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HomeMy WebLinkAboutPW15-249 - Amendment - #4 - GeoEngineers, Inc. - East Valley Highway Metro Sewer Repair - 11/16/2018 A%L '-�KENT Records Management Document CONTRACT COVER SHEET Fh�5, is w he compl<Aeld by the Contract Manager 1.0 SL[birn�lsfli(.Hri lo the 0tV 0eN k's Cifi5ce,, � il porflw.tl afrr to k.m ct',mqAeted, If You have c,�,Onbictthc, CRy Uerk's Of[Hce at 253-856 5725,�, Vendor Name: GeoEngineers, Inc. Vendor Number (JDE): Contract Number (City Clerk): Category: Contract Agreement Sub-Category (if applicable): Amendment Project Name: East Valley Highway Metro Sewer Repair Contract Execution Date: 11/16/18 Termination Date: 12/31/19 Contract Manager: Ken Langholz Department: PW: Engineering Contract Amount: $0 Budgeted: Grant? Part of NEW Budget: E] Local: ❑ State: El Federal: F1 Related to a New Position: [7 Basis for Selection of Contractor? Bid: El RFP: ❑ Small Works Roster: EJ Quotes: F-1 Approval Authority: Director [_1 Mayor f-] City Council Other Details: Extend the_,ti'me of completion to December 31, 2019 because street re'Dair,,,,s, till needs to be completed„ ` K ICJ T AMENDMENT NO. 4 NAME OF CONSULTANT OR VENDOR: G oEngineerrs, Inc, CONTRACT NAME & PROJECT NUMBER: East Valley Highway Metro Sewer Repair ORIGINAL AGREEMENT DATE: July 21, 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: No change is necessary to the scope of work, however an amendment is needed to extend the time of completion to December 31, 2019. King County recently completed sewer repair work under East Valley Highway. Street repair still needs to be completed in 2019. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are modified as follows: .�............ __ ...... -m...... ..... Original Contract Sum, $34,575.00 including applicable WSST ._....... ............ _...... ......-- ..... _. Net Change by Previous Amendments $0 including applicable WSST - ........ _..........._......__...........__ .......... urrent Contract Amount $34,575.00 including all previous amendments Current Amendment Sum $0 ......._......... �.....—...._...... ._.... Applicable WSST Tax on this $0 Amendment Revised Contract Sum $34,575.00 AMENDMENT - 1 OF 2 ^ � . Original Time for Completion 12/31/15 � (insert date) prior Amendments (insert date) I ays Required for this 365 calendar days Amendment Revised Time for Completion 12/31/19 (in ser t 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 n9g3ndiUQ this Amendment, and acknowledges and accepts that this Amendment constitutes hVU 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, 8nsiheor home office 0verh9ad, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from 6th[1 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 /\noondrneOt/ 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 be|nm/ 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 KxeU«»wV have executed this Amendment, which will become effective on the last date written below. By: By Its u DATE: DATE: -�Zz APPROVED AS TO FO Kent City Clerk [Law Depa G."E~^^^" nnw"o"u°,,R2°.^°o./u.v^"* AMENDMENT 20F2 Client#: 326119 GEOENINC2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDoNY ) 5117l2018 THIS CERTIFICATE IS ISSUED AS AMATTER 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 3ELOW.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 ppliry(ies) must have ADDITIONAL INSURED provisions or be endorsed I 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 any rights to the certificate holder In lieu of such endorsament(s). PRODUCER NA E Please send all requests by USI Insurance Services NW PR "vrlgNe fax or email -- FAX Gig-362-8530 601 Union Street,Suite 1000 oaf No Ea1J .__ C t!trc wpp EAu M ' Seattle, WA 98101 .. ., ADDRESS usl.certrequeste'"I Com - .. ...---"-... .... —_.....--- INSURERIS)AFFOROINGCOVERAGE NAICM INSURER A.co„n II ,,,=,comPenr 35289 INSURED INSURER B GeoEngineers Inc " - --"- — INSURERC.ohluc nyl c P r 24074 17425 NE Union Hill Road,Suite 250 INSURER vauerr a =.„n=e ce , r " 20508 Redmond,WA 98052 .. -"pa ---. -- INSURER E:N,,Innel rw 1........co.of e.mo.d 20478 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, p�y—5EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 4.TRR ..... .._._.. AObL SUBRr,,. .. PO CCM""' FF WOLtCY�Xp ..... _...TYPE OFINSURANCE L>15rt WVA _ POLICY NUMBER j"MM�odAY YF tMMIDDIYYYY) LIMITS A X COMMERCIALGENERALLIABILITY X X 6023113030 D3131120118 03131/201 EPCHOCCqURRENCE $1,000,000 .....- .---.. CLAIMS-MADEI�--X� DccuR R,,�fM.I�iAaIk;SlB:aucuenvu) $500,poo X WA&ND Stop Gap MEDExP(Anpunepeis n7 s16000 i U-­111111. ......... PERSONAL& DVINJURY $1,00p,tlfl0 FiENL AGGREGATE LIMIT APPLIES PER GENERAL AGGR{(,.AYE s2,000,000, POLICY X] JECT l X_I LOU PRODUCTS COMPIOPAGG s2,000 000 ..... OTHER _ _ Sfop Gap/EL. $1 Ogp,ppp AUTOMOBILE LIABILITY -- X X 60231"17823 313112111 03131/201 �ETa we sii°Ib Ir+ceL p°MIT- $1 00p 000 ANY .Ac, OWNEDAUTO BODILY INJURY(Par p son) $ .• OWNED _ SCH BODILY X ONLY AUTOS INJURY(Per eccmenl) g HIRED HIRED _ NON OVNVED X AUTOS DNLv X�AUTOS ONLv PRORFN"I"A"MANAGE $ -. - ,Ir?or occoA_wnI) .. _ .. _ ..... _..