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HomeMy WebLinkAboutPW06-050 - Change Order - #2 - The Eastman Company - 116th Avenue SE Improvement Project - 5 Additional Updated Appraisals M1 irY aY a Records Mana` gement ',,11 KENT Document wAsH,NGTON �„ 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: The Eastman Company Contract Number: This is assigned by Mary Simmons Vendor Number: YwO (o' 02Sd Project Name: 116th Avenue SE Improvements Contract Effective Date: December 5, 2006 Contract Termination Date:February 28, 2007 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Mark Madfai Department: Engineering Abstract: Attend additional meetings and extend the completion date of the contract. ADCL7832 07/02 • KENT � wnsHHoror CHANGE ORDER NO. 2 NAME OF CONTRACTOR, CONSULTANT, OR VENDOR The Eastman Company ("Contractor") CONTRACT NAME &PROJECT NUMBER: 116th Avenue SE Improvements ORIGINAL CONTRACT DATE March 7, 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: Additional meetings are required for this project. 2. The c ontract a mount and t ime f or p erformance p rovisions o f S ection I I "Compensation," and Section III, "Trine for Completion," are hereby modified as follows Original Contract Sum, $8,700.00 including applicable alternates and WSST. Net Change by Previous Change Orders $4,000.00 (zncl applicable WSST) Current Contract Amount $12,700.00 (incl Previous Change Orders) Current Change Order $2,000.00 Applicable WSST Tax on this Change Order $0.00 Revised Contract Sum $149700.00 Original Time for Completion December 31, 2006 (insert date) Revised Time for Completion under 0 prior Change Orders (insert date) Days Required ± for this Change Order 59 calendar days Revised Time for Completion February 28, 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 w ill a dj ust t he a mount o f i is p erformance b and (if a ny) f or t his p roj ect t o 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. CONTRACTOR: CITY OF KENT: 64J#'(� By: �� -* Imo- By. (s'gnnture ���(��� (signature) Print Name- U� Print Name. Larry Blanchard Its —b At,trs� y per! Its Director of Public Works (Title) (/�itle/ DATE- f l��0 AL DATE: Ja / !` APPROVED AS TO FORM: Kent Law Department Eastman Co-116th Update CO2/Madfat CONTRACT MODIFICATION-2 OF 2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lovsted-Worthington LLC HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 625 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bothell WA 98041 'ohone: 425-486-1291 Fax:425-486-6140 INSURERS AFFORDING COVERAGE NAIC# ,URED INSURER American States Insurance G2 .'. *j•rya -- _, ,JNSURERB continental Casualty Company LLC dba The Eastman Company- uvSuREn C 1155 N. 130th St. Suite 304 INSURER Seattle WA 98133 4 v INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH l ESkCT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ITISRDO POLICY EFFECTIVE 'POLICY EXPIRATION LTR iNSRd TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X kX'Z "Ottolp MMERCIAL GENERAL LIABILITY 02BO826534-8 09/14/06 09/14/07 PREMISES Eaoccurence) $ 1,000,000 CLAIMS MADE F OCCUR MED EXP(Any one person) $ 10,000 Cap Liab PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 1,000,000 POLICY D JEOT 0 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 A ANY AUTO 02BOS26534-8 09/14/06 09/14/07 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NO"WNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ t �] AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS X ER A EMPLOYERS'IJABILITY ANY PROPRIETOR/PARTNER/EXECUTNE 02BOB26534-8 09/14/06 09/14/07 ELEACHACCIDENT $14,000,000 OFFICERIMEMBER EXCLUDED? Ill UWrEAS LIABILITY ONLY EL DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under -- SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $1 00D,DOO OTHER B Professional RNP13324108804 09/15/06 09/15/07 E 6 0 Cov 1,000,000 ILiability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: 116th Avenue SE Street Improvement Project, Kent, WA. Certificate holder is Additional Insured as respects the operations of the Named Insured per BP7057 attached. CERTIFICATE HOLDER CANCELLATION CITYKEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI City of Kent, Dept. of DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEI Engineering NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHAL Nancy Yoshitake 220 4 th Ave. S. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Kent WA 98032-3994 REPRESENTATIVES AUTHORIZED REP,RESEEATIV�VVE 0 G ACORD 25(2001108) _J�rr ©ACORD CORPORATION 19 r t Insurance susr Bp 70 5 07R02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1 T CARIEF'u'LLY. ADD IT!00P�AL IiveuREC — 0ESIGi f,T�u PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: BUSINESSOWNERS COVERAGE FORM —Section II — Liability SCHEDULE* Name of Person or Organization: CITY OF KENT WHO IS AN INSURED (Section C) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you * Information required to complete the Schedule, if not shown on this endorsement, will be shown in the Declarations. Salem 0and The Safeco logo are trademarks of Safeco Caporauon BP 70 57 07 02 EP