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HomeMy WebLinkAboutPW15-091 - Amendment - #1 - GEI Consultants, Inc. - Briscoe-Desimone Levee Improvements Reach 1 - 12/29/2015 Records nr `erneri` x KEN T >tie" W ASHINGTON {` Document S k 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: GEI Consultants, Inc. Vendor Number: JD Edwards Number Contract Number: 417 1i'r ��? •'`'i I _ ' This is assigned by City Clerk's Office Project Name: Briscoe-Desimone Levee Improvements Reach 1 Description: ❑ Interlocal Agreement ❑ Change Order M Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/28/15 Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Eric Connor Department: Engineering i 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 to finalize asbuilts. As of: 08/27/14 KENT AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: GEI Consultants, Inc. CONTRACT NAME & PROJECT NUMBER: Briscoe-Desimone Levee Improvements Reach 1 ORIGINAL AGREEMENT DATE: March 20. 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 to finalize asbuilts. 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, $103,176.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $103,176.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $103,176.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/15 (insert date) Revised Time for Completion under n/a 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 I become effective on the last date written below.CONSULTANT/VENDOR: /-CITY OFKENT: . By: i� By: F C,d (si, turk , (s nature) Print Name: " 1 Print Name: Timothy 1. LaPorte, P.E. Its f-V F Its Pu lic Works Director pp (title) (title) DATE: 7/m DATE: 2. APPROVED AS TO FORM: (applicable if Mayor's signature required) I i Kent Law Department GEI-otlscoe-oeslmune Lnvea t Ame I/Connor AMENDMENT - 2 OF 2 GEICONS-01 KPAWLOWSKI (MMI,acarr�` CERTIFICATE OF LIABILITY INSURANCE DATE 319/2 D/YYYY) /9/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLCCt BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE.. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION 15 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). _ PRODUCER NAMEAOT Kathryn Pawlowski !, Ames&Gough HOO Na,Ez9_(617)328.6555 ac No: 617 328.6888 859 Willard Street .MAIL _ Suite 320 ADDRESS:boston@amesgough.com Quincy,MA 02169 .INSURER(S)AFFORDING COVERAGE NAIC I! 1 _ INSURERA;National Union Fire Insurance Company of Pittsburgh,PA 19445 INSURED INSURER aICOntlnentalCasLalt Company_(I;NiAL8LXVL 20443 ''.. GEI Consultants,Inc. INSURERC:AIG Specialty Insurance Com an AXV) 26883 180 Grand Ave INSURER o: Oakland,CA 94612 INsuRER E: _ INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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. D SUER POLIO P OMITS OLCY E%P-- LTR DL TYPE OFINSURANCE INSD OIYWY)jM POLICY NUMBER MMIDM/ODIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MAUE OCCUR X X 7046470 0310112015 03/01/2018 PREMISES Ea ocanence $ 300,000 MED EXP/Any one rson) $ 15,006 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLES PER: GENERALAGGREGATE $ 2,000,000 POLICY�JECOT I LOG rl PRODUCTS AGO $ 2,00E-'10 OTHER: -- --- COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ 1,000,000 A JX ANY AUTO X X 248367 03/0112D15 03/01/2016 BODILY INJURY(Par parson) $ ALLOWNED SCHEDULED BODILY INJURY(Per amidam) $ AUTOS AUTOS X NON-OWNED perecddent AMAEE $ HIRED AUTOS AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 4,060,000 B EXCESS LIAB CLAIMS-MADE X X 6011396137 0310112015 03101/2018 AGGREGATE $ 4,000,000 DED I X I RETENTION$ 6 _ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY A ANY PROPRIETORJPARTNENEXECUTIVE YIN X 026034972 03/01/2015 03/01/2010 E.L.EACH ACCIDENT $ 1,600,606 OFFICERIMEMSER EXCLUDED? N NIA 1,066,006 (Mandatory in NH) F.,I-,DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below -_. E.L.DISEASE-POLICY LIMIT $ C Prof.Liability 17788026 03/01/2015 03/01/2016 Per Claim 5,(100,000 j 17789026 03/01/2015 03/0112016 Aggregate 5,000,000 )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mare space is required) ,II Coverages are In accordance with the policy terms and conditions. roject:Kent Briscoe-Desimone Levee Reach 1 Construction ity of Kent,King County and King County Flood Control District are hereby named as Additional Insured on a primary and non-contributory basis with aspect to general Ilabllily for ongoing and completed operations,auto,and umbrella liability as required by written contract,for Ilabillty arising out of the peratlons of the named Insured white performing work for the City,the District,and the County.General Liability policy includes severabllity of interest I EE ATTACHED ACORD 101 3ERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 20 Fourth Avenue South Kent,WA 98032 AUTHORIZED REPRESENTATIVE 91988.2014 ACORD CORPORATION. All rights reserved. \CORD 25(2014101) The ACORD name and logo are registered marks of ACORD I AGENCY CUSTOMER to:GEICONS-01 KPAWLOWSKI LOC#: 0 ACORO° ADDITIONAL REMARKS SCHEDULE Page 1 of 1 WEN, NAMED O Imes&Gough GEI Consultants,Inc. g 180 Grand Ave i IOLICYNCMeER Oakland,CA 94612 ;EE PAGE 1 7ARRIER NAIC CODE EE PAGE 1 _ SEE P 1 EFFECTIVE DATE:SEE PAGE 1 4DDITIONAL REMARKS PHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, 'ORMNUMBER: ACORD25 FORM TITLE: Certlticate of Liability Insurance ` 3escription of 0peratlonslLocatlonsNehicles: I' :toss liability provisions.Umbrella policy sits in excess of the general liability,auto and employer's liability;follows form.All aolicies include a waiver of subrogation in favor of the additional Insured. 