HomeMy WebLinkAboutPW11-046 - Amendment - #1 - Jones & Stokes Associates, Inc. - S 228th St Hot Spot Analysis - 04/25/2011 x
T Records M ge me i
KEN
WAS„,„G,o„ 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: Jones & Stokes Associates, Inc.
Vendor Number:
JD Edwards Number
Contract Number: � �- �((o
This Is assigned by City Clerk's Office
Project Name: S. 228th St. UPRR Grade 'Separation
Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract
❑ Other: I f
�- as- I I
Contract Effective Date: Date of the Mayor's signatureTermination Date: 12/31/11
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Garrett Inouye Department: Engineering
Detail: (i.e. address, location, parcel number, tax id, etc.):
Pre afire a_Wetland Delineation Report Addendum and update the Visual Assessment
Technical Memorandum from impacts due to the raising of PSE power lines for the
P—roject.
S.Public\RecordsManagement\Forms\ContractCover\ad�c7832 1 11/08
IS
KENT
W.5'..0,0
AMENDMENT NO. 1
.
NAME OF CONSULTANT OR VENDOR: Jones & Stokes Associates, Inc.
CONTRACT NAME & PROJECT NUMBER: S. 2281hSt. Hot Spot Analysis
ORIGINAL AGREEMENT DATE: February S. 2011
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:
i. 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:
Prepare a Wetland Delineation Report Addendum and update
the Visual Assessment Technical Memorandum from impacts
due to the raising of PSE power lines for the S. 228th St. Union
Pacific Railroad Grade Separation Project. For a description,
see the Consultant's Scope of Work which is attached as Exhibit
A and incorporated by this reference.
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, $1,500.00
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $1,500.00
including all previous amendments
Current Amendment Sum $11,739.00
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $13,239.00
AMENDMENT - 1 OF 2
Original Time for Completion 4/30/11
(Insert date)
Revised Time for Completion under 0
prior Amendments
(insert date)
Add'I s Days Required t for this 245 calendar days
Y q ( ) Y
Amendment
Revised Time for Completion 12/31/11
(Insert date)
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:
(srg,�atur ) (signature)
Print Name: ev 2c e. V'r Pr' t Na Suzette Cooke
Its t/ceP rrrr P—�— Its Mayor
rtle) rtle)
DATE: `O2Zl/ DATE:4�12 ��/!/
APPROVED AS TO FORM:
(applicable If Mayor's signature required)
[IZA,t (A'
Keint Law Department
Jones&Sotkes-228"Hot Spot AmA 1/Inouye]
AMENDMENT - 2 OF 2
Exhibit A. SCOPE OF WORK
City of Kent S 228th Street Railroad Grade Separation at Union Pacific Railroad
Expanded Wetland Delineations and Visual Assessment Associated with Puget Sound
Energy Power Pole Modifications
The City of Kent(City)Department of Public Works has learned from Puget Sound Energy that due to the
overpass of the Union Pacific Railroad(UPRR)proposed for South 22e Street,the type and/or location
of power poles in the vicinity of the S 228`h St Railroad Grade Separation Project at the UPRR must be
modified. Due to the increase in the elevation of the road surface elevation associated with the
proposed overpass of the UPRR crossing,the height of the power lines must be increased to meet
clearance restrictions,thus existing power poles must be replaced. Three power line corridors currently
intersect S 2&h St in the vicinity of the UPRR(two to the west and one to the east of the UPRR
corridor). )ones&Stokes Associates, Inc.,a wholly owned subsidiary of ICF Consulting Group,Inc.
