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HomeMy WebLinkAboutPW14-088 - Supplement - #1 - Environmental Science Associates - Kent Regional Trail Connector - 12/22/2014 • Records gre4m e' F KENT ` , . I Document W.9H. GTON 1 E i i 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. i Vendor Name: Environmental Science Associates Vendor Number: ID Edwards Number Contract Number: 9EJia H a-(NK 060' This is assigned by City Clerk's Office Project Name: Kent Regional Trail Connector Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: Date of the Mayor's signature Termination Date: 6/30/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nick Horn Department: Engineering Contract Amount: Approval Authority: (CIRCLE ONE) Department Director EYO r City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to .tune 30, 2015 so the consultant can address additional environmental concerns associated with the project. I I As of: 08/27/14 REQUEST FOR MAYOR'S SIGNATURE T Please Fill in All Applicable Boxes ,Wrved45 ir�ector f Originator's Name: Nick Horn DeptJDiv. Engineering Ex""tension: 5529 Date Sent: rx>,'e . _ Date Required: Return to: Nancy Yoshitake CONTRACT TERMINATION RATE: 6/30/15 VENDOR: Environmental Science DATE OF COUNCIL APPROVAL- N/A Associates ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: The attached Supplemental Agreement No. 1 is necessary to extend the time of completion to June 30, 2015 so ESA can address additional eh 1e6nmentaTconcerns associated with the project. All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department).. Received. Approval of Law Dept,:r i Law Dept;.. Comments: ; tit C 'I Date Forwarded to Mayor: Shaded Areas To Be Completed By Administration Staff Received: r. A rsE� w rm �' ' 4 Recommendations and Comments; s Disposition: >' ! # ty of /z� ' - el Date Returned: f� ._ VAlUdANOM Stu" Su lemental regiment Organization and Address �"� � Environmental Science Associates Number 1 5309 Shilshole Ave.NW, Suite 200 Seattle, WA 98107 Original Agreement Number LA 8128 Phone: (206)789-9658 Project Number Execution Date Completion Date I CM-0615(008) 1/16/2014 6/30/2015 j Project Title New Maximum Amount Payable Kent Regional Trail Connector $ 30,847.00 Description of Work The scope of work remains the same, however an extension in time is necessary to address environmental concerns associated with the project. The Local Agency of City of Kent desires to supplement the agreement entered into with Environmental Science Associates _ and executed on t/I6/20 t4 and identified as Agreement No. I,A 8128 All provisions in the basic agreement remain in effect except as expressly modified by this supplement. The changes to the agreement are described as follows: I Section 1, SCOPE OF WORK, is hereby changed to read: The scope of work remains the gliyty II Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days for completion of the work to read: hale 3)0, 2015 _ i Ill i Section V, PAYMENT, shall be amended as follows: Thennaximnm payment amount remains 111V same as set forth in the attached Exhibit A, and by this reference made a part of this supplement. If you concur with this supplement and agree to the changes as stated above, please sign in the appropriate spaces below and return to this office for final action. By If C d e ;> 7 . V 41 I, By: .Cnve.tte C ookf'., Mayor .Jt GALA �— Consultant Signature j iApproving Authority Signature DOT Form 140-063 EF ' !' Date' Revised 9/2005 r i ® DATE IMMIDDIYYYY) acoiz® CERTIFICATE OF LIABILITY INSURANCE 1/2 312 0 1 4 -fIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS RTIFICATE 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement s. PRODUCER NAME: _Valerie Porter-@[2W11e_. - Woodruff-Sawyer$i CO. PHONE FAX Y A c No Eatl'415-391-2141 415-989-9923_ 50 California Street, Floor 12 San Francisco CA 94111 ADDRESS: rdeElb lDw9mundco co INSURERS)AFFORDING COVERAGE NAIC# _ INSURER A:G(eenWlCiLtrimanC OmDeny._ 2_ ENVISCI-01 p - INSURED INsuRER 6: L S ecialty Insurance Company _ 788 EnvironmentalScienceAssociates INSURER C: - 550 Kearny Street,Ste 800 INSURER D: San Francisco CA 94108 _. -� INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:978011904 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, EXCLUSI.O_NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR DL BR POLICYEFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD11'YYY MMIODIYYYY A GENERAL LIABILITY Y SECOM336711 111t2014 /112016 EACH OCCURRENCE $1,000,ODD X