . . . - , . • • _ ESCIIIPTION . . . ., . ..... • CA '' 1TYPE :1' *.: , , . IROP4MHTAL LT4CHPJC . . • . . , „ • . . * . • *. . • .. .. • . ' . ' . . • . . ' '• • • . • • . • • • . . ., . , . • • . * . . . . ' 4 • . TONS . , • •• . `5 ' • I *. ' . , ' • " . • . • • • , • .. '- - .. • : . ' • .. , ..', . • . . • • • .. . • t.INIT PRICE . , . .. • • ' ' ' * ' .' . • • . ' * • , r • . „, • • - 61.E1440,0. . . -?. AMOUNT • . . " ..,, ' • . - 1 • . • • ... . • . . . , ' • • .. ‘ ' • „ ... . , . . • . . . .. • DRIVER. • •• I HUEIR NO. ORDERED 13Y , REtvIrr PAYINAENT TO .... - ., . 9125 10th AVE. S. ' . SUB -TOTAL * DISPA701-1 . TAX CODE ... ' • W4 ' I TIME DUE ' \I SEATTLE, WA 98108 91 42 . TERMS ON REVErIsE SALESTAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLE S ItAi,IBLEY 1:100K & RECYCLI(O, A 1)IVISIOR:1 • OF GARY MEfiL,INC) CONSTRUCTION OC)MPANY, INO. FOR ANY OftitIAGE TO HIS REAL OR PERSONAL PRORE BAI,ANCE. ForivvARE) 0, \.usEt:) BY 0ELIveFtY OF MATERIALS LISTED ABOVE, DETikILS"C)INT REVERSE. . • . , • CUSTOMER SIGNATURE . I. • *. ' TOTAL • . . Am o u r4. i PRINT NAME . i ' ....... .‘ I ' DATE ' . REV134.2200 CUSTOMER CORY It GILEY ROCK & RECYCLING ACCOUNTING:9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANSLEY PIT (Plant M 21) 32500 SE Ken)•Kangley Rd„ Ravenedale, WA98051 BLACK RIVER (Plan1122) - (200) 658.0912 51 D Atonal& Rd. Rantn. WA 90055 LAKE FRANCIS (Plan) V 23) • (208) S50.0072 22501 9E .Lake Fronds Rd. Maple Valley,WA 00038 Cedar Mountain Reclamation 17877 Coda Drove Rd. BE, Maple Valley, WA 88038 Plant I20-;(200) 058•0013 DELIVERY TICKET ACCOUNTING (266) 762-2566 (206) 762-2358 IESK (425) 226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB • ARRIVE PLANT PATE CUSTOMER NO. ORDER NO. PROJECT PLANT 2 CUSTOMER NAME '' CUSTOMER P.O. • JOB NO. 'DELIVERY TICKET NO. JOB•AO•• •• • • COLLECT ON DELIVERY (C.0 D ) 0 CASH C) CHECK It '' .© CHARGE i". OARD # EXP J SPECIAL INSTRUCTIONS . ` 0 VISA -.. D MASTERCARD ® DISCOVER l)ANTITY ye ,-ggjj `-{ ,4,.nn•••rryy��gOF,ey6}R* �• ?^'t 4 ' i.. s . • • 4 U M •CODE M9` •. PRODUCT �.yy... .. -/��+?e.�.l'^k:.}.1�t"'rY. I ': f. DESCRIPTION • )�4,eq yry, ^�.W( �tx �• PR'oypgP,e+�p (�,pp, .... Y.w W.9Ft •,.: '1.a +. ARCI . • .. TONS ••. ryrq, bi "�+y. '31 6sp'• . , .. • TOTAL_ ' Lt •. fl";y'N • •. • 1 ^' UNIT PRlOt ' .. •,. ..• • ANIOL)NT • • GRNER ' TRUCKNO. C+t•),t,F, ORDER[DRY REMIT PAYMENT TO = 012510t11 AVE. S,• SU .TOTAL ;DISPATCHER ' TAX cODg • d TIME UUE SEATTLC WA SatO5 :4 • :, .. TERMS ON REVERSE '" . .. .. SALES TAX' tPELSASE — CUSTOMER RELEASES AND AGRE =OF GARY MERLINO CONSTRUCTION COMPA BY DELIVERY OF MATERIALS LISTED AB 8 TO H h LC' HARMLESS KANGLEY ROCK& RECYCLING, A DMSION Y, INC. OR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY .. BALANCE FORWARD" DETAILS ON REVERSE ' .CAUSED t' y t USTOMER SIGNATURE TOTAL . • PRINT NAME. • DATE AMOUNT , .. ILEV 04 2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING; 0126 TENTH AVENUE SOUTH SEATTLE, WA 00108 (206) 762-2663 1 Kangley Rock & Recycling Lo allow KANCILEY PIT (P1aril k 2)) 32800 SE K9r4.1<angley Rd, Ravortsdale, WA 203051 BLACK RIVER (RAM 122) - (206) 058.092 610 Mormlor Rd, Hanlon, WA 06055 LAKE FRANCIS.. (Mani A 23). (206) 6699972 22601 SE Lake Pran914) Rd. Maple Valley, WA 65038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 17871 Cedar Grove Rd, SE, Maple Valley, WA 96035 Pien1.020 • 05 550.09 DELIVERY TICKET ACCOUNTING (206) 762-2666 (206) 762-2358 SALES & ORDER DESK 425 226- MAP LOCATE LEAVE PLANT , • ARRIVE JOB LEAVE JOB ARRIVEPLANT DATE ..: (5114..".f./.)11.t) CUSTOMER NO, - 1 fl‘t15ti'l ORDER NO. C3'21-/.60 PROJECT • PLANT 2'7. lCUSTOMER NAME . L •. . • i., crp(ITvmvsFE7,', r CUSTOMER P.O. • ' 1621'6 JOB NO. . 0i921q DELIVERY TICKET NO. ' 4t249? JOB ADDRESS . . ••• '' , (lfitirt...f.ltiWittjr4iiit., Ev ' .•iri LL ••. co!4.c...rIpN DELIVERY (C.O.D.) 0 CASH 0 CIAEQK # L'.:I Of-IAFIGE • St7:AIAC . .. , CARD)) . EXR i SPECIAL INSTRUCTIONS . • . . : . ' • • " • • • , 1:I VISA, ' CI MASTEFIGAI,ID iT• ] pISCOVEFI , . .— • • • • - • • .• .... _... . . . .. _ :::•,:00ANTITY:•,:,,. ..;'.ii:114: .. .. . . • IL- L • . L ''L:L DESCRIPTION *- TONS - :. L TOTAL ' UNIT PRICE. L . 'AMOUNT, •IL •ILL LI ,T . . .. . . .. ... • .. . i .. :, . - •• , . . .. „ ... • • • . . : .. • • .... • : . • • - . . . . . • •...... . - . .,. - Grdss . .. . . . • •• .. . . • . ,,,.• .. 103{YEI1O ' *.. '' ... , . ::.•:-_,...- . • • • . . , . . . . . - . . . . .. - .-• 'CD tYE '''A'l '''' ''"' ''' ...'''''''.....'$'.....''''''iti:Ail..iirit'i:i .''.....' ,. ... . ... . . . . • , . .. .„ ... ., • . .. • • . . . .. . . . • - ' - .. . . • • • • .. . - . .... . , . -. . . . . . . • . , . . . . . • . . • . . • .. . . . • • . • . . . . , . . • . . • . .. , ,.. .. . .... . . - . . . . . ...• , . . . • , . , • . . . - • . . . • • • • • . . •. ,. T0 . 42i)80..f/0. ''' • '''''. ..' ' ''. . , . - • • - ; : • . . : • . • : . . , - . . • . . • . .. . ,. , • . . . . .. • . . , '''.51 ''. '' '• ' .-. - --.• ;: •-:. . .• .... , .. ,. , ........ .:.• . ,., ' . • .: : • -. . , ‘• . , . . • • . . • • :: - ... . .. . . . filet • '.. '''''''''''• n' •''' • • . „, ••• .. .• • .. -. :-:. • ... • ..... . . , .,. ., . . . . . . - • .. .. , . - : • -• " • . • .. . . . . .. . , ... . • ..(X). • • ... ''•"''' . . • . • • . . , , . . . , , . . • . • . . ..-. . . , • .••• • • ., . . . • . • . . . 1 1. . DRIVER • . TRUCK NO. . T.".:TI4'..IL'• ... .. .- . .. ..... . . ORDERED BY .* •FtEMIT PAYMENT TO . L L L -L L - • L . • . ., L L L SUB -TOTAL .. . ,.• ‘ 9125 1.0111 AVE. S. . i DISPATCHER • TAIt CODE WA I TIME DUE .:.'" SEATTLE WA 80108 .. L• L • . • L . - . . 10; '•,&'''' L • • . SALES TAX ••• L 'L'TERMS ON'REVE'RSE ,• • - *L (RELEASE — CUSTOMER RELEI\SES AND AIIIEES TO HOLD HAFIMI.ESS NLEY ROOK & fiEOVOL1140, A IV161 . •••• ". .. • ' L . L• 7' L- . OF:GARY NIERLINO CONSTRUCTION COMPANY, INC:INO: roil ANY DAlviA E TO HIS REAL 05) PER8ONAL PRoPE.11 ' BALANCE FOnWARD :. . ' • • : ' • . • - CAt.ISEL) BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON FIEV 'RSE. . . . . . .. CUSTOMER SIGNATURE 1. - ' • . • • . - / . . . . . , • . • TOTAL ' . • , . , - , .,-,-,...i .. .. . .. , -AMOUNT • .. ' . PRINT NAME ..,....... t)ATE • , REV 04-2003 CUSTOMER COPY. NCLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 08108 • (20B) 782-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANOLEY PIT (Plant A 21) 325066E Ker11-80n8Iey Rd„ Ravenadale, WA D0051 BLACK RIVER (Plant it 22) - (206) 600-0912 61 D Moneler. Rd Renton, WA 08055 LAKEPRANCIS (Plant I23)•(200)058.0072 22801 SE Lake Frauds Rd. Maple Valay, WA80030 Cedar Mountain Reclamation 17077 Cedar Grove Rd.:SE, Maple Valles WA 00030 Plate 020 - (200) 850-0913 DELIVERY TICKET ACCOUNTING (206) 762-2566 f AX, (206) 762-2356 SALES & • ORDER DESK (426) 226-100G MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT' t. DATE !;t /161 1 CUSTOMER NO. 1. ORDER NO, li60 PROJECT PLANT 0 # CUSTOMER NAMET CUSTOMER P.O, JOB NO. 216'0f2w DELIVERY TICKET NO. F :JOB ADDRESS ..... . t .. couppT ON DELIVERY•(C.O.D,) ❑ CASH ID CHECK N 0 CHARGE . CARD # 1 SPECIAL INSTRUCTIONS EXP. :I (7VI$A 0 MASTERCARD , ..0 DISCOVER QUANTITY , • U M ,, 01401 i .iCT Cl7E]C DESSE RIPTION TONS TO L TA UNIT PR#CE:, AMOUNT y +� ,I• is •. .. : €.• I• GI ( ��,,yyJ T31f. r ' ' ^a p i; t' • I : y �i a« gig AL�.p - h ...� �.t8 •AL, �''is•F . • C • • gars 42t a, .y.g .T 1 1 '.. • K'' .. ,. ... ,, • . 1 , • DRNER TRUCK NO, 0RUFFED eY REMIT PAYMENT TO ' ' : 912510th AVE. S. . SPATCHER TAX CODE )i j ME aye,— SEATTLE, WA O$106 ? PERMS ON REVERSE • , SALES TAX ,; MELEASE — CUSTOMER RELEASES AND AGRgeS TO HOLD HARIviLESS KAFj6LL )iOCK &'RECYDLING, A DIVISION • OF GARY MERLIO CONSTRUCTION COMPANY, INC, FOR ANY DAMAGE TO HIS REAAL•OR PERSONAL PROPERTY •. BALANCE FOHWWAliO CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. CUSTOMER SIGNATURE TOTAL PRINT NAME _ 17/ . DATE AMOUNT Q I-2009 CUSTOMER CC PY KANGLEY ROCK & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 90108 • (206) 702-2588 •A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. EAVE PLANT CUSTOM5E�R NO. 169 CUSTOMER NAME CRY TRANS Ell . C JOB ADDRESS •AL '' : 1N 0 AL. ORDER NO. Kanglay Rock & Recycling Locations KANGLEY PIT (Pla61 a 21) 32500 SE KerH-Kepley Rd, Revenadale, WA88051 BLACK RIVER (Plan! # 22) • (200) 650-0012 510 Monaler Rd. Renton, WA 90055 LAKE FRANCI6 (Plan! # 29) - (200) 868.0872 22501 SE LakeFran616 Rd. Maple Valley, WAU8038 Cedar Mountain Reclamation 17877 Ceder ©rove Rd. SE, Maple Valley, WA 00038 Plant t2b • (208) 858.0013 ARRIVE JOB PROJECT PECIAL INSTRUCTIONS DISPATCHER TRUCK NO. (.1142V., TAX CODE A DESCRIPTION • ORDERED BY UST° ELIVERY TICKET ACCOUNTING (206) 762-2568 FAX (206) 762.2353 SALES & :ORDER DESK (426) 226-1000 ' • JOB NO. LEAVE JO ARRIVE PLANT P COLLECT ON DELIVERY (C.O.D.) O CASH O.CHECK N. e CARD if '. ;. 0 VISA •O MASTERCARD , 0 DISCOVER T PAYMENT TO 9126 1011'1 AVE. S. .' sEATTLE,;WA 91110S :. ERN1S ON;REVERSE .' RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLES§-KANQLEY ROCK & RECYCLING, ADIVISION OF GARY MERUNO.CONSTRUCTION:C.OMPANY, INC. FOR ANY DAMAGE TO HIS REAL, OR PERSONAL PROPER? GALJSED BY DEU.VEIRY OF MATERIALS LISTED. ABOVE DETAILS ON.REVERSE.. CUSTOMER SIGNATURE PRINT NAME. • DATE . CUSTOMER COPY ❑ CHARGE EXP. '7 TOTAL UNIT PRICE SALES TAX ANCE FORWARD TOTAL AMOUNT NGLEY ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH Kengley Rock & Recycling Locations KANGLCY PIT (Plan) J 21) 32800SE Kanl•KangleyRd, Revnnedele, WA88081 BLACK RIVER (Plant A 22) • (208) 866-0BI2 SEATTLE, WA 08108 + (206) 782-2G6 "wKm A,N'die a wl M0,23naw20wi 658 0072 22501 SE Lake Francis Rd. Maple Veil* WA08038 +A'DIVISION OF NARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation 97877 Cedar Cava Rd, SE, Maple Valley, WA 08088 Piani92c•(208)888d�13 ACCOUNTING' (206) 7I 2-2586 FAX . • (206) 762-2S68 SALES & ` ORDER DESK 425226-10�1 MAP LOCATE LEAVE PI ANT ARRIVE JbB LEAVE JDB , , ARRIVE PLANT DATE 11012019. CUSTOMER NO. .' w 1 ORDER NO. 7`S 64 • PROJECT PLANT p CUSTOMER NAME CUSTOMER P.O. : JOB NO. : " : .. DELIVERY TICKET NO, JOB ADDRESS • .: ,. COL ECT ass D LLVE Y (C. .C?,) d GASH O CHECK ❑ CHARGE •:, ;, ... • • CARD 1! EXP. I' PEC)AL INSTRUCTIONS ... O VISA D MASTERCARR .. ,� DISCOVER _ • • • UANTlTY U M .: PRODUCT `tIDE DESCRIPTION TONS` • :. TOTAL T UNIT PRICE ' AMOUNT rota i !1• tl * , s 4A C , • 17.00i5..0 � .... tr.i. .;3RC4f c • • Tare0 't t 6 ' 1 trL • • 8c@. , ,. . • t3 .. .. • DRIVER TRUCK NO. Cti S ORDERED DY REMIT PAYMENT r ' 912610111 TO SUB TOTAL. AVE S. DISPAtCHER TAX CODE WA 1 TIME DU9E• " • ; ' EATTLE, WA , 3- TERMS ON 98108 REVERSE ..;` SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMI E i ' GLEY AOO t 'Si' RECYCI.CNA, A CIVI8IOIJ CALANGF FORWARD OF GARY MERLIN:, CONSTRUCTION COMI�AN,Y INC. FOR ANY D GE TO HIS REAL OR PERSONAL PROIaERTY . CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON EEVERSE. CUSTOMER SIGNATURE :. y( r,. TOTAL PRINT NAME J . ,..." of DATE AMOUNT . CUSTOMER COPY KANGLEY -ROCK 8: RECYCLING • .1 • Kangley Rock & RecyclingtocatIons KANGLEY PET (Rant 21) 3250D SE Kerd•Kanpley Rd., Ravenaddle, WA 98061 BLACK RIVER winnt 22) - (206 86E4012 DE VERY TICKET _ blu hignsaor iia. tte11144, vvAvuupo SEATTLE, WA 98108 (206) 762.2666 LAKE FRANCIS (Flanl # 23). (200) 658-0072 ' 22,9)1 SE Leko Franols Rd. Maplo VaIldY, WA 08038 A DIVISION OF GARY MERLINO CONSTRUCTION OoMRANY, INC. Cedar Mountain Reclamation . 17877 Cedar 6rova Rd, SE, Nlaglo Votlay, WA 88038 . , Nom 1120 - (2o6) 0504301 3 ACCOUNTING 2a6) 762-2568 FAX ' (206) 762-2558. SAIIS & 'ORDER DESK CAI 25) 226-1000 MAP LOCATE IEAVE PLANT _ ..*;• *; ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE Ct.110/2011,4 CUSTOMER NO, 1 ORDER No. • PROJECT . PLANT I/ CUSTOMER NAME CM" ITIANST•Til NC CUSTOM . • • 1 6 ' JOB NO. t ' 010216 ' . ' DELIVERY TICKET NO. JosADDREss • • • '.... • • • . AG% ;;INTtFM110f+1,1‘1.-: ., Et : ' ' ' . ' . , • . COLLECT CIN,DEL)VERY (C.O.D.) (:.-1 GASH 0 CHECK # ID CHARGE 't-------.7—...-- '''‘. . .. . , CARD # • ' EXP. : i 0 VISA .0 MASTERCARD CI DISCOVER - or. ..... QUANTITY U.M. - D , . - DE.ScRiP1 ION ,. • . TONS . . . -TOTAL ; — - . . , ... . UNIT PRICE AMOUNT • .... ... ... , . • •;...s.'• • • ,;. • •• - • • • . ... . . • , ... . , . • . .. • . , . . • . • , . . . . . . . •• Grus5. . , T . 03 ''44 .. .. .7(.., .5 . . . . • . . . • . . . 10 .. • .. . . . • . ,•• . • • . . . . . . • .• .. • . "rare 411 . I • • :: • .. . • . • , • . • • . . . . • • . - . .. „ • • • . ; ,. '....1 • • • • . , , •• !, ..., , . • . • . ' ...: '..:- . .; t. .. . .. .. . . , • • . . . • • . . .. . ••• • . - . • . . ., ,. • . , '.• ' • • . .00 • . , . , . , . • - .• •.. . . , ... .. . .• - .. . . . . • • . • • It DRIVER . - TRUCK NO. aile322 ORDERED BY REMIT PAVVENTT° - 9125 loth AVE. S. SUB -TOTAL . DISPATCHER •I lAX EOE11 SEATTLE, WA 981 08 1; ,TERMS ON REVERSE SALES TAX - • • RELEASE — CUSTOMER RELEASES.A 0 AGREES TO HOLD HARMLESS KANQLEY. ROCK & RoY0LING, A DIVISION.. OF.ARV MERLlNOCONSTRuCT1OipOMPANY, INC. FOR,ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DEIJI,/ Y OF MATERIALpLISTF.O ABOVE, DETAILSON REVERSE. BALANCE FORWARD .s.------ "— ... -._. ., CUSTOMER SI ATURE ' •-•-•- %,..,., TOTAL. , .. ' r•( (v k t;: .. PRINT NAIVir k, ; t AMOUNT - • • • FEY 04-201E1 • . . . . * CUSTOMER COPY •,.. • -1 .,,... Kengley Rock & Recycling Locations ( : NGLEY - t. °etc et, RECYCLING gts"t2 '''evKP.,1,1:i4Ett, 21., Amniate, WA BEES1 BLACK RIVER plant i 22) • (208) ese•0012 DELIVERY TICKET DCOUNITIN<S: 9126 TENTH AVENUE SOUTH ' 610 Monelor Fldt Renton, VVA OSOSS SEATTLE, WA 98108 « (208) 7e2-2566 LAKE FRANCIS (Plant/ 23) - (2SX3)1368•0072 • 22501 SE Lotto Rawls Rd Maple Valley, WA DEESE 110 leigvtlel Illid.R4C.liittatilliletitvio044 wA 9803a A DIVISION OFOAHYNERLIIlO CONSTRUCTION COMPANY, INC. ?.;(8$I7S7111:4a( . ' . Flom N20 -2069 EN -0013 INCOOLINTING (206) 762-2566 I FAX . (206) 762-2358 •8ALES & ' OFIDEFI DESK 42 226-10 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVEJ 13 • . ' ' ARRIVE PLANT DATE . 0/1(3019 CUSTOMER NO. 16901 ORDER NO. 82476-0 PROJECT , ' . • PLANT II 22 CUSTOMER NAME • • " ..., • • • 'INC • „ . — .. CUSTOMER P.O. •• ' 1f.)21f1 JOB No, ............, ' . , "' ••'• .pIie:f..., DELIVERY TICKET NO. 967.1434 JOB A REES ' ' , • • ' : ' • A'' ' '':.1NTE{NATtONAL BLVDA 1 4.' _, . , COLLECT ON DELIVERY (C.O.D.) , ..,„ ... , .. . „ „ • .. , , ..., .• . . . 0 GASH. El eFtEgK # . E]allARGE . • SD. TAC . v - • .., . . CARD # - — ' , ' ?SPECIAL INSTRUCTIONS, , • , .,. . . • .• . . ' •- . ..__ 0 VISA „0, MASTERCARD . , " 0 DISCOVER ... , ..., .„ , .,.. .., ., ,, . , • , • ' - • , . ':•,•:-:.• ''''':' - , '''' ...-.OUANTITY•.•:.4 ''''' ' -,...I.J. • - PRODUCT .. . — .• • . DESCRIPTION ...-- ..' .•-. -. . ,.. TONS . -*TOTAl. , UNIT PRICE •. ANIDUN-1 ' . 17 t; • .... . ...• : - 1....,' . . •,„ . - • . .... • .. -. . . . • .. , ....., . . . . ... . . ..- . .. - • • • - * • Gross. TN . . .. . . . 146.0, 4G243C . 7o0l, . , „, .... .., " • . .. .'• ..-. .. . . . . . . . . • . • • • • 10 III • ,, ' fir t1AC;,'.. . . . . ., ... ,..... . . . . • • . . - • .. .....:., - : - ' • • . • ' . ' • .. . • • . . . - - . . . • - ' • . " • • . . ..., . . •. . • . - .- - • ' . ..- , . . . .. - . . • . • . . , . . Too 4.11NVX • , ... , .. . .. . ; . , . , . ... • • . • . . . . . • .. . . . . . • , .: ......‘....;:;;; . • . . ...;,..... -.;. -....•::7:: • -..... , . : . .• . .• .. . . . ., .. . :1 :... • - . •.. -.... :,..,..t...1 ..,, , ., . , . . „ , .. ' - -.• ... ' - • . .. ,... , ... . . • . , • , . • , ..• . .. . ,.... . .. . . . ,,. .. . . - , . . ; !.. •-:,,... ; , ... . . -. - . . • . . . .. . • - . . . . • .. • ,.. .... . . - . ' . • , • .,. DIRIVER . .. . • . . :... .• •• I 11UPIC " 11122 . . . . , C)HU ELI laY • ' % '•,'" •'REMIT.PAYMENT T°. . ' TOTAl ' .. ' 9125 10th AVE- S.: • . • . . .. '• • , • • - +.' . ' • • ' ' ' -' SEATTLE, WA 98108 ".-12 • . ,,. 2 TERMS ON'REVERSE . . . , . • RELEASE — CLISTOW1ER RELEASES A ii AGREES TO HOLD HARMLESS IcANGLEY'ROCKA RECiOLIfiG, A DIVISION, • - 0F.GARY MERLIND CONSTRUCTION'OOMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL" PROPERTY' BALANCE FORWARD ''. 'iCAUSED BY DELIVERY OF MATERIAL LISTED ABOVE. DETAILS ON REVERSE. - , ipUSTOMER SIGNATURE .. ,-....-",,..:„„„.„,,i, • . • ' • • • . -• . TOTAL . . INT NAME \,f0,,i ( • AMOUNT : . . DATE '-; • • ' .. Et/04-009 . CUSTOMER COPY ! CA 1GLEY ';NOCKC & RECYCLING ACCOUNTING: 9126 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (208) 762•286B A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC Kangley Rock Recycling Lgcatlone KANGLEY PIT (Plant 21) 32500 SE Kenr-Kanpley Rd., Rayensd&le, WA 98051 A BLACK RIVER (Plenl Y 22) • (P00) B6B-0912 510 Monster Rd. Renton, WA93069 LAKE PRANGIS (Plant P 23) - (205) 058.0E72 22601 6E Lake Francle Rd. Mapb Valley, WA 99038 Cedar Mountain Reclamation 17877 Cedar Breve Rd. 8E, Meplo'Votley, WAD8038 Plan) 020 = (209) 958-0913 DELIVERY TICKET ACCOUNTING 06) 762-2566 FAX (2061:76Z ,2358 SALRDER ES & ObESK t426) 228.1000 MAP LOCATE LEAVE PLAINT ARRIVE: JOB • LEAVE JOB ARRIVE PLANT DATE ,` 05/1 t 019 CUSTOMER NO. 1 1 ORDER;;NO, �32 h 7 PROJECT PLANT#' 22 CUSTOMER NAME ., • CUSTOMER PO. JOB NO. ''' ' '' DELIVERY TICKET NO. Joe ADDI1Eb�u '.• Ix �t4arAt:. t rose I.L`-CT ON'D LIVERY (C.O.D.) GASH ® CHECK # O CHARGE • CARD ?SPECIAL INSTRUCTIONS • tl , EXP, =--t— O VISA E3 MASTERCAR,O D. DISCOVER G)UANTITY, '• 11 i�I PRODUCT :; CODE DE5CRIPT ON TOTAL UNII 1110E .' AMOUNT -`: vF, ,• .. . . . • y • s.9f1'31Es .11„1vT i -..:... vd.? _ ..-0 $ ()24F : • *� gam- �+ �,y�4+,y�kd Fb 9.FMa i y y .. ,.. .•..,. • • • £. .i 4..9 1 .'7i`,RFi4w a�TONS • g ,M• .per - .4 •"` .• t : .• • .Y#E/,. - .. ., . • • DRIVER TRUCK NO. ' ;TI12? ORDERED BY REMIT PAYMENT TO " _ 9125 1O(h AVE. S. , '.• SUB -TOTAL . - DISPATCHER - Ti+i( C)DOC . •, ., _) TIME DUE SEATTLE,.WA 98108 � : ;: ' TERMS, ON REVERSE ; - SALES TAX ;RELEASE — CUSTOMER RELEASES AND AGREES TO H. LD HARMLESS KANGLEY ROCK & RECYCLING, A DIVISION .OF GARY MERLINO CONSTRUCTION OKARANY. INC. R ANY DAMAGE TO HIS REAL OR PER AL PROPERTY. CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. ` ETAILS ON REVERSE. . DALANCE FORWARD; . tCUSTOMERSIGNATURE J '" ''^^- w�M� ,. � f . •'�.... +. '}, TOTAL . `PFIINT.NAM am_ �' DATE•�• • AMOUNT. REV 04.2009 CUSTOMER COPY NGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH .• SEATTLE, WA 98108 • (206) 762-2668 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling LocatIona• KAN0IL6Y FIT (Plant 2I) 32600 SE Keni•Kanglay Rd„ Ravensdale, WA 68051 BLACK coven (Plant - (205)658.0812 510 Mona* Rd. Renton, WA 88055 LAKE FRANCIS (Plant t 23) • (208) 858-0872 22501 SE Lake Rands BB. Maple lay, WA9803l) Cedar Mountain Reclamation 17877 Cedar Grove Rd. BE, Male Valley, WA 96038 Plant /20 • MOM 668.0913 ELIVERY TICKET ACCOUNTING (206) 762-2566 FP1X (206) 762-2356. SALES & ORDER DESK ‘-' • MAP LOCATE LEAVEPLANY ARRFVEJOC LEAVEJOB , ARRIVE F'LANT DATE : /I. CUSTOMER NO. ORDER NO. ..r. -1' PROJECT . . PLANT n CUSTOMER NAME . '• CrTY IRAN. • , . CUSTOMER P.O.JOB „ NO. : Y e NO. t40B AljDF,IESS .. : ".-...' . • A:GC; -:'INTIf-FINfilit.ANi. j pr0_ • • • ,.•. .. COLLECT ON E)EL1VERY (C.O.D.) . . i CASH I:1011E0K # 0 CHARGE SEAtAC: . . i. EXP. ICI VISA , 0lytAqTY13C/:kRp . , ,LI DISCOVIBI SPECIAL INSTRUCTIONS • ... . . , - . . • • . . • . • '-' .QUANTITY : : ri.i. - • - ' • DESCRIPTION • . TONS . ' TOTAL LINIT PRICE • AMOUNT - . - - ..' ,. . ._ It' :. • . .. . . :.':.:"..,:l....1.,.:...'... ,r.4,..I:' t'.... • • . . . • . • * •" •• ' • • • • ' • • . . ' • ,. ' , . .. * ' . ., .. .. . . • . - . „. . • ... . • • , (-irotts . .. ••• , ... -, ••• . •''....,'.:. • . . • • , . • • . • .. • ' 0. . ... • . . . , . . ; ',..I.r... : :..:........,., . . , . • , • • . . . . . „... . . . . • • • . . . . . • .......'',"'•'.';.;• ,....b.7-: :1....",..:'!- . : .,.:.. ,..1•4A.*".•''"'" • . . . • . . . . . . . • . • . • . . . ' * • . • . • • - - ' . TIA/1? 41'120.00 ' . • ' • ... • - • ..- . • . , . ••• • *!••••'',•••••••••••''*'',.*S*•• , • • . . . • .', , . . . . . • . • . . .. . • • . • • . • ' . • . • ., ••• • • . . ,, , ... .. ' . • ' • •• .. . . • _t • , . .... . • ' • . . .... .. , . . . * . . t . . • •• • ''' ' . , . . ' . . .. .., . • .. •. noo •.....k‘.::::,... ....: , • - • . , • . . . • • .. ... . —••. ' • .. •, • . . . ...... . . • . • • • . . • . . , . .;1 DRIVER .:: TRUtIK NO. 0 E BY • . - - . . .cl E,IVIi215T1P0AtYtiPA+1EvNE.TsT:O . , SUB-TOTAL DISPATCHERTWODE., • 1 TIME DUE' SEATTLE, WAUIJ100 TERMS ON REVERSE ' . SALES TAX RELEASE — CUSTOMER RELEASES AND AGREE TO HOLD HARMLESS ICANOLEY ROCK & RECVCLBQ, A DIVISION ' _ _ 'OF GARY MERLINO CONSTRUCTION COMPANY INC. FOR ANY DAMAGE TO. HIS REAL OR PERSONAL PROPERTY nALAwct. rci!-AtmARD . DELIVERY OF MATER' S LISTED BOVE. DETAILS ON RE,/eR•st., . . CAUSED BY . CUSTOMER SIGNATURE .- . TOTAL . ........ . PRINT NAME . ... DATE'. . AMOUNT •t REV 94-2009 CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA MOO • (208) 762-2566 Karigley Rock & Recycling Locations RANGLEY PIT (Planl rr 2G 32500 SE Kant•Kanfitay no., Ramada), WA 90051 BLACK RIVER (Plant / 22). (200) 656-0012 510 Mensal( Rd. Renton. WA cans LAKE FRANcls (Plani 0 28)- (20e) MO-0672 22601 SE Lake Rands Rd. Maple Valley, WA 80038 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation • i 7877 Cedar Grove Rd. SE. Maple Valley, WA 00038 P1E00120 - 200 068•0010 DELIVERY TICKET ACCOUNTING (2.06)'762-2565 -FAX- (206) 782:23E8 IAL•E & bRDER DESK (46) 228-10 ' MAP LOCAlE LEAVE PLANT ARRIVE JOB - . LEAVE JOB • .. AR I PLANT , ... • . DATE • .• . .• .,: • , CUSTOMER NO. 169501 ORDERNO. , 7 ' PROJECT • , PLANT ,CUSTOMIR NAME ' Q141Y -04114,,,: . ...J ' ., . , CUSTOMER P.O. 1 " ' JOB NO. .- • ' :!•• (iiii°16' DELIVERY TICKET NO. • Lt,4..1.,,t.' .-.: JOB ADDRESS ' . • - • . ..... . It-14A. 't) ..si. - 11 • -„,' ••..*,...., . coLi..EGT:.;117.)N DELIVERY (0.0.D.) . , .., . . . 0CASH El CHE6K#, 1:3CHAFIGE Sgii4;trAC: . . . . !, • . . • CARD I/ • ' .. EXP. i SPECIAL INSTRUCTIONS . „,........, . ... . , . .- • 0 VISA" . 0 MASTEROARD • .: . •,1:1 DISCOVER ... :.,.! ,.:, ..-.,.....:,.•, 1•,.,::;••• '..•:, '.•.:..,,,.QUAINITITY'•'...: ' ... '4 •',., ' '• • -. PRODUCT -: ', • •.:- '', - DESCRIPTION • ' "- :' ' .'"" " ..'... • . . : • TONS .' ' ' '.' ''''.'•*:;:-'..".•• ,::: .'. ":.•,,; •'.'..,....;•.:::. 'TO -.''.'. ...‘' '.., UNIT PRICE ‘. ' ' _ . . , AMOUNT - -. • - ':".'.• -• ..... : '..:1'...'. ' A,•••.....: .':::.' v: , `••••;••••:. r. • . . •.. ... . • .. - . ...-„ ' -. , . , . ... • .. ,.., . . . ,, , , ,, , .,• . . , :. • . . . . • . , . • G$'Otili" ' ',-.. , • .."' '' ,., `., . . .. ..,- , . .. • .. . ... - ... ': • ..,: .. ... • ....,‘ I-61:4201;10 :'' ''..4t(04tA( — •'...:,'....,: '.• .....: - ... . - , , , ..,.,. . . . .. , . .. . . . .. ..• . • . • , . • . • . . "" ' '• • '''' -•*'1 .' .', ." ' • -lei. • ,:::•:•.,;.; . -:•,--1. '..... • • ' . . • . . , . . • • , . . . ... . , ,.. - • . , . . . . . .. . . .-. ..• . " . .. • • . . . . • • . • . . • •• ,, , .... . • • •. . • . • . . . . . • . . • . • • i • , ' • . • • , . "tartt 4,11.20.,130. • ••• ' • • ' •• ' '''-'• '' ; . . . , . .:. . . . , • . , . . . . - . . • ••• • .. .. • • • • . .. -.'• • • . • . • . . . . • . , . , . . . . _ -. . . . . . -. ..' .' -•.• ••• , •'• .• . ` • • . • • • • ' , , , . . ... ••. . • : . ' - • • . . ., :- . _. . Net: s'•;'''•• . .. ' ••••• ,•• . . ' • ' , . ., ' • '' . . . ... . .. .. , . . :1 ....•••• .:'.• : .: . . . . • . , . • : .. . .. ' . . • ' • . ..:. . - • . . • " .. ... (10,?(K)fk ••••1 . ' •• •• . . , , ; „ . .. •• : . . :., .., • . • ',. • ', '' .. .• • . •• • • • . ... • - . •••, • . . ., . -• •• . , , . ' . , . •. . • . ., • . • . . . . . . .. .RIVEFI , ,,ii • . '. • TRUCK NO. OTP•1122 ORDERED OV - - ''-, REMIT PAYMENT TO •*. . . ,. .. . ..., . . . ' , .: .... ..,. 8125 10th AVE. S. . . . . 'SUB -TOTAL ispArcHER • ,.•'' ' • . . TAX CODE \IVA 1 . TIME DUE - . . , •,. SEATTLE, WA 98108 .. •• -* . i 14Y21 ' .. . '.TERms 014 REVERSE ,, ' • . . ... , .. • ... . . . . . . . . , . . - . . . . ' I.. SALES TAX. .'. ' • *. • . . pELESE — CUSTOMER EASES AND AG ES TO HOLD 1-1AnmLE8s,KAINIGLEY ROCK & nEoycLitie,•NOIVISIO 4/F OARY MERLINO CONS uprioN cam - NY, INC. FOR ANY DAMAGE TO HIS FIEAL.OPI PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIAL& LiS8O ABOVE, DETAILS ON REVERSE, . . . : ''. ' .' . . . ... . ' .• .,. BALANCE FORViARD . . . . . r--- .. . . .CUSTOMER S1GNATUR , '`''--, —..,,,......--.•---s"---""•••'•-•••- ••---....-•••••• . • ••••iir ‘,, .. . .. ... . . --',-., ' .... TmooTuANL.i...,...•.. , — ..... • , PRINT NAME,,,,-. - ' DATE '•-• N REV 04.2000 CUSTOMER COPY • HOLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 06105 • (26B) 762-2565 A DIVISION 0 Klingley Rock & Recycling Locations KANGLEY PIT (Plant / 21) 32500 SE Kent•Ktuvloy Rd, Revenadala, WA 98051 BLACK RIVER (Plenl /22) • (208) 858.0012 510 Homier Rd. Renton, WA 98088 LAKE PRANCIS (Plan) /23)-(20 858•0872 22601 SE lake Franolo Rd. Maple Valley, WA 08038 GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation Iran Ceder Grove Rd, SE, Maple Volley, WA 90038 Mil /20 • (206) 658-0913 DELIVERY TICKET ACCOUNTING (206) 7821:266 FAX (206) 762-2358 SALES & ORDER DESK (426) 226.1000 l MAP LOCATE LEAVE PLANT ARFIIVE JOH LEAVE J08 . ARRIVE PLANT ' DATE GUSTO ER NO. ORDER N0. { PROJECT PLANT 5 12 CUSTOMER NAME ..r.' :Q°' CUSTOMER P,O. : ' „I" B N0, . DELIVERY TICKET NO. Job AD ES .. '•dcKilS #�' g , • '". COLLECT,ON DEL(VERY (C.O.D.) - CASH ® CHEEK if E CHARGE •,.n. . • CARD* - $ is„ TRACT. LA1'i € J,, ' • EXP•' • E l VISA 0 MASTERCARD El DISCOVER QUAI TITY , ,,' w U M•..: PROODp T • _< . , . DESCRII'T10N : TO• N5 'TO?AL�.}�, UNIT PRICE AMOUNT -$, i1(•.Q calla I ,• „ •T \(, �ip'%ffi . • • • • •}$C.w,, ({ y,.._yf jy^4jry yrypq� (ppY�,�,, " F+fi8' 9A� iM - •A(. `I- „ , • • • T 4 Imo: , dd • • •HRY ! r • , .. 1 • • IVER TJ9UCK:NO.. "ii�i�ai? oRUEI EI)6Y - ' 13EMIT PAYMENT TO5Ut3 ., 9125tOth AVE. S. , `. _ . ' TOTAL i DISPATCHER TAX CODE " A I TIME OIJE ; SEATTLE, WA 981t�t1 i . , TERMS ON REVERSE. SALES TAX REU RASE •-- CUSTOMER REL . CP•GARY MERLINO CONSTR OAUSEI7 BY DELIVERY 0 MA SESAND AOR ES TO HOLD, HARMLESS KANGLEY ROCK.&'t1EGYCLING, A DIVISION, CrION COM° ;Y, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY ., BALANCE FORWARD ERHA(E-LIS7. n OVE. DETAILS ON REVERSE. •- CUSTOMER SIGNATUpR ' TOTAL PRINT.NAME• C. `.s` � �) DATE • � AMOUNT nEV 04.2009 - CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98109 • (2D8) 762-2866 A:DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Locations KANGLEY PIT (Plant it 21) 32500 BE Kenl-Keingley Rd., Revenadala, WA 98051 BLACK RIVER (Pleril 0 22) - (206) 958.0012 610 Monoler Rd. Renton, WA 88055 LAKE FRANCI (Plant I 28) • (20e) 658-0972 22501 8E Lake Fronds Rd. Maple Valley, WA 08038 Cedar Mountain Reolaination 17677 Owier Grove Rd. BE, Maple Valley, WA 98039 Planl 020 200 058-0213 DELIVERY TICKET ACCOUNTING (206) 762-2666 FAX (206) 762-2356 SALES & ORDER DESK 425 226-1000 P LOCATE .1'... LEAVE PLANT ARRIVE JOB LEAVE JOB . ARRIVE PLANT l'E '(ifi/16120114 CUSTOMER NO. 'itiM01 ORDER NO, 621740 PROJECT . PLANT 0 22 CUSTOMER NAME • ,. . • • —C:r•ii,-3•RA.0•ISFO•tte.." CUSTOM RP.o. • . JOB No. . . DELI VERY TICKET NO. 503,,'Irr4,8 Jon ADDRESS " • , Add 1 iii4iiiiii4 'tidf4At2fiuk, ..1 ' .. COLLECT ON DELIVERY (C.O.D.) CI CASH ID CHEOK 4 ' El CHARGE SEATAc • .... • •• CARD ''''' SPECIAL INSTRUCTIONS . # .."' , EXP. . 0 VjS.A • ' . Cl MASTERCARO 0 DISCOVER - . , • . . , • - . - - • - • . •,?..,C)1..iAl\ITITY'..'.' U.M. 1' '". - - ' • - . DEScRIPTioN' - ' ' * • . TONS ' • UNIT PRICE • - AMOUNT_ - - • ' ? ' • 4 • • : • :.. ..._ . • • • • ...f,1 „'. • , . . . ., ••,•••• Gril,s5 ' L. ...$ 1' • . ... ••;• ••• - .... • .• .. 04.4040 . 4 , i• - . , ...... .. ., :. • :., . • .• . , . " • • • . • . . .. .-lt:P.. '• . • '.- • . . 4 AT . ' 4..:: • : : . • . . • : . - • • . . . • • . .• . . . . • . • . • .. . • . • . , . . . . . . . . • . . ... . . . . . .. . - . . • • • • . • . • . . , . . . . . . . . • • . . . . . . . .. . . • . . . fure 4112,00 . . -... • ••• .. . - .. , . . • • .3 . . • • .. . • • . .. . • . . . . ... - . . : .- . . • . • . , • . . - . • . • . . . . . . • • ' ..1* ....,:.„t: • -: .. .•:. • .- • -: • , . , • .., .:-. • ,.• - . . ,... ... . • . • : . . . . • . . • ••• •:.•'. - ... . . •• - :• • •.. . •... , . . . ... . . . • • . : . . .. ,:. .• ;: . • , . . .. • .: . s• : • . • •.• -• : ..., .. • • : : •• • - . • • . , .. . . . • : . . . • . . • • • • .. . . , . . „. , . - .., .: ,. • . . • DRIVER • 7.. ,., . :;• •• TRUCK NO. . :4,•7114-2•;/: OR CI BY , , ' • , REMIT PAYMENT TO • . oiPATcRETI • TAX CODE WA IME DUE .11;31 - - TERMS ON REVERSE •• -• - - SALES TAX RELEASE — CUSTOMER RELEASES OF GARY MERUNO OONS11-ROonoN CAUSED BY DELIVERY or MATE AND"AGR comptk lAt.§LLIST - TO HOLD HARMLESS MI4OLEY ROCK'S; RECYCLINti, At)IVIS(04 • ' ' 4 INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY , BALANCE FORWARD i)VE, DETAILS ON REVERSE. CUST(5IVIER SIGNATUR • ......- ' "..-.... 4,,,....;......4 TOTAL PRINTNAME • - i f • AMOUNT A. . , . • DATE t I; • • . •••••••:'-. CUSTOMER, COPY NGLEY ROCK & RECYCLING Kengley Rock & Recycling Locatione RANGLEY PIT (Plenli 21) 32500SE Kenl•Kanglay Rd., Ravenadals, WA 0005 t BLACK RIVER (PlanIP 22) • (200 650'2912 • DEI.IVERY TICKET SEATTLE, WA 9E108 ::: (206) 782-2666 avg.R'°,';'z,.,..'cltilsfg,P,tnill.Y..v(240'‘) 6204272 - - 22601 SE Lake Franck" Rd. Maple allley, WA 9600E1 ;••••.s DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC. CeCiariV)atintain Iltolarnation ' -,-....., 17877 Ceder Grove Fat. SE, &Tapia Iialle WA 98036 ' Plant 920osfl-pola ACCOUNTING (206) 782-2566 FAX . (206) 762-2388 SALES & ORDER DESK (425) 22.6-1000 MAP LOCATE JLEAVE PLANT ARRIVE JOB EA JOB • •• • • - ARRIVE PLANT . ! ATE 6/1612019 CUSTOMER NO. 1 ORDER NO, / VI PROJECT PLANT P CUSTOMER NAME - • • rf-ry -1:14,A1;,1fr,P ilii '''. • 0 STONIER Pp, 1.,4% JOB NO. . • . ... . . ,....••• 01015' DELIVERY Tic.,Kgy,t1p, • ....:., •• "J., f4, , ''' AoDREss . i. . ;.,‘oti41'. , . . . . .,. .. ...... .... COLLECT ON DELIVERY (o.O.D) .'• • • • • El DAS1-1 1f.:i 01-1E0! it 01-IATIGE.,:. • S ....A1AC . , ..-.... , • CARD # EXR -1 . , '..E3 VISA 0 MASTEROAFIL). . p Disopyn . SPECIAL INSTRUCTIONS ..... . : . . - QUANTITY ..,..:,...-- ,,-;U M: .. . PRODUCT- ' ,.,,...- . '.. DESCRIPTION: - ..,-.. . , . . TONS ' .. . ' TorAL ' ' gUNIT PRICE'. ......-. AMOUNT ,.. • . .. ',7 . • ... .... . . , . .. . ,• • • ' • , • • , .- „ . . . . .. .• • ; • . • '..; ' • . - • • • . . • . , t • •• .1,1. Ctir-,.1° S....-,- -. . . * • . c.. '-i..-• , . . . . . . '''`O .. - • ... ... : „ r, ••"?,' ., • ' -, .• -• • • . . • :. . • . , . • . ... . ' . • . . ... . ' ,!' TYPE,t7 ' .- -' EI WA L '` . , ‘ . • • •., .... . -, . . '.':. '' • -;'., '..' ... - :•'- .. . . . . . ., . ., . . • . .... . . • . .... .. .• '. ' .. , ' ' ' • • • ' . ' • • . ' ' . . •. . • • . . . . • • ,' . . • ''' ' . '• • ' . . . , , . . . • • . " • .. .„, • r. ,, • • • • . Tars 41't 20,0()- • • . . : ....,., - • . . . . . . . . . . . , . . •• . ,. • - • • ; ' • . . • • • • ' • .. • . . • - ... , • - '... -, , . . • • , • ..... ..; ••,, ... • . • • : :' ,...-. . .• . ., . , . . , , • . . ' • , '• , • . • . • . • . ", . . 6350'11410' • - . ... . • .. . . ... , . ...., • , .. . , , , . . .. . . • . . . . • . . • A• . ..0Friveil TRUCK NO. ORDEREDY . ' ''- REMIT_ PAYIVIENT TO, ', . 9125 19111 AVE. S. ' - : -- ' - - ' • . DISPATCHER • TA.14 CODE WA . . . . . 11MEDUE . ' -. .. ' :,' SEATTLE; VVA 013100 1327 . . ..' ., TERNIS aN nEvErls .E,. .... . . SALES TAX . . . . ... .. .. . . RELEASE— CUSTOMER RELEASES AND OF GARY MERLIN° CONSTRUCTION CO CAUSED BY E/51-.1VEFIY OF MATERIALS S rGREES 10 HOLD HARMLESS KANGLEY ROOK & RECYCLING; A'DI'Vl F.) PANY, INC, FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY: . BALANCE FORWARD,. ..- El:I-ABOVE, DETAILS ON REVERSE. . . DIJ,STOMEI3 SIGNATURE . . . . . . - . . . - . TOTAL . ... . . . • - • . • i Att., OUNT : PR.INT NAME , : . . . ... . DATE' ' -!."'::":-. c,.' :I. • • -. . ...• . • . 02V 04-2009. CUSTOMER COPY KANGLEY ROCK RECYCLING Kongley Rock & Roweling Location KANOLEY PIT (Nerd i/ 21) 32500SE Koril•Kartgley Rd., Ravansdalo, ViA, 90051 BLACK RIVER (Plan! tt 22) - (200 058.0012 DELIVERY TICKET . 010 monster flu. Ramon, rem usvas SEATTI..E, WA 081011 * (206) 782-2868 LAKE FRANCIS (PIns1 0 03). (200) 058-0872 .1 22501 $8 Lake Harlots Rd. Msplo Yak% WA 08030 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, 11+10. 7Cedarl'eTata ki " t nrovo ( 'Rid RSE C, lIaaTleaNtlintrty, WA MB Plant 000 - (30S) 659-0913 ACCOUITING (206) 762-2586 1 FAX (206) 762-2358 SALES & OFIE)ER DESK 42 " 226-100C MAP LOCATE LEAVE PLANT MIRIVE J03 LEAVE J013 ARRIVE PLANT DATE 05/17t2t)19, CUSTOMER NO. 5 ORDER NO. 621B79 PROJECT PLANT . 2_;) CUSTOMER NAME CrET' Tr -Pr. Ilie- CUSTOMER P.O. ' '34'1'16 JOB NO. 013) r. '' DELIVERY TICKET NO. 4fral4/72; JOADDRESs ' ' .., -,. • • AUt,.1 - INTEIINATf(INAL, Si.. 14'011 :COLLECTON CliELIVERY -(C.O.D.) • 0 CASH - CHECK h • 0 CHARGE - ' SE'S:IA(7 " • ' .,ID . . . CARD It SPECIAL INSTRUCTIONS . • - °VISA I:3 MASTERCARD . • . Ei DISCOVER . QUANTITY • . , 't- ';';'....;, . . . , ' , . .. . . Cirb.5s IJ M .I ' • - t 6 I PRODUCT . 7 1 .- . . .., . : 7:1 'i ' .' ' ' ' •'• ' DESCRIPTION t'('', ..rw . :It) - St, '' ' • 1 . . .. .- • .• . . •. . : • ..., '. .', , - .. .... . • • ' . . • • • . . . . . .. . , . .. . ' T-Ar 41500,00 TONS . ••• ' •-••• • ; • ' . , - . . ... . • . • , ....,.. . •• . • . • . ' • , . . • . . TOTAL " . , ..• .. • . ' ' • • • • . N4 *- UNIT PRICE : . - . . • . . .. '...;-.•: •'-'1. 1'; . • . . . . . ' . . . 6.'31OODO _ ... , AMOUNT3. ; • • -:, . , . • - ' • : ;:....: '•• , • . . . • ' D IVER - TRUCK NO. Tolck:`..1.32 OI1DEOLEDOY .' REMIT PAY1,11ENT - g125 1001 TO SUB -TOTAL AVE. R. DISPATCI-IE11 TAXC005 71 E DUE SEATTLE, 1:� TERMS ON WA 08100 REVERSE SALES TAX ReLgAsE — CUSTOMER RELEASES AND AGREES TOI4OLD HARMLESS'KAINGLEY ROCK & R4cyptiito, A Mk/18[0N OF GARY MERUNO CONSTRUCTION COMPANv, INC. FOR PM( DAMAGE TO 1418 REAL OR PERSONAL pFppERTy BALANCE FORWARD CAUSED SY DELIVERY OF MATERIALS LISTED AB 110S 01\1 REVERsE. . • CUSTOMER SIGNATURE - TOTAL . . AMOUNT PRINT NAME , REV 04-aonii • CUSTOMER COPY • ... __ . _. . ._......._ . .., NGLEY ROCK & RECYCLING ( • Kangley Hock & Recycling Locations KANGLEY FIT (Plain 21) 32500 SE KenI,KorVoy Rd., Revansdala, WA 96061 BLACK RIVER (Planl if (206) 658-0012 ACCOUNTING*. 0125 TENTH AVENUE SOUTH 510 Hondo( Rd. Renton, WA 980.315 SEATTLE, WA 98104 • (205) 762-2588 LACE FRANCIS (Rani # E3) (EOM 650.0872 22601 BE Lake Fronds Rd, Mop is Valley, WA 98038 DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC. Cedar Mountain Reclamation • i 7077 Codor Grave Fa SE, Me'Ay, WA •.; 038 Plant 020 • (200) 060.0013 DELIVERY TICKET ACCOUNTING (206) 762,-2566 FAX (200) 762-2356 SALES & ORDER DESK (425)226-1000 !MAP LOCATE 1 LEAVE PI_ANT ARRIVE JOB ' LEAVE JOB . ARRIVE PLANT • . .,. !DATE . i, °Sill/2019 CUSTOMER NO. 169501 ORDER NO. 621879 PROJECT ' • PLANT 8 71 11.L. CUSTOMER NAME -• .., CrrY'rRilAISF'1 , 1,4tc • • . .. (",. 't USTOMEli PO. if42,'f '.• JONO, - • p DELIVERY 'PICKET NO, •. di JOB ADDRESS • .. A.1.34G:INTEFNAT --"... . .. . "—"-.. COLLECT ON DELIVERY.(0.0.D.) . 0 CASH 1:::I CHECK # CI CHARGE S'E.fkIAC • CARD, g -SPECIAL INSTRUCTIONS . . . . . . .. „ . . . .. . , . .- • • El VISA . .0 ,MASTEF.tpARc:i.,,,„ .. Et. Disgoviip . - • •. • . —. ,„ ... • ..• .. :,;....,..,.... .... •....:;;: ;:t... I.-"•.:- ...• -..., • .. . . f. • . •• • . ... .., . • • :•,..„.• - •-..• --- ,.?,••-. --,•••: . . , . ... . . ••' • • ..: •,pFtoDucr:- o -... -!.• - ':,- .„ ••--. „ bt,§aRipTips, .: . . - •TONS•- • ' ' , k UNIT RRIDE. -.• •AMOUNT - •.„,.. ii ...L s'i-2.• : • . .. • -. , s .. • .: • . . . . . : *. .....:....-•.. ....*:. -.• •:: -•:. , . .• - ., . , • . . . -... 1 ' . • . ..• , .. - . ... -.. • . . • ...• • • ' '• 4 C3rirk,tt. :-..:... . , . ,., . •',' ..... :,:......::• . . , , . . , . , • - , . ... . • . 1062 ,f0 . .' .. -•.2G4RC 0,. 1.;. .4'.. • . . . ..' •"...'..-.-: • : .,:.. • - - . . . • ,..• .. , • . . . • • . ' . ' • '• "'`' .cTY. '-`11''.4:, . , . . .... • ••• • • • -..-..—.—. - . . • • ,, • • • . , . ' - . • - •• . . • . .... ' :".. "•:.•`• ' -'' • '':- ,•• ''...:. :.. . ... • . . .. • . •. , • . " • " . . , ... . • .. , . . . . . . • • , . . • * • •• ... . • • . . • • , . . . . . . . . •• - . . . . . . . • . . • . . . . • . • . . . . . . . . . • • 'fare 416' .(XY , ` . . . . - . , ' • • . • •• . .. .. - - . . ' , . . • • . • . . . . ... . . ., , • . . .. • .. .. „ .. . . . • t * • ' , -. • • .. " : ' 4... .. . • • . - • . . . . . .. .. - • •,• . ' • -• 6.4740.00 • . , ....... ....., " - ' ' ' • • • . ' * - . .. .: . . . .. • " . , I R ' , •••• -. . 11.•.) • • • - TIFIUCK No. TiviPit?432 ... „ . ORDERED BY : *, ' ''''.: ...REMIT pAys.figNT1-0.;. . . : , . , 912510th AVESUB TOTAL .. -, , • . - . . - •'• . •• . S,..• • . .: • . . , • :......L.....a......_ !DISPATCHER. . -. .• • TAX CODE . • WA 'I• TIME cu' e . . -; SEATTLE,WA 06106 -. . - ... - • .. . ., ' ' ' -' • '' ' ' ' ' • . 1.A 9:1S . ....... '. :TERMS ON•FIEVERSE . „',. • : SALES •• • , • . LEASE .-: CUSTOMER RELEASES AND -AGREES TO HOLD HARMLESS IWIGLEY ROCK & REOVeLINO, A OIVISION. ' • • • RELEASE MERUNO coNs.raucTioN cOmpA14.4.• (NO, FOP ANY -DAMAGE TO HIS' REAL OR PERS.ONAL PROPERTY• BALANCE FORWARD CAUSED BY DEUNIERY OF MATERIALS US'TED ABO DETAI N REVERSE. . ' . .. , . . .. . CUSTOMER SIGNATURE . , . , . .. • . • TOTAL • , , • ' ' AMOUNT' , I., PRINT NAME .400(4V.,//' -' • DATE CUSTOMER COPY KANGLEY ROCK & RECYCLING ACCOUNTING: 0125 TENTH AVENUE SOUTH Kangley Rock & Recycling Locations KANGLEY PIT (Pit)! 21) 82500 8E Koill,kaniew FIri, Ilayansciale, WA DEIP51 BLACK RIVER (Pia nt R 22) - (200) 650.0912 DELIVERY ........._...___., ...,..,..„ • SEATTI.E, WA 013108 * (206) 762-2556 LAKi FRANOIS (Picini # 23). (204 050,0072 226018E Lake Fmnolt Ii'd. Maple Willy. WA 90020 ..,.',A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar ivjeuntain Recialnation ' t:. -,, • : . • ••• • 174317 Coder Orovegd. 8E, WiapIci Valley, WA 98028 :" • Pioni 1+20 - (Sue) G5B-Omis ACCOUNTING (206) 762-2566 FAX (206) 762-2368 . ALES & FtDEll DESK 25) 221000 (46- 4 MAP LOCATE ,,. LEAVE PLANT ARRIVE JOB . LEAVE JOB ARRIVE PLANT . :;.• DATE . ' '0 CUSTOMER NO. ORDER NO. PROJECT . • . PLANT II - . C ti • , • . . ' ' - CUSTOMER PO. . JOB NO. •,:.' , • . DE ERY I6XETNO. J• :ADI. - - . : . . . ' .. . • AC 'tREflONAL 3LVD ' 1 . I. i___________ COLLECT ON DKIVERY (C.O.D.) 0 GASH C101-1E04(4 0 CHARGE St:',IkTAP , ••• • . CARD # • , ' , . . . . EXP 1 EC)AL INSTRUCTIONS . • • . " . - • °VISA 0 MA$TEJRCAT,4:0E1 DISCOVER : .. • . •• -,... . . , •:-.. : ".. ,::. • '•• QUANTITY . , . M-- ... 000g DESCRIPTION • TONS TOTAL • ... ._. vNITPH ICE . . • AIVIOUN I' ,• s .5: .. ••:. 31 t - ... . . • .. : • • - ' • . ' . t ..• .. ,•:; ' (areas - , TN 'reit - . . . 104430.1' 42.024FIC • •10.015 ' ..... .. . • • • • ' RCAC136 TYPE.17. A-183 . ' ':'.' t_NVIWNWIENTAI,...51.1Refifttni. •• : • ... . . • . . • . - , - • • • .. • • . . ., .. - • . • • . . . , • . TBIV 41500.0-D • .. s -, . 31 fi3 --.. ..... '3153 '''' >1 . • • ' • • ,..... s . . -227.0 . - . . .. : •• - .. . , . ... . . . . . ,. . , .• , , Nit . . ..... ..„ . , ... .---• . - . • . ...• .. . . :. . • . . . . • • , . 6•3080.(X) . . .,. . , . .- .. -• - . • , - . . . . . . . . . . . z FINES . TRUCK NO, TMPC432 ORDERED BY REMIT PAYNIENT TO ' . , 9,125 1011) AVE. S. TOTAI - 11)1SPATCHER TAX CODE Timeoue ' sEATTLE, WA 08108 , -TErlms oN REVERSE . , SALES TAX RSLmat - CUSTOMER F.IL.r•AsEs AND AoREEs To How HARMLESS KANQL,Ey ROCK & nEe OLINC:#, A DIVISIO OF GARY MERLIN° CONSTRUCTION! COMPANdY, INC. FOR ,ANIANTAGE TO 1-Its REAL oft PE-RpONAL: pRopERTy BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABO E. DETA i4r, ON REVERSE, •- GIJSIDIVIER SIGNATURE . -- • • TOTAL AMOUNT M PAINT NAME DATE . 000 0,1-2000 4 CUSTOMER COPY NGLEY .-ROCK & RECYCLING ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 9810B (206) 762.2566 Kangley Rock & Recycling Locations KANOLEY PIT (PIen10 21) 32a00 SE Kenl•Kanglay Rd, Rmancdale, WA 00081 BLAOK RIVER (Plan) 0229 - (202) ega•O212 519 Wavle( Rd. Rardon, WA 06055 'LAKEFRANcl0 (Planli23) (266)859•e672 . 22601 SE Lake Francs Rd. Maple Valey, WA 90030 ;A'DMSION OF GARY MERLINO CONSTRUCTION CDMPAN , !No..Cadar Mountain Reclamation • • 17077 Cedar Grow Rd; SE, Maple Valley, WA 06038 • Plonl 120 • (ZOO) 056.0910 DELIVERY TICKET LFACOUNTING (206) 762-2566 X-• (208) 762-236B LES,& DER DESK ' (426) 220-1000 „?'MAP LOCATE . • . ' LEAVE PLANT ARRIVE JOB . LEAVE JOB . • ' • • •. ARRIVE PLANT DATE - o1971 • CUSTOMER NO, !' .�'9 ORDER NO. '('T PROJECT PLANT I CUSTOMER NAME r • -Still TRAM =• • . •. CUSTOMER PA " •• : 19216 . • ; ' JOB NO.. •. ' 019216 • DELVERYTICKET NO., Mxle Jd .R • :%-: ,,.. ' . +i: ' '. COL,L{,GT.ON.D LLVERY(C 3.D.) - • CI CASH 0 CHECK # O CHARGE CARD 2 EXP.�.. SPECIAL INSTRUCTIONS • • ❑VISA • ., LC) MASTEFICARD.. 0 DISCOVER . r y QUANTITY U M ,' PRODUCT CODE • '` ' DESCRIPTION TONS' , TOTAL ; ; ®►s . • UNIT PRICE AMOUNT 4 I,+� II. 4< M. Gass 10€3620.1 .44 .4C • T. O• E17A-1 • Taro 41500.0(f ••.�I 1 4 NBt. ` .� RIVER I`,... lititt9C8i ORDERGDay RENLIT PAYM NTTO :.�J12r) 1Oi13AVE s. SUB-TQTAt' :DISPATCHER TAM G Tli 9E jE• :': ; SEATTLE, WA 9810 i.2 TERMS 0,14 REVERSE • �! SALES TAK RELEASE •- CUSTOMER RELEASES AND AGREES TO HOLD) IARMLESS KANGLEY•RDCK & REGYCI ING, A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY INC. FOR ANY DAIVIAGE TO HIS REAL OR PERSONAL. PROPERTY ... BALANCE FORWARD CAUSED! BY DELIVERY OF MATERIALS LISTER ABOVE. DETAILS ON REV . SC CUSTOMER SIGNATURE �' TOTAL ••� AMOUNT '.• .PRINT NAME �/ � P1r DATE : • ' ..' 2006 1fi CUSTOMER COPY KANGLEY ROCK & RECYCLING ii:ACCOUPTING; 9125 TENTH AVENUE SOUTH Kangley Rock & Recycling Locations KANGLEY PIT (Plant /1211 32500 85 Kenl•Kanoley Rd., Ravenedate, WA 98051 BLACK RIVER (Plant 11 22)- (208) 65S-0912 li' • SEATI'LE, WA 98108 e (208) 762-2588 4 *1...ilii-Fial.dii .43.1671'141,3;17(N) 658-0072 • • ' • mai SE Lake Franols Rd. Maple Valley, WA 88030 . • . • • DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. Cedar Mountain noularnation l'"°.4dat Gr°v° Rd' SE' Ma"vw4Y'YvAg°38 • -' •" • ' • Plant 920. 268)a-6013 (se ACCOUNTING (2 ) 62-566 FAX . .(206) 762-2355 • SALES & • ' " 'ORDER DESK 425 226-1000 it MAP LOCATE . " LEAVE PLANT . • ' ARRIVE JOB .. • • LEAVE JOB * ' • ' ARRIVE PLANT DATE . 051171201g CUSTOMER NO 1611501 ORDER NO. 621 .• ' • PROJECT . . • , . - , ., , . pLANT. 71 .1..L. CUSTOMER NAME • - . ' '' 1Y FIANSf'ER f44C • . • . . . CUSTOMER P.O. ' ' ' .1i:4116 ' ' JOB NO. '• ' ' 019216 . LIVERY TICKET NO. cifr32/3 D E ' • . " . ,.. : • "COLI...ECT ON f.)ELIVERY (0.0.0.) ' ' EA'FIC';' .• - 0 CASH 0 CHECK 11 - °CHARGE . . . . . ' . . . . • - , - CARD it ' ' ?SPECIAL INSTRUCTIONS ' . . . • .. . pcR . I . • ciyisA rq WIASTERcARti . ..:Cl DISCOVER, :-. • . . . . . . ...., , • QtTITV: . : . • , 31? . - - : . . . • . , . . „ • . .. , • -.. ' 1.-• ; . . Grim Vfl., — IORSA).4 , . :PRODLICT ..TOTAL • CODE ' *420;t4k0 .7'iiS• ' • . ..., , . . . h) DESCRIPTION ':f1 A VQS.IYIN:',...17: A.,:. .-1,•,.. ,- •:"..: : • EtY0*(efiTAL SifEttliilif4 - .. . . • . . . . . . . • • . . • .. . •• . . . ' . . • ' . - - ' • * • . . iztre 41/54,0,.(5** TONS •:•: : .01.. .,.,...• . ' .." - . . . . .. . • . ' • • • - , . - , • - ... • : — . . • • UNIT PRICE , . - , .. .. . ' . . • : . • - • . . . • • . ., . . . AMOUNT . . • . . . . • - . . • - DRIVER TRUDK NO. 'TtliPtr....1:12 ORDERED BY ' ' ' • . REMIT PAYMENT TO 9125 10th AVE. S. . ' SUB -TOTAL• *. • DISPATCHER TAX COAt WA 1 TIME DUE ' SEATTLE, WA 98100 • . 2:44 TERMS ow REvERsE - SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES.TO HOLD HARMLESS. Niativ iabok g, ngoVeLthia,:A bivisia _ - OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DMA TO HIS REAL OR PERSONAL PROPERTY . BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE: D IVS ON ERSE. I _ ' CUSTOMER SIGNATURE . . . TOTAL 1 •AMUT if)RINT NAME DATE . .. It A0V 04-2009 CUSTOMER COPY NGLEY "cROCK & RECYCLING 8' Kongley Rock & Recycling Locations KANOLEY PIT (Pleat /I 21) 92500 SE Kenl•Kangley AI, RaVartsdalo, WA DEM 1 LACK WW1 (Nag i 22)- (208) 058.0012 DELIVERY TICKET , P IP nrIPI PIP! 1-14, rtaritswe, ,iflaaLeop SEATTLE, WA 98108 . (EDE) 702-ns6 . LAKE FRANCI5 (I,fant 0 23) - (g06) 668.0872 ..1.,-. i', , 22501 SE Lakr4 Friknela Rd, Mople Valoy, WA 90038 • • ' ' • DIVIDIONQF GARY MERLINO CONSTRUCTION COMPANY, INC.Cedar Mountain Reclamation ite77codoGr(kk$0 Rd. SE, ivlapla VaNey, WA 68062 • Flank d20 -(206)050-0213 •, . • • .., . .... ., , • . • ACCOUNTING • (206) 762-2666 FA K : (206) 742,72358 • -,... SALM & . . , ORDER DESK (425) 226-1000 MAP LOCATE . VE PLANT • ARRIVE JOB LEAVE JOB' - *-. . . , ARRIVE PLANT • DATE ,rIti . , CUSTOMER NO. It19501 ORDER NO, erA1819 PROJECT . , • . . .. T , . CUSTOMER NAME . . . • . . •GUTOMER CFWWANS :14 IN - • ' RO, •j 1D216 ' ' JOB NO, •• • •••':(1'12. DELIVERY TICKETS°. . • dOBADDRESS ' . - .. . • ' ..'‘A*3G••••1•14,1TE.PIN.Alf"101,t,IAL.B1 '114' . • . ., . .. , .. ... , • . • .. . . . . • , . ,. • • • . • • . . COLT,ON DELIVERY (C.O.D.) ... •.... . ., . ..., .,. CASH El CI:J.Ep.K0 D CHARGE ; . AC .. . . • ..'.4.,. • • , ' . • .. ,, ,, , .. , CARD # .• '' • • .. ' • ' EXP. •.,': 7 . . ' • ' C3 VISA O. MASTERCARD .. --. ,C1 DISCOVErt • .. . .., ', t L INSI-R II S . . • 1-i , ,. .., . .. .: , • . ' , , .. ... : ''' '-''' ' .. "31:63' '' ' ...... • . • . , •• .;• :: •.,- .. .• ; ... . .. .: . . ... : . . . t, 1 diros. , •''T. ,. .., • . . • -, " 7C . ., . PROI:UcT . . • ... .. ' • - . .. . • ' : ., • - ......-''' '•''':'::. ' ' 1: '' „ l',. : ' DEC N ''... .' . " . p 7 ' .. '' •`•.'..."::''' t• - ' 'r' ';', . Q • . •• . .. . . . . .. . .. • . .. • . . . . T 415.1)C.(X) ' .: ' TONS - •:: , ........‘: ' " 3 : . . . • • . • • • • . . • • •••TOTAL• ' --..,..',4: t • , . . - . ... , . . . . . - - • • uNIT r''RIDE . .. "‘••:.'' . , ....... ,.. . . . . . • • • . . • . „, .. .. , i ...„, • ' AMOUNT , . . . . . .. . . • • . . . . ... . - .. ... . . ivEr4 TRUCK NO. . . ORDERED BY .TtEIVIiT PAYMENT TO. .. . , • . "9128 10t1) AVE. S. - . .. ---.... -. SVP-TOTAL* DISPATGIV 'TIME DUE - - •-•-• -sEATTLE wA 98108 ' . . ' .' . ' • • - • -•• -. ' ' -•• i•'TEFirtii,S ot,i'' REVEFISE , '-, . ;-. • : .SAIg8- TAX • ....,.....:.:'. . ,.... • . .. - ..,........__., .. . , , . . .. RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANOLEY ROCK ti TIE0Y6Lit,IG, A DIVISION , OF GARY MEIRLINO CONSTRUCTION COMPAINY, INC, FOR ANY DAMAGE TO HIS REAL Ott PERSONAL PROPERTY -: BALANCE FOBWARD. ',CAUSED BY DELNERY Of MATERIALS LISTED A6OVtDAILj0N REVERSE. • , . k ' Q.„, ,.• , . USTOmER SIGNATURE . . . . . TOTAL. •. . .. . ... . - AMOUNT . .. • 4^ *INT NAME DATE • • . . .. . . . . .2009 CUSTOMEP COPY • ANGLE ■ ROCK & RECYCLING ' ACCOUNTING: 9125 TENTH AVENUE BOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OC OARY MERLINO CONSTRUCTION COMPANY, INC. Kangley Rock & Recycling Loeatlene KANQLEY PIT (Plan) A 21) 32500 SE Kenl•Kengley Rd., Ravena8ale, WA Bassi °LACK RIVER (Mani 822) • (20) 066-0012 610 Monster Rd. Renton, WA081155 LAKE FRANCIS (Plan il 23) • (206) 658-0072 22601 SE Lake Ronda Rd. Maple VsNoy, WA none Cedar Mountain Reclamation 17677 Cedar prove Rd. SE, Maple Vakey, WA B8038 Plant F20 • (200) 656.0913 • DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE • .3 t 1 ' ; CUSTOMER NO. 169501 ORDER NO. !i21879 • PROJECT PLANT 22 CUSTOMER NAME • CUSTOMERRO. •• JOB NO. DELIVERY TICKET NO. JOB ADDRESS • • .• ' v •• iGa , • a .J .,- 1,..V t. $ .. . COLLECT Oi l E(JIVERY (C.O.D.) 0 CASH 'O 5HECK # 0 CHARGE ss #I t i. '.,•• `•::T_'' . CARD'•t!`'' • •EXR ., ! SPECIAL INSTRUCTIONS • ' ❑VISA • 0 MASTERGARD _'CI DISCOVER QUANTITY • t`: t'iclgS U M ) .i CODE .. . K DESCRIPTION • • Tom 41620.0() TONS ® UNIT PRICE '. AMOUNT, • S • WAY 4 i'. • • DRIVER TRUOKNO. ' ig433 ORDERED • . REMIT PAYMENT TO .2. 9125,10th AVE S. SUB -TOTAL DISPATCHER TAX COPE WA1 TIME DUE SEATTLE; WA 08108 . '. 7:1D 'PERMS ON'REVERSE . SALES •TAX ,j.RELEASE — CUSTOMER RELEASES AND AGREES O H6)I D HARMLESS KANOLEY ROCK & AECYC -EN[ , A DIVISION (OF GARY MERLIN()CONSTRUCTION COMPANY, I C. h'�+?R ANY DAMAGE, TO HIS REAL OR PERSONAL PROPERTY •: BALANCE FORUJAIID CAUSED BY DELIVERY OF MATERIALS LISTED AE \. T AILS ON REVERSE. ' _ rCUSTOMER SIGNATURE TOTAL i. AMOUNT' PRINT NAME \, ... DATE .. . , REV 01•2009 ' CUSTOMER COPY __,_ _ ._ - • - ... , - -, FIGL i ., !CarIgley Rock & Recycling LocatiOrin. i • `ROCK 84 FIECYCLING , KARELEY PIT (Iltint # 21) ' 326006E Kent.Katilay RO, Ravanadatc), WA 0806t BLACK RIVER (Plant i 22) - (206) 658.0912 DELIVERY TICKET :ACCOUNTING,. TEI4TH. AVENUE SOUTH :125 sio Malletor lid. Etonian, WA 980E5 , ATTLEWA 0e108 * (206) 782-2566 LAKE FRANCIS (Plant # 23). (200) 666-0672 2260i BE tAka French Rd. Maple Valley, WA 28038 A DIVISION OF GARY MERLIN° CONSTRUCTION COMPANY, INC. ?775(c;ITEIZZI:1•3111.1tflirl reclaMation ova fold SE, Mapta Vallay, WA 081104 ... . Fltirit #2o - (2041) 668 -0(413 . ACCOUNTING (206) 7622586 FAX (206) 762-2358 SALES & ORDER DESK 42 '22-i000 MAP LOCATE LEAVE T ARRIVE JOB LEAVE JOB • ARRIVE PLANT DATE 5il1i2019 CUSTOMER NO. , .. ORDER NO, , PROJECT . . • . . , . . . . PLANT # • 72. CUSTOMER NAME •. . ITY 'filAtki,,,IFr,.411Vr: .• - • ,,,, CUSTOMERP.O. : 119718-. • OB NO. • - ti)61ff. . ' 'DELIVERY TIOICET NO. 9V.,"'ITIVI. . , 1 Joe INDI?tiSSS , ' - : . .• '.•rhilif..*Rtik"not,lAt.....EICkfO'ti 0 - . . , .00J:k...601. ON DEL1VERV: (C.O.D.) . = GASH CCNE0K # . • LCHARGE .1 I/SEATAC . • , . . , CARD P EXP. i . .. ,.. ,_,• • . • - .„ . • 0 VISA • .0.MASTERGARL? ' ,QI ClISCOVER . . • • .. . !SPECIAL INSTRU ON • • • • .. . . ,.. .. .... . . • . •" • • • .• . . • •• . • • ... , . 5 • • • • . . , ..• • • .•• • . ' .. .. • • • • • . •.•‘ • •••.... • •• * • : ' . '..: .. • .. ' .• •••• •• . • . ." QUANTITY ..i.- • - • - , ... ... , ,Lt.M. ' PRODUCT , etz4DE .. DESCRIPTION TONS . ToTA,,HL UNIT"p•-i-i-i•i....-ft-- AMOUNT• .... . . • • • . . . . • . • • . : . , . , • - : . • . . .. „ . .. •• GFOZE Th • . • . . ., • -. * *I ,1:. ..... • , .:. . . , . . . • • ,. • . . ,, . . . 17 _ , : 1 ' ' .St . • -.,-.,•,...........:•:„..:...:..*:•:•••,....:::...,...-...,.•: .••• ••• . - . • .. • . . .• . ... • - . • • . • - • . . . . • . . . ..- . . . . . , • . . . . . . . . • . • . • • . . . . . l'ZIr: 4162t . • •••%`• - . , • . .. . . . • • . ,,.., • . • - - .. ., . .,..,•. • . • . • • • _ • . , . .. • ' • • . • . • . . . • .: ... .... . . . . . . . . . • . .., ,.„:., . • • • ' ' • • • ., .,...."•:,• -, : . .. . . �pJJ . O'K NO. Pi,:";433 0 DERED BY REMIT PAYSAENT TO • 9125 10111 AVE. S. SUBTOTAL DISPATcHER . ' TAX 00E5 . . WA 1 (ME DUE* SEATTLE, WA 08108 , •:24 SALES TAX TERMS ot4 iEVERSE , RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD H'S I4$1LY ROCk& R 1LrNG, ADMEIONGARY MERLIN° CONSTRUCTION CoMPANY, INC. FOR ,,G T HIS hEAUOR PERSONAL PROFeFily. BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OtZEVR ) :CIJSTONIER SIGNATURE TOTAL 1: Ah OUNT .PRINT NAME TE ' • • laev e4-200c CUSTOMER COPY - ._........ ___%, . KANGLEY , Kangloy Rock & Recycling Locations I , • iiic)CK BE FIECYCLifiG . KANGLEY PIT (Phin1# 21) 32.930 SE Kent-ICanetay Rd., Ravened*. VVAOS051 ° SLACK RIVER {Nara 22) ° (200 858'0912 • DEI.IVEllY TICKET !ACCOUNTING: 0126 TENTI-I AVENUE SOUTH 610 Monster Rd. Hanlon, WA 40036 SEATTLE, WA 98108 • (200) 782.2686 LAKE FRANCIS IFMAI # 23) - (200) 85E641872 22601 SE Lake Fatnala Rd. Maple Valley, WA 08030 A DIVISION OF GARY MERLIN() CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation 17877 Cedar Drove Rd. SE, Maple Valley, WA90038 Plant #20 - (209)03R-091D ACCOUN1 ING (206) 762-2566 t FAX ' (208) 762-2558 SALES & , ORDER DEBI< (426) 226-1 oaa MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOG • ARRIVE PLANT DATE /17120 s. CUSTOMER NO. 165G1 ORDER NO, , PROJECT PLANT 22 CUSTOMER NAME • 1[TY `111AN.tIt--f.TP It‘ic: CUSTOMER P.O. ' " • , JOB NO, , DELIVERY TICKET NO. JOB ADDFiEaS . ,. •. . At1EAl LVD 1 ; kiG41F?t40,4A60 i • .. . ECTON DELIVERY (C.O.D.) . . ..,_.. bOLL,..-,-. I:I CAS11 0 CHECK it CD CFIARGE EATAC CARD (# EXP. 1SPECIAL INSTRUCTIONS . . , - • . ' D VISA . ' IJ MASTERCARD '. Li DISCOVER ... , -CIUANTITY -3121' i,;? ... :. ..1... „ , . • • • • • .. , . . . • P.: . . Gros Ii M. , • • . . ) 4 ..4' " -. , coDEDESCRIPTION -.42024fIc • - +. . • ;:.- ., • ...4 . . . .. . • ) • • : ..... i . - . .RA C:- , - f'e 11 .. -1 EtiffROIARI4ENTALSPRC .. .,. • . . . . . • . _. ... .. .. . • • . . ..• . . . ., ?. ..1.. , .- - - .:•,..., .'. ••I".- , :,,, . . . . . . . • . . . . . . . . . . • . . • • . • . . • Tzire: 41(120..(X) ..... - . , . TONS '": t . • ',. - , . . . . . - • - • . . . • . .. , • , TOTAL . ... ... . . . . . ... . , . ., , . . ... . • : .. . , . • UNIT PRICC . . . . . . . . . • . . . • : .. . : .„ • . . . . . . . . 2420.00.- • • • . AMOUNT • . . . . . • . . . . . . . . DRIVER TRUOKNO. A ,43.11 OI1DERED2JY REMIT PAYMENT 912510th TO AVE. S. , SUB -TOTAL DISPATCHER - TAX CODE A TIME11MEDUE SEATTLE, 013 ,.. . ' TEFIM ON WA 98108 REVERSE SALES TAX ' I iRELEASE .— CUSTOMER RELEASES AND AGREES TO HOLD HARM S KANGLEV t1001( & RECYCLING, A DIVISION . OF GARY MERLIN() CONSTR JCTION COMPANY, INC. FOR ANy DA GE TO HIS REAL. OR PERSONAL. PROPER AUSED BY DELIVERY OF, MATERIALS LISTED ABOVE. DETAILS 0 fl . FISE I . BALANCE FORWARD . . ,IOUSTOMER SIGNATURE ? . TOTAL ,' • • gPFIINT NAME . AMOUNT ' • . V 04-200e \,d TOMER COPY NGLEY kiROCK & RECYCLING flACCOUNTING; 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 • A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. • L LOCATE DATE 0517/2019 CUSTOMER NAME CITY TRANSF • :JOB ADDRESS I AGG INTITINATIONAL ATC CUSTOMER NO, CIAL INSTRUCTIONS .' • DRIVER ISPATCHER T ORDER No. 21 Kangiey Rock & Recycling Locations • KANGLEY PIT (Rani 0 21) 6250E6E KuiiL4ey Rd., Ravenedela, WA 08051 BLACK RIVER (Planl P 22) -1200) 658..0912 616 Monster Rd. fienion, WA 88055 LAKE MAWS (Plan! P 23) • (20O) 65E0072 22501 GE Lake Rends Rd. Maple Valley, WA 98038 • Cedar Mountain Reclamation 17877 Dadra' Grove Rd. 8E, Maple Alley, WA 98038 Mani 020- (208) 693-6912 ARRIVEJOB, PROJECT LEAVE JOB CUSTOMER P.O. CASH RD 4/ ;KAN DELIVERY TICKET ACCOUNTING (206) 762-2566 • FAX • (206) 762-2356 ALES & ORDER DESK 0 , . DEL ARRIVE PLANT PLANT 2 (VERY TICKET NO. Actli VERY (C.O.D.) 0 CHEOI:C , •. . DHARCIE EXP: • . PVISA • . r:I.MASTFIDARD *. 2C). DISCOVER • • PRODUCT • - • • DESCRIPTION •• - TONS TOTAL UNIT PRICE AMOUNT • TF1UOK O.. TIM PC431 NA 1 RELEASE — CUSTOMER RELEASES AND AGREES TO ,pf GARY MERLINO CONSTRUCTION COMPANY, INC. 1OAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. 114: USTOMER SIGNATURE • •-• INT NAME • co ).! • 41:626.0o. • : • • FIEMIT PAYIVIENT TO. - • SUB -TOTAL . • .0125 10th AVE. S. SEATTI.E WA 08100 TEILNIS ON'FIEVERSE ' SALES TAX LEY ytac-K & RECYCLINe, A DIVISIO IS REAL. OR PERSONAL pnoppy - CUSTOMER COPY BALANCE FORWARD • • r KANGLEY OCK & RECYCLING :,ACCOUNTING: 9125 TENTH AVENUE SOUTH Kangley Rock & Reoycling Locations KANOLEY PIT (PIan!t 21) 32600 BE Korll*Kan9foy Rd, Ravenaddle, WA 99081 BLACK RIVER (Plant 22) -(200) 058 0912 l.1n RMnnlur r],I.. F , !M nfU1GG DE! VERY TICKET 288) 782.2568 - LAKti ItRANcss (Ptaaro 1231 • (2D6I e584972 • ' 228018E Lake Francis Rd. Maple Wiley, WA 08090 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC, Cedar Mountain Reclamation 1 877 Ceder drove Rd. SE, Maple YAW,, WA 08038 • Punt #20 - (200) 99.0@i3 ACCOUNTING • (208) 762-2566 FAX (206) 762.235E �A LES & i (DER DESK (425) 226-1000 MAP. LOOATi:. LEAVE PLANT , . ARRIVE JOB , • ( EAVE JOB , ., , • , ARRIVE PLANT DATE Tin 7/: 19' • CUSTOMER NO. ' T 1 ORDER ND 621 PROJECT • ,. PLANT # . ' • ' . ' CUSTOMER NAME CUSTOMERP.O.. . .a JOS.NO ' DELIVERYT1CKET NO. sIO R .-a • I , 4 IIO AL 1 • % #1 :OLL GT"ON DELIVERY (C.(:}.D.) , (ATAC 0 CASH CI CHECK # ©CHARGE ..:. . , • • • ' -/' rPEGIAL INSTRUCTIONS • . CARD 11 EXP. . ❑ VISA ;Cl MASTERCARD; . • pISCOVER gU11NTjTY U M ? PRODUCT:' -CODE DESCRIPTION TO(JS TOTAL' e , UNIT ;PRICE . AMOUNT ° • Sr, 4L Gros • I N - (i 42024 i`: • RCA`CO 'I A 1 %: • -T re • 4I 9. 3 .t > i DRIVER UU.b pli , tlai;�i ORDERED BY ' REMIT PAYMENT TO J125.10th AVE.S.- SUD-TOTAI - - UISPATaiER TAX TIME L1. 'SEATTLE, WA OB108 TERMS ON.1E-VERSE SALES TAX RELEASE — CUSTOMER RELEASES AND AGREES TO HCL A ESS KANGLEY ROCK & RECYCLING, A DIVISION qF GARY MERLIN() CONSTRUCTION 'COMPANY, INC. FOR NY� QE TO IS REAL tYR PERSONt4L"PRC}PEFITY HALANCE FORWARD y: USED 8Y DELIVERY OF MATERIALS LISTED ABOVE: DETAIL ON EVB S�j, d `USTOMER SIGNATURE % �11! • - . • TOTAL PRINT NAME i; DATE AMOUNT••. D4-2000 CUSTOMER COPY • •.• 4ROCK & RECYCLING l'ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 90105 • (206) 762-2566 NGLEY A DIVISION OF GARY MERLIN() CONSTRUCTION COMP Kangley Rock & RacyclIng Locations KANBLEY PIT (Plant it 21) 32660 SE Koni-Kangley Rd Rayenadate, WA BLACK RIVER (Plant el 22) - (206) 688-0812 610 Monster Rd. Renton, WA gem • LAKETRANCIs (Plan' 29) - (206) (15841872 22501 SE Lake Fraftela Rd. Maple Valley, WA 80630 INC.ANY Cedar MOuntain-Reciamstion 17077 coda'. GrOVO Rd. BE. Maele Vat*. 05030 ' • Maid 0E0 • (200) 13,58•8910 - • ' • . DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX - (206).7.6272366 SALES & ORDER DESK (4261226..1000 MAP LOCATE • LEAVE,PLANT • ARRIVE JOB ' . LEtVE JOB,ARRIVE . . PLANT .. : ' • ATE „ . • .. CUSTOMER. NO. DER 140, . ' . PROJECT . • RI -ANT 11 2::.). • CUSTOMER NAME • . . • . , • : • t!tir'ir TRAft.ISF3'...'::13:$1C - " . C TOMER.P.O. - • -NO. , *. '' -' DELIVERY TICKET NO. 9832to'l , ..'....J0q' D • ' ' • • — " .COLLECT ON DELIVERY (C.O.D.) ' • . . • . • ,.., . . .... ., • - 0 cAsH CI 4,1, • C".3 C.,HARGE '-. LATAC. ' pHECK . , ,. . . CARD # P(P. 1 . • ' • El VISA • ; 0 MASTERCARD • 0, DISCOVER . . " - • • • .. • • •SPECIAL 11‘IS'IRUCTIONS • • - . • . . . . . • •,, •. . • , -- --, . - .: . QUANTITY . ..'r'' ......TN' , . ... . . v., . -... i.i. . , . . . . - ..,. ..,,, ....... , (...iteuss • . - .NI TN . . ).. • • . , • • PRODUCT .. • • 4202 . '. 1601 ."'. • - .. • . • .,. . . . . . . • ..... . . ' . • DESCRIPTION . CA'CP IYPE17. ' A.-1I3 .• • . ' At: 9UXC . . • • . . . . • • . , . . .. ,. .. . . ., ... . . .. . :. . - . , . . ,. • , • Tat* 41620-00 . , . .. . •• . .-TONS' • . • -• .. • .• . • . • - •. . • TAL , . • • . UNIT PRICE ... . • ... , . • • • - , • ,. 64 . • - , . . _ ...% AMOUNT '. • . . • , . .. . . . . . . . 4 DRIVER TRUCIC PIO, "risAIIX.:!,433 ORDERED Y - ' . ' fiEN111' i:lAYIVIENT' TO - • " ... SUB -TOTAL • ' - 9125 1011) AVE. S. - - DISPATCHER 0Q,(t)i, TIME DUE.' ' SEAI'TLE. WA 98108 ... 1 1231 . TERMS 0;4 REvErlsE. . .. SALES TAX • , !REt...EASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS MN t Y ROK z-&ECyCUMG,bIVISION' OF 13AFPI .NIERI-INO CONSTRUCTION COMPANY INC. FOR ANY DAMAGE 10 REAL R PERSONAL PRO (!iy BALANCE FORWARD . CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. ‘ f ... • . t'bIJSTONIER SIGNATURE TOTAL .,. . • . . AMOUNT - - PRINT NAME . , . ' REV 04-2000 CUSTOMER COPY • tKANGLEY ROCK & RECYCLING ACCOUNTING; 9125 TENTH AVENUE SCiUTFI Kangley Rock & Recycling LocatIone KANGLEY PIT (Planl. if 21) 92300 SE Kerd•Hangley Rd. Raveruseitile, WA 00051 BLACK RIVER (Plant /22) - (20S) 008-0912 • DELIVERY TICKET SEATTLE, WA 90108 . (208) 782-2686 i;AICIFFI.rail.die."(FIZi)77Fi'o's)1168'6°72 . 22601 SE Lake Firtn010 Rd Maple Valley, WA 00038 A DIVISION OF GARY MERLINO.CONSTRUCTION COMPANY, INC. Cedar Mountain RoolaInatIon . • • 17077 Coda( Grove Rd, SEIVI 0VIe ValleY. ViA 913D30 . . • Plo,n1 /120 • (200)000,0910 • ACCOUNTING (206) 762-2566 FAX (2°6) 762-2358 .. 'SALES . A ORDER DESK 42 .8-1000 MAP LOCATE . LEAVPLANT ARIRJVEJOB • ' . * • LEAVE JOE): . . ARRIVEPLANT DATE ' 7/2019 - . . . CUSTOMER NO. - lf:i9501 • 0 DE.R NO, 641879 PROJECT . . . . . . . - . PLANT /I 22 CUSTOMER NAME . . • . . . CITY TOANSMR INC , . • CUSTOMER P,O. . • iNie .-;• JOB NO. • . • , • • i DELIVERY TICKET NO. Se: .3299 '') i,,a, *.R. Iftl4FERNATIOikrAL BLAID & 150T1-1 . , ,'• • • - • COLLgCT ON 1:7gLiye Y (C.0.11) .• 0CASH 0 CHECK . 0 CHAEIGE t3EJiliTAC • • t .. .41 • • . • .. , , ,. ... • .. . • EXP. I SPECIAL INSTRUCTIONS • . . .. , . ..• . • ‘, . 0 VISA p R/IASTER.. 0 DISCOVER CARO. QUANTITY; i . ,,,„ 1"-- . pflODU " ' CODECT • . - DESCRIPTION , TONS UNIT PRICE AMOUNT 31 El ;tin . -.. , . .• - • . . . • . : ..• •.:-••:,_*v.'4, ••;.-.,•,-: . • croli.ri n cf53fitA * ' %,., .• ' . . . . ,•,. • • • • • : 0 ' e Co'S'''' 'iPEvt? ' - .''' N ENi-AIL 0 .t--. . . , . . ... . . • . •. • • • . • - . . . . .. . . • . Tare 41620.00 7' 7 ' - . •14 . . . . . . - , . . . . . •.. , .. , . • • Net -- ' . ' . . . • • 6 7 . • • • • . . . • . . • • • 10RIV - TRUCK NO. iltril-V...:4:33 ORDEREDBY ' - - REMIT PAYIVIEiNIT .• 912510th To SUB -TOTAL AVE. S. - DISPATCHER TAX CODE WA I TIME DUE 13:15. - SEATTLE, TERMS ON WA 9810R SALES TAX REVERSE • -ELEASE — CUSTOMER RELEASES AND AGREES TO HOLD FIARM1_E e GARY MERLINO CONSTRUCTION COMPANY, INC; FOR ANY DAMAGE AUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON1F-1 , • ,....`"' ' a RCVCLING, A DIVISION , . TO HIS - OR PERSONAL PROPERTY . BALANCE rc)Rvinno RSE. r _ (CUSTOMER SIGNATURE 1 ,... ' A f AN ouf4T PRINT NAME 11 1 'ATE . REV 04-2009 CUSTOMER COPY Company Date Ticket # [ty. (Tons) SVVReport # Location KRR 5/23/2019 984848 33.72 14,15,16 Area [ gas station KRR 5/23/2019 984883 31.82 14`15,16 Area Cgas station KRR 5/23/2019 984925 3I25 14`15,16 Area [ gas station KRR 5/23/2019 984954 31J5 14,15,16 Area C gas station KRR 5/23/2019 985000 30.42 14/15,16 Area C gas station KRR 5/23/2019 985028 29.7 14,15,16 Area [ gas station KRR 5/23/2019 985105 29.94 14`15,16 Area Cgas station KRR 5/23/2019 985141 28.65 14,15,16 Area C gas station KRR 5/23/2019 985178 38.97 14`15,16 Area [ gas station KRR 5/23/2019 985221 30.27 14,15,16 Area Cgas station KRR 5/23/2019 984858 32.2414`15,16 Area gas station KRR 5/23/2019 984810 32.18 14/15,16 Area [ gas station KRR 5/23/2019 984939 30.28 1/,15,16 Area [ gas station KRR 5/23/2019 884968 31.03 14,16,16 Area [ gas station KRR 5/23/2019 985001 32.67 14,15,16 Area [ gas station KRR 5/23/2019 985035 31.35 14`15,16 Area Cgas station KRR 5/23/2019 985076 28.614,15,16 Area gas station KRR 5/23/2019 985112 30.65 I/,15,16 Area Cgas station KRR 5/33/2019 985148 31.49 14,15,16 Area [ gas station KRR 5/23/2019 985186 27.72 14,15,16 Area Cgas station KRR 5/23/2019 985225 29.51 14`15,16 Area [ gas station KRR 5/28/2019 985601 32 14`15,16 Area Cgas station KRR 5/28/2019 985714 33.13 14,15,18 Area C gas station KRR 5/28/2019 985742 32.4614,16,16 Area [ gas station KRR 5/28/2019 985777 30.77 14,15,16 Area C gas station KRR 5/38/2019 985009 31.83 14`15,16 Area Cgas station KRR 5/28/2019 985844 31.6 14,15,16 Area gas station KRR 5/28/2019 985884 31.23 14`15,16 Area gas station KRR 5/28/2019 985682 31.22 14,15,16 Area [ gas station KRR 5/28/2019 985716 32.5 14,15,16 Area [ gas station KRR 5/30/2019 985748 31.8614,15,16 Area gas station KRR 5/28/2019 905783 30.78 14,15,16 Area C gas station KRR 5/28/2019 985812 33.1 14,15,18 Area Cgas station KRR 5/28/2019 38S849 31.42 14,15,16 Area Cgas station %R0 5/28/2019 985889 30.19 14,15,16 Area gas station KRR 5/28/2019 985635 30`914,15,16 Area [ gas station KRR 5/28/2019 985736 31.75 14`15,16 Area gas station KRR 5/28/2019 985760 31.02 14,15,16 Area C gas station KRR 5/28/2019 985798 36.6414,15,I6 Area [ gas station KRR 5/28/2019 985835 30.5814,15,16 Area Cgas station KRR 5/28/2019 985870 31.27 14,15,16 Area C gas station KRR 5/28/2019 985703 31.95 14,15,16 Area C gas station KRR 5/28/2019 985730 31.21 14,15,16 Area C gas station KRR 5/28/2019 985766 31.59 14,15,16 Area C gas station KRR 5/28/2019 985802 29.79 14,15,16 Area C gas station KRR 5/28/2019 985840 31.56 14,15,16 Area C gas station KRR 5/28/2019 985882 32.41 14,15,16 Area C gas station KRR 5/28/2019 985708 30.58 14,15,16 Area C gas station KRR 5/28/2019 985737 31.37 14,15,16 Area C gas station KRR 5/28/2019 985771 32.08 14,15,16 Area C gas station KRR 5/28/2019 985801 29.78 14,15,16 Area C gas station KRR 5/28/2019 985838 32.43 14,15,16 Area C gas station KRR 5/28/2019 985872 33.13 14,15,16 Area C gas station KRR 5/22/2019 984330 33.39 14,15,16 Area C gas station KRR 5/22/2019 984370 31.45 14,15,16 Area C gas station KRR 5/22/2019 984414 30.77 14,15,16 Area C gas station KRR 5/22/2019 984461 27.98 14,15,16 Area C gas station KRR 5/22/2019 984503 33.36 14,15,16 Area C gas station KRR 5/22/2019 984550 30.83 14,15,16 Area C gas station KRR 5/22/2019 984592 31 14,15,16 Area C gas station KRR 5/22/2019 984636 32.67 14,15,16 Area C gas station KRR 5/22/2019 984683 30.05 14,15,16 Area C gas station KRR 5/22/2019 984727 30.31 14,15,16 Area C gas station KRR 5/22/2019 984760 29.56 14,15,16 Area C gas station KRR 5/22/2019 984350 29.56 14,15,16 Area C gas station KRR 5/22/2019 984400 32.18 14,15,16 Area C gas station KRR 5/22/2019 984495 29.66 14,15,16 Area C gas station KRR 5/22/2019 984536 30.69 14,15,16 Area C gas station KRR 5/22/2019 984591 31.05 14,15,16 Area C gas station KRR 5/22/2019 984633 32.07 14,15,16 Area C gas station KRR 5/22/2019 984678 32.55 14,15,16 Area C gas station KRR 5/22/2019 984729 29.56 14,15,16 Area C gas station KRR 5/22/2019 984761 32.44 14,15,16 Area C gas station KRR 5/21/2019 984194 31.79 14,15,16 Area C gas station KRR 5/21/2019 984212 30.08 14,15,16 Area C gas station KRR 5/21/2019 984235 31.07 14,15,16 Area C gas station KRR 5/20/2019 983561 32.45 14,15,16 Area C gas station KRR 5/16/2019 982490 31.17 14,15,16 Area C gas station KRR 5/16/2019 982531 30.35 14,15,16 Area C gas station KRR 5/16/2019 982566 30.54 14,15,16 Area C gas station KRR 5/16/2019 982601 31.17 14,15,16 Area C gas station KRR 5/16/2019 982636 31.02 14,15,16 Area C gas station KRR 5/16/2019 982679 30.44 14,15,16 Area C gas station KRR 5/16/2019 982711 28.14 14,15,16 Area C gas station KRR 5/16/2019 982751 31.88 14,15,16 Area C gas station KRR 5/16/2019 982842 31.16 14,15,16 Area C gas station KRR 5/16/2019 982491 30.31 14,15,16 Area C gas station KRR 5/16/2019 982535 30.82 14,15,16 Area C gas station KRR 5/16/2019 982576 29.56 14,15,16 - Area C gas station KRR 5/16/2019 982615 30.42 14,15,16 Area C gas station KRR 5/16/2019 982652 31.18 14,15,16 Area C gas station KRR 5/16/2019 982693 30.5 14,15,16 Area C gas station KRR 5/16/2019 982729 31.73 14,15,16 Area C gas station KRR 5/16/2019 982772 32.31 14,15,16 Area C gas station KRR 5/16/2019 982852 31.68 14,15,16 Area C gas station KRR 5/16/2019 982495 30.97 14,15,16 Area C gas station KRR 5/16/2019 982534 30.17 14,15,16 Area C gas station KRR 5/16/2019 982572 31.15 14,15,16 Area C gas station KRR 5/16/2019 982614 28.77 14,15,16 Area C gas station KRR 5/16/2019 982660 30.15 14,15,16 Area C gas station KRR 5/16/2019 982702 31.2 14,15,16 Area C gas station KRR 5/16/2019 982736 31.64 14,15,16 Area C gas station KRR 5/16/2019 982839 31.75 14,15,16 Area C gas station KRR 5/17/2019 982975 31.55 14,15,16 Area C gas station KRR 5/17/2019 983099 32.37 14,15,16 Area C gas station KRR 5/17/2019 983208 31.53 14,15,16 Area C gas station KRR 5/17/2019 983246 31.01 14,15,16 Area C gas station KRR 5/17/2019 983273 31.79 14,15,16 Area C gas station KRR 5/17/2019 983906 31.63 14,15,16 Area C gas station KRR 5/17/2019 982987 32.14 14,15,16 Area C gas station KRR 5/17/2019 983063 31.53 14,15,16 Area C gas station KRR 5/17/2019 983097 31.21 14,15,16 Area C gas station KRR 5/17/2019 983193 31.69 14,15,16 Area C gas station KRR 5/17/2019 983232 31.14 14,15,16 Area C gas station KRR 5/17/2019 983261 32.2 14,15,16 Area C gas station KRR 5/17/2019 983299 31.87 14,15,16 Area C gas station pdf Page # 24 25 26 27 28 29 0 4 5 6 8 9 40 41 42 43 4 5 4 4 8 9 0 51 53 4 55 6 7 58 59 60 61 2 3 4 65 66 7 8 9 0 71 2 3 4 5 6 77 78 9 80 81 82 84 85 86 87 88 92 93 94 95 96 97 98 99 00 02 103 04 05 06 7 108 09 0 2 4 6 PROJECT NAME: Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY Tukwila Justice Center GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Removal of unforseenfuel tank in Area C, NE Corner CCD/ASI #: COP #: 5033 DATE: 10/2512019 BP 31.00 Iliad 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $903.00 $45.15 -$0.15 Total Change Request $948.00 To the best of my knowledge and belief, 1 certify that all costs listed above are correct. Contractor Signature Date 5% BNB BNBuilders TJC Project No. SUBCONTRACTOR: Subcontractor CP Breakdown Summa Iliad Remove Fuel Tank 3 in area C, NE corner per DESCRIPTION OF WORK: Soundearth and fire marshal) Cost Event #: CP #: Document #: 22 5033 Date: 10/25/2019 A. DIRECT LABOR COSTS B. MATERIAL COSTS C. EQUIPMENT COSTS D. SUBTOTAL DIRECT WORK ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) ( Per Cost Breakdown Attached) (Total A, B, C, and D Above) 525 208 734 G. Subtier Subcontractor Cost (Subcontractor Estimates Attached) 1) 2) 3) 4) H. Subtotal Subcontractor Costs Direct Cost Fee $ - $ $ $ $ - $ $ - $ $ - $ A. Fee on Direct Work (Item E) 15% $ 110.05 B. Fee on Subtier Subcontractor Direct Costs (Item H) 8% SUBTOTAL (Total of Parts I, II, III Above) Liability Insurance Bond Costs 844 5.80% $ 49 1% $ 10.12 TOTAL (Total of Parts I, II, Ill, IV Above) TOTAL 903 COP Cost Breakdown Project Name: TJC Project No. Subcontractor: Iliad Work Description: Remove Fuel Tank 3 in area C, NE corner per Soundearth and fire marshal) Cost Event #: 22 CP #: 22 Document # Date: 7/24/2019 Spec Section Description Quantity Unit Prod: Hours A. Labor B. Material C. Equipment D. Contract Unit Price Unit Prices Cost $/Sour Cost S/Unit Costs Snit Costs Laborer 1 ea 4 59.91 $ 240 $ - S $ Operator 1 ea - 4 71.46 S 286 r$ - 5 -. : S - JD excavator 1 ea 4 $ - 5 52.05 -S 208 $ - S - S - 5; - $ - $ $ $ 5 - 5 $ $ $ - 5 - $ _ $ - S. - S S - 5; $ $ 5 5 S - $ $ $- S $ - $ - S" - $ - $ - 5 - $ - $ $ $ s _- $ - S - $ $ $ _ $ - $ - S _ $ s $ $ - $ 5 S' - $ $ 5 $ - 5- ._ $ $ $ - 5 - S 5 $ 5 $ - 5 S $ $ S: - 5 S - $ - $ $ $ - $, _ $ S $ - $ - 5 5 $ $ $ 5 _ S - $ $ $ $; Total Cost of Work A. Total Cost of Unit Price Work 5 525 B. S - C. $ -. 208 D. S - 734. City of Tukwila Justice Center 15045 Tukwila International BLVD Tukwila, WA 98118 Utilities, Foundations, Structure Logistics Plan lsoth st CP5032-AC Pipe • , AAAAWAAN40kAk AAAAAAAA — AVIA 44.614041 BNB Project offices Attlis, ' 4 • ' siSinktirl *MS" ; "AAAAre ",AJAWA lAiii,iNAYAILV,;,XAMAAAAAAAAxi AVIA Notes: - "CSD" - Contaminated Soils Discovery CP5008 (Exp) CP5010 (Imp) CP5019 - Oil Tank CP5026 (Exp) CP5027 (Imp) CP5029 - Tank CP5030-Tank/Grease CP5033-Tank AAAAA*SIVWMP'N'4'.'',"' A'Art'AAAAA,:,, ,t,PrA BNBuilders October 17, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for Revision to Closed Transition Transfer Switches Dear Ethan, BNBuilders hereby submits our proposal for the revisions to the transfer switches per submittal 01-26 36 00-0 response. The total proposal of this subject work is Eleven thousand four hundred eighty-four dollars $11,484.00. There is a zero -day impact to the Project Schedule. BNB has not proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5057 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinek@soseaj.com) Geri Urbas (oeri.urbasbnbuilders.com) Steve Schmitz (sschrnitzdIrgroup.com) BNBuilders 2601 4th Avenue, Suite 350 Seattle. WA 98121 T: 206.382.3443 F: 206.382.3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: COP #: 5057 GENERAL CONTRACTOR: BNBuilders, Inc. DATE: 11/1712019 DESCRIPTION OF CHANGE: Revision to closed transition transfer switches per submittal 01-26 36 00-0 response. BP 26.00 Valle 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $10,937.00 $10,9 7.00 $546.85 $0.15 Total Change Request $11,484.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 5% COP Cost Breakdown 0 0 o a) trz ot9 ooloc E z Z ,c) rad. to z O C. 0 f, 0 a) 13. 