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PW18-398 - Amendment - #2 - Wood Environ. & Infrastructure Solutions - S 224th St Project - Sediment Sampling & Analysis - 01/09/2019
`--''ENT Records Management Document CONTRACT COVER SHEET This is to be completed y the Contract Manager prior to submission tot e City Clerk's Office, All portions are to be completed. f you have questions, please contact the City Clerk's {office at 253-855- 5., Vendor Name: Wood Environment & Infrastructure Solutions, Inc. Vendor Number (7DE): Contract Number (City Clerk): pVv1� - ?j�$ ' Q0 Z, ell Category: -Contract Agreement Sub-Category (if applicable): Amendment 2 Project Name: S. 224th Street Project Contract Execution Date: 1/9/19 Termination Date: 12/31/19 Thomas Leyrer PW: Engineering Contract Manager: Department: g g Contract Amount: 2,590.00 Budgeted: Grant? Part of NEW Budget: 11 Local: ❑ State: F Federal: Related to a New Position: Basis for Selection of Contractor? Other Approval Authority: W— Director Mayor City Council Other Details: Perform storm water sampling and analysis in two catch basins on S. 216th St. north of the Hytek property. • KENT WASHINGTON AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: Wood Environment & Infrastructure Solutions Inc CONTRACT NAME & PROJECT NUMBER: S. 2241h Street Project ORIGINAL AGREEMENT DATE: October 11, 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: Perform storm water sampling and analysis in two catch basins on S. 2161h Street north of the Hytek property. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. 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, $8,910.00 including applicable WSST Net Change by Previous Amendments $9,480.00 including applicable WSST Current Contract Amount $18,390.00 including all previous amendments Current Amendment Sum $2,590.00 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $20,980.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/18 (insert date) Revised Time for Completion under 12/31/19 prior Amendments (insert date) Add'I Days Required (t) for this 0 calendar days Amendment Revised Time for Completion 12/31/19 (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: (signature) (A nature) Print Name: Kathleen Goodman, LG., LHg., RG. Print Name: Carla Maloney P.E. Its Principal Hydrogeologist Its Design Engineering Manager (title) �� (title) DATE: January 9, 2019 DATE:_ '►�LI1'1�,+ ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) V \ Kent City Clerk Kent Law Department Wood-216"Sampling Amd 2/Leyrer AMENDMENT - 2 OF 2 EXHIBIT A wood. Wood Environment&Infrastructure Solutions,inc. 600 University Street,Suite 600 Seattle,Washington 98101 USA December 29, 2018 T:206-342-'-760 www.woodpic.corn Ms. Laura Haren and Mr. Shawn Gilbertson Engineering Department City of Kent 220 Fourth Avenue South Kent,Washington 98032 Subject: Proposal for Catch Basin Sampling and Analysis South 216th Street Kent, Washington Dear Ms. Haren and Mr. Gilbertson, At your request, Wood Environment &Infrastructure Solutions, Inc. (formerly Amec Foster Wheeler), has prepared this scope of work and cost estimate to perform storm water sampling and analysis for the City of Kent (the City) in two catch basins on South 216th Street north of the Hytek property. We understand you would like the storm water to be sampled and analyzed for the RCRA 8 metals (arsenic, barium, cadmium, chromium, lead, mercury, selenium and silver) using both dissolved and total metals. We propose to complete the sampling effort in one day with one storm water engineer.We will collect one sample from each catch basin that will be divided into two aliquots each; one aliquot will be filtered with a 0.45 pm filter and the other will not be filtered. All four samples will be analyzed for RCRA 8 metals.The samples will be submitted to Friedman &Bruya Analytical laboratory in Seattle, Washington, for analysis on standard turnaround time. Upon receipt of the analytical test results,we will validate the data and incorporate this information into the remedial investigation/feasibility study report that is in progress. In addition, we will submit the data to the City along with a figure showing the catch basins that were sampled and results. The estimated cost for this effort is $2,590, as shown on the enclosed Table 1. We have assumed that surveying, confined space entry, or traffic control plan and measures will not be required for this work, or if needed, will be provided by the City of Kent. We assume that a City of Kent representative will be present during catch basin sampling. We proposed to conduct the work on time and material basis not to exceed the amount under the standard agreement terms with the City of Kent. 