COMMERCIAL GENERAL LIABILITY PREMISES EaEocou ante_ $1,000,000 CWMS-MADE &OCCUR MED EXP(Any one person) $5000 X Contractual Llab PERSONAL&ADV INJURY $1,000,000 X Stop Gap GENERALAGGREGATE $2000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-CONNOR AGO $2,000,OOD POLICY[q PR0. DO, CO $ AUTOMOBILE LIABILITY AEC001336511 11112014 1112015 fEaM8 acddent 1000000 - X ANY AUTO BODIVI INJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY(PeraccidsnQ $ AUTOS I AUTOS -- X X NON-OWNED PROPER DAMAGE $ HIREDAUTOS AUTOS X $S000 Dec. $ A X UMBRELLA LIAR X OCCUR UECO01336611 1/112014 11/2015 EACH OCCURRENCE _ $4,000,000 _ EXCESS LIAB CI-AIMS-MADE AGGREGATE $1,000,000 CEO RETENTION$ _ $ B WORKERS COMPENSATION COD1337411 111/2014 1112015 X 'A'CBTATITS_ OEH .__ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� NIA E.L.EACH ACCIDENT $1,000000 _. OFFICERIMEMBER EXCLUOEDi (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe antler DESCRIPTION OF OPERATIONS below EL. .DISEASE-POLICY LIMIT $1,000,000 A Professional Liabilityy ECO01336811 1/1t2D14 1112015 Each Occurrence: $1,000,000 Cov.A.Claims Matle Aggregate: $2,000,000 Petro Dale:10/1189 Retention: $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (Attach ACORD 101,AddlBenal Remarks ScNn].N,If more space is required) REPLACES CERTIFICATE ISSUED 12/26/13. D120912.02; Kent Regional Trail Connector. City of Kent is named additional insured on GL coverage per endorsements CG 2010 07 04 and CG 2037 07 04 attached. Policies contain a 30 day notice of cancellation and a 10 day notice of cancellation for non-payment of premium. I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS, 400 West Gowe .I Attn: Nancy Yoshitake AUTHORIZED REPRESENTATIVE Kent WA 98032 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i POLICY NUMBER: GECO01336711 COMMERCIAL GENERAL LIABILITY CG 2D 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A Various WRITTEN CONTRACT OR WRITTEN AGREEMENT TO INCLUDE AS AN ADDITIONAL INSURED PROVIDED THE"BODILY INJURY'OR "PROPERTY DAMAGE"OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT, i Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to This Insurance does not apply to "bodily Injury" or include as an additional insured the person(s) or "property damage"occurring after: organization(s) shown in the Schedule, but only 1. All work, Including materials, parts or equip- with respect to liability for "bodily injury", "property ment furnished in connection with such work, damage" or 'personal and advertising injury' on the project (other than service, mainte- caused, in whole or in part, by: nance or repairs) to be performed by or on 1. Your acts or omissions; or behalf of the additional Insured(s) at the loca- l. The acts or omissions of those acting on your tion of the covered operations has been com- behalf; pleted; or in the performance of your ongoing operations 2. That portion of "your work" out of which the for the additional insured(s) at the location(s) injury or damage arises has been put to its designated above. intended use by any person or organization other than another contractor or subcontractor B. With respect to the insurance afforded to these engaged In performing operations for a principal additional insureds, the following additional exclu- as a part of the same project. sions apply: CG 20 10 07 04 Copyright, ISO Properties, Inc.,2004 Pagel UNIFORM j i i I I POLICY NUMBER: GFC001336711 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL,INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL'GENER,ALLIABILITY COVERAGE PART i SCHEDULE Name Of Additional Insured Persons) Or Orgenlzation(s): Location And Description Of Completed Operations NY PERSON OR ORGANIZATION THAT YOU ARE Various 3EQUIRED IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT TO INCLUDE AS AN ADDITIONAL NSURED PROVIDED THE"BODILY INJURY"OR 'PROPERTY DAMAGE"OCCURS SUBSEQUENT TO HE EXECUTION OF THE WRITTEN CONTRACT OR RITTEN AGREEMENT. Information required to complete this Schedule, if not shown above,will be shown In the Declarations. Section II—Who Is An Insured is amended to include as an additional insured the person(s) or or- ganizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage"caused, in whole or In part, by "your work"at the location designated and described in the schedule of this endorsement performed for that additional Insured and included in the "products-completed operations hazard". I I i i CG 20 37 07 04 Copyright, 180 Properties, Inc.,2004 UNIFORM