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PW15-378 - Amendment - #3 - The Eastman Company - Mill Creek Reestablishment Time Extension - 11/09/2017
Records Mmc' ;; %.f Documeni / / I 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: The Eastman Company Vendor Number: JD I Edwards Number c Contract Number: t W j-� — r 06 tl This is assigned by City Clerk's Office Project Name: Mill Creek Reestablishment Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 11/9/17 Termination Date: 10/31/18 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Dee Martindale Department: Engineering Contract Amount: $0.00 Approval Authority: (CIRCLE ONE) (Deapartment Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to October 31, 2018 due to a delay in the project. As of: 08/27/14 � NO T AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR: The Eastman Company CONTRACT NAME & PROJECT NUMBER: Mill Creek Re-Establishment ORIGINAL AGREEMENT DATE: November 19, 2015 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 October 31, 2018 due to a delay in the 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, $13,600.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $13,600.00 including all previous amendments Current Amendment Sum $0 .�._......_................_... ..__.._............... Applicable WSST Tax on this $n Amendment _.m.._......... ._.. .. Revised Contract Sum $13,600.00 AMENDMENT - 1 OF 2 .... ._._...__._._._._ Original Time for Completion 12/31/16 (insert date) Revised Time for Completion under 12/31/17 prior Amendments (insert date) Adc"I Days Required (f) for this 304 calendar days Amendment Revised Time for Completion ------- ............. .....io/31/1s (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: t (sign tare v ignature) Print N m Print Name: T'rnothv 3, LaPorte P.E.,_,.,., Its 14 e°C " �" _ Its Public Works Agreement DATE: DATE: Z a > .....w............_.. .............. _......___- APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Eastman Co-Mill Crk Reestablishment-Amd 3/Martindale AMENDMENT - 2 OF 2 Acicwdlk CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDDNYYY) 111 1 5/15/2017 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 di 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 Shari Lofquist C Don Filer Agency PHONE (206)545 4800 FAX A!C.NP Extl . ._ .. .._ �4&C.NPJ41z06/s45 4049 4201 Roosevelt WayNE MAIL "- - ADbRE$s,slofquist@filerinsurance.com INSURERIS)AFFORDING g9YEFAGE MniC pry. Seattle WA 98105-6608 INsg1liERA Traye.Aers Cas.. Ins of America 19046 INSURED -_. __..... _........,_. .._ ,INSURER B; G2MZ LLC INSURERc: D13A: The Eastman Company INSURER D; 6206 35th Ave NE IN NSURER E Seattle WA 98115 INSURER F: COVERAGES CERTIFICATE NUMBER:MASTER 17-18 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., 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, E XCLU'SIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. .POEMY ePf.., CpM.YCY'EXP. __....... L R TYPE OF INSURANCE P LICY NUMBER I lY Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OGCURRENOE. g 2,000,000 A ..� CLAIMS-MADE l X,'I OCCUR bAMI Td Rt NTCO _-_ -. """"""............. PREldI;%E"1FN orcwrranwl..... S 300,000 X 680-7E721300-17-42 6/19/2017 6/19/2018 [Hiredlldcmc ENERALLgGY cne penacn) $ 5,000 MEp EXP An - ---- -- ARC INJURY $ 2,000,000 GEN L AGGREGATIE LIMIT APvIPLIES PER GREGATE $ 4 000,000 POLICY ..) JE� LOC RODUCTS-COMPIOPAGG S 4,000,000 OILER wed 8 2,000,000 AUTOMOBILE LIABILITY I pMC}INCO$IMOLE LIMii $ 2,000,000 ' --- Its acaUan(I,,. -....... A ANY AUTO ---BODILY INJURY(Per person) $ ___ ALL OVVNE❑ SCHEDULE❑ _BODILY I ..: .,..-- ........ AUTOS AUTOS X 680-7E721300-17-42 6/19/2017 6/19/2015 BODILY INJURY(Per acc denl). $ NON OWNED ....._... ................. X HIRED AUTOS X - P E id Y DAMAGE .,.._. ,_. AUTOS . _ $ PeiW ad ac eiaonp4 UMBRELLA LIAR OCCUR -,...-. EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE AGGREGATE g DED RETENTION$ S j$'AQ(EMP�L.O EIS'LIABILITY YIN PT,Ai,IJ;f,f R DEA PI-T ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? .� NIA ELEACH ACCID ENT $ -(Mandatory in NH) E.L,DISEASE-EA EMPLOYEE ¢ UVdeecnbe a rdr, .........