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HomeMy WebLinkAboutPW16-334 - Amendment - #1 -ICF Jones & Stokes, Inc. - S 228th St UPRR Grade Separation Stormwater Engineering Services - 12/12/2016 Yy ® 117 Document 10EN1 WASHINOTON 1 ,+'„'.^�}.v J,.IF''J' 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: ICF Jones & Stokes Vendor Number: JD Edwards Number Contract Number: a-- This is assigned by City Clerk's Office Project Name: S 228f" St. Union Pacific Grade Seperation Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 12/12/16 Termination Date: 12/31/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: M. Madfai Department: Public Works Contract Amount: $0.00 Approval Authority: (CIRCLE ONE)-�Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Time extension due to project delay. As of: 08/27/14 K NT AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: ICF Jones & Stokes CONTRACT NAME & PROJECT NUMBER: S. 228th St Union Pacific Grade'Seuaration ORIGINAL AGREEMENT DATE: August 31, 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 December 31, 2017 due to project delay. 2. The contract amount and time for performance provisions of Section 1I "Time of Completion," and Section III, "Compensation," are modified as follows: Original Contract Sum, $61,164.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $61,164.00 including all previous amendments Current Amendment Sum $61,164.00 Applicable WSST Tax on this $o Amendment _. Revised Contract Sum $61,164.00 AMENDMENT 1 OF 2 Original Time for Completion 12/31/16' (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'i Days Required O 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 sighing 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: i I _ s,k ; i1 mJ1A r gy a� (signature) y (s nature) Print Name:Trina L. Prince Print Name: Timothy J. LaPorte, P.E. Its Contracts administrator Its Public Works Director (rruej DATE: December (62016 DATE: E' -L / APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department AMENDMENT - 2 OF 2 l-1 ®, DATE(MM7Dp1YVYYl <.�Q CERTIFICATE OF LIABILITY INSURANCE 11282D,0 THIS CERTIFICATE.IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 'RTIFICATE 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 j REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT;If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsetl. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies.may require.art endorsement.A statemerttMs pn this certificate does not confer tights to the certificate holder In lieu of such andomemont(s), PRODUCER CONTACT ADM Risk services Northeast, Inc. so (866) 283 7122 FAX (800) 363-0105 New York.NY Office WC.,No,Ezlh P/C.No : 199 water street EMAIL Yo New York NY 10038-3551 USA :ADDRESS: INSDRERISI AFFORDING COVERAGE. NAIC N. INSURED INSURERAi Great Northern Insurance Co. 2D303 iCF ]ones &stokes, Inc. INauRERei Pacific X demn{ty Co. 20346 9300 Lee Highway msuRERD: ' Fairfax, VA 22031 USA INSURER D: INSURER E; INSURER.F. COVERAGES CERTIFICATE NUMBER:57DD62800750 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 1SSUED TO THE INSURED NAMED A13OVE 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 MMAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested IRW LTa TYPEOFINSURANCE - I SD D POLICYNUMSER MMIDDAYIN MID LIMITS 3581-24-0 A X CDMtAEROIAL GENERA-LIOCCUR .Package - Domestic U9?xMEDEXP(YKUM_EI7 81,000,000 CLAIMS-MADe �X OCCUR PREMISES Fe ocmrmnce X ConVaGYatLlabifry PERSONAL&AOV INJURY $1,ODD,000 OENL AGGREGATEUMITAPPLIES PER: OEIv`ERALAGOREGATE $?,ODD,000 a POLICY ❑PRO- �LOG PRODUCTS-OVOPIOPAGG 42�000,000 ECT of t 1UTOMOBILE LIABILITY7352-29-55 07/01/2016 07/01/2017 COMBINED SINGLE LIMIT $1,000,000 Automobile All states EA arslde 1 BODILY INJURY(Per person( O X ANY AUTO z OWNED SCHEDULED BOCILY INJURY(Pervulden9 Pnn3 AUTOS ONLY AUTOS PROPERTYCAMAGE U X HIREDADIOS X NDN-OWNED (Pet ecW0n1 ONLY AUTOSONL,1 N UMBRELLA LAB ;OCCUR 'd EACH OCCURRENCE U AGGREGATE E%CESS LIARCLAIMS-MADE. 05D RETENTION B WORKERS COMPENSATON AND 7175-43-37 0512512 6 07/01J 017 X STA TE EMPLOYERS'LIABILITY YIN workers Comp B1.EACHACCIDENT S1,000,000 ANYPRPRIETOR)PARTNER/E%E[IJTIVE �NIA . ' OFMCEDIVEMBERPARTNEDT ELDIBEASEEAEMPLOYEE S1,000,000 (M mIM"in NH) Ifyes.dwsQlim dill EL.DISEA5E.POLICY LIMIT 52,000,000_— DESCRIPTION OF OPERATIONS below Fag S DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES(ACOR)101,AEdifionel Remanm Schedule,may be allachad"a more space is required) Re: south 228thstreet UPRRGrade separation Projector 1. The city of Kent i5 included as an Additional Insured, as its Interest may appear as respects the Blanket Additional insured-Any person or organization as required by contract endorsements attached to the General Liability and Automobile 'tom Liability policies. 