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PW11-081 - Amendment - #6 - Shannon & Wilson, Inc. - Green River Levee Certification Project - 12/20/2016
i Records M an ale rneei't I�EN T � � . Nz -- Document WASHINGTON C f K 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: P U— Q� This is assigned by City Clerk's Office Project Name: Green River Levees Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/20/16 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 project work continues on these Levee systems. As of: 08/27/14 KENO' WPSNINGTON AMENDMENT N . NAME OF CONSULTANT OR VENDOR: Shannon & Wilson, Inc. CONTRACT NAME & PROJECT NUMBER: Green River Levees ORIGINAL AGREEMENT DATE: January 11, 2011 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 work continues on these Levee systems. 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, $50,870.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $50,870,00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $50,870.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/11 (insert date) Revised Time for Completion under 12/31/16 prior Amendments (insert date) Add'I Days Required (f) for this 365 calendar days I 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: rr -� By: By �� (s/ynatur ) (signature) Print Name: fit f Print Name: Timothy ). LaPorte, P,E. Its Its Public Works Director (tytle) (tit ) DATE; j $ y� DATE: ✓ 6 rl APPROVED AS TO FORM: (applicable if Mayor's signature required) i i Kent Law Department Shannon&Wllson-en Levees Amd 6/Hallock AMENDMENT - 2 OF 2 r CERTIFICATE OF LIABII-XTY INSURANCE z/19EMMI DIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .OW. 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 endorsements . PRODUCER CONTACT Gall Scott Arthur J. Gallagher NAME;.Risk Management Services, Inc. PHONE FAX P.O. Box 367 425-586-1031_ rwc NP): 425-451-371.6. Bellevue WA98009-0367 _a_ooeiess9ail_scottgajg.conn INSURER(S)AFFORDING COVERAGE NA" _ INSURER A:National Union Fire Insurance Compa 19445 INSURED INSURER B:Travelers Property Casualty Cc of A 25674 Shannon &Wilson, Inc. INSURER c:New Hampshire Insurance Company_ 123841 400 N. 34th Street, Suite 100 Seattle, WA98103 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1664183807 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POI ICESOF INSURANCE LISTED BELOW I VVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REdUIRFMENT, 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 ALI. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, nor LTR TYPE OF INSURANCE POLICY EFF POLICY E%P INSD WVD POLICY NUMBER MMIDDIYYYY MM/O DIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 5180256 311/2016 311/2017 EACH OCCURRENCE__ 51,000,000 CLAIMS-MADE OCCUR ISAMAGE 10 RENTED PREMISES(E ocartrancc) H300,000 MED FXP(Any one person) 510,000 PERSONA L&ADV INJURY 51,000,000 - JET SPER: CFIdERAL AGGREGATE �� 52,000,ODO GENE AGGREGATE I MET APPLIES , POLICY LOC PRODUCTS-COMPIOP AGG 52,000,000 OTHER: c A OMOBILE L 2961686 IABILITY 3/1/2016 3/112017 ED S L-G LI I I t111000,10 Eaaccldom _ED _ X ANY AUTO BODILY INJURY(Per person) S AUTOSNED F-'AUTOSULED BODILY INJURY(Per accident) S NON�OWNED PROPERTY DAMAGE I HIRED AUTOS AUTOS (Per accident) £ 5 B X UMBRELLA LIAB X OCCUR ZUP1SR7312A16NF 311/2016 3/l/201] EACI{OCCURRENCE.._ g1,000,000 EXCESS LIAR CLAIMS-MADE, AGGREGATE S1,000,0W BED X 1 RETENTION$10,000 ) 8 WO R BE IRS C OMPEN SATION PER OTH- I A 01 2 01 60 21 CA 3/11"2016 3l1/2017 X S_TA_TUTE_ ER O .AND EMPLOYERS'LIABILITY 01 2 01 60 2 0AOS 3/1/2016 3/1/2017 - 'A NY PROPRIETOR/PARTNEWEXECUTIVE Y� NIq E.L.EACH ACCIDENT I E1,000,000 OFFICMNIVMBER F.XCI UDFU4 - - (Mandazory in NH) E I DISEASE-EA EMPLOYEE S1,000,000 II yes,describe wider ` DE SCRIPTION OE OPERATIONS hnlow E.L.DISEASE POLICY LIMIT 131,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,mny be MM had If mare space m required) Workers' Comp- in Monopolistics, Employers' Liability only RE: Project: Green River Levee Improvements, Kent, WA (S&W Job#21-1-123399, formerly Job#21-2-60314) The City of Kent is included as Additional Insured for General Liability (per Form#CG2033 and CG2037) and Auto Liability as respects operations of the Named Insured. Primary and Non-Contributory incl for GL and AL where required by written contract. 