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PW14-222 - Amendment - #3 - County Road #8 Levee Improvement Project - Wetland Delineation
Y K ; �NT ec r s a n ,. �� le w sHIxo.ON Document 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: Shannon & Wilson, Inc. Vendor Number: JD Edwards Number Contract Number: FW JLJ . tL2 - 0 fl This is assigned by City Clerk's Office Project Name: County Road 8 Levee Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/8/16 Termination Date: 12/31/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Richard Schleicher Department: Engineering Contract Amount: $0.00 I 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 habitat consultation is needed for future levee project. As of: 08/27/14 i i- • KENT AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR: Shannon & Wilson, Inc. CONTRACT NAME & PROJECT NUMBER: County Road 8 Levee ORIGINAL AGREEMENT DATE: September 3, 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 habitat consultation is needed for future levee project. 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, $21,537.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $21,537.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $21,537.00 AMENDMENT - 1 OF 2 i- Original Time for Completion 12/31/14 (insert date) Revised Time for Completion under 12/31/16 prior Amendments (insert date) Add'I Days Required (f) 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: CITY OF KENT: By: h CJa By; Ze,r<le' � r ., (�Si nature) ' ,V, (s/gnature) Print Name: u I't _ Print Name: Timothy J. LaPorte, P.E. Its p CA i'rSJ d- Its Pubes Woi*s Director pe � se � DATE: � � DATE: f �c p M 4 r i APPROVED AS TO FORM: (applicable If Mayor's signature required) Kent Law Department Shannon®Wllson-U Hd B Amd 3/5chle:cher 1 AMENDMENT - 2 OF 2 I. A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CEP IS ISSUED A M ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.IOL THIS 16 C -IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES L iW. 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(fes) 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 Arthur J. Gallagher Risk Management Services, Inc. CONTACT NAME_ G81I Scott P.O. Box 367 PHONE 425-�86-1031 FAX Bellevue WA 98009-0367 '�9' r - - rAX Not; 425-451.3716 EDDR ai_scott —'Com - ADDeF s:9 INSURERiS)AFFORDING COVERAGE INSURED INSURERA:Nationa) UnIOn Fire Insurance Compa 194g51Ctl Shannon &Wilson, Inc. INSURER B.New Ham�ire Insurance CompaR 29441 400 N. 34th Street, Suite 100 INSURER c: I--- — Seattle, WA 98103 — INBURERD: - --- -- - TLII ---- INSURER E: - C_ OVERAGES INSURER F: -- CERTIFICATE NUMBER; 1809859321 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NVE BEEN ISSUED TO THE INSUREDNAM REVISION ABOV[BFOR THE POLICY PERIOD INDICAT6U. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BG ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED I ILRFIN IS SUBJECT TO ALL THE TERMS, [XCIUSION_S AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TAD6C SiI61�.— LTR TYPE OFINSURANCE I NSpI WVO POLICY NUMBER POLICY EFF POLICY E%P COMMERCIAL GENERAL LIABILITY 6 MM/DD/YYYY MM/pD/Yyyy LIMITS IR= 18025E 3/112016 3/1/2017 CLAIMS-WADE OCCUR EACH OCCURRENCE $1000,000 PRE MISES Fa occurr ncel_ OD OOD '.. MED EXP(Anyone Person)�g1D 000 GFN LAGGREGgTE LIMIT APPI IEs PER: PERSONAL&ADV INJURY $1000,000 POLICY R PRO- 1 GENERA(_AGGREGATE—. E2,ODO,OOD L J JECT R L. 1 OTHER: PRODUCTS-COMP/OP AGG E2,000,000 A AUTOMOBILE LIABILITY § - 29616a6 371/2016 3J1/2017 I'B - S G_ N T x�ALNY AUTO (Ca accident E1,000,000 L AD I OWNED r 1AUTOS L[D BODILY INJUI2V(Per peson) E — I—J AUTOS NON-OWNED ROPILY INJURY Peraccident) E — HIRED AUTOS t AUTOS PIZO�I=RTV DA AGE PeraccMent) E L. UMBR LA EXCESS HAS AB CLNMS-MADE I _ S EACHOCCURRENCC RETENTIONS AGG I2EGATEENSATION 01 2016021 CA 5 B AND EMPLOYERS'LIABILITY y/N 01201602 1 AOS 3/1/2016 3/1/2017 X PER OTH- ANY PROPRIETOR/PAI2TNFR/EXECUTIVE 3/112016 311201/ STATUTE LROFFICERIMFMBER EXCLUOEDP nN/AFL EACH ACCIDFNr((MIt yandatory In NH) S I000,00DDESCRIPTION OF OPERATIONS helow rE L DISEASE EA EMPLOYE $1 000,000F L.DISEASE PODCY LIMY F11000.000+I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESfA ace Is requiretl) IRe Workers'Comp- in Monopolistics, Employers'Liability only (The City of Kent is included as Additional Insured for General Liability (per Fod CG2037) and Auto Liability as respectsoperations of the Named Insured and where required by written contract. GL and Non-Contributorrequired by written contract. y are included whereProject County Road#8 Levee Improvement Project, Kent, WA(S&W Propos -001) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THL EXPIRATION DATE DATE VE DESCRIBED THEREOF, NOTICE POLICIES WILL BE CBE C El City of DELIVERED FIN (tent Engineering WITH THE POLICY PROVISIONS, Attn: Nancy Yoshitake 400 West Gowe Kent WA 98032 USA AUTHORIZED REPRESENTATIVE ACORD 25(2014/01) The ACORD name and logo are registered marks or AC RDORD CORPORATION. All rights reserved. i i POLICY NUMBER: 5180256 COMMERCIAL G[NEBAL LIABILITY CG 20 33 04 13 ' THiS ENDORSEMENT CHANGES THE POLICY. PLEASC