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Home My WebLink AboutPW06-049 - Change Order - #1 - Earth Tech Inc - S 288th Street Corridor Projects - Construction Coordination Support Services - 12/15/2006 — Records Maanag�'e` rnent KENT - -_- Document WA5HiNGTON [ I T ma fs [ � `b�r-pk'tit g CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed, if you have questions, please contact Mary Simmons, City Clerks Office. Vendor Name: Earth Tech Inc. Contract Number: PCJ0(0- 0`•( q This is assigned by Mary Simmons Vendor Number: Project Name: S. 228th St. Corridor Contract Effective Date: Date of the Mayor's signature Contract Termination Date:March 31, 2007 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Pete Tenerelli Department: Engineering Abstract: Extend the time for completion for proiect coordination services. ADCL7832 07/02 40000 KENT CHANGE ORDER NO. 1 NAME OF CONTRACTOR, CONSULTANT, OR VENDOR Earth Tech Inc ("Contractor") CONTRACT NAME &PROJECT NUMBER: S 228th St. Corridor Proiect Coordination Services ORIGINAL CONTRACT DATE. May 11, 2006 This Change Order amends the above-referenced contract; all other provisions of the contract that are not inconsistent with this Change Order shall remain in effect For valuable consideration and by mutual consent of the parties, the project contract is modified as follows: 1. Section I of the Agreement, entitled"Description of Work," is hereby modified as follows: Provide all labor, materials, and equipment necessary to: No change is necessary to the description of work, however a change order is necessary to extend the time for completion to March 31, 2007. 2. The c ontract amount and time f or p erformance p rovisions o f S ection I I "Compensation," and Section III, "Time for Completion," are hereby modified as follows. Original Contract Sum, $909000.00 including applicable alternates and WSST. Net Change by Previous Change Orders $0.00 (incl applicable WSST) Current Contract Amount $90,000.00 (zncl Previous Change Orders) Current Change Order $0.00 Applicable WSST Tax on this Change Order $0.00 Revised Contract Sum $90,000.00 (no change) Original Time for Completion 12/31/06 (insert date) Revised Time for Completion under 0 prior Change Orders (insert date) Days Required ± for this Change Order 90 calendar days Revised Time for Completion March 31, 2007 (insert date) Pursuant to Section XIII F , entitled "Changes," of the Contract executed by the parties, the Contractor accepts all requirements of this Change Order by signing below Also, pursuant to the above-referenced contract, Contractor agrees to waive any protest it may have regarding this Change Order and acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order,including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this contract modification, which is binding on the parties of this contract. 3. The C ontractor will adjust the amount o f i is p erformance b and (if any) f or this p roj ect to b e consistent with the revised contract sum shown in section 2, above IN WITNESS, the parties below have executed this Agreement, which will become effective on the last date written below. CONTRAC CITY OF KENT: By: By: (segnalur (signature) Print Name 8�un K✓s SG� Print N e: Su to Cooke Its Viez nsi �i•-� f Its Mayor (1 ode/ Title // DATE /Z foblz006, DATE:_/� AP P OVED AS TO FORM: 1 ent aw Dapa ent Earth Tech-228th Project Coordination COUTenereth CONTRACT MODIFICATION-2 OF 2 MARSH CERTIFICATE OF INSURANCE _ CERTIFICATE NUMBER LOS-000513364-17 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh Risk&Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE License# 0437153 POLICY THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE 777 S Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN Los Angeles,CA 90017-5822 COMPANIES AFFORDING COVERAGE Attn Helen Shamma(213)346-5530 Fax(213)346-5886 - COMPANY 8880-ETECH-PL-06/07 ATTPL 98004 12 06 A American Home Assurance Company INSURED COMPANY EARTH TECH,INC B WORKERS COMPENSATION,SEE ATTACHED SCHEDULE 10800 N E 8TH STREET,7TH FLOOR BELLEVUE,WA 98004 COMPANY C LLOYD'S OF LONDON COMPANY D NIA COVERAGES This certificate supersedes