HomeMy WebLinkAboutPW15-340 - Change Order - Change Order #1 - P&D Tree Service - Riverbend Golf Course Tree Removal - 10/14/2015 0-0
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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: P&D Tree Service
Vendor Number:
JD Edwards Number
Contract Number: `Jj
This is assigned by City Clerk's Office
Project Name: Riverbend Golf Course Tree Removal
Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract
❑ Other:
Contract Effective Date: 10/14/15 Termination Date: 10/31/15
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Brent Collins Department: PW Operations
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 October 31, 2015.
As of: 08/27/14
ICENT
CHANGE ORDER NO. 1
NAME OF CONTRACTOR:Combined Cutting Contractors, Inc./D.B.A. P&D Tree Service ("Contractor")
CONTRACT NAME & PROJECT NUMBER: Riverbend Golf Course Tree Removal
ORIGINAL CONTRACT DATE: October 9, 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:
The scope of work remains the same, however a change order is
needed to extend the time of completion to October 31, 2015.
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, $6,350.00
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $0
(incl. applicable WSST)
Current Contract Amount $6,350.00
(incl. Previous Change Orders)
Current Change Order $0
Applicable WSST Tax on this Change $0
Order
Revised Contract Sum $6,350.00
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CHANGE ORDER - 1 OF 3
Original Time for Completion 10/21/15
(insert date)
Revised Time for Completion under n/a
prior Change Orders
(insert date)
Days Required (t) for this Change 10 calendar days
Order
Revised Time for Completion 10/31/19
(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:
By: / By:
tom" (signature) ('signature)
Print Name: lL� _" i P,i Print Name: David A. Brock, P.E.
Its Qrr) ca. Its Public Works Operations Manager
DATE: 13 ` DATE.
CHANGE ORDER - 2 OF 3
APPROVED AS TO FORM:
(applicable If Mayor's signature required)
Kent Law Department
RM Trce Seim-Rlverbena Tree Remwnl W t(collM _
CHANGE ORDER — 3 OF 3
Ac®D® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY)
9/28/2015
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 on this certificate does not confer rights to the
certificate holder In lieu of such endorsements.
PRODUCER !ONrACT Sheri NO
A a:.
Mitchell, Reed & eehmitten Insurance, Ina. P ous . (509)782-2751 Ao o:
GaryGuzzie Ins. Agency 'MAIL sheri@=andsins.com
� y oDREss:
PO Box 160 INSURERS AFFORDING COVERAGE NAICR
Cle Elm WA 98922 INSURtRA:C0lQnV Insurance Company
INSURED INSURER B INational Fire & Marine Ins Cc
Combined Cutting Contractors, Ina., ETAT, .INSURER O:
20311 BE 240th Street -INBURERD: _
1NSU ER E'
Maple Valley WA 98038 1 INSURER F:
COVERAGES CERTIFICATE NUMBER: City of Kent 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 BYPAID CLAIMS.
IN ADDLLTR TYPEOrINSURANCE J=SUER POLICYNUMBER POLICY EFF INVOOMXP LIMITS
X COMMERCIAL GENERAL LIABILITY .EACH OCCURRENCE S 2,ODD,000
A CLAIMS-MADE R OCCUR porm IRS EeEmunmea S 100,000
X Y -GL4125502 11/9/2014 11/9/2015 MEDW(Anyone arson) S 5,000
PERSONALS ADV INJURY $ 2,000,000
GEN'LAGGREGATEUMITAP LIESPER: GENERAL AGGREGATE S 3,600,DOO
X POLICY❑JRp7 HLOG PRODUCTS-COMPIOPAGG S 3,000,000
OTHER: Stopgap $ 1,000,ODD
AUTOMOBILE LIABILITY 0 8INE0 ant)SINGLE LIMIT
S Y,000,000
S ANIYAUUNTO BODILY INJURY(Par pamon) S
A(L1T05 ED X gUTO5ULE0 72MS055729 3131/201B 11/9/2015 BODILY INJURY(Per eMdent) S
HIRED AUTOS AONOSVJNED ROPER�e DAMAGE $
Undedneured motorist S
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB QWMS-MADE AGGREGATES
DEO I I RFIENTION S
WORKERS COMPENSATION STR pH-
AND EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTINERIEXECUTIVE YIN E.L EACH ACCIDENT $
OFFICERIMEMBER PXCLUDED7 NIA
(Mandatory In NHl €L DISEASE-EA EMPLOYE- S
Ifyyes,deFr,,lbau er - - - -
DF. C IPTION OF OPERATIONS below E.L.DISEASE,POLICY LIMIT S
OEBCRIPTION OP OPERATIONS I LOCATIONS[VEHICLES (ACORD 101,Addltlonal Remarks Schedule,maybe attached 11maro s➢eos Is required)
Certificate holder is additonal insured per form # CG2037 0704. Coverage includes
Primary/Non—Contributory and Waiver of Subrogation per form U156A 0313.
