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HomeMy WebLinkAboutPW17-445 - Change Order - #2 - Forest Clouds, LLC - Meridian Valley Creek Erosion Repair - 11/21/2017 ENT Document ( WASHINGTON r ///r/J 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: Forest Clouds LLC Vendor Number: JD Edwards Number Contract Number: I' JA/ II` L�4, - 0V3A This is assigned by City Clerk's Office Project Name: Meridian Valley Creek Erosion Repair Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract ❑ Other: Contract Effective Date: 11/22/17 Termination Date: 12/31/17 or physical completion, whichever comes first Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Nicitt Knox Department: Engineer Contract Amount: $9,290.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Additfonat-coin-fabric was needed to adequately cover the eroded bank.---- - As of: 08/27/14 tl n KCNT CHANGE ORDER NO. 2 NAME OF CONTRACTOR: Forest Clouds LLC ("Contractor") CONTRACT NAME & PROJECT NUMBER: Meridian Walley Creek Erosion Re air ORIGINAL CONTRACT DATE: September 20, 201.7 This Change Order amends the above-referenced contract; all other provisions of the contract that are not inconsistent with this Change Order shall remain in effect. For valuable consideration and by mutual consent of the parties, the project contract 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, Contractor shall provide all labor, materials, and equipment necessary to: Additional coir fabric was needed to adequately cover the eroded bank. For a copy of the Contractor's costs for the additional material, see the attached Exhibit A which is incorporated by this reference. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are hereby modified as follows: '.. Original Contract Sum, $45,460.00 (including applicable alternates and WSST) Net Change by Previous Change Orders $0 (incl. applicable WSST) _........._ -------- Current Contract Amount $45,460.00 (incl. Previous Change Orders) -------... . .... Current Change Order $9,290.00 __ ... _ ............... _- Applicable WSST Tax on this Change $0 Order Revised Contract Sum $54,75UA0 CHANGE ORDER - I OF 3 Original Time for Completion 10/13/17 (insert date) Revised Time for Completion under 12/31/17 or Physical Completcion + 90 prior Change Orders days,whichever comes first (insert date) Days Required (f) for this Change 0 calendar days Order Revised Time for Completion 12/31/17 or Physical Cnmpletcion + 9D (insert date) days,whichever comes first In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor agrees to waive any protest it may have regarding this Change Order and acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the Contractor from strict compliance with the guarantee and warranty provisions of the original contract, particularly those pertaining to substantial completion date. All acts consistent with the authority of the Agreement, previous Change Orders (if any), and this Change Order, prior to the effective date of this Change Order, are hereby ratified and affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order 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 contract modification, which is binding on the parties of this contract. 3. The Contractor will adjust the amount of its performance bond (if any) for this project to be consistent with the revised contract sum shown in section 2, above. IN WITNESS, the parties below have executed this Agreement, which will become effective on the last date written below. CONTRACTOR: CITY OF KENT: % .- By: ell By. sfg turay (sMg Pure) Print Name: �, d(, fl7 .t� Print Name: Timothy J. LaPorte. P.E. its 4,Jce.�crAeol Its Public W / s Director � DATE.:_, � _ DATE:_ � CHANGE ORDER - 2 OF 3 APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department 10,ul llaU"k NVC_F.,' nI3epaiI LI(nou CHANGE ORDER - 3OF3 EXHIBIT A 26339 116`"Ave SE Suite 1303 'Foresteloods Kent,WA 9803 Tel +1 206 719 0966 info@fcrestclouds.com www.forestclouds.com �µ October 19, 2017 Kent Meridian Valley Creek Erosion Repair Project. Dear Matt, Below is the item list of change order requests for the completion of the Meridian Valley Creek Erosion Control Repair project. ua�ti4is .. Rena _,... _.._ _ Unit 240 SQ.YA. Erosion control fabric. 