HomeMy WebLinkAboutPW14-043 - Amendment - #1 - GeoEngineers, Inc. - Horseshoe Bend/Milwaukee II Levee - 12/12/2014 Records manage' me � ,r
KENT Document
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CONTRACT COVER SHEET
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This is to be completed by the Contract Manager prior to submission j
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:
JD Edwards Number
ryi I t 1
Contract Number: /2«v� 1•-I -� rl
This is assigned by City Clerk's Office
Project Name: Horseshoe Bend/Milwaukee II Levee
Description: ❑ Interlocal Agreement ❑ Change Order ® 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
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Detail: (i.e. address, location, parcel number, tax id, etc.): j
Extend the time of completion to December 31, 2015 so the consultant can continue to
conduct subsurface explorations as a basis for developing design recommendations and
complete analysis for the certification of levees for the project._ _
As of: 08/27/14
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KENT
W PSHINGiON
AMENDMENT NO. i
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NAME OF CONSULTANT OR VENDOR: GeoEngineers, Inc.
CONTRACT NAME & PROJECT NUMBER: Horseshoe Bend/Milwaukee II Levee
ORIGINAL AGREEMENT DATE: February 18, 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:
The scope of work remains the same, however an amendment
is needed to extend the time of completion to December 31,
2015 to complete design 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, $52,001.00
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $52,001.00
including all previous amendments j
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Current Amendment Sum $0
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $52,001.00
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AMENDMENT - 1 OF 2
Original Time for Completion 12/31/14
(insert date)
Revised Time for Completion under n/a
prior Amendments
(insert date)
Add'I Days Required (t) for this 365 calendar days
Amendment
Revised Time for Completion 12/31/15
(insert date)
The Consultant or Vendor accepts all requirements of this Amendment by signing below,
by its signature waives any protest or claim it may have regarding this Amendment, and
acknowledges and accepts that this Amendment constitutes full payment and final settlement of
all claims of any kind or nature arising from or connected with any work either covered or
affected by this Amendment, including, without limitation, claims related to contract time,
contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless
otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the
guarantee and warranty provisions of the original Agreement.
All acts consistent with the authority of the Agreement, previous Amendments (if any),
and this Amendment, prior to the effective date of this Amendment, are hereby ratified and
affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this Amendment, which is binding on the parties of this contract.
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
CONSULTANT/VENDOR: CITY OF KENT:
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By: Jlavudi-o By:
(signa ure) /' (signature)
Print Name: 6,8 Ai^ 1 Print Nam ooke
Its ` c t - Its Mayor
(tRte� r, / (title);
DATE: f t. ;" /J DATE:
f
APPROVED AS TO FORM:
(applicable if Mayor's gignature r$quired)
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Kent Law Department
GeoEngineers-Mibvaukee tt pmJ i/Matlfal
AMENDMENT - 2 OF 2
GEOEINC-01 TAYLORJE
CERTIFICATE OF LIABILITY INSURANCE °AT/28/2014
3128l2014
t" iIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
6RTIFICATE 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 ondorsemenl(s).
CONTACT
PRODUCER NAME:
Wlilis of Seattle,Inc. PHONE I877}945-7378 FAX Not. {888}467-2378
A/C,No Ext:_t_
c/o 26 Cent"
rryy Blvd E-MAIL
P.O.Box 305191 ADDRESS: _,
Nashville,TN37230.5191 INSURERS)AFFORDING COVERAGE NAIC4
INSURER A:Travelers Property Casualty Company of America 25674
INSURED _INSURER 8:Travelers Indemnity Company _ 25658
GeoEngineers,Inc.