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, Attn: Nancy Yoshitake 400 West Gowe AUTHORIZED REPRESENTATIVE Kent WA 98032 USA -�J 0 199888.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD , I POLICY NUMRER; 5180256 COMMERCIAL Ql CKERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REOUIRED IN GONSTRU TION AGREEMENT WITH YOU Thls endorsement modifies insurance provided under the following: ill COMMERCIAL G 5MAL LIABILITY COVERAGE PART A. Section If - Who Is An Insured is amended to a. 'The preparing, approving, or falling to include as an addltlonal Insured any person or .prepare of approva, maps, shop organization 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 agraomant that such person or organization b. Supervisory, inspection, architectural or be added ae an additional Insured on your engineering activities. policy: Such parson or organization is an adds- This exclusion applies even if the claims against Clonal insured only with respect to liability for "bodily Injury", "property damage" or "personal any insured allege negligence or other wrorg• j and advertising injury' caused, in whole or in doing in the supervision, hiring, employment, training or monitoring of others by that Insured, . part' byi if the 'Occurrence" whloh caused the "bodily in- 1. Your acts or omissions; or jury" or 'property damage", or the offense 2, The acts or omissions of those acting on which caused the "personal and advertising your behalf; injury", involved the rendering of of the failure In the performenoe of your ongoing operations to render , any professional architectural, for the additional insured, engineering or surveying sarv(oes_ However, the insurance afforded to such 2, "Bodily Injury" or "property damage" additional insured: occurring after: 't. Only applies to the extent permitted by law; 6. All work, including materials, parts• or and equipment fitmished in connection with such work, on the project (other then 2. Will not be broader than that which you ore service, maintenance or repairs) to be required by the contract or agreement to performed by or on behalf of the provide for such additional insured. additional insured(s) at the location of the A perso4's or Organization's status as an addi� covered operations has been completed; tionol insured under this endorsement ends or when your operations for that additional insured b. That portion of "your work" out of whlcli are completed, the injury or damage 'arises has been put e. 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" or 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 Tile failure to render, $cation Ili- Llmlts Of Insuranco: any professional architectural,engineering or surveying services, inoluding; 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 1 of 2 ❑ VL � '1 L II I 1. Required by the contract or agreement you ,IneUr9nae shown in the Declarations; have entered into with the additional whichever Is less. insured; or This endorsement shell not increase the 2. Available under the applicable Limits of applicablo limits of Insurance shown in the Declarations, i I i I I Pop 2 of 2 insurance Services Office,Inc., 2012 Co 20 33 oo,13 tl r POLICY NUMBER: 5180256 COMMERGIAL GENERAL LIABILITY CG 20 37 0413 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 PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations) And Descri lion Df Comp(atad Operations Any person or organization whom you become obligated to included as additional Insured as a result of any written contract or agreement you have n Bred nt Information required to complete Phis Schedule,ff 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 additlonal Insured the person(s) or additional Insureds, the fallowing Is added to organization(s) shown In the Schedule, but only Section It-Limits Of Insurance: 'with respect to liability for "bod(ly injury" or if coverage provided to the additional insured Is "property damage"caused, In whole or in'part, by required by a contract or agreement, the most we your work" at the location designated and will pay on behalf of the additional insured is the described In the Schedule of this endorsement amount of insurance: performed for that additions! insured and 1 Required by the contract or agreement;or included in the "products-completed operations 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 0413 ©Insurance Services Office, Ino„ 2012 Page 1 of 1 j I