(Consultant) will complete the following tasks associated with these power pole modifications:
• Task 1—Project Description Technical Memorandum and Update WSDQT Environmental
Classification Summary
• Task 2—Wetland Delineations and Discipline Report Addendum
• Task 3—Visual Assessment and Update Visual Assessment Technical Memorandum
• Task 4—Project Management/Administration
Task 1 . Project Description Technical Memorandum
and Update WSDOT Environmental
Classification Summary
Task 1.1. Prepare Project Description Technical Memorandum
Consultant will prepare a Technical Memorandum that provides an overview of each discipline per the
WSDQT Environmental Classification Summary(ECS)Form and how the change in the project
description associated with the power poles In the vicinity of the S 22e St overpass of the UPRR
corridor will affect each discipline. The Technical Memorandum will also provide a rationale for why the
change in the project description does not change the No Effect determination presented in the No
710 Second Avenue,Suite 550 ♦ Seattle,NA 98104 o Tel 206 801,2800 ♦ Fax 206 8012899
www lonesandslokes com www icfi corn
Effect letter prepared for the project. This Technical Memorandum will be provided to WSDOT with the
Draft and Final ECS Form submittal,to document the considerations for each discipline associated with
the change in the project description.
Assumptions:
■ The City will provide Consultant with the changes to the project description associated with the
required power pole replacements.
■ The change in the project description will not require additional field work or analysis for any
disciplines other than Wetlands and Visual.
• The change in the project description will not require any additional analysis or result in any change
in the No Effect Determination presented in the No Effect letter.
■ One round of City review of the Project Description Technical Memorandum,with one set of
consolidated comments received in track changes.
■ No comments from WSDOT will be addressed as part of this scope of work.
Deliverables:
■ Draft Project Description Technical Memorandum for City review[electronic copy].
■ Final Project Description Technical Memorandum submitted to the City with Final ECS Form package
[electronic copy].
Task 1,2. Update WSDOT ECS Form
Consultant will update the Environmental Classification Summary(ECS)Form to incorporate and address
the change in project description and how the change in the project description may affect wetlands
and visual quality. The updates to the ECS Form will not require additional analysis or evaluation for
disciplines other than wetlands and visual quality.
Deliverable:
■ Draft ECS Form for City review[electronic copy]
■ Final ECS Form for City[electronic copy].
Assumption:
■ Updates to the ECS Form will be minor and not require any additional analysis or evaluation for
disciplines other than wetlands and visual quality.
■ No comments from WSDOT will be addressed as part of this scope of work.
• Minor revisions to graphics to depict the change in the project description will be required.
City of Kent—S 228th Railroad Grade Separation of UPRR 2 March 31,200
NEPA DocurnentatiDn Update Puget Sound Energy Pole Replacment Update
Task 1.3. WSDOT Coordination
Coordination with WSDOT Highways& Local Programs (H&LP)is expected to be required to achieve a
quick turn-around during the review cycle of the ECS Form and supporting documentation. The
Consultant Project Manager will be available for up to 4 hours to make phone calls to the WSDOT H&LP
Project Engineer and ensure that WSDOT has all the information they need once the City has submitted
the Final ECS Form and Supporting Documentation to WSDOT. This coordination will help facilitate a
quick turn-around from WSDOT technical reviewers and ensure the project stays on track toward timely
approval by WSDOT of the ECS Package Coordination with WSDOT will occur pre ECS-submittal and
post ECS-submittal,to ensure all potential WSDOT needs are met upfront, prior to submittal and to
ensure a timely review of all documentation submitted to WSDOT by the City.
Deliverable:
■ Email summaries to City related to WSDOT coordination.
Assumption:
■ Coordination with WSDOT will not require more than 4 hours to obtain WSDOT approval on the ECS
Form and supporting technical documentation.
■ No comments from WSDOT will be addressed as part of this scope of work
Task 2. Wetland Delineations and Discipline Report
Addendum
In 2009,wetlands were delineated up to 100 feet north and south of the current S 228th Street
alignment. Due to the need to comply with required power line clearance restrictions,existing power
poles located beyond 100 feet of the existing S 228th Street corridor must be replaced. To determine
whether such power pole replacement activities will impact wetlands and/or wetland buffers,the
wetland delineations must be extended to document the extent of wetlands and wetland buffers and
calculate the potential impacts associated with power pole replacement activities.
