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Contract Number 4453
Vendor Name COATING APPLICATORS INC
tSubject RESERVOIR NO 15 - INTERIOR COATING REPLACEMENT
~Department ENGINEERING
+Status Code CON
Amount $137922.00
Begin Date 09/01/2004
Insurance End Date 11/30/2004
Type Amount Review Date 02/15/2007
+ Press F1 for GL $2000000.00
+ valid insurance
+ type codes
Insurance Total $2000000.00
Insurance Review Date 07/01/2005
+
Comments CHANGE ORDER #1-9/04
VAULT 01/01/2007
/ Verify Workers' Comp Premium Status - Employer Liability Certificate Page 1 of 1
Washington State Department of ~ Employer Liability
Labor and Industries ~ Certificate
Department of labor and Industries
Employer LJabtltt~ Cer~fica~e
Date: 12/30/2004
UBI #: 601 418 566
Business Name: COATING APPLICATORS INC
Legal Business Name: COATING APPLICATORS INC
Account #: 831,976-00
'Doing Business As' Name: COATING APPLICATORS INC
Quarterly Premium Reports: Quarter 3 of Year 2004
Workers' Comp Premium Status: Account is current. Firm has votuntaHly reported and
paid their premiums.
Licensed Contractor? Yes
Account Representative: T7 / ADRIANNE PIT~S (360)902-5596
Iodusb'ial Insurance Inform~Uon
The information above shows tho emp[oye~'s industri&t insurance (workers' compensation) premium status w~th the Department of
Labor and Industries.
Emptoyers report and p~y premiums e~ch quart, et' I~sed on hours of emptoyee work atre~dy performed, and are tiabte for
premiurn~ found t~cer to be due. Industriat insurance accounts h~ve no poticy periods, cancettatfon dates or timitations of
co'~ra~.. (See RCW 51.12.050 and 5'1.16.190.)
https ://fortress.wa. gov/l ni/crpsi/AcctlnfoPrint, aspx?&AccountId=83197600&AccountMa... 12/30/2004
Sta~ of Washing~n
Depat~n~nt of R~venue
PO Box 47474
E~ENUE Olympia WA 98504-7474
Contractor's Registration No. (UBI No.) ~:7~/~ ~.
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From:
.,~ Date A~i~ncd
Notice is hereby given rela~ve to the compl~on of contract or p~ject desc~bed below
De~n of Con~~ Con.ct Nm~r
~ or's N~e // ~leph~e N~r
Date Work Commenc~ Date Wo~ Completed/' : t'e[ Date' Work]~e~' -'
Additions /~ ~ :Z~ ~o~t R~in~
Reductions --- TOT~ $
(lf vario~ rates app., ple~e se~ a brea~o~.)
T~e or Print N~e (~ t . ,, "~-~ - -:~ -
Phone N~r ~:-~ _ :/Sm./. ~
~e Disb~ing O~c~ must complete ~d mail THeE copies of~is notice to ~e ~m~t of Rev~e, P.O. Box
47474, Olympia, WA 985~-7474, immediately a~er ack.ce of the work done ~d~ ~is contract. NO PA~ENT
SHALL BE MADE FROM RETA~ED F~DS ~til r~eipt of Dep~m~t's c~ificate, ~d ~en only in ~cor~ with
said ce~ificate.
To inquire about the availability of this document in ~ alternate fo~at for the vis~lly i~paired or a l~g~ge other th~ English,
please call (360) 753-3217. Teletype (TTY) usem may call (800) 451-7985. You may al~ access tax info~ation on our lntemet home
page at hup://dor.wa.gov.
Washington State
Department of Revenue
PO Box 47474
Olympia, WA 98504-7474
601 418 566
Certificate of Payment of State Excise
Taxes by Public Works Contractor
COATINGS APPLICATORS INC CITY OF BREMERTON PUBLIC WORKS
8817 176TH ST NW DAN MILLER
STANWOOD WA 98292 6764 3027 OLYMPUS DR NE
BREMERTON WA 98310 4799
We hereby certify that taxes, increases and penalties due or to become due from the above-named
contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works
contract:
CITY OF BREMERTON PUBLIC WORKS
4453, RESERVOIR #15-INTERIOR COATING REPLACE
together with all other taxes, increases and penalties due from such contractor, have been paid in full or that
they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained
percentage.