0 esc o cp p a) E o_ cr Lu 2 cci Al. Labor Premium 0 C6 U) 0 r•-• C 0 U) 0 0 -C 3 0 -ti 0 EL. C C a C 0 '4= 0 0 a $ - I I I is - I is - I 111110111111111111111111111 64 64 64 V3 V3 64 V3 64 64ci,, — 64 64 V3 64 IIIIIIIIIIm V3 64 cift cicift 1 III IIIIII ciftcift IIII ci V9' Co' 1 III 64 64 11 64 64 I III V3 64 64 I 64 II 64 I II 64 II IIIII 64 V3 1111 64 ITotal Cost of Work A. "The Electrical Solution"e VALLEY ELECTRIC CHANGE ORDER PROPOSAL Tukwila Justice Center Contract: 118021.1-05 PROPOSAL DESCRIPTION: Revision to Closed Transition Transfer Switches per Submittal Response 01-263600-0 SL # DATE 9/13/2019 Addendum# VE JOB # 19146 Time Ex t Rqrd (days): 2 RFI# VE CP # 007 Self Performed Work LABOR COST 0.00 hrs $90.34 SUPERVISION 15.0% Ibr SAFETY 2.0% Ibr $ SMALL TOOLS 5.0% Ibr $ MATERIAL COST $ 9,510.00 EQUIPMENT COST 24' Scissor Lift Month $ SUBTOTAL COST: OH & PROFIT - SELF 15.0%a Subcontractor Quotes Quote Quote Quote Quote SUBTOTAL DIRECT COST QUOTES: OH & PROFIT - SUBS 8.0% Bond Permit Fee BIM hrs 85.00 $ 9,510.00 $ 1,426.50 TOTAL CHANGE PRICE: $ 10,937.00 NOTE: 1) Proposal valid for acceptance within 30 days. 2) While Valley Electric considers our proposal amount full compensation for this change, we expressly reserve the right to seek additional time and compensation at a later date for the impact of multiple changes, if any, or for indirect costs that were not reasonably foreseen by Valley Electric at the time of settlement on this change. 3) This construction change has been estimated using the drawings furnished; an engineering evaluation of the drawings, for function and compatibility with the vendor furnished equipment, has not been performed. 4) Permit costs are specifically excluded. Should this change, or it become necessary to procure/pay for an increased permit fee this would become an added cost to the change price reflected above. Our proposal amount does not include the following: - Overtime / Shift Work - Fireproofing Repairs - Concrete/GWB Repairs -Shutdown Costs - Painting and: Patching ENERGY SYSTEMS • OWER SYSTEMS Date: September 12, 2019 To: Valley Electric Attn: Collin Tuthill Closed Transition ATS Quote Product Price 800A ATS 11,680 260A ATS $ 7,020 Total $ 18,700 Original Quote Breakdown Product Price 800A ATS $ 6,080 260A ATS 3,110 Total 9,190 Total Closed Transition Upgrade Cost $ 9,510.00 Reference: Tukwila Justice Center Closed Transition Switches Energy Systems is pleased to offer the following proposal for the above listed project and based on the below Bill of Materials. Quanityt 1 — ASCO Automatic Closed Transition Transfer Switch, Series 7000 • Reference ATS-LR • 800 Amps • 480V, 60Hz • 4 Poles Quanityt 1 — ASCO Automatic Closed Transition Transfer Switch, Series 7000 • Reference ATS-EM • 260 Amps • 480V, 60Hz • 4 Poles � D� K�U�Group nroU Up oLns,00p City ofTukwila Justice Center 73-17158-00 SUBJECT: O1-2636U0-0-Transfer Switches SUBMITTAL ID: 01-263600-0 /'p/; Submittal TxAmsMrn-ALlcx 01046 PURPOSE: Furnish as Corrected VIA: Info Exchange 5pccScCTJOm: NAME Sabrina Ames COMPANY IDATL SsmT EMAIL PHONE ` - ] DURGroup | sarnes�)d|rgrnupconn 461- | 206 | l ' i6094x73-6OQ4 TQ NAME COMPANY EMAIL PHONE { BrennaChr�tensen | BN8ui|dery | u/�"/'�'ux/��/��//»�»/ � bui|ders.00206-382-3443 | � � nn | Response (Furnish asCorrected) from: Sean Avery (DLRmmup) Per discussion with owner and SCL, please provide closed transition transfer switches as it will eliminate power glitches during testing. CONTFNTS QUANTITY: 1 DATED: osscnDq7om: 01-363600-0 TransferG»vitches.pdf CUpFS: Bill Brown Brenna Christensen Dillon Webster QLRGnouo) Ethan BarnaU (Shie|sOb|etzJohnsen) GehUrbas (BNBui|der ) Page Inf2 Jeff Clark (BNBui|ders) Liz Van VViehngen (BN8ui|ders) Sabrina Ames (DLRGnoup) Steven Schmitz (DLRGroup) ub ^ttaU lFranstni1taX DATE: 9/5/2019 1o: 01046 Page 2 of 2 Submittal No.: 01 - 263600 - 0 Due Date: 8/27/2019 BN Builders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Proje 118021.100 Date: August 12, 2019 Submitted To: Steve Schmitz DLR Group, Inc. 51 University Street Suite 600 Seattle, WA 98101 Phone: 206.461.6000 Fax: 206.461.6049 Description: Subcontractor: Transfer Switches Electrical Valley Electric Co. Submitted By: Brenna Christensen BNBuilders, Inc. 2601 4th Avenue, Suite 350 Seattle, WA 98121 Phone: 206.382.3443 Fax: 206.382.3440 Item Automatic Transfer Switches ATS Remote Annunciator ATS Remote Annunciator Series 300 Remote Annunciator Transfer Switches Monitoring Products/Systems Qty 1 1 1 1 1 1 1 Status Comments Submitted Submitted Submitted Submitted Submitted Submitted Submitted Shop Drawings Shop Drawings Wiring Diagrams Product Data Product Data Sample Warranty Sample Warranty Package Notes: Per discussion with owner and SCL, please provide closed transition transfer switches as it will eliminate power glitches during testing. This review and notations noted during this review does not in any way relieve the subcontractor or supplier of their responsibilities for compliance with the contract documents. Deviations/variances if allowed, must be clearly identified and requested to be considered. Also, the subcontractor or supplier is responsible for verification and accuracy of the details, quantities and dimensions, coordination of their equipment, materials and installation with all affected work and related subcontractors/suppliers, particularly with specific emphasis on deviations/variations. Brenna Christensen Date wer's &eneral Comments: DLR Group REVIEWED REVIEWED — ADDITIONAL INFORMATION REQUIRED Xi FURNISH AS CORRECTED REVISE AND RESUBMIT REJECTED NOT REVIEWED This review is for the limited purpose of checking for conformance with information given and the design concept expressed in the Contract Documents. Review of submittals is not for the purpose of determining the accuracy and completeness of other information such as dimensions, quantities, and installation or performance of equipment or systems, which are the Contractor's responsibility. The Architect's review shall not constitute approval of safety precautions or construction means, methods, techniques, sequences or procedures_ The Architect's approval of a specific item shall not indicate approval of an assembly of which the item is a component. The Architect's comments, notes or corrections are not an authorization to proceed with Work involving a change in the Contract Sum, the Contract Time or both. If any portion of this review requires a change to the Work, an appropriate change instrument must be executed in accordance with the Contract Documents. DLR Group Date: 09/05/2019 By: Sean Avery leviewer Signature Date IIALLFr�" '7he Electrical Solution" I SUBMITTALTRANSMITTAL PROJECT: Tukwila Justice Center {]VVNEF(: City of Tukwila ARCHITECT: [}LR Group GC: BNB TRANSMITTAL NUMBER: DATE: 1A148-O21 SPEC. SECTION NUMBER: 2G38OU(Transfer Switches) SUBMITTAL TYPE: VALLEY� �- |tiehereby certified that the material shown and marked in this submittal, shop dnsvvnQ, C@t8|0g cut, etc., is/are approved/proposed b]b8incorporated into the contract work is in compliance with the contract drawings and specifications. PREPARED BY: Keek/Shi8k1G INITIALS: ��T�|/` �^~.."`~ PRODUCT DATA These drawings/submittals are: 171 Revised aalloted Not Approved, Revise and Resubmit [] Approved aeSubmitted, NnExceptions Taken Approved for Submittal V�N[l[l� ,uv�/�//` It is hereby certified that the nnmtehm| Sh0vvn and marked in this submittal, shop drawing, ootakxz cut etc., is/are approved/proposed to beincorporated into the contract work isincompliance with the contract drawings, specifications, AHJ/S\'and applicable codes. Any deviation from the standards listed above are noted iDthe deviation list below. NAME: SIGNATURE: TITLE: DATE: SUBMITTAL NOTES The cut sheets included herein represent ereference standard ofproducts specified. Not all products shown will necessarily be used and/or may be replaced with another equivalent product as noted in the specifications. Sizes used onthe project will vary. Catalog cuts therefore at this time are generic. Submittal process supports confirmation of materials to be furnished as specified. RECEIVED BY: APPROVED BY: VALLEY ELECTRIC COMPANY [)FMT. VERNON, INC. I1OOK4ERR|LLCREEK PARKWAY EVERE7-[VVA982D3 425.407.0832 GENERAC® ENERGY SYSTEMS Tukwila Justice Center Automatic Transfer Switch ASCO Model H3ATSB3800NGXC Automatic Transfer Switch w/ Open Transition 4 Pole; 800 Amps; 480 Volt; 60 Hz ASCO Model J3ATSB326ONGXC Automatic Transfer Switch w/ Open Transition 4 Pole; 260 Amps; 480 Volt; 60 Hz ASCO Model J3NTSA3600NGC Non -Automatic Transfer Switch w/ Open Transition 3 Pole; 600 Amps; 480 Volt; 60 Hz ASCO Model 3QCNCA030800NOOF G, Cam Locks, Wall Mount, Brown, Orange Yellow, Green 3 Pole; 800 Amps; 480 Volt; 60 Hz CONTACTS GENERAC® ENERGY SYSTEMS PROVIDING GREAT SERVICE SINCE 1933 DISTRIBUTOR: ENERGY SYSTEMS West Coast LLC 7100 S. Lange Street #300 Stockton, Ca 95206 Office: 209-870-1900 Fax: 209-870-1950 www.espowergen.com 800.845.8519 Kerry Nicolaus Sales Representative knicolaus@espowergen.com 209-479-0413 Cindy Menacho Project Manager cmenachoespowergen.com 209-870-1914 Contractor Collin Tuthill Valley Electric collint©velectric.com 452-322-7439 ASCO Automatic Transfer Switch Tukwila Justice Center Tukwila, Washington Submittal Index Section 1 A. ATS Re -Cap Sheet B. Copy of Quotation C. Bill of Materials with Standard Features & Additional Accessories (as specified) D. Withstand Current Ratings E. Switch Drawing Section 2 General Product Submittal Data A. 300 Series Automatic Transfer Switch B. 300 Quick Connect Power Panel C. Remote Annunciator D. Warranty Information Section No. 1 Section 1 A. ATS Re -Cap Sheet B. Copy of Quotation C. Bill of Materials with Standard Features & Additional Accessories (as specified) D. Withstand Current Ratings E. Switch Drawings ASCO Automatic Transfer Switch Submittal Package ATS Re -Cap Sheet ATS-LR ATS #1-ATS 1 Qty: 1 ASCO Model H3ATSB3800NGXC Automatic Transfer Switch w/ Open Transition 4 Pole; 800 Amps; 480 Volt; 60 Hz NEMA 1 Enclosure Estimated Dimensions: 72"Hx34"Wx20"D ATS-EM ATS #2-ATS 2 Qty: 1 ASCO Model J3ATSB326ONGXC Automatic Transfer Switch w/ Open Transition 4 Pole; 260 Amps; 480 Volt; 60 Hz NEMA 1 Enclosure Estimated Dimensions: 56"Hx24"Wx14"D GEN-MTS ATS #2-NTS 2 QtY: 1 ASCO Model J3NTSA3600NGC Non -Automatic Transfer Switch w/ Open Transition 3 Pole; 600 Amps; 480 Volt; 60 Hz NEMA 1 Enclosure Estimated Dimensions: 63"Hx24"Wx17"D Quick Connect Panel QC 1170057-021 Qty: 1 ASCO Model 3QCNCA030800NOOF G, Cam Locks, Wall Mount, Brown, Orange Yellow, Green 3 Pole; 800 Amps; 480 Volt; 60 Hz NEMA 3R Enclosure Estimated Dimensions: 34"Hx24"Wx11"D Bill ofMaterials � Product` 8ede��OO Catalog � '~--------`---'� 1BE�RFB� 72EE,125A Service Voltage /Hz 480Y/60Hz 125A Optional Accessories :Activate 61DL' ' *oovamunZ ' -- — - Bypass Isolation � NoAppUoah� ' ` uuo�en�s Pmdm�DoachpUmn ' ''--'---'—'' � Transition Transfer Switch No. d*Switched Poles 4 Neutral Configuration GwiVzhed[B] Withstand Rating: �� Q*aVVC�bu�|ebebw � � Frame =FLSwitch Rating =O80O.Series =3OO NoofCab�»&Lug � 4.10/ANG0z6O0 MCM Size Enclosure i(CYULType 1Enclosure Service Three Phase, 4-wina Extended Warranty Not Included Markings bem1:ATS-LR Extended Net Price � Product Only ' Excludes Wanont)4 Start Upand Freight Adders Page 1ufO Bill of Materials ACCESSORY DESCRIPTIONS Accessory Code Description 1 6DL Retransfer to normal mode. While in manual retransfer mode if an emergency source failure should occur and the normal source is still available manual retransfer will be automatically bypassed. A pilot light indicates manual retransfer mode. 2 11 BE Adds the following features to the Group G controller: (1) Serial RS-485 Modbus Communications (2) Multi -Schedule Engine Exerciser (3) a 300 Entry Event Log and (4) a common alarm output function. When applied on 3-phase systems it also enables: (1) 3- Phase Emergency Source VLL sensing (2) Phase Rotation Monitoring (3) Emergency Source VLL Unbalance Monitoring. 3 18RX REX (Relay Expansion Module) with Normal and Emergency available output contacts (18B & 18G) 4 31Z Load disconnect contacts, with TD which operate before/after transfer 5 72EE Quad - Ethernet Module with AES -128 bit with encryption and (4) RJ - 45s, includes 11 BE feature bundle 6 125A Seismic #2 ATS AMPS; 0260 QTY: t Product : Series 300 Catalog Number J03ATSB30260NGXC,11BE,18RX ' 72EE,125A Service Voltage / Hz : 480V/60Hz Optional Accessories : 6DL,11 BE,18RX,31Z,72EE,125A Bypass Isolation : Not Applicable Product Description 300 Series, Automatic Open Transition Transfer Switch No. of Switched Poles : 4 Neutral Configuration : Switched [B] Withstand Rating: See WCR table below Frame = J, Switch Rating = 0260, Series = 300 No. of Cables & Lug 1, #4 AWG to 600 MCM or (2)1/0 Size AWG to 250 MCM Enclosure : 1(C)-UL Type 1 Enclosure Service : Three Phase, 4-wire Extended Warranty : Not Included Markings : Item1: ATS-EM Extended Net Price . Product Only - Excludes Warranty, Start Up and Freight Adders Bill of Materials ACCESSORY DESCRIPTIONS Accessory Code Description 1 6DL Retransfer to normal mode. While in manual retransfer mode if an emergency source failure should occur and the normal source is still available manual retransfer will be automatically bypassed. A pilot light indicates manual retransfer mode. 2 11 BE Adds the following features to the Group G controller: (1) Serial RS-485 Modbus Communications (2) Multi -Schedule Engine Exerciser (3) a 300 Entry Event Log and (4) a common alarm output function. When applied on 3-phase systems it also enables: (1) 3- Phase Emergency Source VLL sensing (2) Phase Rotation Monitoring (3) Emergency Source VLL Unbalance Monitoring. 3 18RX REX (Relay Expansion Module) with Normal and Emergency available output contacts (18B & 18G) 4 31 Z Load disconnect contacts, with TD which operate before/after transfer 5 72EE Quad - Ethernet Module with AES -128 bit with encryption and (4) RJ - 45s, includes 11 BE feature bundle 6 125A Seismic #3 ATS AMPS:0600 QTY:1 Product : Series 300 Catalog Number : JO3NTSA30600NGOC Service Voltage / Hz : 480V/60Hz Optional Accessories Bypass Isolation : Not Applicable Product Description 300 Series, Non Automatic Transfer Switch No. of Switched Poles : 3 Neutral Configuration : Solid [A] Withstand Rating: : See WCR table below Frame = J, Switch Rating = 0600, Series = 300 No. of Cables &Lug 2,1/0 AWG to 600 MGM Size Enclosure : 1(C)-UL Type 1 Enclosure Service : Three Phase, 4-wire Extended Warranty : Not Included Markings : Item1: GEN-MTS Extended Net Price Product Only - Excludes Warranty, Start Up and Freight Adders Bill of Materials ITEM Product Number : 1170057-021 Description QTY: 1 3QCNCA030800NOOF - 800A, 3P, G, 480V, Cam Locks, Wall Mount, Brown, Orange Yellow, Green Voltage Markings Extended Warranty Not Included (Years - Cost) Extended Net Price Product Only - Excludes Warranty, Start Up and Freight Adders #5 ITEM QTY 1 Product Number : 811440 Description 5350, Remote Annunciator, 8 ATS, Ethernet Voltage •Markings .• Extended Warranty Not Included (Years - Cost) Extended Net Price • Product Only- Excludes Warranty, Start Up and Freight Adders 4TS-Lm HFrame 3ATG8OOANEIVIA1type: Unit Weight (Ibo):4gO Gross Weight (Ibs): 490 ATS-EM: J-F,ame5ATS2OOAmEIVIA1type: Unit Weight (lbs): 280 Gross Weight (lbs): 280 GEN-MTS: JFrame OVUA8NTSNEMA1type: Unit Weight Gross Weight (Ibs): 340 Dimension (YVxDxH|u):24x17uO3 Quick Connect Panel Unit Weight Vboy0lOO Gross Weight (|ha):SO.0Q Dimension 0wxDxHin4: 24x11x32 ASCO SERIES 3ATS AUTOMATIC TRANSFER SWITCH STANDARD FEATURES ATS# CATALOQ|M QTY:1 AMPS POLES VOLTS ENCLOSURE CABLE ENTRY ' ACCESS REQUIRED AT— LR GXC 800 4 480 NEMA1 TOP &BOTTOM FRONT FEATURES|NC0DE: 1 An adjustable 1 to 6 second time delay on engine start to override momentary Normal source outages. 2B Anadjustable Uto5minute time delay ontransfer hoEmergency. 2E Afixed 5minute time delay for engine coo|-dmwn. 3A Anadjustable Oto30minute time delay onretnanofertoNormal. 4B Close differential voltage sensing onall phases ofthe Normal source. Pickup voltage ioadjustable from 8596to10096of nominal; dropout ioadjustable from 8596to9896 ofnominal value. Adjustments are made in 196 increments. S Test switch tosimulate Normal source failure. 5H Provisions for remote customer supplied test switch. GB Reset switch (TGL2)tomanually bypass time delay nnndnanofertoprimary source. Low voltage contacts. Installed and connected onenclosure door. Shipped loose onopen types. 7/8 Engine start contacts. One normally open, one normally closed. Contact rating in5amperes sd3UVDC. gAV$B One set of LED's to indicate transfer switch closed on Normal or closed on Emergency. 9C/9O One set cfLEO'aho indicate normal source available and emergency source available. 11C Engine generator exercising timer. Provides aonce eweek 2Uminute exercise period. 14AAU14BA Two pair of auxiliary contacts to indicate transfer switch closed on Normal or closed on Emergency. Contact rating ka10amperes at25OVAC. 17 Terminal provisions for remote customer contact which opens to signal ATS to transfer to Emergency. Refer tooperator's manual toactivate. 32 Solid neutral, with full rated terminal lugs. /\L-CU,ULlisted. Shipped loose for open types, Provided only with 2pole and 3pole transfer switches. 27 In -phase monitor controls for transfer and retransfer of motor loads, so that inrush currents do not exceed normal starting current to avoid nuisance tripping of circuit breakers and possible mechanical damage to motor couplings. (Customer toactivate) 31F/K8 Selective load disconnect control circuit with one set ofdouble throw contacts rated 3ompo. 12Ovolts ACto operate an adjustable time delay from 0, 3, 10 & 20 seconds before transfer and retransfer. 34B Terminal provisions for remote customer contact(s) to inhibit ATS transfer to Emergency source. * Optional Accessories w 6DL-Retransfer tonormal mode. 0 11 BE - Feature bundle includes engine exerciser / event log / RS485 enabled / common alarm output contact. m 18RX - REX (Relay Expansion Module) with Normal and Emergency available output contacts (18B & 18G) rated 5 amperes at3OVD[. 0 31Z-Load disconnect contacts, with TD which operate before/after transfer 0 72EE-Quad - Ethernet Module with AES - 128 bit with encryption and (4) RJ - 45s, includes 11 BE feature bundle * 12SA-8eiamio3.5Certification 3ATGDESC.DOC ASCO SERIES 3ATSAUTOMATIC TRANSFER SWITCH STANDARD FEATURES ATS# CATALOG #: QTY:1 AMPS POLES VOLTS ENCLOSURE CABLE ENTRY ACCESS ' REQUIRED "'^' EM J3/ASB326UNG&C 260 4 480 NEMA1 TOP &BOTTOM FRONT FEATUREB|NCLUDE: 1 An adjustable 1 to 6 second time delay on engine start to override momentary Normal source outages. 2B Anadjustable 0ho5minute time delay ontransfer toEmergency. 2E Afixed 5minute time delay for engine coo|'dmwn. 3A An adjustable Oto 3Uminute time delay on retnynoferhoNormal. 4B Close differential voltage sensing nnall phases ofthe Normal source. Pickup voltage ioadjustable from 85%to1UQ96ofnonina|^dropoot�adiustab|e�orn8596toB8Y6ofnominal va|ua Adjustments are nnode in 196 increments. ' ^ 5 Test switch hosimulate Normal source failure. 5H Provisions for remote customer supplied test switch. 6B Reset switch (TGL2) to manually bypass time delay on retransfer to primary source. Low voltage contacts. Installed and connected onenclosure door. Shipped loose onopen types. 7/8 Engine start contacts. One normally open, one normally closed. Contact rating io5.amperes at3OVO(}. 9A/9B One set of LED's to indicate transfer switch closed on Normal or closed on Emergency. 9C/8O One set ofLED'otoindicate normal source available and emergency source available. 11C Engine generator exercising timer. Provides oonce aweek 2Uminute exercise period. 14AA/14BA Two pair of auxiliary contacts to indicate transfer switch closed on Normal or closed on Emergency. Contact rating ia1Oamperes at25OVAC. 17 Terminal provisions for remote customer contact which opens to signal ATS to transfer to Emergency. Refer hooperator's manual toactivate. 22 Solid neutral, with full rated terminal lugs. AL-CIJ, UL listed. Shipped loose for open types. Provided only with 2pole and 3pole transfer switches. 27 In -phase monitor controls for transfer and retransfer of motor loads, so that inrush currents do not exceed normal starting current to avoid nuisance tripping of circuit breakers and possible mechanical damage to motor couplings. (Customer toactivate) 31F/K8 Selective load disconnect control circuit with one set ofdouble throw contacts rated 3amps, 12Uvolts ACto operate an adjustable time delay from 0, 3. 10&20seconds before transfer and retranahar. 34B Terminal provisions for remote customer contoct(o)to inhibitATGtransfer toEmergency source. ^0ptional Accessories 0 GDLRetnansfotonormal mode. 0 11BE'Feature bund|einoludaoengineexencioer/ewant|og/RG485enab|ed/unmmono|onnnutputcontact. 0 18RX EX(Relay Expansion Module) with Normal and Emergency available output contacts (18B & 18G) rated 5 amperes md3OVDC. 0 31Z-Load disconnect contacts, with TD which operate before/after transfer 0 72EE'C)uod-Ethernet Module with /\E8'128bit with encryption and (4)RJ-45e.includes 11BEfeature bundle m 126A'8aiemic2.5 Certification 0 One (1)3ClCNCA03O8O0NQOF(B(]K0117O057'O21) 3ATGDESC.DOC ASCO SERIES 3NTS NON -AUTOMATIC TRANSFER SWITCH STANDARD FEATURES NTS# CATALOG #: QTY:1 AMPS POLES VOLTS ENCLOSURE CABLE ENTRY ACCESS REQUIRED GEN- MTS J3NTSA3GUONGC 600 3 480 NEMA1 TOP &BOTTOM FRONT - Voltage sensing onNormal - Voltage sensing pnEmergency 9/V0B Pilot lights hoindicate /\TSposition 14/V14B One (total) set ofauxiliary contacts for ATS position. 22 Solid neutral, with full rated terminal lugs. 27 In -phase monitor for transfer of motor loads (customer to activate ° Optional Accessories 3NTGDEGC.QOC 0 C Cr) 0 CO a O 5 CV N N N M 5 N C) N 5 co 0 0 N O N O O 0 0 0 0 O N O CO147 O O 0 N 5 M coLO -) 0 0 N 5 N u) 0 0 N 0 N O O 0 M CD co N O O 0 O' 01 co, N. 5 M 5 O M 0 O Co 0 5 Y O M N LO O 0 CV 0 N O N -, J 0 CO o 0 N 0 N 150, 200, 230, 260 N N 5 N -, J 0 0 COOD 0 O tr r 147 C) 5 5 O Q 0 5 coLO J W 0 N 0 N O co 0 N 0 N 11411.41114. O co 0 O d) 0 0 O 0 O O lo7 Y 0 0 0 O 0 co O J O 5 N 0 N (OD CD n 3 O 0 0 co O O 0 0 0 0 N M 0 O 0 5 O u5i co O 0 CO 5 0 N N N 0 0 O N 0 0 x 0 0 O Co O O Co O 0 w 0 0 Co O co O 0 O O O 5 O 0 0 0 -J 0 Co N N 0 N N 0 CO 0 0 Co in CO O 0 0 O O N w 0 0 0 0 c� 5 O N 5 O M 3 O O 5 N Y Co m co O 0 u, 5 W -J 0 07 N N 0 CD 0 a) C 0 C 0 0 N m N 0 0 O 0 O Co 0 0 0 r0) 0 N Co 0 0 0 cCO LO Co 5 O O 0 0 0 O 0 5 O 0 -J Co N 0 N 5 0 1600-2000 1600 - 2000 in N O 0 0 0 J O 0 0 O N 0 • CD O 0 0 0 0 O 0 5 0 O O 0 5 N O M U) O 0 0 0 0 0 LL07 O O O 0 0 0 0 0 0 5 O N 5 r N O 0 O Cal 5 N 0 0 0 0 0 N 2600 - 4000 2600 4000 )t1 r N G, .n 5 coa aa) c 0 a, E_ co < O F C N X O co o) c co U) co O coN �r w a) ro a 0)c n c co44 OS O N 'O O N J O c)= Ed CO a) a).1\ Y cu 0 C E m CO 2 d V a, a F Q.3+_' O C O N ✓, 3 t/) O fa O C _a)�'3Mw ow G •> co Q) Mtn ac O> E U N O [�) C �@ .0 N .0 N,�O, - o x U 2._ rn�'3 p 1- C O N 0L V V 0 T @r, 2 0)'QC L aF C .0 D_ C O C) w CO'C ' O N co co ' C O N@ co E O C a) .V-. a) a) O N f0 "2O O m N N O C C m E 0 0 .,. 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W Q Q C O Z-[rOmW2 20 133 'r CV 6 'T 6 0 ti w nr re) co TOR - PACKING LIST TS REMOTE ANNUNCI 2 V co a> A a) N p0 N • Z f 0 V ;T FOR ASCO PART NUMBER 811440 Description ATS Remote Annunciator Assembly 8CH a) ea a N U ra Li.- Gang Box Mounting Adapter 0 Mounting Tab Keys for Keylock Swtich User Guide for ATS Remotes Annunciator 8 CH Installation Guide for ATS Remote Annunciator 8 CH Wire Nut Short length multi -stranded wires (white, black & green color) Short length solid wires (black & red color) # 6 x 1.5" Self -Tap Screw for Tab # 6-32 c 2.0: UNC Screw for Adapter Mounting J 0 Z_er 0 Q Q E) ,- N co V 6O CO N [O 0) - N r sheet 3 of 3 ion are reserved. -a C a rn 0 L O) — a0) o0 - 0 a Z 3 :c A Y O h CO 0- v O o E a. O S 0 IL 7 < ui a J .52 L F 52 0 0- 0 0 a 0 aa. 0 a` Overall Communication Architecture 9600 Baud S94-S21 L C 0 3-n h O _ N :c13 8 2 o.:(i) t0). 