The Consultant will expand upon wetland delineations completed in 2009,and prepare an addendum to
the Wetland Discipline Report to document the expanded wetland delineations and to describe
anticipated wetland and/or buffer impacts associated with replacement of existing power poles to
provide the necessary clearance of the overpass to be constructed at the UPRR grade separation project
site.
City of Kent—S 226th Railroad Grade Separation at UPRR 3 March 31,2010
NEPA Documentation Update, Puget Sound Energy Pole Replacment Update
Task 2.1. Expanded Wetland Delineation, Rating, and Functional
Assessment of the Project Site
Consultant will conduct delineations of jurisdictional wetlands for the revised portion of the UPRR
project area associated with the power pole replacements. Background information provided by the
City(i.e.the figure provided by PSE illustrating the location of power poles to be replaced as part of the
project and potential area affected)will be reviewed.
The Consultant will conduct a delineation of waters of the U.S.within the revised project site.This task
assumes two ten-hourfield days for 2 biologists.The foot print of the project area/area to be affected
will be provided by the City Wetlands located outside of the project area/area to be affected will not be
delineated under this scope of work.Wetlands will be delineated in detail within approximately 25 feet
surrounding each of the 14 existing power poles located north and south of South 228`h Street as
identified by PSE and the City. The area between the existing power pole and the interurban trail will
also be delineated with flags placed approximately every 100 feet. Consultant will hang flags to mark
the delineated boundaries of all wetlands and the locations of all sample plots. City will be responsible
for surveying the delineated wetland boundaries and sample plot locations.
Delineations methods will follow the 2010 Regional supplement to the Corps of Engineers Wetland
Delineation Manual:Western Mountains,Valleys,and Coast Region,the 1987 U.S.Army Corps of
Engineers Wetland Delineation Manual(Environmental Laboratory 1987),the 1997 Washington State
Wetlands Identification and Delineation Manual (Washington Department of Ecology 1997),and City
Critical Areas Chapter 11.06. Corps sample plot data forms will be completed In the field for each
wetland and upland sample plot.
Wetlands within 100 feet of S. 2281h Street have already been classified and rated based on the
Washington State Wetland Rating System for Western Washington(Hruby 2004)and the City's Critical
Areas Chapter 11.06(specifically section 11.06.580). The Consultant will update categories and
associated bufferwidths for new wetlands/wetland areas delineated near power poles based on City
Critical Areas Chapter 11.06(specifically section 11.06.600) if necessary.
Assumptions:
■ The City will obtain permission to access private property as necessary to complete the wetland
delineations.
■ The City will provide maps/figures that show the location of the existing power poles to be removed
and the locations of the replacement power poles to be installed. The City will also provide the
footprint of proposed replacement activities associated with the removal of existing power poles
and the installation of replacement power poles, including access.
■ The City will calculate the direct wetland and buffer impacts and provide the calculations to the
Consultant.
City at Kent—S 228th Railroad Grade Separation at UPRR 4 March 31,2010
NEPA Documentation Update. Puget Sound Energy Pole Replacment Update
■ Site conditions for the delineations for the project area wetlands are such that the delineation of all
features can be accomplished within two 10-hour workdays,including travel.
■ Consultant assumes up to 20 Corps wetland plots(14 wetland plots and 6 shared upland plots). All
data forms will be completed in the field and cleaned up in the office. Field data will not be entered
into electronic data forms.
■ Survey of the wetland flagging and boundaries are not provided by the Consultant.The City,or their
surveyor,will survey the delineated wetland/stream boundaries and provide Consultant with a
georeferenced shapefile or autocad file that is referenced to a geographic datum of the surveyed
wetland/stream boundaries and temporary and permanent wetland impacts calculations within 2
weeks of the Consultant completing the delineation.
