Loading...
HomeMy WebLinkAboutPW18-134 - Amendment - #2 - Traffic Control Plan Co. of Washington, LLC - James St Concrete Pavement Project - 12/20/2018 Records Management Document CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. All portions are to be completed. If you have questions, please contact the City Clerk's Office at 253-656-5725. Vendor Name: Traffic Control Plan Co. of Washington, LLC Vendor Number (JDE): Contract Number (City Clerk): P\Nla- 1�H - 007z Category: Contract Agreement Sub-Category (if applicable): Amendment Project Name: S. 212th St. Bridge Deck Resurface 12/20/18 Contract Execution Date: Termination Date: PW: Engineering Contract Manager: Drew Holcomb Department: g g Contract Amount: "Do Budgeted: FV_1 Grant? Part of NEW Budget: Local: L1 State: ❑ Federal: El Related to a New Position: 1-1 Basis for Selection of Contractor? Other Approval Authority: � Director F1 Mayor City Council Other Details: Extend the time of completion to De ember 31, 2019 and continue to . ---........... prepare traffic control plans for the S. 212th St. Brtdrde Deck Resurface project �...�" KENT AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: Traffic Control Plan Co of Washington, LLC CONTRACT NAME & PROJECT NUMBER: James Street Concrete Pavement, O' Av . gnd Meeker St and S. 2-1 2th C+ R.:.Igg Deck Racl—f— ORIGINAL AGREEMENT DATE: March 29 2018 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: Services for the James Street Concrete Pavement and 4th Ave. and Meeker Street projects are complete, however traffic control plans for the S. 2121h St. Bridge Deck Resurface project may be necessary, since the project will bid 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: __....... _..... .. _ ............. -- Original Contract Sum, $111,500.00 including applicable WSST �.- ............ _.....—---------- _._._...._.... __.._ ..........� Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $10,500.00 including all previous amendments _..... �..__......- .............�....._._�_ .- .....____... Current Amendment Sum $0 —..............._ — _.. —..... ........ �..-..._—. Applicable WSST Tax on this $0 Amendment �_.._. ..... �....._-.- ...m..... — __........_...—..m.........., Revised Contract Sum $11),500.00 AMENDMENT - 1 OF 2 | . ^' I Original Time tor Completion Onsert dace) Prior Amerdq,ent,, Add] Days Requ//eu (:~ or Cris�---6-------�--�----- -- '-- - -- | clays | ' Kevised orCu-- ! �--------�------- � //n / TQ [or`,&a7r nr Vendor sccapjS s|/ reGu|rernenn of :tis /,00e��ro��t hy vjr�ng �e�ow, oy .cs s natore waves &-y rrn[*sJ o' coin 11 clay have raJzrdini this Aroend7a^�, in-, acknne|edyes and accepts that this Amendment constitutes full payment and final settlement of ad c|a/ms m sny kind o/ na,,urc from nr a-y -':rk c affecLedhy thuoArneodrncnt/ |rdodiog, wMAA—Vation, c!air~sre|oted tu7o-t,act �!r,c, coxUacL acce�wrai|on/ unske ur hu[ne ufhce overhaa,G/ o�� !ust prnfits. This 8nrendn/cnt, un�e�s otherwise provided, does not rdicvo the Consultant ur Vendor from strict compliance with the je� an] p-svbans of ths All acts consistent w|[h inc authnrRy of the Agreement, previous /\nocndrncnts (if any)/ affirmed, and the terms of the Agreement, provioos Amendments (if any), and Lhis Amendment sha|! hedeecncctn havcap:|icU The Parties whose names appear below swcar urder oena|ty o" ochory that they *re a.Oku/|zao 'u eose- oron"Is A/nco�r:e��, m,125 a Szu.ng oxz-* oarTab o" :h�: cnnnoc_ T. NN/vlr���GS, tM� porfie� livv "vnexeryted v,il'irhvviU become effective onthe last date written below. __ --' - - -- - - - --- - | CONSULTANT/\/ENDC)R: CITY OF-----ENT: - � -------------�---����—1 |� c/ � | ~/ ux/ c DATE n^ ^ IS ^ MJVEDAST0 �{)��4� -- � | - '��--- � �coru� Clerk � keotLuvv Oepa/iroent � | � | ^' AMENDMCP,T 2OF2 A Rn CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYIYY) 0 911 7/2 01 8 TH15 CERTIFICATE. I$ ISBUED AS A MATTER OF I',NF'ORMATIS➢N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS jR71FICATE DO£8 NOT AFFIRMATIVELN OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SLOW. THtlS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the oertlflca[e holder Is an ADD7710NAL INSURED, [he policy(ies) must ha 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 peu of such endorsemant(s).. PRODUCER OONTACT NAME; PHONE . .. .... .. I _... , ..... IAIG�Nw,EXSh. Nationwide Sales Solutions Inc E�MAaL — aoDRE$s; p DES LOCUST ST "„"IN$UR6R(5f FlFi ORDINB COVERAGE I'_ NAYCA DES MOINES -- IA 50391 2010 INsuRERA DEPOSITORS INSURANCE COMPANY 42587 INSURED .. .... ....