'Wood'is a trading name for John Wood Group PLC and its subsidiaries Ms. Laura Haren and Mr.Shawn Gilbertson City of Kent December 29, 2018 Page 2of2 We appreciate the opportunity to provide the City with this proposal. Please let us know if you have any questions or if you would like additional information. Sincerely, Wood Environment&Infrastructure Solutions, Inc. Kathleen Goodman, LG, LHg John Long, LG., LHg. Principal Hydrogeologist Associate Hydrogeologist Direct Tel: (206)342-1780 Direct Tel: (206) 342-1779 E-mail: kathleen.goodman@woodplc.com E-mail:john.long3@woodplc.com KGJJL: mm r:\0001 proposals\2018\city of kent\2018-12-29 proposal-city of kent-216th street&table 1_sx\proposal 12-29-18 city of kent-216th street.docx Enclosure: Table 1 TABLE 1 Sampling Two Catch Basins South 216th Street, Kent, Washington Task 1 Description LABOR Principal (K. Goodman) $70 Hours 2 $140 Associate HydroGeo/Engineer $57 Hours 0 $0 Senior Chemist (C. Thimsen) $49 Hours 1 $49 Scientist or Engineer $40 Hours 8 $320 AutoCAD (A. Stenberg) $41 Hours 1 $41 Tech Editor $39 Hours 0 $0 Administrative $24 Hours 1 $12 Direct Labor Subtotal $562 LABOR TOTAL (including OH (1.6) and fee (10%)] $1,658 OTHER DIRECT COSTS (ODC) Mileage $0.545 mile 65 $35 Lab and Supplies $750 est. 1 $750 Copying/Communication (4%of labor) est. $66 ODC Total $852 Markup 10 % $85 EXPENSE TOTAL $937 PROJECT TOTAL $2,590 Wood Environment &Infrastructure Solutions, Inc. R.\0001 Propcsals\20181City of Kent\2018-12-29 Proposal-City of Kent-216th Street&Taole 1_Sz\2018_,12-29^Tab1e Catch Basins v2 Page 1 of 1 `'•`�' �'A °A °""Y CERTIFICATE OF LIABILITY INSURANCE ``' " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WOLDER,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 ins certificate holder Is an ADDITIONAL INSURED,the policY(lo*)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 Ilsu of such endorsement(*). PRODUCER CONTACT C Aon Risk services southwest, Inc. NAME Houston Tx Office ` (966) 293-7122 FAX -'-'—' {AtC.Na.Esl)__ AlC.No, (800) 363-0105 `m 5555 San Felipe --_,__. _-_ 9 suite 1500 E-MAK. -----.-.--.._____,.__w„ ADDRESS: p Houston TX 77056 USA = INSURERiS)AFFORDING COVERAGE NAIC N INSURED t INSURERA: ACE American Insurance 2Z667 ._. wood Environment b Infrastructure ce Comp___ -,____ solutions, Inc. INSURER a: Agri General Insurance Company 42757 ------ Houston Park Row INSURERC: ACE Fire underwriter's Insurance Co. 20102 Houston n( 77084 USA _ iNSURERD: American Zurich Ins co �^40142 INsuRER E: ATG specialty Insurance Company _ 26883 INSURER F COVERAGES CERTIFICATE NUMBER: 570071810144 REVISION NUMBER PHiS IS 70 CERT1FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSI i1 TO THE IN5UReD NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWI I HSTANDING ANY HEOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CXCERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, t LUS10N$ANO CONDITIONS OP SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as re uestcd t TYPE OF NERINSURANCE WY POLICY NUMBER M M LIMITS X COMMERCIAL GEAL LIABILITY -M HI70C:Z , Y _Sl,t}00,000 CLAIMSADE EACH OCCURRENCE PR`cMr E E.occ�r._�..gL_ 51,000,.000 -'-' MED EXP(Any one enonl S 5,000 ----- PERSONAL d.ADV INJURY S2,Q0D,000 `r GE N-AGGREGA I E LWIT APPt:ES PER: a �'OL1CY X Gnt(} GENERAL AGGREGATE S2,Q00,UOU o I (( ll LOC PRODUC(S-GOMP/OP AGG S4,000,000 iD JE L,_J OTHER: 0 � o AUTOMOBILE LIABILITY �ISA HLSi50132 051011201801/31!20!'J COMBINED SINGLE LANAI X ANYAUTO M S1,OD0,00U BODILY INJURY(Per perwn) O OWNED SCHEDUI-ED ._..