HomeMy WebLinkAboutPW14-071 - Amendment - #1 - ICF Jones & Stokes, Inc. - 108th Ave & S. 208th St. Intersection - 05/30/2014 Records Managem 0, n
Z�lc Document
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W ASHiNGTON
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: ICF Jones & Stokes, Inc.
Vendor Number:
JD Edwards Number
Contract Number: ?W 14-01
This is assigned by City Clerk's Office
Project Name: 108th Ave. & S. 2081h St. Intersection Hot Spot Modeling
Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract
❑ Other:
Contract Effective Date: 5/30/14Termination Date. 6/30/14
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 30, 2014 so the Consultant can provide follow-up
n carbon mooxid _
e hot spot modeling for the protect.
S•Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
Or
KENT
WASHINGTON
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: ICF tones & Stokes. Inc.
CONTRACT NAME & PROJECT NUMBER:1081h Ave & S. 2081h St Intersection Hot Spot Modeling
ORIGINAL AGREEMENT DATE: March 25. 2014
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.
Provide follow-up carbon monoxide hot spot modeling for the
project. A copy of the Consultant's billing rates are 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, $3,260.08
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $3,260.08
including all previous amendments
Current Amendment Sum $662.68
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $3,922.76
AMENDMENT - 1 OF 2
Original Time for Completion 6/1/14
(insert date)
Revised Time for Completion under n/a
prior Amendments
(Insert date)
Add'I Days Required (f) for this 29 calendar days
Amendment
Revised Time for Completion 6/30/14
(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:
r4By. 0, By:
(sr nature) signature)
Pri Na e: Print Name: Mark Howlett
Its VA Its Design Engineering Manager
(b l
DATE: � DATE: 613011 (title)
APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent Law Department
ICF Jows&Stokes 108'"20e Hot Spot Amd 1/Hom
AMENDMENT - 2 OF 2
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AC�" DATEO(�NIDOiM'YY)
CERTIFICATE OF LIABILITY INSURANCE
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
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
REPRESENTATIVE 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 m
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the Ic
certificate holder In Ileu of such endorsement(s). m
PRODUCER CONTACT
Aon Risk services Northeast, Irc. NHON FA%
New York NY 0`fTce C,No Est (866) 283-7122 a0 (8D0) 363-0105
199 water street MESS. 'o
New York NY 10038-3551 USA
INSURER(S)AFFORDING COVERAGE NAICI
INSURED INSURMA, Great Northern Insurance co. 20303
ICF Jones & stokes, Inc. IMURERB Sentry Ins A Mutual company 24988
9300 Lee Higghway INsuRERc
Fairfax vA 22031-1207 USA
INSURER D
INSURER E
INSURER F.
COVERAGES CERTIFICATE NUMBER:670053024529 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
TR TYPE OF INSURANCE AM S B POLICY NLWSER POUCYEFF O LIMITS
X COMMERCIALGENERALLIABaJTY INSDWWI EACH OCCURRENCE $1,000,000 l
CLAIMS-MADE MCCCUR Package - Domestic $1,000,000 '
PREMISES Ee occurrence
X Pmd Ccmp Opkc1h Gen1ASg NED FXP(Any one person) 510,000
X Contactual Liability PERSONAL&ADV INJURY $1,000,000 N
GEN'LAGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE $2,000,000 N
X POLICY E] LOC O
PRO- PRODUCTS-COMplOP AGG r%
ECT
OTHER
A AUTOMOBILE UABILITY 73522955 06/2S/201306/25/2014 COMBINED SINGLE LIMIT $1,000,000
Automobile - All states IERawkienO "
X ANYAUTO BODILY INJURY(Per person) O
Z
ALL OWNED SCMEDULEO BODILY INJURY(Par accldenq $
AUTOS AUTOS PROPERTY DAMAGE FOt
X HIRED AUTOS X NON-OWNED Parmodden
AUTOS 1a+
UMBRELLA LIAB OCCUR EACH OCCURRENCE U
EXCESS LIAB CLAMIS1dADE AGGREGATE
DED RETENTION
e WORKERS COMPENSATION AND - 6 5 XSTA E OTH-
EMPLOYERS'LUIBILITY YIN workers comp
ANY PROPRIETOR I PARTNER I EXECUTIVE EL EACH ACCIDENT S1,000,OOD
B NIA 9U-17657-02 06/25/2013 06/25/2014
OFFICERMEMBER EXCLUDED? E
(Mandsrory In MO workers Comp EL DISEASE-EA EMPLOYEE S1,000,000
Ityye4e,domlbeunder
D RIPTION OF OPERATIONS below ELOISEASE-POLICY LIMIT 51,000,000—
ESC —_
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addillonal Ramarka Schedule,maybe attached N mom apace Is required)
1 - The City of Kent is included as an Additional insured under the General Liability policy.
2 - Except with respect to the limits of Insurance, and any rights or duties specifically assigned to the First Named Insured, II
insurance applies separately to each insured against whom claim is made or suit" is brought.
3 - Subject to the standard terms and conditions of the individual policies, the indicated coverage is primary but only as I
respect work being done by ICF Janes & stokes, Inc for the city of Kent.
tau.
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 AUTHORIZED REPRESENTATIVE
220 Fourth Avenue South
Kent, WA 98032 USA
01988.2014 ACORD CORPORATION.All rights reserved.
ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD
I
Uabtlffyinsurance
Endorsement
Polley Period JUNE 25,2013 TO JUNE 25,2014
E1fertrve Dafe DUNE 25,2013
Policy Number 3581.24-09EUC
Insured ICF JONES&STOKES,INC }I
I
Name of Company OREAT NORTHERN INSURANCE COMPANY
Date Issued JUKE 25,2013
e9l vF fps>ia91690p0 o0yga#^4 qY tla.W409 CNCOdpea s tpp#0tl}v3SC'R pO ova P#kOY YaV Tn OPkAa Ca'f•#L<P9Y0 FPb'oOdiYPANA9'sn40)'iAfx
This Endorsement applies to the followingforms:
GENERAL LIABILITY
„r%u>s r,+.,x Y%„rw.v,rwrvxxxYv.•o wrova nwv%^,•mw,,wrw,rvrv,ra scam„I%vv+r,.wr,rr aYr+•rt m roe:urn+•Ynwr r rm>r-r�<nw•Y, � ��+r
Under Who Is An insured,the following provision is added:
f
Who Is An Insured
Scheduled Person Or subs act to all of the temps and conditions of this insurance,any person or organization shown in the
Organization Schedule,acting pursuant to a written contract or agroementbetwean you and such person or
organization,is an lasured;but they era hisureds only with respect to liability ansmg out of your
operations,or your premises,if you are obligated,pursuant to such contractor agrcemont,to provide
them with such insurance as is afforded by this policy
However,no such person or organization is an insured withrespeet to any:
• assumption of liability by thern in a contract or agreement.This limitation does no[apply to
the liability for damages forinJ ury or damage,to which this insurance applies,thatthe person
or organization would have in the absence of such contract or agreement.
damages anstng out oftheir sole negligence.
•f^hv h,}� Y+ ,NYC%qH.h1Fh•/h%IN'M)P/•w1�/MM<AM,iM1AV+MAV,xA+t,hvh�•vl Tli'4Y1.>h\'R.M`.ONJV,)M'>'IAM'>Y,\+MIAIIA" Y!n-T!h),
Schedule
ANY PERSON OR ORGANIZATIONAS REQUIRM W CONTRACT
Persons or assnootions that)m are oiJigabd,pWsuailfowritmn canhacl or aamamom
bemreen you and such person or orgenlmdon,to proms vdth such smurance as Is aderded by
MIe pAby but they are Insureds only dsnd so the n3Jn um*,tent Mat such eontect or
eareemant requlias the pwaGn or ownsanon no the aeerdPdi status as an Insured
Fbwercor,no person cr orpen.,t-b an Insured underMis p.%.who Is more epecaosly
dosenhad under any other pre sslon or in;Ndro Is An Ireurad moron at this policy(regardless
of any Ilmibdon applicable thereto)
City of Kent
UsbARy Insurance Adelrranaf Insured-Sdteb'deg"130n Urdxparrfzaaat a j
Fan 80-02-2867(Rev 8-04) Endorsement Page r i
Liability Endorsement
(continued)
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All other terms and conditioneremain imobangod.
Au9wzGd Repmssnlacve
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Reference Copy
WbWh9wence AddtbWkMNW-Sdvduled Person or 01ganlzason hwgage
form e0-02-2367 Rev.B-04 Endorsement Page 2
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POLICY NUMBER: 7362 2MS COMMERCULL 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 by this endorsement,the provisions of the Coverage Form apply unless modified by
this endorsement.
This endorsement Identifies person(s)or organization($)who are'9nsured$"under the Who(a An Insured Provision
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 Indicated
below.
Endorsement Effective. W25r13 Countersigned By e
Named Insured' ICF JONES&STOKES.INC,
7r01haJ iw
SCHEDULE
Name of Person(s)or Organization(s)
"Any person or organization as required by an humored contract"
City of Kant
f
(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 an"Insured"under the Who Is An Insured Provision contained In Section 11 of the
Coverage Form.
CA 20 48 02 99 Copyright Insurance Services Office,trio. Page 1 of 1 G
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