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HomeMy WebLinkAboutPW15-385 - Change Order - #1 - Ventilation Power Cleaning, Inc. - 76th Ave S Storm Drainage Improvements - 10/24/2016 ® Records Mr `? e tent}} KENTt WASHINOTON Now Documentf d 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: Ventilation Power Cleaning, Inc. Vendor Number: JD Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name. 76th Ave. Line Cleaning Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 10/24/16 Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Steve Lincoln Department: Engineering Contract Amount: $6,250.26 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide additional diver time, mobilizatoin, and include additional cement concrete costs. I As of: 08/27/14 lls� (CENT CHANGE ORDER NO. 1 NAME OF CONTRACTOR: Ventilation Power Cleaning, Inc. ("Contractor") I CONTRACT NAME & PROJECT NUMBER: 76th Ave. Line Cleaning ORIGINAL CONTRACT DATE: December 3, 2015 This Change Order amends the above-referenced contract; all other provisions of the contract that are not inconsistent with this Change Order shall remain in effect. For valuable consideration and by mutual consent of the parties, the project contract is modified as follows: I 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, Contractor shall provide all labor, materials, and equipment necessary to: Provide additional diver time, mobilization, and include additional cement concrete costs. For a copy of the Contractor's invoice, see Exhibit A which is attached and incorporated by this reference. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are hereby modified as follows: Original Contract Sum, $22,088.34 (including applicable alternates and WSST) Net Change by Previous Change Orders $0 (incl. applicable WSST) Current Contract Amount $22,088.34 (incl. Previous Change Orders) Current Change Order $5,708.00 Applicable WSST Tax on this Change $542.26 Order Revised Contract Sum $28,338.60 CHANGE ORDER - 1 OF 3 i Original Time for Completion 12/31/16 (insert date) Revised Time for Completion under n/a prior Change Orders (insert date) Days Required (f) for this Change 0 calendar days Order Revised Time for Completion 12/31/16 (insert date) Pursuant to the above-referenced contract, Contractor agrees to waive any protest it may have regarding this Change Order and acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the Contractor from strict compliance with the guarantee and warranty provisions of the original contract, particularly those pertaining to substantial completion date. All acts consistent with the authority of the Agreement, previous Change Orders (if any), and this Change Order, prior to the effective date of this Change Order, are hereby ratified and affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order 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 contract modification, which is binding on the parties of this contract. 3. The Contractor will adjust the amount of its performance bond (if any) for this project to be consistent with the revised contract sum shown in section 2, above. IN WITNESS, the parties below have executed this Agreement, which will become effective on the last date written below. CONTRACTOR: CITY OF KENT: By: � If By 1(signature) lgnature) Print Name: L i v of 'S 4 t Print Name: Timothy J. LaPorte, P.E. Its V k c v € k" "t CA'P Its Public Works Director (title) Ltitle DATE: l C' / t a �1 DATE: CHANGE ORDER - 2 OF 3 i APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Ventilation Power-76i6 storm Drainage Amtl t/Gncoln CHANGE ORDER - 3 OF 3 EXHIBIT A This is yOUr Involce -No statement will be sent Ventilation Power Cleaning, Inc. 3014 Leary Way Northwest Involce Nbr: 50420 Seattle,Washington 98107-5042 206-634-2750• Fax 208-634-2753 Involce Date: Sep 7,2016 Cant.Reg.#VENTIPC243PA '.. SERVICE FOR: BILL TO: CITY OF KENT CITY OF KENT PUBLIC WORKS ENGINEERING 76TH AVE S 400 WEST GOWE ST DRAINAGE IMPROVEMENTS KENT,WA 98032 KENT,WA Purchme Order# Salesperson Completion Pate Terms Job Number PW AGREEMENT 13i11 Benner AM 18.2016 Net30 Days SOS-120 Quantity Notes/Itemooscriphon Unit Price Item Total PLUG AND CLEAN 18"CORRUGATED PIPE, 5,708.00 5,708A0 1.00 TRAF IC CONTROL AN HDISPOSAL AT LOCAELPER,DIMING CREW, RECYCLING FACILITY. tiINV r .. subtotal 5,708.00 L VIL,v,�e�r lslGtith h g,.,,,9n.al4pe"sfdue accounts /44. A 491 x Tax 5422E �3L� Total Due 6,250.26 �Not I VENTPOW-01 DSTRICKLAND CERTIFICATE OF LIABILITY INSURANCE DAT7/712016 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 - -LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED r RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must he 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 CONTACT NAME: Huh International Northwest LLC arc°Ne E.4: 5)489-4500 aC No: (425)485.8489 12100 NE 195th St. AIL Suite 200 ADDRess:no_w.info@huhinternational.com Bothell,WA 98011 -- INSURER(3)AFFORDING COVERAGE NAM tt _ INSURERA:Alaska National Insurance Company 38733 INSURED INSURER B: Ventilation Power Cleaning Inc INSURERC:_ 3914 Leary Way NW INSURERD: _.. Seattle,WA 98107 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 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 TYPE OF INSURANCE AOD S - MODI EPP POLICYEXP LIMITS ITS INSR WVDI _ POLICY NUMBER MMID011'YYY MMIDDIY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE�NT _- _-_ CLAIMS-MADE C',OCCUR X X16GPS09807 071D912016 07/09/2017 PREMISES Ea occurrence) $ 100,000 IX WA STOPGAP$1M MED EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREIGXATEI LIMIT APPLIES PER: GENERAL AGGREGATE _ $ _ 2,000,000 POLICY a PRO- -7 LOC PRODUCTS-COMWOP AGG 5 2,000,000 OTHER: —_ O — CMBINED SINGLE LIMIT JTOMOBILE LIABILITY accident _ $ 1,000,000 CO ) A )CI ANY AUTO 16GAS09807 07/09/2016 07/09/2017! BODILY INJURY(Per person) $ I ALL OWNED SCHEDULED BODILY INJURY(Peraccidenl) $ ,AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accide� i $ X]XIESS MBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000r000 A SEE li CLAIMS-MADE.: 16GLUD9807 07/09/2016 07/09/2017 AGGREGATE. $ 5,000,000 ED X RETENTION$ 10,000I $ —, WORKERS COMPENSATION STATUTE X ERH AND EMPLOYERS'LIABILITY E.L.DISEASE-ID EMPLOYEE 1,000,000 A ANY PROPRIETOR EXCLUDED? UTIVE 17 NIA 16GPS09807 07/0912016 07/09/2017 E.L.EACH ACCIDENT '$ O(Mandatory BERNH)EXCLUDED? 1,000,000 (Mantlatory In NH) $ R se,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below _ A R/LIH EQUIPMENT 16GIA09807 0710 122016 07/09/2017 DED:$1,000/LIMIT: 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:ANY AND ALL OPERATIONS OF THE NAMED INSURED j ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT:CITY OF KENT.COVERAGE IS PRIMARYAND NON-CONTRIBUTORY,SEE ATTACHED ENDORSEMENTS. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF KENT ACCORDANCE WITH THE POLICY PROVISIONS. 400 West Gowe Kent,WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. 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