INSURERC:Liberty 'Mutual Fire Insurance Company 23035
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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 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 AUDZ West POL16 EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE J=WVD POLICY NUMBER IMMIDDtYYWI (MMIODNYYY)
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY X P•660-53301564-TIL-14 3/3112014 3/31/2016 pREMIBEs-DANRGME accuErenee $ 100100
CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00
PERSONAL&ADV INJURY $ 1,000,000
GENERALAGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS_COMPIOP AGO $ _ 2,000,000
POLICY X PRO- LDG $
COMBNEDSNGLE LIMIT 1,000,00
AUTOMOBILE LIABILITY Ea accttlent _ _ _.
B X ANY AUTO X P-810-53208376-IND-14 3/31/2014 3/31/2015 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Peracciden) $
AUTOS NONOOWNED PROPERTY DAMAGE $
HIREDAUTOS AUTOS Peraxltlent _
UMBRELLA LIAR OCCUR EACH OCCURRENCE _ $
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTIONS $
R LIA ER
WORKERS COMPENSATION X WC STATU- OTH-
AND EMPLOYERS'LIABILITY YIN 1,000,000
C ANY PROPRIETORlPARTNERIEXECUTIVETNIAWC2-Z91.451667-014 3/3172014 3I31/2015 E.L.EACH ACCIDENT.__ $ _
OFFICER/MEMBER EXCLUDED? 1,000,000
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ ,I
If yes,describe under E.L.DISEASE-PDUCY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 901,AtltlinonaiRemarka Schatlule,if morn space la regolretl)
WA Stop Gap,USL&H and Maritime Employers Liability coverage is included under Workers'Compensation coverage evidenced above. Re:Horseshoe
Bend/Milwaukee II Levee Connection Design,Analysis&Certification-GeoEngineers File No.0410.172-07 City of Kent Engineering is Included as
Additional Insureds as respects to General Liability and Automobile Liability,as required by written contract. The General Liability policy includes a
separation of Insureds clause.
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 Yosh(take 400 i
400 West Gowe
Kent WA 98032
91988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: P-660-533D1564-TIL-14 COMMERCIAL GENERAL LIABILITY j
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - WRITTEN
CONTRACTS (ARCHITECTS, ENGINEERS AND
SURVEYORS)
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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 4,a. 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
is excess over any valid and collectible "other in-
of "your work" to which the "written contract e
requiring insurance" applies, The person or o whether primary, excess, contingent
on an 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 ance", 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
d. 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 add!-
jury" or "property damage" caused by "your tionai insured:
work" and included in the "products-
_ completed operations hazard" unless the a. The additional insured must give us written
— "written contract requiring insurance" sped d-
notice as soon as practicable of an "occur-
rence"cally requires you to provide such coverage or an offense which may result in a
for that additional insured, and then the insur- claim. To the extent possible, such notice
ance provided to the additional insured ap- should include:
CG D4 14 04 08 d 2008 The Travelers Companies,Inc. Page 1 of 2
00a806
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COMMERCIAL GENERAL LIABILITY
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I. How, when and where the "occurrence" any provider of other insurance which would
or offense took place; cover the additional insured for a loss we
if. The names and addresses of any injured cover. However, this condition does not affect
persons and witnesses; and whether this insurance provided to the addi-
Ill. The nature and location of any injury or tional insured is primary to that other insur-
damage arising out of the "occurrence" or ante available to the additional insured which
offense. covers that person or organization as a
named insured.
b. If a claim is made or "suit' is brought against
4. The following is added to the DEFINITIONS Sec-
must: tion:
i. Immediately record the specifics of the "Written contract requiring insurance" means that
claim or"suit'and the date received; and part of any written contract or agreement under
ii. Notify us as soon as practicable. which you are required to include a person or or-
ganization as an additional insured on this Cover-
The additional insured must see to it that we age Part, provided that the "bodily injury" and
receive written notice of the claim or"suit' as "property damage" occurs and the "personal in-
soon as practicable. jury"is caused by an offense committed:
c. The additional insured must immediately send a. After the signing and execution of the contract
us copies of all legal papers received in con- or agreement by you;
nection with the claim or"suit',cooperate with b. While that part of the contract or agreement is
us in the investigation or settlement of the in effect; and
claim or defense against the "suit', and oth-
erwise comply with all policy conditions, c. Before the end of the policy period.
d. The additional insured must tender the de-
fense and indemnity of any claim or "suit' to
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Page 2 of 2 0 2008 The Travelers companies, Inc. CG D4 14 04 08
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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 persons) 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
i 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
It of the Coverage Form.