2.. Subject to the standard terms and conditions of the individual policies, indicated coverage is primary but only as respect G.: CERTIFICATE HOLDER CANCELLATION .fir. BHDULD ANY OF THE ABOVE DESCRIBED POLICIES BE cpNCELLDA CE WITH THE EXPIRY PROM ION THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ". e POLICY PROVISIONS._ L� city of Kent AUTHORIZED REPRESENTATIVE Public Works Department ( 220 Fourth Avenue South Kent WA 98032 USA I X/J V/ y4 A I/rlwzlll�l J� ©I98B-2015 ACORD CORPORATION,All rights reserved, ACORD 25(2016ID3) The ACORD name and logo are registered.marks of ACORD AGENCY CUSTOMER ID: 5700DO024256 LOC 0: "� ADDITIONAL REMARKS SCHEDULE PageAl-ICY WOW MoK�. Risk 'services. Northeast, Inc. ICF Jones & Stokes,: Inc. I NNUMOER 1—.e certificate Number: 570062,800756 G4ftRIER NAIC CppE See Certificate Number: 570062800756 EPFECTNEDATE:. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TOAOORD FORM, FORM NUMBER:: ACORD25 FORM TITLE: CertifIcate of Liability insurance Mditnal DesolpUen.1 Ope,efiddii LoceUc,rc i work being done 6y Jones &.stokes for the City of Kent. ACORD 101(2008101) 1)200a ACORD CORPORATION.All rights reserved. The ACORD name anr{logo ate registered marks or ACORD Liability Insurance Endorsement Policy Perlod JULY t,2016 To JULY 1,2017 Effective Date JULY 1,,2llt6 Policy Number 3581-24-09 EUC Insured ICY INTERNATIONAL:INC. ICR)ONES&STOKES,INC. Name of Company GREAT NORTHERN:INSURANCE COMPANY Date lasued: AWF 24,2016 This Endorsement Applies to the following forms: -` GENERALLIAt31LITY Under Who Is An Insured,the following provisiouis added,Who Is An Insured Additional Insured- persons nr orgalilzatious shown in the Scbeduleare insureds;but theyare insureds only if you are Scheduled Person obligafecipursuant to a conoctoragreement to provide the,,)with suchinsurartco asisufforded by Or Organization this policy. However,the person of orgmiiiationis an insured only: • ifard then only totbe exteuL the person or organization is described in the Schedule; • to the extent such contractor agreement requires.the:person or.onanizationto be afforded status as an insured;. • for activities thatdid nat occur,inwhole otinpart,before the execution Of the con tractor agreement;and. • with respect to damages,lass,cost or expense for injury ordutnage to Which this insurance applies. hto person or organization is au insured under this provision: • that is more specifically identifiod under aay odierproviston of the.Who is An Insured Section(I agardiessaf ally limitation applicable thereto). • withrespectto any assumpHm of liability(of anotherpersonor organization).bythemina contract or agree iuout,This limitatlondoes not apply to the 1 iabilityfor damages,loss,cost or expense forinjory or damage,to which this insurance applies,that Lire persottot organization would have inthoabscnce of such contractor agreement. I Liability insurance. Additional confined Porm 80-022367(Rev.5-07) Endorsement Page I i i Liability Endorsement (continued � _ 1 Under Conditions,die following provision is added to the condition tided Other insurance, Conditions Other Insurance— Ifyou are obllgaied,pursuant to a contract of agreement,to provide the person or organization Primary, Noncontributory shown in dieSc[iedule with primaryinsurance suoli as is afforded by tbispolicy,theninsuch case Insurance—Scheduled this insurance is primary and wewillnot seek cobtributionfrom insurance available to.sucliperson Person Or Organlzatlon or orgnnibation, Schedule Persons or organizations that you are obligated,pursuant to a coutTacttor agroament,to provide whir suoli insurance as is afforded by this policy. 'Me City of Rent i Agtborfzed Repte WAdve 1 IJa6tlilyfnsuranee AddlllonallnRez'eykiCe PLrdPY Oipanlzatron lastpage. Ili Form 80-02.2267(Rev.5-07) Endorsament page 2 f` POLICY NUMBER 7352-29-55 COMMERGIALAUTO CA 20 48:02 99 TMS ENDORSEMENT CHANGES TU POLICY, PLEASE READ IT CAREFULLY. DESIGNATED INSURE This endorsementmodlBes Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FOW MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement.. This endorsement Identities persons) or organization(s)who are Insureds"under the Who Is An Insured Provision of the Coverage Form.This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the Inception date of the policy unless another date Is indicated Below. Endorsement Effective: 711/16 Counter Named Insured: [CF Int0n%1dDnel,Ina. Authorized Re resentadve CF Jones&Stokes,Inc. SCHEDME Nam of Persan(g)or Orgarh'ation(s)r "ANY PERSON OR ORGANIZATION AS REQUIRED BY INSURED CONTRACT' .. City of Kent (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement,)Each ty Cover e, but to the that person or organization quablies as an 'fnsumd"erson or organization shown In the maunder the Who Isule is an �An [nsurad Yrovlslungcontained n Section[I otf the Coverage Form. CA 20 48 09 99 Copyright,Insurance,Services OMce,Inc. 1998 Page i of 1 13