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PW16-247 - Amendment - #1 - The Eastman Company - S 288th St UPRR Grade Separation - Appraisal Services
Records lVlaere ��� KENT ` Document Wnsnivcrorl :2 3;«• �4 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: The Eastman Company Vendor Number: ]D Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: S. 228th St. UPRR Grade Separation Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 11/14/16 Termination Date: 8/31/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Ingrid Willms-Dixon Department: Engineering Contract Amount: $0.00 Approval Authority: (CIRCLE ONE) =DepartmentMayor City Council Detail: (i.e. address, location, parce : Extend the time of completion to August 31, 2017 due to project delay. As of: 08/27/14 K NT NA HINATON AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: The Eastman Company CONTRACT NAME & PROJECT NUMBER: S. 228`h St. UPRR Grade Separation ORIGINAL AGREEMENT DATE: June 15, 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 August 31, 2017 due to project delay. 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, $10,000.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $10,000.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $10,000.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/16 (insert date) Revised Time for Completion under 12/31/16 prior Amendments (insert date) Add'I Days Required (t) for this 243 calendar days Amendment Revised Time for Completion 8/31/17 (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/VENQOR. CITY OF KENT. ( {t (sfgnatu(e) •�' (signature) Print Nam } W�bti1 E. 6 l�r;� Print Name: timothy J. LaPorte, P.E. � < Its . ,c�e�.?GQE Its Public Works Director DATE: Ci/ i DATE: it' APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Eastman Co-228"UVHN Amd 1/Whims-Dixon AMENDMENT - 2 OF 2 r. A ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 5/19/2016 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 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 CONTACT Shari Lof it NAME: �_ s _ _ _ C Don Filer Agency AIONN Exit (206)545-4a00 I .4/C No): (206)595-4849 4201 Roosevelt Way NE p00RESS:slo£quist@filerinsurance.com INSURER(S)AFFORDING COVERAGE _ _ NAIC_# Seattle WA 98105-6608 INSURER A-Travelers Cas Ins of America 19046 INSURED INSURER B: G2MZ LLC INSURERG: DBA: The Eastman Company INSURER D: 6206 35th Ave NE INSURERE: Seattle WA 98115 1 INSURER F: COVERAGES CERTIFICATE NUMIBER:Master 16-1 i 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 j 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 - �ADDL SUBR POLICY EFF POLICY UP LTR TYPE OFINSURANCE POLICY NUMBER MMIDD YYYf (MMIODNYYYII LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TD RENTED 300,000 A CLAIMS-MADE X OCCUR PREMISES(Es occurrence).... $ X 680-7E721300-16-42 6/19/2016 6/19/2017 5,000 MED EXP(Any one person) $ j PERSONAL B ADV INJURY $ 2,000,000 GEN'LAGGREGAI F LIMIT APPLIES PER: GENERAL AGGREGATE.._ $ 4,000,000 X POLICY n PRO ECT D LOC PRODUCTS-COMPIOP AGO $ 4,000,000 OTHER: Hired/DOrrowatl $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident)_. A ANY AUTO BODILY INJURY(Per person) $ ALL OVMED SCHEDULED ]{ 680-7E721300-16-42 6/19/2016 6/19/2017 BODILY INJURY(Per accJtlent) 5 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS Per accitlenl � 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ OYERS'rLIABILITY: PER OTH- A�EMPLOYERS'LIABILITY YIN STATUTE. ER ANY PROPRIETORIPARTNER/EXECUTIVE n NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? I (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,desallea under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is hereby named additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i City of Kent, Dept. of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Nancy Yoshitake 220 4th Ave S AUTHORIZED REPRESENTATIVE Kent, WA 98032-3994 Maryui Ca Himes/1NARQOI ��`✓ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) Policy# 680-7E721300-16-42 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION II) is amended in a written contract for this insurance to to include as an Insured any person or organize- apply on a primary or contributory basis. tlon (called hereafter "additional insured") whom 3. This insurance does not apply: you have agreed in a written contract, executed prior to loss, to name as additional Insured, but a, on any basis to any person or organization only with respect to liability arising out of "your for whom you have purchased an Owners work" or your ongoing operations for that addl- and Contractors Protective policy. tional Insured performed by you or for you. b. to "bodily Injury," "property damage," "per- t. With respect to the insurance afforded to Addi- sonal Injury," or "advertising injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render a. Limits of Insurance — The following limits of any professional services by or for you, In- liability apply: cluding: to 1. The limits which you agreed to provide; 1 The preparing, approving or failing s, Y 9 P prepare or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders, designs or specifications; and whichever Is less. 2. Supervisory, inspection or engineering b. This Insurance is excess over any valid and services. collectible insurance unless you have agreed 1 i CG t705 04 94 Copyright,Co rf ht,The Travelers Indemnity Company, 1994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. CERTIFICATE OF LIABILITY INSURANCE12/30/2015 � 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 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 CNAME;oNIACT Shari LofO+uist C Don Filer Agency /a1C No,Ext);_(206)545-4800 I FAX Not: lzecl sas-<oas 4201 Roosevelt Way NE ADDRESS;slofcfuis t@filerinsurance.com INSUREIL(S)ALI'ORDING COVERAGE NNC9 , Seattle WA 98105-6608 msuRERA.Conti.nental Casualty- Company INSURED INSURER B: G2MZ LLC, DHA; The Eastman Company INSURERC: 6206 38th Ave NE INSURER D INSURER L Seattle WA 98115 _ INsulteR F: COVERAGES CERTIFICATE NUMBER:ESO 2016 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES Of HN SURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENI, TERM OR CONDITION OF ANY CONTRACT OR OTHLR DOCUMENT WITH RESPECT TO WHICH THIS CERIIFICATP MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN CIAY HAVE HEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WYD UDR POLICY NUMBER MMODYYYY MM UD'Y" S COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ O CLAIMS MADE ,-)OCCUR DAMAGE ET(Ea RENTED a Ie) _ I TOLD E%P p oY na I sn) $ PERSONAL&ADV INJURY 5 GLINT AGGREGATE.LIMIT AnrTJES PER: 4 GENERAL AGGREG&TE - $ - POLICY L.-_-.I Pka ( l LOG j PRODUCTS-COMP,OP AC_G $ -_ AUTOMOBILE LIABILITY COMBINED SINGLP LIMIT $ -.._ (Ea acddenn _ ANY AUTO 60DII YINAURY(P. ,',Mon) 5 ALL OR'NED SCHFD01,H) BODILY INJURY IP rdcud&up 5 AUTOS l ALICE - -- NON OWNED PROPERTY DAIAA41. S HIRED AUTOS _ AUTOS ,(P ma,UnnQ I js UMBRELLA LIAe OCCUR I r£fiI OCCURRENCE I$ , EXCE65 LIAe ,CLAY/,S1.IADE AGGREGATE I S DFD _- �RETFNTION$ __�__ WORKERS COMPENSATION PLR 0 11 AND EMPLOYERS'UABER1' Y l N STATUTE i i ER _ ANY PROPRIL=C)RIPARTNEf4,EXFCUTIVE - is i N I A r I EACH ACCIDENT _ S _ OFFICERficLMBER E%CUIDEDP j IMandatory in NIQ F.L U„CA5E-LA FMPI OYEII S Il yns,dascibe unJor I -.I_ DESCRIPTION OF OPERATIONS botw, E.L.DISEASE-POLICY IJMIT 1 S A Profeasional Liability RFa-133241 USB-16 1/1/2016 1/1/201� <1,DOU,000!6I,UOO,ODU limits $5.0DD dodummlo DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD io1,Additional Romarks SehoAvlo,Iray be atlnchoA If morn spxc Is rnqulrutl) CERTIFICATE HOLDER CANCELLA'iION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent, Dept. of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Ave S --- Kent, WA 98032-3994 AUTHORIZED REPRESENTATIVE Bha,r{ ;,rq`qu is C/CI3kRT `�- t1'� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 nntaml