HomeMy WebLinkAboutPW06-212 - Change Order - #2 - Ace Iron Works - S 277th St Pedestrian Bridge - 05/07/2007 a
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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: Ace Iron Works
Contract Number: tow c.
j This is assigned by Mary Simmons
Vendor Number:
Project Name: S. 277th Street. Pedestrian Bridge
Contract Effective Date: Date of the Mayor's signature
Contract Termination Date: June 15 2007
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Nick Horn
Department: Engineering
Abstract:
Extend the time for completion to fabricate and install railing for the pedestrian bridge.
ADCL7832 07102
400
KENT
WASHONGTON
CHANGE ORDER NO. 2
NAME OF CONTRACTOR, CONSULTANT, OR VENDOR- Ace Iron Works ("Contractor")
CONTRACT NAME &PROJECT NUMBER: Public Works Agreement to fabricate and install railingon n the
S 277th Street Pedestrian Bridge.
ORIGINAL CONTRACT DATE- December 12, 2006
This C hange O rder amends the above-referenced contract and the March 3 0, 2007, Amendment and
Ratification of Consultant Services Agreement, all other provisions of the contract and amendment 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 further extend the time of completion to June 15, 2007
2. The c ontract amount and t ime for p erformance p revisions o f S ection I I "Compensation," and
Section 111, "Time for Completion," are hereby modified as follows.
Original Contract Sum, $49,691.00
including applicable alternates and WSST.
Net Change by Previous Change Orders $0.00
(incl applicable WSST)
Current Contract Amount $499691.00
(incl Previous Change Orders)
Current Change Order $0.00
Applicable WSST Tax on this Change Order $0.00
Revised Contract Sum $4%691.00
Original Time for Completion March 12, 2007
(insert date)
Revised Time for Completion under April 30, 2007
prior Amendment and Ratification
(insert date)
Days Required ± for this Change Order 46 calendar days
Revised Time for Completion June 15, 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 tlus contract
3. The C ontractor w ill a djust t he a mount o f i is p erformance b and (if any) for t his p reject 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:
B : m B
Y Y:
(signature) (signature)
Print Nan :�a d S Print N e. Suzette Cooke
Its t'J 1APZ I s Mayor
(Title) -'itle)
j DATE: Y{-ZEE—t?7 DATE: �/ 7/n7
APPROVED AS TO FORM:
K nt aw Der lent
Ace Iron Works-277th Railmg/Hom
CONTRACT MODIFICATION-2 OF 2
-` �����//�� r, ISSUEDAT€IMMIDDNY)
11�v�J�il/. stI— ' U. 7 :7tit tti h�� ' •� 1 0-9-06
Pao DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
William Baugh Insurance Agency POLICIES BELOW.
14400 Bel-Red Road 14t110 i COMPANIES AFFORDING COVERAGE
Bellevue , WA 98007 __ _ • �- - �_ - ----.------
(425) 641-0367 a °�=� COMPAlIYA
LETTER Nautilus Insurance Compaq
#• ° I ' A 8
INSURED LETTECOMPRNY Farmers Insurance Exchange
[ C . COMPANY c James Athan - LETTER
-
d b a: Ace Mobile Welding C_ ----
5701 196th AVE NE i�LETTER NYD
Redmond, WA 98053 COMPANYE
LETTER
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THJS IS TO CERTIFY THAT 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 RESP&CT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT O ALL THE TERMS,
OCCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
COTTR_ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION' LIMITS
LcO �� i I DATE(MM/DD/YY) I DATE(MM/DDfYY) I
GENERAL LIABILITY 41 I GENERAL AGGREGATE -})S l, 0 0 0 O Q O
X �COM CLAIMS MADE GENERAL]OCCUR! ! I PRODUCTS-COMPIOP AGG I;l / 000, 000
NC43103 5/10/06 5/10/07 P�ONAL&ADV INJURY ;1 --0.
_ _ -_
OWNEq'S&CONTRACTOR'S PROT ! EACH OCCURRENCE
t 'FIRE DAMAGE(Any One hre) S
I MED.EXPENSE(Any one person)'; 1 , 000
T vTOANYAUTOABTLITY � COMBINEDSINGLE 1 , 000, 000
A I LIMIT
03502 00 39 5/10/06 5/iO/O7 BODILY INJURYSCHEDULED AUTOS )(Per person)
LALLOWNEWAUTOS
HIRED AUTOSNON-OWNED AUTOB (ODILY dens)IzIi Y•Per eccldenl GARAGE LIABILITYPROPERTY DAMAGE ;
SS LIABILITY I EACH OCCURRENCE ;
UMBRELLA FORM AGGREGATE $ `
OTHER THAN UMBRELLA FORM
STATUTORY OMITS
WORKER'S COMPENSATION
EACH ACCIDENT ; `
AND DISEASE—POLICY LIMIT ;
EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE S
OTHER f
4i
I
DESCRIPTION OF OPERATIONWLOCATIONSFVEHICLEWSPECIAL ITEMS
Job # 88-3015.8
Certificate Holder is listed as Additional Insured
,7 City Of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
220 Fourth PiVO SOUtj1 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Kent, WA 98032 MAIL 3 00 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES,
AI.OTHORIZED REPRESENTATIVE ^
Ace Mobile Welding
NC43103
03502 00 39
COMMERCIAL GENERAL LIABILITY
CG 20 10 10 01
TMS ENDOPSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
L n T RQi�T13�s — S�I�E uU Ee PERSON OR QRGANiZ., ' i�aN
This endorsement modifies insurance provided under the following;
COMMERICAL GENERAT.LIABILITY COVERAGE PART
SCBEDUL.F
Name of Person or Organization:
City of Kent
220 Fourth Ave South
Kent, WA 98032
(If no entry appears above, information required to complete this endorsement will be
shown in the Declarations as applicable to this endorsement)
A. SECTION H—Who Is An Insured (1)All work, including materials,
Is amended to include as an insured parts or equipment furnished
The person or organization shown in in connection with such work,
The schedule, but only with respect on the project(other than service,
To liability arising out of your ongoing maintenance or repairs)to be
Operations performed for the insured. performed by or on behalf of the
additional insured(g) at the site
of the covered operationsbas
B. With respect to the insurance afforded been completed; or
To these additianal insureds, the following
Exclusion is added-
(2)That portion of"your work"out
of which the injury or damage
arises has been put to its intended
use by any person or
organization other than another
contractor or subcontractor
engaged in performing
operations for a principal as a
part of the same project.
CG 2010 10 01
3