__ z AUTOS ONLY AUTOS BODILY INJURY(Per ac&danq ,.. ey+ HIRED AUTOS NON-0."'N'U ANAGE D PROPEN7Y ONLY AUTOS ONLY ParPERly I UMSRELLAUAB OCCUR y FAG OCCURRENCE U EXCESS LL48 CLAIMS-MADE AGGREGATE OEO 'RF'Te TrON s_w.,._._,..._.... A WORKERS COMPENSATION AND WI.RC 4 y EMPLOYERS'LIABILFTY L 1/ PkR S At.i rE OTt Y ANY PROPRIETOR I PARTNER/EXECUTIVE 1µ work Comp- ADS X a orieEwvEueERe cWCEU N NIA IWLRC64625202 05/01/201S 01/31/"19 EL EACH ACCIDENT 11,000.000 tM,naaory In NH) work Comp- TN rrlIea OPT)ta iar cL OSFASE F_M?GvEE $1,000,000 DEyG`RiPTtON Of OPEfb\[IONS ao+o•r D Arc itbF.ng Pr-or I: E.L CISEASE-POLICY UMIT� Sq,00Q,DOU rtx 100817502 OSIOLIZO17 06,30/ZOLS Any one C aim St, 000 Aggregate Limit S1,000:D0Q,000 DESCRIPTYON OF pPERAT1ONS I LOCATIONS VEWCLES IACORO L Addiiionel Rsmarka 5olxduM,may W aMathae y mor0 epece fa rsquked) wNote: Effective S-1-7018 wood Environment b infrastructure Solutions, Inc, became an insured entity of Sohn wood Group PLC and ood Group USA, Inc. All endorsements issued in name of tohn WDpd Group PLC and/or Wood Group usq. Inc. also apply to maned insured entity wood Environment dr Infrastructure Solutions, Inc. SEE ATTACHED ADDENDUM FOR AOOITI[ONAL NAMED INSURED AMEC COMPANIES: _ RE: Pr-Oject Description: Mill Creek Reestablishment proJCCL. Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liabilityand Automobile Liability Y {DOAiCICS. ati- 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 City of Kent POLICY PROVISIONS. _ 220 Fourth Avenue South AUTHORED REPRESENTATIVE Kent WA 98032 USA 988-2015 ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD CORPORATION.All rights reserved. AGENCY CUSTOMER ID: 570000021966 LOC#: l` S S ADDITIONAL REMARKS�---"`" Page _ of _ AGENCY NAMED INSURED Aon Risk Services southwest, Inc. wood Environment & infrastructure POLICY NUMBER See Certificate Number: 570071810144 CARRIER NAIC GODS _ see Certificate Number: 570071810144 EFFECTIVE DATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certiflcate of Liablllty Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLI(;Y eo[IcV' INSR ADDL $CBR POLICV NUMBER EFFECTIVE: EXPIRATION LIMITS LT•R TYPE OF INSURANCE: tNSD wvD DATE DATE (hlhtiiJll/YY Yt') {�1>Ell7Uh'1'V Yl WORKERS COMPENSATION C.. N/A w.,:cc6e7lISS25 05/01/2018 01/31/2019 work Comp- WI ACORD 101(2008101) 1)2008 ACORD CORPORATION.All rights reeerved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER 10: 570000021966 LOC `- ADDITIONAL REMARKS SCHEDULE Page _ of _ I j NAME.^>INSURF_D Services Southwest, Inc. wood Environment & Infrastructure Rficate Number: 570071810144 NAIC CODE ficate Number: 570071810144 Ec:?vti CAFE: ADDITIONAL REMARKS r DDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Named Insured & FKA Insureds: Foster wheeler Foster wheeler E&i, Inc. Pipeline Professionals, Inc. ESCivil, LLC onstruction Management, Inc. &I, Inc. Foster wheeler- AES Inc. (formerly AMEC AES, Inc.) &E, P.C. AMEC Earth and t.nvironmentalI Inc. N%fF-C Engineering and Consulting of Michigan, Inc. Amf-C Environment & Infrastructure, Inc. Amec Foster wheeler USA Corporation AmeC Foster Wheeler Programs Inc. Amec Foster wheeler Constructors, Inc. Amec Foster wheeler F&C Services, Inc. (formerly AMMEC E7C Services, Inc.) Amec Foster- wheeler E&I, Inc. Amec roster wheeler Industrial +sower Company, Inc. AMEC Massachusetts, Inc. Amec Foster wheeler Martinez Inc. Amec Foster wheeler North America Corp AmeC Foster wheeler ventures, Inc. (formerly National ventures, Inc.) AMEC NNC USA, Inc. AMEC Nuclear USA Inc. AMEC offshore, Inc. Amec Foster wheeler oil and Gas, Inc. (formerly AMEC oil & Gas, Inc.) AMEC Paragon Inc. AMEC PLC AMEC Technologies, Inc. Amec Foster wheeler USA Corporation AMEC USA Holding, inc. Foster wheeler Intercontinental Corporation OEST Associates, Inc. Amec Foster wheeler Kamtech, Inc. (formerly AMEC Kamtech, inc.) MAcTEC Engineering and Consulting, P.C. North American Shared Services (NASS) QEU International LLC Rider Hunt International USA, Inc. Terra Nova Technologies, Inc. (TNT) Oil & Gas US, Central & South America wood Group USA, Inc. wood Group Alaska, Inc. wood Group PSN, Inc. Altablue, Inc. Cape Software, Inc. BMA Solutions, Inc. Global Performance, LLC John wood Group PLC RWG (Repair & Overhauls) USA, Inc. SgurrEnergy, Inc. Ingenious, Inc. Mustang