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
400 West Gowe ACCORDANCE WITH THE POLICY PROVISIONS.
Kent, WA 98032
AUTHORIZED REPRESENTATIVE
.Sheri Norris/SN
01988.2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)
GL4125502
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES
OR CONTRACTORS - BLANKET COVERAGE
INCLUDING PRIMARY / NON-CONTRIBUTORY
AND WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Additional Insured Person(s) or Organization(s)
(Additional Insured): Location(s)of Covered Operations:
All persons or organizations as required by a written Locations as required by a written contract or
contract or agreement with the named Insured. agreement with the named Insured.
A. SECTION II -WHO IS AN INSURED is amended to Include as an additional Insured the person(s) or
organlzation(s) shown in the Schedule for whom you are performing operations when you and such
person or organization have agreed in writing in a contract or agreement that such person or
organization be added as an additional insured on your policy. Such person or organization is an
additional insured only with respect to liability for "bodily injury", "property damage" or "personal
and advertising Injury" casued, in whole or in part, by:
1. your acts or omissions; or
2. the acts or omissions of those acting on your behalf;
In the performance of your ongoing operations for the additional insured(s) at the location(s)
designated above.
A person's or organization's status as an additional insured under this endorsement ends when
your operations for that additional insured are completed.
B. With respect to the insurance afforded to these additional Insureds, the following additional
exclusions apply:
This Insurance does not apply to:
Additional Insured Contractual Liability
"bodily injury" or "property damage" for which the additional insured(s) are obligated to pay
damages by reason of the assumption of liability in a contract or agreement.
Finished Operations or Work
"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 additional Insured(s)at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to Its
Intended use by any person or organization.
Negligence of Additional Insured
"bodily injury" or "property damage" arising directly or indirectly out of the negligence of the
additional insured(s).
I
U156A-0313 Includes copyrighted material of ISO Properties, Inc., Page 1 of 2
with its permission.
Insured
C. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance is amended
and the following added;
The Insurance afforded by this Coverage Part for the additional insured required by a written
contract or agreement with the named insured is primary insurance and we will not seek
contribution from any other insurance available to that additional insured.
D. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, S. Transfer Of Rights Of
Recovery Against Others To Us is amended and the following added:
We waive any rights of recovery we may have against any person or organization because of
payments we make for injury or damage resulting from your ongoing operations or "your work"
done under a contract with that person or organization and included in the "products-completed
operations hazard" if:
a. you agreed to such waiver;
b. the waiver is included as part of a written contract or lease; and
c. such written contractor lease was executed prior to any loss to which this Insurance applies.
ALL OTHER TERMS AND CONDITIONS OFTHE POLICY REMAIN UNCHANGED.
U156A-0313 Includes copyrighted material of ISO Properties, Inc., Page 2 of 2
with its permission.
I
GL4125502
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 GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s): Location And Description Of Completed Operations
ALL PERSONALS OR ORGANIZATIONS AS REQUIR PER CERTIFICATE ON FILE
BY WRITTEN CONTRACT WITH THE
INSURED ON FILE WITH CARRIER
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 in-
clude as an additional Insured the person(s) or organ-
Ization(s) shown in the Schedule, but only with re-
spect to liability for "bodily Injury" or "property dam-
age"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 in-
sured and included In the"products-completed oper-
ations hazard".
CG 20 37 07 04 Copyright ISO Properties,Inc.,2004 Page I of t
Insured