This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the
sole purpose of infomaing the state, county, or municipal officer charged with the duty of disbursing or
authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases
the state's lien on the retained percentage provided by this Chapter for excise taxes due from said contractor.
This certificate does not release said contractor from liability for additional tax that may be later
determined to be due with respect to the above-mentioned contract or other activities.
Dated ~er_t~ ~ 9.~t04t- at Olympia, Washington, RECEIVED
DEC 3 0 200~
State of Washington
Department of Revenue DEPT OF PUBLIC
WORKS AND UTILITIE
Certifying Officer U'
To inquire about the availabiliiy of this document in an alternate format for the visually impaired or in a language other than English, please call (360) 486-2342.
TrY users may call 1-800-451-7985.
REV 31 0028 (10-01412) ROUTING: Disbmsing Officer, Contractor, File, Spe~ml File
STATE OF WASHINGTON [~ I/ :..~'t
EMPLOYMENT SECURITY DEPARTMENT
PO Box 9046 · Olympia, WA 98507-9046
CONTRACTOR: COATINGS APPLICATORS INC ) CERTIFICATE OF
8817 176TH ST NW ) PAYMENT OF CONTRIBUTIONS
STANWOOD, WA 98292 ) PENALTIES AND INTEREST ON
) PUBLIC WORKS CONTRACT
ES Reference No. 755142-00 1
TO: CITYOF BREMERTON PUBLIC WORKS - DAN MILLER
3027 OLYMPUS DR
BREMERTON, WA 98310
The 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:
4453
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.
Dated at Olympia, Washington on November 23, 2004.
COMMISSIONER
EMPLOYMENT SECURITY DEPARTMENT
~((-~A~~ re,' e n~v~)~
Original--Disbursing Officer
Duplicate--Employer
Triplicate--Central Office Files
EMS 8449 760 R3-98
DeparimentofLabor and Industries ~ AFFIDAVIT OF WAGES PAID
Prevailing Wage ~-~'0/7_ ?
(360) 902-s33s T/l~9 . ~ Public Works Contract
www.lni.wa.gov/~ng~e $25,00 Filing F~ Requir~
· ~s fo~ must be ~cd or p~nted in i~.
· Fill in ~l bl~s or fo~ will bc rc~m~ for co~ec6on (sec back}. RF.~VOTR
· Plebe allow a min~um of 10 working days for processing. Con.ct AwaMing Agency (public agency not fcdcr~ or p6vate)
Con~ctor, comply or agency name, address, ci~, state & ZIP + 4 ~27 O~S
~, ~ 9831~2314
Company name, address, city, state, ZIP+4 Indicate total dollar amount
I COA~IiqG APPLICA'I'OR~t 13IC. of your coniract $137 ~ 922.1X)
8817 176'11t ~ h~ I hereby certify that the above information is correct and that all
workers I employed on this Public Works Project were paid no
less than the Prevailing Wage Rate(s) as determined by the
S~IX~D, ~ 98292 Industrial Statistician of the Department of Labor and Industries.
Contractor Registration No. UBI Title
(X)AT ]~aJ. 08 ~ 601-418--566 P~
Email address Phone number
CERTIFIED: Department of Labor and Industries Issued By:
qECEiVED
OCT 2 8 ZOO4
By
· Department of Labor and Industries STATEMENT OF INTENT TO
Prevailing Wage / I~G t"-~x'-~ {~?~ PAY P~V~LING WAGES
(360) 902-5335 ~~
www.lni.wa, gov/p~vailing wage Pubfic Works Con~aet
$25.00 Filin9 F~ R~quir~
· This fo~ must be ~ed or printed in ~. P~j~t N~e Con~t
' Fill ~ ~1 bl~ or fo~ will be re~ed for co~ection (see back). ~VOIR ~. 15 ~r~ffi ~T~
· Plebe allow a m~um of 10 worhng days for processing. Contact Awning Agency (public agency - not fede~ or private)
CI~ O~ ~
'ConWactor, company or ag~cy name, address, city, state & ZiP + 4 3027 OL~ ~,
Ci~ State ZIP + 4
~AT~ ~PLI~ ~. ~, ~ ~31~7~
Awing Agency Project Con.ct Pe~n Phone
~17 176~ ST ~ D~ MILL~ ~ )473-2314
~ / 02 / ~ ~ /26
~AT~ ~PLI~, I~ ~AT~ ~ w~ ~ No ~ Yes ~No
P~r~ $ ~. 77 ...... Q 2
,
Company name, address, city, state, ZIP+4 Indicate total dollar amount
OOATING i%~PLI~IL'II~[t~, ~ of¥ourcontract $ 117,288.00
IJ~17 176'Igd ST~ I hereby certify that the above information is correct and that all
workers I employ on this Public Works Project will be paid no
less than the Prevailing Wage Rate(s) as determined by the
Sl/a'~l:X~, ~ 98292 Industrial Statistician of the Department of Labor and Industries.