2 0°mac. S94-SH M CO 3 =—p = 2 0 U 2 5 U.o 00Q a to S94-SU , 2 0 0 *E' U)N 0(3 N 0 O nN—.0 0 322-a Configuration 2 Configuration 1 Choice to select one of the config 0 U y N O N 0 CO .0 w `w c 0 Ethernet Switch E W u 0 5 -0 to U W C J U8 0 L.; it 1 el al al al ■ General Notes 0 0 0 C 0 -C Co 0. U O1 0" `o 0 White /Green 0 m 0 0 White/Brown N NI N N a N N a7 a n m N m W 000 ❑ ❑ ❑ O �\ W Z �J.7.� W <P OO 22S C2 0 IT- 0_ °O kFc., COMPUTER GENERATED DRAWING ><a iD V l{�V N IYN 000 2 C) C 0 a 0 0 L_LN c S E O 0 0 E 2 c 2 UJ 0 0 m n a Sheet Number N V 2 4 CD Q 0 WIRING DIAGRA 2w C) w2 PARK, NJ USA 97932 0cmay� a woboo I— m O O O 'CV O a C) w in ¢dew' !- m 0 .a a < U "o zo w a" LED Function Solid ON indicates application software is running Solid Green ON indicates network operating at 100Mbps Speed, Full duplex with no collision Blinking Green indicates network operating at 100Mbps Speed,Full duplex with collision Blinking Orange indicates network operating at half duplex with collision LED1'. is. OFF indicates speed and Full duplex/Col signals are not active Green Blink when Link and Act signals present and indicates TX/RX signals activities Solid Orange ON indicates Link is present but no Act signal. LED2 is OFF indicates Link and Act signals are not active LED Description Power on indication Green LED 1 Green LED 1 Orange. LED 1 LED 2 Green 2 0 N N W W LED Label POWER I w U) I - W m co a'3 2 EL. O 0 M 2 0.Qj ih O C - N 2 O (�U ov 43 tam Z00-96L6Z9 N/d OOSV AssV e1ge0 400-96L6Z9 N/d 00SV,6ssV $19C0 I°o01 8 g 000 Wale! [OW) • E 0 000 000 leasael 00 0 oo & a d 0 0 CV a 3 v on 3 N 0 a 0 J 00 Q 00 1 i G Co 0 0 a 0 0 0 0 0 Q Co o- 00 c¢ 0) P 0 0 00 0 om a0 n O 00 00 00 8 ¢Q Co • 0- • 0 2 1- 0) w c 'C 0 u U o 0 n 0i. .0 o. C y c o N Co a L N y Co N U0 U) 0 0LNa 0OQ0o o- d C N o) ut 0 �QQ Faaa QOIXK cy W W for channel shall be 0 328 ft (100 m) max 0 v 0) c 3 0 0 E Co Co 0) • 2 0 C 0 0 0_ 0 a 0.1 t 3 a a C C A UI E 0) 0) to a 0 0 ❑❑❑ ❑❑❑ ❑❑❑ y a a 2 ❑ ❑ < a 13 m ❑ ❑ ❑ 0 0 6 4 00 ❑❑❑ v PROJECT NAME: XD-1047 8CH `at Z 0 2 IX 0 0 V Z IX UTER GENERATED DRAW oo DJ- 0 ea MIS O 0 0 Q w Q Z r 0 0 O < NN N V z ° 00 O O U 0 2 to K� W24 co QQ W^gL.R wR Ethernet Communication Cable. U U 0 g`° 328ft. (100 meters) a" m 0 E CO a N a O 169254.1.204 a •0 g N w a o a 0 T S E E 30 -5 O rn d •m ww U a) .to Q a) C a) C 3'� 0 a) ). a) C C 0 U I- a. re 2: Referen 0 E L C_ ZOO-96L6Z9 Ntd OOS) Fast/ .100 ZO0.a6L6Z9 Nld OOSVMay MGSO U g Field Wiring See Table 1 RS-485 4 wire 4000 ft. Max. ce v 113 0 Z 0 Z Y ID > > co > > O a 0 O 0 Z } 0 Z rn 0 to I✓) > } 0 Z >- 0 C 0 Z co > a > w } Controller/Power Manager 2 0 2 0 0 N 2 Power Manager S5e08 . 0 000 a ODD 0 0 < 6 m ❑ ❑ ❑ z Q N a XD-1047 - BCH PROJECT NAM 000 6 U 6 r1 INSTALLATION WIRING DIAGRAM co Co 0 U 8 Z Z 0 0 m $ w O O O 0 I— 000 0 00 U � » Q m» U) COMPUTER. GENERATED DRAWING y S C lD N So 0 U 1m wZ� a � v�0 ao g w a 0 0 0 4 rwith Panel Mounting Eight Channel Annuncia N 771 itl a G A c Q m r. J W 0 ry 0 Z 0 5 U m d CC m m Wire Description Stranded wire #18AWG(16/30) m N m f 11� L SCh ATSRA O Z 0 m PROJECT NA WIRING DIAGRAM 0) c 0) w000 0 0 0 W 0 N 0 U Loco Q QCt o <0 Section No. 2 General Product Information ASCO 300 Series Automatic Transfer Switch 300 Quick Connect Power Panel Remote Annunciator Warranty Information ASCO SERIES MO Power Transfer Switches ascopower.com Life s Schneider Electric ASCO SERIES 300 Power Transfer Switches for Power Outage Protection Where would you be without a constant flow of electrical power? We often take for granted that power will always be around when we need it. In reality, power failures are common, and when the power goes out, your business suffers. Power failures are unpredictable. They can occur at any time and for any number of reasons — a bolt of lightning, a power surge, a blackout, an accident or even equipment failure. They come without warning and often at the most inconvenient times. It's for this reason that many businesses and other entities have invested in emergency power backup systems. Typically, the system consists of an engine generator and an automatic transfer switch (ATS) that transfers the load from the utility to the generator. An ATS with built-in control logic monitors your normal power supply and senses interruptions and unacceptable abnormalities. When the utility power fails, the ATS automatically starts the engine generator and transfers the load after the generator has reached proper voltage and frequency. This happens in a matter of seconds after the power failure occurs. When the utility power has been restored, the ATS will automatically switch the load back and, after a time delay, shut down the engine generator. With an ATS, you are protected 24 hours a day, seven days a week. 2 TYPICAL APPLICATIONS TELECOM In the telecommunication industry, providing a high level of service and dependability is crucial. Lost power means an interruption in service for your customers and lost business for your company. For instance, with cell sites scattered across a wide geographical region and in many remote areas, the chances of an interruption in power are increased, making an ATS valuable resource at each location. To maintain dependable service, each cell site must be monitored 24 hours a day. This can be very difficult without some type of remote monitoring and testing capability The SERIES 300 Transfer Switch, combined with ASCO's monitoring and control management system, is a cost-effective, packaged solution that can achieve both of these challenging objectives without a major investment at each cell site. With ASCO's connectivity solutions, you can remotely monitor and control numerous sites from around the corner or across the world. AGRICULTURE Maintaining electrical power is vital to an agriculture operation. If the flow of power is interrupted, your operation will be at risk unless the backup generator is quickly activated. A prolonged power outage can affect numerous aspects of the operation, from housing and feeding livestock to processing and producing the end product. With an ASCO SERIES 300 Transfer Switch, power will automatically be transferred over to your backup generator, eliminating the need to manually switch from utility to generator. When power is restored, the ASCO SERIES 300 Transfer Switch will, after an adjustable time delay to allow for utility stabilization, automatically switch the load back to the utility service. COMMERCIAL/RETAIL, LIGHT INDUSTRIAL The retail industry is very competitive. An electrical power failure can have a dramatic impact on a retailer's bottom line. If power is interrupted during peak shopping times, the effect can be extremely damagin to present and future business. A power interruption will not only suspend shopping, it can also create safety problems, result in lost transaction data, lost account information and possible damage to data collection equipment. In addition, retailers who rely on controlled climates to protect valuable inventory could suffer even greater losses, especially if the power failure occurs at a time when no one is available to rectify the situa- tion. To avoid any of these power outage problems, simply install a backup generator with an ASCO SERIES 300 Transfer Switch, and your power outage concerns will be a thing of the past. MUNICIPAL The ASCO SERIES 300 Transfer Switch can be a critical component of a municipal government's emergency power backup system. Residentsof townships, cities and counties rely on police, fire, ambulance/first aid and other critical public sector services. An interruption in power can affect the ability of emergency services to effectively respond to the needs of the community. When time is a critical factor, such as when responding to a fire alarm or an emergency call, an ASCO SERIES 300 Transfer Switch can be a lifesaver, by automatically switching to power from the backup generator. While not all municipal services are a matter of life and death, they are always expected to be there. 1 60 RK1 --------i 42kA 1200kA 8 35kA , 200 r J l. _ 200 1200kA-w.....w.---.�200_-�-I J SERIES 300 POWER TRANSFER SWITCHES MAXIMUM RELIABILITY & EXCELLENT VALUE With a SERIES 300 Transfer Switch, you get a product backed by ASCO Power Technologies, the industry leader responsible for virtually every major technological advance in the Transfer Switch industry. The ASCO SERIES 300 was designed for one purpose —to automatically transfer critical loads in the event of a power outage. Each and every standard component was designed by ASCO engineers for this purpose. The SERIES 300 incorporates the Group G controller with enhanced capabilities for dependable operation in any environment. A user-friendly control interface with a 128x64 graphical LCD display and intuitive symbols allow for ease of operation while visual LED indicators display the transfer switch status. Operating parameters and feature settings can be adjusted without opening the enclosure door. The rugged construction and proven performance of the ASCO SERIES 300 assure the user of many years of complete reliability. The SERIES 300 is even designed to handle the extraordinary demands placed on the switch when switching stalled motors and high inrush loads. ASCO's SERIES 300 modular, compact design makes it easy to install, inspect and maintain. All parts are accessible from the front so switch contacts can be easily inspected. FEATURES • The SERIES 300 is listed to UL 1008 standard for total system loads for automatic transfer switches. • Meets NFPA 110 for Emergency and Standby Power Systems and the National Electrical Code (NEC) Articles 700, 701 and 702. UL 1008 WITHSTAND AND CLOSE -ON RATINGS FOR ASCO SERIES 300 GROUP G PRODUCTS 1,2 (RMS Symmetrical Amperes) WtTCf. TINS (AMPEttlrs) TRANSFER SWITCHES 70-104 1 150 230 100kA - i 300 600 200kA 1 600 200kA 200kA j 800 800-1200 200kA 2600-3000 200kA ¢ 200kA 2500 200kA 200kA 4000 10kA ok.A f 50kA ; 42kA 65kA3 I 65kA V 65kA 85kA 85kA3 8 85kA3 100kA 100kA 100kA Notes: 1. All WCR values indicated are tested in accordance with the requirements of UL 1008, 7th Edition, See ASCO Pub. 1128 for more WCR information. 2. Application requirements may permit higher WCR for certain switch sizes. 3. Front connected only. 4. J150, 200, 230 Amperes available in 3ADTS and 3NDTS only. Fig. 1: ASCO Power Transfer Switch rated 200 Amps • Restriction of Hazardous Substances (RoHS) compliant controller. • 30 through 3000 amperes in a compact design. • Switch ogierating temperature range of 0 to +40 C. • Available to 600 VAC, single or three phase. • True double -throw operation: The single solenoid design is inherently inter -locked and prevents connections to both sources at the same time. • No danger of the SERIES 300 ATS transferring loads to a dead source because the unique ASCO single -solenoid operator derives power to operate from the source to which the load is being transferred. Easy -to -navigate 128x64 graphical LCD display with keypad provides LED indicators for switch position, source availability, not in auto mode, and alert condition. • Integrated multilingual user interface for configuration and monitoring. • Delayed transition operation is now available (Dual Operator Configuration). • Non -automatic operation can be selected using the key pad without opening enclosure door. • Relay expansion module with extra relays for acces- sory outputs (optional). • Includes soft keys for test function and time delay bypass as standard features. • Emergency source failure alert indication. • Historical event log (optional). • Statistical ATS system monitoring information. • Diagnostic functions. • Password protection to prevent unauthorized tam- pering of settings. • Adjustable time -delay feature prevents switch from being activated due to momentary utility power out- ages and generator dips. • Auxiliary contacts to indicate position of main con- tacts. Two (2) for normal and two (2) emergency position • Supplied with solid neutral termination. • Optional switched neutral pole available. • Field modification accessory kits available. • Available for immediate delivery. 4 SER|Es 300 POWER TRANSFER SWATCHES DESIGNED TO FIT ANYWHERE The ASCO SERIEs 300 product line represents the most compact design of automatic power transfer switches in the induatry. With apace in electrical closets being at u pramium, the use of wall- or floor -mounted ASCO Power Transfer Switches assure designers optimum utilization of space. All transfer switches through 2000amperes are designed iobecompletely front accessible. This permits the enclosures to be installed flush against the wall and still aUmm installation of all power cabling and connections from the front of the switch. Cable entrance plates are also standard on the 1600und 2000 amperes units to install optional side -mounted pull boxes for additional cable bending space. Fio.a: AmcoPower Transfer Switch rated 400 Amps Fig. 4: AmcVPower Transfer Switch rated 600Amps Fig. eAecoPower Transfer Switch rated 2000 Amps shown in Type 3R enclosure no.o: AuooPower Transfer Switch rated oonAmps � i 114, a pig.s: AocoPower Transfer Switch rated 1000 Amps ' ng.r: AncmPower Transfer Switch rated 3000 Amps 5 SERIES 300 GROUP G CONTROLLER Controller/TS Interlace Plug Battery to Maintain Engine Exerciser Clock Settings Dip Switches for Voltage/Frequency a d Feature Functions Mounting location for Accessory Dangle NE Relay Customer Contra interface 7)SE and ER Relay Control Power Transformers Power Supply jumper Card 485Connguratton Dip Switches Mounting location for Current Sensing Card CAN Bus Port RS 485 Port(Optional) Enabled with Feature Bundle I1BE Fig. 8: ASCO SERIES 300 Group G Controller CONTROL AND DISPLAY PANEL • Easy -to -navigate 128x64 graphical LCD display with keypad provides LED indicators for switch position, source availability, not in auto mode, and alert condition. It also includes test and time delay bypass soft keys. VOLTAGE, FREQUENCY & CURRENT SENSING • 3-phase under and over voltage settings on normal and single phase sensing on emergency source. • Under and over frequency settings on normal and emergency. • True RMS voltage sensing with +/-1% accuracy. • Frequency sensing accuracy is +/- 0.1Hz. • Voltage and frequency parameters adjustable in 1% incre- ments. • Selecting settings: single or threephase voltage sensing on normal, and single phase sensing on emergency; 50 or 60Hz. 3-phase voltage unbalance on normal. • Load current sensing card (optional). The SERIES 300 incorporates the group "G" controller with enhanced capabilities for dependable operation in any environment. TIME DELAYS Engine start time delay — delays engine starting signal to over- ride momentary normal source outages, adjustable from 0 to 6 seconds (Feature 1C). • Emergency source stabilization time delay to ignore momentary transients during initial generator set loading, adjustable from 0 to 4 seconds (Feature 1 F). • Re -transfer to normal time delay with two settings (Feature 3A). • Power failure mode — 0 to 60 minutes • Test mode — 0 to 10 hours Unloaded running time delay for engine cooldown, adjustable from 0 to 60 minutes (Feature 2E). • Pre- and post -signal time delay for selective load disconnect with a programmable bypass on source failures, adjustable from 0 to 5 minutes (specify ASCO optional accessory 31Z). • Optional fully programmable engine exerciser with seven inde- pendent routines to exercise the engine generator, with or with- out loads, on a daily, weekly, bi-weekly or monthly basis (specify ASCO optional accessory feature bundle 11 BE). • Delayed transition load disconnect time delay, adjusable from 0 to 5 mi-nutes (3ADTS/3NDTS configuration only). STANDARD SELECTABLE FEATURES • Inphasemonitortotransfer motor loads, without any intentional off time, to prevent inrush currents from exceeding normal starting levels. • Engine exerciser to automatically test backup generator each week, with or without load 20 minutes not adjustable. • Commit to transfer. • Selective load disconnect circuit to provide a pre -transfer and/ or post -transfer signal when transferring from emergency to normal and/or normal to emergency. • Re -transfer to normal through soft keys on user interface permits selection of "manual" or "automatic" operation. • 60Hz or 50Hz selectable switch. Three -/single- phase select- able switch. REMOTE CONTROL FEATURES • External inputs for connecting: • Remote test switch. • Remote contact for test or peak shaving applications. If emer- gency source fails, switch will automatically transfer back to normal source if acceptable. • Inhibit transfer to emergency. • Remote time delay bypass switch emergency to normal. 6 SERIES 300 GROUP G OFFERS SOPHISTICATED FUNCTIONALITY The new Group G controller offers an intuitive, easy -to -navigate 128*64 graphical LCD display with soft keypad and provides six (6) LED indicators. • Switch Position (green for normal, red for emergency LED) • S.ource Availability (green for normal, red for emergency LED) • "Not In Auto" (amber LED) • Common Alarm (amber LED) The ASCO group "G" controller is self-contained with an integrated display (no other components are required for efficient operation). The controller allows for open or delayed transition transfer opertion (both automatic, and non -automatic configurations). An integrated multilingual user interface for configuration and monitoring (this design approach allowsgreater application flexibility). Multiple source -sensing capabilities of voltage, frequency (under frequency sensing on normal and emergency sources), and optional current card, single and three phase (does not require an external metering device). Control Status Source Status Main Menu/ Settings Main Menu/ Event Logging Settings/ Engine Exerciser Main Menu/ Statistics Fig. 9: Door -Mounted Control & Display Panel U Common Alarm ® Not In Auto Indicator ® Scroll, Up/Down Arrows In Escape Key ® Enter Key co LED Source Availability and Switch Position Indicators Transfer / Time Delay Override control push-button Alarm Status Con Settings/General/ Communications Main Menu/ Factory/Diagnostics Settings/General/ Common Alarms Main Menu/ About 7 SERIES 300 ATS OPTIONAL ACCESSORIES ACCESSORY iUP UPS back uppower mallow controller torun with LCDdisplay for 3O seconds without ACpower ACCESSORY 11asFEATURE BUNDLE A fully programmable engine exerciser with now*n independent routines mexercise the engine generator with orwithout loads, ona daily, weekly, bi+weeklynrmonthly basis. Engine exerciser setting can Uedisplayed and changed from the user interface keypad. Event Log display shows the event number, time and Uaoo of event, event type, and event reason (if epp|iomb|n). Amaximum of 3OUevents can bestored. RG485Communications Port Enabled Common Alarm Output Contact AOOE8SonY1VRX Relay expansion module (REX) provides for some commonly used accessory relays, includes one form Ccontact for source availability nfnormal (18G).and one form Ccontact for availability ofemergency (18B)(contact rating 5amperes @OOVdoor@125VAC resistive) (10O ma, 5Vdcmin),Additional output relay iaprovided, the default ioio indicate o common alarm. (See operator's manual for configurable options.) ACCESSORY 23GAl (SINGLE PHASE) AND 23Ge (THREE PHASE) Luog current metering con1 measures either single or three phase load current. Note 1:This feature ionot available with aPower Meter Option (135L). woCE88ORY444 Strip Heater with thermostat for extremely cold areas mprevent condensation and freezing of this condensation. External 120vo|t power source required. &CCsGGOnY44G Strip Heater with tUermosmt, wired to load terminals: z08-24O.58U'380.400480.55U'0UOvolts. Contains wiring harnesses for all transfer switch sizes, xoCs;8OnY7oEE Connectivity Module enabling remote monitoring and control capabilities includes accessory 11BEfeatured bundle (pages 12'14). FIELD CONVERSION KITS FOR SemsG30D TRANSFER SWITCHES Common Alarm Output Contact (Acc. 11 BE) Dongle 935148 REX Module with Source Availability Contacts (Acc. 18RX) UPS to allow controller to run for 30 seconds minimum without AC Power (Acc. 1 UP) 935150 1/3 Phase load current sensing card only (Acc. 23GA/GB) 001 K609027 Cable Pull Box (1600-2000 amperes) 8 ACCsGSOnv78 Surge Suppressor (Tv8S) Rated05k& mzosGGOoY82W Audible alarm with silencing feature tosignal each time switch transfers toemergency (may require oversize enclosure depending onaccessory combination for ^D^frame un|y). ACCe8SORY37B H' Extension harness for units shipped open typo to accommodate customer mounting ofcontrols and switch. ACCEGSORY37C 9' Extension homoao for units shipped open typo to accommodate customer mounting nfcontrols and switch, AOCE88ORY1V51-u Power Meter on |oog side (includes shorting block and Cls)Noto 2: This feature is not available with Load Current Metering Option (23GA or 238B). ACCEGSORY800 Shedding circuit initiated by opening of aouatnmor-supp|ied contact. ACCESSOgY3VB°V Load -shedding circuit initiated byremoval ofcustomer-supplied voltage. (°6penifyVoltage) ACCE8SORYDOAA» Load -shedding circuit initiated by opening of u customer - supplied contact. ACCEDSOgY0uBA°3 Load -shedding circuit initiated Uyremoval ofcustomer-supplied voltage. (°SpeoifyVoltage) Note 3: Accessory 30Aand 30B° are only available for 3Ar8 only; accessory 30AA and 30BA* are only available for 3ADTS. Fig. 10: Strip Heater Kit Fig. 11: Relay Expansion (xncevsory*4G) module (AccessorymnX) Fig.12: Load Current Card (Auouvonn/oom4xGe) Engine Exerciser Fig. 13:pnmuwmmuule Fig. 14: Accessory 1up SERIES 300 POWER TRANSFER SWITCHES SER|Es 300 NON -AUTOMATIC TRANSFER SWITCHING (3NTS) ASCO non -automatic transfer switches are generally used in applications in which operating personnel are available and the load is not an emergency type requiring automatic transfer of power. They can also be arranged for remote control via ASCO's connectivity products. 3NTS FEATURES ^ASCONon-Automatic Transfer Switches are manually initiated via soft keys onthe user interface panel. ^ Sizes range from 30 through 3000 amperes. ~ Group Gcontroller provides for addition nfoptional accessories. ^ Controller prevents inadvertent operation under low voltage condi- tion. ` Source acceptability lights inform operator if sources are available to accept load. ^ Source inphaoemonitor totransfer motor loads between live sources. ~ Two auxiliary contacts closed when transfer switch is connected to normal and two closed on emergency standard feature 14AA/14BA. Fig. 15:ASCO 3NTS 400Amps Type 1 Enclosure SERIES 300 TRANSFER SWITCH ORDERING INFORMATION To order an ASCO SERIES 300 Power Transfer Switch, complete the following catalog number: 0` ATS 0600 Frame Open Transition D = 30A - 230A Transition Type Automatic 03ATS Open Transition pen/Delaye 3ADTS Delayed Transition Transition J = 150A - 600A =800A-112 G = Tbt70A - 3000A 3NDTS Delayed Transition Notes: 1. Switch sizes 30-600 amperes supplied in non -secure enclosures as standard. 2. 115-120 volt available for 30-400 amperes only. For other voltages contact ASCO. 3. 200 and 230 amperes rated switches for use with copper cable only. 4. Switch sizes 800-3000 amperes, and 150-400 amperes 3ADTS/3NDTS provided in secure type outdoor enclosures when required. 5. Use Type 3R secure for 1200, 2000, 2600, and 3000. 6. Type 304 stainless steel is standard. Suitable for indoor or outdoor use where there may be caustic or alkali chemicals in use. To provide an improved reduction in corrosion of salt and some chemicals, optional type 316 stainless steel is recommended. This is the preferred choice for marine environments, 7. Available on switches rated 1200, 2000, 2600, and 3000 amperes. 8. When temperatures below 32°F can be experienced, special precautions should be taken, such as the inclusion of strip heaters, to prevent condensation and freezing of this condensation. This is particularly important when environmental (Type 3R, 4) are ordered for installation outdoors. 