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Home My WebLink AboutPW16-415 - Amendment - #3 - GeoEngineers, Inc. - Frager Road Levee CLOMR - 03/25/2019 Records Management Document CONTRACT COVER SHEET This is to be complet-te-d by ti,,)e Contracl Mandger prior to to the City Clerk's Gifice. are to be completed, Alf you have clue stions, please contzi ,. tih--, City Clerk's Office at 253-856-5',"'25, Vendor Name: GeoEngineers, Inc. Vendor Number (JDE): Contract Number (City Clerk): ?Wl U-t-1(5 Category: -Contract Agreement Sub-Category (if applicable): Amendment Project Name: Frager Road Levee CLOMR Mayor's signaturE 512 12/31/20 Contract Execution Date: Termination Date: Contract Manager: Steve Lincoln Department: PW: Engineering Contract Amount: $431752.00 Budgeted: 7 Grant? State: Federal: Part of NEW Budget: Local: Related to a New Position: Basis for Selection of Contractor? Other Approval Authority: 0 Director 7 Mayor F-1 City Council Other Details: Complete the certification report and submit the report to FEMA. • KENT W, s G,o AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR: GeoEngineers, Inc. CONTRACT NAME & PROJECT NUMBER: Frager Road Levee CLOMR ORIGINAL AGREEMENT DATE: November 30, 2016 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 Consultant completed city approved revisions to their work, which were not previously included in their original contract scope. This amendment allows the Consultant to complete the Frager Road Levee Certification Report (CLOMR) and to submit the report to FEMA. 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, $333,271.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $333,271.00 including all previous amendments Current Amendment Sum $43,752.00 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $377,023.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/17 (insert date) Revised Time for Completion under 12/31/19 prior Amendments (insert date) Add'I Days Required (f) for this 366 calendar days Amendment Revised Time for Completion 12/31/20 (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) Print N me: L-t/ S r Print Name: Dana Ralph Its o�,�r �,�T��K��( .� Its Ma or (title) (title) DATE: 3/rZ 14 DATE: ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) c Kent City Clerk Kent Law Department GeoFngineers-Frager Rd CLOMR Amd 3/Lincoln AMENDMENT - 2 OF 2 GEOENGINEERS r� 1101 South Fawcett Avenue,Suite 200 Tacoma,Washington 98402 253.383.4940 EXHIBIT A GEOENGINEERS, INC. SCOPE AND BUDGET AMENDMENT 3 FRAGER ROAD LEVEE CLOMR APPLICATION LEFT BANK OF THE GREEN RIVER, FROM VETERANS DRIVE TO SOUTH 2O4TH STREET KENT,WASHINGTON MARCH 6,2019 FILE NO. 0410-200-00 INTRODUCTION The purpose of this scope amendment is to increase the authorized budget to address changes in scope requested by the City and to reinstate scope items deleted as part of a budget reallocation. In performance of our services authorized on December 1, 2016, we provided drafts of the Wetland Delineation, Biological Assessment,Stability and Certification report, Operation and Maintenance Manual, FEMA flood work maps, and 30% design plans. After reviewing comments from the Muckleshoot Indian Tribe, the City requested that the proposed levee alignment be modified at the south, upstream end in >r. order to accommodate future habitat improvements adjacent to the Green River by the Muckleshoot Indian Tribe. The City also requested that some areas with proposed floodwalls be replaced with earth embankment levees. In order to complete and evaluate this design change we modified our scope and reallocated budget to new tasks associated with the design change. This was documented in a scope amendment dated May 9, 2018. This amendment is attached for reference. On June 12, 2018 we received a request to evaluate a borrow source on Frager Road. This was completed within the existing budget but used contingency funds that were intended for other elements. The following provides a summary of services we propose be added or reinstated to the current authorized scope. Our requested budget increase is also attached. In addition to the additional scope items we have also included as request to increase billing rates and time allocated to management tasks as our initial authorization was provided in December of 2016 and was intended to be complete by May of 2017. All assumptions,exclusions, and methods described in the original scope of services are still applicable. SERVICES TO BE REINSTATED OR ADDED TO OUR CURRENT SCOPE OF SERVICES Services Reinstated from Original Authorized Scope The following items were included in the original authorized scope,removed in the May 2018 scope change, and will be reinstated in this agreement.The hours budgeted are based on the original authorized scope. • Prepare 30%design level estimate of construction costs. City of Kent March 6,2019 page 2 L9 Attend one pre-application meeting with FEMA to discuss downstream tie-in. is Prepare MT-2 forms for FEMA submittals(GeoEngineers and NHC). a GeoEngineers and NHC will address one round of comments from FEMA and make minor edits to submittal documents as appropriate. Additional Services Provided at the Request of the City The following items were requested and included in the original authorized scope, removed in the May 2018 scope change, and will be reinstated with this amendment. The hours indicated in this budget amendment are the hours used for these tasks. a Provide management oversite for extended project schedule. s Review soil conditions and