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PW13-243 - Amendment - #1 - Hough, Beck & Baird, Inc. - SR 516 & Milwaukee 2 Levee - 12/03/2013
Records Marf gemeftt3 ft�KEN' T Documenf` 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: Hough Beck & Baird Vendor Number: JD Edwards Number Contract Number: Vvy 1 This is assigned by City Clerk's Office Project Name: SR 516 and Milwukee II Levees Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/3/13Termination Date: 12/31/14 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Alex Murillo Department: Engineering Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2014 because the project work continues on these levee systems. i s:Publlc\RecordsManagement\Forms\ContractCover\adcc7832 11/08 KENT AMENDMENT NO. i NAME OF CONSULTANT OR VENDOR: Hough Beck & Baird Inc. CONTRACT NAME & PROJECT NUMBER: SR 516 and Milwaukee II Levees ORIGINAL AGREEMENT DATE: August 19, 2013 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 because project work continues on these levee systems. 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, $8,000.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $8,000.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $8,000.00 Ili AMENDMENT - I OF 2 Original Time for Completion 8/19/13 (insert date) Revised Time For—Completion-under n/a prior Amendments (insert date) Add'I Days Required (t) 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 O KENT: S By: BY: (signat re) ( "gnature) Print Name: clt} c i USG Print Name: Timothy J. LaPorte, P.E. Its f'P—e a Its Public Works Director 4title DATE: {g13 DATE APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Hough Back&Baird SR 516&Kiwaukee)Amd 1/an AMENDMENT - 2 OF 2 AC m CERTIFICATE OF LIABILITY INSURANCE DATE( 1'1'YY) �✓ 7/15/20/2013 , PRODUCER (206)621-6444 FAX: (206)515-0560 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Curry and Rogers Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1200 5th Ave. #1825 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle WA 98101 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:TRAVELERS INDEMNITY CO HOUGH BECK & BAIRD, INC INSURER nTRAVELERS PROPERTY CASUALTY 215 WESTLAKE AVE NORTH INSURER c:TRAVELERS CASUALTY IS SURETY INSURER D: SEATTLE WA 98109 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT WITHSTAN DING 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 OFSUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICYEFFECTIVE POUCYEXPIRATION LTR N9R TYPE OF INSURANCE POLICYNUMBER DATE MMIDDIYYYY DATE MMMONYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea 0000nenre $ 300 000 A X CLAIMS MADE ❑X OCCUR I6809C538779 5/16/2013 5/16/2014 MED EXP(Any one person) $ 5000 PERSONAL A ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEVIL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPA)P AGO $ 2 000 000 _ POLICY X PRo- LOC - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Eaattident) $ 1,000,000 IS X ALL OWNED AUTOS A9C555322 5/16/2013 5/16/2014 .. BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (PoraoEl&nt) - PROPERTY DAMAGE (Per aoddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 X OCCUR CLAIMS MADE AGGREGATE 5 2,000,000 . Is B X DEDUCTIBLE '..155555 5/16/2013 5/16/2019 $ X RETENTION $ 5,000 WORKERS COMPENSATION WC STAI'L- OTH- AND EMPLOYERS'LIABILITY ----TORYLCMy X ANY PROPRIETON"ARTNERIEXECUTIVE�I6B09C53B779 5/16/201.3 5/16/2014 E.L.EACH ACCIDENT $ 1,000 000 OFFICERIMEMOER E%CWOEO7 A (Mandatory In NN) E.L.DISEASE-EA EMPLOYE $ 1,000,000 It yes,dove be under -- SPECIALPROVISIONGbelow _ F.L.DISEASE POLICY LIMIT $ 1,000 000 G OTHERpROFESSIONAL 105277A06 5/16/2013 I5/16/2014 Each Claim $1-,000,000 LIABILITY Annual aggregate $2,000,000 DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE OPERATIONS OF THE NAMED INSURED, re: Kent SR 516 and Nlilwaukee 2 Levees Photo Simnlation Renderings. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City OS Kent Engineering DATE THEREOF,THE ISSUING INS USER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: Nancy Yoshi-take NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 400 West Grove Kent, WA 98032 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kari DiSuli.o/KD ACORD 25(2009/01) ©1088.2009 ACORD CORPORATION. All rights reserved. INS025(200901) The ACORD nanra and logo are registered marks of ACORD POLICY NUMBER: 16809C538779 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. II ADDITIONAL INSURE me OWNERS, LESSEES OR CONTRACTORS (FORM 13) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART, I SCHEDULE Name of Person or Organization: City of Kent II (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work"for that insured by or for you. GG 20 10 11 85 Copyright:, Insurance SONIGes Office, Inc., '1982 1