Process and Industrial Mustang international, LP Mitchell's oil Field services, Inc. C.E.C. controls Company, Inc. wood Environment & Infrastructure Solutions Inc. ACORD/01(2008101) The ACORD ®2008 ACORD CORPORADON.All rights reserved. name end logo an registered marks of ACORD AGENCY CUSTOMER ID: 570000021966 LOC ADDITIONAL REMARKS SCHEDULE Page _ of _ AGFNCY NAMED 4NSUREr Aon Risk Services Southwest, Inc. wood Environment & Infrastructure P01�Cr NkNBER See Certificate Number: 570071810144 CARRUt R NAIC(:90E see Certificate Number: 570071810144 EFFECTIVE DA'E ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORO 25 FORM TITLE: Certificate of Liability Insurance Additional Named Insured & FKA Formerly Known As: AM EC Foster wheeler Environment & infrastructure, Inc.{former"ly AMEC Environmernt & Infrastructure, Irc.) wood Group Mustang, Inc. wood Group Kenny, Inc. wood Group Management Services, Inc. OOL, Inc. wood Group Production and consulting services, Inc. wood Group PSN Commissioning Services, Inc. wood Group PSN Lease Maintenance & Construction, LLC DSI Deepwater Specialists, Inc. Caliber services, LP Infinity Construction services, LP Infinity Maintenance services, LP United Electrical & Instrumentation, Ltd. - Brazos M&E, Ltd, Elkhorn Holdings, Inc. Elkhorn Construction, Inc. Elkhorn Pipeline services HDAD Prosafe ACORD 101(2008101) ®2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are reglatered marks or ACORD 2 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS FACEAmerican ured "`— John Wood Group PLC __._._ ____ __._. Endwsvrnent Number 2 bol Policy Number PWrcy PeriodH25150132 01/31/2018 TO 01/31/2019 E,ffechve Date ofEndorsement Nrne C�a,pzrnya Insurance Company lnxwf the pol cy numixt.The rcnw nCer OF Ux ink)mintion compdofod only wAon th+s andOrspm-'nf 1s rstuec!uk �antnl m lhti Wepru—tion of tno pokcy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or orcianization whom you have a<treed to include as_an additipnal insured under a written�aniract�rovided�u h Contract was executed prior l0 1he date of toss A For a covered "auto,"Who Is Insured is amended to include as an "insured,"the persons or organizations named in this endorsement. However, these persons or organizations are an "insured"only for"bodily injury" or"property damage"resulting from acts or omissions of: 1. You. 2. Any of your"employees" or agents. 3. Any person operating a covered "auto"with permission from you, any of your"employees"or agents B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative �_--- CA-9U74c(03/16) Page 1 of 1 POLICY NUMBER: ISA H25150132 CHUBB® NOTICE TO POLICYHOLDERS NOTICE TO OTHERS-SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, wP will endeavor to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the"Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice of cancellation, as provided by your representative, is intended only to be a courtesy notification to the person(s) or organizations) named In the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s), The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cQiwcuuu..n of a i.. p...wy. C. We are not rp5ponsihle for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn sen the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. The provisions of this notice do not apply in the event that you cancel the Policy. ALL-34275(10/11) Page 1 of 1 POLICY NUMBER: HDO G27874255 C F-i L.J B B e NOTICE TO POLICYHOLDERS NOTICE TO OTHERS -SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium,we will endeavor to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the"Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice of cancellation, as provided by your representative, is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. The provisions of this notice do not apply in the event that you cancel the Policy. ALL-34275 (10/11) Page 1 of 1 1I ace usa NOTICE TO OTHERS- SCHEDULE NOTICE BY INSUREDS REPRESENTATIVE A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the "Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be In addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice of cancellation, as provided by your representative, is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown In the Schedule will impose no obligation or iiaw"i%y %If any niilu uPW1II u3, vur oycniS ii I UPI U. O#. QUYGj, ,ivi on,ciw any Punch n c',nd . 