9. Type 3R enclosures are not suitable for installations subject to wind blown rain or snow. Use type 4 enclosures where available or install supplemental shelter protection around the 3R enclosure. Phase Poles 2 00301 3 00701 01041 01501,5 02001, 3, 4 02301, 3, 4 02601, 04001, 4 06001, 08004 10004 12004, 5 16004, 5 20004, 5 26004,5 30004, 5 Voltage Amperes Code A3115 B3=120 C = 208 D = 220 E = 230 F = 240 H=380 J = 400 K = 415 L = 440 M = 460 N = 480 P = 550 Q = 575 R = 600 GO No Optional Accessories GX Optional Accessories Enclosure F = Type 3R1 Enclosure G = Type 41 Enclosure H = Type 4X1 Enclosure (304 Stainless Steel) L = Type 121 Enclosure M = Type 3R3 Secure Double Door Enclosure N = Type 4 Secure Double Door Enclosure Q = Type 12 Secure Double Door Enclosure R = Type 3RX7,8 Secure Double Door Enclosure (304 Stainless Steel) SERIES 300 EXTERNAL. POWER CONNECTIONS Size UL-Listed Solderless Screw -Type Terminals T H RATING I EKES) 30-2302ATS and NTS only FRANGE;3 OF AL-CU WIRE SIZES (UNLESS 'SPECIFIED COPPER ONLY One #14 to 4/0 AWG 150*, 260, 400 Two 1/0 AWG to 250 MCM or One #4 AWG to 600 MCM 600 1 Two 2/0 AWG to 600 MCM 800, 1000, 1200 Four 1/0 to 600 MCM 1600, 2000 Six 1/0 to 600 MCM 2600, 3000 - Twelve 1/0 to 750 MOM Notes: 1. All SERIES 300 switches are furnished with a solid neutral plate (unless switched neutral configuration is specified) and terminal lugs. 2. 200 and 230 amperes rated switches for use with copper cable only. Refer to paragraph 310.15 of the NEC for additional information. 3. Use wire rated 75°C minimum for all power connections. 150 for DTS only EXTENDED WARRANTIES FOR SERIES 300 TRANSFER SWITCHES (3ATS/3NTS/3ADTS/3NDTS) DESCRIPTION 1 Year Extension (Total of 3 Years) 2 Year Extension (Total of 4 Years) Notes: 1. Standard warranty is (24) months, 2 years from date of shipment, extended warranty is in addition to the two years, for a total of, 3, 4, or 5 years. 2. Refer to Publication 3223 for warranty terms and conditions. 10 SERIES 300 Transfer Switch Dimensions and Shipping Weights UL TYPE 1 ENCLOSURE1,2,3,4 SWITCH RAkING ,, 30°,70',104" 150, 200 150, 200, 230 SERIES 3ADTS/3NTS only NEUTRAL CODE DI ENSION";.MN. HEIGHT 18(457) . 31 (787) 13 (330)_"' 18 (457) 31 (787) 13 (330) 18 (457) . \ 31 (787) ` 13 (330 - 18 (457) 31 (787) 13 (330) 18 (457) i48_(1219?_j 13 (330) 18 (457) 48 (1219) 13 (330) 18 (457) 48 (1219),_ 13 (330) 18 (457) 48 (1219). t 13 (330)(_ ` 24 (610) 156. (1422) . 14 (356)._. 24 (610) .56 (1422) ; 14 (356).__ 24 (610) 56 (1422) t 14 (356) B 24 (610) ; 56 (1422) 14 (356) APPROX, SHIPPING EIGHT LS. (KG) 24,,(610) ! 56 (14221 14 (356) 24 (610) 56_(1422)? 141356)( . 24 (610) ' 56 (1422)__I 14 (356) 24_(610) 56(1422)_ 14. (356) 24 (610) 63_t1600)_,, , 17 (432) _ 24 (610) > 63 (1600) 17 (432) 24 (610) j 63 (1600) 17 (432) 24 (610) r 63, (1600) 17 (432) 34 (864) 72 (1829) I 20 (508)_ 34 (864) 72 (1829) 20 5)08)u_ 34 (R64) 72 (1029) I 20 (.50,8) 34 (864) 72 (1829) i 20 (5085-1 69 (3,2) .. 72 (33) 72,(33) 75 (34) 117 (53)_ 125,(671 125 (57) , , 133 (61) 250 (113) 260(118) 260 (118) 270 (123) 250 (113) 260 (118)-_ 260 (118) 270, (123)_ 300 (137) 320 (146) 320 (146) 1 320 (151)_, 431 (196) 4601209)44 46n (20.) 489 (222) 38 (965) i 87 (2210) 1 23 (584) 581 (264) _ 38 (965) 87 (2210) ; 23 (584) i 611_(277)._..___ ..__.-._..' 38 (966)_ 87 (2210) _`23 (584)... 611 (277) 38 (9651 87 (2210), 23 (584) 639 (290) 38 (965) 87_(2210) !23 (584) 3 ,1160 (52�_,_ 38 965) -_', 87 (2210) , 23 (584), , 1160 (525), 38 (9661 I 91 (2311) ,)72,(1629) 1430 (549), 38(965)91(2311) ; 72(1829)......._.-.___.__1495(679),-__. .._.__......_a UL TYPE 3R, 4 OR 12 ENCLOSURE1,2,3,4 02,702,1042 1502, 2002 (Non -Secure Enclosure) 230 (Non -Secure Enclosure) HEIGHT DEPTH APPROX. SHIPPING WEIGHT LS.,(KG) 7.5 (445) 1 35 (886) 11.625 84 (38) 17.5 (445) 35 (886) ' 11.625 i87 (40) (295) 17.5 (445) 35 (886) 11.625 j 87 (40) (.95)-_._ 7.5 (445) 35 (886) 11.625 I 90 (41) w..... __ ._. (295) .. 05E431 50.5 11 B3 or C h18-(45 )50.5 0128) i 14,33 (364�) --- 130 ((60) 18 2 (60)_, A 18 1468) 50.5 (1284) I 14 33 (364)1 140, (63)__ 83 or C 18 (458) 50.5 (1284)114 33 (364) ! 148 (67) A _..._..._.,_{ 24 (610) 63(1600)..._18.2(462) . ................. 320 (146)._.. 260, 400 B 24 (610) 63(1600).. 18.2 (462) 1 34011661 A 24.(610) 1 63 (1600)__I 18.2 (462) r 340 (155) .,. B 24,.(. 610) 63 (16001,4118.2 (462) ' 350 (160) j 150, 200, 230 I__ _ 1 A , 24 (610) I 63 (1600) i 1$ 2 (462) I 320 (146), SERIES 2 B 24 (610) i 63 (1600) 1818.2_(4 ,) I 340 (155)____ 3ADTS/3NTS only _ W _ (Non -secure 3� A 24 (610) G 63 (1600) 18 2 (462)_I 340055) ! 1 Enclosure) 3 B 24 610 - I 63 116001 18.2 (462) I 350 (160) 2 A 24 (610) i 63 (1600) 18 2_(462) 320 (146) 600 2 B 24 (610) 63 (1600) 18.2 (462) I 340 (155) (Non -Secure 3 A 24 610 63 1600 : 18 2 462 I 340 155 Enclosure) ( _.) ( ) (. ) ( ) .. B _.... 24_(610) 63 (1600) 18.21462G 350 (160) A 34 (859) 172 (1821 20 (508) I 519 (2)_36a B _ 34 (859)...I72_(1821) 20 (506)__i ___..543(246) ._____,___._ A , 34 (859) I 72(1821) 201506) , 543 (246� .._ .__._._.a B _._._._. 34(859)_ 172(1821)120_1506)' _..-._ 565 (257) A 41 (1037) I 95 5 (2415) i 3315 {848) , 1131 (513) B 4111037) 95 5(2415) 33 5 (848) 1160 (526) A 41.11034,195.5 (2415)'33 54(848) ' -.._-. 1160-(526) ... B , 41 (1037) 195 5(2415)133 5 16,461__I 1.189 (539) 1 , A 42 5 (1074)) 95 5 (2529) 147 (1189) 1 1705 (775) B I 42.5 (1074) 95 5 (2529)1 47 (1189) I 1830 (832) A I 41 (1037) j. 95 5 (2529) 74 (1872) I 2150 (976) ._.. B _...._..! 41 (1037)I 95.5 (2529).74 (1872)_ i 2230 (1012).._._...._.. 800, 1000 1200 j (Secure Enclosure) 1600,2000 i (Secure Enclosure) ( 2600, 3000 t 3 (Secure Enclosure) Notes: 1. Unit is designed for top cable entry of emergency and load, and bottom entry of normal. A cable pull box is also available for all top or bottom cable access when required (optional accessory kit #K609027). Not required for type 3R, 4X and 12 enclosures where available. 2. Enclosures for 2600, 3000 amperes are free-standing with removable top, sides and back, 3. Dimensions for 30-200 amperes when furnished with accessory 135L power meter, 18"W - 41"H - 13"D 4. Dimensional data is approximate and subject to change. Certified dimensions available upon request. Notes: 1. When climate conditions at installation site present condensation risk, special precautions should be taken, such as the inclusion of space heaters, to prevent interior condensation and freezing of this condensation. 2. Dimensions for 30-200 amperes when furnished with a power meter 18' W - 48"H - 13"D 3. 30-1000 amperes switches are available in secure type enclosures, contact ASCO for details. 4. Dimensional data is approximate and subject to change. Certified dimensions available upon request. 11 SERIES 300 72EE MONITORING AND CONTROL 72EE enables basic local or remote monitoring for ASCO Series 300 Transfer Switches. ASCO 5700 CPMS 72EE FEATURES CONTROL FEATURES • ATS Transfer/Re-transfer • ATS Timer Bypass • Generator Start • Generator Test Tablet Mobile Device 300 ATS with 72EE MONITORING FEATURES • ATS and Generator Stats • Alarms • Voltage and Frequency • Statistics and Activity • Email Notifications • Event Log (300 Events) • Optional Monitoring Features — Energy Consumption, Acc 135L Required — Power Demand, Acc 135L Required Engine Generator Sample drawing for demonstration purposes only. Consult ASCO for exact connection specifications. CONNECTIVITY FEATURES • Modbus TCP/IP (over Ethernet or Serial) SNMP Protocol • AES 128 Bit Encryption • Four Port Ethernet Switch 72EE ALSO ENABLES ENHANCED POWERQUESTCPMS FUNCTIONALITY • 5310 Series Single Channel Annunciator • 5350 Series Eight Channel Annunciator • 5700 Critical Power Management Systems • 5705 8-Device Annunciator 12 SERIES 300 72EE MONITORING SCREENS ASCO 0*71 cvEms POWERQUEST' 120014 6/10014 0 A 0 kW 10001101 LW. N Name 9101 Lot.. EASEMENT It. eta 60 199 Byoi,lb.or No An. Atuttn 709111010.017 TGAGGS C5.15 Sarte rA940 TO101 Nutlet ur Glee P/APYIENP610. Th. M.* OA. Eine Emmen. A..* (elynt) 11511043 00 35,544 (4 1:i55 11191140Errelp.ty ON. 14.741.5.0 Etypet01.6 reity trveteer Tim 0.7 13 12.6 11.111.1m 1160 111410 10211134007 104 ett 49. 619.1 6 LAM Citt.eire StErat (pet 6 Tenet 11/114017114102 0.44 647100 Tweet 0.14.66.11. E) 6 6 left ter.. (Met Or 0 0 0 0 0 Mk 0 0 0 0 MAY 474.4.09196. 00)0019410 MAN 0 0 0 0 MU 0.01/0 Mere 00. P.tt F.1P 0 00 0 00 OM 0 00 111 LAM M. tert) 0 Fretateme inn SO 0 - - - m15441.11411 0 Dashboard ASCO POWERQUEST' UA""Ra EVENTS • DBMS • COWMUUT4* • MOUT EVENT OATE Y. TIME TRANSFER SWITCH CONTROLLER EVENT LOG EVETIT TYPE tsp. EVENT CAUSE 11111017 11.41116.6 12300(201711.41011 1111/141 11 41bl 5 MINX. 11410E1 11117201711-40-66.1 113152111/ Att? 1 111110171714162 11.1001717 11E11 S 115157517 1115 52 0 10 1102.2017 10 44 40 4 11 1.12017 1044 40 1 12 11/1000101084301 19 1E21.101710 44 le 0 14 14=701710 WS 0 15 11E11017 10 4150 5 -16 151251017 1GtS Al 17 11/117017 12 11.6 ; le 11,162017 1Z.115.2 5 14 11/111017 12.1‘ 48 5 00 11515101712.1145 21 115165555t7 1211'452 ;00 15154517 12.11 431 Epp/PS.0 En10010401.006*A40004ett N00744 Emu. E03406 Etel Ertel.. Sow. Nei Attlelea Nan. SNP. NalAreepted Emprm TMMOM 90.6.0710 NOM. Nom* Setute. 444301*0 Ttenelet WPM IttEmereNey NOM Ste. EY. ute Ene1pe413133400A40e0400 Eityto I40.740409 Iet4 Acme. 6mm64037 Unert Lenge WPM Se0u0e140164400240 N230000040 *We Enter. Eten Nor.i NM Accepted NOM. SOutte 5451.5555554.4 743.014041041 PAW. E03340e14 Scone NOI AUTO. Emmet. Under Fmtmenty EiMine34011 emit. Ep4/04.y lo normal 1670414 am. LetAittem Tuartelet NO.1113Et.409436 Erteettenty Somme Arterrytt 7.7.11.145555504 Ettelperty teme..000.9 90000130031144004 Normal NatAtterted 66.003ON Nutt* Events ASCO ao.stsamto !cogEouttknos,, POWERQUESP Nem. A7S 1 Local., EASEMENT 110 Mu til 0 NE 0011 *430*7000 11034/004 NAttiEwslemOignftwroos SyStert Tne Sao-TY 1.4 N.Y. Went NUN Me -NM 104.1(4.44) PIRO. CT /1110 NEM/ C7 ENO 1 20 eta SO 0 4.1 I400*200ee 1.0619 80/1 407 12-0,1M MX, 6 4044/1 Iffeesil=sion 300404. (TOM 700114416 terMe Curtin (.449 MOOD WOOD ettemetty Atti tuNe tutt. roma( Power Metering 'itoteRoottei. kW DEMAND ER. • •Nvr . Fea M47 nr tosi 040 04 04 Oa tey 0*4 Nom. thetN Erneronty tee.) 0.0040043340/1 nem Detre. 0..e 06.96011.4 ft 19911404( 4301 In EMI Dry (699) In Li4110440)1 tr. 019091106140) rem. ttetyyte 0 00.42006 0000 0 0 10 116 ASCO POWERQUEST' 6.64-6901410 004110 • bETAILS • A C0104100041005, 500412000 0110 OUADETHERNET MODULE CONFIGURATION MOM Deets 11LG15515 El AP5C 5555 0*, 0* 5314 Vent TCPAP Acttees 44023) E.04e 70.6 14090.06 0 A.M. 3404 *33004 :NA 2 or 6, 2 1 4SC01 70 3 2 5 ' AES Made 1067CP We. 1P4.344.4 Stbret P.M t: 11.1.96 .11.6 TCP Pert • E.. Ditable Eng* • Dmitte 40.1074004 20025400 e0.96 721.1 MOE Configuration ASCO' POWERQUEST' DA*"k" Wage • ' "WLS • 008114016R41.'3,' • PH*Ot *IIDOUADETRERNETMOO#JLE & CONNECTED r 9.44.111.47 3 Firte.te Dee 4011017 Note* 6601.0.4 MIST 110 keep. WY. tArrest 150 N001re1E retyAlny 14.714 ATE 1 1304700 EASEMENT EPA. AOC.. 100 Tweet SAittn 0 ES F Wm.. B.... Vets. 3072*1.000 11/112017 367213-002 DO 010102 01314 47 1E22024 40004104011400300*4*0.0)040000 1 P.M... Rate. PMA msey 07912 tettel lettealehot NUM, 41 553 %GSM 14. Nom. Em. 1.04131 41 SW 94012-725 C5,11 I112080)0440W.1.501 .5555401,550 555 5 555,..:5 5055.55.7304 About .'.1447PCONOW660:70004.0PIEM44174031EICATION 413*414003000 440433034300 U0e14te0e. S.. Pon Numb. DNS Set. IP 040/014' 14641Nme43P /40344. From Etna 400.test Enatte M.* • EnAtts te.le enetermtnemattry. 6/77 Sera 5.60,O960 tem 4'400444•4440•447' lb Etna A616.94 1. 10 Ern. A...1 505t5/5255305555455 To Err. Acetese 80)N.606Ne TO Emed Aantess To Email Mertes e4044:03004000 ALERT NOTIFIcARONs MEE/ANL MD SAW Content -rich monitoring screens enable real-time information for power metering, event logs, volt- ages, time delays and alerts. The 72EE also allows for remote switch transfer. 13 SERIES 300 72EE CONNECTIVITY MODULE The ASCO 72EE Connectivity Module offers remote monitoring for SERIES 300 ATSs and 5210 Power Meter. For the ATS, the op- tional accessory 72EE provides remote ATS and generator control, monitoring and connectivity features via integrated web page dashboards. Once connected to an Ethernet, WiFi or cellular connection, the dashboards can easily be pulled up by any mobile or desktop device on the network by multiple users. CONTROL The control capabilities allows remote transfer and retransfer of the ATS while allowing you to view time delays and bypass functions. The generators can also be called to start and stop for emergency situations as well as for testing and maintenance. Running the generator periodically ensures that the battery is charged for power anomalies and increases reliability. Generator pick-up and drop- out set points are also viewable for comprehensive understanding of control events. MONITORING Monitor transfer switch and generator health, system state, metering and review calculated transfer statistics and activity. Active control timer information allows the operator to anticipate an automated control action such as generator start or ATS transfer. The device can also interface with an email server to keep users up-to-date on alarms and critical power events with alerts. In addition the 72EE can interface to an optional 5210 Power Meter, (stand-alone or with the ATS Ace. 135L) for enhanced monitoring features such as power metering, demand and energy usage. CONNECTIVITY Connect and extract ATS and metering data using industry -standard open protocols such as Modbus and SNMP. An integrated four -port Ethernet switch maximizes connectivity options and flexibility. Embedded pass- word protection will only allow access to appropriate users while utilizing AES 128-bit encryption for enhanced data security per National Institute of Standards and Technology (MIST). Fig. 22: Accessory 72EE ADDITIONAL OPTIONAL POWERQUESTCOMPONENTS 5160 Connectivity Module 5210, 5220 Power Manager ASCO 5221 Power Manager Unit 5310, 5350 Annunciators 5710, 5750, 5790 Display Terminals ASCO 5160 Remote Connectivity Unit (RCU) provides 10 Ethernet and Dual -Fiber Optic connections in a NEMA 3R enclosure. ASCO 5210 (Left) and 5220 (Right) Power Meters measure, displays and provides single- or 3-phase Energy and Power information ASCO 5221 Power Manager Unit (PMU) enables power measurement, discrete inputs for status and output relays for control of generators, break- ers and other power equipment via 5700 Series CPMS solutions. ASCO 5310 (Left) and 5350 (Right) ATS Remote Annunciators provide distributed monitoring of transfer switch position and source availability as well as transfer test and re -transfer control, 5700 Critical Power Management Systems (5790 Shown)pro- vide various levels of monitoring, control and management ca- pability of power equipment. It seamlessly monitors ASCO trans- fer switches as well as generators, breakers, paralleling busses, panel boards and other power equipment via a 5221 PMU. It consists of servers and touch -screen interfaces. 14 GrpS_770 Rath S119 'WAR NORMAL OK Load On Nonnel Pr FULFILL YOUR NEED Drill down for a closer look - Each transfer switch, generator, breaker and any other power equipment has its own dedicated screens. ASCO POWERQUEST® POWER MONITORING AND CONTROL SYSTEMS The PowerQuest® family is the most comprehensive communication, monitoring and control solution ever offered by ASCO Power Technologies. It empowers you. It provides the ability to test, manage loads, optimize the bus bar, remotely monitor and be aware of the status of your facility's utility source and on - site power. It provides reports for events, tests, energy use or settings, and gets data directly from generators and transfer switches. Whether users require standard monitoring and control or a comprehensive Critical Power Management System, PowerQuest can satisfy your needs. Hardware. Software. Installation and testing. Service. And upgrades and technology refreshes. A truly complete solution for all your communication, monitoring and control needs. This web -enabled management system is based on open protocols. As communications among equipment improve, so does the performance of critical power systems. HVAC Security Fire Alarm Monitoring Critical Power Management Syste Management i System (BMS) Building 03dV Internet Remote Display Terminal PowerQuest provides monitoring, alarming and control of Critical Power Management Systems, which comprise transfer switches, paralleling control switchgear, gensets, circuit breakers, UPSs, load banks, distribution and other gear. It also integrates with building management systems. BE EMPOWERED POWERQUEST CAN ENABLE YOU TO: Monitor and control power transfer switches, paralleling control switchgear, gensets, breakers, UPS, bus bars and other equipment. Monitor normal and emergency voltages and frequency and their settings. • Know transfer switch position and source availability. • Transfer and re -transfer loads for system testing. • View and adjust transfer switch time -delay settings. • Receive automatic alerts or selected system alarms on system operation via email or pager. • View transfer switch event log and know the transfer switch test schedule. • Generate reports for alarms, energy consumption,settings, historical logs and code -mandated tests. 'For more Power Quest product information see publication 3245. ASCO Power Technologies - Global Headquarters 160 Park Avenue Florham Park, NJ 07932 Tel: 800 800 ASCO www.ascopowercom customercare©ascopowercom © 2019 ASCO Power Technologies. All Rights Reserved. Life Is On Schneider Electric is a trademark and the property of Schneider Electric SE, its subsidiaries and affiliated companies. Publication 1195. Printed in the U.S.A. AseoPower Technologies' SERIES 300 Quick Connect Power Panel Data Sheet Power failures are common and unpredictable. They can occur at any time and for any reason — a bolt of lightning, a power surge, a blackout, an accident, or even equipment failure. They come without warning and often at the most inconvenient times. When an outage occurs, your business suffers. ASCO's SERIES 300 Quick Connect Power Panels provide a reliable, convenient, and economical way to connect a standby generator to support your critical infrastructure and keep your business operating. These units are available in models ranging from 400 to 4000 Amps, and are designed to provide years of trouble -free service. The panels are listed to UL 1008 and together with an ASCO transfer switch, provides compliance to the new 2017 NEC Section 700.3 requirement to provide a connection for a temporary source of power for maintenance or repair of the alternate source. When installed with an ASCO power transfer switch, you can be assured that your facility is protected by an economical solution that will reliably supply temporary power during a utility outage or maintenance work. Features • Input Panels are listed to UL 1008 Transfer Switch Accessory • Output Panels are listed to UL 891 for Switchboards • Provides a convenient, economical and reliable means of connecting an emergency or alternate power source to a transfer switch • Rated up to 600V • Available from 400A to 4000A • Standard Type 3R weather proof construction with or without cables connected • Available in stainless steel enclosure option for corrosive environments • Wall -mounted aluminum enclosure up to 800A; Floor mounted steel enclosure 1200A-1600A; Pad mounted aluminum enclosure 2000A-4000A • Utilizes standard cam lock receptacle for quick connections • Cable Protect lock plate available (up to 800A) to reduce risk of cable tampering and theft • Door over dead front panel ensures all electrical parts are covered for added protection (up to 800A) Life • Phase rotation monitor, 2 wire auto start and provisions for trap key interlock are standard on 2000A-4000A Pad mount Enclosures • Lockable doors to prevent unauthorized entry • Flip Covers for Output Panels s Un Schneider Electric ASCO SERIES 300 Quick Connect Power Panel annsr # action Type 400A Cam Lock (1 row) Wall Moun 800A 1200A 1600A Cam Lock (2 rows Cam Lock (3 rows) Cam Lock (4 rows) Wall Moun Floor Moun Floor Moun 2000A _ t Cam Lock (5 9 rows) Pad Mount I 2400A - 4000A Cam Lock (6 - 10 rows) Pad Mount Catalog Info °nation SERIES Notes: Input/ Output Connector Type = ! C = Cam Lock U' = Output Ground3 A = 100% I 0 = none N= A=100% minimum Rated of 25% Neutral grounding ampacity nsorts 24"w x 32"h x 11 "d 24"w x 32"h x 11 "d 35"w x 56"h x 28"d 35"w x 56"h x 28"d shipping teight (ihs) 85 h Dual 2 AWG - 600 MCM Lugs I 95 Dual 2 AWG - 600 MCM Lugs Copper Bus with'1z" holes 475 495 Copper Bus with '/2"holes 31 "w x 39"h x 50"d 205 Single 2 AWG - 600 MCM Lugs Varies based 48"w x 39"h x 50"d on Amperage Single 2 AWG 600 MCM Lugs i Volts/Color Code ) Accessories I F 240V 0800) Black, Red, Blue 0) 1600 <_ 480V Brown, 20002 Orange, Yellow 24002 28002 I R <_ 600V 32002 Black, Black, Black 40002 0 = None 1. Output Panels contain female connectors with flip covers. 2. Provisions for Trap Key interlock, Phase rotation monitor, 2 wire auto start and Tamper Resistant door are standard features available on 2000A-4000A Pad Mount Quick Connect Panels. 3. 100% Rated Ground standard on 400A-1600A units. Minimum of 25% rated ground on 2000A and above. 4.2 pole only available for 240V up to 1600A. ASCO Power Technologies 160 Park Avenue, Florham Park, NJ 07932 Enclosure F=Type 3 S = 316 Stainless Steel Type 3R www.ascopower.com customercare@ascopower.com 1-800.800-ASCO (2726) © February 2018. Publication 2030 R1 ASCOPower Technologies- 1111901111' ' 1-Channel Remote Annunciator ProductFeatures ^ Monitor and control upVo 8 transfer switches etmultiple locations per unit . Embedded web pages for monitoring, diagnostics and configuring ~ Compatible with the 185. 300. 900°. 4U0Oand 70OOSeries /TG's ^ Ethernet technology iaincorporated for faster and more reliable communications ^Scalable for future expansion ^ Surface orflush mountable ^ Built-in power supply ' Dual integrated Ethernet ports for daisy chaining other Ethernet devices ormore Remote Annunciators Simple transfer switch one -line with LED Transfer Sw'tnhAnnuMc'atorse Data Sheet 'ASCO' POILIR QUISr indication ofsource availability time duby,switch position, and transfer test ^ Eight(8) Configurable audible alarms ~ Key lock for security ofall control functions ~ Easy configuration via built-in secure web pages ^ Power Supply accepts 24YDC.120VAC. and240VVC ^ Endures 100ma power interruption ride through ~ Status and Control for each /TS: ~ AT8Ponibon ^ Source availability ^ Time delay active • ATS transfer test 8-Channel Remote Annunciator ^ Bypass Transfer toEmergency and Retmnsfer toNormal time delays `Common alarm active on Communications Failure, Locked Out, Fail toSynchronize, Extended Parallel, orNot inAuto conditions. ^ Power Indication ~ Lamp -Test Push Button (535Oonly) ~ Audible Alarms ~ Alarm Silence Push Button The ASCO PoVVerQuest 5300Series Remote Annunciator facilitates reliable monitoring, testing and control of ASCO transfer switches via built-in Ethernet technology. With oquick glance, you will be able \umonitor AT8position, source acceptability and alarm information. You may also transfer your transfer switches remotely with the push nfubutton. The remote annunciators are compatible with AGCO'anew and legacy controllers and various protocols including Mndbua. Ethernet ioincorporated for more reliable, faster and secure communications. |talso gives you the ability tomonitor your transfer switches from any web -enabled device using your 5300Series Remote Annunciator ||'�-` �_|�� s On Schneider Product Benefits • Monitoring Capability — monitor transfer switches distributed throughout a site at a central or multiple locations • Transfer Test Operation — remotely perform transfer test operation on individual switches with the push of a button • Mobile Access Monitoring — View the remote annunciator from any mobile device using your campus' Wi-Fi • Redundancy — utilize additional annunciators for real-time redundancy in various locations • Scalability — additional remote annunciators can be daisy chained using integrated Ethernet ports • Flexibility— Integrated Ethernet technology, support of ASCO Bus and Modbus protocols, and ability to interface with various controllers makes integration to existing systems easy • All In One Solution— Power supply and Ethernet connectivity is built right into the devices eliminating the need for separate components ASCO 5300 Series Remote Annunciator Enables Flexible Configuration Our line of 5300 Series Remote Annunciators are stand-alone, industrial grade interface devices providing transfer switch status indication and transfer control for up to 8 transfer switches per unit. Future expansion has never been easier with the built- in Ethernet daisy -chaining capability. Need to monitor additional switches? Connecting the Ethernet ports of remote annunciators together offers you the scalability you need, without degrading performance or reliability. Embedded web pages accessible using an internet browser provide configuration, more detailed alarm information, and communications performance. Configuration web pages are embedded for easy set-up, eliminating the need for additional software. 