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HomeMy WebLinkAboutPW16-284 - Amendment - #1 - Skycorp Ltd. - Well Head Protection: Armstrong Demolish Wood Shed - 07/19/2016 4 ,6 s M ek ; FIT Document WASHING70N t 3- 7n5 f 4}e 5 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: Skycorp Ltd. Vendor Number: ]D Edwards Number Contract Number: VIINI�Q Z H' 007- This is assigned by City Clerk's Office Project Name: Armstrong Property Demolition Description: ❑ Interlocal Agreement ❑ Change Order ® 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: Nick Horn Department: Engineering Contract Amount: $0.00 Approval Authority: (CIRCLE ONE) =Department 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 executing the original agreement. As of: 08/27/14 iCE l�l T WPSHINGTGn p� �® �/� p® AMEN MENT NO. 1 NAME OF CONSULTANT OR VENDOR: Skvcorm Ltd. CONTRACT NAME & PROJECT NUMBER: Armstrong Property Demolition ORIGINAL AGREEMENT DATE: July 19, 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: The scope of work remains the same, however an amendment is needed to extend the time of completion to September 30, 2016 due to a delay in executing the original agreement. 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, $24,200.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $24,200.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $24,200.00 AMENDMENT - I OF 2 Original Time for Completion 8/31/16 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required (f) for this 30 calendar days Amendment Revised Time for Completion 9/30/16 (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: ® / By (signature) n (signature) Print Name: , i o r <:6 .1 Print Name: Timothy 1. LaPorte, P.E. Its Its Public Works Director (title) (title) DATE: 14/-7.x/a4 DATE: t f / t APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Skyoorp-Armstrong Demo/Horn AMENDMENT - 2 OF 2 SKYCO-1 OP 10:OR CERTIFICATE �������� ®� LIABILITY INSURANCE ���� DAYEIMMIDDNYW) osrzaraDls THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1 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 certificate holder is an ADDITIONAL INSURED,the pOlicyties) 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 endorsemenE(s). COACT -- PRODUCER NAM8. Tony Conti -- I.FAX I Soundvlew Insurance Agency Inc PHONNo -J 1a—C+-No)_--,.- 18927 33rd Ave W Ste C EMAIL _ Lynnwood,WA 99036 ADDRESS;._Tony Cant[ _ INSURER(S)AFFORDING COVERAGE - RAID _ INSURER A:Weeteheator Surplus Linea ins .__.._ 1NsuaeD SKYCORP,LTD 1Nsuaea R:zudch American mavrance co 626 NW Ave Ste 11 _- -- -— -----__- INsuREnc: Arlington,WA 98223 INSU_RERD: INSURERS 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 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. INSR POUCYEFF POL ICY EXP LIMITS LTR TYPEOP INSURANCE POLICY NUMBER MMIDDNWY MMIDDNYYY A XICOMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 CLAIMS-MADE X OCCUR X X G2758276A002 000412016 04/04/2017 pREM18eS IEa occurrence) i.%_ 100,000 MED EXP(My one person) II $ _ 5,000 PERSONAL BADV INJURY L 1,000,000 OF AGGREGATE LIMIT APPLIES PER: GF.N6FAIL AGGREGATE S 2,000,000 POLICY O JE 0 I 1 LOG PR000CT5 COMP/OP AGO I g _ 2A00,00 OTHER: GO BINED SINGLE LIMIT ` 1,000,000 AUTOMOBILE LIABILITY B ANY AUTO X TRK-9016015�02 04/0412016 04/04/2017 BODILY INJURY(Per personl ':$ ALL OWNED X SCHEDULED BODILY INJURY(Par acddenl) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE- `- _ $ L IIIRED AUTOS AUTOS (Per i _ UMIUIM $ 1,000,00 X UMBRELLA LIAa X OCCUR EACH OCCURRENCE $ _ 5,000,00 A EXCESS LIAR CLAIMS-MADE UMB283534AOOI 06/03/2016 04/04/2017 AGGREGATE _ i$ j DED X RETENTIONS 10000 $ OTT- WORKERS COMPENSATION STATUTE X FIR AND EMPLOYERS'LIABILITY 1,000,00 Z ANY PROPMETORIPARTNERIEXECUIRVE YIN NIA G2758276A002 04/04r2016 0410412017 EL.EACHAf,GIOENT is _ _ (Mond.my ri NER EXCLUDED? WA STOP GAP E.L.DISEASE-EA EMPLOYES S 1,000,00 )Mendalnlyln NH) - - j I(yee,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES (ACORD t 01,Additional Remarks Schedule,mey he Attached it more space Is raqulrod) City of Kent is Included as Primary & Non-Contributory Additional Insured.Waiver of Subrogation in their Favor including both onggong and completed operations apppplies on a per ppro ect basis as reqquired by written contract, per