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EC13-076 - Amendment - #1 - Stantac Consulting, Inc. - Brownfields Consultant - 12/02/2015
i Ab Recor rr� ew KENT "° Document 4 WASNINOTON fyt f d.i'�� x T � S 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: Stantec Vendor Number: JD Edwards Number Contract Number: ecl� _ OUZ. This is assigned by City Clerk's Office Project Name: Brownfields Consultant Description: ❑ Interlocal Agreement ❑ Change Order Amendment ® Contract ❑ Other: Contract Effective Date: 12/31/2015 Termination Date: December 31, 2016 Contract Renewal Notice (Days): 365 Number of days required notice for termination or renewal or amendment Contract Manager: Ben Wolters Department: Econ & Comm. Dev. Contract Amount: $388,930.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): As of: 08/27/14 I AMENDMENT NO. #1 NAME OF CONSULTANT OR VENDOR: Stantec Consulting Services, Inc. CONTRACT NAME & PROJECT NUMBER Brownfields Community-Wide Assessment Grants ORIGINAL AGREEMENT DATE: 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 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: Continue with original Scope of Work 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, $385,000.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $385,000.00 including all previous amendments Current Amendment Sum $3,930.00 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $388,930.00 I AMENDMENT - 1 OF 2 Original Time for Completion 12/31/2015 (insert date) .. . ........_...... ... . Revised Time for Completion under 12/31/2015 prior Amendments (insert date) Add'I Days Required (!")—for this . 366 calendar days Amendment Revised Time for Completion ° 12/31/2016 (insert date) The Consultant or Vendor accepts all requirements of this Amendment by signing below, by its signature waives any protest or claim it may have regarding this Amendment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Amendment, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and warranty provisions of the original Agreement. All acts consistent with the authority of the Agreement, previous Amendments (if any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. IN WITNESS, the parties below have executed this Amendment, which will become effective on the last date written below. CONSULTANT/VEN DORI / CITY OF KENT: � By. _ By: rr w (signature) Print Name: " Pnnt Nam Suzette Cooke its r^7r^. "�i^e C t2.-. _ `t5_-^�'�r'Aayor (ti le) DATE:-L$ DATE: 1°s, APPROVED AS TO FORM: (applicable if Mayor, signatre required) Kent Law Department' [1h Lhh wo,you may ensrths ne contract has been',,—c AMENDMENT - 2 OF 2 BF-OOJ65701 -2 Page GRANT NUMBER(FAIN): OOJ65701 �ct6D ST,gp� U.S ENVIRONMENTAL NUMBER: 2 DATE OF AWARD J"" y PROGRAM CODE: BF 04/21/2015 y PROTECTION AGENCY TYPE OF ACTION MAILING DATE a $r No Cost Amendment 04/21/2015 Assistance Amendment PAYMENT METHOD: ACH# ,i,` PEND 4t PROVO RECIPIENT TYPE: Send Payment Request to: Municipal Las Vegas Finance Center FAX#702-798-2423 RECIPIENT: PAYEE: City of Kent City of Kent 220 4th Ave South 220 4th Ave South Kent,WA 98032 Kent,WA 98032 EIN: 91-6001254 !. PROJECT MANAGER EPA PROJECT OFFICER EPA GRANT SPECIALIST Erin George Terri Griffith Kathy Tsing-ChoyI, 400 West Gowe 1200 Sixth Avenue, Suite 900, ECL-122 Grants and Interagency Agreements Unit,OMP-173 Kent,WA 98032 Seattle,WA 98101 E-Mail: Tsing-Choy.Kathy@epa.gov E-Mail: egeorge@kentwa.gov E-Mail: griffith.terri@epa.gov Phone:206-553-4688 Phone:253-856-5436 Phone:206-553-8511 PROJECT TITLE AND EXPLANATION OF CHANGES City of Kent BF Assessment This amendment approves the revised workplan and budget submitted via email dated 0 310 6/2 0 1 5 and extends the project and budget periods to 09/30/2016. Administrative condition number 18 is deleted and condition number 19 is updated. BUDGET PERIOD PROJECT PERIOD TOTAL BUDGET PERIOD COST TOTAL PROJECT PERIOD COST 10/01/2012 - 09/30/2016 10/01/2012 - 