'Annunthtbr Name IATS3 4 Software Venial Number 027419 - Ikea t)P9rade Hardware Address 00:00;60aCIE0:06 IP Address 155 .10a .t6 .750 Subnet Mask 2r5F.Pr. S55 .t6 datawey Address .. SSE :10a .P.---.F— Pert Number 110001 Emrypven r Enable s' 6isakte nuuar Mode !Getable A 04aP Every ISO ' miss She. boner After mdale Imm POWERQUEST 2 Status LED's From the front panel, the operator will be able view source accaptati|dy,transfer switch position and common alarm oo well aacontrol the transfer switch for test operations. The ~Transfer''button Normal Source Accepted /gSConnected uoNormal Red LED /TSAlarm 1.Communication error 2.Lnokodvuu 8./QS position error 4. Fail to Synch 5.Extended parallel O. Not in auto 7.ATS bypassed 8.Eight configurable alarms Alarm Details The remote annunciators have an alarm light indication oawell ooanaudible alarm. More detail on alarms is available bylogging into the embedded Alarm web page. Alist ofall connected /TS's will be displayed along with specific alarms, such pmCommunication Error, ATS Locked Out, Fail 1mSynchronize and Extended Pans||o|. |naddition inthese standard alarms, uptoOcustom alarms may beconfigured 'using the discrete inputs ofthe AGCD`52VDVOAccessory. Whenever these discrete inputs are asserted, the Alarm light mnthe front panel would become active, the audible alarm sound and its status onthe 'web page will show ON. for ATS-1 —.0**°input frea�` rev power �� provides transfer and re -transfer controls using the security key. The Transfer Amber light blinks faster aoexpiration ofthe transfer time delay approaches giving you some indication ofwhen Push Button- Engage transfer process at button release Press and hold for nseconds to bypass the time delay the transfer will actually occur. The illustration below iothe physical interface for each switch. Red LED, Gen. Source Accepted Red LED,KB Connected to Emergency Yellow LED, Flashing LED -Transfer to Normal/Emergency TD Active ASCO 5300 Series Ethernet Connectivity Ethernet isthe dominant communications medium for industrial applications. |t provides the means for fast, reliable and flexible communications. Thiaisvvhywm� have incorporated two 100Mb/sE\hernot ports with 'asingle IF address; it is essentially a dual -port Ethernet switch. Multiple Annunciators overseeing the same transfer switches can beplaced in different locations, allowing redundant, diothbotedmonitohngand control, The remote annunciators are backward compatible and interface to A8CO's 185.3OOgOn°.400Oand 700O Series transfer switches with either anindependent A8C0'72Eordaisy- chained 72AoonneoOyitymodu|eo. The network sarchitecture tuthe right illustrates asingle site utilizing both of these configurations utilizing two (2) 5350'oiomonitor 16transfer switches, one (1)531Utomonitor the critical transfer switch from asecond location, and 'anASCOPowerOueo 32.15SCADA system for the operators' office. 3 ASCO PowerQuest is Your Monitoring and Control Solution The ASCO PowerQuest® Solution is a reliable comprehensive power monitoring and control system. Whether the monitoring solution is local, remote or web -based with E-mail Alarm notification, ASCO's PowerQuest® communication products along with our superior services and support can deliver. The ASCO PowerQuest® 5300 Series enable facility, engineering and maintenance personnel to visually check the status of automatic transfer switches and conduct testing reliably. Locating the annunciator in work areas allows personnel to know the status of transfer switches simply by glancing at the bright green and red LED indicators. PowerQuest® Architectural Structure • Compatible Devices • ASCO Series 185 with Group 4 Controller ASCO Series 300 with Group 1 Controller • ASCO 4000 Series with Group 5 Controller • ASCO 7000 Series with Group 5 Controller • ASCO 940 and 962 with Group 7A* Controller Ordering Information ASCO 5350, 8-Channel Remote Annunciator - Part No. 811440 ASCO 5350 Kit, 8-Channel Remote Annunciator Serial Kit - Includes Separate Flush and Surface Mount Enclosure with 72E and Power Supply Part No. K871966-001 ASCO 5310, 1 - Channel Remote Annunciator Part No. 827420 ASCO 5310 Kit, 1- Channel Remote Annunciator Kit - Includes 72E Connectivity Module Part No. K871966-002 Specifications Communications • Two 10/100 Base-T (RJ-45) Ethernet ports • Half/Full duplex capability Mounting • Flush Mount • Surface Mount * 5350 only ASCO Power Technologies 160 Hanover Road, Florham Park, NJ 07932 Embedded web pages give the ability to monitor transfer switch status, view alarm detail and configure the annunciator without the need of installing additional software. The ASCO PowerQuest® 5150 (Acc. 72E) Ethernet Connectivity Module will provide the best performance for speed and reliability. It converts and aggregates serial data from the automatic transfer switch controller and power manager into TCP/IP over Ethernet. The ASCO PowerQuest® 5500 Series Thin Web Server empowers system managers to monitor metering and event log information from any computer with a browser and on the network. It extracts data from both the ASCO Power Manger and Controller and uses this data to display information via Internet Explorer. PowerQuest® 32.15 Software is a PC based package allowing monitoring and control of 32 transfer switches simultaneously. When combined with the ASCO Communications Interface module and the ASCO 5200 Series Power Manager, it provides the most economical communication system for monitoring and control of power transfer switches and engine generators. Local Computer ASCO 5500 Thin Web Server Monitoring and Control ASCO 5110 (72A) Serial Modules ASCO ATS 1 Ethernet Switch .�Modbus/RTU Ethernet RS 485 Firewall E-mail Server Building Management ASCO Digital Computer Paralleling System ASCO ATS 2 V To additional Automatic Transfer Switches To additional Automatic Transfer Switches Internet Pager Ethernet Switch ASCO ATS 1 Remote Access Computer ATS Anunciator ASCO 5150 (72E) Connectivity Modules ASCO ATS 2 Power DC 24VDC i 9-36VDC Voltage AC ; 120- 90-264VAC Voltage ff 220VAC 50/60HZ Environmental • Ambient Operating Temperature: -4 to 158 deg F (-20 to 70 deg C) © 5-85 % humidity • Ambient Storage Temperature -40 to 185 deg F (-40 to 85 deg C) Dimensions 5350: 19.7cm H x 25.3 cm Lx6.5cm D 5310:11.4cm H x 11.7 cm Wx9.9cm D Additional Resources 5350 ATS-8 Channel Remote Annunciator: Installation Manual, 381333-315 User's Guide, 381333-314 5310 ATS-1 Channel Remote Annunciator: Installation Manual, 381333-317 User's Guide, 381333-316 www.escopower.com customercare@ascopower.com - 1.800.800•ASCO (2726) January 2017. Publication 3146 R4 Limited Warranty Power Technologies® Series 150, 200, 300 and 4000 SERIES Power Transfer Switches This Warranty is given ONLY to purchasers who buy for commercial or industrial use in the ordinary course of each purchaser's business. General: ASCO Power Technologies, LP products and systems are in our opinion the finest available. We take pride in our products and are pleased you have chosen them. Under certain circumstances we offer with our products the following Twenty Four Month Limited Warranty Against Defects in Material and Workmanship. Please read your Warranty carefully. This Warranty sets forth our responsibilities in the unlikely event of defect and tells you how to obtain performance under this Warranty. TWENTY FOUR MONTH LIMITED WARRANTY AGAINST DEFECTS IN MATERIAL AND WORKMANSHIP ASCO PRODUCTS COVERED: Series atalog Codes 150, 200 300 4000 Standard Transfer Switches Manual Transfer Switches 1 ATS , 2ATS 3ATSt 3ADTS, 3MTS, 3MTQ 3NTS 3NDTS Service Entrance Transfer Switches (SEATS) 3AUS, 3ADUS, 3APS, 3ARS, 3MUS, 3MUQ, 3AGS Power Transfer Load Centers (PTLC) 300L Quick Connect Panels Standard Transfer Switch 3QC 4ATS, 4ADTS, 4ACTS, 4NTS, 4NDTS, 4NCTS Electrically Operated Bypass -Isolation Transfer Switches 4ATE, 4ADTE, 4NTE, 4NDTE LIMITED WARRANTY: ASCO warrants that the ATS will be free from defects in material and workmanship and will conform to ASCO's standard specifications for the ATS for a period of twenty four (24) months from date of product shipment from ASCO (the "Warranty Period"). This Limited Warranty does not extend to subsequent owners of the structure during the Warranty Period. Terms of Warranty: The foregoing Limited Warranty is conditioned upon User's compliance with the following: For sales or service 1-800-800-2726 (ASCO) 381339-331 1. The ASCO Power Transfer Switch is installed in accordance with ASCO specifications and state and local codes and standards by an electrician licensed in the state of installation. 2. The ASCO Power Transfer Switch is maintained in accordance with ASCO instructions and used under normal conditions for the purposes intended by ASCO. All warranty field -related repairs, replacements or adjustments must be made by ASCO Power Services Inc. or its duly authorized representative. Optional Available Extended Warranty Optional extended warranty coverage may be purchased from ASCO for a specified fee at the time of the original sale. If purchased, warranty period shall be extended up to an additional thirty six (36) months beyond the standard twenty - four (24) months to provide up to five (5) year coverage applicable to the above referenced products, except for 3AUS, 3APS, 3AGS, and 3ARS products where the warranty period for the circuit breaker shall be limited to 24 months from date of shipment from ASCO. The length of optional extended coverage shall be reflected on the ASCO invoice and/or order acknowledgement document. Warranty Extends to First Purchaser for Use, Non -transferable: This Warranty is extended to the first person, firm, association or corporation for whom the ASCO product specified herein is originally installed for use (the "User") in the fifty United States or Canada. This Warranty is not transferable or assignable without the prior written permission of ASCO. Assignment of Warranties: ASCO assigns to User any warranties which are made by manufacturers and suppliers of components of, or accessories to, the ASCO product and which are assignable, but ASCO makes NO REPRESENTATIONS as to the effectiveness or extent of such warranties, assumes NO RESPONSIBILITY for any matters which may be warranted by such manufacturers or suppliers and extends no coverage under this Warranty to such components or accessories. Drawings, Descriptions: ASCO warrants for the period and on the terms of the Warranty set forth herein that the ASCO product will conform to the descriptions contained in the certified drawings, if any, applicable thereto, to ASCO's final invoices, and to applicable ASCO product brochures and manuals current as of the date of product shipment ("Descriptions"). ASCO does not control the use of any ASCO product. Accordingly, it is understood that the Descriptions are NOT WARRANTIES OF PERFORMANCE and NOT WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE. Warranty Claims Procedure: Within a reasonable time, but in no case to exceed thirty (30) days, after User's discovery of a defect, User shall contact ascopowerwarranty@ascopower.com. Subject to the limitations specified herein, an ASCO Power Services field service representative will repair For sales or service 1-800-800-2726 (ASCO) 381339-331 the non -conforming ASCO product warranted hereunder, without charge for parts, labor, or travel expenses. Warranty coverage will apply only after ASCO's inspection discloses the claimed defect and shows no signs of treatment or use that would void the coverage of this Warranty . All defective products and component parts replaced under this warranty become the property of ASCO. Warranty Performance of Component Manufacturers: It is ASCO's practice, consistent with its desire to remedy Warranty defects in the most prompt and effective manner possible, to cooperate with and utilize the services of component manufacturers and their authorized representatives in the performance of work to correct defects in the product components. Accordingly, ASCO may utilize third parties in the performance of Warranty work, including repair or replacement hereunder, where, in ASCO's opinion, such work can be performed in less time, with less expense, or in closer proximity to the ASCO product. Items Not Covered By Warranty: THIS WARRANTY DOES NOT COVER DAMAGE OR DEFECT CAUSED BY misuse, improper application, wrong or inadequate electrical current or connection, negligence, inappropriate on site operating conditions, repair by non-ASCO designated personnel, accident in transit, tampering, alterations, a change in location or operating use, exposure to the elements, water, or other corrosive liquids or gases, Acts of God, theft or installation contrary to ASCO's recommendations or specifications, or in any event if the ASCO serial number has been altered, defaced, or removed. THIS WARRANTY DOES NOT COVER shipping costs, installation costs, external circuit breaker resetting or maintenance or service items and further, except as may be provided herein, does NOT include labor costs or transportation charges arising from the replacement of the ASCO product or any part thereof or charges to remove or reinstall same at any premises of User. REPAIR OR REPLACEMENT OF A DEFECTIVE PRODUCT OR PART THEREOF DOES NOT EXTEND THE ORIGINAL WARRANTY PERIOD. THE PRODUCTS LISTED IN THIS WARRANTY ARE NOT FOR USE IN THE CONTROL AREA OR ANY REACTOR CONNECTED OR SAFETY APPLICATIONS OR WITHIN THE CONTAINMENT AREA OF A NUCLEAR FACILITY OR FOR INTEGRATION INTO MEDICAL DEVICES. Limitations: THIS WARRANTY IS IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. USER'S SOLE AND EXCLUSIVE REMEDY IS REPAIR OR REPLACEMENT OF THE ASCO PRODUCT AS SET FORTH HEREIN. IF USER'S REMEDY IS DEEMED TO FAIL OF ITS ESSENTIAL PURPOSE BY A COURT OF COMPETENT JURISDICTION, ASCO'S RESPONSIBILITY FOR PROPERTY LOSS OR DAMAGE SHALL NOT EXCEED THE NET PRODUCT PURCHASE PRICE. For sales or service 1-800-800-2726 (ASCO) 381339-331 IN NO EVENT SHALL ASCO ASSUME ANY LIABILITY FOR INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL OR EXEMPLARY DAMAGES OF ANY KIND WHATSOEVER, INCLUDING WITHOUT LIMITATION LOST PROFITS, BUSINESS INTERRUPTION OR LOSS OF DATA, WHETHER ANY CLAIM IS BASED UPON THEORIES OF CONTRACT, NEGLIGENCE, STRICT LIABILITY, TORT, OR OTHERWISE. Miscellaneous: NO SALESPERSON, EMPLOYEE OR AGENT OF ASCO IS AUTHORIZED TO ADD TO OR VARY THE TERMS OF THIS WARRANTY. Warranty terms may be modified, if at all, only in writing signed by an ASCO officer. ASCO obligations under this Warranty are conditioned upon ASCO timely receipt of full payment of the product purchase price and any other amounts due. ASCO reserves the right to supplement or change the terms of this Warranty in any subsequent warranty offering to User or others. In the event that any provision of this Warranty should be or becomes invalid and/or unenforceable during the warranty period, the remaining terms and provisions shall continue in full force and effect. This Warranty shall be governed by, and construed under, the laws of the State of New Jersey, without reference to the conflict of laws principles thereof. This Warranty represents the entire agreement between ASCO and User with respect to the subject matter herein and supersedes all prior or contemporaneous oral or written communications, representations, understandings or agreements relating to this subject. For sales or service 1-800-800-2726 (ASCO) 381339-331 Limited arranty Power Technologies® ASCO PowerQuest Monitoring Products/Systems This Warranty is given ONLY to purchasers who buy for commercial or industrial use in the ordinary course of each purchasers business. General: ASCO Power Technologies, LP products are in our opinion the finest available. We take pride in chosen them. Under certain circumstances we offer with our products the following Eighteen Month and Workmanship. Please read your Warranty carefully. This Warranty sets forth our responsibilities in the unlikely performance under this Warranty. Engine Start Monitoring System our products and are pleased that you have Limited Warranty Against Defects in Material event of defect and tells you how to obtain Serial Connectivity Module 5110 Quad Ethernet Module 5140 Ethernet Connectivity Module 5150 ASCO Remote Connectivity Unit 60 Power Meter (or Units) 521 X * Power Tanager (or Units) 522X * Single &IEight Channel Annunciator Touch Display Interface 53 0& 5350 5370 Fixed Mount Power Quality Meters (or Units) 54XX * ASCO Portable Power Quality Meter 5550 Advanced Remote Connectivity Units 56XX * Standard Critical Power Management Systems 57XX Load Management Units 58XX ASCO Custom Critical Power Management Systems 59XX * Analytics and CPMS Work Stations N/A * NOTE: "X" Denotes any numeric variable in the catalog number Terms of Warranty: The following Limited Warranty is conditioned upon User's compliance with the following: 1. The ASCO PowerQuest Monitoring Product is installed in accordance with ASCO specifications and state and local codes and standards by an electrician licensed in the state of installation: 2. The ASCO PowerQuest Monitoring Product is maintained in accordance with ASCO instructions and used under normal conditions for the purposes intended by ASCO. As provided herein, the ASCO product, exclusive of any PC component, is warranted to be free of defects in material and workmanship for a period of eighteen (18) months from the date of product shipment. The date of shipment will be, determined only from the ASCO bill of lading. If any part or portion of the ASCO product fails to conform to the Warranty within the Warranty period, ASCO, at its option, will furnish new or factory remanufactured products for replacement of that portion or part. This is a parts Warranty ONLY that does not include services; all services shall be provided by a qualified serviceprovider. Publication 3219 11-15-18 Warranty Extends to First Purchaser for Use, Non -transferable: This Warranty is extended to the first person, firm, association or corporation for whom the ASCO product specified herein is originally installed for use (the "User") in the fifty United States or Canada. This Warranty is not transferable or assignable without the prior written permission of ASCO. Assignment of Warranties: ASCO assigns to User any warranties which are made by manufacturers and suppliers of components of, or accessories for, the ASCO product and which are assignable; but ASCO makes NO REPRESENTATIONS as to the effectiveness or extent of such warranties, assumes NO RESPONSIBILITY for any matters which may be warranted by such manufacturers or suppliers and extends no coverage under this Warranty to such components or accessories. Drawings, Descriptions: ASCO warrants for the period and on the terms of the Warranty set forth herein that the ASCO product will conform to the descriptions contained in the certified drawings, if any, applicable thereto, to ASCO's final invoices, and to applicable ASCO product brochures and manuals current as of the date of product shipment ("Descriptions"). ASCO does not control the use of any ASCO product. Accordingly, it is understood that the Descriptions are NOT WARRANTIES OF PERFORMANCE and NOT WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE. Warranty Claims Procedure: Within a reasonable time, but in no case to exceed thirty (30) days, after User's discovery of a defect, User shall contact ascopowerwarrantyidascopower.corn, and request a return authorization number. ASCO products shipped to ASCO without a return authorization number will be refused and returned freight collect to User at User's expense. ASCO products shipped by User to ASCO which have incurred freight damage due to User's improper packaging of the product will not be covered by this Warranty and any repairs or replacement parts, components or products needed will be invoiced in the full current price amount and returned freight collect to User. Subject to the limitations specified herein, ASCO will repair or replace, at its option, without charge for materials, subsequent to its inspection and F.O.B. ASCO's facility, the ASCO product shipped to ASCO with a return authorization number and warranted hereunder which does not conform to this Warranty. If replacement parts, components or products are shipped or caused to be shipped by ASCO prior to inspection of the product claimed to be defective, the replacement parts, components or products shall be invoiced in the full current price amount and shipped freight collect F.O.B. ASCO's facility. If ASCO's inspection determines that the returned item(s) is covered by this warranty, User will be issued a credit in an amount equal to the price previously invoiced: Warranty coverage will be provided only after ASCO's inspection discloses the claimed defect and shows no signs of treatment or use which would void the coverage of this Warranty. All defective products and component parts replaced under this warranty become the property of ASCO. Warranty Performance of Component Manufacturers: It is ASCO's practice, consistent with its desire to remedy Warranty defects in the most prompt and effective manner possible, to cooperate with and utilize the services of component manufacturers and their authorized representatives in the performance of work to correct defects in the product components. Accordingly, ASCO may utilize third parties in the performance of Warranty work; including repair or replacement hereunder, where, in ASCO's opinion, such work can be performed in less time, with less expense, or in closer proximity to the ASCO product. Items Not Covered By Warranty: THIS WARRANTY DOES NOT COVER sub -standard or non-performance of this PowerQuest system as a result of improper network configuration, wiring or hardware not supplied by ASCO, or any aspect of the installation not consistent with industry best practices. THIS WARRANTY DOES NOT COVER upgrades or additions to hardware or software that may be necessary as site requirements change and/or expand and/or become obsolete. THIS WARRANTY DOES NOT COVER DAMAGE OR DEFECT CAUSED BY misuse, storage in an unsuitable environment, improper application, wrong or inadequate electrical current or connection, negligence, repair by non-ASCO designated personnel, accident in transit, tampering, alterations, a change in location or operating use, exposure to the elements, water, or other corrosive liquids or gases, Acts of God, theft or installation contrary to ASCO's recommendations, or in any event if the ASCO serial number or start-up tag has been altered, defaced, or removed. THIS WARRANTY DOES NOT COVER shipping costs, installation costs, external circuit breaker resetting or maintenance or service items and further, except as may provided herein, does NOT include labor costs