ENV-32261008, ENV-3143030�and ENV-71030904 Blanket endorsements attached, CERTIFICATE HOLDER CANCELLATION �� CITYOKE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN F_ ACCORDANCE WITH THE POLICY PROVISIONS. ! ' City of Kent 220 4th Avenue South AUTHORIZED REPRESENTATIVE Kent, WA 98032 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i I ADDITIONAL INSURED ENDORSEMENT— PRODUCTS-COMPLETED OPERA71ONS HAZARD PRIMARY& NON-CONTRIBUTORY Named Insured Endorsoolont Number Skycorp, Ltd Policy Symbol Policy Number Policy Perind eft er!ive Dale or Endorsement EGP G2758276A 002 04/04l2016te 04l04/2017 04/04/2016 Iesued By(Name of Insurance company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you,wherein such request is made prior to commencement of operations. no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) '.. Section 11—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 or property damage caused, in whole or in part, by your work performed for that additional insured and included in the products-completed operations hazard. Furthermore, the coverage provided hereunder shall be primary and not contributing with any other insurance available to those designated above under any other third party liability policy. All other terms and conditions remain the same. i Page 1 of 1 ENV-322G (10-08) copyright a>zoos ', 1 Named Insured m Endnrsmtem Number Skycorp, Ltd Policy Symbol Policy Number Polley Period Effective Dale or Endorsement ECP G2758276A 002 04/04/2016 to 04/04/2017 04/04/2016 Iesuatl By(Name of Insuramr,Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder ofthe warmatlon is to be completed only when this endorsement Is Issued subseauent to the preparation n`the pallry. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that Is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request Is made prior to commencement of operations. (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: 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. All other terms and conditions remain the same, l ENV-3143(03-ng) Includes copyrighted material of Insurance 9ervicas Offce, Inc.with Its permisslon Page 1 cr 1 i B. For all sums which the insured becomes legally obligated to pay as damages caused by occurrences under COVERAGE A (SECTION I ), and for all medical expenses caused by accidents under COVERAGE C (SECTION I ), which cannot be attributed only to ongoing operations at a single designated project shown in the Schedule above: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products- Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Project General Aggregate Limit. C. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property darnage included in the products- completed operations hazard will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Project General Aggregate Limit. D. If the applicable designated project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same project. E. The provisions of Limits of Insurance (SECTION Ill) not otherwise modified by this endorsement shall continue to apply as stipulated. ENV-7103(09-04) Includes copyrighted material of Insurance Sawfccs Office, Inc.with its permissino Page 2 of 2 POLICY NUMBER: TRK 9016075-02 COMMERCIAL AUTO CA204a1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATE® INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies Insurance provided under the following; AUTO DEALERS COVERAGE FORM BUSiNESSAUTO 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 organlzatlon(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 ohanges the policy effective on the Inception date of the policy unless another date is Indicated below. Named Insured; Endorsement Effective Date: SCHEDULE Name Of Person(s) Or Organlzation(s); CITY CF KL,NT 220 FOURTH AVE SOOT Y,V.NT, WA USA 9e032 Information required to com lete this Schedu;e, if not shown above, will he shown in the Declarations. i Each person or organization shown,In the Schedule is an Irisured for Covered Autos Liability Coverage; but only to the extent that person or organization qualifies as an 'Insured" under the Who Is An Insured, provislon contained in Paragraph Al. of Section II Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA20 49 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 i I