■ No comments from WSDOT will be addressed as part of this scope of work.
■ To save time,the Wetland Biologists will take photographs of the views along the Interurban Trail
and S.228«Street to document existing views for use in the Visual Assessment to be completed
under Task 3.
Deiiverabies:
■ Sketch map of flag locations to be delivered to the City of Kent or their surveyor[electronic copy].
■ Electronic copies of Corps data forms and Ecology wetland rating forms[electronic copy].
Task 2.2. Prepare Addendum to the Wetland Discipline Report
The Consultant will prepare an addendum to the 2009 Wetland Discipline Report, perguidance from Bill
Leonard, WSDOT reviewer of the 2009 Wetland Delineation Report.The addendum will summarize the
change in the project description associated with the replacement of existing power poles,outline the
direct wetland and/or buffer impacts associated with the replacement of the power poles,and the
mitigation ratios required by the Corps, Ecology and the City for direct wetland impacts,the City's
mitigation ratios for butfef I!^pacts,and describe the City's mtcntion of meeting the mitigation
requirements for the various junsdict;ons.
Per conversations with Harry Haslam,WSDOT H&LP Project Engineering covering for Phil Segami,who
was on vacation; providing a performance standard within the Wetiand Discipline Report Addendum
that addresses the calculated temporary and permanent wetland and buffer impacts,the mitigation
ratio requirements based on the impacts,and a commitment by the City to meet those mitigation
requirements will be sufficient for the ECS process. Thus no assessment of potentially suitable
mitigation sites or conceptual mitigation plan will be Included as part of this scope of work.
City of Kent—S 228th Railroad Grade Separation at UPRR 5 March 31,2010
NEPA Documentation Update: Puget Sound Energy Pole Replacment Update
Deliverable:
■ Draft Wetland Report Addend Corps wetland delineation data forms and Ecology wetland rating
p um, o ps gY g
forms for City review and comment[electronic copy]
■ Final Wetland Report Addendum as attachment to the ECS Form submitted to City[electronic copy]
Assumption.
■ The City will survey all wetland delineation flagging hung by the Consultant and provide
georeferenced shapefiles or autocad files that are referenced to a geographic datum to the
Consultant of the surveyed wetland delineation boundaries
■ The City will calculate temporary and permanent wetland and buffer Impacts and provide these
calculations to the Consultant.
■ The City will provide the Consultant with files that depict the temporary and permanent wetland
and buffer impacts associated with power pole replacement activities. All electronic files will be
georeferenced shapefiles or autocad files that are referenced to geographic datum.
■ The City will provide Consultant with quantities of fill material that will be placed within wetlands(if
required for construction access or power pole relocations).
■ The Consultant will generate new existing conditions and proposed impact figures from the
electronic files provided by the City to depict temporary and permanent wetland and buffer impacts
for the Addendum to the Wetland Discipline Report.
■ No comments from WSDOT will be addressed as part of this scope of work.
No evaluation of potentially suitable wetland mitigation sites or development of a conceptual
wetland mitigation plan will be included as part of this scope of work.
■ One round of review and consolidated City comments on the draft Wetland Memorandum,with
comments received in track changes. Comments will not require any additional field work,
delineations or analysis and will be mainly editorial in nature t
Task 3. Visual Assessment and Update Visual
Assessment Technical Memorandum
Task 3.1. Visual Assessment
A Visual Impacts assessment will be required to update the documentation, providing a qualitative
assessment of the change in visual landscape that will result from the project,and confirm that the
City of Kent—S 228th Ra0road Grade Separation at UPRR 8 ftch 31,2010
NEPA Documentation Update, Puget Sound Energy Pole Replacmeni Update
alteration will not result in a visual landscape that is incompatible with the surrounding environment.
Photographs of one additional view point(in the vicinity of the Interurban Trail)will be assessed.