Co01418-5f:~ Signaturere~
Contractor Registration No. UBI Title
COATIAI085QT pRK~Tni~,IT '-~ ,/~,~,~ , ,
Emailaddress Phone number ~L f lin ~ /
F~ El U~ Oaly
/"~APPROV£D: Department of Labor and lnduslrics
Issued
By:
immL STilT ~ 13'0~
By
laduslrial
Statisti¢i~
After APPROVAL. send white coov to Awardin. Auencv.
F700-029-000 statement of/ntent to pay p~evailing wages 2-02 Canary copy - L&I
FINAL WAIVER OF LIEN
To All Whom it May Concern:
WHEREAS, the undersigned has been employed by (A) Co~t-in~_ _App_ licator$~ Inc-
to furnish labor and materiels for (B) Ro.~rvoir No. 15 InterAor Coating, Replacement
work,
under a contract (C) Cc:'.tract ~
for the improvement of the premises described as (D)~-,~-,~
Reservoir No. 15
in the (City-Village) of ~r_-~,~__--+__,3
County of Kit:~d[~ State of ~-~-~ ~--~,
of which
is the Owner.
NbW, THEREFORE, this ,,~.~4-~. day of (~)
for and in consideration of the sum of {E) S 137,922.00
Dollars paid simultaneously herewith, the receipt whereof is hereby acknowledged by the undersigned, the undersigned does
hereby waive and release any lien rights to, or claim of lien with respect to and on said above-described- premises, and the improve-
ments thereon, and on the monies or other considerations due or to become due from the owner, on account of labor, services,
material, fixtures, apparatus or machinery heretofore or which may hereafter be furnished by the undersigned to or for the above-
described premises by virtue of said cohtract
(F) C~tinq ~lic~tors~ Inc. (SEAL)
(Name of sole ownership, corporation or partnershlp)
(Affix corporate ~t~ (SEAL)
seal here) (Signature of Aut~orl-'~f~q3~Representative)
President,
TITLE:
INSTRUCTIONS FOR FINAL WAIVER
(A) Person or firm with whom you agreed to furnish either labor, or services, or materials, or both.
(B) Fill in nature and extent of work; strike the word labor or the word materials if not in your contract.
(C) if you have more than one contract on the same premlses~describe the contract by number if available, date and extent of work.
(D) Furnish an accurate enough description of the improvement and location of the premises so that it can be distinguished from any other property.
(E) Amount shown should be the amount actually received and equal to total amount of contract as adjusted.
(F) If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if
waiver is for a partnership, the partnership name should be used, partner should sign and designate himself as partner.
STATE OF WASHINGTON
COUNTY OF KITSAP
I, Christine Nelson, being first duly sworn on oath, deposes and says: That she is now, and at all times
embraced in the publication herein mentioned was the principal clerk of the printers and publishers of THE
SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Comt of the
County of Kitsap, in which County it is published and is now and has been for more than six months prior
to the date of the publication hereinafter referred to, published in the English language continually as a
daily newspaper in Bremerton, Kitsap County, Washington, and is now and during all of said time, was
printed in an office maintained in the aforesaid place of publication of said newspaper; November 8~, 2004
and that such newspaper was regularly distributed to its subscribers during all of said period. That the full
mount of the fee charged for the foregoing publication is the sum of $ 36.42 which amount has not been
paid in full.
~ ~-" ooTA'9~- "?~ (Signature of Principal Clerk)
-- : MAYo, 2008
Sub~C~b~.d aaA swor~ to b~fc~e me this day of November 15 , 2004.
