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HomeMy WebLinkAboutPW15-189 - Change Order - #1 - Petersen Brothers Inc. - Reith Road Guardrail Repair - 09/15/2015 � k Yt c S a ge n i KENO' Document WA9XINaTON 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: Petersen Brothers, Inc. Vendor Number: _ JD Edwards Number Contract Number: PVrVIIV5 " € M This is assigned by City Clerk's Office Project Name: Reith Road Guardrail Description: ❑ Interlocal Agreement M Change Order ❑ Amendment ❑ Contract ❑ Other: F, Contract Effective Date: 9/15/15 Termination Data:. 10/1/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Tom Rusbuldt Department: PW Operations Contract Amount: $5,457.33 Approval 'Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Repair broken posts. As of: 08/27/14 i KNT CHANGE ORDER NO. 1 NAME OF CONTRACTOR: Petersen Brothers, Inc. ("Contractor") CONTRACT NAME & PROJECT NUMBER: Reith Road Guardrail Repair i ORIGINAL CONTRACT DATE: August 10 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: Repair broken posts that need repair. For a copy of the Contractor's quote, see Exhibit A which is attached and ' incorporated by this reference. 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, $4,840.51 (including applicable alternates and WSST) Net Change by Previous Change Orders $0- (incl. applicable WSST) Current Contract Amount $4,840.51 (incl. Previous Change Orders) Current Change Order W6.82 Applicable WSST Tax on this Change $0 Order Revised Contract Sum $5,457.33 CHANGE ORDER - 1 OF 3 Original Time for Completion 10/1/15 (insert date) Revised Time for Completion under n/a prior Change Orders (insert date) Days Required —(t)for this Change 0 calendar days Order Revised Time for Completion 10/1/15 (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: y: "A 6� By: I -1 (signature) (signature) Print Name: ,•7 in 71c° kv'—~-ex? Print Name:; David A Brock, P.E. ItsY air F It Public Works O erations Manager (title) (title) DATE: "f~ f s - DATE:_ - tom i CHANGE ORDER 2 OF 3 APPROVED A5 TO FORM: (applicable if Mayor's signature required) Kent Law Departmen t p CHANGE ORDER - 3 OF 3 EXHIBIT A Petersen Brothers,Inc. 2008 East Valley Highway Sumner,WA 96390 (253)863.8130 - City of Kent Invoice ID: 15070021 220 4th Ave S Draw ID: 1507003 Kent,WA 08032 Date; August 27,2015 Bellevue,WA 98004 Solos Person: Contract ID: 16-070. Customer ID: City of Kant Rath Rd G/R Rprs-Kent PO#: Raith Rd Location. 1715 KonUUae Tex Units In - ' U lJnit of Unit Total Units Place th e Item Description - Contract ed- M as Price In Place Period Current 81111ng 100 Site 1-42nd to S 253rd Down Hill 101 Corten W-Beam Guardrall - 787,60 LF 0.01 (76.00) (450.76) 102 G'G End.Corten 1.00 EA 106.84 (1.00) (106,84) 103 6x8x8 Wood Post 40.00 EA 28.98 17.50 492,68 104 6x8x14"Wood Block 40,00 EA 6A2 27.00 173.34 165 618"x 18'Master Bolt ,40.00 EA 2.70 35.00. 94,60 106 5/8'Waster 40.00 EA 0,15 35,60 6.26 107 518 x 1/4"Spllce Bolt 604.00 EA 0,40 (40,00) (16,00) 108 6f8'Nut - 644,00 EA 0:43 -(5.00) (2:15) 109 Crew Time Labor - 24,00 1IR 447.71 6.00 21686.26 110 Tralflc Control Labor 48.00 HR 52,40 12.00 628.80 Ill Traffic Control Materials 1.00 LS 34.50 200 Site 2:8 253rd to Lk Fenwick 201 Corteen WBeam Guardrail - 162.50 LF 6.01 (12.60) (75.13) 202 Anchor Plate Type i-Corten 1.00 EA 88,66 203 G'End-Canso 1.