HomeMy WebLinkAboutPW15-160 - Change Order - #1 - McKinstry Company, LLC - East Hill Cautic Injection Relocation Project - 07/15/2015 r=
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KENT }r ; Document
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: McKinstry Company, LLC
Vendor Number:
JD Edwards Number
Contract Number: VIN C'G"I.
This is assigned by City Clerk's Office
Project Name: East Hill Well caustic injection relocation project
Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract
❑ Other:
Contract Effective Date: 7/16/15 Termination Date: 8/1/15
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Michael Pan Department: Operations
Contract Amount: $3,782.13
Approval Authority: (CIRCLE ONE) " Department Direct Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Provide labor to eliminate eight threaded connections that may leak in the future.
As of: 08/27/14
KENT
W ABXINOTON
CHANGE ORDER NO. 1
NAME OF CONTRACTOR: McKinstry Company, LLC ("Contractor")
CONTRACT NAME & PROJECT NUMBER: East Hill Well caustic injection relocation project
ORIGINAL CONTRACT DATE: April 28, 2015
This Change Order amends the above-referenced contract; all other provisions of the
contract that are not inconsistent with this Change Order shall remain in effect. For valuable
consideration and by mutual consent of the parties, the project contract 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, Contractor shall provide all labor, materials, and
equipment necessary to:
Eliminate a total of eight threaded connections that may leak in the
future by including two welded .5-inch stainless ball valves and welded
fittings past the ball valves in addition to the original Agreement for
the caustic injection relocation at the East Hill Well.
2. The contract amount and time for performance provisions of Section II "Time of
Completion," and Section III, "Compensation," are hereby modified as follows:
Original Contract Sum, $2,770.35
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $0
(incl. applicable WSST)
Current Contract Amount $2,770.35
(inch Previous Change Orders)
Current Change Order $1,011.78
Applicable WSST Tax on this Change $0
Order
Revised Contract Sum $3,782.13
CHANGE ORDER - 1 OF 3
Original Time for Completion 8/1/15
(insert date)
Revised Time for Completion under N/A
prior Change Orders
(insert date)
Days Required (f) for this Change o calendar days
Order
Revised Time for Completion 8/1/15
(insert date)
In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard
Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this
Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor
agrees to waive any protest it may have regarding this Change Order and acknowledges and
accepts that this Change Order constitutes final settlement of all claims of any kind or nature
arising from or connected with any work either covered or affected by this Change Order,
including, without limitation, claims related to contract time, contract acceleration, onsite or
home office overhead, or lost profits. This Change Order, unless otherwise provided, does not
relieve the Contractor from strict compliance with the guarantee and warranty provisions of the
original contract, particularly those pertaining to substantial completion date.
All acts consistent with the authority of the Agreement, previous Change Orders (if any),
and this Change Order, prior to the effective date of this Change Order, are hereby ratified and
affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change
Order 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 contract modification, which is binding on the parties of this
contract.
3. The Contractor will adjust the amount of its performance bond (if any) for this
project to be consistent with the revised contract sum shown in section 2, above.
IN WITNESS, the parties below have executed this Agreement, which will
become effective on the last date written below.
CONTRACTOR: CITY OF KENT:
f if i
(sign ure) (signature)
Print Name: JfWV11 o Print Name: t�)4viN d,
Its seyuic- opir c ho") bl"Irclk' Its 477 ✓#�ir� 9G�
(title) (ppitle)
DATE: DATE %5:
i
CHANGE ORDER - 2 OF 3
EXHIBIT A
Scope of work:
i
Vendor Is to provide labor and material to install%"stainless welded pipe&fittings and
necessary stainless supports from current wall flange to new caustic Injection locatlon,
f
MCKICO:01 MJOHNSON
CERTIFICATE OF LIABILITY INSURANCE DnTe(MMmomvv)
4/27/2015
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(S),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 an this certificate does not confer rights to the '...
Certificate holder In lieu of such endorsements).
PRODUCER CO TACT
Hub International Northwest LLC NKONe , 426 488.4600
12100 NE 196th St. Are No. ,vc No 426)486.8488
&MAIL
Sulte 200 AODRasS:now.infop-hubinternatlonal.com
Bothell,WA 98011 -
INSURER,S)AFFORDING COVERAGE NAIC0
INSURERAt The Travelers Indemnity Company 26658
INSURED INSURERS(TraVOIGYS Property Casualty Company of America 26674
McKinstry Co.LLC INSURER C 1 National Union Fire Insurance Company of Pittsburg,PA 19446
PO Box 24667 INSURER D I
Seattle,WA 98124-0667 aua'R E 1
INmSURERFI
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,
ILTR TYPE OF INSURANCE IN SO DI POLICYNUMBER MM/OD MhYap E%P LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 '..