~-. uBt_\ ,kO~
~¢""' '""e'~
CITY OF BREMERTON'
NOTICE OF FINAL COMPLETION'
Notice of final completion has been filed with the City of Bremerton on Friday November 5, 2004 by
Coating Applicators, Inc, Stanwood, Washington for contract No. 4453 - Reservoir 15, Interior Coating
_Replacement located at 1925 NE Cheryl Street, Bremerton, Washington.-
Any parties having a claim for materials, labor or damages with reference to this contract have thirty (30)
days from the date of publication of this notice to file a claim.-
Purchasing Division-
345 6th Street, Suite #600-
Bremerton, WA 98337-
November 8, 2004o.#100129748-
Notice of.tlrast completion has bse~ film/with
~o0~City of Bxemerton on Fd~ay November 5,
by.CoaU~ ~.~ca~s. fnc, stanwo~, !
lWs.a~lngton for contract No. 4453 - ReserVOir
1925 NE Cheil Street, 8~emerton, Washln~
Any .o~de~ t~ i1 clalm f~r rnatmla~, I~ber
pr ~a~es wire reference mbhis contract
~ ~l~b/(30) days from ~e date of publica-
AFFIDAVIT OF PUBLICATION
No. Ad # 100129748
STATE OF WASHINGTON
COUNTY OF KITSAP
I, Christine Nelson, being first duly sworn on oath, deposes and says: That she is now, and at all times
embraced in the publication herein mentioned was the principal clerk of the printers and publishers of THE
SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the
County of Kitsap, in which County it is published and is now and has been for more than six months prior
to the date of the publication hereinafter referred to, published in the English language continually as a
daily newspaper in Bremerton, Kitsap County, Washington, and is now and during all of said time, was
printed in an office maintained in the aforesaid place of publication of said newspaper; November 8* , 2004
and that such newspaper was regularly distributed to its subscribers during ali of said period. That the full
mount of the fee charged for the foregoing publication is the sum of $36.42 which amount has not been
paid in fall.
..- &..' -..o~¢
ff -k~..' oOTgoj~ '.].~.~. (Signature of Principal Clerk)
Subscril~tm~dt~f[ ~fo~e r~ this day of December 6~, 2004.
%/ WA$'¢ ~:,x'~ ,
CITY OF
NOTICE OF ~'~AL COM~LE'~[ON'
Notice of final completion has been filed with the City of Bremerton on Friday November 5, 2004 by
Coating Applicators, Inc, Stanwood, Washington for contract No. 4453 - Reservoir 15, Interior Coating
Replacement located at 1925 NE Cheryl Street, Bremerton, Washington.-
Any parties having a claim for materials, labor or damages with reference to this contract have thirty (30)
days from the date of publication of this notice to file a claim.-
Purchasing Division-
345 6th Street, Suite #600-
Bremerton, WA 98337-
November 8, 2004*°#100129748-
· Department of Labor and Industries ~ AFFIDAVIT OF WAGES PAID
Prevailing Wage ~j
(360) 902-5335 / Public Works Contract
www.lni.wa, gov/prevafing $25.00 Filing Requir
· ~is fora must be ~ed or p~ted in i~. Proj~t Nme Con~t
' Fill in all bl~s or fo~ will be returned for co~ection (see back). RF.q~gO~ ~. 15 ~r~I~ ~
· Please allow a minimum o f 10 working days for processing, Con,ct Awning Ag~cy (public agency - not feder~ or private)
Con,actor, comply or agency name, address, ciW, state & Z1P + 4 3027 OLdS ~I~
Ciw Sram ZIP + 4
~17 176~ 8~ ~ Coun~whe~workw~ffom~ Ci~whemwo~w~ffo~ad
ST~, WA ~292
~ ~2 ~ 08 / 26
~AT~ ~PLI~, ~. ~~ 10 ~2 /~ ~ /13
PA~r~ 2 3~.8~. [ $~.77 0
I Indicate total dollar amount
Comlmny name, address, city, state, ZIP+4 /of your contract $137,922.00
COATJ/~G APPLICATORBt llqC. ~ __ __
/ 1 hereby certify that the above information is correct and that all
8817 176TH ST l~ / workers I employed on this Public Works Project were paid no
/less than the Prevailing Wage Rate(s) as determined by the
ST~, WA 98292 / Industrial Statistician of the Department of Labor and Industries.