READ IT CAREFULLY. ADDITIONAL INSURED _ OWNERS, LESSEES OR CeONTRAcCoos - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION TION AGREEMENT WITH YOU This endorsement modifles insurance provided under the following: ' COMMERCIAL OrNERAL LIABILITY COVERAGE PART ' A, SecUcn If- Who Is An Insured is amended to a. The preparing, approving, or failing co Include as an additional insured any person of .prepare or approve, maps, shop orgonizafidn for whom you are performing drawings, opinions, reports, surveys, operations when you and such person or _ field orders, change orders or drawings organization,have agreed in writing In a contract and specifications; or or agreement that such person or organization b. Supervisory, Inspection, architectural or be added as an additional Insured on your engfneering activities. policy, Such person or organization is an addl- This exclusion applies even if the claims against tonal insured only with respect to liability for "bodily injury", "property damage" or "personal any insured allege negligence or other wrohg� and advertising injury" caused, in whole or In doing in the supervision, hiring, employment, , pert, by. training or monitoring of others by that insured, if the "occurrence" which caused the "bodily in- 1, Your acts or omissions;or jury" or "property damage", or the offedse 2, The sots or omissions of those acting on which caused the "personal and advertising your behalf; injury", involved the rendering of or the'failure in the performance of your ongoing operations to render • any professional architectural, for the additional insured, engineering or surveying services- However, the Insurance afforded to such 2. "Bodily Injury" or "property damage" additional insured: occurring after:1. Only applies to the extent permitted by law; a. All work, including materials, parts, or and equipment furnishsd in connection with such work, on the project (other then 2. Will not be broader then that which you are service, maintenanae or repairs) to be required by the contract or agreement to performed by or on behalf of the provide for such additional Instead. additional insured(s) at the location of the A persoln's or organization's status as an uddi- covered operations has been completed; tional Insured under this endorsement ends or when your operations for that edditionul Insured b. That portion of "your work" out of which are completed. the injury or damage arises has been put B. With respect to the insurance afforded to these to its Intended use by any person or ' additional Insureds, the following additional ex- organization other than another elusions apply: contractor or subcontractor engaged In This Insurance does not apply to: performing operations for a principal as a part of the same project. 1, "Bodily injury", "property damage" of C. With respaot to the Insurance afforded to these "personal and advertising injury" arising out additional insureds,'the following is added to of the rendering of; or the failure to render, Sectional i Limits ,' he following any professional architectural,engineering Or surveying services, Including; The most we will pay on behalf of the additional insured is the amount of insurance: CG 20 33 04 13 ,> Insurance Services Office, Inc., 2012 Page 4 of 2 ❑ 6t� ,� t. Required by the contract or agreement you ,Insurance shown in the Declarations; have entered into with the additional whichever Is less. insured; or This endorsement shall not increase the 2. Available under the applicable Lfmits of applicable I,iinits of Insurance shown in the Declarations. i 'I ill t I i i Page 2 of 2 Insurance Services Woe,Inc., 2012 CG 20 33 p413 POLICY NUMBER: 5180256 COMMERCIAL GENERAL LiABILfTY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED "-- OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Addtfional insured Persons) _Or Or anizatlon s Location An Description Of Completed Operations Any person or organization whom you become obligated to included as additional insured as a result of any written contractor agreement you have • n d jgtQ; 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 B. With respect to the Insurance afforded to these include as an additional Insured.the person(s)or additional Insureds, the following is added to organizatlon(s) shown In the Schedule, but only Section Ill—Limits;Of Insurance: ,with respect to liability for "bodily injury" or If coverage provided to the additional insured Is "property damage"caused, In whole or in part, by required by d contract or agreement, the most we "your work" at the location designated and will pay on behaif of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional Insured and g 1, Required by the contract or agreement;or included in the "producls•compieted operations q hazard". 2. Available under the applicable Limits of However: insurance shown In the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not Increase the applicable by law;and Limits of insurance shown In the Declarations. 2. If coverage provided to the additional Insured is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1