HomeMy WebLinkAboutPW17-249 - Amendment - #1 - H.B Jaeger Company, LLC - S 251st Street Water Main - 07/26/2017 Records a,,,
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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 havequestions, please contact City Clerk's Office.
Vendor Name: H.B. Jaeger
Vendor Number:
JD Edwards Number
Contract Number: mn-1,m—oo,
This is assigned by City Clerk's Office
Project Name: S 2515' Street Water Main
Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract
Other:
Contract Effective Date: 7/26/2017 Termination Date: 8/3/17
Contract Renewal Notice (Days): 3
Dumber of days required notice for termination or renewal or amendment
Contract Manager: Josh Harris De artment: Public Works
Contract Amount: 16r681.48
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Amendment is needed to extend time of completion to August 3, 2017 due to delay in
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project coordination.
As of: 08/27/14
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KKNT
W.3 O TO
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: H.B. Jaeger Company, LLC
CONTRACT NAME & PROJECT NUMBER: S 251' Street Water Main
ORIGINAL AGREEMENT DATE: July 26, 2017
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 3, 2017
due to delay in project coordination.
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, $16,681.48
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $16,681.48
including all previous amendments
Current Amendment Sum $0
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $16,681.48
AMENDMENT - 1 OF 2
Original Time for Completion 7/31/2017
(insert date)
Revised Time for Completion under n/a
prior Amendments
(insert date)
Add'l Days Required (1) for this 3 calendar days
Amendment
Revised Time for Completion 8/3/2017
(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.
CONSUL NT/VENDOR: CITY OF KENT:
By: By:
(signat re) -/(sid4a ture)
Print Name: Ak-r-orl J 0(3 orl Print Name: Timothy J. LaPorte, P.E.
Its a ";ft7Z-S Its Public _Works Director
(title) le)
DATE: b 1;T-15 .2 0 DATE:4 �13&'A'o
IF I W,
APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent Law Department
On this field,You may CIller the OLIMMIC niepath miere the cwvtract has been raveaa
AMENDMENT - 2 OF 2
MARSH Certificate of Insurance
No.:CORIX-2016-74-WPR US Dated:July 11,2017
Phis document supersedes any certificate previously issued under this number
'This is to certify that the Policy(ics)of insurance listed below("Policy"or"Policies")have been issued to the Named Insured identified below
for the policy period(s)indicated.This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder
named below other than those provided by the Policy(ics).
Notwithstanding any requirement,term,or condition of any contract or any other document with respect to which this certificate may be issued
or may pertain,the insurance afforded by the Policy(ics)is subject to all the terms,conditions,and exclusions of such Policy(ics).This certificate
does not amend,extend,or alter the coverage afforded by the Policy(ies).I.imits shown are intended to address contractual obligations of the
Named Insured.
Limits may have been reduced since Policy effective date(s)as a result of a claim or claims.
Certificate Holder: Named Insured and Address:
City of Ken(,Washington Corix Water Products(US)Inc.
220 fourth Avenue South 1830 161h Street,
Kent,WA 98032 Snohomish,WA 98290
This certificate is issued reeardinLn
RE: Water main upgrade on S 251 st Street Kent, WA
Policy Effective/
Type(s)of Insurance Insurer(s) Number(s) Expiry Dates Sums Insured Or Limits of Liability
COMMERCIAL GENERAL Granite State insr:ran,s Company 02-LX 086477605-7 Nuv 01,2016 to Per Occurrence USD I,X0,C00
HABRATY Nov Ol,2017 — ---
•Occurrence Based Policy Products&Conip;eted USD 2,::0t1,,^,00
•Bodily Injury and Property Damage Operations Aggregate
•Products&Completed Operations General Aggregate US 6,060,900
•Personal and Advertising Injury
including Death
Additional Information:
It is hereby understood and agreed that City of Kent, Washington is added as an Additional Insured,under the Commercial General
Liability Policy No.02-LX-086477605-7 but only with respect to liability arising out of the operations of the named insured regarding the
above equipment.
The above policy is primary and non-contributory with respect to any insurance carried by the Certificate 1{older but only insofar as liability
is assumed by the Insured under signed written contract and subject always to policy terms,conditions and exclusions.
'fhc Commercial General Liability Policy No.02-LX-086477605-7 placement was made by Marsh USA Inc.Marsh Canada Limited has
only acted in the role of a consultant to the client with respect to this placement,which is indicated here for your convenience.
Notice of cancellation:
Should any of the policies described herein be cancelled before the expiration date thereof,the insurer(s)affording coverage will endeavour
to mail 30 days written notice to the certificate holder named herein,but failure to mail such notice shall impose no obligation or liability of
any kind upon the insurer(s)affording coverage,their agents or representatives,or the issuer of this certificate.
Marsh Canada Limited Marsh Canada Limited
800-550 Burrard Street
Vancouver,BC V6C 2K1
Telephone:604-443-3529 Fax:604-685-3112
lisa.liveron@marsh.com By
Lisa Tivcron
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 2010 10 93
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
City of Kent, Washington
220 Fourth Avenue South
Kent , WA 98032
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section 11) 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 insured.
CG 20 10 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0