provide opinion on using the soil from a borrow area on Frager Road. w Revise and add detail to interior drainage model to account for stormwater ponds(NHC). us;tt Attachments: Scope Amendment Dated May 9,2018 Exhibit B:Fee Estimate Disclaimer Any electronic form,facsimile or hard copy of the original document(email,text,table,and/or figure),if provided,and any attachments are only a copy of the original document.The original document is stored by GeoEngineers,Inc.and will serve as the official document of record. GEoENGINEERS- GEOENGINEERS� 1101 South Fawcett Avenue,Suite 200 Tacoma,Washington 98402 253.383.4940 EXHIBIT A GEOENGINEERS, INC. SCOPE AMENDMENT FRAGER ROAD LEVEE CLOMR APPLICATION LEFT BANK OF THE GREEN RIVER, FROM VETERANS DRIVE TO SOUTH 204TH STREET KENT,WASHINGTON MAY 9, 2018 FILE NO.0410-200-00 INTRODUCTION The purpose of this scope amendment is to reallocate budget authorized as a contingency task in our originally authorized services and use it to address a change in the levee alignment proposed by City of Kent. No change to the budget is proposed at this time, In performance of our services authorized on December 1, 2016, we provided drafts of the Wetland Delineation, Biological Assessment, Stability and Certification report,Operation and Maintenance Manual, FEMA flood work maps,and 30%design plans.After review of these drafts,the City has requested that the proposed levee alignment be modified at the south end in order to accommodate future habitat improvements adjacent to the Green River. The City also requested that some areas with proposed floodwalls be replaced with earth embankment levees.This is a change from the original alignment,which was developed with the intent of limiting impacts outside of City of Kent right-of-way (ROW) and limiting total impacts to wetlands and other critical areas. The remaining budget and the budget designated as Task 7: Contingency will be used to complete the requested revisions.To complete the revisions within the remaining budget,some authorized tasks will be eliminated from the authorized scope of services. Specifically, all services intended to be performed after submittal of the CLOMR have been eliminated from the scope of services.If additional services are required to address comments from FEMA or FEMA reviewers,this will be a reinstated at that time. The following provides a summary of additional services added to and removed from the current authorized scope. Services not listed herein have either been completed or will be completed in accordance with our scope as originally authorized.All assumptions,exclusions,and methods described in the original scope of services are still applicable. City of Kent May 9,2018 Page 2 ADDITIONAL AUTHORIZED SERVICES Task 2 Levee Stability Analysis and Certification • Perform additional foundation stability and seepage analyses for earthen levees and global stability analyses for structural floodwalls using the methods described in our original scope of services. We will perform seepage and stability analyses,seismic analyses,and settlement analysis.We will also provide preliminary analysis of floodwalls as appropriate. • Revise the draft geotechnical report to include this additional analysis. Task 3 Hydraulic Analysis Hydraulic analysis will be performed by NHC with oversite and coordination from GeoEngineers. ■ Update and revise the FIo2D model developed for the Flood Insurance Study (FIS) based on the revised alignment, proposed levee accreditation,and the effects of other levees that are proposed to be accredited. Only the 100-year results use for flood mapping will be modified. The 500-year results used to determine necessary levee crest elevations were based on more conservative assumptions that will not be impacted by the change in alignment. • Revise the interior drainage analysis to determine residual flood levels landward of the accredited levee due to backed up stormwater lines during periods of high river flow. • Use the results from the revised FIo2D model and revised interior drainage analysis to remap the flood hazard zones and Base Flood Elevations(BFEs)that would change as a result of the proposed levee accreditation. ■ Revise draft reports and deliverables as necessary for City review and CLOMR submittal. Task 4 Biological Assessment and Wetlands Analysis • Complete a field reconnaissance to delineate the ordinary high water mark(OHWM)and wetland extents along the revised project alignment. • Coordinate with the City's surveyors to record the OHWM and wetland boundaries identified during the field reconnaissance. e Revise draft Wetland/Stream Critical Areas Assessment report. • Revise draft Biological Assessment (BA) report according to the Guidance for Compliance with Endangered Species Act from Letter of Map Change document provided by FEMA. • Revise the estimate, in terms of acres,of wetland creation or improvement that could be required to mitigate for potential impacts to wetlands and/or wetland buffers. Task 5 Levee 30 Percent Design Revise levee alignment and stationing consistent as with City protocols. ■ Revise summary table of key design data (i.e., existing ground surface elevations, river flood elevations, levee crest elevations)at 100-foot intervals for project team review. ■ Revise 30%design drawings based on comments provided by City of Kent. GEOENGINEERS- City of Kent May 9,2018 Page 3 SERVICES REMOVED FROM AUTHORIZED SCOPE The following items were included in the original authorized scope but will NOT be completed