11 not negate any cancellation of the Policy. C, We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in tum send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. The provisions of this notice do not apply in the event that you cancel the Policy. WC 99 03 88(10111) NOTICE TO OTHERS ENDORSEMENT — SCHEDULE — EMAIL ONLY Wood Group USA, Inc. nemert n.umoer . . 13 Ao;icy Symbol ._. Pcaicy NumDar — r'aiicy Per od XOO G24876238 009 01l31/2018 to 01/31/2019 Ettec''va Date of Ei oorserr ent 01/31/2018 Issued eY(•Name a Inaurance campanyj ... ACE American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the"Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. F E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. Authorized Representative — ALL-32685(01/11) Page 1 of 1 5 POLICY NUMBER: HDO G27874265 Endorsement Number: 1 COMMERCIAL GENERAL LIABLITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -• SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) _ Organization�sj _ Locations Of Covered Operations _ Any Owner, Lessee or Contractor whom you have All locations where you are performing operations for j agreed to include as an additional insured under a }such additional insured pursuant to any such written written contract, provided suciI cunii eut.wc+s 8ACI.ULou �.. .a.•, i prior to the date of loss. i `Information required to complete this Schedule,if not shown above,wi{I be shown in the Declarations. A. Section 11 - Who Is An Insured Is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused,. in whole or in part, by: 1, All work, including materials, parts or I. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the in the performance your ongoing operations for location of the covered operations has been the additional ance al insured(s) reds) at the location(s) completed;or designated above. 2. That portion of "your work" out of which the However: Injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. if coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the C. With respect to the insurance afforded to these insurance afforded to such additional insured additional Insureds, the following is added to will not be broader than that which you are Section Ilt-Limits Of Insurance: required by ttie 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 CG 20 10 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 will pay on behalf of the additional insured is the amount of Insurance: whichever is less. 1. Required by the contract or agreement; or This endorsement shall not Increase the 2. Available under the applicable Limits of Decla eclaa tie limits of Insurance shown in the ratbns. Insurance shown in the Declarations; Page 2 of 2 ®Insurance Services office, Inc., 2012 CG20100413 3 POLICY NUMBER: HDO G27874265 Endorsement Number: 2 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE _.__ _. I Name._ Of Additional Insured Persons) Or Or arrizallon s Location And Description Of Completed Operations Any person or organization whom you have agreed to All locations where you are performing work for such include as an additional insured under a written additional insured pursuant to any such written contract. contract, provided such contract was executed prior to the date of loss. i i k I I Information regwred to complete this Schedule, if not shown above, wiA be shown in the Declarations. _] A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused,in whole or in part, by required by a contract or agreement, the most we "Your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and 1. Required by the contract or agreement; or included in the "products-completed operations hazard". 