37/SY 8,880 3 Each: Duckbill anchor and cable 70 EA 210 100 each U shaped staples $2 EA 200 TOTAL 9,290 Attached with this change order request are invoices for the extra erosion control fabrics, and 100 u shaped staples for holding slopes of erosion control fabrics. Sincerely, Tolulope M. DARAMOLA President, ForestClouds �cON CERTIFICATE OF LIABILITY INSURANCE '°'°°"""' 1010..912017 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(es)must have ADDITIONAL INSURED provlslons or be andorsod, 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 lindorsoment(sII. PRODUCER T� N Michelle Mckmney Heritage Insurance,Inc. AX ,6�tu. 253-638-8142 11,,,,no, 600-975-5311 anc _--_ .24401 104th Ave SE, Ste 102 s mmckinnBy�ZAMo®rita�srnsurancelnc codaKent, WA 98030 {a A L FA 0¢,oIN[ gyINsuRED Coln SpecialtyForestClouds, LLC 26339 116th Ave SE RC Apt#1303 R D, f Kent, WA 98030-8499 NSURERE INSURER COVERAGES CERTIFICATE NUMBER: 00000000�315967 REVISION NUMBER: 7 F CERTIFY THAT THE FOL ICIES OF INSURANCE L IS LED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOL7 . NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT rO WHICH THIS TE MAY BE ISSUED OR MAY PERTAIN THE I NSURANCE AFFORDED BY IFIE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, S AND CONDILIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' ,aNCE 7f sC7aYi ...AI P9uley Ill TYPE OF INSURANCE IM ICYfFEY Y NA117065400MseY 1a10a/zo17Lri _. _ .,...11'0.90 .-. .,....._.., 4adMV1,YGxMl(�'y.Y�""'1.. 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A' gilts.reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by MLM on October 09, 2017 at 10'.27AM kiii CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS !10 RIpHT2017 S UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE"' NOT AFFIRMATIVELY OR NEGATIVELY D EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORI MREPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 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THE TRANSFER OF RIGHTS OF RECOVERY AGAANST OTHERS TO US CONDITION DOES NOT APPLY TO THE PERSONS OR ORGAMZATIONS SHOWN ABOVE,COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, CERTIFICATE HOLDER CANCELLATION CITY OF KENT Rl 0 ANY Of THE ABOVE DIESCRIBED POLICIES Me CANCELLED BEFORE THE EXPIRATION DATE 'agin F, NOTICE WILL BE DELNERED IN ACCORDANCE I!WIPN THE P61JCY PROVISIONIF 220 4 ED AVE S eurrwnteo nEPR[SENrATNQ KENT AA 96b325838 ®1088-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010t03) The ACORD name and logo are registered marka o1 ACORD Customer Communication Page 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Policy Number: NA1 1 7 06 5400 Endorsement Effective: 10/04/16 12:01 a.m. Named Insured _ Authorized Representative: FORESTCLOUD LLC _ . ......... SCHEDULE Name of Person or Organization: Any person or organization that the named insured is obligated by virtue of a written contract or agreement to provide insurance such as is afforded by this policy. Location: _............. ...... .. ..._..........._. _._ (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement,) A. Section II —Who Is An Insured is amended to include as an insured the person or organization shown In the Schedule, but only to the extent that the person or organization shown In the Schedule Is held liable for your acts or omissions arising out of your ongoing operations performed forthatinsured B. With respect to the insurance afforded to these additional insureds, the following exclusion Is added 2. Exclusions This insurance does not apply to "bodily injury"or "property damage" occurring after. (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed, or (2) That portion of"your work"out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project, C. The words "you" and "your" refer to the Named Insured shown in the Declarations. D. "Your work' means work or operations performed by you or on your behalf, and materials, parts or equipment furnished in connection with such work or operations. Primafy W ordinfW If required by written contract or agreement, Such insurance as is afforded by this policy shall be primary insurance, and any insurance or self-insurance maintained by the above additional insured(s)shall be excess of the insurance afforded to the named insured and shall not contribute to it. Waiver of Subrogation If required by written contract or agreement: We waive any right of recovery we may have against an entity that is an additional insured per the terms of this endorsement because of payments we make for injury or damage arising out of"your work' done under a contract with that person or organization. 