Task 3.2. Update Visual Assessment Technical Memorandum
Per direction from Sandi Salisbury,WSDOT reviewer of the Visual Assessment Technical Memorandum,
the change in the project description will require revisions be incorporated into the Visual Assessment
Technical Memorandum The change in the project description will alter the views in the vicinity of the
new overpass associated with the three power line corridors that intersect South 2281h Street. Two of
the power line corridors(the eastern-and western-most)currently have wooden power poles. The
center power line corridor currently has steel power poles. All three power line corridors are
anticipated to require larger diameter and taller power poles.
Del verable-
■ Revised Draft Visual Assessment Technical Memorandum for City review[electronic copy]
■ Final Visual Assessment Technical Memorandum submitted to City as part of the Revised ECS
Package[electronic copy].
Assumption:
• The City will provide details regarding the locations of existing power poles to be removed as well as
the replacement power poles to be installed. Existing and replacement power pole information will
include the location,material,diameter, height,color,finish (e.g. matte,polished,shiny,etc.)for
each existing and each replacement power pole.
■ No comments from WSDOT will be addressed as part of this scope of work.
■ Photographs of the views in the vicinity of the power poles will be collected by the Wetiand
Biologists during the wetland delineations and will provide the visual data necessary to assess
potential visual impacts and complete the revisions to the Visual Assessment Technical
Memorandum.
• One round of review and consolidated comments from the City on the Visual Assessment Technical
Memorandum,with comments received in track changes.Comments will not require any additional
analysis and will be mainly editorial in nature.
T ask 4. Project ManagementlAdministration
Consultant shall prepare monthly progress reports identifying work completed during the invoicing
period, percent of work completed to date, period hours, period labor costs, period direct expenses,
status of Tasks, and, if Tasks are behind schedule and/or over budget, how Consultant proposes to
City of Kent—S 228th Railroad Grade Separation of UPRR r March 31,2010
NEPA Documentation Update Puget Sound Energy Pole Replacment Update
address these issues and bring them back into compliance with the contract. The progress reports will
also Identify any outstanding issues or foreseeable issues that are of concern.
Assumptions:
■ No more than 1 hour per month will be required by the Consultant Project Manager and no
more than 0.5-hours per month by the Consultant Admin Tech for invoicing. The Consultant
Admin Tech will also require not more than 0.5-hours to set up the project in the financial
system.
■ This scope assumes up to three months will be required to fully complete this scope of work
Deliverables:
• Monthly progress report/cover letter and invoice
City of Kent—$228th Railroad Grade Separation at UPRR 8 March 81,2010
NEPA Documentation Update: Puget Sound Energy Pole Replacment Update
Schedule
The following project schedule is an estimate for completing the tasks presented in this scope of work.
TASK ANTICIPATED SCHEDULE
Task 1—Project Description Technical
Memorandum and Update WSDOT ECS Form
Task 1.1—Prepare Project Description Technical Within five weeks of receipt of a Signed Contract
Memorandum or Notice to Proceed
Task 1.2—Update WSDOT ECS Form Within five weeks of receipt of a Signed Contract
or Notice to Proceed
Task 1.3—WSDOT Coordination Ongoing
Task 2—Wetland Delineations and Discipline
Report Addendum
Task 2.1—Expanded Wetland Delineation, Rating, Within two weeks of receipt of a Signed Contract
and Functional Assessment of the Project Site or Notice to Proceed
Task 2.2—Prepare Addendum to the Wetland Within two weeks of completing Task 2.1
Discipline Report
Task 3—Visual Assessment and Update Visual
Assessment Technical Memorandum
Task 3 1—Visual Assessment Within two weeks of receipt of a Signed Contract
or Notice to Proceed
Task 3.2—Update Visual Assessment Technical Within two weeks of completing Task 3.1
Memorandum
Task 4—Project Management/Administration Ongoing
City of Kent—S 228th Railroad Grade Separation at UPRR g March 31,200
NEPA Documentation Update, Puget Sound Energy PDle Replacment Update
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THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Addlll olDaeragrbn 01 OpmliMs I L=tms/Vehicles
2 - subject to the standard terms and conditions of the individual policies, the indicated coverage is
primary but only as respect work being done by )ones & stokes Associates, Inc. for the City of Kent.
