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HomeMy WebLinkAboutPW11-006 - Amendment - #1 - Anchor QEA, LLC - S 228th St Drainage Bypass -09/19/2011 Records Man,- ageme�t KENO Document WTS�IINGTON i CONTRACT COVER SHEET This is to be completed b the Contract Manager prior to submission P Y 9 to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. , i Vendor Name: Anchor QEA, LLC Vendor Number: JD Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: S. 228th Street Improvements Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: 9-If- Contract Effective Date: Date of the Mayor's Signature Termination Date: 12/31/12 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Joe Fielding Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Provide drainage analysis and hydraulic design assistance for the 64th Ave. S. drainage channel. S.Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 400 KENT WASHINGTON AMENDMENT NO. 1 I >> NAME OF CONSULTANT OR VENDOR: Anchor QEA, LLC CONTRACT NAME & PROJECT NUMBER: S. 228th Street Improvements ORIGINALORIGINAL AGREEMENT DATE: February 23, 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: 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: The Consultant shall provide drainage analysis and hydraulic design assistance for the 64th Ave. S. drainage channel. 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, $17,800.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $17,800.00 including all previous amendments Current Amendment Sum $12,491.00 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $30,291.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/11 (Insert date) Revised Time for Completion under 0 prior Amendments (insert date) Add'I Days Required (f) for this 366 calendar days Amendment Revised Time for Completion 12/31/12 (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: Y• F-� �t�t B ' � 6�J By: [[signature) (signature) Print Name: (2DbCet Mo,ti+jow cr `� Print a uzette Cooke Its eev+-.1<,— Its Mayor (t/tl/ DATE: ;/Z 9/ tl�l DATE: ! '6 f APPROVED AS TO FORM: (applicable/f Mayor's signature re uired) Kent Law Department Anchor QEA-228'"Annd 1/Fielding AMENDMENT - 2 OF 2 9 I ANCHOR OEA 3304 Rosedale Street Suite 200 Gig Harbor,Washington 98335 Phone 253 858 5552 1 1 EXHIBIT A—ADDITIONAL SCOPE OF WORK City of Kent—South 228th Street Improvement Project 64th Avenue South Drainage System Analysis and Hydraulic Design Assistance I INTRODUCTION AND UNDERSTANDING This Scope of Work outlines the requested drainage analysis and design assistance services to be conducted under the professional services agreement between the City of Kent (City) a Public Works Department (Client) and Anchor QEA, LLC (Consultant). Those analyses will e support the City's design of two new culvert crossings along the 64th Avenue South drainage channel, downstream from the South 228th Street Improvements Project(Project) new stormwater bypass pipeline. The Consultant will coordinate with the City in completing these services within the established budget and within a mutually-agreeable schedule under this agreement, as adjusted for any scope changes or other potential delays outside of the Consultant's control. The Consultant shall be responsible for the information and content represented in documentation generated by the Consultant under this contract. SCOPE OF WORK Task 1 —Hydraulic Analysis of 64th Avenue South Drainage Channel/Crossings The Consultant will conduct hydraulic analysis of the 64th Avenue drainage channel and culvert crossings using the HEC-RAS hydraulic backwater model as an extension of modeling work previously completed by the Consultant for the Project to the extent defined by the following anticipated analysis needs: • Review current weir elevation survey data provided by the City for hydraulic model adjustment needs; also update channel and culvert crossings section data in accordance with survey data requested by the Consultant and provided by the City. • Confirm hydrologic modeling flow data included in the hydraulic model based on prior analysis • Conduct preliminary hydraulic profile capacity analysis of the 641h Avenue South drainage channel and culvert crossings (those to be replaced as well as existing www.anchorqea com 1 AddnionaI Scope of Work—City of Kent South 228th Street Improvement Project 64th Avenue South Drainage System Analysis and Design Assistance crossings upstream of the Project's new bypass pipeline outfall;the downstream and upstream limits of hydraulic modeling analysis will be the GRNRA treatment wetland outlet weir and approximately South 231st Street,respectively • After the Consultant analyzes sizing for new culvert improvements replacing existing crossings at South 226th Street