Contractor Registration No. UBI Title
COATIAIO85QT 601-418-566 PRESIIlffi~
Email address Phone number
CERTIFIED: Department of Labor and Industries Issued By:
By
Industrial Statistician
After APPROVAL. send white cony to Awardin~ A~encv.
F700-007-000 affidavit of wages 2-02 Cansry copy - L&I
· Depar~em of Labor and Industries STATEMENT OF INTENT TO
Prevailing Wage / I/3 ¢'-7~'-~ (~ PAY PREVAILING WAGES
(360) 902-5335 ~-~,~,~{~/'/-- Public Works Con~act
www.lni.wa.gov/prevailing wage $25.00 Filing Fee Required
· This fora must be ~ed or pnnted in ~. Project N~e Con,act
' Fill in all bl~s or fora will be re~med for co~ection (see back). ~OIR
· Ple~e allow a m~um of 10 wor~g ~ys for processing. Con.ct Awarding Agency (public agency - not feder~ or pfiva~)
( APPRO~D ~ORM WILL BE ~ILED TO THIS ADD'SS ~ ) ~a~ss
'Con~ctor, comply or agency name, address, ci~, state & ZIP + 4 ~27
ci~ State zip + 4
Company name, address, city, state, ZIP+4 Indicate total dollar amount
I2OATING APPLIC~'IX)R~, ~ ofyourcontract $ 117,288.00
hereby certify that the above information is correct and that all
~.].7 I~T~ ST ~ workers I employ on this Public Works Project will be paid no
less than the Prevailing Wage Rate(s) as determined by the
STA~WOOD, WA 98292 Industrial Statistician of the Department of Labor and Industries.
Contractor(2OA~IAI085(~ Registration No. UB~:~01_418._566 Title pR F. qT~ Signature,~.~_' ~ _ :-
Email address I Phone nom~ ~ [lttl~tF~tL&tlJ~ly~),.~y
(~60 )65~)--5209 heckNumber:l t rtl ~ Amount:
APPROVED: Department of Labor and Industries ssued By:
l~mI~_ sm: SEP 13'04
By
lndusthal Statistician ~' ~x. J
After APPROVAL. send white cony to Awardin. A~enev.
F700-0294100 statementofintenttopayprevailing wages 24)2 Canaryeopy-L&i
FINAL WAIVER OF LIEN
To All Whom It May Concern:
WHEREAS. the undersigned has been employed by (A) Coatinq _~_ licatorst Inc-
to furnish labor and materials for (B) R~s~r~zoir No. 15 Interior Coati~:J Replacement
under a contract (C) ~w~tract ~ dd53
for the improvement of ~e premises described as (D)z~' ~= ,~'~ ~,zI_~. ............ et oo~ Ws
Be~o~ ~- ~5
~n the_ (Gitv-Village) of 9~
County of Ki~ , State of ~hinGton
of which
is the Owner.
N6W, THEREFORE, this ~ day of 0 ~0~ ~0 ~.,
for and in consideration of the sum of (E) S 137,922.~
Oolla~ paid simultaneously herewith, the receipt whereof is hereby acknowl~ged by the undersigned, the unde~igned does
hereby waive and releme any lien rights to, or claim of lien with res~ to and on said ahoy+describe-premises, and the improve-
material, fktures, apparatus or machine~ heretofore or which may hereafter be furnished by the undersigned to or for the above-
descried premises by vi~ue of sa~d contract.
(F) Coatinq Applicators, Inc. (SEAL)
(Name of sole ownership, corporation Or partnership)
(Affix corporate ~' (SEAL)
seal here) (Signature of Aut~orlz~Representative)
President,
TITLE:
INSTRUCTIONS FOR FINAL WAIVER
{A) Person or firm with whom you agreed to furnish either laboc or services, or materials, or both.
(B) Fil~ in nature and extent of work; strike the word labor or the word materials if not in your contract.
(C) If you have more than one contract on the same premises~describe the contract by number if available, date and extent of work.
(D} Furnish an accurate enough descrlption of the improvement and location of the premises so that it can be distinguished from any other property.