CWMS-MADE [XI OCCUR X X VTC2KC066438901]ND16 0113112016 01/31/2016 PREMISES Eaoccu mKa S 300,00
X WA Stop Gap _ MEO EXP(Any one person) $ 10,00
PERSONAL&AOV INJURY $ 2,000,00
GEML AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 4,000,000
POLICY jE0T LOG PRODUCTS-COMP/OP AGO § 4,000,Do9
OTHER: $
AUTOMOBILE LIABILITY a BI n!) NOLE LIMIT § 1,000,00
B X ANY AUTO X Xr2JCAP5643B913TIL15 01131/2015 01131/2016 BODILY INJURY(Per person) $
AAILRLOSs AUTOS
SCHEOULEO BODILY INJURY(Per eceldem) $
X HIREDAUTOS
NON-0wNEO
AUTOS E gl AG
X era tlden S
$
UMBRELLA LIAR X OCCUR EACH OCCURRENCE § 1,000,000
C X EXCESS LIAB CIA -MADE X X BE11665626 0113112016 01131/2016 AGGREGATE § 1,000,00
OLD I X I RETENTIONS 0 $
WORKERS COMPENSATION PE
AND EMPLOYERS'LIABILITY STATUTE X ER
YIN A ANY PROPRIETORMARTNERIFXECUTIVE VTC2KC06643B901IND16 01/31/2016 01131/2016 E.1-EACH ACCIDENT S 1,000,000
OFFICERMEMBER EXCUOED) NIA
(It Mandatory In NH) E.L.DISEASE-EA EMPLOYE § 1,000,000
Yyea desonb®under
OES�RIPTION OF OPERATIONS bel. E.L.DISEASE-POLICY LIMIT S 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(ACORD 101,Addillonai Remarks Schedule,maybe anachad R more apace Is mquhad)
RE:City of Kent East Hill Well
Additional Insured as required by written contract:The City of Kent Coverage Is primary&non-contributory.Waiver of subrogation applies.See attached
endorsements.
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
5821 SOUTH 240TH STREET ACCORDANCE WITH THE POLICY PROVISIONS.
Kent,WA 98032
AUTHORIZED REPRESENTATIVE
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
PolicyNo.: VTC2KC05643B9011ND15 COMMERCIAL GENERAL LIABILITY
Issue Date: 01-31-15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
f, WHO IS AN INSURED —(Section II)Is amended c) The Insurance provided to the additional in-
to Include any person or organization that you sured does not apply to "bodily Injury" or
agree In a "written contract requiring Insurance" "property damage" caused by "your work"
to Include as an additional Insured on this Cover- and Included In the "products-completed op-
age Part, but: erations hazard" unless the "written contract
a) Only with respect to liability for"bodily injury" requiring Insurance" specifically requires you
"property damage"or"personal Injury"; and to provide such coverage for that additional
Insured, and then the insurance provided to
b) If, and only to the extent that, the Injury or the additional Insured applies only to such
damage is caused by acts or omissions of "bodily injury" or "property damage" that oc-
you or your subcontractor in the performance curs before the end of the period of time for
of "your work" to which the "written contract which the "written contract requiring Insur-
requiring insurance" applies. The person or ance" requires you to provide such coverage
organization does not qualify as an additional or the end of the policy period, whichever Is
Insured with respect to the Independent acts earlier.
or omissions of such person or organization. 3. The Insurance provided to the additional Insured
2. The Insurance provided to the additional Insured by this endorsement Is excess over any valid and
by this endorsement is limited as follows: collectible "other Insurance", whether primary,
a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is
this Coverage Part shown In the Declarations available to the additional Insured for a loss we
exceed the limits of liability required by the cover under this endorsement. However, if the
"written contract requiring insurance", the In- "written contract requiring Insurance" specifically
surance provided to the additional Insured requires that this Insurance apply on a primary
shall be limited to the limits of liability re- basis or a primary and non-contributory basis,
qulred by that "written contract requiring In- this Insurance Is primary to "other Insurance"
surance'. This endorsement shall not In- available to the additional Insured which covers.
