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Home My WebLink About4547-315021- PROJECT CLOSEOUT CHECKLIST with Intent-Affidavit sheet X Retainage Bond Date Sent/ Completed 7/28/2022 8/1/2022 * 8/3/2022 2/21/2023 * 8/4/2022 * 9/20/2022 * Contractor COMPLETE Contractor COMPLETE 8/4/2022 * Date Received 1 2 3 4 5 Verify with Engineering Manager that Project and PO can be closed. Send email to Anna Cruz to close after verification. Project is ready for archive. Retainage of 5% is based on total payment request. 5% retainage is based on gross payment request (before sales tax). Contractor is paid: 95% of payment reauest plus 100 % of sales tax due on payment request **Retainage is not withheld if contractor has obtained a Release of Retention Bond or it is a FHWA project in which it is illegal to withold Retainage or obtain a retainage bond. If no retainage bond then a payment bond must be in the file. Final Acceptance Date: 8/1/2022 PO# 21172 Contract # 6246 Streets owned by a municipal corporation, political subdivision of State, or the USA Storm or Combined sewer systems included as part of a street drainage system. Power lines when part of roadway Use tax is included in unit price. Sales tax is not stated separately in contract or on payment requests. Streets owned by State of WA. (ie within State ROW) Water Mains Sanitary sewers and sewage disposal systems that are not within or part of a street drainage system. Power lines when not part of roadway lighting system. Sales Tax is separately stated in contract and on payment requests 9/18/2022 SALES TAX RULES RULE 170RULE 171 Employment Security Department Certificate of Payment of Contribution, Penalties & Interest on Public Works Contract /For projects of $20,000 and above Claims and Liens Against the Retainage and Payment Bond Type of Action* All Subcontractors Other 6th Street Preservation Phase II 4547-315021 Miles Resources LLC 3/1/2022 Department of Labor and Industries Employer Liability certificate/for projects over $35,000 Documentation Required Project Manager\ Contractor Notice of completion of Public Works contract (sent to agencies listed below) Affidavits of Wages Paid Affidavit of Publication Notice of Completion (Received from Kitsap Sun)/ Only on projects of $35,000 or more. Claimant Amount Final Acceptance Letter (to Contractor) Project Manager Statements of Intent to pay Prevailing Wages All Subcontractors Acceptance of Compensation & Release of All Claims Dates Responsible Party Project Manager Project Manager Revenue L & I 45 Days from published NOC Releases from State Agencies Department of Revenue Certificate of Payment of State Excise Taxes by Public Works Contractor/ for Projects over $35,000 COB Holding Retainage FHWA Project COB Project # When all documents (in red) have been received- Contractor's Name: Retainage Status Substantial Completion Date: Employment Security Acceptance Notices Make copies of the documents for file, originals to be sent to Contracts Administrator MMIf we are holding the retainage bond then a Retainage Release form should be filled out copies of releases attached and sent to Accounts Payable for release. Originals should be sent to Shannon for file. If we have a retainage bond from the contractor then a release letter has to be sent to the insurance company and the original packet with a copy of the letter should be sent to Shannon. In case of contracts under $35,000. No retainage is held and no payment bond is required. A release of compensation will still be returned by the Contractor and the original should be sent to Shannon for her project file. PROJECT CLOSEOUT CHECKLIST Basic Information Project Name: Prevailing Wages Description ________________________________________________________________________________ Public Works & Utilities │ 345 6TH Street, Suite 100 Bremerton, WA 98337 * Phone (360) 473-5920 * Fax (360) 473-2330 Working for and with our residents to establish Bremerton as Puget Sound’s most beautiful and livable waterfront city! July 28, 2022 Miles Resources LLC ATTN: Mr. Bradley Griffith 400 Valley Avenue NE Puyallup, WA 98372 Subject: 6th Street Preservation Phase II Project Federal Aid Project No. STPUL-6566(013) Final Acceptance Dear Mr. Griffith: To completely close-out the 6th Street Preservation Phase II Project, please ensure that you have supplied final copies of approved “Affidavit of Prevailing Wages Paid” for your firm and for each firm that provided work and materials for the contract. In accordance with the definition of terms in the Contract Documents, the City acknowledges the following key dates: Notice of Award June 18, 2021 Notice to Proceed July 23, 2021 Substantial Completion March 1, 2022 Physical Completion April 20, 2022 I have attached the Final Contract Voucher Certification document. Please execute with notary and return at your soonest opportunity. Sincerely, Shane Weber, P.E. Managing Engineer Cc: Ned Lever, City Engineer Chris Dimmitt, Civil Engineer II Cathy Bonsell, Project Assistant Project File Shane Weber Digitally signed by Shane Weber DN: C=US, E=Shane.Weber@ci.bremerton.wa.us, O=City of Bremerton, OU=Engineering, CN=Shane Weber Reason: I am approving this document Date: 2022.07.28 13:21:30-07'00' Shane Weber Digitally signed by Shane Weber DN: C=US, E=Shane.Weber@ci.bremerton.wa.us, O=City of Bremerton, OU=Engineering, CN=Shane WeberReason: I attest to the accuracy and integrity of this document Date: 2022.08.01 15:10:58-07'00' Department Use Only NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Assigned to:Date Assigned: Date 08/03/2022 Form Version Original Revision Reason Awarding Agency Information Prime Contractor Information Name BREMERTON, CITY OF UBI 181002539 Name MILES RESOURCES LLC UBI 602870349 Address 345 6th Street Suite #100 BREMERTON,WA-98337 Address 400 Valley Ave NE PUYALLUP,WA-98372 Email Address cathy.bonsell@ci.bremerton.wa.us Email Address paige.horst@milesresources.com Contact Name Cathy Bonsell Phone 360-473-5717 Contact Name MILES RESOURCES LLC Phone 253-383-3585 Project Information Project Name 6th Street Pavement Preservation Phase II Contract # 315021/4547 Affidavit ID 1116909 Jobsite Address 6th Street (Warren Ave to Pacific Ave) Date Awarded 06/18/2021 Date Work Commenced 08/29/2021 Date Work Completed 03/07/2022 Date Work Accepted 08/01/2022 Federally Funded Transportation Project If yes, attach Contract Bond Statement. Bond Waived? Retainage Waived?Subcontractors Used? If yes, complete Addendum A. Detailed Description of Work Completed Asphalt pavement repair, asphalt planing, pre-leveling, pavement reinforcement mesh, HMA pavement overlay, pavement markings, ADA ramps demolition and reconstruction, installation of new water main line with service connection, abandonment of existing water main, demolition of existing and installation of a new traffic signal with vehicle detection systems, pavement marking, and traffic control DOR Tax Information *Right-click on the total field and select Update Field to auto-calculate. Contract Amount $1,652,864.55 Liquidated Damages $ 0.00 Additions (+)$82,850.00 Amount Disbursed $1,748,168.81 Reductions (-)$45,897.95 Amount Retained $ 0.00 Sub-Total*$1,689,816.60 Other $ 0.00 Sales Tax Amount $58,352.21 Sales Tax Rate If multiple rates, attach a list. 9.00% TOTAL*$1,748,168.81 TOTAL*$1,748,168.81 These two totals must be equal. Apprentice Utilization Information Was Apprentice Utilization Required? If yes, complete this entire section. Engineer’s Estimate $ 0.00 Utilization % 1.76%Was a Good Faith Effort approved? Comments The Disbursing Officer must submit this completed notice immediately after acceptance of the work done under this contract. NO PAYMENT SHALL BE MADE FROM THE RETAINED FUNDS until receipt of all release certificates and affidavits. Submitting Form: Submit the completed form by email to all three agencies below. Employment Security Department Registration, Inquiry, Standards & Coordination Unit (360) 890-3499 publicworks@esd.wa.gov Addendum A: Please List all Subcontractors and Sub-tiers Below This addendum can be submitted in other formats. Provide known affidavits at this time. No L&I release will be granted until all affidavits are listed. Subcontractor’s Name:UBI Number: (Required)Affidavit ID* APPLY-A-LINE LLC 600553941 1120547 COMBINED CONSTRUCTION INC 603119288 1083213 DELMAR CONCRETE CTNG&CRNG LLC 603490906 1116161 GOLDEN GATE CONSTRUCTION LLC 604239453 1116387 GROUND UP ROAD CONST INC 602790246 1116693 MILES SAND & GRAVEL COMPANY 171004760 1116188 MILES SAND & GRAVEL COMPANY 171004760 1116184 MILES SAND & GRAVEL COMPANY 171004760 1089811 MILES SAND & GRAVEL COMPANY 171004760 1116189 O-CO CONCRETE CONSTRUCTION LLC 603560682 1116214 OLSON BROTHERS PRO-VAC LLC 602170975 1116800 R V ASSOCIATES INC 600437848 1100151 W. E. COATES SURVEYING, LLC 602746960 1115130 Contract Release(855) 545-8163, option # 4 ContractRelease@LNI.WA.GOV August 4, 2022 ESD# 000596637000 UBI# 602870349000 MILES RESOURCES LLC 400 Valley Ave NE PUYALLUP,WA-98372 BREMERTON, CITY OF Employment Security Department hereby certifies those contributions, penalties and interest due from the above named contractor under the Employment Security Act have been paid in full or provided for with respect to the following public works contract: Description 6th Street Pavement Preservation Phase II Contract number 315021/4547 The Employment Security Department hereby certifies that it has no claim pursuant to RCW 50.24.130 against the public body named above for tax attributable to service performed for said public body by the above named contractor on the above described contract. The Employment Security Department releases its lien on the retained percentage which is provided by RCW 60.28.040 for contributions, penalties and interest due from said contractor. This certificate does not release said contractor from liability for additional contributions, penalties and interest which may be later determined to be due with respect to the above mentioned contract. If we may be of further assistance, please call (360) 890-3499 or email publicworks@esd.wa.gov EMPLOYMENT SECURITY DEPARTMENT