HomeMy WebLinkAboutPW16-202 - Amendment - #1 - Graybar Electric Company, Inc. - Street Light Poles - 08/08/2016 AOL
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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: Graybar Electric Company Inc.
Vendor Number:
JD Edwards Number
Contract Number: r!NI U--407. - C)(J'2-
This is assigned by City Clerk's Office
Project Name: Street Light Poles
Description: ❑ Interlocal Agreement ❑ Change Order M Amendment ❑ Contract
❑ Other:
Contract Effective Date: 8/8/16 Termination Date: 9/30/16
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Mike Sorensen 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 September 30, 2016 due to a delay in the pole
manufacturer's delivery schedule,
As of: 08/27/14
KENT
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: Graybar Electric Company, Inc.
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CONTRACT NAME & PROJECT NUMBER: Street Light Poles
ORIGINAL AGREEMENT DATE: May 16, 2016
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:
Due to a change in the pole manufacturer's delivery schedule, the time
of completion is revised to September 30, 2016.
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, $52,527.15 j
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $52,527.15
including all previous amendments
Current Amendment Sum $0
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $52,527.15
AMENDMENT - 1 OF 2
Original Time for Completion 8/15/16
(insert date)
Revised Time for Completion under n/a
prior Amendments LSD �j�2
(insert date)
Add'I Days Required (t) for this 46 calendar days
Amendment
Revised Time for Completion 9/30/16 I
(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: By:
_ signature) ,� ,, (s/gnatt�re)
Print Name: �SCSfle f�Me- Print Name: Timothy J. LaPorte, P.E.
Its Scehf Its Public Works Director
1 (title) i 1, (title)
DATE: 6 z01.6 DATE: &AZZLI
APPROVED AS TO FORM:
(applicable If Mayor's signature required)
Kent Law Department
craybar-Street❑Oht Yale Arrd 1/So(ensen
AMENDMENT - 2 OF 2
DATE IMMmom t
acorza° CERTIFICATE OF LIABILITY INSURANCE 6/1f1017 1 5/17/2016
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(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:if the cerifleate holder is an ADDITIONAL INSURED,the polio (!as)must be endorsed. If SUBROGATION IS WAIVED,subJect to
the terms and Donations of the policy,certain policies may require an endorsement A statement on this certificate does not Confer rights to the
certificate holder in lieu or such endorsement(s),
PRODUCER Lockton Companies N
Three CIryry Place Drive,Suite 900 a o Eft; ND r
SL LOUIN 63141-7061 $^DAR%E S:
(314)432-0500 INS1 RE0.US)AFFOROINo C.QVEEA N
INSURERA: Traveler,R lindeinnitY Co of CT 25082
INSURED Graybar Electric company,Ino, INSURER S Pram,,l'mlxny Gm,dn Co orAmncT 25674
1047657 34 Norlh Merameo Avenue INSURER C:
P.O.Box 7231 INSURER D:
SL Louis MO 63177 ERE:
IN ERF:
COVERAGES GRA8L02 CERTIFICATE NU BER: 12492R60 REVI510 NUMBER: XXX XX
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 Oft QONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS,
E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN IdAY NAVE BEEN REDUCED BV PAID CLAIMS.
I1TR ADDL SUER POLICY EF P ICY E%P LIh11TG
ttPE OF INSURANCE IN50 lW0 POLICY NUMBER rd 1 D ! D rY
A Xr COtdIAERCIpLGENERALLIASIUtt Y N iC2EGL5A474M6932TC196 fi/I/201G 61II2017 DAMAGETORRRENTED NCE i,000.000
CW1+ISMADE�OCCUR PR £S Ea ocar. 1,000,000
MEOExr An one ersoni S XXXXXXX
PEa50NALb ROV INJURY S 1.000.000
GEML AGGREGATE LIMN APPLIES PER: GENERAL AGGREGATE 8 5.00D,000
X POLICY❑jE0 �LOC PRODUCTS.COMPIOPAGG $2,000,000
$
OTHER OMBINEOSINGLEUMI 5 3 OOO,QOO
A AUTOMOSILELIABIUTY y N FIC2GCAP47.1MG92U1'Cl'IG 611/?DIG G/I/Z017 Delden - �_
BODILY INJURY(Pe(Person) $ XXXXXXX
X ANYAUTO
5s�, PHYSICAL DAMAGE- BODILY INJURY(Par amldnnl S XXXXXXX
( A ALLOrEO RCTODULED SELF INSURED PRROOPERry AMAGE 5 XXXXXXX
