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Home My WebLink AboutPW11-081 - Amendment - #2 - Shannon & Wilson, Inc. - Green River Levee Certification Project - 12/21/2012 .I Records Management,. KENO W nSHINGTON 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: Shannon & Wilson, Inc. Vendor Number: ID Edwards Number Contract Number: W111 Q�? I This is assigned by City Cle k Office Project Name: Green River Levee Wetland Reconnlssance and Biological Assessment Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: a Contract Effective Date: Date of the Mayor's signature Termination Date. 12/31/13 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Beth Tan Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2013 so the consultant can complete wetland delineations. S'Publlc\RecordsMa nagement\Forms\ContractCover\adcc7832 1 11/08 KENT AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: Shannon & Wilson, Inc. CONTRACT NAME & PROJECT NUMBER: Green River Levees ORIGINAL AGREEMENT DATE: January 11, 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 scope of work remains the same, however an amendment is needed to extend the time of completion to December 31, 2013 so the Consultant can complete wetland delineations. 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, $50,870.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $50,870.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $50,870.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/11 (insert date) Revised Time for Completion under 12/31/12 prior Amendments (insert date) Add'I Days Required (t) for this 365 calendar days Amendment Revised Time for Completion 12/31/13 (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: ( 2z- n1aturew) , (signature) Print qme: �a y fLr Pr t N e: Suzette Cooke Its Y/GL J �Si It Mayor (title) ., / (title DATE: I Z -7- U4 DATE: APPROVED AS TO FORM: (applicable if Mayor's slg ature r wired) d Kent Law Department Shannon&Wilson-GR Levees Nmd 2/Tan AMENDMENT - 2 OF 2 previously issued certificate. DATE(MMIDDNYYY) q�KO CERTIFICATE OF LIABILITY INSURANCE 02122nD,2 PHIS 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 olicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policl Ilci �a�dorsement.A statement on this certificate does not confer rights to the certificate holder In Iles of such endo e m PRODUCER CONTACTNAME AOn Risk Insurance Services West, Inc _ J PHONE FAX Seattle WA Office i Li .ire -1 LUtl (AID No E:t) (206) 749-4800 (yVC No)- (20fi) 749-4860 � 1420 Fifth Avenue EMAIL p suite 1200 CITY OF KEN ADDRESS = Seattle wA 98101-4030 USA INSURERiS)AFFORDING COVERAGE NAIC# INSURED INSURERA St Paul Fire & Marine Insurance Co. 24767 Shannon & Wilson, Inc.Attn: Michael Dodd INSURERS Travelers Property Cds Co of America 25674 400 N 34th Street, suite 100 INSURER Charter Oak Fire Ins Co 25615 P 0 Box 300303 Seattle wA 981030000 u5A INSURER Twin City Fire Insurance company 29459 INSURER Hartford underwriters Ins Co. 30104 INSURER Property & casualty Ins Co of Hartford 134690 COVERAGES CERTIFICATE NUMBER:570045323026 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Limits shown are as requested INSIR LTR TYPE OF INSURANCE INSR WVD POLICYNUMBEft MM/DD MWDD X LIMITS C GENERAL LIABILITY P D 1 COF EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE O TED $1,000,000 PREMISES Eaoccurnence CLAIMS-MADE ❑X OCCUR ` ry MED EXP(Any one Persm) $10,000 PERSONAL&ADV INJURY $1,000,000 N GENERAL AGGREGATE $2,000,006 N GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 v POLICY X P LOC RO- e AUTOMOBILE LIABILITY Y P-81 -226D0 11-TIL- 2 01 01 1 0 13 COMBINED SINGLE LIMIT $1,000,000 � Ea accident X ANY AUTO BODILY INJURY(Per person) 0 ALL OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE U AUTOS (Per accident t. d A X UMBRELLALIAS X OCCUR ZUPIZP2916412NF 01101/2012 O1/01/2013 FACH occuRRFNCE $1,000,000 U EXCESS LIAB CLAIMS-MADE SIR applies per policy terns & condi ions AGGREGATE $1,000,000 DED X RETENTION E1U,000 D WORKERS COMPENSATION AND 52WETL5148 01 01/ 0012 61/01/2013 X WC STATU- OTH- EMPLOYERS'LIABILITY YIN AOS TORY LITAT ER ANY PROPRIETOR I PARTNER I EXECUTIVE E L EACH ACCIDENT $1,000,000 E OFFICEWEMBER EXCLUDED' NIA 52WETL5148 01/01/2012 01/01/2013 (Mandatorym NH) CA MO EL DISEASE-EA EMPLOYEE $1,000,000 If yes cescnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICYLIMR $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Professional Liability Excluded Monopolistic states not covered under workers' compensation policy above Stop Gap Liability for WA is included under the workers' Compensation policy RE' Project Name Panther Lake Annex Area wetland inventory, W&j Description of work: wetland Inventory, Location. Kent, WA city of Kent Public works is included as Additional Insured with a-4 respect to the General Liability policy, where required by written contract- }} I� 2N CERTIFICATE 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 City Of Kent Public works AUTHORIZED REPRESENTATIVE Attn• Timothy l Laporte Fourth Avenue South Ken e l�Yo/ox �, a� �� X JL Kent wA 98032-5895 USA 9)1988-2010 ACORD CORPORATION All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Attachment to ACO" Certificate for Shannon & Wilson, Inc. The terms,conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s) This attachment does not contain all terms,conditions,coverages or exclusions contained in the policy INSURER INSURED Shannon & Wilson, Inc. INSURER Attn Michael Dodd 400 N 34th Street, suite 100 INSURER P 0 Box 300303 Seattle WA 981030000 USA INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits INSR ADDL SUBR POLICY NUMBER/ POLICY EFF POLICY ERP LTR TYPE OFINSURANCE INSR WVD POLICY DESCRIPTION (MMIDD/YYYY) (MM)DDfYYYY) LIMITS WORKERS COMPENSATION F N/A 52wETLS148 01/01/2012 01/01/2013 CO Certificate No: 570045323026 Client#:330606 SHANNWIL11 ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 DATE /YYYYj 12/27/207/2011 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 r-'7W THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED IESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT*If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 CONTACTNAME A Kibble& Prentice,a USI Co PR PHO IC,NE 206 441-6300 c,NeL61 2-8528 601 Union Street,Suite 1000A E-MAIL Ext ADDRESS FIL Certrequest k m.com Seattle,WA 98101 INSURER(S)AFFOR O NAICIf INSURER XL Specialty Insuran mp y 37885 INSURED INSURER B Shannon &Wilson,Inc. INSURER P.O. Box 300303 4-remolhifi OFF" Seattle,WA 98103 INSURER D. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 LTR TYPE OFINSURANCE NSRL WVD POLICYNUMBER MM/DWYYFF MWDDNYYP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISESOEa ocMcu rence S CLAIMS-MADE F-IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPi AGG $ POLICY PE� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT r Ea accident $ ( ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS AUTOS HIRED AUTOS P $ NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WCSTATU OTH- AND EMPLOYERS'LIABILITY Y/N To Y ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED'+ N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S A Professional DPR9696654 1/01/2012 01/01/2013 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE:S&W Job No:21-2-60314/Location: Green River, Kent,WA Project Name:Green River Levee Improvements between River Mile 14.25 to River Mile 22.00, Kent,WA Description of Work:Wetland reconnaissance and biological assessment for five levee improvement locations along the Green River CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Nancy Yoshitake ACCORDANCE WITH THE POLICY PROVISIONS 220 Fourth Avenue South Kent,WA 98032 AUTHORIZED REPRESENTATIVE 1 i O 1988-2010 ACORD CORPORATION All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6767485/M6765622 BZMZP This page has been left blank intentionally: REQUEST FOR MAYOR'S SIGNATURE �� KENT Please Fill in All Applicable Boxes ed by Director Originator's Name: Beth Tan Dept/Div. Engineering/Environmenta Extension: 5552 Date Sent: Date Required: Return to: Nancy Yoshitake CONTRACT TERMINATION DATE: 12/31/13 VENDOR: Shannon & Wilson, Inc. DATE OF COUNCIL APPROVAL: N/A ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: The attached Amendment No. 2 is necessary to extend the time of completion to December 31, 2013 for the Green River Levees Project to complete wetland delineations. All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received: Approval of Law Dept.: DEC 19 Law Dept. Comments: RECEIVED Date Forwarded to Mayor: I _ I i "� C } DEt, ? J 2011' Ity of Keni Shaded Areas To Be Completed By Administration StaVffice of the Mayor Received: rr'' �7 Recommendations and Comments: L� Disposition: /yH�y /��04 � aLDF�I 21 2012 OIL OF KENT r m ?LERK Date Returned: