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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: Tetra Tech, Inc.
Vendor Number:
JD Edwards Number
Contract Number; W It " Do °"i
This is assigned by City Clerk's Office
Project Name: Mill Creek Reestablishment
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: Toby Hallock Department: Enaineerinq
Contract Amount: $0.00
Approval Authority: (CIRCLE ONE) (Department Director Mayor City Council
Detail: (i.e. address, location, parcel numlier, tax id, etc.):
Extend the time of completion to December 31, 2018.
As ofl 08/27/14
K 0T
AMENDMENT NO. 3
NAME OF CONSULTANT OR VENDOR: Tetra Tech, Inc.
CONTRACT NAME & PROJECT NUMBER: Mil) Creek Reestablishment
ORIGINAL AGREEMENT DATE: July 20, 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 December 31,
2018 to provide additional project support.
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, $27,045,00
including applicable WSST
_...................__ ............... _...........
Net Change by Previous Amendments $0
including applicable WSST
---- ...........
............
.... _. ._.-- _........
Current Contract Amount $27,045.00
including all previous amendments
Current Amendment Sum $o
Applicable WSST Tax on this $0
Amendment
..._... ._— ._........._
Revised Contract Sum $27,045.00
AMENDMENT - 1 OF 2
..............
Original Time for Completion 12/31/15
(insert date)
Revised Time for Completion under 12/31/17
prior Amendments
(insert date)
"i�ajT—DaysR—equired (±) 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:
By: By"
natu,e) 0ignature)
Timothy J. LaPorte, P.E.
Print Name Print Name:_
Its 4yZ,-,- Its-- Public Works Director
(title)
DATE: 0 el'�7
DATE: -4-�AZd WtItIN 0 1/1
11
APPROVED AS TO FORM: ..............
(applicable if Mayor's signature required)
Kent Law Department
.........................—---------
retra Tech-Mill Creek Reestablishment Amd 3/Hallrck
AMENDMENT - 2 OF 2
CERTIFICATE OF LIABILITY INSURANCE ¢r,EV 11=117YYv
„r OB1MA`c'7
THIS CERTIFICATE ISISSUED 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. <
PORTANT If the certificate Td dur IS an ADDITIONAL INSU ED,the policy(as)must.have ADDITIONAL INSURED provisions or ba ondDrea .II
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 endorsement(s). .c
PRODUCER CONTACT V
On Risk insurance Services West, Inc. all
Los Anales CA office T
(866) 283-7122 tlA00.No.N. (800) 363- —
vU
Wl re BOVI.Yard ICI
suite 2600 -ADDRESS
S
LOS Angeles CA 90017-0460 USA
INSURER)S)AFFORDING COVERAGE NAICp
INSURED INSURER A' National Union Fire Ins CO Of Pittsburgh 19445
Tetrd Tech, Inc. IN9VRER B: The insurance CO Of the State of PA 19429
Seat l Avenue, Suite 550
Seattle WA 98101 USA INsuaea a American Home assurance Co. 19380
INSURER O: Lexington Insurance Company 19437
INSURER E:
INSURER F �—
COVERAGES CERTIFICATE NUMBER:570068504828 REVISION NUMEIEW
THIS I6 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOO THE INSURED NAMED ABOVE FOR'i'HE'..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 TOO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE'..BEEN REDUCED BY PAID CLAIMS. Limits shown are as Requested
TR TYPE OF INSURANCE Palo ypry0 POLICY NUMBER IMMIDDAll flMMIODl LIMITS
% COMMERCIAL GENERAL LIABILITY OL EACH OCCURRENCE $2,000,000
TThTAAGt:'rZfRT"Fi1EC—
_� CLAIMS-MADE �x OCCUR PREMISES C'n g4Utlrhnt4)'.,, S1,000,000
Y %,C,U Coverage L A MED EXP(Any one person) $10,00J)
PERSONAL B ADV INJURY $2,0001000' ry
�.� ._............_ _....,. m
GPhJ'L AG4REGAi'E LIMIT APPLIES PER GENERAL AGGREGATE $4 COO,COO'
POLICY 1 x 0 IS...RO ❑X .....TOO PRODUCTS $4,000,000
.� . IL.._.L ,......m.....................e.....-,., ................ .
OiHER. ........... a r
AJ AUTOMOBILE LIABILITY CA 421 10 0112317101011201B COMBINED SINGLE LIMIT $1,000,000.
To
IT ANY AUTO BODILY INJURY(Per peson) 2
OWNED BODILY INJURY(Pe rcident) y
AUTOS ONLYPSOHEDULED
AUTOS ----.-- ----.-------��� M
HIRED AUTOSNON-g WNED PROPERTY pAMAOE O
ONLY AUTOS ONLY mar a.�Inwen _ ,�
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UMBRELLA LIAR OCCUR EACH OCCURRENCE V
EXCESS LIAR CLAIMS-MADE AGGREGATE ._.,..._.
DEU REfENT06N
B WORKERS COMPENSATION AND WC614 2949 201 T797757ifT. PER OTH.
C EMPLOYERS'LIABILITY Y_I_N WC014629497 10101120171010112018 .. ,fiTATIITF 5a, _
ANY PROPRIETOR I PARTNFF1 ExECUUIE 1 E.EACHACODENT $1,OD0,000
a OFFICEWMEMBER EXCLUDED? BY NIA WGG1462949R lD�g 1�2017 10�01%2019
B IMendcmn•in NH) WC014629499 10101120171010112018 E.L.DISEASE EA EMPLOYEE $1,000,000
If Fee da®,:bbm ender
0 SORIPTKIN OF OPERATIONS below EL DISEASE-POLICY LIMIT 51,1100 000
Prof/PolleLiab p y Agggregate $2,000,000 S
❑ Env contr Prof 6281823p S per policy ter T/Ur c02ndr lr/u /21119 Eachclaim $2,000,0 0
SIR
DESCRIPTION OF OPERATIONS I LOCATIONS?VEHICLES(ACORD 101,AddKIS-el Remark;Sehedule,may be eft.hed Ir more.pace m re,loa)
RE: Tetra Tech Project Mill Creek Reestablishment - Culvert Structural Evaluation. City of Kent is included as Additional
Insured in accordance with the policy provisions of the General Liability and Automobile Liability policy as required by e .
written contract, Stop Gap Coverage for the following States: OF, ND, WA, W.
CERTIFICATE HOLDER CANCELLATION lea
SHOULD MY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE MILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City Of Kent AUTHORIZED REPRESENTATIVE Ire,y
Attn: Timothy J. LaPorte, P.E. •i��rv'.'".
400 West Gowe
Kent WA 98032 USA
c�+� vt.@11s9.888-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
ENDORSEMENT
This endorsement, effective 12:01 A.M. 10/01/2017 forms a part of
policy No. GL 746-87-16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTOR'S COMMERCIAL PRIME ENDORSEMENT
This endorsement modifies insurance provided under the fallowing:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Coverage afforded under this endorsement does not apply to any person or organization covered as
an additional insured on any other endorsement now or hereafter attached to this Coverage Part.
I. ADDITIONAL INSUREDS
Section 11 - WHO IS AN INSURED, 1. is amended to include as an insured any person or
organization described in paragraphs A through I below, whom you are required to add as
an additional insured under a written contract or agreement. The written contract or
agreement must be:
1. Currently in effect or becoming effective during the term of this policy; and
2 Executed prior to "bodily injury", "property damage," or "personal injury and
advertising injury".
A. BY CONTRACT
Any person or organization to wham you become obligated to include as an additional
insured under this policy, as a result of any contract or agreement you enter into which
requires you to furnish insurance to that person or organization of the type provided by
this policy, but only with respect to liability arising out of your operations or premises
owned by or rented to you. However, the insurance provided will not exceed the lesser
of:
1. The coverage and/or limits of this policy, or
2. The coverage and/or limits required by said contract or agreement.
B. CONTROLLING INTEREST
1. Any person or organization having a greater than a 50% interest in you, but only
with respect to their liability arising out of:
a. Their financial control of you; or
b. Premises they own, maintain or control while you lease these premises.
2. The insurance afforded to these additional insureds under Paragraph I.B.1 does not
apply to structural alterations, new construction or demolition operations performed
by or for that person or organization.
C. CO-OWNER OR INSURED PREMISES
A Co-owner of insured premises co-owned by you and covered by this insurance but
only with respect to their liability as co-owner of the premises.
100983 (2/09) Page 1 of 7
D. LESSOR OF LEASED EQUIPMENT
t. Any person or organization from whom you lease equipment, but only with respect
to liability for "bodily'injury" "property damage" or "personal and advertising injury„
caused, in whale or in part, by your maintenance, operation or use of such
equipment leased to you by such persons) or organization ls).
2. With respect to the insurance afforded to these additional insureds under Paragraph
I.D.1, this insurance does not apply to any "occurrence" which takes place:
a) after the equipment lease expires, or
b) after the equipment is returned or no longer in your possession,
whichever takes place later.
E. MANAGERS OR LESSORS OF PREMISES
Managers or Lessors of premises but only with respect to liability arising out of the
ownership, maintenance or use of that part of the premises leased to you and subject to
the following additional exclusions:
This insurance under this paragraph does not apply to:
1. Any "occurrence" which takes place after you cease to be a tenant in that premises,
2. Structural alterations, new construction or demolition operations performed by or on
behalf of such Managers or Lessors-
F. MORTGAGEE, ASSIGNEE, OR RECEIVER
1. A mortgagee, assignee, or receiver but only with respect to their liability as
mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or
use of the premises by you.
2. The insurance afforded to the additional insureds under Paragraph LF.1 does not
apply to structural alterations, new construction or demolition operations performed
by or for that mortgagee, assignee, or receiver.
G. OWNERS, LESSEES, OR CONTRACTORS- COMPLETED OPERATIONS
(1) Any Owner, Lessee or Contractor, but only with respect to liability arising out of
"your work" performed for that additional insured and included in the "products-
completed operations hazard".
H. OWNERS, LESSEES, OR CONTRACTORS - ONGOING OPERATIONS
Any Owners, Lessees, or Contractors, but only with respect to liability arising out of
your ongoing operations performed for that additional insured.
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) 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.
100983 (2/09) Page 2 of 7
I. STATE OR POLITICAL SUBDIVISION - PERMITS
Any State or Political Subdivision, subject to the following provisions:
1. This insurance applies only with respect to operations performed by you or on your
behalf for which the state or political subdivision has issued a permit.
2. This insurance does not apply to:
a. "Bodily injury," "property damage" of" personal and advertising injury"
arising out of operations performed for the state or municipality; or
b. "Bodily injury" or "property damage" included within the "products-
completed operations hazard".
II, PRIMARY INSURANCE - ADDITIONAL INSUREDS
Where persons or organizations have been added to your policy as additional insureds to
comply with insurance requirements of written contracts mandating primary coverage for
such additional insureds relative to:
a) the performance of your ongoing operations for the additional insureds; or
b) "your work" performed for the additional insureds and included in the "products-
completed operations hazard,
then with respect to these additional insureds as defined above in this Section only,
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. - Other
Insurance, a. - Primary Insurance, is deleted in its entirety and replaced with the following:
This insurance is primary over any similar insurance available to any person or organization
we have added to this policy as an additional insured to comply with insurance requirements
of written contracts mandating primary coverage for such additional insureds relative to (a)
the performance of your ongoing operations for the additional insureds, or (b) "your work".
performed far the additional insureds and included in the "products-completed operations
hazard, However, this insurance is primary over any other similar insurance only If the
additional insured is designated as a named insured of the other similar insurance, We will
not require contribution of limits from the other similar insurance if the Insurance afforded is
primary.
III. INCIDENTAL MEDICAL MALPRACTICE LIABILITY COVERAGE
SECTION II - WHO IS AN INSURED, 2. a. (1) (d) is deleted in its entirety and replaced
with the following:
(d) Arising out of his or her providing or failing to provide professional health care
services,. except for "bodily injury" arising out of "Incidental Medical Malpractice
Injury" by any physician, dentist, nurse or other medical practitioner employed or
retained by you unless such "bodily injury" is covered by another primary policy.
However, the insurance provided hereunder to such persons will not apply to liability
arising out of services performed outside of the scope of their duties as your
"employees." Any series of continuous, repeated or related acts will be treated as
the occurrence of a single negligent professional healthcare service, which will be
assignable to the same policy and policy year in which the originating act occurred.
SECTION V - DEFINITIONS - is amended to add:
"Incidental Medical Malpractice Injury" means "Bodily Injury" arising out of the rendering
of or failure to render the following services:
100953 12/09) Page 3 of 7
a. medical, surgical, dental, x-ray or nursing service or treatment or the furnishing of
food or beverages in connection therewith; or
b. the furnishing or dispensing of drugs or medical, dental or surgical supplies or
appliances.
The Coverage provided by this endorsement does not apply to you or any insured if you
are engaged in the business or occupation of providing any of the services described in
the definition of "Incidental Medical Malpractice Injury".
Iv, JOINT VENTURES 1 PARTNERSHIPS I LIMITED LIABILITY COMPANIES
The paragraph under SECTION II - WHO IS AN INSURED which states:
No person or organization is an insured with respect to the conduct of any current or
past partnership,joint venture or limited liability company that is not shown as a Named
Insured in the Declarations.
is hereby deleted and replaced with the following:
No person or organization, other than you, is an insured with respect to the conduct of
any current or past partnership, joint venture or limited liability company that Is not
shown as a Named Insured in the Declarations.
Coverage under this policy, however, will not apply:
a. Prior to the termination date of any joint venture, partnership or limited
liability company; or
b. If there is valid and collectible insurance purchased specifically to insure the
partnership, joint venture or limited liability company.
V. SUPPLEMENTARY PAYMENTS
Under SECTION 1 - SUPPLEMENTARY PAYMENTS - COVERAGES A AND B, Paragraph 1.b.,
is deleted in its entirety and replaced with the following:
In. Up to $2,500 for cost of bail bonds required because of accidents or traffic law
violations arising out of the use of any vehicle to which the Bodily Injury Liability
Coverage applies. We do not have to furnish these bonds.
VI. LIBERALIZATION CLAUSE
If we revise or replace our standard policy form to provide more coverage, your policy will
automatically provide the additional coverage as of the day the revision is effective In your
state.
VII, UNINTENTIONAL ERRORS AND OMISSIONS
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 6. - Representations is
amended by adding:
d. The unintentional failure by you or any Insured to provide accurate and complete
nonmaterial representations as of the inception of the policy will not prejudice the
coverages afforded by this policy.
VIII, AMENDMENT OF DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 2. - Duties in the Event
of Occurrence, Offense, Claim or Suit, a. is hereby deleted and replaced with the
following:
100983 (2109) Page 4 of 7
a. You must see to it that we are notified as soon as practicable of any "occurrence" or
an offense, which may result in a claim. Knowledge of an "occurrence" or an
offense by your agent, your servant, or your employee will not in itself constitute
knowledge to you unless the Director of Risk Management (or one with similar or
equivalent title) or his/her designee will have received such notice. To the extent
possible notice should include:
(1) How, when and where the "occurrence" or offense took place;
(2) The names and addresses of any injured persons and witnesses; and
(3f The nature and location of any injury or damage arising out of the 'occurrence"
or offense.
IX. AMENDMENT OF EXPECTED OR INTENDED INJURY EXCLUSION
SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE
LIABILITY, 2. - Exclusions, a. - Expected or Intended Injury, is deleted and replaced by the
following:
a. "Bodily injury" or "property damage" expected or intended from the standpoint
of the insured. This exclusion does not apply to "bodily injury" or 'property
damage" resulting from the use of reasonable force to protect persons or
property.
X. CONTRACTUAL LIABILITY - RAILROADS
Only with respect to lit operations performed within 50 feet of railroad property and (ii) for
which a Railroad Protective Liability Policy in the name of the railroad has been provided,
then
A. SECTION V - DEFINITIONS, Paragraph 9, is deleted in its entirety and replaced with the
following:
9. "Insured Contract" means:
a. A contract for a lease of premises. However, that portion of the contract for a
lease of premises that indemnifies any person or organization for damage by fire
to premises while rented to you or temporarily occupied by you with permission
of the owner is not an "insured contract";
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in
connection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business
(including an indemnification of a municipality in connection with work
performed for a municipality) under which you assume the tort liability of
another party to pay for "bodily injury" or "property damage" to a third person
or organization. Tort liability means a liability that would be imposed by law in
the absence of any contract or agreement.
Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage
arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop
drawings, opinions, reports, surveys, field orders, change orders or
drawings and specifications; or
100983 (2f09) Page 5 of 7
(b) Giving directions or instructions, or failing to give them, if that is the
primary cause of the injury or damage; or
(2) Under which the insured, if an architect, engineer or surveyor, assumes
liability for an injury or damage arising out of the insured's rendering or
failure to render professional services, including those listed in Paragraph (1)
above and supervisory, inspection, architectural or engineering activities; and
B. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. - Other Insurance,
b. Excess Insurance, (1) (a), is amended to include the following:
(v) That is a Railroad Protective Insurance Policy or similar coverage.
XI, COVERAGE FOR YOUR SUPERVISORY OR MANAGERIAL EMPLOYEES RELATING TO CO-
EMPLOYEE INJURIES
SECTION II -WHO IS AN INSURED, 2.a. (1), (a) and (bl are clarified to hold that:
Your supervisory or managerial "employees" are insureds for "bodily injury" to "co-
employees" while in the course of their employment or performing duties related to the
conduct of your business if claims or suits arise out of liability assumed by an insured
under an "insured contract" as provided by SECTION I - COVERAGES, COVERAGE A
BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, e. Employer's
Liability.
MI. WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 8. - Transfer of Rights
of Recovery Against Others To Us, is amended by the addition of the following:
We waive any right of recovery we may have against any person or organization
pursuant to applicable written contract or agreement you enter into because of
payments we make for injury or damage arlsing out of your ongoing operations or
"your work" done under a contract with that person or organization and included in
the "products-completed operations hazard".
XIII. AMENDMENT OF OTHER INSURANCE
A. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4.- Other Insurance, b.
- Excess Insurance, (1), is amended to include the following:
This insurance shall not be excess where (i) such other insurance is specifically
purchased to apply as excess of this policy, or (ii) where you are obligated by
contract to provide primary insurance to an additional insured, unless there is other
additional insurance coverage available to that additional insured. `
B. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4.- Other Insurance, b.
- Excess Insurance, (2), is deleted in Its entirety and replaced with the following:
When this insurance is excess, we will have no duty under Coverages A or B to
defend any claim or "suit" that any other insurer has a duty to defend. If no other
insurer defends, we will undertake to do so, but we will be entitled to the insured's
rights against all those other insurers.
XIV. AMENDMENT AGGREGATE LIMITS PER PROJECT
A. For all sums which the insured becomes legally obligated to pay as damages caused by
"occurrences" under COVERAGE A (SECTION 1), offense under COVERAGE B (SECTION
1) and for all medical expenses caused by accidents under COVERAGE C (SECTION 1),
which can be attributed only to ongoing operations at a single designated construction
project:
100983 (2/09) Page 6 of 7
I. A separate Per Construction Project General Aggregate Limit applies to each
construction project, and that limit is equal to the amount of the General
Aggregate Limit shown in the Declarations.
2. The Per Construction Project General Aggregate Limit is the most we will pay for
the sum of 0) all damages under COVERAGE A, except damages because of
"bodily injury" or "property damage" included in the "products-completed
operations hazard", (ii) all damages under COVERAGE B and (iii) all medical
expenses under COVERAGE C regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits".
3. Any payments made under COVERAGE A or B for damages or under COVERAGE
C for medical expenses shall reduce the Per Construction Project General
Aggregate Limit for that construction project. Such payments shall not reduce
the General Aggregate Limit shown in the Declarations nor shall they reduce any
other Per Construction Project General Aggregate Limit for any other
construction project covered under this policy.
4. The limits shown in the Declarations for Each Occurrence, Fire Damage and
Medical Expense continue to apply. However, instead of being subject to the
General Aggregate Limit shown in the Declarations, such limits will be subject to
the applicable Per Construction Project General Aggregate Limit.
B. For all sums which the insured becomes legally obligated to pay as damages caused by
"occurrences" under COVERAGE A (SECTION 1), offenses under COVERAGE B
(SECTION 11 and for all medical expenses caused by accidents under COVERAGE C
(SECTION 1), which cannot be attributed only to ongoing operations at a single
construction project:
1. Any payments made under COVERAGE A or B for damages or under COVERAGE
C for medical expenses shall reduce the amount available under the General
Aggregate Limit or the Products-Completed Operations Aggregate Limit,
whichever is applicable; and
2. Such payments shall not reduce any Construction Project General Aggregate
Limit.
C. When coverage for liability arising out of the "products-completed operations hazard" is
provided, any payments for damages because of "bodily injury" or "property damage"
included in the "products-completed operations hazard" will reduce the Products-
Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor
the Construction Project General Aggregate Limit.
D. If the applicable construction project has been abandoned, delayed, or abandoned and
then restarted, or if the authorized contracting parties deviate from plans, blueprints,
designs, specifications or timetables, the project will still be deemed to be the same
construction project.
E. The provisions of Limits of Insurance (SECTION 111) not otherwise modified by this
endorsement shall continue to apply as stipulated.
100983 (2/09) Page 7 of 7
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M. 10/01/2017 forms a part of
Policy No. GL 746-87-16
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of
premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2, the First Named Insured is under an existing contractual obligation to notify a
certificate holder when this policy is canceled (hereinafter, the "Certificate
Holder(s)") and has provided to the Insurer, either directly or through its broker of
record, the email address of a contact at each such entity; and
3. the Insurer received this information after the First Named Insured receives
notice of cancellation of this policy and prior to this policy's cancellation effective
date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such
Certificate Holders within f 30 1 days after the First Named Insured provides such information
to the Insurer; provided, however, that if a specific number of days is not stated above, then
the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after
the First Named Insured provides such information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named
Insured, will serve as proof that the Insurer has fully satisfied its obligations under this
endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shall this endorsement invest any
rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page of this
policy.
2. Insurer means the insurance company shown in the header on the Declarations page of
this policy.
All other terms, conditions and exclusions shall remain the same.
107414 (03/11)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M. 10/01/2017 forms a part of
Policy No. CA 428-80-55
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of
premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the First Named Insured is under an existing contractual obligation to notify a
certificate holder when this policy is canceled (hereinafter, the "Certificate
Holder(s)") and has provided to the Insurer, either directly or through its broker of
record, the email address of a contact at each such entity; and
3. the Insurer received this information after the First Named Insured receives
notice of cancellation of this policy and prior to this policy's cancellation effective
date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such
Certificate Holders within f 30 1 days after the First Named Insured provides such information
to the Insurer; provided, however, that if a specific number of days is not stated above, then
the Advice will be provided to such Certificate Holders) as soon as reasonably practicable after
the First Named Insured provides such information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named
Insured, will serve as proof that the Insurer has fully satisfied its obligations under this
endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shall this endorsement invest any
rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page of this
policy.
2. Insurer means the insurance company shown in the header on the Declarations page of
this policy.
All other terms, conditions and exclusions shall remain the same.
107414 (03/11)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement changes the policy to which it Is attached effective on the inception date of the policy unless a different
date is indicated below.
(The following"attaching clause" need be completed only when this endorsement is Issued subsequent to preparation of the policy).
This endorsement, effective 12:01 AM 1010112017 forms a part of Policy No. We 014-62-9496
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE NAMED INSURED
(WORKERS' COMPENSATION ONLY)
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an
existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the
"Certificate Holder(s)') and the Named Insured has provided to the Insurer, either directly or through its
broker of record, the email address of a contact at each such entity; and
3, the Insurer received this information after the Named Insured receives notice of cancellation of this policy and
prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 3o days
after the Named Insured provides such Information to the Insurer; provided, however, that if a specific number of days
is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable
after the Named Insured provides such information to the Insurer_
Proof of the Insurer entailing the Advice, using the Information provided by the First Named Insured, will serve as
proof that the Insurer has fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or
the effective date thereof, nor shall this endorsement Invest any rights in any entity not insured under this policy.
