The URL can be used to link to this page

Home My WebLink AboutPW15-014 - Amendment - #1 - The Granger Company - S. 224th St. Improvements - 12/15/2015 ec r s ge e t,,, KENT Document WASHINGTON 2 F iv 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: The Granger Company Vendor Number: JD Edwards Number Contract Number: 1 �° This is assigned by City Clerk's Office Project Name: S. 224th St Improvements Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/15/15 Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Ingrid Willms-Dixon Department: Engineering Contract Amount: $0.00 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 December 31, 2016 because the parcels on the east side of the project are still being worked on. As of: 08/27/14 KENT AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: The Granger Company CONTRACT NAME & PROJECT NUMBER: S. 224`" Street Improvements ORIGINAL AGREEMENT DATE: January 15, 2015 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: The scope of work remains the same, however an amendment is needed to extend the time of completion to December 31, 2016 because the parcels on the east side of the project are still being worked on. 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, $5,600.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $5,600.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $5,600.00 i AMENDMENT - 1 OF 2 I Original Time for Completion 12/31/15 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) fo Add'I Days Required (t) r this 366 calendar days Amendment Revised Time for Completion 12/31/16 (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/VENDO CITY )F KENT: By: By: (signature) lsignature) Print Game. ---TO.SePN l?A'I 6GOQ Print Name: Timothy J. LaPorte, P.E. Its WAC, "klM r Its Public Works Director e) DATE: /Z--/h—'( 5 DATE: 1_Z(ti APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department I Granger-224�Amd 1/W11lms-01xon i AMENDMENT - 2 OF 2 AGOKD RJe GATE(MM/DOM'Y1U CERTIFICATE OF LIABILITY INSURANCE R059 2/20/2015 THIS CERTIFICATEIS 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 j REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIONIS 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 endorsement(s). PR°DVCEN GOMNCT NPNP: USAA INSURANCE AGENCY INC/PHS ju1iO,r"Ei,,en) (888) 292-1430 Wc,rvop (888) 443-6112 812846 P: (888) 242-1430 F: (88B) 443-6112 =REss: PO BOX 33015 NSURIR'D AFFORDING rteeRAce NAIGY SAN ANTONIO TX 78265 INSUFERA:Hartford casualty ins CO 29124 msUR£D IN.Un. : Sentinel Ins Co LTD 11000 NSUrERc: JOE GRANGER DBA THE GRAI4GER COMPANY INSURERD: 7312 MERIDIAN RD SE INBUREq E: OLYMPIA WA 93513 USURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED '1'0 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,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TIPEOFIMSL'RANL'ti "IM S08R pOL/L'l'NIIMHfiN POUCY£FF PV.CY£XP LIMILP Ing !NM/vD/Y199 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2, 000, 000 CLAIMS MADE Fx1 OCCUR DAMAGE TO RENTED $ 300 000 PREMISES(Esoc usnm) A X General Liab X 65 SBA GN8933 03/04/2015 03/04/2D16 M'D EXP(Any one person) $10, 000 PERSONAL R AM INJURY s2, 000, 000 GEN'L AGGREGATE UMIT APPLIES PER: GENERALACGREGATE s4, 000,000 POLICY PRO-F-X]LOC PRODUCTS-COMPIOPAGG s4, 000, 000 ECT OTHER: $ AUTOMOBILE LIABILITY COIMBINEO SINGLE IIMP s1 000, 000 (a pcddenp r ANYAUTO BODILY INJURY(Per pa,eo.,J g e ALL OWNED X SCHEDULED X 65 UEC AV4966 03/29/2015 03/29/2016 BODILY INJURY(PeraNeem) 5 AUTOS AUTOS HIREDAUT05 NON-0VJNED PROPERTY DAMAGE $ AUTOS (Per actldenll X UMBRELLALIAB X OCCUR EACH OCCURRENCE 53,000, 000 A "CESSUAB GUIMS-MADE X 65 SEA GN8933 03/0€/2015 03/04/2016 AGGREGATE 53,000, 000 DCD X Se cU.es 10,000 Ivaxe£xs co,NrFArsnn°,v PEa OrH. n $ nrvD Fuxc°r£Rs•aunrzrn sranne FR ANYPROPRIFTOMPARTNEVEXECImVE YIN FL FACHACCIDENT OFFICERRAEMSER EXCLUDEDO fhfardaloq;n NN) ❑ NA ELDISEASE-EAEMPLOYEE If yes,dascdbs under E.L.DISEASE POLICYLIMIT DESCRIPTION OF OPERATIONS below A EMP STOP GAP 65 SDA GN8933 03/04/2015 03/04/2016 $1,000,000/1,D00,000/1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddQonal Remarks SshWWe,may bf aReehed H mom space 6 r,,0reD li Those usual to the Insured' s Operations. The City of Kent is an Additional Insured per the Business Liability Coverage Form SS0008, attached to this policy. Certificate holder is