09/30/2016 $400,000.00 $400,000.00 NOTICE OF AWARD Based on your Application dated 0 6/2 912 01 2 including all modifications and amendments,the United States acting by and through the US Environmental Protection Agency(EPA) hereby awards$. EPA agrees to cost-share 100.00%of all approved budget period costs incurred, up to and not exceeding total federal funding of$400,000. Recipient's signature is not required on this agreement. The recipient demonstrates its commitment to carry out this award by either: 1)drawing down funds within 21 days after the EPA award or amendment mailing date;or 2)not filing a notice of disagreement with the award terms '.. and conditions within 21 days after the EPA award or amendment mailing date. If the recipient disagrees with the terms and conditions specified in this award, the authorized representative of the recipient must furnish a notice of disagreement to the EPA Award Official within 21 days after the EPA award or amendment mailing date. In case of disagreement,and until the disagreement is resolved,the recipient should not draw down on the funds provided by this award/amendment,and any costs incurred by the recipient are at its own risk.This agreement is subject to applicable EPA regulatory and statutory provisions, all terms and conditions of this agreement and any attachments. ISSUING OFFICE(GRANTS MANAGEMENT OFFICE) AWARD APPROVAL OFFICE ORGANIZATION/ADDRESS ORGANIZATION/ADDRESS EPA Region 10 U.S. EPA, Region 10 Mail Code:OMP-173 Office of Environmental Cleanup 1200 Sixth Avenue,Suite 900 1200 Sixth Avenue,Suite 900 Seattle,WA 98101 Seattle,WA 98101 THE UNITED STATES OF AMERICA BY THE U.S.ENVIRONMENTAL PROTECTION AGENCY Digital signature applied by EPA Award Official Kathy Tsing-Choy- EPA Grant Specialist DATE 04/21/2015 EPA Funding Information BF-OOJ65701 -2 Page FUNDS FORMER AWARD THIS ACTION AMENDED TOTAL EPA Amount This Action $400,000 $ $400,000 EPA In-Kind Amount $0 $ $ 0 Unexpended Prior Year Balance $0 $ $0 Other Federal Funds $0 $ $0 Recipient Contribution $0 $ $0 State Contribution $0 $ $0 Local Contribution $0 $ $0 Other Contribution $0 $ $0 Allowable Project Cost $400,000 $0 $400,000 Assistance Program(CFDA) Statutory Authority Regulatory AuthorityII' 66.818-Brownfields Assessment and Cleanup CERCLA:Sec. 104(k)(2) 40 CFR PART 31 Cooperative Agreements Fiscal Site Name Req No FY Approp. Budget PRC Object Site/Project Cost Obligation/ Cade Organization Class Organization Deobligation BF-OOJ65701 -2 Page 3 I Budget Summary Page Table A-Object Class Category Total Approved Allowable (Non-construction) Budget Period Cost 1.Personnel $3,627 '.... 2.Fringe Benefits $1,707 3.Travel $4,400 4.Equipment $0 I.Supplies $0 6.Contractual $388,930 7.Construction $0 B.Other $1,336 9.Total Direct Charges $400,000 10.Indirect Costs: % Base $0 11.Total(Share: Recipient 0.00% Federal 100.00%.) $400,000 12.Total Approved Assistance Amount $400,000 13.Program Income $0 14.Total EPA Amount Awarded This Action $0 15.Total EPA Amount Awarded To Date $400,000 I BF-OOJ66701 -2 Page 4 Administrative Conditions Condition number 18 "FY12 APPR ACT" is deleted entirely. Condition number 19 WBEMBP is revised: 1. UTILIZATION OF SMALL, MINORITY AND WOMEN'S BUSINESS ENTERPRISES (MBE/WBE) GENERAL COMPLIANCE,40 CFR, Part 33 The recipient agrees to comply with the requirements of EPA's Disadvantaged Business Enterprise (DBE) Program for procurement activities under assistance agreements, contained in 40 CFR, Part 33. MBE/WBE REPORTING, 40 CFR, Part 33, Subpart E MBE/WBE reporting is required in annual reports. Reporting is required for assistance agreements where there are funds budgeted for procuring construction, equipment, services and supplies, including funds budgeted for direct procurement by the recipient or procurement under subwards or loans in the "Other" category that exceed the threshold amount of$150,000., including amendments and/or modifications. Based