Loading...
HomeMy WebLinkAboutPW18-059 - Amendment - #1 - Altus Traffic Management, LLC - S 224th St Project Traffic Control Plan - 12/18/2018 �..-!ENT Records Management Document CONTRACT COVER SHEET 12/ This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. Ali portions are to be completed, If you have questions, please contact the City Clerk's Office at 253-856-5725. Vendor Name: Altus Traffic Management, LLC Vendor Number (JDE): Contract Number (City Clerk): 19W 17 Q rZ - (Kj L Category: Contract Agreement Sub-Category (if applicable): Amendment Project Name: S. 224th St. Project - S. 218th St. from 88th Ave. to 94th PI. Contract Execution Date: 12/18/18 Termination Date: 12/31/19 Steve Lincoln PW: Engineering Contract Manager: Department: Contract Amount: $0 Budgeted: 1✓ Grant? Part of NEW Budget: Local: 1-1 State: ❑ Federal: ❑ Related to a New Position: Basis for Selection of Contractor? Other Approval Authority: 0✓ Director Mayor ❑ City Council Other Details: Extend the time of completion to December 31 , 2019 and continue to prepare traffic control plans for the project. • KENT WASHINGTON AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: Altus Traffic Management LLC CONTRACT NAME & PROJECT NUMBER: S. 224th St. Project - S. 218th St from 88th Ave. to 94th PI. ORIGINAL AGREEMENT DATE: February 12, 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: The scope of work remains the same, however an amendment is needed to extend the time of completion to December 31, 2019 due to the project has been delayed for permitting and additional traffic control sheets may be required. 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, $8,000.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $8,000.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $8,000.00 AMENDMENT - 1 OF 2 Original Time for Completion 1213t/18 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'l Days Required (±) for this 365 calendar days Amendment Revised Time for Completion 12/31/19 (insert date) I 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 mature 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 Officg 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 (i[ any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified a~^ affirmed, and the terms of the Agreement, previous Amendments (|fany\, and this /\rn�-dnn-- sha\| bedeernedto have applied. ' ' Amendment 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 0 ENT: A_.. tj�j A-e.'&5 Its Public Works Director ATTEST: APPROVED AS TO FORM: &� 4 (applicable if Mayor's signature required) Kent City Clerk Kent Law Department Allul-u4-^md.m�tn AMENDMENT ' 2 OF 2 / 1 ALTUSTRAI ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/8/2018 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(ies) 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 endorsement(s). PRODUCER UUNTACr Joel Henderson Commercial Lines-(972)737-6200 NAME: PHONE 972-737-6224 (FAX AIC 610-537-2046 USI Insurance Services National,Inc. E-MAIL ac No: ADDRESS: joel.henderson@usi.com 5151 Belt Line Road,Suite 200 INSURER(S)AFFORDING COVERAGE NAIC A Dallas,TX 75254 INSURER A: National Fire and Marine Insurance Co 20079 INSURED INSURER B Altus Traffic Management LLC --- — - --- 511 Compton Avenue INSURER C: INSURER D: INSURER E: Irving TX 75061 INSURER F: COVERAGES CERTIFICATE NUMBER: 13657422 REVISION NUMBER: See below 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 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. IN SR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCEINSD POLICY NUMBER MM/OD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 42-GLO-303787-02 8/1/2018 8/1/2019 EACHOCCURRENCE S 1,000,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) S 100,000 X Stop Gap MEO EXP(Any one person) S PERSONAL&ADV INJURY S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER:PRO- GENERAL AGGREGATE S 2,000,000 POLICY II ECT D LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident S S A X UMBRELLA LIAB X OCCUR 42-UMO-303786-02 8/1/2018 8/1/2019 EACH OCCURRENCE S 10,000,000 EXCESS LIAB CLAIMS-MADE DED X RETENTIONS 10,000 AGGREGATE S 10,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDE5 ❑ N I A E.L.EACH ACCIDENT S (Mandatory in NH) If es,describe under E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is named as additional insured as it relates to general liability in accordance with the terms and conditions of the policy. Umbrella follows form as it relates to additional insureds. The above coverage is primary and noncontributory where required by written contract. CERTIFICATE HOLDER CANCELLATION City Of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 220 Fourth Avenue South THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kent,WA 98032 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9e_ ,� ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. (Tha unificale ra,ia carol ter 13 275<--on 10/10/N/8) Berkshire Hathaway Specialty Insurance ENDORSEMENT This endorsement, effective 12:01AM: 08/01/2018 Forms a part of Policy No.: 42-GLO-303787-02 Issued to: Altus Traffic Management LLC By: National Fire & Marine Insurance Company 21 2S�aA�. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any such person or organization but only to the extent N/A required by a written contract executed prior to the "occurrence" or offense. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II—Who Is An Insured is amended to However: include as an additional insured the person(s)or organization(s)shown in the Schedule, but only with 1. The insurance afforded to such additional respect to liability for"bodily injury" or"property Insured only applies to the extent permitted by damage" caused, in whole or in art law;and p by"your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". Page 1 1 CG 20 37 04 13 © Insurance Services Office, Inc., 2012 2. If coverage provided to the additional insured is B. With respect to the insurance afforded to these required by a contract or agreement,the additional insureds,the following is added to insurance afforded to such additional insured Section III—Limits Of Insurance: will not be broader than that which you are required by the contract or agreement to If coverage provided to the additional insured is provide for such additional insured. required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. Page 2 1 CG 20 37 04 13 © Insurance Services Office, Inc., 2012 AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/14/2018 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(ies)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 endorsement(s). PRODUCER CONNAME.. John Kil arriff/Me han Sokolowski The Graham Company PHONE The Graham Building a No x :215-701-5325 a/c No:215-599-9936 1 Penn Square S West E-MAIL q ADDRESS: Kil arriff Unit rahamco.com Philadelphia PA 19102 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Starr Indemnity&Liability Company 38318 INSURED ALTUTRA-01 INSURER B: Altus Traffic Management LLC 511 Compton Avenue INSURER C: Irving, TX 75061- INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:971142732 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 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. INSR ADDL UBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR A A R N D PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: A AUTOMOBILE LIABILITY Y Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) It yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more space is required) City of Kent is the additional insured on the above Auto Liability Policy if required by written contract. Coverage provided to the additional insured shall apply on a Primary/Non-Contributory Basis on the above Auto Liability policy if required by written contract. Prior to loss,and if required by written contract,Waiver of Subrogation is provided on Auto Liability Policy for work performed under contract if permissible by state law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South Kent WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: 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 by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Altus Traffic Management LLC Endorsement Effective Date: 8/1/2018 SCHEDULE Insurance Company: Starr Indemnity & Liability Company Policy Number: 1000198588181 Effective Date: 8/1/2018 Expiration Date: 8/1/2019 Named Insured: Altus Traffic Management LLC Address: 511 Compton Avenue Irving, TX 75061 Additional Insured Lessor): Where required by written contract Address: Where required by written contract Designation Or Description Of"Leased Autos": Where required by written contract CA 20 01 10 13 9 Insurance Services Office, Inc.. 2011 Page 1 of 2 Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Actual Cash Value Or Cost Of Repair,Whichever Is Less, Minus Comprehensive $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Collision $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Specified Causes Of Loss $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 2. The insurance covers the interest of the lessor 1. Any 'leased auto" designated or described in unless the "loss" results from fraudulent acts or the Schedule will be considered a covered omissions on your part. "auto" you own and not a covered "auto" you 3. If we make any payment to the lessor, we will hire or borrow. obtain his or her rights against any other party. 2. For a 'leased auto" designated or described in C. Cancellation the Schedule, the Who Is An Insured 1. If we cancel the policy, we will mail notice to provision under Covered Autos Liability the lessor in accordance with the Cancellation Coverage is changed to include as an Common Policy Condition. "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for 2. If you cancel the policy, we will mail notice to "bodily injury" or "property damage" resulting the lessor. from the acts or omissions by: 3. Cancellation ends this agreement. a. You; D. The lessor is not liable for payment of your b. Any of your"employees"or agents; or premiums. c. Any person, except the lessor or any E. Additional Definition "employee" or agent of the lessor, operating As used in this endorsement: a 'leased auto" with the permission of any "Leased auto" means an "auto" leased or rented to of the above. you, including any substitute, replacement or extra 3. The coverages provided under this "auto" needed to meet seasonal or other needs, endorsement apply to any "leased auto" under a leasing or rental agreement that requires described in the Schedule until the expiration you to provide direct primary insurance for the date shown in the Schedule, or when the lessor lessor. or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for"loss" to a "leased auto". Page 2 of 2 © Insurance Services Office, Inc., 2011 CA 20 01 10 13 POLICY NUMBER: 1000198588181 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: 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 by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Altus Traffic Management LLC Endorsement Effective Date: 8/1/2018 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1