HomeMy WebLinkAboutPW09-034 - Amendment - #1 - David Lanning - S 212th St BNSF Grade Separation - 03/17/2009 a'
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KENO WASHIHOTON " Document
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 City Clerk's Office.
Vendor Name: David Lanning
Vendor Number:
ID Edwards Number
Contract Number: Pwaa- 03`f
This is assigned by City Clerk's Office
Project Name: S. 212th St. BNSF Grade Separation Overcrossing
Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract
❑ Other:
Contract Effective Date: 3/17/09 Termination Date: 12/31/09
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Mark Madfai Department: Engineering
Detail: (i.e. address, location, parcel number, tax id, etc.):
Additional time is needed to complete the cost estimate for the project.
S Pub I lc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
KENT
W>S HINGTGN
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: David Lanning
CONTRACT NAME & PROJECT NUMBER:S. 212th Street BNSF Grade Separation Overcrossing
ORIGINAL AGREEMENT DATE: 1/22/09
This Amendment is made between the City and the above-referenced Consultant or
Vendor and amends the original Agreement and all prior Amendments. All other provisions of
the original Agreement or prior Amendments not inconsistent with this Amendment shall remain
in full force and effect. For valuable consideration and by mutual consent of the parties,
Consultant or Vendor's work is modified as follows:
1. Section I of the Agreement, entitled "Description of Work," is hereby modified to
add additional work or revise existing work as follows:
In addition to work required under the original Agreement and any
prior Amendments, the Consultant or Vendor shall:
Additional time is required to complete the cost estimate.
2. The contract amount and time for performance provisions of Section II "Time of
Completion," and Section III, "Compensation," are modified as follows:
Original Contract Sum, $5,730.25
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $5,730.25
including all previous amendments
Current Amendment Sum $0
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $5,730.25
AMENDMENT - 1 OF 2
Original Time for Completion 3/31/09
(insert date)
Revised Time for Completion under 0
prior Amendments
(Insert date)
Add'I Days Required (t) for this 275 calendar days
Amendment
Revised Time for Completion 12/31/09
(insert date)
In accordance with Section VII of the Agreement, the Consultant or Vendor accepts all
requirements of this Amendment by signing below, by its signature waives any protest or claim
it may have regarding this Amendment, and acknowledges and accepts that this Amendment
constitutes full payment and final settlement of all claims of any kind or nature arising from or
connected with any work either covered or affected by this Amendment, including, without
limitation, claims related to contract time, contract acceleration, onsite or home office overhead,
or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or
Vendor from strict compliance with the guarantee and warranty provisions of the original
Agreement.
All acts consistent with the authority of the Agreement, previous Amendments (if any),
and this Amendment, prior to the effective date of this Amendment, are hereby ratified and
affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this Amendment, which is binding on the parties of this contract.
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
CONSULTANT/VENDOR: CITY OF KENT:
By: By: '
(signature) (signature)
Print Name: P4VID 4-*4-NAJ/til(7 Print Name: Larry R. Blanchard
Its 7''rrr,c; e Its Public Works Director
-� 1(title) (title)
DATE: 3—f 09 DATE: 63 '17—vq
APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent Law Department
Lanning-212th BNSF Amd 1/Madfal
AMENDMENT - 2 OF 2
NOV-14-2007 04:55P FROM:MICHAEL MANDICK STAT 125358B4503 TO:12538566500 P.2
STATE FARM
INSURANCE
•D
NOVEMBER 14, 2007
AUTO POLICY STATUS
H PHONE: (253) 631-0525
LANNING, DAVID & MAVIS M MUTL 256 B596-BOB-47L IRG: 19 LRG: 04
23029 164TH AVE SE TERR: 031
KENT WA 98042-3703 98 LEXUS ES 300 CLASS:6B3050H000
4DR ACC FREE: AUG-08-86
VIN: JTBBF28G6WO135740 BIRTH: AUG-18-36
STATUS:PAID DUE DATE: TERM DATE: TOT PREM: 294.99
AMT DUE: O.DO OXD:AUG-08-86 COV DATE:JUL-02-07 PREV PREM: 303.16
I
A 100 /300 /50 137.49 R1 80% /1000 12.00
P1 25.45 UU1 25 /50 /50 23. 04
D100 35.47
G1000 57.34
H 4.20
AMT PAID: 284.07 DATE PAID: JUL-30-07
CRI 1578, AGE 70, GRP 08/08/96, MCD 61. 35,
AFD 10YR $73. 44, VSD 20% 6.37, ODM 300 OB-98,
DIV 11 .40, MLD 17W $52.40 HOMEOWNERS-
N : LANNING, DAVID & MAVIS M H PHONE: (253) 631-0525
REPLACED POLICY: 2568596-47K POLICY FORM: 9B47A
EXCEP. & END:
REC CHG:
COV. S NAMES S AMT