on EPA's review of the planned budget, this award meets the conditions above and is subject to the Disadvantaged Business Enterprise (DBE) Program reporting requirements. However, if recipient believes this award does not meet these conditions, it must provide a justification and budget detail within 21 days of the award date clearly demonstrating that, based on the planned budget, this award is not subject to the DBE reporting requirements to Region 10 DBE Coordinator. The recipient agrees to complete and submit a"MBE/WBE Utilization Under Federal Grants, Cooperative Agreements and Interagency Agreements" report (EPA Form 5700-52A) on an annual basis. All procurement actions are reportable, not just that portion which exceeds $150,000. When completing the annual report, recipients are instructed to check the box titled "annual" in section 1 B of the form. For the final report, recipients are instructed to check the box indicated for the "last report" of the project in section 1 B of the form. Annual reports are due by October 301h of each year. Final reports are due by October 301h or 90 days after the end of the project period, whichever comes first. The reporting requirement is based on total procurements. Recipients with expended and/or budgeted funds for procurement are required to report annually whether the planned procurements take place during the reporting period or not. If no budgeted procurements take place during the reporting period, the recipient should check the box in section 5B when completing the form. The current EPA Form 5700-52A can be found at the EPA Office of Small Business Program's Home Page at httD,/vrww.ega.,govlosbp,!dbe reocrti ._htm. This provision represents an approved deviation from the MBE/WBE reporting requirements as described in 40 CFR, Part 33, Section 33.502; however, the other requirements outlined in 40 CFR Part 33 remain in effect, including the Good Faith Effort requirements as described in 40 CFR Part 33 Subpart C, and Fair Share Objectives negotiation as described in 40 CFR Part 33 Subpart D and explained below. SIX GOOD FAITH EFFORTS, 40 CFR, Part 33, Subpart C Pursuant to 40 CFR, Section 33.301, the recipient agrees to make the following good faith efforts whenever procuring construction, equipment, services and supplies under an EPA financial assistance agreement, and to require that sub-recipients, loan recipients, and prime contractors also comply. Records documenting compliance with the six good faith efforts shall be retained: (a) Ensure DBEs are made aware of contracting opportunities to the fullest extent practicable through outreach and recruitment activities. For Indian Tribal, State and Local and Government recipients, this will include placing DBEs on solicitation lists and soliciting them whenever they are potential sources. (b) Make information on forthcoming opportunities available to DBEs and arrange time frames for contracts and establish delivery schedules, where the requirements permit, in a way that encourages and facilitates participation by DBEs in the competitive process. This includes, whenever possible, posting solicitations for bids or proposals for a minimum of 30 calendar days before the bid or proposal closing date. (c) Consider in the contracting process whether firms competing for large contracts could subcontract with DBEs. For Indian Tribal, State and local Government recipients, this will include dividing total requirements when economically feasible into smaller tasks or quantities to permit maximum participation by DBEs in the competitive process. (d) Encourage contracting with a consortium of DBEs when a contract is too large for one of these firms to handle individually. (e) Use the services and assistance of the SBA and the Minority Business Development Agency of the Department of Commerce. (f) If the prime contractor awards subcontracts, require the prime contractor to take the steps in paragraphs (a) through (e) of this section. CONTRACT ADMINISTRATION PROVISIONS, 40 CFR, Section 33.302 The recipient agrees to comply with the contract administration provisions of 40 CFR, Section 33.302. BIDDERS LIST,40 CFR, Section 33.501(b) and (c) Recipients of a Continuing Environmental Program Grant or other annual reporting grant, agree to create and maintain a bidders list. Recipients of an EPA financial assistance agreement to capitalize a revolving loan fund also agree to require entities receiving identified loans to create and maintain a bidders list if the recipient of the loan is subject to, or chooses to follow, competitive bidding requirements. Please see 40 CFR, Section 33.501 (b) and (c) for specific requirements and exemptions. FAIR SHARE OBJECTIVES, 40 CFR, Part 33, Subpart D 1. For Grant Awards$250,000 or Less This assistance agreement is a Technical Assistance Grant (TAG); or the award amount is $250,000 or less; or the total dollar amount of all of the recipient's financial assistance agreements from EPA in the current Federal fiscal year is $250,000 or less. Therefore, the recipient of this assistance agreement is exempt from the fair share objective requirements of 40 CFR, Part 33, Subpart D, and is not required to negotiate fair share objectives/goals for the utilization of MBE/WBEs in its procurements. 2. For Recipients Accepting Goals A recipient must negotiate with the appropriate EPA award official, or his/her designee, fair share objectives for MBE and WBE participation in procurement under the financial assistance agreements. In accordance with 40 CFR, Section 33.411 some recipients may be exempt from the fair share objectives requirements as described in 40 CFR, Part 33, Subpart D. Recipients should work with their DBE coordinator, if they think their organization may qualify for an exemption. Accepting the Fair Share Objectives/Goals of Another Recipient The dollar amount of this assistance agreement, or the total dollar amount of all of the recipient's financial assistance agreements in the current federal fiscal year from EPA is$250,000, or more. The recipient accepts the applicable MBE/WBE fair share objectives/goals negotiated with EPA. The Region 10 fair share objectives/goals can be found:111p Ihnrv�tiv.e�,cowlosbolpdfs/r10 fair share qo is f. By signing this financial assistance agreement, the recipient is accepting the fair share objectives/goals and attests to the fact that it is purchasing the same or similar construction, supplies, services and equipment, in the same or similar relevant geographic buying market. Negotiating Fair Share Objectives/Goals,40 CFR, Section 33.404 The recipient has the option to negotiate its own MBE/WBE fair share objectives/goals. If the recipient wishes to negotiate its own MBE/WBE fair share objectives/goals,the recipient agrees to submit proposed MBE/WBE objectives/goals based on an availability analysis, or disparity study, of qualified MBEs and WBEs in their relevant geographic buying market for construction, services, supplies and equipment. The submission of proposed fair share goals with the supporting analysis or disparity study means that the recipient is not accepting the fair share objectives/goals of another recipient. The recipient agrees to submit proposed fair share objectives/goals, together with the supporting availability analysis or disparity study, to the Regional MBE/WBE Coordinator within 120 days of its acceptance of the financial assistance award. EPA will respond to the proposed fair share objective/goals within 30 days of receiving the submission. If proposed fair share objective/goals are not received within the 120 day time frame, the recipient may not expend its EPA funds for procurements until the proposed fair share objective/goals are submitted. 