2. Available under the applicable Limits of Insurance shown in the Declarations; However: 1. The insurance afforded to such additional whichever is less. Insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2, If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 3 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named insured John Wood Group PLC _ Endorsement Number 3 Policy Number PoNcy Per(od H25150132 01/31/2018 To 01/31/2019 ssueBy(Name of insurance Company) ACE American Insurance Company Insert the pul!cy awmber. the ramoindcr of the!n(otmatbn ix to be ccm�ple:e J oily when this endorsement is tsaued subsagnant to ilia p ep raron v(q?c miiry THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional insured n4gfser nt Any additional insured with whom you have agreed to provide such non- contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss, (if no information is filled in, the schedule shall read:"All persons or entities added as additional insureds through an endorsement with the term Additional Insured"in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b(06/14) Page 1 of 1 9 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named insured _ Endoreement Number John Wood Group PLC 5 Policy Symbol Polcy Number Policy Period i Effective Date of Endorsement HDO G27874265 01/31/2018 to 01/31/2019 __,_._[III ued By(Name of insurance Company) ACE American insurance Company insw the policy number 7ho remainder of the information Is to be compteted only when this endorsement is Issued s0serioent to the preparation of the policy, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Q aniZ etion Additional insured Endorsement Any additional insured with whom you have agreed to provide such non-contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (if no information is filled in, the scheduie shall read:All persons or entities added as additional insureds through an endorsement with the term Additional lnsurea'in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA.a: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primarf basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Agent LD-20287(06/06) Page 1 of 1 2 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS JOhR Wood Group PLC Endorsoment Nuiiiber W --"" Policy Symbol Pplicy Number __....____. __._ Ppllcy Pnrtpcl"ISA �H25150132 01/31/2018 TO 01/31/2019 Eftective0ateotEndorseme�l__. .. tasueU By{Name of Insurance�Gpmpany)Y�-"-" �-"" `" ACE American Insurance Company Iniort tho tohl ....,.-,..... ( y nuntLxtr fhr>rtt rnarndr•T Of the h1f0ln50k0-a to be compfewed only when th1�uncFnrSCmrtnl t3 isKuad suh4CyuCM IC IhC paeRthAlion Ct InC pobey THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modlfles insurance provided under the following; BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract,provided such contract was executed prior to the date of loss. Authorized Representative ________.__,_____ DA-13115a(06/14) Page 1 of 1 2 POLICY NUMBER: HDO G27874265 Endorsement Number: 4 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization. Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising 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". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 Workers'Compensation and Employers, Liability Policy Named In4ured - —— WOOD GROUP USA, INC. r Z41 i7420 KATYFRWY, SUITE 500 HOUSTON TX 77094 s moor:WLR Number C64625196 _ TO Elective Date or Endorsement 01-31-201B 01-01-2019 01-01-2018 tMOO fay(Name of Insurance Company) -------.—__.---__--_ ACE AMERICAN INSURANCE COMPANY Ins+:rt the pv�cy nt;, M! T"htl rxlr,r 0!the tnlprtndU[ir���lid be i;.cr ��—'�`` _e�_.�e.ted r,.nJ when IiNs Er Urg@nt(,rt r"rssLi¢d su _— ---- --a.��_ ...-_ S s—l--fir ent to tJ�e p1e ration of Cie Ircv— WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments frorn anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perforrn work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS For the states of CA, UT, TX, refer to state specific endorsements. This endorsement is not applicable in KY, NH,and NJ. The endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.150(6) of the Missouri statutes,a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employer in the construction group of code classifications. For Kansas, use of this endorsement is limited by the Kansas Faimess in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program Authorized Representative — Copyright 1982-83,National Gouncll an Com . � pensaGon _