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CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
000sse
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Verify Workers' Comp Pre mium'Status-Brinplo yet Liability Certificate Page l af1
Washington State Department of :4Tw h LmployOLiability
Labor and Industries Certificate
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a+�ff�.78&id�cv
bepartment of Labor and Industries
Employer Liability Certific'i t'e.
Date: 1171 312 0 1 3
118I 9. 600375010
Legal Business Name:
Account 429,351-00
'Doing Business As'Name: GEOENGINEERS TNC
Estimated Workers Reported: Quarter 3 of Year 2al "&eatot than 1.00 Workers"
(See Description Below)
Workers'Comp Premium Status: Account is.current, Firm'has voluntarily reported and j
paid their premiums.
Licensed Contractor? Yes I
License: GEOENI*110JE
Expire Date: 51912015
Account Representative: T1 (FEARAED FEROZE(36Q)902-4797 tr+ --Email:
FER14235@ini.wa.gov
What does "Estimated Workers Reported" inean?
Estimated workers reported represents the number of full time position.requiring at least 480
boars of work per calendar quarter.A single 480 hour position may be f llod 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
5.1.12.050 and 1,15 6.190).
httr,cl/fnrtress.wa.aovllnllcrosi/Aectlnf6Piintast2x?Accountld=42935.100&AccountMaaa... 11/13/2013
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Terra Insurance Company
(A Risk Retention Group) FFTERRA
Two Fifer Avenue, Suite 100 —
Corte Madera, CA 94925 INSURANCE COMPANY
CERTIFICATE OF INSURANCE
DATE
12/02/13
NAME AND ADDRESS OF INSURED
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Geo&igineers,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.
TYPE OF INSURANCE Professional Liability
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
213019 01/01/13 12/31/13
LIMITS OF LIABILITY $2,000,000 EACH CLAIM
$2,000,000 ANNUALAGGREGATE
PROJECT DESCRIPTION
Horseshoe Bend/Milwaukee 11 Levee Connection Design,Analysis&Certification
Geoingineers Fite No. 0410-172-07
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.
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CERTIFICATE HOLDER ISSUING COMPANY:
TERRA INSURANCE COMPANY
City of Kent Engineering (A Risk Retention Group)
Attn:Nancy Yoshitake
400 West Gowe
Kent, WA 98032
President
REQUEST FOR MAYOR'S SIGNATURE
�T Please Fill in All Applicable Boxes 4 r
evfely a"t, Director
Originator's Name: Mark Madfai Dept/Div. Engineering Extension: 5521
Date Sent: ra Date Required: to +�
Return to: Nancy Yoshitake CONTRACT TERMINATION DATE: 12/31/15
VENDOR: GeoEn ineers,'Inc. DATE OF COUNCIL APPROVAL; N/A
ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if a licabie
Brief Explanation of Document;
The attached Amendment No. 1 is necessary to extend_ the time of completion to
December 31, `2015 so the consultant can continue to conduct subsurface explorations
as a basis for developing design recommendations and complete analysis for the
certification of levees for the Horseshoe Bend/Milwaukee II Levee project.
All Contracts Must Be Routed Through The Law Department
(This area to be completed by the Law Department)'
Received- x .t3. fl v 1 ;
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Approval of Law Dept u I l I t' r
Law Dept Comments
-
ji Date Forwarded to Mayor;
Shaded Areas To Be Completed By Administration Staff
Received:
M
}0 Ad
Recommendations and comments;
Disposition:
rY" A� i
Date Returned: