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PW12-205 - Amendment - #1 - AECOM Technical Services, Inc. - Boeing Levee Flood Wall - 12/12/2013
Records Management KENT Document 'NAS HINGTON _,,;r . : 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: AECOM Technical Services, Inc. Vendor Number: JD Edwards Number Contract Number: �W I A ow ADS This is assigned by City Clerk's Office Project Name: Boeing Levee Description: ❑ Interlocal Agreement ❑ Change Order M Amendment ❑ Contract ❑ Other: --0 1 Contract Effective Date: 12/12/13Termination Date. 12/31/14 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Toby Hallock Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2014 so the Consultant can make _,—_ necessary updates to reports that are required for FEMA accreditation. S Public\Records Management\Forms\ContractCover\adcc7832 1 11/08 K E N T WqS HINGTON AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: AECOM Technical Services, Inc. CONTRACT NAME & PROJECT NUMBER: Boeing Levee ORIGINAL AGREEMENT DATE: October 12, 2012 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, 2014 so the Consultant can make necessary updates to reports that are required for FEMA accreditation. 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, $9,19817 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $9,198.17 Including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $9,198.17 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/13 (Insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required (f) for this 365 calendar days Amendment Revised Time for Completion 12/31/14 (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: r (s gnature) signature) Print Name: ir9, /Ul 14,14, Print Name: Timothy J. LaPorte, P.E. Its Q1t/.syis /Y,rtrr•fri �r� o �,w,► Its Public Works Director (title) (ttl ) DATE:_a4fb DATE: J-2-(Ze 3 APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department AECOM-Boeing Lave 3 Amd 1/Hallook AMENDMENT - 2 OF 2 3 • ' 1 ® DATE(MMIDD/YYYY) ^�o CERTIFICATE OF LIABILITY INSURANCE 031290013 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 P" OW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED fESENTATIVE 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) CONTACT PRODUCER NAME Marsh Risk&Insurance Services PHONE FAX CA License#0437153 Arc ac rvo 777 South Figueroa Street AD RIESS Los Angeles,CA 90017 Attu Lori Bryson(213)-346-5464 _ INSURERS AFFORDING COVERAGE NAIC A 06510-AECOM-CAS-13/14 Seat6 WA Adwoa 2013 NOC INSURER A Zurich American Insurance Company 16535 INSURED INSURER B AECOM Technical Services,Inc NIA 7102nd Avenue,Suite 1000 INSURER C N/A SeatBe,WA 98104 INSURER D N/A N/A INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: LOS-001525653-03 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 INSR ADDL SUER POLICY EFF POLICY E%P LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDD/YYYY A GENERAL LIABILITY GLO596589105 0410112013 04101/2014 EACH OCCURRENCE $ 2,000,000 X DAMAGE TO RENTED 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 4,000,000 X POLICY FPRO LOC $ At 'OMOBILE LIABILITY BAP 596589305 04/01/2013 04/01/2014 COMBINED SINGLE LIMIT 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY For accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per academ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEB RETENTION$ $ WC WORKERS COMPENSATION ST MIT OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE❑ N/A E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE Structural engineering services during construction of the flood wall for the Boeing Levee Project (SEE ADDITIONAL PAGE TEXT) CERTIFICATE HOLDER CANCELLATION CITY OF KENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN NANCY YOSHITAKE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 00 W GOWE ACCORDANCE WITH THE POLICY PROVISIONS .ENT,WA 98032 AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services David Oenihan ©1988-2010 ACORD CORPORATION All rights reserved ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC# Los Angeles ACC® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AG NAMED INSURED Marsh Risk&Insurance Services AECOM Technical Services,Inc 710 2nd Avenue,Suite 1000 POLICY NUMBER Seattle,WA 98104 CARRIER NAIC CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER. 25 FORM TITLE Certificate of Liability Insurance CITY OF KENT IS NAMED AS ADDITIONAL INSURED FOR GL&AL COVERAGES,BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED SUCH INSURANCE AFFORDED SHALL BE PRIMARY AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER&ADDI110NAL INSURED SHALI BE EXCESS AND SHALT BE EXCESS AND NOT CONTRIBUTORY INSURANCE FOR GENERAL LIABILITY AND AUTO LIABILITY COVERAGE IF THE INSURER FOR THE GENERAL LIABILITY OR AUTOMOBILE LIABILITY POLICY CANCELS ITS POLICY FOR ANY REASON OTHER THAN FOR NON-PAYMENT OF PREMIUM,THE INSURER WILL PROVIDE 30 DAYS NOTICE OF CANCELLATION TO THOSE CERTIFICATE HOLDERS THAT REQUIRE IT BY WRITTEN CONTRACT SEVERABILITY OF INTEREST/CROSS LIABILITY WORDING IS INCLUDED FOR GL&AL COVERAGES ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER BAP 5965893 05 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form This endorsement does not alter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date Is indi- cated below Endorsement Effective 4/1/13 Countersigned By Named Insured AECOM Technical Services, Inc Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): ONLY THOSE WHERE REQUIRED BY WRITTEN CONTRACT. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement) Each person or organization shown in the Schedule is an "insured"for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form Copyright, Hawaii Insurance Bureau, Inc , 1999 Includes copyrighted material of the Insurance Seances Ofnre, Inc ,with its permission CA 1028 (2-89) CA 20 48 02 99 Copyright, Insurance Services Office, Inc , 1999 Page 1 of 1 POLICY NUMBER GLO 5965891 05 COMMERCIAL GENERAL LIABILITY CG20260704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Orsianization(s) ONLY THOSE WHERE REQUIRED BY WRITTEN CONTRACT. 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 in- omissions or the acts or omissions of those acting on clude as an additional insured the person(s) or or- your behalf ganization(s) shown in the Schedule, but only with A. In the performance of your ongoing operations, respect to liability for "bodily injury", "property or damage" or "personal and advertising injury B. In connection with your premises owned by or caused, in whole or in part, by your acts of rented to you CO 20 26 07 04 Copyright, ISO Properties, Inc , 2004 Page 1 of I UNIFORM i1 RLCEiVFmD AM U 5 2013 ENfGINEERING MT 0004917 SP 0097 -001-P04919-1 CITY OF KENT, WA ATTN. NANCY YOSHITAKE 400 T, G KE KENT,WAA 98 98032