% EA 106.84 204 Wx6'Wood Post 10.00 EA 28.98 6.00 144.90 206 Wx14 Wood Block 16.00 EA 6.42 6,00 32.10 206 6/8'x 18' Master Bolt 10.00 EA Z70 5,00 13.50 207 6/6'Washes. - - 10.00- EA 0,15 6100 0.76 208 6/8 x 1 114"Splice Bolt 104,00 - EA 0.40 206 5/8'Nut 114.00 EA OAS 1.0.00 430 210 Crew Time Labor 12.00 HR 447.73 (6.00) (2,239.65) 211 Traffic Control 1.00 LS 284.43 212 3'6'Anchor Post EA 21.39 1.00 21.39 213 Anchor Type 1 Bracket wl Hrdwr EA 51.93 1.00 51.93 214 Anchor Cable w/Nut - EA 164,03 1.00 104.03 215 6x8x6 CRT Post EA 31,12 1.00 33,12 216 Anchor Bearing.Plate EA 21.83 1.00 21.83 300 Site 3-Relth Rd Uphill 253rd 301.W>Besm Guardral 162.60 LF 6.07 302 O'End Galvanized 1.00 EA 106.84 (1,00) (108,84) 303 518' x 18 Master bait 13.00 EA 2.70 304 61S"Washers - 13,00 EA 0,15 306 6/8"x 1 1/4"Spllce Bolts - 104.00 EA 0,40 306 6/6"Nut 117.00 EA- 6.43 '.. 307 Crew Time Labor 6.00 HR 447.74 (2.00) (895-,48) 308 Traffic Control 1 00 LS 147,04 Total Invoice Subtotal 616.82. Amount due that Invoice $. 616 82. Current week quantities are estimated and subject to vofifcetion and adjustment at contract completion. For questions regarding this billing please contact Jean Denison a1253-863-9136,ext,126. li Ace' CERTIFICATE OF LIABILITY INSURANCE DAE(MMIDD YY) �...� 4/3D�2015 ; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certifcate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,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 endorsements). PRODUCER CONTACT Kaz.en Smith NAME: HENTSCHELL & ASSOC INC PHONE (253)272-1151 aG No,1253)272-1225 One Pacific Building nbmA,,Ls,,K!'aron.Smith@hentachell.com 621 Pacific Ave., Snita '400 INSURERS AFFORDING COVERAGE SAID Tacoma WA 98402 INSURERA.-Tha Charter Oak Fire Ins. Co. 25658 '.. INSURED INSURERD:TravalerBf Pro Cas Cc of America Petersen Brothers, Inc. tusuRERc:G:eat American Insurance CO. 2008 East Valley Hwy INSURER G: INSURER R: Sumner WA 98390 INSURER F: COVERAGES CERTIFICATE NUMBERI2014 9L/Auto/umb/Excess REVISIONNUMBER: 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. ILTR TYPE OF INSURANCE ADDL eUBR POLICYFFF POLICYEXP INSR MD POLICY NUMBER DD M,WDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY , DRF SE Tq RENTPC $ 300,000 A CLAIMS-MADE 51 OCCUR X T-CO-526D9518-COF-14 11/1/2014 11/1/2015 MED EXP(Any one person) $ 10,000 PERSONAL&AOV INJURY $ 1,000,000 GENERAL gGGREGATE $ 2.000,000 HINPOLICYFX 'L AGGREGATE LIMITAPPLIES PER; PRODUCTS-COMP/OP AGG $ 2,000,000GOT PRO- LOG $ AUTOMOBILE LIABILITY EDMB d¢DISINGLE LIMIT J. 000 000 A X ANYAUe BODILY INJURY(Per person) $ ALLOWNED SCHEDULED X T-810-526D9518-IND-14 11/1/2014 1/1/2015 BODILY INJURY Rau.scidenl) $ Y` AUTOS AUTHRF-0 AUTOS WNED PeOeQr DAMAGE AUTOS 'd X Is I Madloal a .opts $ 5 D00 B X UMBRELLA LIAa X OCCUR TSM-CnP-526D9519-TIL-14 11/1/2019 1/1/2015 EACH OCCURRENCE $ 1,000,000 C X EXCESS LIAB CLAMS-MADE 10,000. Retention AGGREGATE $ 1,000,000 DEO I X I RETENTION Traveler el. UB019 62 46-04 (Excess) 11/1/2014 11/1/2015 Each Occurrence/Aggregate Is 5,000,0001 WORKERS COMPENSATION I ER WC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/ PARTNEWEXECUTIVE❑ NIA EL EACH ACCIDENT $ 1,006,000 A (MandatoIC ry In Nli)EXCLUDE07 T-CO-526D9518-COF-14 11/1/2014 11/1/2015 5.LDISEASE-EAE OYEq$ 1,000,000 DESCRIPTION OF OPERATIONS beIoW A-Stan Cap ST.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,Hmore space Is required) RE: Reith Road, East of 42nd Ave South, Guardrail Repairs, Blankot Additional Insureds - Primary and Non-Contributory basia as required by written contract or agreement per the attached Endorsements #CGD246(8/05) and #CAT474(2/12) , (#15-070) CERTIFICATE HOLDER CANCELLATION �i, jedavis@kentwa;.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent AOCORDANCE WITH THE POLICY PROVISIONS. Ken Fourth Avenue South Kent, WA 98032 AUTHORREO REPRESENTATIVE Thomas Hentechell/Kis ACORD 25(2010105) ©1988-2010 ACORD CORPORATION, All rights reserved. INS62512mnnEl m Tho.A rr1Pn mama a,,a „.' esor;.r,re,4 mF,. <of ernan POLICY NUMBER: DT-00-5209518-COF-14 INSURED: Petersen Brothers, Inc. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY i BLANKET ADDITIONAL INSURED (CONTRACTORS) ; This endorsement modifies Instrraace p ovided un'dor the following; COMMERCIAL GENERAL L iAEILITy COVERAGE PART 1. WH.4 IS AN INSURED (8e6tion 11) Is amended c) The Innsuranae prgvldeo to lho additional in- to Include any parson or orgahlzatlon that you sured does 66'f appfy 0 „"bpdily injury" or agree In a "written contract requleinu Insurance" "prop'e ty damage' cau'spd by "your work" to Include as an addit)onal insdred on this Cover- and, inetQddd h'i the "ptoduot's oompfeted dp age Part, bui: eratiois haze tit" unless the ':written ootitraof a) Only with respect to IlabIllty for"bodily iriju,'ry°; rag4lring Insurance" speclfioally requires you "property cPaftmage"or,`person'ol ln,Juryit and to provide such bovera§e for that additional insuredt and then the insurance prdvlded to b) If and only to the extent that the injury 6r the additional lrl,suted applies only, t4 such dani jge is caused by acts or bmisslons of "b4♦(ly Inluly" be "property damage" that oc- you 6r your suboonttagt6r ig the perlbrmance curs be era the ehd of the period of time for of "your work" to which the "written contract winch. the "wrtten, co titfagt feguiring litsur• req firing insuranc6 applies, The person or anoe" the you So Nr6vfde such coverage organlzatioq dubs nat qualify as art additional or the end of the` ❑IIc P Y period, whlch6ver fs msurea w)th rospoct to the tndepende•nt acts ear9ler: or ornisslons Of suoh ppestlrl or brgaYllzatitin. 2, The tnsuraneo provided to the additional Insured s, The lnsuranc provided t) the addi(foPlal insured P by this endorsement is excess over any valid and by this endorsement is limited as follows: bollectbW "other insurance", whether p'riniary, a) In the overt that the Limits of Ihsuranoo of excess, contingeot of on any other basis, that Is this Coverage Part shown)n the Decla'atlons avallabie to the additional insured for a loss we exceed the Limits of liability required by the cover Under this endorseiriont, Howeyar, if the "written contract requfring Insuranus", the In. "written ooairiect rdgulrtng Insurance"specifically. surence provided to the additional insured requires that this insurance apply on a primary shall be limited to the )imtts of liability re• basis or a pilma'ry 'and, icon-coMributory basis, gulred by that "written contract requiring in- this Ipsyranpe IS primary to "other Insurance" sumnco", This ondorsement shalf not In- available to the 2ddiilonal insured which covers °^ crease the .limits of Insurance descrfged to that person or organization bs a named los.ured Section Iit.w Limits of insurarce for spoli 16s5, .and we will .not share with that "other Insurance", Bit the insurance provided to b) The insurahce pro the the additional fn• the additional Insured,by this ea io'rsement still Is M scrod does not apply to;"bodily Injury", 'prop- excess over any valid and gnl,lec{ible "other in- arty damage".or "personal injury' arising out surence"., whether p`rlmary, oxoess, contingeht or ---- of'thv renderhig of, or.tallure to render, any on ahV gthgr basis, that Is auaLtatiie to the addi- prpfs'seional 0r"ohlto6tural;e gineoring.op cur' tianal insured whe.h that person ce organlzailpn is veyiog setVices, iriclud ��- log: an addNl,ohal In'suee.. itndor suoh "other Irisut ° r The preparing, approvlog, or falling to ano6" prepare or approve, maps, shop draw- As As a con,ditfoo of coverage provided to the