crease the limits of Insurance described In that person or organization as a named Insured
Section III—Limits Of Insurance. for such loss, and we will not share with that
"other Insurance". But the Insurance provided to
b) The insurance provided to the additional In- the additional Insured by this endorsement still Is
sured does not apply to"bodily Injury", "prop- excess over any valid and collectible "other In-
erly damage" or "personal Injury" arising out surance",whether primary, excess, contingent or
of the rendering of, or failure to render, any on any other basis, that Is available to the addi-
professional architectural, engineering or sur- tional Insured when that person or organization Is
veying services, including; an additional Insured under such "other Insur-
I. The preparing, approving, or failing to ante".
prepare or approve; maps, shop draw- 4. As a condition of coverage provided to the
Inge, opinions, reports, surveys, field or- additional Insured by this endorsement:
ders or change orders, or the preparing,
approving, or failing to prepare or ap- a) The additional Insured must give us written
prove,drawings and specifications;and notice as soon as practicable of an "occur
IL Supervisory, inspection, architectural or rence" or an offense which may result in a
P p claim. To the extent possible, such notice
engineering activities. should Include;
CG D2 46 08 05 ®2006 The St. Paul Travelers Companies, Inc, Page 1 of 2
COMMERCIAL GENERAL LIABILITY
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
It. The names and addresses of any Injured cover under this endorsement. However, this
persons and witnesses;and condition does not affect whether the Insur-
ance provided to the additional Insured by
Ill. The nature and location of any Injury or this endorsement Is primary to "other Insur-
damage arising out of the"occurrence"or ance" available to the additional Insured
offense, which covers that person or organization as a
b) If a claim Is made or"suit"Is brought against named Insured as described In paragraph 3.
the additional Insured, the additional Insured above,
must: 5. The following definition Is added to SECTION V.
1. Immediately record the specifics of the —DEFINITIONS:
claim or"suit"and the date received;and "Written contract requiring Insurance" means
it. Notify us as soon as practicable. that part of any written contract or agreement
The additional insured must see to It that we under which you are required to Include a
In-
receive written notice of the claim or"suit"as person or organization as an additional In-
racticable. cured on this Coverage Part, provided that
soon as
p the "bodily Injury" and "property damage" oo- !
c) The additional Insured must Immediately curs and the "personal Injury" Is caused by an
send us copies of all legal papers received In offense committed:
connection with the claim or"suit", cooperate a. After the signing and execution of the
with us In the Investigation or settlement of contract or agreement by you;
the claim or defense against the "suit", end
otherwise comply with all policy conditions, b. While that part of the contract or
d) The additional Insured must tender the de- agreement Is in effect;and
fense and Indemnity of any claim or"suit" to c. Before the end of the policy period.
i�
i
Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc, CG D2 46 08 05
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PolicyNo.l VTC2JCAP5643B913TIL15 COMMERCIAL AUTO
Issue Date: 01-31-15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - PRIMARY AND
NON-CONTRIBUTORY WITH OTHER INSURANCE
This endorsement modifies Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
PROVISIONS B. The following Is added to Paragraph 6., Other
A. The following is added to Paragraph c. In A. 1., Insurance, In B. General Conditions of SEC.
Who Is An Insured, of SECTION II—LIABILITY TION IV—BUSINESS AUTO CONDITIONS:
COVERAGE: Regardless of the provisions of paragraph a, and
Any person or organization who is required under paragraph d, of this part 6.Other Insurance,this
a written contract or agreement between you and Insurance is primary to and non-contributory with
that person or organization, that is signed and applicable other Insurance under which an addl-
executed by you before the "bodily Injury" or tional Insured person or organization Is the first
"property damage" occurs and that is in effect named Insured when the written contract or
during the policy period, to be named as an addi- agreement between you and that person or or-
tional Insured Is an 'Insured" for Liability Cover- ganization, that is signed and executed by you
age, but only for damages to which this Insurance before the "bodily Injury" or "property damage"
applies and only to the extent that person or or- occurs and that is in effect during the policy pe-
ganization qualifies as an 'Insured" under the riod, requires this Insurance to be primary and
Who Is An Insured provision contained In non-contributory.
Section It.
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CA T4 74 02 12 ®2012 The Travelers Indemnity Company.All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office,Inc.with Its permission.
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