The following definitions apply to this endorsement:
1. Named Insured means the insured first named employer In Item 1 of the Information Page of this policy.
2- Insurer means the insurance company shown in the header on the Information Page of this policy.
All other terms, conditions and exclusions shall remain the same.
AUTHORIZED REPRESENTATIVE
WC 99 00 56
(Ed. 04111)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different
date is indicated below.
(The following"attaching clause" need he completed only when this endorsement Is Issued subsequent to preparation of the policy).
This endorsement, effective 12:01 AM 1010112017 forms a part of Policy No. we 014-62-9497
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE NAMED INSURED
(WORKERS' COMPENSATION ONLY)
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an
existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the
"Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its
broker of record, the email address of a contact at each such entity; and
3. the Insurer received this information after the Named Insured receives notice of cancellation of this policy and
prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days
after the Named Insured provides such Information to the Insurer; provided, however, that if a specific number of days
is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable
after the Named Insured provides such information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as
proof that the Insurer has fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or
the effective dale thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.
The following definitions apply to this endorsement:
1. Named Insured means the insured first named employer in Item 1 of the Information Page of this policy..
2. Insurer means the insurance company shown in the header on the Information Page of this policy,.
All other terms, conditions and exclusions shall remain the same.
110,
AUTHORIZED REPRESENTATIVE
WC 99 00 56
(Ed. 04111)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement changes the policy to which it Is attached effective on the inception date of the policy unless a different
date is indicated below.
(The following"attaching clause" need be complated only when this endorsement Is issued subsequent to preparation of the policy)..
This endorsement, effective 12:01 AM 10/01/2017 forms a part of Policy No. we 014-62-9498
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE NAMED INSURED
(WORKERS' COMPENSATION ONLY)
This policy is amended as follows,
In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an
existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the
"Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its
broker of record, the email address of a contact at each such entity; and
3. the Insurer received this information after the Named Insured receives notice of cancellation of this policy and
prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within30 days
after the Named Insured provides such Information to the Insurer; provided, however, that if a specific number of days
is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable
after the Named Insured provides such Information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as
proof that the Insurer has fully satisfied Its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or
the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.
The following definitions apply to this endorsement:
1. Named Insured means the insured first named employer in Item 1 of the Information Page of this policy.
2. Insurer means the insurance company shown in the header on the Information Page of this policy.
All other terms, conditions and exclusions shall remain the same.
AUTHORIZED REPRESENTATIVE
WC 99 00 56
(Ed. 04111)
ENDORSEMENT
This endorsement, effective 12:01 AM 10/01/2017
Forms a part of policy no.: 028182375
Issued to: TETRA TECH, INC., ET AL
By:LEXINGTON INSURANCE COMPANY
ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED LIMITED
TO E-MAIL NOTIFICATION
This policy is amended as follows::
In the event that the Insurer cancels this policy for any reason other than non payment of premium, and
1. The cancellation effective date is prior to this policy's expiration date;
2. The First Named Insured is under an existing contractual obligation to notify a certificate
holder when this policy is canceled (hereinafter, the "Certificate Holders)"); and has
provided to the Insurer, either directly or through its broker of record, the email address of
the contact at such entity,
and the Insurer received this information after the First Named Insured receives notice of
cancellation of this policy and prior to this policy's cancellafion effective date, via an electronic
spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to such Certificate Holders.
Proof of the Insurer emalling the Advice, using the information provided by the First Named Insured,
will serve as proof thatthe Insurer has fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of
this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not
insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page of this
policy.
2. Insurer means the insurance company shown in the header on the Declarations Page of this
policy.
All other terms, conditions and exclusions shall remain the same.
LX896D(06/13) Page 1 of 1