and replaces any previously Issued certificate for the policy period noted below. THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRAC—CR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDIYY) DATE(MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL5759120 i10/01/06 10/01/07 PRODUCTS-COMPIOPAGG $ 1,000,000 CLAIMS MADE � OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Anyone fire) $ 1,000,000 MED EXP An one erson $ 10,000 A AUTOMOBILE LIABILITY CA 5836482(AOS) 10/01/06 10/01/07 COMBINED SINGLE LIMIT $ 1,000,000 A X ANYAUTO CA 5836481 (MA) 10/01/06 10/01/07 A ALL OWNED AUTOS CA 5836480(TX) 110/01/06 10/01/07 BODILY INJURY $ A I SCHEDULEDAUTOS CA 5836479(VA) 10/01/06 10/01/07 (Per person) X HIRED AUTOS BODILY INJURY $ X (Per acudent) NON-0W N ED AUTO$ PROPERTY DAMAGE $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X WC LIMITS OTH.EMPLOYERS LIABILITYER A SEE PAGE TWO 10/01/06 10/01/07 EL EACH ACCIDENT $ 1,000,000 B I THE PROPRIETOR/ INCL SEE PAGE TWO 10/01/06 10/01/07 EL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERSIEXECUTIVE OFFICERS ARE EXCL EL DISEASE-EACH EMPLOYEE 1$ 1,000,000 C OTHER OF 054306-SIR$50,000(PL) 10/15/06 10/15/07 Per Claim Professional Liability Aggregate 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS S 228th Street Corridor Project Coordination CITY OF KENT(IS/ARE)NAMED AS ADDITIONAL INSURED FOR GL&AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED CL^RTIFICATE-HOLDER' CANCELLATION SHOULD ANY OF THE POLCIES DESCRIBED HEREN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL lA DAYS WRITTEN NOTICE TO THE CITY OF KENT ENGINEERING DEPARTMENT CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NONCE SMALL IMPOSE No OBLIGATION OR ATTN Nancy Yoshitake 220 4TH AVE SOUTH LIABILRY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVES OR THE KENT,WA 98032 ISSUER OF THIS CERTIFICATE MARSH USA INC BY Michael J Vizio MM1(3102) VALID AS OF' 12/13/06 DATE IMMIDDIYY) ADDITIONAL INFORMATION Los-000513364-17 12/13/06 PRODUCER COMPANIES AFFORDING COVERAGE n M i Marsh Risk&Insurance Services COMPANY License# 0437153 777 S Figueroa Street E Los Angeles,CA 90017-5822 Attn Helen Shamma(213)346-5530 Fax(213)346-5886 COMPANY F 58880-ETECH-PL-06/07 ATTPL 98004 12 06 INSURED COMPANY EARTH TECH,INC 10800 N E 8TH STREET,7TH FLOOR G BELLEVUE,WA 98004 COMPANY H TEXT WORKERS COMPENSATION COVERAGE 1 0101/06-1 0101/07 INSURANCE POLICY# STATE (A)AMERICAN HOME ASSURANCE CO CA WC 2920280 (A)AMERICAN HOME ASSURANCE CO DE WC 2920285 (A)AMERICAN HOME ASSURANCE CO FL WC 2920287 (A)AMERICAN HOME ASSURANCE CO NJ WC 2920290 (A)AMERICAN HOME ASSURANCE CO PA WC 2920291 (B)NATIONAL UNION FIRE INS CO NV WC 2920283 (B)NATIONAL UNION FIRE INS CO OR WC 2920284 (B)ILLINOIS NATIONAL INS CO IL WC 2920286 (B)ILLINOIS NATIONAL INS CO MI WC 2920289 (B)INS CO STATE OF PA AR,MA,TN,VA WC 2920288 (B)NEW HAMPSHIRE INS CO NY,WI WC 2920282 (B)Al SOUTH INSURANCE CO GA WC 2920281 (A)AMERICAN HOME ASSURANCE CO ALL OTHER STATES WC 2920292 CERTIFICATE HOLDER CITY OF KENT ENGINEERING DEPARTMENT ATTN Nancy Yoshltake 220 4TH AVE SOUTH KENT,WA 98032 MARSH USA INC BY Page Michael J Vlzio THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ENDORSEMENT# This endorsement,elfectr4e 12 01 A,M 10/01/2006 forms a part of Policy No GL 575-91-20 issued to C+tnne Management Corporation Ey American Home Assurance Company ADDITIONAL INSURED-WHERE REQUIRED UNDER CONTRACT ORAGREEMENT This endorsement moVies insurance provided under the fotiownV COMME 2CtALGENERAL LIABILITY CCtv'EAAGE FORM Section If-Who is an Insured,I., is amended to add, f) Any person or organization to whom you become obligated to include as an additional Insured under this policy, as a result of any contract or agreement you enter into which requires you to rumrsh insurance to that person or organization a the type provided by this policy,but only with respect to Inability arising out Y your operations or premises owned by or rented to you However,the insurance provided will not exceed the lesser of 1 The coverage and/or limits ofthis policy, or 2 The coverage and/or limits required g q by said contract or agreement 61712 (9101)