4M108 07 11 May Include Copyrighted Material of Insurance Services Offices, Inc, Page 1 of 1 Used with permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Policy Number: NA117065400 Endorsement Effective: 10/04/17 12:01 a.m. Named Insured Authorized Representative: FORESTCLOUO LLC SCHEDULE Name of Person or Organization: Any person or organization that the named Insured is obligated by virtue of a written contract or agreement to provide insurance such as Is afforded by this policy. Location: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement ) A. Section II —Who Is An Insured is amended to include as an insured the person or organization shown In the Schedule, but only to the extent that the person or organization shown in the Schedule is held liable for your acts or omissions arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury"or "property damage"occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed, or (2) That portion of "your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The words"you" and 'your" refer to the Named Insured shown in the Declarations, D. "Your work" means work or operations performed by you or on your behalf, and materials, parts or equipment furnished in connection with such work or operations, Primary Wording If required by written contract or agreement Such insurance as is afforded by this policy shall be primary insurance, and any insurance or self-insurance maintained by the above additional insured(s) shall be excess of the insurance afforded to the named insured and shall not contribute to it. Waiver of Subroaaition If required by written contract or agreement: We waive a ny right of recovery we may have against an entity that is an additional insured per the terms of this endorsement because of payments we make for injury or damage arising out of "your work" done under a contract with that person or organization, 49-0108 07 11 May Include Copyrighted Material of Insurance Services Offices, Inc. Page 1 of 1 Used with permission POLICYNUMBER: 91oo119565 O1 COMMERCIAL AUTO BA 20 48 08 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM 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 identifies person(s) or organization(s) who are "insureds'' under the Who Is An In- sured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Cov- erage Form, This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Countersigned By: OS-04-2017 Narned Insuied Eo1.l G,Lo�IIG�, LLc' (Authorized Representative) SCHEDULE Name of Persons) or Organizatlon(s): CENI'Rll, PUGE TOOND I'ECIONAL 1'RAN`iFT AU'THORM"r' ( " ,OUNL) TRANSIT") 101 JACKSON ITT I?A'C'I'I da, WA 913104- 526 K I.NG; C.OUN'I''t 401 5'11N AVE 11,11 1RD 5'GPIILF:, GV11 981m 18118 PIACI"I?IC' l'IL,Iti & MFIRf.r\jE 700 ;I RIVFIRSIW; IJR Sf;ATTLE WA 98108 1364 THE GSTY 01 MI7R.CER I STAND 'MERCER ISIJUM, WA t8040-3732 BA 20 48 08 10 Includes copyrighted material of Insurance Services Office, Page 1 of2 ❑ Inc., with its permission. INSURED Name of Persons) or prganization(s): REYNOLDS GENERAL CONTRA:TrNG INC; AND C&A OF SEA'TTUN 227 BELIEVUE, WAY NE 4 229 HE LEVUE, WA Wgo04 S121 DUNG ENE:.SS C UNS`T'R17C'TI(..N COUP '877 9;`\NDY PO[NT RE '1.d1NC;EE•:;Y, WA. 90260 093 N & N EXCAVATION, LLC, PO HUX I.10 MEAD, WA 99021.-1I76 C&TY Of 3i?I'TTJ1,E 700 STH AVE; P ) HOX 91687 SEATTLE, WA 78104 5050 'JANKm rNC. 1215 W HOLLY ST �HNi f rNGHA9, WA 982250928 CITY OF KENT 220 9TH AVE A SENT, WA 98032-JBJ8 CITY OF E;VI. REITT 1200 CEDAR, ST # EVERETT, WA 98201.--446 (If no entry appears above, information required to complete this endorsement will be shown In the Declarations as applicable to the endorsement,) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualMes as an "insured" under the VAo Is An Insured Provision contained in Section II of the Coverage Form, Page 2 of 2 Includes copyrighted material Of Insurance Services Office, BA 20 48 08 10 Inc , with its permission. iwsuneo