A HIVVFTTED AUTOS AAVTOSMEO Paraccl&nl
$ XXXXXXX
EACHOCCURRENCE B XXXXXXX
UMBRELLALIAS OCCUR
NOT APPLICABLE AGGREGATE $ XXXXXXX
EXCESS LIAR CLAIMSMADE
5
DED RETENTION_5
B WORKERS COMPFlJEATION N HC'>_JUB474M586716(ADS) 6lih_06 6/ItI017 X PraTUTE H
ANOEMPLOYERS'UACL1 YIN Py FACH AccmErvT a 1.000,000
B oFFwewMEueoenesavoemE0m1V8 NM NIA 111ZJUB474MS87916 (WI) 6l1/201G G/1/2017
Pe°,a,l°,yh NDl e,LDISEASE.uaMPLorEa I,000,000
ny>daw Infailr E�nsPnss-PCICY uu,T I a IOOU,000
OEbC ON OF OPERATIONS aa�mv
B EXCESS OIilO WORKERS! N N HWX1UB474M iRS016 6/I/2016 6/1/2017 Employed I.NIIS.SI1000000
COMPENSATION SIR-Gah Ac6den15750,000
DESCRIPTION OF OPERATIONS/LOCATIONaI VEHICLES(An
RCORD f Di,Adtlitional RemSrks Sohedaiq may he attached If mom space IS r°qu(rod)
WHERE REQUIRED BY WRITTEN CONTRACT•CITY OP KENT IS AN ADDITIONAL INSURED UNDER l71 CONDITIONS AND L Ml AND
OF
SAIDPC CY AND13ADDTONALIIIRRVARY INSURC LNDOROSEMENTRr*SEEATIACHEDF tY BASIS NIDORSCMENI'S+6+RM5,
I
CERTIFICATEHOLDER CANCELLATION See AttachmcTH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRA➢ON DATE THEREOP, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
12492860
CITY OF KENT
2204TH AVENUE SOUTH
KENT WA 98032
ACORD 25(2014101) m19B8- CURD CO O RATTON,All rights reserved
The ACORD name and logo are registered marks of ACORD
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COMMERCIAL GENERAL LIABILITY
POLICY NUMBER; Hc2E-GLSA-474M3932-TCT-15 GENERAL PURPOSE ENDORSEMENT
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) :
As required by agreement or contract
Location(s) Of Covered Operations :
As required by agreement or contract
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 include as an additional
insured the person(s) or organization(s) shown in the Schedule, but
only with respect to liability for "bodily injury", "property damage"
or "personal and advertising injury" caused, in whole or in part, by:
1 . Your acts or omissions; or,
2. The acts or omissions of those acting on your behalf;
In the performance of your ongoing operations for the additional
insured(s) at the location(s) designated above.
B. With respect to the insurance afforded to these additional insureds,
the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage"
occurring after:
1 . All work, including materials, parts or equipment furnished in
connection with such work, on the project (other than service,
maintenance or, repairs) to be performed by or on behalf of the
additional insured(s) at the location 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 same project.
Copyright 2012 The Travelers Indemnity Company. All rights reserved.
CG T8 05 Page 1
II
COMMERCIAL AUTO POLICY
ENDORSEMENT — CA TS 01 06 15
POLICY NUMBER HC2E—CAP-474MG920—TCT-15
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** THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
IT IS AGREED THAT:
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE
FOLLOWING: "
BUSINESS AUTO COVERAGE PART
WITH RESPECT TO COVERAGE PROVIDED BY THIS ENDORSEMENT, THE
PROVISIONS OF THE COVERAGE FORM APPLY UNLESS MODIFIED BY THE
ENDORSEMENT.
THE FOLLOWING IS ADDED TO THE SECTION II — LIABILITY
COVERAGE, PARAGRAPH A,1 . WHO IS AN INSURED PROVISION:
ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED TO INCLUDE
AS ADDITIONAL. INSURED ON THE COVERAGE FORM IN A CONTRACT OR
AGREEMENT EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR
j "PROPERTY DAMAGE" OCCURS AND THAT IS IN EFFECT DURING THE
POLICY PREIOD IS AN "INSURED" FOR LIABILITY COVERAGE, BUT
ONLY FOR DAMAGES TO WHICH THIS INSURANCE APPLIES AND ONLY TO
THE EXTENT THAT PERSON OR ORGANIZATION QUALIFIES AS AN
"INSURED" UNDER THE WHO IS AN INSURED PROVISION CONTAINED IN
SECTION II .
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EFFECTIVE DATE 06-01-15 EXPIRATION DATE OG-01-16
PAGE 0001 DATE OF ISSUE 05-29-15
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