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HomeMy WebLinkAboutPW16-253 - Original - Amec Foster Wheeler Environment & Infrastructure, Inc - Contract - 6/14/16 //-//i////// ---% cords M 0 4 e'.O��� R %i �ij/i/� ,,,,ri ^ %Z:: I , KENO"' r// r WJASHI N G'T]M /... q Document i 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: Arnec Foster Wheeler Environment & Infrastructure, Inc. Vendor Number: D Edwards Number Contract Number: This is assigned by City Clerks O7 fice Project Flame: S, 224t" St. Project - H tek Property Description: ❑ Interlocal Agreement ❑ Change Order ❑ Am,endment N Contract ❑ Other:. U11H HU Contract Effective Date: date of the Mayor's signature Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Garrett Inouye Department: Engineering Contract Amount: $24,1.00.00 Approval Authority: (CIRCLE ONE) Department Director CM- ayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Perform soil sampling activities for the Hytek property._. - _. As of: 08/27/14 Corporations: Registration Detail - WA Secretary of State Page 1 of 1 AMEC FOSTER WHEELER EWRONMENT&INF'RASTRUC WRE,INC. USI Number (301550507 Category REG Profit/Nonprofit Profit u� "a Active/Inactive tt6; Active Ie State Of Incorporation �4 hiv WA Filing Date 06/03,P494 Expiration Date 06/:30/7017 Inactive Date Duration Perpetual Registered Agent Information Agent Name CT CORPORATION SYSTEM Address 505 UNION AVE SE ST'E 120 City OLYMPIA state WA ZIP 98501 Special Address Information Address City State Zip Governing Persons Title Name Address Director NAYLOR,SIMON 10777 CLAY ROAD HOUSTON,TX 77041 Director TOEVS,S'TEVEN I I I DUNS'MUIR STREET" VANCOUVER PC V60 5W3 CANADA,FO 00001 Presf(:Ionl'.,Cflxlirma11,Ddri�ciC1r MASSEY,ANN 1105 LAKEWOOD PARKWAY STE 300 ALPHARE7A,CA 30009 Secletxy KNIGHT,BRADLEY 1105 LAKEWOOD PKWY STE 300 ALPHARETT`A,CA 30009 T'rtea.surcrr KENDALL,SHER.RILL 1105 LAKEWOOD PKWY ST'E 300 ALPHARETTA,GA 30009 http://www.sos,wa.gov/corl)s/searcli_detai 6/13/2016 KENT CONSULTANT SERVICES AGREEMENT between the City of Kent and Amec Foster Wheeler Environment & Infrastructure, Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Amec Foster Wheeler Environment & Infrastructure, Inc. organized under the laws of the State of Nevada, located and doing business at 600 University St., Suite 600, Seattle, WA 98101, Phone: (206) 342-1760/Fax: (206) 342-1761, Contact: Kathleen Goodman (hereinafter the "Consultant"). I. DESCRIPTION OF WORK. Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: The Consultant shall perform soil sampling activities for the Hytek property. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. Consultant shall complete the work described in Section I by December 31, 2016. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Twenty Four Thousand, One Hundred Dollars ($24,100.00), for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. CONSULTANT SERVICES AGREEMENT - 1 (Over$20,000) IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Consultant shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Consultant's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. CONSULTANT SERVICES AGREEMENT - 2 (Over$20,000) IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Consultant's part. The provisions of this section shall survive the expiration or termination of this Agreement. VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the work under this Agreement. X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the Consultant. Consultant shall make such data, documents, and files available to the City upon the City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The City's use or reuse of any of the documents, data, and files created by Consultant for this project by anyone other than Consultant on any other project shall be without liability or legal exposure to Consultant. XI. CITY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIII. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any CONSULTANT SERVICES AGREEMENT - 3 (Over$20,000) dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Consultant. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. J. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. CONSULTANT SERVICES AGREEMENT - 4 (Over$20,000) K. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shaH have the same force and effect as if the Agreement bearing the original signature was received in person, IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. CONSULTANT: CITY OF KENT: By: By: (s�inaLure) z?. A�-?'A 6.00 Printkam zette Cooke Print Name: - (signature) Its 6Qf)a1kc Its Mayor (tiq 0 V J — DATE: zy'55�2 DATE: Z— NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONSULTANT: CITY OF KENT: Kathleen Goodman Timothy J. LaPorte, P.E, Amec Foster Wheeler Environment & Infrastructure City of Kent 600 University St., Suite 600 220 Fourth Avenue South Seattle, WA 98101 Kent, WA 98032 (206) 342-1760 (telephone) (253) 856-5500 (telephone) (206) 342-1761 (facsimile) (253) 856-6500 (facsimile) APPRO ED AS TO FRM:RM,O' Kent Law Department Amec Foster Wheeler-Hytek Sofl Sample/Inouye. CONSULTANT SERVICES AGREEMENT 5 (Over$20,000) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. By: For: AMYv Title: v Date: EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 EXHIBIT A amec V. foster wheeler May 24, 2016 Mr. Garrett Inouye Sent via e-mail: ainouve@kentwa,aov Engineering Department City of Kent 220 Fourth Avenue South Kent,Washington 98032 Subject: Proposal for Soil Sample Collection and Analysis Hytek Site Kent, Washington Dear Mr. Inouye: At your request, Amec Foster Wheeler Environment& Infrastructure, Inc. (Amec Foster Wheeler), has prepared this scope of work and cost estimate to perform soil sampling activities for the City of Kent (City) on the Hytek property (the site). The site is located at the west end of South 216th Street in Kent (Figure 1), located in King County, Washington. PROJECT UNDERSTANDING The Hytek property is being considered for acquisition by the City of Kent. In support of the City's due diligence efforts prior to acquisition,the City requested Amec Foster Wheeler to conduct a Phase II at the property to determine the current condition of the wetland oil spill location on the east-central portion of the site. SCOPE OF SERVICES The proposed work consists of the following elements: • Collect the soil samples from the sites (Figure 2). • Submit samples to a qualified laboratory for analysis for Northwest Total Petroleum Hydrocarbons— Diesel extended (NWTPH-Dx) low level without silica gel, RCRA 8 metals (arsenic, barium, cadmium, chromium, lead, mercury, selenium, and silver), and polycyclic aromatic hydrocarbons(PAHs). • Submit a report detailing the field activities conducted and the soil sampling results. The outlined objectives are divided below into two tasks, and a detailed cost breakdown for each task is provided in Table 1 (enclosed). Task 1 —Planning and Field Activities This task includes preparation of a project-specific health and safety plan(HASP).The Utility Notification Center will be notified at least 48 hours before beginning subsurface investigation. Soil samples will be collected following the proposed sampling approach presented in Figure 2 (enclosed). Amec Foster Wheeler Environment&Infrastructure,Inc. 600 University Street,Suite 600 Seattle,Washington USA 98101-4107 Tel (206)342-1760 Fax (206)342-1761 www.amecfw.com amec foster Mr. Garrett Inouye wheeler City of Kent Engineering Department May 24,2016 Page 2 of 3 The preliminary estimate provided in Table 1 is based on the following assumptions: • Samples will be collected from near-surface soils at a depth of 0 to 6 inches at each location except near the December 2015 spill. The sample locations near the December 2015 oil spill will be collected from 0 to 6 inches and a second sample will be collected from 6 to 12 inches. The deeper samples will be placed on hold pending the results of the shallow samples. • A small flag or stake marked with the sample number will be placed at each sample location to more easily locate the sampling locations in the event of a meaningful analytical result. • Two technicians will be required to assist in transporting coolers, keeping field notes, and marking locations; it is