and an upstream multi-purpose (UPRR and driveway) crossing north of South 228th Street, and the City concurs with recommended improvements sizing, the Consultant will complete final hydraulic analysis for the s d drainage channel and new/existing culverts including generation of hydraulic profiles for a range of design flow frequencies up to the 100-year event I • Consultant will evaluate results of the hydraulic analysis jointly with the City, including comparison of flood profiles to channel bank and adjacent developed areas to confirm that increased flooding will not result(or otherwise notify the City of i further improvement needs) The Consultant will coordinate with the City's design team in completion of these hydraulic analysis services, including phone and e-mail correspondence for successful execution of these services. Requested meetings will be conducted under Task 4 services. I Task 2—Hydraulic Design Sizing of Road/Railroad Culvert Crossings ! E The Consultant will assist the City with sizing of recommended culvert crossing improvements along the 64th Avenue South drainage channel. This is assumed to consist of two crossings, one at South 226th Street, and a second for a railroad spur track and driveway ' access crossing between South 226th Street and the South 228th Street Project outfall location. The consultant's hydraulic design input wrill be limited to facility sizing, elevations, and hydraulic design criteria;civil layout and design will be provided by City staff(unless further authorization is provided); structural design is assumed to be provided by other supporting consultants. Page 2 Additional Scope of Work—City of Kent South 228th Street Improvement Project 64`h Avenue South Drainage System Analysis and Design Assistance I Task 3— Technical Memorandum - Hydraulic Design Findings, Recommendations The Consultant will prepare a technical memorandum to summarize the hydraulic analysis methods, assumptions, results/findings and recommendations. A draft memorandum will be prepared initially for City review including text,tables, and figures (limited to one). After City comment, a final memorandum will be prepared in response to comments. This assumes no major changes to analysis results and their presentation. Task 4-Project Management, Coordination, and Meetings The Consultant will provide project management for all services under this Scope of Work, f including client and internal project team coordination as follows: • Coordinating with the City's design team and Consultant's internal project team for execution of requested services and summary of results • Conducting quality assurance/quality control review of primary deliverable products • Preparing for, attending, and summarizing one one-half day meeting with City staff to facilitate analysis and design coordination and recommendations development j (assumes one staff attending) • Preparing monthly invoices with progress reports DELIVERABLE WORK PRODUCTS j The deliverable work products within the Scope of Work include: • Task 1 —HEC-RAS hydraulic model files and output, tables (MS Word and PDF), and figures (PDF) to summarize the results of hydraulic analysis of the City improvements to the 64,h Avenue South drainage channel/crossings • Task 2—Culvert improvements recommended sizing and elevations, as summarized by the Task 3 technical memorandum • Tasks 3 -Technical memorandum (MS Word and PDF format) to summarize the methods, assumptions, findings, and recommendations of the hydraulic analysis conducted for the conveyance system and new culvert improvements • Task 4 - Meeting inputs and notes summarizing meeting discussions and decisions, and monthly Project status and budget updates to accompany invoicing Page 3 x s Additional Scope of Work—City of Kent South 228th Street Improvement Project 64`h Avenue South Drainage System Analysis and Design Assistance KEY ASSUMPTIONS The key assumptions for this Scope of Work include: • The City will lead design of improvements,with the Consultant providing hydraulic analysis and supporting hydraulic design assistance for the components designated in the Scope of Work. • No new hydrologic modeling of the 64th Avenue South drainage channel tributary drainage area will be required;the Consultant will use prior hydrologic modeling analysis results completed for the City's Drainage Master Plan update along with subsequent analysis conducted for the Project. • Hydraulic modeling analyses of the 64,h Avenue South drainage channel and existing/new culverts will extend from the Green River Natural Resources Area (GRNRA)upstream to approximately the South 23152 Street crossing unless otherwise agreed to with City Project staff. • No hydraulic modeling analysis of