30-day notice of cancellation will be Issued in accordance i Nith policy terms and conditions. I I I I Ili i f , IORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENDORSEMENT This endorsement, effective 12:01 A,M.03/101/2015 forms a part of I policy No. 7046470 issued to OEl CONSULTANTS, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH. PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL, INSURED- OWNERS, LESSEES, OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modlfies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OP ADDITIONAL INSURED PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: PER THE CONTRACT OR AGREEMENT. t ADDITIONAL PREMIUM: (If No entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to the endorsement.) SECTION II-WHO IS AN INSURED Is amended to Include as an insured; The person or organization shown in the Schedule, but only with respect to liability wising out of "your work" at the location designated and doscribed in the schedule of this endorsement performed for that additional insured and Included in the "products-completed operations hazard". All other terms and conditions remain unchanged. i i »�1GZ.bsx,1/a uthorize a resentative or Coupterslgnature(in States Wbere Ina;udes cop9dehted motorist of g'pp"aabfe) 97837 (4/08) Ineuronoe sawl000 Of too, Ino„with Its permtoolon. Page 1 of 1 i ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2015 forms a pert of policy No. 7046470 issued to GEI CONSULTANTS, INC, i by NATIONAL UNION FIRE INSURANCE. COMPANY OF PiTTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS - SCHEDULED PERSON OR OROANIXATION This endorsement modifies insurance provided under the following.' COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATIONi ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO, ` II (if no entry appears above, Information required to Complete this endorsement will be shown in the Declarations as applicable to the endorsement.) A, SECTION 11-WHO IS AN INSURED to amended to Include as an insured; The person or organization shown in the schedule, but only with respect to liability arising out of your ongoing operations performed for that additional insured. S. With respect to the Insurance afforded to these additional insureds, SECTION I - COVERAGES, COVERAGE A . BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. - Exclusions, is amended to include the following additional exclusion; This insurance does not apply to "bodily Injury" or "property damage" occurring after: (1) all work, Including materials, parts or equipment furnished in oonneotion with such work, on the project(other then service, maintenance or repairs) to be performed by or on behalf of the additional insurad(s) at the site 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 other than another contractor or subcontractor engaged in performing operations for a principal as a part of the some project. i All other terms and conditions remain unchanged. uthorized Re reaegntative or ounte li nature in States Where ppffca re� 07838 (4/08) Includes dopyflobted material of Page 1 of 1 Insurenna Sarvioes Offlae,Inc.,with Its parmisston. ENDORSEMENT This endorsement, effective 12:01 A,M, 03/01/2015 forms a part of policy No_ 2248367 Issued to GEI CONSULTANTS, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifJes Insurance provided under the following. BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO, l 1. SECTION II-LIABILITY COVERAGE,A. Coverage, 1..Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to Include as an additional Insured under this policy,as a result of any contract or agreement you enter Into which requires you to furnish Insurance to that person or organization of the type provided by this policy,but only with respect to liability arising out of use of a covered "auto". However,the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. i i 6 A thorlxed Represent five or ACoouupteetilegnatGre(in States Where 87960 (10/Oil) 1 Page 1 of 1 II I ENDORSEMENT �I This endorsement, effective 12:01 A.M. 03/01/2015 forms a part of i policy No. 2248367 issued toad Consultants, Ina, by National union Fire Insurance Company i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Thfs endorsement modlBes insurance providad under the followrno., _--_— Section IV • Business Auto Conditions, A. . Loss Conditions, 5, - Transfer of Rights of Recovery Against Others to Us,is amended to add: However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Farm arising out of an"accident" or"loss" If: (1) The "accident" or "loss" Is due to operations undertaken In accordance with the contract existing between you and such person or organization; and (2) The contract or agreement was entered Into prior to any"accident' or"loss". No waiver of the right of recovery will directly or Indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lion to be reimbursed from any recovery funds obtained by any Injured employee. i AUTHORIZED REPRESENTATIVE 62697(6195) ENDORSEMENT This endorsement,effective 12:01 A.M. 03/01/2015 forms a part of pollry No.7046470 Issued to (mi Consultants, inc. by National union Vire Tnsuranoe Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED • PRIMARY INSURANCE 77)19 endorsement modifies Insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE rORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subporagraph'a,Primary ih'suradcb, is amended by the addition of the followingi However, coverage under this policy afforded to an additional Insured will apply as primary ns mnce where requ redhy cantraaf,-nn any other Insurance ssue D suo a ions insured shall apply as excess and noncontrlbutory Insurance. l III i i Authorized Representative or Apppcabsie�nature(in States Where 74434(10/99) GEI Consultants,Inc. Effective 03/01/2015-03/01/2016 POLICY NUMBER: #7046470 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 i WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Pursuant to applicable written contract or agreement you enter into. l Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for Injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. �l I I CG 24 04 05 09 0 Insurance Services Office, Inc„ 2008 Page 1 of 1 ❑ i WAIVER OF OUR RIGHT To RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which It Is attached effective on Inception date of the policy unless a different date Is indicated below. (Tho following"allaohing clause" need be Completed onty whon Ilde endoMMM IS lasued cabeaquenl to prepara(fan of tho polloy). This endorsement, effective 12:01 AM 03/01/2015 forms a part of Poiioy No. 026034972 Issued to GD1 Consultants, Ina. By National union Fire Ineurance Company Premium r We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us, This agreement shall not operate directly or indirectly to benefit any one not named In the Schedule, Schedule I it i This form is not applicable In California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohfo, Tennessee, Texas, Utah, or Washington. WC 00 0313 Countersigned by (Ed. 04184) Authorized Representative