or transportation charges arising from the replacement of the ASCO product or any part thereof or charges to remove or reinstall same at any premises of User. REPAIR OR REPLACEMENT OF A DEFECTIVE PRODUCT OR PART THEREOF DOES NOT EXTEND THE ORIGINAL WARRANTY PERIOD., THE PRODUCTS LISTED IN THIS WARRANTY ARE NOT FOR USE IN THE CONTROL AREA OR ANY REACTOR CONNECTED OR SAFETY APPLICATIONS OR WITHIN THE CONTAINMENT AREA OF A NUCLEAR FACILITY OR FOR INTEGRATION INTO MEDICAL DEVICES. Limitations: THIS WARRANTY IS IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. USER'S SOLE AND EXCLUSIVE REMEDY IS REPAIR OR REPLACEMENT OF THE ASCO PRODUCT AS SET FORTH HEREIN. IF USER'S REMEDY IS DEEMED TO FAIL OF ITS ESSENTIAL PURPOSE BY A COURT OF COMPETENT JURISDICTION, ASCO'S RESPONSIBILITY FOR PROPERTY LOSS OR DAMAGE SHALL NOT EXCEED THE NET PRODUCT PURCHASE PRICE. IN NO EVENT SHALL ASCO ASSUME ANY LIABILITY FOR INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL OR EXEMPLARY DAMAGES OF ANY KIND WHATSOEVER, INCLUDING WITHOUT LIMITATION LOST PROFITS, BUSINESS INTERRUPTION OR LOSS OF DATA, WHETHER ANY CLAIM IS BASED UPON THEORIES OF CONTRACT, NEGLIGENCE,: STRICT LIABILITY, TORT, OR OTHERWISE. Publication 3219 11-15-18 ASCO ASSUMES NO LIABILITY FOR UNAUTHORIZED, UNLICENSED USE OF OR DUPLICATION OF OR MODIFICATION TO THE SOFTWARE PROVIDED AS PART AND PARCEL OF THE ORIGINAL SYSTEM AND/OR THAT MAY BE SUPPIED BY A THRID PARTY FOR EXCLUSIVE USE OF THE USER. Miscellaneous: NO SALESPERSON, EMPLOYEE, OR AGENT OF ASCO IS AUTHORIZED TO ADD TO OR VARY THE TERMS OF THIS WARRANTY. Warranty terms may be modified, if at all, only in writing signed by an ASCO officer. ASCO obligations under this warranty are conditioned upon ASCO timely receipt of full payment of the product purchase price and any other amounts due. ASCO reserves the right to supplement or change the terms of this Warranty in any subsequent warranty offering to User or others. In the event that any provision of this Warranty should be or becomes invalid and/or unenforceable during the Warranty period, the remaining terms and provisions shall continue in full force and effect. This Warranty shall be governed by, and construed under, the laws of the State of New Jersey, without reference to the conflict of laws principles thereof. This Warranty represents the entire agreement between ASCO and User with respect to the subject matter herein and supersedes all prior or contemporaneous oral or written communications, representations, understandings or agreements relating to this subject. Publication 3219 11-15-18 BNBuilders October 24, 2019 Shels Obletz Johnsen Attn: Ethan Bernau 101 Yesler Way Suite 606 Seattle, WA 98104 RE: BNB Cost Proposal for RFI-182 Dear Ethan, In accordance with RFI-182 dated 10/24/19, BNBuilders hereby submits our proposal for the added GWB soffit at room B107. The total proposal of this subject work is Three Thousand Nine Hundred Forty Eight dollars $3,948.00. There is a 0 day impact to the Project Schedule. BNB has not proceeded with the revised design as directed and therefore requests your prompt acceptance of this proposal. Please acknowledge your acceptance of this proposal and reference CP 5068 in the forthcoming change order. Sincerely, Jeff Clark Project Manager CC: Justine Kim (justinekAsoseaj.com) Geri Urbas (peri.urbas(bnbuilders.com) Steve Schmitz (sschmitz(&dIrgroup.com) BNBuilders 2601 4' Avenue, Suite 350 Seattle, WA 98121 T: 206.382.3443 F: 206.382,3440 Tukwila Justice Center GC/CM CHANGE ORDER REQUEST SUMMARY BNBuilders PROJECT NAME: Tukwila Justice Center CCD/ASI #: RFI 182 GENERAL CONTRACTOR: BNBuilders, Inc. DESCRIPTION OF CHANGE: Additional soffit in Rm B107 per RFI 182 COP #: 5068 DATE: 10124/2019 BP 09.20 Northwest Partition $3,760.09 1st -tier Subcontractor Cost Total (Direct Construction Costs) GC/CM Mark-up on MACC Costs Rounding Adjustment $3,760.09 $188.00 -$0.09 Total Change Request $3,9413.00 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date Tukwila Justice Cenber SUBCONTRACTOR CHANGE ORDER REQUEST SUMMARY CALCULATION PROJECT NAME: Tukwila Justice Center CCD/ASI #: RFI 182 COP #: 5068 Contractor Name: BN Builders DATE: 10/24/2019 DESCRIPTION OF CHANGE: RFI #182 Added GWB Soffit at Room B107 Subcontractor Direct Costs (attach all necessary substantiating documentation) Labor (Excluding Labor Premium) Material Equipment Subcontractor's Total Direct Cost Subcontractor's Mark-up (Excludes Labor Premium) Labor Premium $2,753.14 $356.29 $112.53 $3,221.96 $483.29 $0.00 Total Subcontractor Direct Costs + Mark-up + Labor Premium $3,705.25 Total Sub -tier Subcontractor Costs Subcontractor's Mark-up on Sub -tier Subcontractor(s) $0.00 Subtotal $3,705.25 B&O Tax GL Insurance 0.48% 1% $17.79 $37.05 Total Subcontractor Change Request $3,760.09 To the best of my knowledge and belief, I certify that all costs listed above are correct. Contractor Signature Date 15% 8% TF A Page 1 of 1 NORTHWEST PARTITIONS To: BNBuilders, Inc. 2601 4th Ave Suite 350 Seattle, WA 98121 Phone: (206)382-3443 Fax: (360)398-2302 Description: RFI #182 added GWB soffit at room B107 Ref.# COR-0006 External/RCO# GC Ref# Date Sep 13, 2019 Job # 2066 Project: Tukwila Justice Center 15001 Tukwila International Blvd Tukwila, WA 98188 Labor Layout Frame Soffits / Ceilings Hang Interior GWB Finish Tape Stock DM1- Onsite Clean -Up DNV On -Site Foreman Material 3 5/8" SF TRACK 125 30EQD G40 3 5/8" STUD 1 3/8" FLANGE (19MILS) 20GA EQ 1 1/2"X1 1/2" ANGLE 20 GA. (30MILS) 5/8" TYPE "X" DRYWALLI X58 90 DEG PAPER BEAD WITH METAL EXTRA WIDE EVEN LEG LITE ALL PURPOSE COMPOUND Equipment 19' SCISSOR LIFT-2WD ELEC - JLG 1930ES - Genie GS-1930 - SKYJACK-SJ 1113219 Total Miscellaneous Charges Size 10' 12' 10' 4'X12' 10' BOX Quantity UOM Unit Total Rate 1.00 Hrs 1.00 77.57 18.00 Hrs 18.00 72.31 6.00 Hrs 6.00 73.76 9.00 Hrs 9.00 70.77 1.00 Hrs 1.00 72.31 2.00 Hrs 2.00 72,31 1.00 Hrs 1.00 77.57 Quantity UOM 12.00 PCS 25.00 PCS 4.00 PCS 5.00 SHT 4.00 EA 1.00 EA Quantity UOM 33 00 EA Total $77.57 $1,301.58 $442.56 $636.93 $72.31 $144.62 $77.57 Total Labor $2,753.14 Unit Price .4788 LF .5328 LF .3312 LF .414 SQFT .364 LF 11.82 EA Total $57.46 $159,84 $13.25 $99.36 $14.56 $11.82 Total Material Unit Price 3.41 EA 8356.29 Total $112.53 Total Equipment ;112.53 Total B&0 Tax .48% GL Insurance 1% $15.47 $32.37 Total Miscellaneous Charges $47.84 AUTHORIZED BY: ON BEHALF OF: BNBuilders, Inc. PROJECT MANAGER: Harold C Ayers ESTIMATOR: Harold C Ayers Labor Total: Material Total: Equipment Total: $2,753.14 $356.29 $112.53 Sub Total: Overhead 15%: $3,269.53 $490.47 15.00% Total: $3,760.00 20006 - 144th Avenue NE, Woodinville, WA 98072 Run on: October 24, 2019 5:26 AM T 425-375-2500 F 425-375-2540 http://wwvv.nwpart.com Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 Code 6005162-43 6005162-54 6005162-68 600S200-54 6005200-68 6005200-97 6005250-54 6005250-68 600T125-43 600T125-54 600T150-43 600T150-54 600T150-68 600T200-54 600T200-68 600T200-97 600T250-54 600T250-68 150U50-54 200A200-43 600FS-33 400F5-54 CRCCLIPHVY 1625125-30 162T100-30 2505125-33 2505LT250-33 250T125-33 3625125-30 3625125-33 3625125-43 3625162-43 362S162-54 3625250-54 3625250-68 362T125-30 362T125-33 362T125-43 Description 6" 18 Ga Stud w/ 1-5/8" Leg 6°' 16 Ga Stud w/ 1-5/8" Leg 6" 14 Ga Stud w/ 1-5/8" Leg 6" 16 Ga Joist w/ 2" Leg 6" 14 Ga Joist w/ 2" Leg 6" 12 Ga Joist w/ 2" Leg 6" 16 Ga Joist w/ 2-1/2" Leg 6°" 14 Ga Joist w/ 2.1/2" Leg 6" 18 Gauge Track w/ 1-1/4" Leg 6" 16 Gauge Track w/ 1-1/4" Leg 6" 18 Gauge Track w/ 1-1/2 Leg 6°' 16 Gauge Track w/ 1-1/2" Leg 6" 14 Gauge Trackw/ 1-1/2" Leg 6" 16 Gauge Track w/ 2" Leg 6" 14 Gauge Track w/ 2" Leg 6" 12 Gauge Track w/ 2°' Leg 6" 16 Gauge Track w/ 2-1/2" Leg 6" 14 Gauge Track w/ 2-1/2 Leg 1-1/2" Black Iron 16 Gauge 2" x 2" Framing Angle 18 Gauge 6" x 20 Ga Flat Stock Backing 4" x 16 Ga Flat Stock Backing Clip for Cold Rolled Channel Heavy Gauge 1-5/8" 20 Gauge Stud 1-5/8" 20 Gauge Track w/ 1" Leg 2-1/2" 20 Gauge Stud 2-1/2" 20 Gauge Slotted Track 2-1/2" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Stud 3-5/8" 20 Gauge Stud 3-5/8" 18 Gauge Stud 3-5/8" 18 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Stud w/ 1-5/8" Leg 3-5/8" 16 Ga Joist w/ 2-1/2" Leg 3-5/8" 14 Ga Joist w/ 2-1/2" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 1-1/4" Leg 3-5/8" 18 Gauge Track w/ 1-1/4" Leg UOM Container Per Unit Price LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF LF EA LF LF LF LF LF LF LF LF LF LF LF LF LF Studs Studs Studs Studs Studs Studs Studs Studs Track Track Track Track Track Track Track Track Track Track Each Each Each Each Pieces Studs Track Studs Track Track Studs Studs Studs Studs Studs Studs Track Track Track 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1 EA 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 000 LF 000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1306.8 1640.4 2065.2 1791.6 2254.8 4317.6 2008.8 2538 1135.2 1459.2 1200 1507.2 1888.8 1777.2 2104.8 3979.2 1651.2 2403.6 436.8 625.2 970.8 873.6 0.828 594 562.8 447.6 954 519.6 532.8 997.2 1296 986.4 1286.4 2580 2060.4 478.8 950.4 1226.4 STEELER CONSTRUCTION SUPPLY ate.. Where customer service still has meaning. Tacoma, WA 540 East 15th Street Tacoma, WA 98422 Telephone: (253) 572-8200 Fax:(253) 572-8400 NORTHWEST PARTITIONS (12) 20006 144TH AVE NE Job: TUKWILA JUSTICE CENTER Location: TUKWILA Bid Number: M20190405002 Bid Date: 4/5/2019 Req. at Jobsite: 9/10/2019 362T125-54 362T250-33 362T250-54 362T250-68 6005125-30 6005125-33 6005162-33 600T125-30 600T125-33 150A150-30 SECUR1.0-16 SECURACLP B1XW B412NB CJGWB LWAP LWTAPING PTAPE X58 X58HI X58MMR X58DURO 400CH-33 400JT-33 X1SWLGLAS BU LLET3 Bullet Strips 3-5/8" 16 Gauge Track w/ 1-1/4" Leg 3-5/8" 20 Gauge Track w/ 2-1/2" Leg 3-5/8" 16 Gauge Track w/ 2-1/2" Leg 3-5/8" 14 Gauge Track w/ 2-1/2" Leg 6" 20 Gauge Stud 6" 20 Gauge Stud 6" 20 Ga Stud w/ 1-5/8" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 6" 20 Gauge Track w/ 1-1/4" Leg 1-1/2" x 1-1/2" Framing Angle 20 Gauge AMICO Security Mesh 1" x 16 Gauge AMICO Secura Clip 300/Carton B1XW - Corner Bead B4 - 1/2" No Bead L Metal Control Joint for GWB #093 USG Lite Weight All Purpose Joint Compnd 3.5 gal Lite Weight Taping Joint Compnd 3.5 gal 2-1/16" Paper Tape - 500'/Roll 5/8" Type X GWB 5/8" Type X High Impact GWB 5/8" Type X Mold & Moisture Resistant GWB 5/8" Type X Cementitious Backer Bd 4" 20 Gauge Shaftwall Stud 4" 20 Gauge J Track 1" Fiberglass Shaftwall Liner Wallboard Ballistic/Bullet Panel - Level 3 Level 3 strips LF LF LF LF LF LF LF LF LF LF SF EA LF LF LF EA EA EA SF. SF SF SF LF LF SF SF LF Track Track Track Track Studs Studs Studs Track Track Each Sheets Boxes Boxes Boxes Boxes Box Box Rolls Sheets Sheets Sheets Sheets Studs Track Sheets Sheets Each 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF 1000 LF piece container 1000 LF 1000 LF 1000 LF container container container 1000 SF 1000 SF 1000 SF 1000 SF 1000 LF 1000 LF 1000 SF piece piece 1044 1380 1651.2 2403.6 718.8 1380 1183.2 661.2 903.6 331.2 95.58 364.0 364.0 364.0 11.82 11.82 4.8 414 1256.4 594 1098 1254 864 1038 769.524 0 Account Pricing *AII Pricing is confidential* NORTHWEST PARTITIONS Sales Rep: Connor Ball Ahern Rentals Account #265218 Contact ff: 425-241-8004 Effective Date:9/1/18 Rates Expire: 6/30/19 Cat -Class Cat/Class Description Typical Make/Model Daily Weekly 4 Week inanalinni Electric 10* „ INSIUMISSINIMMINGOOMMICallialen 620-5745 SCISSORLIFT,19',32",ELECr Skyjack S11113219. 115 250 345 620-5754 SC1SSORLIFT,26',32",ELECT Skyjack SJI113226 $ 165 $ 325 $ 575 620-5755 SCISSORLIFT,26',46",ELECT Skyjack S11114626 $ 165 $ 325 $ 575 620-5784 SCISSORLIFT,32',46-48",ELECT Skyjack 531114632, JLG 3246ES $ 185 $ 475 $ 795 All Electric Scissor Lifts larger then 32please call for quote Fuel .„„Lifts (4x4)egannunatasummigranintaillatin 620-5759 SCISSORLIFT,26',68",GAS,4X4 Skyjack 5.16826RT, Genie GS-2668RT $ 195 450 $ 865 620-5786 SCISSORLIFT,32',68",GAS,4X4 Skyjack S.16832RT, Genie GS-3268RT $ 215 515 $ 990 620-5798 SCISSORLIFT,43',GAS,4X4 Skyjack S.18243, Genie GS-439ORT $ 285 $ 720 $ 1,500 620-5799 SCISSORLIFT,53',GAS,4X4 Genie GS-5390RT $ 347 $ 941 2,500 All scissor lifts larger then 53' please call for quote IIESENIIOIIIOIMIIUIMUNSEMIIEERIUSBIMIYOAAIWOOAWIOAKCIIPISBIIIIIEIIUINIIIPSMPSIIIISSISEIAIW 605-5645 IFORKLIFT,3600-5000LB,15'7",YARD I Hyster H50, Yale GP050 J $ 140 I $ 495 I $ 885 118raarieaptmsiaevfssnacnumogoiegnsloxgotsOtMOEINVRBlairotrnsauitMMSSIIIIIIMMUCISV 605-5670 FORKLIFT,5900LB,19',TELESCOPING Xtreme 5919 195 $ 595 $ 1,595 605-5675 FORKLIFT,6000LB,36',TELESCOPING Skytrak 6036 340 $ 1,175 1,925 605-5683 FORKLIFT,8000LB,42',TELESCOPING Xtreme XR842, Skytrak 8042 $ 365 $ 1,275 $ 2,350 605-5686 FORKLIFT,10000LB,54',TELESCOPING Skytrak 10054 $ 485 $ 1,575 $ 3,250 11•111111111218111111111111•110111ESSINIIIISWWWISESSIIIIKARMOISSEMOSSISSIOWKW 615-5711 LIFT,PERSONNEL,12',ELECT,2 MAN JLG 1230ES, Snorkel TM12 $ 105 $ 200 $ 350 615-5721 LIFT,PERSONNEL,20',DRIVABLE,ELEC JLG 20MVL, Genie GR20 $ 125 250 $ 400 BoomLifts':ElectricitalliniMISNIS aglitialtaillainSill 600-5799 BOOM,ARTICULATED,30',NARROW,ELEC, W/JIB JLG E300AJ $ 200 $ 800 $ 1,475 600-5850 BOOM,ARTICULATED,40',ELECTRIC,NARROW JLG E400AN, Genie Z40/23N $ 325 $ 900 $ 1,575 600-5857 BOOM,ARTICULATED,45',ELECT JLG E450Al, Genie Z45/25.1 DC 325 $ 900 $ 1,575 NSSNIIBSIMOIEISeaanpMMMMIIUNW7mf*W:*Va**fitMMPTICAMIOSatolinikttat„grLI; 600-5852 BOOM,TELESCOP I NG,40',DSL,4X4 JLG 400S, Genie S40 $ 350 $ 895 1,625 600-5797 BOOM,TELESCOPING,45',DSL,W/JIB Snorkel TB47J, Skyjack S.145T $ 350 $ 895 $ 1,625 600-5866 BOOM,TELESCOPING,60',DSL,4X4 JLG 600S, Genie S60, Snorkel TB60 $ 420 $ 1,095 1,995 600-5879 BOOM,TELESCOP I NG,66',DSL,W/JI B,4X4 JLG 66051, Snorkel TB66J $ 420 $ 1,095 $ 1,995 All reach boom lifts larger then 66' please call for quote. Additional: * All pricing is in U.S. Dollars and does not includeSales Tax or Environmental Recovery Fees *Delivery and pick up will be charged at $75 each way (per truckload) on standard loads within 30 miles of the servicing Ahern branch. * Deliveries over 30 miles, requiring permit, oversized loads or outside of normal business hours may be subject to additional fees. Add $150 roundtrip delivery/pick-up fee, Environmental Fees and WSST (10.1`)/0 in most cities) to the above rates. Take monthly total, add round trip fee, add in 10.1% for taxes to come up with a total. Take the total and divide by 20 man days in a rental month to get cost per man day, divide by 8 to get hourly rate. Example: 19' scissor lift: $345/month + $150 trip fee = $495 x 10.1% for tax = $545 $545/ 20 man days = $27.25 /day /8 hours = $3.41 per hour = charge rate. Pagel of 1 Ahern Initials Customer Initials K—�� 8��/K �� Group IDI-R Group PR0I-10': SUBJECT: TYPE: m NAME Sabrina Ames *1 � '*I City ofTukwila Justice [enter oATc SemT 9/10/2019 73-17158-08 T3CRB#18in Soffits in no/n 182 RFI TRANSMITTAL ID: 01086 Answered VIA: Info Exchange M1.1Bindicates that VRF-B1O3,81O3&B107Bshould sit within asoffit in Conference Rooms A & 8 (13103, 13102) and EOC Room 13107. We have come across two problems with these units. � �� RFu�s�wi�than so ffit on drawings. A3.113does not show /the .framing required for the soffit as shown in detail 22 on A3.3. See attached sketch. Please provide updated architectural layout with adequate space for VRFs, or provide updated mechanical plans with alternative layout for VRFs with existing soffit J]A3.1Bdirects us to coordinate access on VRFs with access doors shown onthe RCP. Orientation ofVRF-B1O3&BIO78causes the access zones on these units to fall within rooms 8103 81 13107, not in the hallway. See attached sketch. Please confirm it is acceptable for access toVRF-B103 & B107B tofall within rooms B103fk 13107. Response (Ansvve,ed]from: Jordan Lee (oLRGroup) Raise the (above the adjacent ceiling heights inthe conference rooms and EOC)and above the soffit walls. The adjacent Circulation 13101 is a tall space 'with opportunity service from there. VRFB103and VRF1O7Bwith access from the interior have been flipped and the ductwork rearranged to maintain intent of corridor —access panelaccess tothe VRFfor service. The \0AVaand duct routing 'for VAVc8102.VAV-13103.VAV-13100. Jordan Lee, DLR Group | COMPANY | |DLRGroup / EMAIL | aames@dlrg0up.com Page I of 2 � Trans ;,vi -ttaU Q/1D/Z019 01086 NAME COMPANY EMAIL 1 PHONE DESCRIPTION 0pCONTENTS 8/28/2019 Soffits in Rooms B102, cop/ss: Bill Brown (8N8ui|de BrennaChrstensen (BNBuUders) Dillon Webster (DLR Group) Ethan Bernau (Shie|s Ob|etz]nhnaen) Geri Urbas (8NBui|ders) Jeff Clark (BNBui|dero) Liz Van VVieriOgan (BNBui|ders) Sabrina Ames (OLRGrnup) Steven Schmitz (DLRGroup) Page 2 ofZ Request for Information RFI No: 182 BNBuilders Tukwila Justice Ctr Construct. 15005 Tukwila Inter. Blvd. Tukwila, WA 98188 BNB Project # 118021.100 Date: August 28, 2019 Submitted To: Steve Schmitz DLR Group, Inc. 51 University Street Suite 600 Seattle, WA 98101 Tel: 206.461.6000 Fax: 206.461.6049 Subject. VRF's in Soffits in Rooms B102, B103 & 8107 Discipline: Mechanical Document Reference: A3.1B, A3.3, M1.1B, PB-SK-26 Subcontractor: Johansen Construction Co., Inc Question Submitted By: Bill Brown BN Builders, Inc. 2601 4th Avenue, Suite 350 Seattle, WA 98121 Tel: (206)382-3443 Spec Section: Subcontractor RFI No: 026 Date Required: 9/4/2019 M1.1B indicates that VRF-B102, 8103 & B107B should sit within a soffit in Conference Rooms A & B (B103, 8102) and EOC Room B107. We have come across two problems with these units. 1) WRF units are wider than the soffit and will not fit as indicated on drawings. A3.1B does not show the framing required for the soffit as shown in detail 22 on A3.3. See attached sketch. Please provide updated architectural layout with adequate space for VRFs, or provide updated mechanical plans with alternative layout for VRFs with existing soffit sizes. 2) A3.1B directs us to coordinate access on VRFs with access doors shown on the RCP. Orientation of VRF-B103 & B107B causes the access zones on these units to fall within rooms B103 & B107, not in the hallway. See attached sketch. Please confirm it is acceptable for access to VRF-B103 & B107B to fall within rooms 8103 & B107. Answer Raise the height of the VRFs (above the adjacent ceiling heights in the conference rooms and EOC) and above the soffit walls. The adjacent Circulation B101 is a tall space with opportunity to service from there. VRF B103 and VRF 107B with access from the interior have been flipped and the ductwork rearranged to maintain intent of corridor -access panel access to the VRF for service. The VAVs and duct routing for VAV-B102, VAV-B103, VAV-B100. Jordan Lee Answered by: Date Answered: Copies To: Company & Contact Fax Notes Page 1 of 1 1 inc. 20109 144th Ave NE • Woodinville, WA 98072 (425) 481-2266 Bus • (425) 486-6933 Fax DCVR/ RFI DESIGN CLARIFICATION VARIATION REQUEST / REQUEST FOR INFORMATION RFI #: 026 PHONE NUMBER: 206-492-0363 DATE: 08/27/19 FAX NUMBER: 206-382-3440 TO: BN Builders, Inc. ATTENTION: Jeff Clark 2601 4th Ave, Suite 350 FROM: Cory Slack Seattle, WA 98121 PROJECT: Tukwila Justice Center ITEM : VRF's in Soffits in Rooms B102 B103 & B107 REF. A3.1B, A3.3, M1.1B, PB-SK-26, Submittal 238129-1 DESCRIPTION: M1.1B indicates that VRF-B102, B103, B107A, & B107B should sit within a soffit in Conference Rooms A & B (B103, B102) and EOC Room B107. We have come across two problems with these units. 1. VRF units are wider than the soffit and will not fit as indicated on drawings. A3.1B does not show the framing required for the soffit as shown in detail 22 on A3.3. See attached sketch. Please provide updated architectural layout with adequate space for VRFs, or provide updated mechanical plans with alternative layout for VRFs with existing soffit sizes. 2. A3.1B directs us to coordinate access on VRFs with access doors shown on the RCP. Orientation of VRF-B103 & B107B causes the access zones on these units to fall within rooms B103 & B107, not in the hallway. See attached sketch. Please confirm it is acceptable for access to VRF-B103 & B107B to fall within rooms B103 & B107. DATE: 27-Aug-19 COST IMPACT: TBD SCHEDULE IMPACT: TBD SIGNED BY: Cory Slack REPLY REQUIRED BY: 09/03/19 CLARIFICATION: APPROVED DISAPPROVED: VARIATION REMARKS: RECEIVED BY: DATE: APPROVAL: DATE: 1546wW 56th St, mrSeattle, mm981m pxc/r|C a|wScnv|cco RF|#: 20 Project: 1008-TJC �� U��~U�� REQUEST FOR INFORMATION n��n� Potential Coo: TBD Attention: Cory Slack Authored by: Mol|h,Pootmo Date Authored: 08/26/2019 RefOVVG: A3.113,A3.3.Mt113 Question: Date Required: 09103/2018 Reference Spec: Reference Other: PB-SK-26, Submittal 238129-1 W111Bindicates that VRF'81D2.B103,B107A,&B1O78should sit within esoffit inConference Rooms A & B (13103, B102) and EOC Room B107. We have come across two problems with these units. 1.VRFunits are wider than the soffit and will not fit ooindicated ondrawings. A31Bdoes not show the framing required for the soffit as shown in detail 22 on A3.3. See attached sketch. Please provide updated architectural layout with adequate space for VRFs, or provide updated mechanical plans with alternative layout for yRFswith existing soffit sizes. 2. A3.1 B directs us to coordinate access on VRFs with access doors shown on the RCP. Orientation of VRF-B1U3&B107Bcauses the access zones onthese units tnfall within rooms B1O3&B1O7.not in the hallway. See attached sketch. . ^ Please confirm it is acceptable for access to VRF-B1 03 & B1 07B to fall within rooms 131103 & B1 07. Proposed Solution: Reply: Response by: Date: 24"X 12" G-4 VRF-B103 VRF-B102 .ItMI ■ OA - VAV-B102 VRF-B101 VAV-B100 10" o OA-- VRF-B107A 24"X 12" G-4 10",0 SA `J VAV-B1 A 1 2'-0" 24 A GWB 9' - 0" GWB VRF-B107B 6" - 0" 2" 10"m SA...._ A B 9'-0 GWB 0'-03/4" 6" 2" 4"X 12" G-4 X 12" G-4 ROUTE DUCTWORK TO AVOID SKYLIGHTS, 2'-0 GWB 6'-8 - 0" 0" VRF ACCESS ZONE HVAC PLAN, FIRST LEVEL - AREA B M1.1B LOBBY <B100> A RCP, FIRST LEVEL - AREA B A3.1B OFFIT FRAMING NOTE 7 ON A3.1 B: ACCESS PANEL, COORDINATE WITH MECH DWGS. PAC BIM I 08/26/2019 VRFs in Soffits Sketch Tits PB-SK-026 Sketch Number. Page (e): 1 of 5 Job Title: TJC 1003 Job Number: QUESTION 1 VRF UNITS B107A, B107B, B102, & B103 ARE INTENDED TO SIT IN SOFFIT IN CONFERENCE ROOMS A & B AND EOC ROOM, BUT ARE WIDER THAN THE SOFFIT. PAC BIM I Date: 08/26/2019 swamp Ttpe: VRFs in Soffits Sketch Number: PB-SK.-026 2 of 5 VRF THROUGH WALL OF SOFFIT Pape ON: Jab TN- TJC Jab Number: 1003 VRF DIMENSIONS FROM SUBMITTAL 238129-1 QUESTION 1 20 (13f16 23 (15 6 D Du 100 (3-15116)X(E-1)=F 00 3.15116 A uspenbe VRF-6102 VRF- DUCTED i PEFY-P18NMAU-... DUCTED f PEFY-P15NMAU-... A -A E F-'05� VRF-B107A! DUCTEDPEFY-P15NMAU-... VRF-B107B1 DUCTED PEFY-P15NMAU-... VRF-B110 [WAY -CASSETTE PLFY-P08NFMU-E INDICATES MAXIMUM WIDTH FOR VRF UNIT uni In odel PEFY-P06,08,12NMAU-E PEFY.P15,P18NMAU-E3 PEFY-P24,27, 30 N MAU-E PEFY-P36,48NMAU-E3 PEFY-P54NMAU-E3 A B 700 754 (27-9116) f 2911 /16) t 954, (35-7/16) (37-9116) 1100 (43-5/16) 1400 (55-1/8) 1600 63) 1154 (45-7/16) 1454 157-1 /4) 1654 (65-1/8) C D E 800 660 (31 1/2)_. (26) 1000 860 j (33-7 8) 1200 1060 (47-1/4) (41.3/4) 50 (59-1 1700 (66-15116 60 6 -7/ 6 7 11 4 16 F 0 600 658 ( 3-518) j(25.1511 800 8 (3 112 4 1000 (39-3/8 1058 (41.11/16) MECHANICAL SCHEDULES M6.1 SIZE CHART FROM VRF SUBMITTAL INDICATES WIDTH FOR VRF-B102, B103, B107A, & B107B IS 39-3/8". SOFFIT WIDTH INDICATED ON A3.1 B 3"-2". PLEASE ADVISE. PAC BIM I oe�. 08/26/2019 VRFs in Soffits Sketch She PB-SK-tit 6 Sketch Number: I 3 of 5 Page tat; Job Tithe: TJC I JchtceSet: 1003 QUESTION 1 SEE RCP EE RCP MTL STUD SOFFIT FRAMING FINISHED CEILING RE: RCP'S SEE WALL TYPE DESIGNATIONS ON PLANS LIGHT GAUGE METAL ANGLE HANGER WIRE FINISHED CEILING RE: RCP'S TECHZONE CEILING 51$" GWS SOFFIT GWB DOUBLE SOFFIT @ CONF RMS A & B A3.3 SCALE: 1 1/2' = CEILING DETAILS A3.3 SOFFIT FRAMING IS 4-1/4". THIS IS NOT SHOWN ON RCP OR MECH DRAWINGS. Date AC BIM 08/26/2019 VRFs in Soffits Sketch Tue. 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