assumed that a minimum of 41 samples will be collected but only 16 samples will be analyzed initially and it will take two field days to complete the work. • Soil samples will be transported to the analytical laboratory within-two days of sample collection. • The analytical laboratory will analyze all samples for RCRA 8 metals by EPA Method 6010C and NWTPH-Dx. The two highest NWTPH-Dx concentrations will be analyzed for carcinogenic PAHs. Task 2—Reporting Amec Foster Wheeler will prepare a report documenting the collection of the soil samples, including locations of the samples, analytical results,and comparison of results to applicable cleanup levels presented by the Washington State Department of Ecology(Ecology).The report will also include an engineer opinion on the cost for remediating the area around the December 2015 oil spill if the results indicate contamination still exists. An electronic draft report will be sent to the City for comments, which will then be incorporated into the final report. CITY OF KENT RESPONSIBILITIES For the purposes of this proposal, scope of work, and budget, we assume that access to all sites will be arranged by the City.Also, because some of the sample locations will be located in areas covered by dense brush and blackberry thickets, the City will obtain permission, as necessary, for Amec Foster Wheeler to manually remove vegetation to access the sample locations. SCHEDULE Amec Foster Wheeler will initiate the work on the upcoming activities when the contract is finalized with the City. Assuming the City provides Amec Foster Wheeler the notice to proceed in late-May, Amec Foster Wheeler will schedule the work within one to two weeks. The field work should take approximately two days depending on the density of the underbrush. Laboratory analyses will require approximately two weeks after collection of the soil samples, and final reports will be completed within approximately two weeks of receiving final analytical results. The schedule will be expedited wherever possible, except for the laboratory, which will charge extra for rapid turnaround. 4; amec foster Mr. Garrett Inouye wheeler City of Kent Engineering Department May 24, 2016 Page 3 of 3 COST ESTIMATE Based on the scope of services described above,we estimate costs to conduct the sampling and analyses and prepare the final report is approximately$24,100.A detailed cost breakdown is provided in Table 1. The City will be billed on a time and materials basis per previously approved rates, for actual costs incurred based on the number of samples collected, not to exceed a total charge of $24,100 without authorization. We appreciate the opportunity to provide the City with this proposal. Please let us know if you have any questions or if you would like additional information. Sincerely yours, Amec Foster Wheeler Environment& Infrastructure, Inc. r J athleen Goodm n, LG, LHg Jennifer epamy, LHg Principal Hydrogeologist Project Geologist Direct Tel.: (206)342-1780 Direct Tel.: (206)787-1279 E-mail: kathleen.goodman@amecfw.com E-mail: jennifer.bellamy@amecfw.com KG:Ipm rM001 proposals120161city of kent100412016 05-24_city of kent-216 st_soiltesting_sx.docx Enclosure: Table 1 —Budget Estimate—Hytek Property Figure 1 —Site Area Figure 2 —Site Map i R, _ TABLE 1 Cameo �N BUDGET ESTIMATE -HYTEK PROPERTY foster South 216th Street whe (er Kent,Washington Task 1 -Field Oversight and Task 2-Final Sampling Fie port Preparation Description Rate Units Quantity Cost Qtlarlti Cost LABOR e.. ....._ Principal(K._Goodman) $183 Hours 4 $732 4 $732 Associate Env. En ineer K.Tah hi 'hi $161 Hours 0 $0 12 $1,932 Senior Scientist C.Thimsen or J.Bellamy) $130 Hours 10 $1,299 10 $1,299 Technical Professional 1 S.Welter and K, Korbines $90 Hours 48 $4,320 20 $1,800 Drafting/Graphics(A.Stenbep. $117 Hours 1 $117 4 $467 Tech Editor M.Withers � $121 Flours 0 $0 8 $968 Administrative(L. May) $62 Flours 4 1 $249 4 $249 Direct Labor Subtotal $6,717 $7,447 Other Direct Costs Car Mileage $0.51 Miles 100 $51 0 $0 Supplies $100 Lum sum 2 $200 1 $100 Copy!ng/Communication $202 $223 Subtotal $453 $323 Markup 10 % $45 $32 