tributary storm drainage systems to the 64tb Avenue drainage system will be conducted unless mutually agreed to, and only if adequate budget remains to complete those additional services; otherwise further funding authorization will be required. • All survey and mapping data needed to complete the hydraulic analysis will be provided by the City based on request for specific survey data needs provided by the Consultant. j • Once work is completed and reviewed with the City,further requested analysis needs based on City design changes will be considered as added services beyond the scope. • No design layout,preliminary or final design Plans, Specifications, and Estimates (PS&E) documents will be produced by the Consultant. FEE ESTIMATE AND AUTHORIZATION �i The attached fee estimate table (Attachment A) provides a summary of labor and expense budgeted costs to successfully complete the Scope of Work. Invoicing will be based on a time and reimbursable expense basis in accordance with the Consultant's 2011 billing rate schedule included with the previously authorized Professional Services Agreement(PSA). A 5 percent service charge will apply to subconsultant services (not anticipated) and to the Consultant's outside service reimbursable expenses. Page 4 Additional Scope of Work—City of Kent South 228th Street Improvement Project 641"Avenue South Drainage System Analysis and Design Assistance The total estimated not-to-exceed budget for services conducted under this agreement is $12,500. The Consultant understands that Scope of Work tasks will be authorized by amendment of the current PSA under mutually-agreed-upon terms. SCHEDULE The schedule for completion of services under this Scope of Work and agreement shall be as mutually agreed to between the City and Consultant. It is currently understood that the work under this authorization could extend through December 2012 to allow City's design completion for bid advertisement and construction. However, it is expected that the scope of work would be completed by December 2011, allowing flexibility for further work authorization as required in 2012. y List of Attachments Attachment A Anchor QEA Fee Estimate—South 228th Street Improvement Project, a 641b Avenue South Drainage System Analysis and Hydraulic Design Assistance s 3 Page 5 9 S e N S d pp d � O OI i � � � • � � p p � m � � r � � �Cf N ' � �b � � N N W T OrC E (OOl C] N e w W � � Q N � N Q y j m y d O O N O p 0 0 0 0 0 N N 0 0 O L d Y r r • r r r i . r a 02 FO 0000000000000 0 c ` E Z a H N N H N N w H H N H w M M w N N w H H w H H e9 H O ]] Y 0000000000000 O m w mw H wwwHwHHH HHwwH wwHHHwHH H H N N O p Y Y m Fq�O 00 O 0000 O p 0000 O ❑ �C V w H H N w w H H iP w w H H w H N H H H H w W H H H r0 y W m y T 0000000.000000 O IL m f n H H w w N N w H w H H w w H H H H w H H H w H w H T M b N tYl)N 0000000 000000 O N F Q N C p H N N M w w H H N w N w N N N w w N w w H H H H M V O Y � m N 0000000000000 o � o ° F- d9 H N N N N w H N H H H w w H w w w H w N H w N H H p$2 O 228 m C �n ur d F Ti aoa H HHwwHHHw HHwwN NwwwHHHH w H N d Q d G U C m Iq b O m O m O O O O O N O O O E U 9 q N ' mom H wwwwwwHH HNwww wwwHHHHw w H H Wa g O C r r 00 r pb rO r w E LL w d o a c m N 01,1100000000 � a a>�xTE ~ H H w w w w H H H SYN qUl c u Yd m m + O N O N O O O O O O O O O N Ern ~o U 'd' D Sm� ry�o omm m muoi �n a o n oOQ X �0 0 O D m 2 Q] ry N N N W N F a w w.......... w Y Y Yd N Yd O m� O� O Y m m d m d = U • U `m 4 y a A O A b d q J & E `o W68,6thC C U a d J W Z m LL 7 W W W W d Q y C^ U O D J N O rn m mCD m m U y ^o O ? K W ov eQ c > i.�o" m`a a m m aw.� ry crnV m U a m U rn rn c c c❑a °° ° w W E w o o m ❑ c O W vdi a ip m c Q Q Q Q U d U U U q o m a d a y d a 00 Q ON 6ACO7 t C UQ v Z R' d 02 mo oOc % ILdO� 0F ym Z U�UQ LL >Kf FS ^'" 1 DATE(MMIDD/YYYY) A�cP CERTIFICAT INSURANCE 2/9/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF I RS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 3ELOW THIS REPRESENTATIVE OR CERTIFICATE F INSURANCE ND DOES NOr NZTI�UT fl CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED AT IMPORTANT If the certificate holder Is an ADDITION E[L�tll�gRl ((p��olicyles) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain pohcle re ui n statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s) N C o PRODUCER Commercial Lines-(206)892-9200 NAME PHONE FAX Wells Fargo Insurance Services USA,Inc -CA Lic# OD08408 Aic-No Eat) E-MAILA c No ADDRESS 601 Union Street,Suite 1300 PRODUCER ANC43490 CUSTOME Seattle,WA 98101-1371 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Travelers Indemnity Company of Connecticut 25682 Anchor QEA,LLC INSURER B Travelers Indemnity of America 25666 1423 3rd Ave,Ste 300 INSURER C Underwriters at Lloyds,London 15792 INSURER D Seattle,WA 