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PW14-040 - Amendment - #1 - GeoEngineers, Inc. - Green River Natural Resources Area Pump Station - 12/12/2014
S� u Na ' {r Records a.n a6 to6 e'tT,, KENT Document WAS HiN OTON u- TW.'7,.a,:,t 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: GeoEngineers, Inc. Vendor Number: 1D Edwards Number I Contract Number: old"f 3 11y f This is assigned by City Clerk's Office Project Name: Green River Natural Resources Area Pump Station Description: ❑ Interlocal Agreement ❑ Change Order M Amendment ❑ Contract ❑ Other: Contract Effective Date: Date of the Mayor's signature Termination Date: 12/31/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Mark Madfai Department: Engineering Contract Amount: Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2015 so the consultant can continue to conduct subsurface explorations and laboratory testing as a basis for developing geotechnical design and construction recommendations for the project._______,_ As of: 08/27/14 KENT w�s� N�ror AMENDMENT NO. i NAME OF CONSULTANT OR VENDOR: GeoEngineers, Inc. CONTRACT NAME & PROJECT NUMBER: Green River Natural Resouces Area Pump Station ORIGINAL AGREEMENT DATE: February 11, 2014 i 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, 2015 to meet the project timeline. 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, $21,959.15 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $21,959.15 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $21,959.15 AMENDMENT - 1 OF 2 i Original Time for Completion 12/31/14 (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 12/31/15 (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 KENNT: el� B � (signatur + (signature) Print Name r � i �t` 1 Pr nt Name: suzette Cooke Its A' ' ItS -' Mayor (titl ) J , (title)/ DATE: r J t DATE: m z Z/ APPROVED AS TO FORM: (applicable-if Mayor's signature requinod) ;v r 4 t�A Kent Law Department —� GeoEnglneers-GRNRA PS Anid](Madfal AMENDMENT - 2 OF 2 -•�--� GEOEINC-01 TAYLORJE ,aCOR®~ ODlYYYY) CERTIFICATE OF LIABILITY INSURANCE DA3281 �....--••" 312812014 r• fIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS .ERTIFICATE 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 Is an ADDITIONAL INSURED,the policy(ies)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 CONTACT NAME: _ _ Willis of Seattle,Inc. PHONE - 877 945-7378 FAX (888 467-2378 c/o 26 Centurryy Blvd _e,No,Ertl,( ) _ Arc Noy ( } _ P.O.Box 305191 EMAIL ADDRESS, Nashville,TN 3 7 23 0-51 91 INSURER(S)AFFORDING COVERAGE NAIC# _ _ INSURER A:Travelers Property Casualty Company of America 25674 _ INSURED INSURER B:Travelers Indemnity Company _25658 _ GeoEngineers,Inc. INSURER c_p Liberty Mutual Fire Insurance Company. 23036 8410154th Ave.NE INSURER D:.__.____._ Redmond,WA 98052 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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. I�TR TYPE OF INSURANCE DD E POLICYNUMBER MMIDDIIT MMIODYlP/YY LIMITS GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABI X P•660-533D1564-TIL-04 3131/2014 3/3112015 PREMISES Eao urcence $ 100,00 _ CLAIMS-MADE OCCUR MED EXP(Any one parson) $ 5,00 PERSONAL&AOV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00 POLICY FX JPEO LOGI I $ AUTOMOBILE LIABILITY I - COMBINED SINGLE LIMIT 1,000,000 Ea pccd.rd _ $ B X ANY AUTO P-810-532D8375-IND-14 3/3112014 3131/2016 BODILY INJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS A LOS MEO PROPERTY DAMAGE HIRED AUTOS AUTOS -(Par accident) $ ..__. ' 5 UMBRELLA LIAR OCCUR EACHOCCURRENCE $ _ EXCESS LIAR CLAIMS_-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC BTATU- OTH- ANDEMPLOYERS'LIABILITY T&YYHMITS _E C ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA WC2-291-d51667-014 3131I2014 3I31t2015 E.L.EACH AGCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EM PLOY $ 1,000,000 f yes,describe antler 1,000,000 DE SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES(Attach ACORD un,Additional Remarks Schedule,if more space is required) GeoEngineers File No.0410-187-00 Re:Green River Natural Resources Area Pump Station Project WA Stop Gap,USL&H and Maritime Employers Liability coverage is Included under Workers'Compensation coverage evidenced above. i City of Kent is included as an Additional Insured as respects to General Liability and Automobile Liability as required by written contract. ',.. General Liability policy shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insured. 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 Engineering AUTHORIZED REPRESENTATIVE Nancy Yoshitake 400 ��� 400 West Gowe '. Kent WA 98032 ©1988-2010 ACORD CORPORATION. All rights reserved. j ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I POLICY NUMBER: P-660-533D1564-TIL-14 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II —WHO IS plies only to such "bodily injury" or "property AN INSURED: damage"that occurs before the end of the pe- Any person or organization that you agree in a riod of time for which the "written contract re- written contract requiring insurance"to include as quiring insurance" requires you to provide an additional insured on this Coverage Part, but: such coverage or the end of the policy period, whichever is earlier. a. Only with respect to liability for"bodily injury", "property damage"or"personal injury"; and 2. The following is added to Paragraph Ca. of SEC- TION IV— COMMERCIAL GENERAL LIABILITY b. If, and only to the extent that, the injury or CONDITIONS: damage is caused by acts or omissions of you or your subcontractor in the performance The insurance provided to the additional insured of "your work" to which the "written contract is excess over any valid and collectible "other in- requiring insurance" applies. The person or surance", whether primary, excess, contingent or organization does not qualify as an additional on any other basis, that is available to the addi- insured with respect to the independent acts tional insured for a loss we cover. However, if you or omissions of such person or organization. specifically agree in the"written contract requiring insurance" that this insurance provided to the ad- The insurance provided to such additional insured ditional insured under this Coverage Part must is limited as follows: apply on a primary basis or a primary and non- c. In the event that the Limits of Insurance of contributory basis, this insurance is primary to this Coverage Part shown in the Declarations "other insurance" available to the additional in- exceed the limits of liability required by the sured which covers that person or organization as .written contract requiring insurance", the in- a named insured for such loss, and we will not surance provided to the additional insured share with that "other insurance". But this insur- shall be limited to the limits of liability required ante provided to the additional insured still is ex- by that "written contract requiring insurance". cess over any valid and collectible "other insur- This endorsement shall not increase the limits ante", whether primary, excess, contingent or on of insurance described in Section III — Limits any other basis, that is available to the additional Of Insurance. insured when that person or organization is an al. This insurance does not apply to the render- additional insured under any"other insurance". ing of or failure to render any "professional 3. The following is added to SECTION IV — COM- services" or construction management errors MERCIAL GENERAL LIABILITY CONDITIONS: or omissions. Duties Of An Additional Insured e. This insurance does not apply to "bodily in- As a condition of coverage provided to the addi- jury" or "property damage" caused by "your tional insured: work" and included in the "products- completed operations hazard" unless the a. The additional insured must give us written "written contract requiring insurance" specifi- notice as soon as practicable of an "occur- cally requires you to provide such coverage rence" or an offense which may result in a for that additional insured, and then the insur- claim. To the extent possible, such notice ante provided to the additional insured ap- should include: CG D4 14 04 08 ©2008 The Travelers Companies,Ina Page 1 of 2 ooeaoa COMMERCIAL AUTO POLICY NUMBER: P-810-532D8375-IND-14 ISSUE DATE: 3/31/2014 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 modi- fied 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, SCHEDULE Name of Person(s) or Organization(s): ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED TO INCLUDE AS AN ADDITIONAL INSURED ON THIS COVERAGE FORM IN A WRITTEN CONTRACT OR AGREEMENT THAT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS AND THAT IS IN EFFECT DURING THE POLICY PERIOD. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations o� 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 11 of the Coverage Form. r o� CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 Op�859 j Terra Insurance Company (A Risk Retention Group) P§ TERRA d. Two Fifer Avenue, Suite 100 INSURANCE COMPANY Corte Madera, CA 94925 CERTIFICATE OF INSURANCE DATE 01/01/14 NAME AND ADDRESS OF INSURED GeoEngineers, Inc. 1101 Fawcett Avenue,Suite 200 Tacoma, WA 98402 This certifies that the"claims made" insurance policy(described below by policy number)written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and is issued as a matter of information only,and confers no rights upon the certificate holder. This certificate does not alter, amend or extend the coverage afforded by this policy. The policy of Insurance listed below has 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 policy described herein is subject to all the terms,exclusions and conditions of such policy. Aggregate limits shown may have been reduced by paid claims. G TYPE OF INSURANCE Professional Liability k l , POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 214019 01/01/14 12/31/14 LIMITS OF LIABILITY $1,000,000 EACH CLAIM $1,000,000 ANNUALAGGREGATE PROJECT DESCRIPTION Green River Natural Resources Area Pump Station Project GeoEngineers File No.0410-187-00 CANCELLATION: If the described policy is cancelled by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30)days in advance,or ten (10)days in advance for non-payment of premium. If the described policy is cancelled by the insured before its expiration date,the Company will mail written notice to the certificate holder within thirty(30)days of the notice to the Company from the insured. CERTIFICATE HOLDER ISSUING COMPANY: TERRA INSURANCE COMPANY City of Kent Engineering (A Risk Retention Group) Attn:Nancy Yoshitake 400 West Gowe 1` Kent,WA 98032 President Verify Workers' Comp Premium Status -Employer Liability Certificate Page I of 1 Washington State Department of y;SrA3@ Employer Liability Labor and Industries �� Certificate e Department of Labor and Industries Employer Liability Certificate Date: 02/03/2014 UBI#: 600 375 010 Legal Business Name: Account#: 429,351-00 'Doing Business As'Name: GEOENGINEERS INC Estimated Workers Reported: Quarter 4 of Year 2013 "Greater than 100 Workers" (See Description Below) Workers' Comp Premium Status: Account is current.Firm has voluntarily reported and paid their premiums, Licensed Contractor? Yes License: GEOENI*110JE Expire Date: 5/9/2015 Account Representative: T1 /FLAMED FEROZE(360)902-4797 -Email: FERH235@lni.wa.gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter.A single 480 hour position may be filled by one person,or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation(See RCW 51,12.050 and 51.16.190}. i httos://fortress.wa.gov/lni/crpsi/AcctInfoPrint,aspx?Accountld=42935100&AccountManage... 2/3/2014 REQUEST FOR MAYOR'S SIGNATURE � T Please Fill in All Applicable Boxes z^ f A 1` kfi � ewe c(r y'�D c or Originator's Name: Mark Madfai Dept/Div. Engineering Extension: 5521 Date Sent: $ � DateRe uired rA r Return to. Nancy Yoshitake CONTRACT TERMINATION RATE: 12/31/15 VEND0'R: GeoEn ineers, 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. I is necessary to extend the time of completion to December 31, 2015 so the consultant can continueto condiacf subsurface explorations and laboratory testing as a basis for developing geotechnical design and construction recommendations for the Green River Natural Resources Area Pump Station project, Ali Contracts Must Be Routed Through The Law Department (This area to be completed by the Caw Department) Received "{r , (w. t wt i Approval of Law Dept ,f., . Law Dept. Comments I Date forwarded to Mayor: S -S z7 Shaded Areas To Be Completed By Administration Staff Received:: Recommendations and Comments: Disposition. y of Ket-a ; Date Returned: