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HomeMy WebLinkAboutPW11-352 - Amendment - Amendment #2 - URS Corporation - Upper Mill Creek Dam Improvements - 12/18/2014 i r manage me' KENT Document WgSHINOTON CONTRACT COVER SHEET I 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: URS Corporation Vendor Number: JD Edwards Number Contract Number: 'Y ft ' `- '' 002 This is assigned by City Clerk's Office Project Name: Upper Mill Creek Dam Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment O 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: Steve Lincoln 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 to finalize the design. As of: 08/27/14 REQUEST FOR MAYOR'S SIGNATUREOrd � T Please Fill in All Applicable Boxes , l, .,Neviewed by Director Originator's Name: Steve Lincoln Dept/Div. Engineering Extension: 5552 Date Sent: Hate Required: io 3 I . Return to: Nancy Yoshitake CONTRACT TERMINATION DATE: 12/31/15= VENDOR: URS Corporation DATE OF COUNCIL APPROVAL- N/A ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: The attached Amendment No. 2 is necessary to extend the time of completion to 'December 31, 2015 to finalize the design of the Upper Mill Creek Dam project. AU Contracts Must Be Routed Through The Lain Department (This area to be completed by the Law Department). f t ^ I Received: f' j[ k Approval of w,i3pt f m1 s s Law Dept. Comments, F Date Forwarded to Mayor: 3 N Shaded Areas To Be Completed By Administration Staff Received: Recommendations and Comments: Disposition: 'mf Kent, [Date Returned: i • KENT AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: URS Corporation i CONTRACT NAME & PROJECT NUMBER: Upper Mill Creek Dam ORIGINAL AGREEMENT DATE: December 15, 2011 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 j 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 finalize the project design. 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, $310,619.36 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $310,619.36 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $310,619.36 AMENDMENT - 1 OF 2 ! Original Time for Completion 12/31/13 (insert date) Revised Time for Completion under 12/31/14 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 KENT: B � . Y r (s nature) ! (signature) Print Name: 1 Print Name. 5uzethe Cooke' f � Its V i Its Ma or (title) (title DATE: OdAA602= 11 b DATE: APPROVED AS TO FORM: (applicabhfiif Mayor's sign�ture regt'lred) I I „ Fi I Kent Law Department ! UH5-Upper Mill Crk Dam Amd 2/1-incoln AMENDMENT - 2 OF 2 i AC"P DATE 4 CERTIFICATE OF LIABILITY INSURANCE 0827 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 7RTIF(CATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED m6PRESENTATIVE 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). 1-000-000-0000 CONTACT PRODUCER NAME: _ _ _ Marsh Risk and Insurance Services PHONE FAX IAIqNo.,Extl: 888_-769-3873 _ AIC No: - 345 California Street ADDRIESS: Suite 1300 INSURER(SI AFFORDING COVERAGE NAIC# San Francisco, CA 94104 — - INSURERA: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURED INSURERS:_ZURICH AMER INS CO 16535 OHS Corporation _INSURER C: SEE ATTACHED _ _ 1501 Fourth Avenue, Suite 1400 _INSURER D: LEXINGTON INS CO _ 19437 INSURERS: Lloyd's of London & British Companies Seattle, WA 98101-3655 INSURER F COVERAGES CERTIFICATE NUMBER: 41207991 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. _..- RHIN TYPE OF INSURANCE ADLIL SDHR POLICY NUMBER MM%�DlY1'EYW MMlDOmYY LIMITS LTR A GENERAL LIABILITY GL5388391 09/01/1 09/01/15 EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY PREMSES(Eo oca. m $ 1,000,000 CLAIMS-MADE J OCCUR MED EXP(Myone arson) $ 10,000 X XCU, BFPD PERSONAL&ADV INJURY $ 2,000,000 X Contractual Liability GENERAL AGGREGATE g 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY X PRO- LOC $ j -- PUTOMOBILE LIABILITY BAP938521505 09 Ol 1 09 Ol 15 COMBINED SINGLE LIMIT 1 Ea mcldenl12,000,000 X ANY AUTO BODILY INJURY(P.,Person) $ ALL OWNED SCHEDULED BODILY INJURY(Peracdden0 $ AUTOS AUTOS PR - NON-OWNED OPERTY DAMAGE-- $ HIRED AUTOS AUTOS Par accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS MADE AGGREGATE _ $ DED RETENTION$ $ C WORKERS COMPENSATION SEE ATTACHED 01/01/1 Ol/01/15 X pCVLATU- OETH- ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE EL_EACH ACCIDENT $.21000,000 OFFICERIMEMBER EXCLUDED? N (Mandatory in NH) N/A E.L.DISEASE-EA EMPLOYEE $ 2,000,000 if yes,describe end., El,DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below D Prof Liab w/Lmtd Contract 015438088 09/Ol/1 09/01/15 Each Claim / Agg E ClaimsMade Retire 11-17-38 PE1410213 09/01/1 09/01/15 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD itll,Addit(onal Remarks Scheduio,it more space is regalred) City of Kent Upper Mill Creek Dam Improvements. The City of Kent is included as Additional Insured as respects the General Liability and Auto Liability policies, where required by written contract. Such insurance shall be primary insurance with respects to the interest of the additional insureWs and any other insurance maintained by the additional insured shall be excess and not contributing with the insurance required hereunder. Severability of Interest applies where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 'IFourth Avenue South AUTHORIZED REPRESENTATIVE Kent, WA 98032 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD GTiemeierURS 41207991 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 08 r27r2014 'IAME OF INSURED: URS Corporation i i Additional Description of Operations/Remarks from Page 1: This page intentionally left blank i Additional Information: The Workers' Compensation coverage shown does not apply in monopolistic states. In the States of ND, OH, WA and WY Workers' Compensation coverage is provided by the State Fund. In those States, the below-referenced policies provide Stop-Gap Employers' Liability only. Workers Compensation policies apply as indicated below; National Union Fire Ins Cc Pittsburgh, PA (NAIC# 19445100): WC 015656173 - CA Insurance Company Of The State Of PA (NAIC# 19429100) : WC 015656175 - MA, WI (Stop Gap - ND, ON, WA, WY) WC 015656176 - AX, AL, AR, AS, CO, DE, GA, ID, KS, KY, MD, MN, MO, MS, MT, NO, NH, NM, Nv, NY, OF, OR, PA, RI, SC, ED, TN, TX, UT, VA, VT, WV WC 015656178 - ME I Illinois National Ins Cc (NAIC# 23817001) : WC 015656174 - FL WC 015656177 - CT, DC, HI, IA, IL, IN, LA, MI, NE, NJ I SUPP(05104) i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 A. M. 09/01/14 forms part of Policy No.GL5388391 Issued to URS corporation by NATIONAL UNION FIRE INS CO OF PITTS ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION: Please see attached certificate of insurance description of operations section for specific contract, location, or other details. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: Please see attached certificate of insurance description of operations section for specific contract, location, or other details. ( ADDITIONAL PREMIUM: (If No entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) SECTION If -WHO IS AN INSURED is amended to include as an insured; The person or organization shown in the Schedule, but only with respect to liability arising out of"yourwork" at the location designated and described in the schedule of this endorsement performed forthat additional insured and included in the "products-completed operations hazard". All other terms and conditions remain unchanged. r � 1 Authorized Representative i i 97837(4/08) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. i I ENDORSEMENT # This endorsement, effective 12:01 A. M.09701f14 forms part of Policy No.GL5388391 issued to URS Corporation by NATIONAL UNION FIRS INS CO OF PITTS i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. j ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION: Please see attached certificate of insurance description of operations section for specific contract, location, or other details. (If No entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) t A. SECTION II-WHO IS AN INSURED 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 ongoing operations performed for that additional insured. B. With respect to the insurance afforded to these additional insureds, SECTION I - COVERAGES,COVERAGE A- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. - Exclusions, is amended to include the following additional exclusion; This insurance does not apply to"bodily injury"or"property damage"occurring after: (1) all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additionalinsured(s) at the site of the covered operations has been completed; or, (2) that portion of"yourwork" out of which the injury ordamage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. r Authorized Representative 97838 (4l08) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. POLICY NUMBER:BAP938521505 COMMERCIAL AUTO CA 20 4810 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER 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" for Covered Autos Liability Coverage under the Who Is 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. Named Insured:uxs Corporation Endorsement Effective Date:09t01/14 SCHEDULE Name Of Person(s)Or Organization(s): I i Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 II Insurer Cancellation Terms Named Insured: Policy No. DRS Corporation Various holder Name: city of Kent Public Works Department Cancellation Terms: 30 Days Notice of Cancellation will be provided by the carriers in accordance with the policy terms and conditions in the event the policies are canceled or non-renewed, for any reason other than non-payment of premiums. Cancellation Terms Apply to the following coverages: General Liability Auto Liability Workers Compensation Professional Liability