__ .... ..... . ..._,...m._... ..,. A X urneRelLauae ., OCCUR X X 6071853368 313112018 03/31/201 Facrltar;L,trRREHrE _ $10,000,000 C EXCESS LIAB 17 GLPIMS MADE X X ECO1956592420 3/31/2018 03/31/201 AGGREGATE $10,0tl0,000 E ANDEMPLOYERS M LO RSf IABILiFurExEp,00p Y I N 604583 CA,U, EPL a _ .... X .S„ ........._. GUTIVE WORKERS COMPENSATION -- NYO�" 045839429 2p18 03131/201 XlSIACJTE f C N ID LA MO NC UT NY OR UT E L EACH ACcICLNi $1fpfl0,0pp OFFICEF-011MEMBER EXGLUU[0'E N 1 A (Mandatory NH) - X 6045838328 3/31! 018 03/311201 E L DISEASE EA EMPLOYE S1 p00 qq0 0Wes, IPTItnN nmder x ._,,, DFSCRkPT$C1N flF onLRATucarys IlSldW CA mci USL&H/MEL `incl WA �EL DISEO,,,E Poucv-IMl'T $1 000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) 0410.194-00-Blanket Consultants Services. City of Kent Is Additional Insured, Coverage is primary and non-contributory and waiver of subrogation applies as respects General Liability and Automobile Liability if required by written contract per attached endorsements. CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Department ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Avenue S. Kent, WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORO CORPORATION.All rights reserved. ACORD 25(2(16103} 1 of 1 The ACORD name and logo are registered marks of ACORD #S231209451M23015624 VNSZP CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: 1. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising Injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of" language, or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following; WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily Injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract;or a B. a higher limit of insurance than required by the written contract. a IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities;or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to Foal add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CN 75079XX�(7016) Policy No Cw 231130Jo Page 1 of 2 Endorsement No: a The Continental Insurance Co. Effective Date; 63/31/2018 Insured Name: GEOENGINEERS, INC, Copyright CNA All Rights Reserved Includes copyrighted motenel of Insurance Services Office,Inc.,with its permission. CNACNA71527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations -- _............... — ........... —,.____.m... __. ANY ?ERSON_ ANI Z OR. ORG �HTION, BUT ONLY IF YOU ARE REQUIRED BY CdRLr[F',N COIIRACT OR WRI"I'IFPQ AGREFOdFNT 7'0 NAKE THAT PERCON Of, ORGANI`/,ALIGN AN ADDC'TIONAL INSURED UNDER '1'HLS POLICY. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II — LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" Icr which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. s� Rem Page 1 of 2 1XX 10/1 ._ Policy No: g Endorsement No: Insured Name: GE'OENGINEERs, INC. Effective Date: 03/31/2018 Copyright CNA All Rights Reserved. Terra Insurance Company TERRA (A Risk Retention Group) , Two Fifer Avenue, Suite 100 INSURANCE"COMPANY Corte Madera, CA 94925 DATE 02/02/I8 CERTIFICATE OF INSURANCE CERTIFICATE HOLDER City of Kent Attn: Nancy Yoshitake 220 Fourth Avenue South Kent, Washington 98032 This certifies that the"claims made"insurance policy(described below by policy number)written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and is issued as a matter of information only,and confers no rights upon the certificate holder. This certificate does not alter, amend or extend the coverage afforded by this policy. The policy of insurance listed below has 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 policy described herein is subject to A the terms,exclusions and conditions of such policy. Aggregate limits shown may have been reduced by paid claims. TYPE OF INSURANCE Professional Liability POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 218019 01/01/18 12/31/18 LIMITS OF LIABILITY $3,000,000 EACH CLAIM $3,000,000 ANNUAL AGGREGATE PROJECT DESCRIPTION East Valley Highway Metro Sewer Repair, Kent, Washington. GeoEngineers No. 0410-151-03 CANCELLATION: If the described policy is cancelled by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30)days in advance,or ten (W) days in advance for non-payment of premium. If the described policy is cancelled by the insured before its expiration date, the Company will mail written notice to the certificate holder within thirty (30)days of the notice to the Company from the insured. ISSUING COMPANY: NAME AND ADDRESS OF INSURED TERRA INSURANCE COMPANY GeoEngineers, Inc, (A Risk Retention Group) NE Union Hill Road, Ste 250 Redmond, WA 98052 President Verify Workers' Comp Premium Status - Employer Liability Certificate Page I of 1 Washington State Department of Employer Liability Labor and Industries Certificate 1. .p1r t,�wa w.0�, Department of Labor and Industries Employer Liability Certificate Date: 02/02/2018 IJBI #: 600 375 010 Legal Business Name: Account#: 429,351-00 'Doing Business As' Name: GEOENGINEERS INC Estimated Workers Reported: Quarter 4 of Year 2017 "Greater than 100 Workers" (See Description Below) Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes License: GEOENI*110JE Expire Date: 5/9/2019 Account Representative: T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235Ccf,lni.wa.gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be rifted by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 5 1 .12.050_and 5I.16,190 ). https://fortress.wa.gov/lni/crpsi/Acet[nfoPrint.aspx?Accountld-42935I00&AecountManage... 2/2/2018