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HomeMy WebLinkAboutPW16-169 - Amendment - #2 - ICF Jones & Stokes, Inc. - S 212th St Erosion Repair - 12/15/2017 , Records KEN T it wAa„, 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, Inc. Vendor Number: JD Edwards Number Contract Number: 16 ` 161 �0 This is assigned by City Clerk's Office Project Name: S. 212t�' St. Erosion Repair Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/15/17 Termination Date: 12/31/18 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Steve Lincoln Department: Engineering Contract Amount: $0.00 Approval Authority: (CIRCLE ONE) rDepartmentDirector Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2018. As of: 08/27/14 400.00 `�✓ KENT W. . . , AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: 10E Jones & Stokes, Inc. CONTRACT NAME & PROJECT NUMBER: S. 212t° Street Erosion Regair ORIGINAL AGREEMENT DATE: May 3, 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 necessary to extend the time of completion to December 31, 2018 due to work is currently on hold. 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, $5,445.37 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $5,445.37 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $5,445.37 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) Add'I Days Required (f) for this 365 calendar days Amendment Revised Time for Completion 12/31/18 (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: B � B (signature) (signature) Print Name:TrinaL.Prince-Fisher Print Name: Timothv J. LaPorte. P.E. Its Contracts Adminishator Its P b4c Words D,ir c. ..tor.... (title) DATE: Decemher 13.')Ol7 DATE: ' APPROVED AS TO FORM: (applicahie if Mayor's signature required) Kent Law Department !CF Jones&Stokes-312"Erosion Ropalr Amd 2cUnmin Y AMENDMENT - 2 OF 2 CERTIFICATE OF LIABILITY INSURANCE DAT 0(0281200,17 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 �'ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cortiflcate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 end�orsement(a), PRODUCER CONTACT V Ann Risk 5e1viceS Northeast, Inc, NAME,,. FAX New York NY Office AO,No.Ertl: C866) 283-]122 RIC Na: (BCD) 363-010$ V 199 water street ADDRESS 2 New York NY 1C038-3551 USA INSURER(S)AFFORDING COVERAGE NAIC4 INSURED INSURERA: Great Northern In$D ran Ce CO. 20303 y ICF ]ones & Stokes, Inc. INSURER a: FederalInsurance company 20281 Attn: Misha Freimann INSURER D: AXIS Surplus Insurance Company 26620 9300 Lee Highway _. Fairfax, VA 22031 USA INSURER O: INSURER E', INSURER F: COVERAGES CERTIFICATE NUMBER:570067289750 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLII OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAVAi 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. Limits shown are as requested MISS TYPE OF INSURANCE Awl SUOR XN POLICYNUMSER D MAHlD UNITS X COMMERCIAL-himGENEMLLIABILITY EACH OCCURRENCE $1,000,000 cLAIMSMADE L.::.J occuR Package - Domestic 0"RENT $1,000,000 PREMISES(BE ocw,encel MEOEXP(Anyone Paraon) 810,000 x I. Cont2quel Liablllly PERSONAL&AOV INJURY $1,000,000 n GENERALAGGREGATE $2 000,000 GETF L pGGHEGAxB DNIT APPLIES PER'. o• X POLICY PRO. ®LOC PRO DUCTS-COMPIOP AGG S2,000,000 EGT 0 OTHER'. n AUTOMOBILE LIABILITY 7352 5 07 0112017 0] 01 2018 COMBINED SINGLE LIMIT $1,000,000 h Automobile All States feo a"1= — X ANY AUTO BODILY INJURY(Per person) 0 OWNED SCHEDULED BODILY INJURY(Per awdenl) m AUTOS ONLY AUTOS PROPERTY DAMAGE tm] X MIREDAUT05 X NON-OWNED (Pe'A.d. TI ONLY AUTOS ONLY Y w B X UMBRELLA IJAB X OCCUR 93630018 07/61/201 7 18 EACH OCCURRENCE S5,000,000 U EXCESS 11AB CLAIMSMADE umbrella Liability AGGREGATE S5,000,000 I]ED RETENTION a WORKERS COMPENSATION AND 71754337 07/01/2017Y C ER )( PTATIITF OTn H. EmPLovERs•uABlutt YIN workers compensation $ " - -- ANY PROPRIETOR I PARTNER I EXECUTIVE r-1 NIA EL EACH ACCIDENT 11,000,000� OFFIOERMIEMBER EXCLUDED? I171 E L DISEASE-EA EMPLOYEE $1,000,00G IMandi In Ni I(yee.d"Frib8 Under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $1,000,000— C E&O-MPL-Primary Be dC Z768043/01 2017 07/01/2617 O] Ul 2018 E C a mm $3,000,000 Errors & omissions Overall policy aggn $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 1011,Addakomal Rammos SaIndule,may be Aftochad if i HNICe IS McNRIA) RE: S. 212th St. Pavement Rehabilitation Project. The City of Kent is added as additional insured as required by written =-�• contract per attached endorsement. This insurance is primary and non-contributory as required by written contract. y�- CERTIFICATE HOLDER CANCELLATION u SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE m EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- City of Kent AUTHORIZED REPRESENTATIVE e Engineering Department 220 4th Ave. South Nancy Attn: Nay YS hltdkE Kent U Kent WA nc 2 USA C�rXOsi t_✓Y,as?,+Imra'9 ✓� - 91988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Liability Insurance CHUM® Endorsement Policy Period JULY 1,2017 TO JULY 1,2018 Effective Date JULY I,2017 Policy Number 3581-24-09 DTO ' Insured ICF INTERNATIONAL INC. ICF JONES&STOKES,INC. Name of Company GREAT NORTHERN INSURANCE COMPANY Date lssued JUNE 26,2017 This Endorsement applies to the following forms:, GENERAL LIABILITY Under Who Is An Insured,the following provision is added, Who Is An Insured Additional Insured- Persons or organizations shown in the Schedule are insureds;but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However,the person or organization is an insured only: . • if and then only to the extent the person or organizatioais described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur,in whole or in part,before the execution of the contract or agreement;and with respect to damages,loss,cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who is An Insured section(regardless of any limitation applicable thereto). with respect to any assumption of liability(of another person or organization)by them in a contract or agreemern.This limitation does not apply to the liability for damages,lass,cost or expense for injury or damage,to which this insurance applies,that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additron¢11n r G t(tPtSd PeWgr Organization continued Farm 90-02-2367(Rev.5-07) Endorsement Page 1 cr+u®ate Liability Endorsement (continued) Under Conditions,the following provision is added to the condition titled Other Insurance. Conditions Other Insurance- if you are obligated,pursuant to a contract or agreement,to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy,then in such case Insurance-Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated,pursuant to a contract or agreement,to provide with such insurance as is afforded by this policy. City of Kent All other terms and conditions remain unchanged. Authortzed Representative Lfablilty Insurance Additional In Qr ![ 1P, Organization lastpage Form 80-02-23fi7(Rev.5-07) Endorsement Page 2 POLICY NUMBER (17) 7352-29-55 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under thefollowing: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified bythis endorsement. This endorsement identifies person(s) or organization(s) who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not after coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of thepolicy unless another date is indicated below. Named Insured: ICF INTERNATIONAL INC. ICF 70NES&STOKES,INC. Endorsement Effective Date: 7/1/17 SCHEDULE Name Of Person(s) Or Organization(s): "ANY PERSON OR ORGANIZATION AS REQUIRED BY INSURED CONTRACT' , City of Kent Information reoulred to complete this Schedule. If not shown above.will be shown In the Declarations. Each person or organizatlon shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organlzatlon qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph Al. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc„ 2011 Page 1 of 1