3 - Except with respect to the limits of insurance, and any rights or duties specifically assigned to the
First Named Insured, insurance applies separately to each insured against whom claim is made or "suit" is
brought.
ACORD 101(2008/01) ®2008 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD
1001.1t31 "U r%52-29-55 4a�
*00ENDOMBE-FAMCRANGIMITIMPOLICY. PLWlRXADfr*M MLLX
DESIGNATED INSURED
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9LlSINrA$AVrO COVOOSE FORM
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beivw.
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"Any pol-m n or erganftation as requtnett by as invarcd eoutrwel
City of Kent
tit no w" sppoars above, kri mumon requNd to cs><npiele lhls endorsement YAR be sheen in the Racteraflnoa ps
epplkn6to to iho w4craament.}
Boob person or argaNtaU shown h no Schaduia is an'fissured°for Umb%y C*uwspy but wAV to!w ement flret
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Endorsement
Ponry Porrod June 25,2010 to June 25, 2011
Effadwe Date June 25,2010
FriflryNumbor MI.21.119hrU
fnsvrecr 101IN1'P.kNATIONAI.INC.
Jones&Stokes Associates, Inc.
Name of Company Great Northern Insurance Comparry
Pate Issued June 25,2010
This 1wdtasentcnt aptitivs u•tin foititwing turnm•
G NFRA1,t.IARII.rt'Y
I finder Who is An IiiiinvI,0tv following provision is added'
Who In An Insured
Scheduled Person Or Sub1cci to alt or the ierrres antl condsvra tit thus rrsuranle,aay persrn or organization stlown in the
Organ4sti6n Schedutc,acting pursuant In a uritien corittact m agreernent batwem you anG auth perFon or
on an Mimi,is an insurers,bui they arc inauredsonly with mspecl iv liability emiq ono of'mur
oNrahons,(It YIInt�rcrMFCS it lino tare nhllguiRd,pursunrt tv sucli contract tiragreernent,to provide
them with such hnswarice as x afiordt&d by ibis pcibry,
I Inwever,nt.such pemn nr er,oniradon is an Insured with respc[i in any,
• rr mutilnivn of liability by than in a contra;l or dk't"=n nvs iitnitimiort does not apply to
die liability for dantagus f„i injury or d unagc,to which this msurame aMhcs,that thepercnn
or nrggntruhun would have rn the ohsenee trf such cnoirml or air enicn[,
• damj:ca ur'igitrb out tit thwt solo negligence.
schedule
AX Y PERSON CAR ORGANIZATION AS REQUIEM BY
INSURED fYll4TRAt"T
City of Kent
liemfito lnsuratae Adds"Mmxw.Schedrlad ftscn Or ftankwbon conttnirrd
Form6v-W-2;;7;Tl 8-od Endorsenioril Pape I
Uabfpty Endorsement
(xndnued)
Ail hlhR i=vi arvi CY Waitim n:lmrUt unctiimlod.
AfRhURZBd R8{Yee9R'.a6YY �1A� %���1�+►�7�'
LixEr&ylns mnm Add![fana{{nswad-SrhodukdPorranQrOrgan�ailort Jw,fMp
rwm 80-024W fP&v 9-o4) Endereement Page 2
ac Roy CERTIFICATE OF LIABILITY INSURANCE D01/27//20D11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURE ,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement{s).