Inds, opinlops, reports, surveys, fleld be- additlonal Msurad by this endorsement: tiers or change orders, or thepeppers rs paring, a T e additional Insured muss give us written al3provin,g,, or falling to prepare or ap- ) h g prove,drawings 600 specifloaWrisl and notice.as soon as,practicable.' of an "occur. if. Supervisory, ins,ectlan, archlteclural or ronce'',•or an offense whl0H may result In a P p claim, To the extent possible, such notlee engineering aotivittes, should Include; CO 1.)2 46 66 09 0 2005 The St. Paul Travelers Companies, Ino. Page t of 2 pp"140 i r COMMERCIAL GENERAL LIABILITY 1, Haw, 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 under this endorsement. However, this ersons and witnesses; and condition does not affect whether the Insur- e ance provided to the additional Insured by Ili. 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.definitlon Is added to SECTION V, 1. Immedlately record the spacifles of the —DEFINITIONS: claim or"suit" and the date received; and "Written contract requiring Insurance" means fi. Notify us as soon as practicable, that part of any written contract or agreement under which you are required to include a The additional insured must see to It that we person or Organization as an additional in- j receive written notice of the claim or"suit"as sured on this Coverage Part, provided that soon as practicable. the "bodily injury" and "property damage" oc- 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 b, While that part of the contract or otherwise comply with all policy conditions. agreement is in effect; and d) The additional insured must tender the de c. Before the end of the policy period. fense and indemnity of any claim or'sultI to i Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 06 POLICY NUMBER; DT-810-6=9518-IND-14 INSURED: Petersen Brothers, Inc, COMMERCIAL AUTO: [FUSS NDQRSEIVIENT C,WpNGESTil P 0Lb 'I,�Y,il PLEASE REAI71.i C/�12E lJLLY;.,,. .;, LA�IrC 'C AC�DITMON L IPV IJREC� : I Cf4 R�' NOIV'C d�lpT _T , 1 i5Up A1VC This dhdof seitepE rpo511}I8s IrisUYande praVided under tha folloy✓IhrU i I I pUQf JESS/UTO'GOV) RAGE PORE W,lih repent to edverttg� t rov)ded by this endarpppnt,tha ft,6j lslon9 @t{hP OuevaCe,Fnr apply rnlsss Moth,, trek�v this eYltlpr56hialtt . p80v1510(JS B o gUby �s a ded ko Ppnagrah}' 5 (7lhex A: Th@ fgJJawind is added to pa graph c`tp ( Ilsurauegf , Get't .tal CBt�di}tong �} �"BG+ . WhalsAltlur?d, 4fsQa7taN... t }IgBiiry T1oN�V Bl)'s. (L59r�ilioGpN{iiltpNSt GOYBRAGE, f gar. 0.0 of, no provisI* �f p r'upraPh a add grty flarso i or organli Ilan Who l radutr�d Pdar PArsg H. patln8 b� tlttq n,wrifien oontCact ar a r8emont Uafy eon you and It15 RKRA Is ,kim�ry tp and p0l odnffi�ufo��ah haf Pp(aan oY orga'ti(zAtlpn, that ayx Afonus 4rofhde,.b pyo fl4yYo{p1 pbrt6a.fg,re tha 'l7otl lly innj ' � ltb W n �tha �4 fi(ph hiGgpll defs e ofEgury °fi n ~an0 n attrht t aaa kp df�op1r,. pRrape _.a ago. ocurs and the n 0tllsureIn lf11 d agreom o ¢diweap you and that perso dr of ; tonal Insured I� an 'InautO fqr 'Jablilty Cover 9anixation} t!al 1S synod a d eX6cuted by you ago, 6 k only for damagbs tq which thtsJnsgranoe before ihq bbtll(y I ylury br ^pPnport� damage" p a�piles and onij to tl e,ex(ent that,person or or- occurs dnd fhat is fq bYfeol during it e kbllcy pe ganlzatfari, qual((aS as an "Ins r@�° under tf a r)ddF regGlres:This 1nsGrane told p'rlmary Who IS An Insured, ptovtston.: pontainad, It hon contn$utry Section If,.. S .I II h� GA,74 y4 p212 d 2st2 The Trevelers IndamPlry bompany,All rf hfA ege b@d, Page 1 Q}j ncltides copyrfphtod rri$I6rtel of ihsJen 4 Servlcea ditica,Inc y�J(h ifs'perrfisston : 0. .. .