3. For Recipients with Established Goals The recipient must negotiate with the appropriate EPA award official, or his/her designee, fair share objectives for MBE and WBE participation in procurement under the financial assistance agreements. In accordance with 40 CFR, Section 33.411 some recipients may be exempt from the fair share objectives requirements described in 40 CFR, Part 33, Subpart D. Recipients should work with their DBE coordinator, if they think their organization may qualify for an exemption. Current Fair Share Objective/Goal The dollar amount of this assistance agreement or the total dollar amount of all of the recipient's financial assistance agreements in the current federal fiscal year from EPA is$250,000, or more. The Region 10 fair share objectives/goals can be found: http:;/, wvr.e � dfslrl J fair share . .gals.rdf. Negotiating Fair Share Objectives/Goals In accordance with 40 CFR, Part 33, Subpart D, established goals/objectives remain in effect for three fiscal years unless there are significant changes to the data supporting the fair share objectives. The recipient is required to follow requirements as outlined in 40 CFR Part 33, Subpart D when renegotiating the fair share objectives/goals. 4. For DWSRF. CWSRF and BROWNFIELDS RLF Recipients ONLY Objective/Goals of Loan Recipients As a recipient of an EPA financial assistance agreement to capitalize revolving loan funds, the recipient agrees to either apply its own fair share objectives negotiated with EPA to identified loans using a substantially similar relevant geographic market, or negotiate separate fair share objectives with its identified loan recipients. These separate objectives/goals must be based on demonstrable evidence of the availability of MBEs and WBEs in accordance with 40 CFR, Part 33, Subpart D. The recipient agrees that if procurements will occur over more than one year, the recipient may choose to f apply the fair share objective in place either for the year in which the identified loan is awarded or for the year in which the procurement action occurs. The recipient must specify this choice in the financial assistance agreement, or incorporate it by reference therein. R10 DBE Coordinator and Where to Send Report Greg Luchey at (206) 553-2967 or email: Luchey.GregL@epa.aQ7. The coordinator can answer any MBE/WBE reporting questions you may have. MBE/WBE reports should be sent to the EPA Region 10, Grants and Interagency Agreements Unit, 1200 Sixth Avenue, Suite 900, OMP-173, Seattle, WA 98101 or FAX to (206) 553-4957. Programmatic Conditions All Programmatic Terms and Conditions Remain the Same END OF DOCUMENT II POLICY NUMBER: GLO5415704 COMMERCIAL GENERAL LIABILITY 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): CITY OF KENT Location And Description Of Completed Operations: City of Kent EPA Brownfield Grant Project. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section If-Who Is An Insured is amended to include as an additional insured the person(s)or organization(s) 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". NAMED INSURED: Stantec Inc. CONSULTANT INSURED: Stantec Consulting Services Inc. Attached to and forming part of Policy of the Zurich American Insurance Company. AON REED STENHOUSE INC.,AON RISK SERVICES CENTRAL, INC., EDMONTON,ALBERTA ' Al #CG20370704 I Serial#: 961 ® CERTIFICATE F LIABILITY INSURANCE DATE/27/2015"' PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS '.. ;ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 3ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to :he terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the :ertificate holder in lieu of such endorsements. ooucER CONTACT ANDREA OTTO AON REED STENHOUSE INC. ac°Nr o.EM:1-952-807-D679 ac No):1-312-381-6608 AON RISK SERVICES CENTRAL,INC. Aooness:ANDREA.OTTO AON.COM 900-10025-102A AVENUE INSURERS)AFFORDING COVERAGE NAIL# EDMONTON,AB T5J OY2 INSURER A ZURICH AMERICAN INSURANCE COMPANY 16535 LURED INSURER B SENTRY INSURANCE A MUTUAL COMPANY 24988 STANTEC CONSULTING SERVICES INC. INSURERQ ZURICH INSURANCE COMPANY 11130 NE 33RD PLACE, SUITE 200 INSURER D: SENTRY INSURANCE A MUTUAL COMPANY 24988 BELLEVUE,WA 98004 INSURER E: ALLIANZ GLOBAL RISKS US INSURANCE INSURER F OVERAGES CERTIFICATE NUMBER: 961 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R ADDL SUER POLICY EFF POLICY EXP d TYPE OF INSURANCE INSR MD POLICY NUMBER .