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PW14-195 - Amendment - #2 - GEI Consultants, Inc. - SR 516 to S. 231st Way Levee Improvement Engineering Support Services - 12/02/2016
s e *: KEN`f y Document 3 WASHIHGTGN ��n �. y 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: GEI Consultants, Inc. Vendor Number: JD Edwards Number Contract Number: Y[ ( - 0 � This is assigned by City Clerk's Office Project Name: SR 516 to S. 231't Way Levee Improvements South Reach Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/2/16 Termination Date: 12/31/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Toby Hallock 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 December 31, 2017 due to additional time needed to prepare FEMA accreditation reports once construction is completed. As of: 08/27/14 Ii I IC EAl T AMENDMENT N . NAME OF CONSULTANT OR VENDOR: GEI Consultants, Inc. CONTRACT NAME & PROJECT NUMBER: SR 516 to S. 231st Way Levee Improvements South Reach ORIGINAL AGREEMENT DATE: August 7, 2014 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 December 31, 2017 due to additional time needed to prepare FEMA accreditation reports once construction is completed. 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, $41,716.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $41,716.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $41,716.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/15 (insert date) Revised Time for Completion under 12/31/16 prior Amendments (insert date) Add'I Days Required (t) for this 365 calendar days Amendment Revised Time for Completion 12/31/17 (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/VENDOR: p , `SFdba At CITY OF KENT• (sign�tur q " (signature) ', Print Name s ( `pt tui 7 Print Name::'Timothy 3. LaPorte P.E. Its efrT, A-le =4u�4 Its Public Works Director (t 1, ) DATE: DATE: 1 t APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department GE[-RR Upper A and 2/Hallock '.. AMENDMENT - 2 OF 2 is GEICONS-01 CREINHARDT DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 313/2016 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 NAME: Ames&Gough PHONE FAX 859 Willard Street _(ALCNoExtl:(617)328-6555 e No): (61 )3_2_ 8-6888 Suite 320 EMAIL h.comames ou @ton _ '. Quincy,MA 02169 ADDRESS:bos g g INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire Insurance Company of Pittsburgh,PA 1.9445 INSURED INSURER B:Continental Casualty Company(CNA)A,XV_20443 GEI Consultants,Inc. _INSURERc:Steadfast Insurance Company 26387 180 Grand Ave INSURER D: Oakland,CA 94612 -I - -- 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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTIMTH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL BR POLICY EFF�POLICY EXp - _-- ' LTR INSD WVD POLICY NUMBER MhVDO/YYYY MMIOD/YY1'V LIMITS A X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 MA N1 CLAIMS-MADE (XI OCCUR X X 6180276 0310112016 0 310 112 01 7 pREMISES Ea occunence $ 300,000 MED EXP(Any one person) $ 25,000 PERSONAL B ADV INJURY $ 1,000,000 � GEN'L AGGRErGATE LIMIT APPLI ES PER GENERAL AGGREGATE $ 2,000,000 POLICY LXI JECT LOC I PRODUCTS-COMP/OP AGG $ -2,600,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,0002000 Ea ace ant _ X X ANYAUTO X X 29617D5 03101/2016 03/01/2017 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS (Per accident)BODILY INJURY Pcident $ _ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS peraccident X UMBRELLA LIAB n OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS LIAB CLAIMS-MADE XTX601 1396137 03/01/2016 03/01/2017 AGGREGATE $ 1,000,000 __ - - DED RETENTION$ 0 1 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER A ANY PROPRIETORIPARTNER/EXECUTNE YIN N X 012016047 03l0112016 03101/2017 E.L.EACH ACCIDENT $ 1,OOQ000 (Mandatory In NH) "� F.L.DISEASE-EA EMPLOYE $ 1,00o,000 OFFICERIMEMBER EXCLUDED? WA li If yes,desonbe under - -' - -- DESCRIPTIONOFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Professional Liab PECO23359500 03101/2016 0310112017 Per Claim 1,000,000 C PECO23359500 03/01/2016 03/01/2017 Aggregate 1,000,000 DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD 1o1,Addldonai Remarks Schedule,may be ettacNatl if more apace is required) All coverages are in accordance with the policy terms and conditions. Project:Kent SR 516 to S.231st Way Levee Improvements City of Kent is named as Additional Insured with respect to general liability for ongoing and completed operations,auto,and umbrella liability as required by written contract,for liability arising out of the operations of the named insured while performing work for the City,the District,and the County.Insurance(excluding Workers Compensation&Professional Liability)is Primary& Non-contributory.A Waiver of Subrogation and 30-day notice of cancellation will be issued in accordance with policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent Public Works Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Fourth Avenue South ACCORDANCE WITH THE POLICY PROVISIONS. Kent,WA 98032 AUTHORIZED REPRESENTATIVE L� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ENDORSEMENT This endorsement, affective 12:01 A.M. 03/01/2015 forma a part of policy No. 2248367 issued to GE CONSULTANTS, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED -WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following., BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED; ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. I. SECTION 11 - LIABILITY COVERAGE, A. Coverage, 1.-Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated a to include as an additional insured under this policy,as a result of any contract or agreement you enter Into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However,the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage andlor limits required by said contract or agreement. F I A thorizeggd Rep}esentative or Countersl nature(In States Where Applic87960 (10105) Page 1 of 1 I i ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2015 forms a part of policy No. 2248367 Issued to(391 Consultants, inc. by National Union Fire Insurance Company 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: _......, . BUSINESS"AUTO CDVERADEFORN— - -_.-._.... ---- .....-------------- -- Section IV - Business Auto Conditions, A. • Loss Conditions, S. - Transfer of Rights of Recovery Against Others to Us,Is amended to add: However, we will waive any right of recover we have against any person or organizalion with whom you have entered Into a contract or agreement because of payments we make under this Coverage Form arising out of an"accident" or"loss" If; (1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you end such person or organization; and (2) The contract or agreement was entered into prior to any"accident" or"loss", No waiver of the right of recovery will directly or Indirectly apply to your employees or employees of the parson or organization, and we reserve our rights or lion to be reimbursed from any recovery funds obtained by any Injured employee. � L AUTHORIZED REPRESENTATIVE 62697 (6196) ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2015 forms a part of I I policy No. 7046470 issued to GE CONSULTANTS, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA 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 FORM SCHEDULE NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION: I ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: PER THE CONTRACT OR AGREEMENT, ADDITIONAL PREMIUM: (If No entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) I SECTION If -WHO IS AN INSURED is amended to Include as an Insured; The person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described In the schedule of this endorsement performed for that additional Insured and included in the "products-completed operations hazard". All other terms and conditions remain unchanged. oil uthorized Be resentative or gCounters[ nature (in States Where Inoludes aopyydghted material of ppifcabte4 I 97837 (4108) Insurance$Omcua ntflce,Inc.,with its permisslon. Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2015 farms a part of i policy No. 7046470 issued to GE CONSULTANTS, INC. by NATIONAL UNION FiRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION Thfs endorsement modlfles Insurance provided under the following; k k COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION; ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN i ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement,) A. SECTION II-WHO IS AN INSURED is amended to include as an insured; The person or organization shown in the schedule, but only with respect to liability arising out of your ongoing operations performed for that additional insured. B. With respect to the insurance afforded to these additional insureds, SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2, - Exclusions, is amended to include the following additional exclusion; 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 a on behalf of the additional insurad(s) at the site 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 I subcontractor engaged in performing operations for a principal as a part of the some project. All other terms and conditions remain unchanged. 1 utho zed Ra resentative or ountersiggnature (In States Where pplicahrel 87838 (4108) includes copyrighted material of Page 1 of 1 Insurance Services Office, Inc.,with Its permission, I BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 03/01/2015 forms a part of Policy No. 026034971 IssuedtOGEI consultants, Inc. By National Union Fire Insurance Company We have a right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be %of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by (Ed. 11-90) Authorized Representative GEI Consultants,Inc. Effective 03/01/2015-03/01/201G POLICY NUMBER: #7046470 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Pursuant to applicable written contract or agreement you enter into. '.. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8, Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: 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. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 0