(E) Amount shown should be the amount actually received and equal to total amount of contract as adjusted.
(F) If wai~er is for a corporation, corporate name should be used, corporate seal affixed and tide of officer signing waiver should be set forth; if
waiver is for a partnership, the partnership name should be used, partner should sign and designate himself as pa~ner.
STATE OF WASHINGTON
COUNTY OF KITSAP
I, Christine Nelson, being first duly swom on oath, deposes and says: That she is now, and at all times
embraced in the publication herein mentioned was the principal clerk of the printers and publishers of THE
SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the
County of Kitsap, in which County it is published and is now and has been for more than six months prior
to the date of the publication hereinafter referred to, published in the English language continually as a
daily newspaper in Bmmerton, Kitsap County, Washington, and is now and during all of said time, was
printed in an office maintained in the aforesaid place of publication of said newspaper; November 8~', 2004
and that such newspaper was regularly distributed to its subscribers during all of said period. That the full
mount of the fee charged for the foregoing publication is the sum of $ 36.42 which amount has not been
paid in full.
,,,l,,,,,,/
__-'-¢:.-"¢oT, (Signature of Principal Clerk)
: 2 MAY4, 2008
Sub~Cb~d a~,4 swo~ to f:~fo~e me th~s day of November 15 , 2004.
CITY OF BREMERTON'
NOTICE OF FINAL COMPLETION'
Notice of final completion has been filed with the City of Bremerton on Friday November 5, 2004 by
Coating Applicators, Inc, Stanwood, Washington for contract No. 4453 - Reservoir 15, Interior Coating
_Replacement located at 1925 NE Cheryl Street, Bremerton, Washington.-
Any parties having a claim for materials, labor or damages with reference to this contract have thirty (30)
days from the date of publication of this notice to file a claim.-
Purchasing Division-
345 6th Street, Suite #600-
Bremerton, WA 98337-
November 8, 2004-#100129748
~Not~_.. of ~nal completion has been filed w~th
me [;rty oT Bremerton on Fdday November 5,.
~vaO~sh. bY CoaUng Appllcatom, Ir~ Stanwood,
.~shl~t~n for contract No. 4453 - Reservoir
· _o, I~or Coat, lng Replacement located at
1925 NE Che~jl Stmat, Bremerten, WaShing-
ton.
Any partied having a claim f~ materials, labor
or damages ~ reference to this contract
have thitl~ (30 days from the date of publica-
t/on of th s setlce to file a claim.
Purchasing Division
~, WA ~7
AFFIDAVIT OF PUBLICATION
No. Ad # 100129748
STATE OF WASHINGTON
COUNTY OF KITSAP
I, Christine Nelson, being first duly sworn on oath, deposes and says: That she is now, and at all times
embraced in the publication herein mentioned was the principal clerk of the printers and publishers of THE
SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the
County of Kitsap, in which County it is published and is now and has been for more than six months prior
to the date of the publication hereinafter referred to, published in the English language continually as a
daily newspaper in Bremerton, Kitsap County, Washington, and is now and during all of said time, was
printed in an office maintained in the aforesaid place of publication of said newspaper; November 8~h, 2004
and that such newspaper was regularly distributed to its subscribers during ali of said period. That the full
mount of the fee charged for the foregoing publication is the sum of $36.42 which amount has not been
paid in Pall.
,,,,.....,,, .,, -. .<
.-' ¢.-'
~ ~." xAOTAo,,~ ";T~--~ (Signature of Principal Clerk)
Subscnbedm~d~t~a ~f~'. ~e me th~s day of December 6 , 2004.
...... d
',, vv,,~o,' 9? ' ~ U U D
CITY OF BREMERTON'
NOTICE OF FINAL COMPLETION'
Notice of final completion has been f'fled with the City of Bremerton on Friday November 5, 2004 by
Coating Applicators, Inc, Stanwood, Washington for contract No; 4453 - Reservoir 15, Interior Coating
Replacement located at 1925 NE Cheryl Street, Bremerton, Washington.-
Any parties having a claim for materials, labor or damages with reference to this contract have thirty (30)
days from the date of publication of this notice to file a claim.-
Purchasing Division-
345 6th Street, Suite #600-
Bremerton, WA 98337-
November 8, 2004.-#100129748-