SUBTOTAL 0498 $356 SUBCONTRACTORS Analytical Laborato Friedman Bru a Rates RCRA 8 Metals,-Soil(EPA 601 OC) $65 Each 39 $2,535 0 $0 NWTPH-Dx $140 Each 39 $5,460 0 $0 PAHs $150 Each 2 $300 0 $0 Subtotal $8,295 $0 Markup on Subcontractors 10 % $830 $0 SUBTOTAL $9,12,5 $0' TASK TOTAL $16,300 $7,800 PROJECT TOTAL $24,100 Abbreviations: EPA=United States Environmental Protection Agency NWTPH-Dx=Northwest Total Petroleum Hydrocarbon Diesel extended PAI-is=polycyclic aromatic hydrocarbons AssuM ti�grtis: A site-specific health and safety plan will be completed and is budgeted in'f ask 1. Field work will be conducted an Ames,Foster Wheeler field staff in approx.r+rro 10-hour days. The laboratory cost assumes that samples will be run on standard turn-around time. ASSUMe a total of 18 soil samples collected including one field duplicate. If TPH-DX is detected in any of thci samples,the lab will run PAHs for an additional cost. If TPH-Dx is detected in the locations near the December 2015 oil spill,the lab will run the deeper samples for an additional cost. If TPH-Dx or metals are detected above screening levels in the four composite samples,discrete samples wild be collected. Amec Easter Wheeler R:t0001 Proposals120161City of Kenwo4 ruble 1 Soil Sampling CostEsUrnate_rev Page I of 1 yG re i4�drt"'r�+ sreo a ",%wt �, re i �-2^ � �� ..! 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I ^" � a tc � ± adS r^�• "�'�� !�( ).a ��,� 194..iVlf'Y J d u �;,'� vy�r�'crfi a✓s�' �}�"`wx a^'��. d {�:.�w�,"°� � �, w�, a T ' tl I ,..I"i-'w� 'S'' u z �e7�" Yaw""�rr✓pn.wn ,� u w a �w' ""�� my�;�,si_�,y. i! �', '�u�Y'YI��'�.A '.r.�4.ry"-�' w '^^.8{�,�r�';C•�,� FB@,.t .,.e e.,..w•�t:'�ew 7w" Yap: . .. ., ,+. . .__ .-v:._ x e ..�.M.._., :,;..'', DATE HYTEK SITE INVESTIGATION MAY 2016 City of Dent WORK K PLAN SCALS Amec Easter Wheeler Environment & Infrastructure, Inc. foster T AREA sE,�,srTa r SITE�C.. 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RESIDUALSHEENOBSERVEID �'r' ���zyk^,w�>r?i r,'�� ��, s,i'`', mi�.rd a'�Y r bra" r.. ,� +, �, •.e '^+',� r r f c vx"� "4 `��+" » n. . �i � ' ��' ;., ,�. � �.��� ���� air S.�r� �'�:� ° `� � r uur� �"�zd e, w,„�a• � r..r �S" •- �, a a ,. ��, a�� � ,�, � "E' � .� � t� ✓r 5- ''� ��;S":r ,,^ � h w. ;.�.,,.u•, � ,tea,. c � .a�w h '} r .�"�v v ary �� 's �" °04`•7 ",^ice, M+�"' +" ,vc'!� ° R 3°'».� Y , ✓": �ti �v "C y'k'a ?..4���9�^ � 2tM� '�v� •,�" '�' i � '� _;�Nu^x w" valt n ',y l" ,� _ ,�i�yx �s; "W S �-- '. a:, :r ✓x�+�,�+�»� stra�T.��!_. � 1 � a�. �y � � =a°r n�� �� Y` w � � a 0 � �r � m1r � � EXPLANATION PARCEL LINES —...— DRA NAGE DITCH � �� OBSEt JED rq "• „ i WETLANDS HtSrORICAt GROUNDWATER WELL <� DISCRETE "`��'�'������ Y ,�� ��� r,`�•��" � � { � � �', �rr� r� rr" I SOIL SAMPLE LOCATION a SPILL DISCRETE SOIL SAMPLE LOCATION 0 sTEP-OUT St� � YLL DISCRETE SOIL SAMPLE LOCATION v, COMPOSITE 1 LOCATION ION n� w�� �p ✓� �i A � q, i w w a d COMPOSITE 2 LOCATION COMPOSITE 3 LOCATION - COMPOSITE 4 LOCATION cl.a rrr Pit-I 'TEK SITE I IV ST9 DATE ATION ha1AY.2016 City Of Kent �t� I}�JC�RK F'LAI'�I SC"L AS SFdMN Ames Foster Wheeler aIE1 TITLE PROJECT NO. Environment & Infrastructure, Inc. Ic—stet PROPOSED sE1616170 600 University Street,Suite 600 wheeler SAMPLE LOCATIONS FIGUR€ Seattle,Washington 98101 5'r,Glva nxn:.VvavW�'a'uMaw„C Nuan fitlGm a-A,1°rexa t_N=Aam.2u.lata a:b"',mu"am..xvmnts�+p EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Consultant's profession. 5. Contractor's/Consultant's Pollution Liability insurance covering losses caused by pollution conditions that arise from the operations of the Contractor. EXHIBIT B (Continued) B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $3,000,000 each occurrence, $3,000,000 general aggregate. 3. Professional Liability insurance shall be written with limits no less than 2,000,000 per claim and $4,000,000 policy aggregate limit. 4. Contractor's Pollution Liability insurance shall be written in an amount of at least $1,000,000 per loss, with an annual aggregate of at least $1,000,000. Coverage may be written on a claims-made basis. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. f EXHIBIT B (Continued) D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Consultant before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. 'Y c DATE(MMIDONYYY) ACC)RL> CERTIFICATE OF LIABILITY INSURANCE 05/02/2016 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER 1-908-566-1010 CONTACT ._NAME.__ _.._ ..._ _ ... ... ._.._._ Construction Risk Partners, LLC PHONE �-7 FAX _(AIC,N17,..Ex1)�—____.. . ....,_._ ._.....-- 1fA1C,,_IJa}._.-_ E-MAIL Campus View Plaza _ADDRESSLL„ 1250 Route 28, .Suite 201 Branchburg, NJ 08876 INSURERA: ACE AMER INS CO 22667 INSURED INSURERS: ZURICH AMER INS CO 16535 Ame,c foster Wheeler Environment & Infrastructure, Inc. INSURERC ACE PROP & CAS INS CO 20699 600 University St., Suite 600 INSURERD, AMERICAN ZURICH INS CO 40142 INSURERE. AIG SPECIALTY INS CO 26883 Seattle, WA 98101 INSURERF: COVERAGES CERTIFICATE NUMBER:46779441 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 BY PAID CLAIMS. _ �� ILTR TYPE OF INSURANCE INSD ADt7I�WVD 5UDR ..... ..._.POLICY NUMBER ......._ N MMIDDfY`r'YV MMIDDIYYYY_.� LIMITS A COMMERCIAL GENERAL LiIABILITY HDO G24557728 qr 05/01/16 05/01/17 EACHOCCURRENCE S_2.,,000,000 ..__.... ., .m.._ tiP,MAGETOI2ENTED CLAIMS-MADE OCCUR FREMI3E currein S Ea act; $ 100,000 .e,_.. _..._. _..m MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 2,000,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 -. POLICY JEd l LOC PRODUCTS•COMPlOPAGG 5 4,000,00.0 _,_...._._- W.-._- ._- OTHER: COMBINED SINGLE LIMIT B AUTOMOBILE LIABILITY BAP 9483148-05 ,,- 05/01/16 05/OS/17 1,000,000 ._..,....-_ X ANY AUTO BODILY INJURY(Per person) $ _X ALL OWNED i... SCHEDULED 000ILY INJURY(Per accident) $ .......- .._.... — . ..,..� ..�. AUTOS X NO OWNED -Eqr Y AMA ..GE $ HIRED AUTOS AUTOS X Comp $1,00 X Coll $1,000 $ C X UMBRELLA LIAB X "''OCCUR XOO G27240665 05/01/1 05/Ol/17 EACHOCGURRENCE mm1,000,000 EXCESS LIAR CLAIMS•MADE AGGREGATE ._,._m_. g..1,000,000 _._—....._. m.._ __......._.,., f ___....._. DED RETEN-TONS 10,000 �.....,_ $ WORKERS COMPENSATION _ D AND EMPLOYER$"LIABILITY WC 3867133-09 05/01/16 05/O1/17 ..,.,__ STATUTE �....- ER Yf N . ..._ ANY PROPRIETORIPARTNERlEXECUTIVE � N r A E.L EACH ACCIDENT 5 1,000,000 _ OFFICEMMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.m$ 1,000,000 0 yes,d�escride under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Pollution CPL 12456119 05/01/16 05/01/17 Each Loss/Agg Limitl,000,000 B Architects & Engineers Prof. IPR 1008375-01 05/01/16 05/01/17 Any One Claim✓Agg 4,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACOR.D 101,Additional Remarks Schedule,maybe attached it more space is required) Re: SE1616170 Hytek Site/224th St—Consulting Services Project Start Date: Apr 19, 2016, Project End Cute: Apr 30, 2017 City of Kent is an additional insured on the General Liability, Automobile Liability and Pollution Liability policies a required by written contract. Coverage is primary and non-contributory where required by written contract. 30 days notice of cancellation applies per policy provisions. 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 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Nancy Yoshitake 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Kent, WA 98032 I I USA W �. rJ 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Sklein 46779441 POLICY NUMBER: H'DO G24557728 ENDT'#TBD COMMERCIAL GENERAL LIABILITY CG2.0100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Where required by Insured Contract executed prior to a loss All work conducted by AMEC USA Holdings, Inc. except for work conducted at or from any©CIP, CCIP or Joint Venture Insurance Program for which the named insured is an enrolled participant. Information required to complete this Schedule, if not shown above, will be shown in the Declarations, A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury" ",property This insurance does not apply to "bodily injury or damage" or "personal and advertising injury" ""property damage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions;.. or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed„ or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 O Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 C Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: HDO G24557728 ENDT#TBD COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Where required by Insured Contract executed prior to a loss All work conducted by AMEC USA Holdings, Inc. except for work conducted at or from any OCOP, CLIP or Joint Venture Project Specific Insurance Program for which the named insured is an enrolled participant. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage" caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "'products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law-, and CG 20 37 0413 @ Insurance Services Office, Inc., 2012 Page 1 of 2 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 ISO Properties, Inc., 2004 CG 20 37 0413 ❑ POLICY NUMBER: HDO G24557728 ENDT#: TBD COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All projects excluding any controlled insurance program Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by 'occur- damages or under Coverage C for medical rences" under Section I—Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- t. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen- completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing"suits". CG 25 03 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 13 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I—Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under 'bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above: gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or 9 the authorized contract- Products-completed Operations Aggregate ing parties deviate from plans, blueprints, de- Limit,whichever is applicable; and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- still be deemed to be the same construction pro- nated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 C Insurance Services Office, Inc., 2008 CG 25 03 05 09 13 POLICY NUMBER: HDO G24557728 ENDT#TBD COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: BAP 9 4 8 314 8-05 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: AMEC USA HOLDINGS,INC. Endorsement Effective Date: 05/01/16 SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS OR ADDITIONAL INSURED STATUS ON A PRIMARY, NON—CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. Information required to complete this Schedule if not shown above will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph 13.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 ENDORSEMENT NO. 17 This endorsement, effective 12:01 AM, May 1, 2016 Forms a part of Policy No: CPL 12456119 Issued to: AMEC USA HOLDINGS, INC. By- AIG SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED /PRIMARY COVERAGE ENDORSEMENT It is hereby agreed that Section VII. DEFINITIONS, Paragraph K. Insured is amended to include the following entity as an Additional Insured,but only for Loss arising out of Covered Operations performed for the Additional Insured. Additional Insured: JU/here required by written contract, written agreement, or permit, executed prior to loss or claim This does not apply to Bodily Injury, Property Damage or Environmental Damage arising out of the sole negligence or willful misconduct of the Additional Insured. As respects the coverage afforded the Additional Insured, this insurance is primary and non-contributory, and our obligations are not affected by any other insurance carried by such Additional Insured whether primary, excess, contingent, or on any other basis. This Endorsement does not increase the Company's Limits of Liability as specified in Item 3. of the Declarations. All other terms, conditions, and exclusions shall remain the same. AU ORIZED REPRESENTATIVE or countersignature (in states vdhere applicable) 119733 (10/15) Page 1 of 1 Ci5942 1 / / / / f , / f / / / f / i f / / / 1 / / J / / / / f / e /ir r f 1/ / / r // / / / r / / / , / / / , rr / / / 1 / r / i / r / r Me Al r % / f f / / / / t / , f / r / ; / / / / / / / f / f / 1 / / / / / / / r / / / / J / / r /I / / / , 1 / 1 / / / / r /� e / r / / / 0 , t / , r / / r / o / / / J / J / / / / / I r / ! i J / / r / / / / f / / / / t / / /