98101 INSURER INSURER F COVERAGES CERTIFICATE NUMBER' 2353903 REVISION NUMBER. See below 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVn POLICY NUMBER MMIDDIYYYY MMIDDM'YY A GENERAL LIABILITY 680-5251LO34-TIA-10 10/10/10 1 oil oil 1 EACH OCCURRENCE $ 1,000,000 X DAMAGET-RENTED 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE Fx] OCCUR MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 X Employers Liability GENERAL AGGREGATE $ 2000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 JECT POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY BA-5398L892-10-GRP 10/10/10 10/10/11 COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY NJURY(Peraccident) $ SCHEDULEDAUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS UMBRELLA LI. OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- RYLIMITS ER AND EMPLOYERS'LIABILITY Y/N ANYCERIMEMBEREXCLUEWEXECU7IVE❑ NIAOFFI EL EACH ACCIDENT $ (Mandatory InN REXCLUDE07 (Mandatory In NH) EL DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT I$ C Professional Liability W11D53100101 10/10/10 10/10/11 $1,000,000 Each Claim($1,000,000 Agg DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE SOUTH 228TH STREET DRAINAGE IMPROVEMENTS BYPASS PROJECT CITY OF KENT IS ADDITIONAL INSURED UNDER GENERAL LIABILITY,COVERAGE IS PRIMARY AND NON-CONTRIBUTORY,AND ADDITIONAL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ^'v Of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS I Nancy Yoshltake,Engineering Administration Public Works Department AUTHORIZED REPRESENTATIVE lll111 220 Fourth Avenue South Kent,WA 98032 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD I i CID ANC43490 SID 2353903 Additional Remarks Schedule (Continued from Page 1) INSURED UNDER AUTO LIABILITY AS RESPECTS THEIR INTEREST IN THE INSURED OPERATIONS OF THE NAMED INSURED PER THE ATTACHED ENDORSEMENTS DJT 3flonal Remarks Schedu a-Con't COMMERICAL GENERAL LIABILITY A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I, BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED INSURANCE (Section III) for this Coverage (Section II): Part. Any person or organization that you agree in a B. The following is added to Paragraph a. of 4. "contract or agreement requiring insurance" to 1n- Other Insurance in COMMERCIAL GENERAL elude as an additional insured on this Coverage LIABILITY CONDITIONS (Section IV): Part, but only with respect to liability for"bodily in- However, if you specifically agree in a "contract or jury", "property damage" or "personal injury" agreement requiring insurance"that the insurance caused, in whole or in part, by your acts or omis- provided to an additional Insured under this Cov sions or the acts or omissions of those acting on erage Part must apply on a primary basis, or a your behalf: primary and non-contributory basis, this insurance a. In the performance of your ongoing opera- is primary to other insurance that is available to tions; such additional insured which covers such addi- b. In connection with premises owned by or tional insured as a named insured, and we will not rented to you; or share with the other insurance, provided that c. In connection with "your work" and included (1) The "bodily injury" or "property damage" for within the "products-completed operations which coverage is sought occurs; and _ hazard". (2) The "personal injury" for which coverage is s Such person or organization does not qualify as sought arises out of an offense committed, an additional insured for "bodily injury", "property after you have entered into that 'contract or E "= damage" or "personal injury" for which that per- agreement requiring insurance". But this insur- 0 son or organization has assumed liability in a con- ance still is excess over valid and collectible other tract or agreement. insurance, whether primary, excess, contingent or The insurance provided to such additional insured on any other basis, that is available to the insured is limited as follows: when the insured is an additional insured under d. This insurance does not apply on any basis to any other insurance. any person or organization for which cover- C. The following is added to Paragraph 8. Transfer j age as an additional insured specifically is Of Rights Of Recovery Against Others To Us { added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON- age Part. DITIONS (Section IV): e. This insurance does not apply to the render- We waive any rights of recovery we may have ing of or failure to render any "professional against any person or organization because of �= services". payments we make for "bodily injury", "property f. The limits of insurance afforded to the addi- damage" or "personal injury" arising out of "your tional insured shall be the limits