an Additional Insured per the Commercial Auto Broad Form Endorsement HA99160312 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL DE City Of Kent BEFORE IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Nany Yoshitake AUTHORIZED REPRESENTATIVE 1 400 W GOWE ST {ENT, WA 98032 _ 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 33 This Spectrum Policy consists of the Declarations, Coverage Forms Cam £ 89 other Forms and Endorsements issued to be a part of the Policy. This in ; GN insurance company of The Hartford Insurance Group shown below ' ' + ` � SBA Tn INSURER: HARTFORD CASUALTY INSURANCE COMPANY pi,�� ,�� ONE HARTFORD PLAZA, HARTFORD, CT 06155 COMPANY CODE: 3 Policy Number: 65 SBA G-N8933 DX SPECTRUM POLICY DECLARATIONS ORIGINAL cv Named Insured and Mailing Address: JOSEPH H GRANGER DBA o (No., Street,Town, State, Zip Code) THE GRANGER COMPANY 3 '` o r � g 7312 MERIDIAN ROAD SE O LYM SAAPIA 100850093 WA 985s3 r Policy Period: From 03/04/15 To 03/04/11; 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 neon tPae t Nameof Agent/Broker: USAA INSURANCE. AGENCY INC/PHS Code: 812846 N Previous Policy Number: 65 SBA GN8933 o ;+ o _ Named Insured is: INDIVIDUAL Audit Period: NON—AUDITABLE Type of Property Coverage: SPECIAL Insurance Provided: In return for the payment of the premium and subjectto all of the t F agree with you to provide insurance as stated in this policy. TOTAL ANNUAL PREMIUM IS: $1, 627 IN RECOGNITION OF THE MULTIPLE COVERAGES INSURED WITH THE ® POLICY PREMIUM INCLUDES AN ACCOUNT CREDIT. Countersigned by 01!20/15 Authorized Representative Date Form SS 00 02 12 06 Page 001 {CONTINUED ON NEXT PAGE) Process Date: 01/20/15 Policy Expiration Date: 03/04/16 INSURED COPY a-� e } a .y...-�.. y�EG i1 '�T4'TWLi.}"C♦...1�1f�f h'T�v_€��}�fTT Countersigned by �u�an� CaaZa�< a 01/70/15 Authorized Representative Form Ss 00 02 12 06 Page 001 (CONTINUED ON NEXT PAVE) Process Date: 01/20/15 Policy Expiration Date: 03/04/15 INSURED COPY POLICY NUMBER: 65 SBA GN8933 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON-ORGANIZATION', ro ISLAND COUNTRY o PO BOX 5000 COUPEVILLE WA 98239-5000 SKILLINGS CONNOLLY INC o CONSULTING EINGINEER ry PO BOX 5080 � LACEY WA 95B09-5060 m z CITY OF TUMWATER ro 555 ISRAEL RD SE o TUMWATER WA 98501 CH2M HILL 777 108TH AVE NE PO BOX 91500 BELLEVUE, WA 98009 CITY OF FEDERAL WAY ®_ 33530 1ST WAY SOUTH ATTN: CITY MANAGER ilia FEDERAL WAY WA 9B003 ICI kiiiiiiiiiiiiii ABEYTA & ASSOCIATES 1001 4TH AVE PLAZA 03200 SEATTLE WA 98154 CITY OF KENT, KING COUNTY AND KING COUNTY FLOOD CONTROL DISTRICT ATTN: NANCY YOSHITAKE _ 220 4TH AVE SOUTH KENT, WA 98032 CITY OF SEATAC 4800 S 18BTH ST SEATAC, WA 98188 Form IH 12 0011 05 T SEQ.NO. 001 Printed in U.S.A. Page 001 Process Date: Ol/2 0/15 Expiration Date: 03/0 4/16 ;l 4 1 .� II Real Estate Appraisers Professional! µ- Yute*salionai 6.Iaxdanvritees.. Liability Date Issued Policy[lumber Previous Policy Number 02/04/2015 LIUO01247-014 LIU001247-013 LIBERTY INSURANCE UNDERWRITERS INC (A Stock lusitrance Company,hereinafter the"Company") 55 Water Street. 1811 Floor New York,NY 10041 THIS IS A CLAIMS NADEANO REPORTED POLICY. PLEASE READ IT CAREFULLY. Item DECLARATIONS 1. Customer ID: 124016 Named Insured: GRANGER COMPANY, THE Joseph H. Granger 7312 Pleri di an Rd. SE Ol ympi a, !dA 98513 2 Policy Period: 1�rom: OMI.;2015 To: 03/Ol/2016 12:01 A.M. Slandmyd'fimc at the address stated in Item 1. 3. Deductible: $1,000 Each Claim 4. Retroactive Bate: 01/01/1994 5. Inception Date: 03/Ol/2002 6. Limits of Liability: The Limit of Liability for Each Claim and in A. $1,000,000 Each Claim the Aggregate is reduced by Damages and B. $2.000,000 Claims Expenses as defined in the Policy. 7. flail all notices, ineluding notice Of Claim, to Agent: LIA Administrators&Insurance Services 1600 Anoeapa Street Santa Barbara,California 93101 (800)334-0652; Fax: (805)962-0652 S. .Annual Premium: $1,039.00 9. Number of Appraisers; 1 ID. forms attached at issue: LIA002 (10/11) LIA 14A (12111) LIA01Z (08/11) LIA013 (08/11) OFAC (08/09) This Declarations Page together with the completed and signed Policy Application including all attachments and exhibits thereto,and the Real Estate Appraisers Professional Llabil�_nsurance Policy shall constitute the n r ct between the Named Insured and the Company. 8y L1A001 (04/10) Authorized Signature