PRODUCER 1-804-000-0000 AtdE Carolyn O. Vernier
Arthur J. Gallagher Risk Management Services, Inc. AX
PHONE 804-916-6846 •809-916-6897
4860 Cox Road, Suite 200 "
PR
Glen Allen, VA 23059
CUSTOMERIO#-
Carolyn 0. Vernier INSUR AFFORDING COVERAGE NAIC0
WSURED INSURERA: LK INS CORD 33600
JONES & STOKES ASSOCIATES, INC. INSURER a:
9300 LEE HIGHWAY INSURER C:
PAIRFAX, VA 22031 INSURER D
INSURER E.-
INSURER F.
COVERAGES CERTIFICATE NUMBER: 19516C59 REVISION NUMBER:
THIS 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 RESPECT 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 -IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
IL BR TYPE OF INSURANCE ADDLE B POLICYI LIMITS
INSR.MAID POLICY NUMBER MMID M
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO PR RENTED PREMISES t $
CLAIMS-MADE n OCCUR NED EXP VM one roon $
PERSONAL E ADV INJURY $
GENERAL AGGREGATE S
GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO S
POLICY F7
PR0. LOC $
AUTOMOBrc.E LIABILITY COMBINED SfNGLE LIMIT $
(Ea acadenQ
ANY AUTO BODILY INJURY(POT Person) $
ALL OWNED AUTOS BODILY INJURY(Per acddwd) $
SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS (PwacddeM) $
NO"WNEDAVTOS $
$
F
LA I" OCCUR EACH OCCURRENCE $
UAS CLAIMS-MADE AGGREGATE $
IBLEION S $
A WORKERS COMPENSATION WCS-Z31-508361-010 O6/25/1 06/25/I1 X WC STATU- OTH-
ANDEMPLOYERS'LIABILITY Y/N
ANY PROPRIETORIPARTNER/EXECU IVE El EACH ACCIDENT $ 1,000,000
OFFICEWMEMBER EXCLUDED? Q NIA i
(Mandatory M NH) E.L.DISEASE•EA EMPLOYE $ 1,000,000
WA1,describe under
000,000
DESCRIPTION OF OPERATIONS below E L DISEASE•POLICY LIMA $
DESCRIPTION OF OPERATIONS(LOCATIONS/VEMCLE9(ARech ACORD 101,Adddional Remarks Schedule,I more space m mgwred)
SOUTH 228TH STREET HOT SPOT ANALYSIS PROJECT
CERTIFICATE HOLDER CANCELLATION
CITY OF KENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PUBLIC WORKS DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
GO FOURTH AVENUE SOUTH
AUTHORIZED REPRESENTATIVE
KENT, WA 98032
USA
carolynvar 01988.2009 ACORD CORPORATION. All rights reserved.
ACORD 25(20091091 The ACORD name and logo are registered marks of ACORD
19516059
REQUEST FOR MAYOR'S SIGNATURE
Please Fill in All Applicable Boxes
KENT WASHINGTON This form must he printed on cherry paper
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator Garrett Inouye Phone (Originator) 5548
Date Sent 4/20/11 Date Required. 4/27/11
Return Signed Document to Nancy Yoshitake CONTRACT TERMINATION DATE: 12/31/11
VENDOR NAME: Jones & Stokes Associates, Inc DATE OF COUNCIL APPROVAL:
Brief Explanation of Document.
The attached Amendment No 1 to the S 228th St Hot Spot Analysis agreement is necessary so the consultant can
prepare a Wetland Delineation Report Addendum and update the Visual Assessment Technical Memorandum from
impacts due to the raising of PSE power lines for the S 228th St Union Pacific Railroad Project
IV
-' All Contracts Must Be Routed Through the Law Department
(This Area��too be Completed By the Law Department)
EIVE® ti�`;t E G1 tr ��f
y a}'Os
Received EC "
Approval of Law Dept.
Law Dept. Comments- ����
APR 2 I
KENT LAW DEPT.
Date Forwarded to Mayor-
Shaded Areas to Be Completed by Administration Staff
Received: _
Recommendations & Comments:
Disposition: i� � ---' '
Date Returned:
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