which you work" performed by you, or on your behalf, under _= agreed in that "contract or agreement requir- a 'contract or agreement requiring insurance"with ing insurance" to provide for that additional that person or organization We waive these insured, or the limits shown in the Declara- rights only where you have agreed to do so as tions for this Coverage Part, whichever are part of the 'contract or agreement requiring insur- less. This endorsement does not increase the ance" with such person or organization entered limits of insurance stated in the LIMITS OF into by you before, and in effect when, the "bodily CG D3 81 09 07 ®2007 The Travelers Companies,Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office,Inc,with its permission. 00676e r a 680-52511_034JIA-10 , COMMERCIAL GENERAL LIABILITY { THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART s PROVISIONS b. The"personal injury"or"advertising injury"for COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage is sought arises out of an of- (Section IV), Paragraph 4. (Other Insurance), is Tense committed amended as follows: subsequent to the signing and execution of that 1. The following is added to Paragraph a. Primary contract or agreement by you. Insurance: 2. The first Subparagraph (2) of Paragraph b. Ex- However, if you specifically agree in a written con- cess insuranco regarding any other primary in- s tract or written agreement that the insurance pro- surance available to you is deleted. vided to an additional insured under this 3. The following is added to Paragraph b. Excess Coverage Part must apply on a primary basis, or Insurance, as an additional subparagraph under t a primary and non-contnbutory basis, this insur- Subparagraph(1): , ance is primary to other insurance that is avail- That is available to the insured when the insured able to such additional insured which covers such is added as an additional insured under any other additional insured as a named insured, and we policy, including any umbrella or excess policy. will not share with that other insurance, provided that i a. The "bodily injury" or "property damage" for which coverage is sought occurs;and i t a , p a r� CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc.All rights reserved. Page 1 of 1 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorse- (d) Costs for extended warranties, Credit Life ment, the provisions of the Coverage Form apply Insurance, Health, Accident or Disability a unless modified by the endorsement. Insurance purchased with the loan or A. PERSONAL EFFECTS COVERAGE lease, and SECTION III — PHYSICAL DAMAGE COVER- (e) Carry-over balances from previous loans AGE, A. Coverage, 4. Coverage Extensions is or leases ; amended by adding the following: C. COVERAGE EXTENSION — AUDIO, VISUAL Personal Effects Coverage AND DATA ELECTRONIC EQUIPMENT NOT 7 We will a u to $400 for "loss" to wearing a - DESIGNED SOLELY FOR THE PRODUCTION pay P g P OF SOUND parel and other personal effects which are: SECTION III — PHYSICAL DAMAGE COVER- (1) owned by an "insured", and AGE, B. Exclusions, exception paragraph a. to (2) in or on your covered "auto"; exclusions 4.c & 4.d is deleted and replaced with in the event of a total theft "loss" of your covered the following: + "auto". a. Equipment and accessories used with such No deductibles apply to Personal Effects Cover- equipment, except tapes, records or discs, g provided such equipment is permanently in- B. AUTO LOAN LEASE GAP COVERAGE stalled in the covered "auto" at the time of the "loss" or is removable from a housing unit SECTION III — PHYSICAL DAMAGE COVER- which is permanently installed in the covered AGE, A. Coverage, 4. Coverage Extensions is "auto" at the time of the "loss", and such amended by adding the following: equipment is designed to be solely operated Auto Loan Lease Gap Coverage for Private by use of the power from the "auto's" electn- Passenger Type Vehicles cal system, in or upon the covered "auto", or In the event of a total "loss"to a covered "auto"of D. WAIVER OF DEDUCTIBLE—GLASS the private passenger type shown in the Schedule SECTION III — PHYSICAL DAMAGE COVER- or Declarations for which Physical Damage Cov- AGE, D. Deductible is amended by adding the erage is provided, we will pay any unpaid amount following, due on the lease or loan for such covered "auto" No deductible for a covered "auto" will apply to less the following- glass damage if the glass is repaired rather than (1) The amount paid under the Physical Damage replaced Coverage Section of the policy for that"auto'; E. HIRED AUTO PHYSICAL DAMAGE COVER- and AGE (2) Any: SECTION III — PHYSICAL DAMAGE COVER- (a) Overdue lease/loan payments at the time AGE, A. Coverage, 4. Coverage Extensions