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PW13-243 - Amendment - #3 - Hough, Beck & Baird, Inc. - SR 516 & Milwaukee 2 Levee - 12/17/2015
j t Recordsan`a, ,, emIN end KENT �.� 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: Hough Beck & Baird Inc. Vendor Number: JD Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: SR 516 and Milwaukee II Levees Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/17/15 Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Toby Hallock 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_3.1_, 2016 because project work continues on these Levee systems. As ofi 08/27/14 KENT W nSHiN�TON AMENDMENT NO. 3 � NAME OF CONSULTANT OR VENDOR: Houah Beck & Baird, Inc. CONTRACT NAME & PROJECT NUMBER: SR 516 and Milwaukee II Levees ORIGINAL AGREEMENT DATE: August 19. 2013 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 project work continues on these Levee systems. 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, $8,000.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $8,000.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $8,000.00 l l AMENDMENT - 1 OF 2 Original Time for Completion 12/31/13 (insert date) Revised Time for Completion under 12/31/15 prior Amendments (insert date) Add'I Days Required (f) for 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/VENDOR: CITY OF KENT: By: t r BY (sipn tur ) V (s gnature) Print Name: JlLhcl jwy Print Name: Timothy 1. LaPorte, P.E. Its -P'yCSICA(Ia"- Its Public Works Director t ( tie) (titl DATE: DATE: APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Hough Beck&Baird-SR 516&P111waukee 2 Amd 3/I1allock AMENDMENT - 2 OF 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDYYM 5/6/2015 PRODUCER (206) 621-6444 FAX: (206) 515-05GO THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION r' -ry and Rogers Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 0 5th Ave. #1825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Seattle WA 98101 INSURERS AFFORDING COVERAGE NAIC# INSURED wSURERNTRAVELERS INDEMNITY CO HOUGH BECK & BAIRD, INC INSURER e:TRAVELERS PROPERTY CASUALTY SU _ —4__ S - _ a 215 WESTLAXE AVE NORTH INSUHeRCTRAVELERS CASUALTY & SURETY INSURER 0: S EATTLE WA 98109 INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RF,OUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERHF)CATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE LIMI IS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _. - INS ADU LI, POLICY EFFECTIVE POLICY EXPIRATION T .€OF INSURANCE POLICY NUMBER MM DO :I, B MM ❑ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ 1,000,000 X ' Cal.^.MERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ - PaGA SESiEa pcarrencq) j$ 300,000 A X _� CLAIMS MADE _X ,OCCUR 6809C538779 15/16/2015 _ 5/16/2016 MED EXP(Any one person) S _ 5,000 PERSONAL B.AOV INJURY. I$ 1,000,000 GENERAL AGGREGATE $ _ 2,001Oo0 GEN.L AGGREGATE LIMB APPLIES PER: 1 f- PRO- PROOUCiS-COMPlOP AGG S 2, 000,000 POLICY' X -LECT LOC 1 AUTOMOBILE LIABILITY 1' COMBINED SINGLE LIMIT I$' ANY AUTO 1,000,000� ', (Ea acddenU _T, _ __ B I X ' ALL OWNED AUTOS IBA9C555322 3/16/2015 15/16/2016 pO01LY INJURY IS SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-0WNEO AUTOS j (Peraccidenl) PROPERTY DAMAGE(per $ j accident] GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I$ - ANY AUTO OCHER THAN AUTO ONLY: AGG i$ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ _. 2,000,000 X OCCUR [ ) CLAIMS MADE AGGREGATE S 2,000,OOO ''. 1 i i OTH-! B XDEDUCTIBLE cOP9rs55555 � 5/16/2015 5/16/2016 _ __ g X RETENTION $ 5,000 1 WORKERS COMPENSATION WC STATI) AND EMPLOYERS'LIABILITY YfN I ITORY LIMITS_X ANY PROPRIFTORICARTNERIEXECUTIVE i6S09C538779 ' 5/16/201.5 5/16/2016 E.L.EACH ACCIDENT �g 1,000E On OF EMBER EXCLUDED? -- A : (MandMrylnMH) E.J.IDISEASE-EA EMPLOYEE 1,000i000 Dms,dcb,ur dnr 1 -cwECIAL PROVISIONS below __ E L DISEASE_-POLICY LIMIT $ 1, 00o,000 C OTHER PROFESSIONAL 105277406 5/16/2015 I5/16/2016 'eecn claim $1,000,000 LIABILITY - Annual Aggregate $2, 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BV ENDORBF.MENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE OPERATIONS OF THE NAMED INSURED. se: ]TIRE SR 516 and Milwaukee 2 Levees Photo Simulation Renderings. CERTIFICATE HOLDER CANCELLATION III SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Kent Engineerimg DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR To MAN 30 DAYS WRITTEN Attn: Nancy YoShi ta)Ce NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 400 West Grove Kent, WA 98032 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ATEDRIZED REPRESENTATIVE Karl D),JU1iO/KD ACORD 25(2009101) ©1988.2009 ACORD CORPORATION. All rights reserved. INS025 DD09011 The ACORD name and logo are registered marks of ACORD i 1 POLICY NLLMBER: 16809C538779 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANCES T1IE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE® ®® OWNERS, LESSEES OR CONTRACTORS (FORM 6) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. i I SCHEDULE Name of Person or Organization: City of Kent (If no entry appears above, information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement) WI-10 IS AN INSURED (Section 11) Is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work"for that insured by or for you. CC 20 10 1185 'Cop}right, Insurance Serilces Office, Inc., 1982 Ii