(MMIDWYffn flMMJDDM LIMITS GENERAL LIABILITY X GLO5415704 05/01/15 05/01/16 EACH OCCURRENCE i $ 2,000,000 X; GENERAL LIABILITYXOU COVER INCLUDED PREMISES(Ea oecu ence) $ 300,000 CLAIMS-MADE 1 " OCCUR MED EXP(Any one person) $ 10,000 X CON'rRACTUALICROSS LIABILITY PERSONAL&ADV INJURY $ 2 000 000 X OWNERS&CONTRACTORS IGENERALAGGREGATE $ 4,000,000 -- ennrFcnvn•. ----- GENT AGGREGATE LIMIT APPLIES PER r PRODUCTS-COMPIOPAGG $ 2000000 POLICY X i VROT PP .-.I X] LOG $ AUTOMOBILE LIABILITY COMBINED X 90-17043-08 05/01/15 05/01/16 (9aacnident) l NGLE L $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peraccidenl) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ X IUMBRELLALIAB X OCCUR 8831307 05/01/15 05/01/16 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB. CLAIMS-MADE EXCESS GENERAL,AUTO AND AGGREGATE $ 5,000,000 DED X RETENTION$1 O,000 EMPLOYERS LIABILITY(FOLLOW $ FOHNII WORKERS COMPENSATION 90-17043-06 05/01/15 05/01/16 WCYTATU OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVEE] N/A STOPGAP/EMPLOYERS E.L.EACH ACCIDENT is 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) LIABILITY ONLY E.L.DISEASE-EA EMPLOYEE $ 1,0oo,oOQ I describe under DES CRIPTION OPERATIONS below -' EL.DISEASE-POLICY LIMIT $ 1,000,000 71 DES SCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) LLEVUE,WA. STANTEC PROJECT#: 185750123, PROJECT NAME: CITY OF KENT EPA BROWNFIELD GRANT PROJECT. ITY OF KENT IS INCLUDED AS AN ADDITIONAL INSURED BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED _ ISURED. THIS COVER IS PRIMARY AND OTHER INSURANCE IS EXCESS AND NON CONTRIBUTORY. THE COVERAGE SHALL NOT CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER AND DDITIONAL INSUREDS. ENDT CG 20 37 07 04 ATTACHED ERTIFICATE ray DER 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 I ©1988-2010 ACORD CORPORATION. All rights reserved. ;ORD 25(2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GLO5415704 COMMERCIAL GENERAL LIABILITY 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): CITY OF KENT Location And Description Of Completed Operations: City of Kent EPA Brownfield Grant Project. 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 organization(s) 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". NAMED INSURED: Stantec Inc. CONSULTANT INSURED: Stantec Consulting Services Inc. Attached to and forming part of Policy of the Zurich American Insurance Company. AON REED STENHOUSE INC.,AON RISK SERVICES CENTRAL, INC., EDMONTON,ALBERTA At #CG20370704 r Serial#: 961 REQUEST FOR MAYOR'S SIGNATURE KENT Please Fill in All Applicable Boxes w> Originator: Julie Pulliam Phone (Originator): 5702 Date Sent: 11/30/15 Date of Council Approval: N/A original date of approval 10/3 13 Return Date of Approval from Finance: EPA Grant Signed Document to: Julie Pulliam reimbursement (Only required on contracts $10,000 &over or on any Grant Agreements) Date Required: Date of Approval from Risk Manager: 10/3/13 Vendor Name: Stantec Consulting Budgeted: YES ® NO ❑ Budget Fund: 1000.32600.0366 Brief Explanation of Document: Extension of the date for 365 days to end 12/31/2016 with a small amount increase of $3,930.00 from an additional EPA Amount. Stantec does consulting for the City of Kent in the Brownfield areas of the City of Kent. All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department' { Received: ¢ Law Department Approved as to Form: Law Dept. Comments: Date Forwarded to Mayor: Shaded Areas To Be Completed By Administration Staff Received: Recommendations and Comm,ents: Date Returned: P"iGUIIFomeNovumwl PmessingWlnk elunloMOVoh9lgnou4nou