— INSURERS .. _... INSURER C ...........,.mm ....... TRAFFIC CONTROL PLAN CO. OF WASHINGTON, LLC _- """"' ....' INSURER O .E . . .. ............� 133942ND ST NE INeuRERE�. -- AUBURN WA 98001-7036 wsURER F: COVERAGES CERTIFICATE NUMBER: 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 VVITH 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. LIMI FS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSA .... .___..,., _PAh'dL.SdBR ...... _.....,, __...._ LrR �/ TYPE OF INSURANCE I+Oh.ICY NUMBER MOp YYYY INpI ICY tlD'YII' LIMITS X COMMERCIALGENERALLIABILITY AC IIf�Crry1RIaF.NCL 5 2000000 M MADE � OCCUR OANAA4'f 7dti RENJ$'�t$ " PRI:MISEE Jr.urwnpnce,L $ 100,000 GLAI MED FxP tNly aaa Pur.nllL,,,, S 5000 A X ACP GLDC 3008459207 09/25/2018 09/25/2019 PERSONALBAnv INJURY s 2.000000 GEN'L AGGREGATE LIMIT APPLIES'PER GENERAL ACGREG0.TE IPRCy, r— g 4,000,000 , Poucv CJ JECIF JLoc IPODUCTE-C.OMPOPA(X, s 4,000,000 !AUTOMOBILE LIABILITY G MNNED51NCRELIM11 $ ALL AUTO BODY LY INJ URV(Per persaul S ALLUWNEO SCHEDULED dha ara:Ipnn 2 AUTOS' _ AUTOS BODILY INJURY (Per acutlent7 S HIREDAUTOS NON-OWNED AUTOS PRG pi!R fYLUYM NC C "".. tNpp dCC,UknIiL $ UMBRELLA GAB OCCUR EXCESS LIAB . CLAIMS MANE. JP t'l2PGA I'E" LED RETENTIONS .. .. ......,. WORKERS COMPENSATION S AND EMPLOYERS LIABILITY Prrt f7fH ANYPROFF M EMIR7NURINXE"UTA/E NIA E EACHA E ER /N S1A1U CCIDENr CMandMdry In NHI - If yydy,dksctlptN under EL OISFASE E!EMNE QVEE S ID£if ION OF OPERATIONS hi EL OISEPSE PfOLIG1I LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES ACORD 101,Additi.1.1Remark.S<h.ftle,may he..shed If more space la requlredl Certificate holder is additional insured on form CG7288. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. =VVGowe DanielLynch Daniel Lynch WA 98032 ©1988-2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 72 88 12 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Lost Key Coverage C. Non-Owned Watercraft I. Under Section 1 - Coverages, Coverage A Under Section I - Coverages, Coverage A Bodily Injury And Property Damage Bodily Injury And Property Damage Llabllity, Liability„ coverage is extended to include 2. Exclusions Exclusion g. Aircraft, Auto Or the following Watercraft Paragraph (2)(a) is replaced with If a customer's masher or grand key„ (a) Less than 51 feet long and excluding electronic key card, is lost, D. Expanded Property Damage Coverage damaged or stolen whafe in your care.. custody or control we will pay the cost of 1. For the purposes of this endorsement only: replacing the keys, including the master lock Section I - Coverages, Coverage A and all keys used in the same lock, the cost Bodily Injury And Property Damage of adjusting locks to accept the new keys, or Liability, 2. Exclusions„ Exclusion j, the cost to replace the locks, whichever is Damage To Property is amended as less. follows: 2. Limit of Insurance - For the purpose of this a. Paragraphs (3), (5), and (6) are deleted coverage, the most we will pay is $10,000 in their entirely. per "occurrence". b. Paragraph (4) is deleted in its entirety B. Voluntary Property Damage and replaced with 1. Under Section I - Coverages, Coverage A (4) Personal property in the care Bodily Injury And Property Damage Liabiiity; custody, or control of the insured: coverage is extended to induce the following: (a) For storage or sale at premises At your request, we will pay for "properly you own, rent or occupy, or damage" to property of others caused by you (b) While being transported by any and while in your possession, arising out of your aircraft, "auto", or watercraft business operations and occurring during the owned or operated by or rented Policy pew. to or loaned to any insured. 2. Limit of Insurance - For the purpose of this C. The coverage provided by this coverage the most we will pay is $1,500 per endorsement does not apply to "bccurrence". "property damage" C. Non-Owned Watercraft (1) Arising out of the disappearance or Under Section I - Coverages, Coverage A loss of use of personal property; or Bodily Injury And Property Damage Liabti'hty, (2) Included in the "products-completed 2, Exciuslons Exclusion g. Aircraft, Auto Or operations hazard". Watercraft Paragraph (2) (a) is replaced with: (a) Less than 51 feet long; and CG 72 68 12 16 Includes cop yrighted material of Insurance Services Office, Inc., Page 1 of 5 with its permission, ACP GLD03009439207 LU9Z 17282 INSURED COPY 37 0000371 CG 72 88 12 16 2. Limit of Insurance - The most we will pay F. Supplementary Payments for loss arising out of any one "occurrence" Under Section I - Coverages, Supplementary is$5,000. Payments - Coverages A and B Paragraphs 3. Deductible - Our obligation to pay for a 1.b. and 1.d. are replaced with. covered loss applies only to the amount of b. Up to $2,500 for cost of bail bonds required loss in excess of$250 because of accidents or traffic law violations We will pay the deductible amount to effect arising out of the use of any vehicle to which settlement of any claim or "suit" and upon the Bodily Injury Liability Coverage applies, notification having been taken you shall We do not have to furnish these bonds. promptly reimburse us for the deductible as d. All reasonable expenses incurred by the has been paid by us. insured at our request to assist us in the This insurance is primary to any expanded investigation or defense of the claim or damage coverage provided by a separate "suit", including actual loss of earnings up to endorsement attached to this policy.. and it $500 a day because of time off from work. will supplant any deductible in said G. Newly Formed And Acquired Organizations endorsement. Under Section II - Who Is An Insured E. Damage To Premises Rented To You Paragraph 3.a. is replaced with, 1. Under Section I -Coverages, Coverage A a. Coverage under this provision is afforded Bodily Injury And Property Damage only until the 180t° day after you acquire or Liability, the last paragraph of 2. form the organization or the end of the policy Exclusions is replaced with: nerind whichever is earlier. If Damage To Premises Rented To You is H. Additional Insured - Automatic Status When net otherwise excluded, Exclusions c. Required In An Agreement Or Contract With through n. do not apply to damage by fire, You lightning, explosion, smoke. or sprinkler Section II - Who Is An Insured is amended to leakage to premises while rented to you or include: temporarily occupied by you with permission of the owner. A separate limit of insurance 4, Any person(s) or organizations) described applies to this coverage as described in in Paragraphs a. - d. below with whom you Section III- Limits Of Insurance, have agreed in writing in a contract or 2. Under Section III - Limits Of Insurance, written agreement that such person or Paragraph 6. is replaced with. organization be added as an additional insured on your policy during the policy 6. Subject to 5. above, the Damage To period shown in the Declarations. Premises Rented To You Limit is the The person or organization added as an most we will pay under coverage A for damages because of "property damage" insured by this endorsement is an insured to any one premises, while rented to only for liability due to: you, or in the case of damage by fire, a. Lessors of Leased Equipment with lightning, explosion, smoke or sprinkler respect to their liability for "bodily injury", leakage, while rented to you or "property damage", or "personal and temporarily ocr_.upied by ,you with advertising injury", caused in whale or in permission of the owner. The limit is part by your maintenance, operation or increased to $1,ON,000. use of equipment leased to you by such 3. Under Section IV - Commercial General person(s) or organization(s). This Liability Conditions, Condition 4. Other insurance does not apply to any Insurance, b. Excess Insurance (1) (a) (it) occurrence" which lakes place after the s replaced wilPi lease expires. (if) Thai is Fire, Lightning, Explosion, However, their status as additional Smoke, or Sprinkler leakage insured under this policy ends when insurance for premises rented to their lease, contract, or agreement with you or temporarily occupied by you you for such leased equipment expires with permission of the owner_ Page 2 Of 5 Includes copyrighted materal of Insurance Services Office, Inc., CG 72 88 12 16 with its permission. ACP GLD03008459207 Li 17282 INSURED COPY 37 0000372 eAu CG 72 88 12 16 b. Managers or Lessors of Premises If Owners, Lessees, or Contractors with with respect to liability arising out of the respect to liability for "bodily injury", ownership, maintenance, or use of that "properlly damage", or "personal and part of the premises you own, rent, advertising injury" caused, in whole or in lease, or occupy. part by: This insurance does not apply to: (1) Your acts or omissions; or (1) Any 'occurrence" which takes place (2) The acts or omissions of those after you cease to be a tenant in acting on your behalf; that premises in the performance of your ongoing (2) Structural alterations, new con- operations performed for that struction or demolition operations additional insured, whether the work performed by or on behalf of the is performed by you or on your person or organization. behalf However, their status as additional The insurance does not apply to: insured under this policy ends when you cease to be a tenant of such premises (1) "Bodily injury", "property damage", or "personal and advertising injury" C. State or Political Subdivision — arising out of the rendering of or the Permits Relating to Premises with failure to render any professional respect to the following hazards for architectural, engineering, or survey which the state or political subdivision services, including: has issued a permit or authorization in a The connection with premises you own, rent preparing, approving, or or control and to which this insurance failing to prepare or approve applies: maps, shop drawings, opinions, reports, survey, field orders, (1) The existence, maintenance, repair, change orders, or drawings and construction, erection, or removal of specifications: or advertising signs, awnings,canopies, cellar entrances, coal (b) Supervisory, inspection, archi- holes, driveways, manholes, teotural, or engineering activ- marquees, hoist away openings, ities. sidewalk vaults, street banners, or (2) "Bodily injury" or "properly damage" decorations and similar exposures; occurring after: or (a) All work, including materials, (2) The construction, erection, or parts, or equipment furnished in removal of elevators, or connection with such work, on the project (other than service, The ownership, maintenance, or use of maintenance or repairs) to be any elevators covered by this insurance, performed by or on behalf of the This insurance does rot apply to: adalhional insured(s) at the (1) "Bodily injury" or "property damage" location of the covered or "personal or advertising injury' operations has been completed; arising out of operations performed or for the state or municipality; or (b) That portion of "your work" out (2) "Bodily injury" or "property damage" of which the injury or damage included within the "products- arises has been put to its completed operations hazard". intended use by any person or organization other than another However, such state or political contractor or subcontractor subdivision's status as additional engaged in performing insured under this policy ends when the operations for a principal as a permit ends, part of the same project. CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, Ina, Page 3 of 5 r with its permission. ACP GLD0 3 00 84 592 0 7 LU9Z 17282 INSURED COPY 37 0000373 VWekefield, Wend From: Christopher Grose <chris@trafficcontrolplan.net> Sent: Thursday, December 14, 2017 4:14 PM -fc: Wakefield, Wendy Subject: RE: Your Nationwide Commercial Insurance Attachments: image001.emz; Contractor's Enhancement.pdf Wendy- Attached is the CG7288 form. If this is not what you need, let me know and I will call my agent. Below is an email& link pertaining to the L& I requirements for the State of Washington. As a sole proprietor, I am not required to carry Workman's Compensation. I received this reply on 6/16/17 from Lila Allenton. See below between red brackets. (Hello Chris, Below is a link to Labor and Industries Limited Liability Companies. rtt lwwrw Inl wa.eovdClnimsdnsLlnsurarrc COL earn C7oenlLlc.asp Ail managers who are also membeis m the LLC are excluded from coverage. Thankyou 1,ila 311lznton ggceount proUzzor TIzam I employ¢r S¢rvicies vr,pt of 1,abor and fndu*trigs ra�r??3;5,�Ini_wa�c7u p: 3so-9o2-�813] As for the Automobile insurance requirements....my business does not have any vehicles listed or registered as company assets. My work is done using phone & email. I do not visit anyjobsites nor do I provide labor, equipment or onsite job consults. Feel free to contact me with any other questions. Thank you. i