___ 6RIPTION OF OPERARt. baluw EL DISEASE 10)1CY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached II more space Is required) Certificate holder is hereby named additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent, Dept. Of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering ACCORDANCE WITH THE POLICY PROVISIONS, Attn: Nancy Yoshitake 220 4th Ave S AUTHORIZED REPRESENTATIVE Kent, WA 98032-3994 Shari Lofquist/KRIS°I`JI; ©1988-2014 ACOR4S CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) Policy# 6BO-7E721300-17-42 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS; 1, WHO IS AN INSURED(SECTION II)Is amended In a written contract for this Insurance to to Include as an Insured any parson at organise- apply on a primary or contributory bests. lion (veiled hereafter*additional Insured")whom 3. This insurance does not apply: you have agreed In a written con"ot, executed prior to loss, to name as additional Insured, but a. on any basis to any person or orgardzatlon only wltb respoot to liability adaing out of"your for whom you have purchased an Owners work" or your ongoing operallans for that adds- and Contractors Protective policy. tionel Insured performed by you or for you, b, to 'bodily Injury,' "property damage' "per- t. With respect to the insurance afforded to Addl- sonal Injury,° or °advertising Injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render any professional services by or for you, In- a. Limits of Insurance - The following llmlle of cluding: liability apply: 1, The preparing, approving or falling to 1. The limits which you agreed to provlde; proparo or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders,designs or 0041fivetions;and whichever is less. 2. Supervisory. Inspection or engineering b. This Insurance Is excess over any valid and services. collectible Insurance.unleas you have agreed CG 0105 04 94 f>Y g Co ri ht The Travelers Indemnity Company, 1294. Page 1 of 1 Includes Copyrighted Malarial from insurance ServBcss Ofgee,Inc. A be CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD Y, 4.. 1/6/2017 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 endorsoment(s). PRODUCER CONTACT Shar1 Lofqulst NAME", .,. _ ,.. . C Don Filer Agency PHONE (206)545 4800 rFAx (2D6)545 48a9 IPJS.No,Extl: ,....... ,...,, LAIC,NOT .. , . 4201 Roosevelt Way NE EMAIL slofquist@filerinsurance.com A4nFlE FS: .. __. .............._ Suite 200 INSURER)S)AFFORDING COVERAGE NAIC.9 Seattle WA 98105 6608 INSURERA Continental Casualty Company ,. INSURED INSURER 9: G2MZ LLC, DBA: The Eastman Company INSURER Z&B Inc DBA: The Eastman Company INSURER 6206 35th Ave NE INSURERE Seattle WA 9811.5 INSURER F' COVERAGES CERTIFICATE NUMBERkfaster E&O 2017 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, 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS, ..... ......... ILTR ..Y In{Y1711eWaR POLICY EFf�..l POLICY E%P,... ............. LTR TYPE OF INSURANCE Ain cn mmn� POLICY NUMBEPo M I Y IMMIDDIYYYVI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ IfiAMACE YCJ RErrTFtia ...' CLAIMS MADE � � r)L(,UR (R(MI6451Fa pGSv rgnneJ � MIDCYF IAr, , aAPr„r1 Is PERSONAL&ANY INJURY CENLACGRECHIE IWIEAPPL _ILS PEN CIN[HAI A(LRELAR �+ LCY JtCC A V IOD PRODUCIS COMPIUPAGO 1 1$ , - OTFtlI°11'. 1 AUTOMOBILE LIABILITY COMRI NIN4rLE L6M4CT b ANY AUTO BODILY INJ (Pa a.A lGdn( URY(P p rsan) y All CU NFD S'DHI DUI E D BODILY AUTOS AUTOS Im)URY(I o deot) S IIREDAUTOS NON 0"NED AUTO ( �au dm¢)tl? AAA:b y 3 UMBRELLA LAB OCCUR EACH OCCURRENCE IF EXCESS TRIPS MADE� ACCRILAIE 3 L FC1 HETENTIGnIS WORKERS COMPENSATION AND EMPLOYERS'LIABILITY jfn TII11 rill .... (Ila ANY PROPRIETORPARTNERIEXECUTIVE YINp EL EACH ACCIDENT iY OFFICERiMEMBEF EXCLLIDED9 l NIA (Mandalnry nNH) ! ELDI DISEASE EAIMPL)1LI 8 Ir yes aee�rde Under DESCRIPTION OF OPERATIONS below LL DISEASE-POL ICY LIMIT $ A Professional Liability I87378-RI59T3 1/1/2017 1/1/2018 B l 111 l m llmO,S5k dsd I clatnts Inada poliuy DES C RIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Add l lional Remarks Schedule,may be attached If more space is req Uload) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent, Dept. of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Ave S --- Kent, WA 96032-3994 AUTHORIZED REPRESENTATIVE �hax1 Lofquisr/SHRRI ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS026 nn1401)