is of the "loss", amended by adding the following. (b) Financial penalties imposed under a Hired Auto Physical Damage Coverage Exten- a lease for excessive use, abnormal wear sion and tear or high mileage, If hired "autos" are covered "autos" for Liability (c) Security deposits not returned by the les- Coverage and this policy also provides Physical sor, Damage Coverage for an owned "auto", then the I CA T4 20 07 06 Includes the copyrighted material of Insurance Services Office, Inc,with its permission Page 1 of 2 Includes the copyrighted material of The St Paul Travelers Companies, Inc I 0 v -COMMERCIAL AUTO Physical Damage Coverage is extended to tent required of you by a written contract exe- "autos"that you hire, rent or borrow subject to the cuted prior to any "accident" or "loss", pro- following. vided that the "accident" or"loss"arises out of (1) The most we will pay for"loss"in any one the operations contemplated by such con- "accident" to a hired, rented or borrowed tract. The waiver applies only to the person or "auto" is the lesser of- organization designated In such contract (a) $50,000; G. BLANKET ADDITIONAL INSURED (b) The actual cash value of the dam- SECTION 11 — LIABILITY COVERAGE, part A. 1. aged or stolen property as of the time Who Is An Insured, paragraph c. is amended by of the "loss'; or adding the following. (c) The cost of repairing or replacing the Any person or organization that you are required damaged or stolen property with to include as an additional insured on this Cover- other property of like kind and quality. age Form in a written contract or agreement that is signed and executed by you before the "bodily (2) An adjustment for depreciation and injury" or "property damage" occurs and that is in physical condition will be made in deter- effect during the policy period is an "insured" for mining actual cash value in the event of a Liability Coverage, but only for damages to which total "loss". this insurance applies and only to the extent that (3) If a repair or replacement results in better person or organization qualifies as an "Insured" than like kind or quality, we will not pay under the Who Is An Insured provision contained for the amount of betterment. in Section ll. (4) A deductible equal to the highest Physical H. EMPLOYEE HIRED AUTOS Damage deductible applicable to any SECTION it — LIABILITY COVERAGE, A. Cov- owned covered "auto". erage, 1.Who Is An Insured is amended by add- (5) This Coverage Extension does not apply ing the following: to, An "employee" of yours is an "Insured" while op- (a) Any"auto"that is hired, rented or bor- erating an "auto" hired or rented under a contract rowed with a driver; or or agreement in that "employee's" name, with (b) Any"auto"that is hired, rented or bor- your permission, while performing duties related rowed from your"employee". to the conduct of your business F. BLANKET WAIVER OF SUBROGATION I. COVERAGE EXTENSION—TRAILERS SECTION IV— BUSINESS AUTO CONDITIONS, SECTION I — COVERED AUTOS, C. Certain A. Loss Conditions, 5. Transfer Of Rights Of Trailers, Mobile Equipment and Temporary + Recovery Against Others To Us is deleted and Substitute Autos, paragraph 1. is deleted and replaced by the following replaced by the following: j 5. Transfer Of Rights Of Recovery Against 1. "Trailers" with a load capacity of 3,000 Others To Us pounds or less designed primanly for travel We waive any right of recovery we may have on public roads against any person or organization to the ex- Page 2 of 2 Includes the copyrighted material of Insurance Services Office, Inc.with its permission CA T4 20 07 06 Includes the copyrighted material of The St Paul Travelers Companies, Inc I REQUEST FOR MAYOR'S SIGNATURE • Please Fill in All Applicable Boxes KENT Wh SHIN CTON This form must be printed on cherry paper Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator- Joe Fielding Phone (Originator) 5518 Date Sent 9/14/11 Date Required 9121/11 Return Signed Document to Nancy Yoshitake CONTRACT TERMINATION DATE: 12/31/12 VENDOR NAME: Anchor QEA, LLC DATE OF COUNCIL APPROVAL: Brief Explanation of Document The attached Amendment No 1 to the S 228th Street Improvements agreement is necessary so the consultant can provide drainage analysis and hydraulic design assistance for the 64th Ave S drainage channel " All Contracts Must Be Routed Through the Law Department 4 i (This Area to be Completed 8y the Law Department) Received RECEIVED DVt �y y Approval of Law Dept SEP 16 2011 Law Dept Comments. / KENT LAW DEPT. Q Date Forwarded to Mayor ` Shaded Areas to Be Completed y Administration Staff I inistra I Received: I 20 2011 i(� ,j Recommendations & Comments• C[TV(,�Lr K Dispositiorr9 f. // Date Returned: Iage5870_templatebase 2/07 9