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HomeMy WebLinkAboutPW12-125 - Change Order - #1 - Skycorp Ltd. - Meyers House Demolition & Cleanup - 05/21/2012 440 Records Ma , ' genie ' KENT ( $- Document W n9HIM6TOM - 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: Skycorp Ltd. Vendor Number: JD Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: 116th Structures Demolition Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract ❑ Other: / Contract Effective Date: Date of the Mayor's signatureTermination Date: 6/1/12 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nick Horn Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to June 1, 2012 due to additional hazardous material cleanup. S.Publlc\RecordsManagement\Porms\ContractCover\adcc7832 1 11/08 -,000,0"�. KENT WASHINGTON CHANGE ORDER NO. 1 NAME OF CONTRACTOR: Skycorp Ltd. ("Contractor") CONTRACT NAME & PROJECT NUMBER: 116th Ave SE Demolition & Hazardous Materials Cleanup ORIGINAL CONTRACT DATE: May 4, 2012 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 to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, Contractor shall provide all labor, materials, and equipment necessary to: No change is necessary to the scope of work, however an amendment is needed to extend the time of completion to June 1, 2012 due to additional hazardous material cleanup. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are hereby modified as follows: Original Contract Sum, $22,338.00 (including applicable alternates and WSST) Net Change by Previous Change Orders $0 (incl. applicable WSST) Current Contract Amount $22,338.00 (incl. Previous Change Orders) Current Change Order $0 Applicable WSST Tax on this Change $0 Order Revised Contract Sum $22,338.00 CHANGE ORDER - 1 OF 3 Original Time for Completion 5/22/12 (insert date) Revised Time for Completion under n/a prior Change Orders (Insert date) Days Required (f) for this Change to calendar days Order Revised Time for Completion 6/1/12 (Insert date) In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard Specifications, and Section VII of the Agreement, 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. This Change Order, unless otherwise provided, does not relieve the Contractor from strict compliance with the guarantee and warranty provisions of the original contract, particularly those pertaining to substantial completion date. All acts consistent with the authority of the Agreement, previous Change Orders (if any), and this Change Order, prior to the effective date of this Change Order, are hereby ratified and affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order 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 contract modification, which is binding on the parties of this contract. 3. The Contractor will adjust the amount of its performance bond (if any) for this project to be 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: 41V&JBy: By: (signature) (signature) Print Name: SK(Ak GLaljgl Pr' t Nam zette Cooke Its L�s'd4'+Y It ayv or (title) (titie) DATE:_ 011 DATE: y d CHANGE ORDER - 2 OF 3 APPROVED AS TO FORM: (applicable if Mayor's sr nature quwred) r Kent Law Departmen SkMrp/Myen Demo CO t/Hom CHANGE ORDER - 3 OF 3 �R ® CERTIFICATE OF LIABILITY INSURANCE DATE 04f 06126l2012 i CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the is and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the Acate holder in lieu of such endorsement(s). CONTACT ,ER NAME' Smith&Feek,Inc PHONE 425-709-3600 FAX No 425-709-7460 E-MA 112th Avenue NE IL ADDRESS Lie, WA 98004 PRODUCER CUSTOMER D INSURERS AFFORDING COVERAGE NAIC# D INSURERA Rockhill Insurance Company SkyCorp,LTD 526 NW Avenue Suite 11 INSURER e, Continental Western Insurance Company Arlington,WA 98223 INSURER C INSURER D: INSURER E; INSURERF: =RAGES CERTIFICATE NUMBER: REVISION NUMBER: i IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS tTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ,LUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS FLICYEXP TYPE OF INSURANCE ADD ES BR POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS >ENERALLIABILITY RPKGE00506101 414/2012 4/4/2013 EACH OCCURRENCE S 100M0 COMMERCIAL GENERAL LIABILITY r PREMISES Ea oaurrence CLAIMS-MADE � OCCUR I MED EXP(Anyone person) $ MOO PERSONAL B AOV INJURY $ i GENERAL AGGREGATE $ 2,000,000 3EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 0QQ_OD0 POLICY X P j_lEC LOG $2 500 Deductible $ AUTOMOBILEUABILITY CA2928985 4/4/2012 4/4/2013 COMBINED SINGLE LIMIT $ 1,000,000 ��-- (Ea accident) K ANY AUTO 1 y F BODILY INJURY(Per person) $ ALL OWNED AUTOS ' " BODILY INJURY(Per accdent) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ 414/2013 A $ ORYLMIS xWO RKERS COMPENSATION RPKGE00506101 4/4/2012 T ER AND EMPLOYERS'LIABILITY "Washington State Stop Ga ANY PROPRIETORIPARTNERIEXECUTIVE YIN g p p E L EACH ACCIDENT $ 1 000 000 OFFICERIMEMBER EXCLUDEDo ❑ N IAEmployers Liability only (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 1 000 000 I yes,describe under E L DISEASE-POLICY LIMIT $ 1,000,000 Pollution Liability f�r RPKGE00506101 414/2012 4/4/2013 $1.000,000 each condition (Occurrence with$2,500 Deductible) I x I $2,000,000 Aggregate RIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more apace IS required) of Kent is included as Additional Insured for General Liability per the attached Endorsement CG2037 0704,for Auto Liability per Endorsement CW3468 I,and for Pollution Liability per Endorsement RHIC 6227 0708 Cancels and Replaces Previous Certificate tTIFICATE HOLDER CANCELLATION / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS n City Of Kent ---_ _ - - AUTHORIZED REPRESENTATIVE 400 West Gowe - Kent,WA 98032 - ©1988.2009 ACORD CORPORATION. All rights reserved. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Person or Organization Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, effected prior to the date your operations for that person or organization commenced, that such person or organization be added as an additional insured on your policy (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) (1) All work including materials, parts or A. Section II — Who Is An Insured is amended equipment furnished in connection with to include as an insured the person or such work, on the project (other than organization shown in the Schedule, but only service, maintenance or repairs) to be ( with respect to liability arising out of your performed by or on behalf of the ongoing operations performed for that insured, additional insured(s) at the site of the B. With respect to the insurance afforded to covered operations has been completed, these additional insureds, the following or exclusion is added 2. Exclusions (2) That portion of "your work" out of which the injury or damage arises has been put This insurance does not apply to "bodily to its intended use by any person or injury" or"property damage" occurring after organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project RHIC 6227(07108) Includes Copyrighted Material of Insurance Services Office, Inc Page 1 of 1 C with its permission POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations 71 Information required to complete this Schedule, if not shown above, will be shown in the Declarations Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or"property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard" CG 20 37 07 04 0 ISO Properties, Inc , 2004 Page 1 of 1 13 cA 2928985 - 23 04/04/11 HAD 05/09/11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT . PLATINUM This endorsement modes insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following provides a broad range of coverage in addition to that provided by the basic policy. In some instances, a higher limit or broader coverage is available. Should the policy indicate broader coverage or higher limits than provided by this endorsement, the higher limits or broader coverage shall apply. A. BROADENED NAMED INSURED those specified in the written con- The Named Insured shown in the Declarations is tract or agreement, or i l this cover- age form, whichever is Less. These amended to include: limits of insurance are inclusive of Any organization, other than a joint venture, over and are not in addition to the Limits which you maintain ownership or majority inter- of Insurance shown in the Declara- est of more than 50%, unless that organization tions is an "insured" under any other automobile pol- (4) This insurance applies on a primary icy or would be an "insured" under such a policy and non-contributory basis if that is but for the exhaustion of its Limit of Insurance, required by the written contract or however; agreement 1. Coverage under this provision is afforded (5) This insurance does not apply only until the 180th day after you acquire or unless the written contract or form the organization or the end of the policy agreement has been executed prior r period,whichever is earlier. to the "bodily injury' or "property 2. Coverage does not apply to"bodily injury"or damage". "property damage" that occurred before you C. ADDITIONAL INSURED -EMPLOYEES acquired or formed the organization. B. ADDITIONAL INSURED BY CONTRACT OR , The following added to the Section II Liability AGREEMENT Coverage, Paragraph A.1, Who Is Ann Insured Provision The following is added to Section II - Liability Any "employee" of yours is an 'insured" while us- Coverage, Paragraph A.1.: ing a covered "auto" you don't own, hire or borrow d. Any person or organization for whom you in your business or your personal affairs are performing operations if you and such D. EXTENDED COVERAGE - BAIL BONDS person or organization have agreed in writ- ing in a contract or agreement that such Section II — Liability Coverage, Paragraph person or organization be added as an addi- A.2.a.(2). is deleted and replaced by the follow- tional insured on your policy ing: (1) Such person or organization is an (2) Up to $3,000 for cost of bail bonds additional insured only with respect (including bonds for related traffic to liability for"bodily injury" or"prop- law violations) required because of erty damage", an "accident' we cover We do not (a) Caused by an"accident", and have to furnish these bonds. {b} Resulting from the ownership, E. EXTENDED COVERAGE - LOSS OF EARN- maintenance or use of a cov- ING ered "auto" Section II — Liability Coverage, Paragraph (2) A person's or organization's status A.2.a.(4) is deleted and replaced by the follow- as an additional insured exists only g' while you are performing operations (4) All reasonable expenses incurred by for that additional insured the "insured" at our request, includ- ing Section li, Paragraph C. Limits of ing actual loss of earning up to $500 Oa day because of time off from work. Insurance for person or organization added as additional insured are CW 34 68 01 10 Includes Copyrighted material of Insurance Services Page 1 of 5 Office,Inc,with its permission REQUEST FOR MAYOR'S SIGNATURE • Please FIII in All Applicable Boxes KENT W AS HINGTON This form must he printed on cherry paper Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator. Nick Horn Phone (Originator) 5529 Date Sent 5/16112 Date Required 5122/12 Return Signed Document to Nancy Yoshitake CONTRACT TERMINATION DATE: 6/1/12 VENDOR NAME: Skycorp Ltd DATE OF COUNCIL APPROVAL: n/a Brief Explanation of Document: The attached change order with Skycorp Ltd for the asbestos removal and demolition at 25906 116th Ave SE is needed to extend the time of completion to June 1, 2012 due to additional hazardous material cleanup All Contracts Must Be Routed Through the Law Department (Thrs Area to be Completed By the Law Department) Received: t ,cry App ovv- rrttA -W Dept . � �� �f GL� v Law Dept Comments. MAY 17 2012 SCENT LAW DEPT. City cf Kent bate Forwarded to Mayor. - Shaded Areas to Be Completed by Administration Staff Received- 71 Recommendations & Comments: � v n Disposition:�.�� /Z _ 60 La CITY 01 KENT � Date Returned: J 717 Iage5870_templaiebase 2/07