under this agreement. ■ Prepare 30%design level estimate of construction costs. ■ GeoEngineers and NHC will address one round of comments and make minor edits to submittal documents as appropriate. us:n Disclaimer:Any electronic form,facsimile or hard copyofthe original document(email,text,table,and/or figure),if provided,and any attachments are only a copy of the original document.The original document is stored by GeoEngineers,Inc.and will serve as the official document of record. GEOENGINEER5 61 O v N O O V 'I, O a' cG N m o o � rn � � o Cc, o l in ,�n to - a+ E v m o a ti I K Lu N �:In t�N ::� N N3 � SG W Z WC Q N li W liI } pp _ h a U! o N x C R CL ej rq Q ° E z N = � Q � ++ m Q E o ono W C.) = ao d _o y = 00 � E Li � y m � Q O M p Ln x M COL d W � � N c to m m o' 00 3 1L c m x H x y W � Ln Y d V N ` LO N C N QYf W z O v V O : _L W m np: E C _g LIP c ' � I Zi m oc a y» N U N cr U a O O O QO: O N M K U. K w W Client#: 326119 GEOENINC2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE FTATE(MWDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3I3012018 HOLDER.THIS -RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES -OW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. PORTANT: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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services NW PR CONTACT NAME: Please send all requests by (E-MAIL HONE fax or email 601 Union Street, Suite 1000 A/C No Ext: AIC,No: 610-362-8530 Dss: Usi.certrequest@usi.com Seattle,WA 98101 � � INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURER A:Continental insurance Company 35289 GeoEngineers,Inc. INSURER B:Continental casualty company 20443 17425 NE Union Hill Road,Suite 260 INSURER C:National Fin Insurance Co.of Hartford Y0478 Redmond,WA 98052 INSURER D:Valley Forge Insurance Company 20508 INSURER E: INSURER 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 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UB LTR TYPE OF INSURANCE IN R WV POLICY NUMBER MMfDDYIYEYYY MbOVDDY LIMITS A )( COMMERCIAL GENERAL LIABILITY X X 6023113030 3/31/2018 03/31/201 ppEACCMHGGOEECTCURRENCE $1 000 000 CLAIMS-MADE L XI OCCUR PREMJ EaEoNNTuErrDence $1O0 000 X WA &ND Stop Gap MED EXP(Any y one person) $15 000 NJUR GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADVI Y $1,000,000 GENERAL AGGREGATE $2,000,000 POLICY 7X JECT I A I LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER:'uroMOBILE LIABILITY Sto Ga /EL $1,000,000 6023117823 3/31/2018 03/31/201 EOMBINEEnDiSINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person $ AUTOS ONLY SCHEDULED ) HIRED AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED AUTOS ONLY PROPERTY DAMAGE $ Per accident $ B X UMBRELLA LIAB X OCCUR X X 6071853368 3/31/2018103/31/201 EACH OCCURRENCE $1 OOO OOO EXCESS LIAB CLAIMS-MADE XS of GL,Auto& AGGREGATE $1 000 000 DED X RETENTION$1 O OOO I Em IO ers Liab. D WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY 6045839429 3131/2018 03/31/201 X PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN ID LA MO NC Y OR UT USLBH/M Et.EACH ACCIDENT $1 000 000 OFFICEOPRIETEREXCLUDED7 ❑ NIA C (Mandatory inu 6045838328 Ifes,describe under 3131/2018,,03/31/201 E.L.DISEASE-EA EMPLOYEE $1000,000 y DESCRIPTION OF OPERATIONS below CA inci USL&H/MEL E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) 0410-200-00-Frager Levee Assessment,S.216th &Frager Road S., Kent,WA.City of Kent is Additional Insured and coverage is primary and non-contributory as respects General and Auto Liability if required by written contract per attached endorsements. CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICI:ESBE AN BEFORE 400 West Gowe THE EXPIRATION DATE THEREOF, NOTICELL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION Kent,WA 98032-DODO AUTHORIZED REPRESENTATIVE ( ) 1 f 1 The D name and logo o are registered marks of ACORD$2015 ACORD CORPORATION.All rights reserved. ACORD 25 2016/03 o g g #S22831368/M22830972 BHRZP This page has been left blank intentionally. 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. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B.below applies, 1. bodily injury, property damage,or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract;or 2. bodily injury or property damage caused in whole or in part by your work and included in the products- completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage;and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard;and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. 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 B. a higher limit of insurance than required by the written contract. III. 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: I. 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. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written CNA75079XX (1-15)Page 1 of 2 Policy No: 6023113030 Endorsement No: 9 The Continental Insurance Co. Effective Date: 03/31/2017 Insured Name: GEOENGINEERS, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office.Inc.,with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement contract to be primary and non-contributory, this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation,defense, or settlement of the claim;and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part,provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy;and B. was executed prior to: 1. the bodily injury or property damage;or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (1-15)Page 2 of 2 Policy No: 6023113030 The Continental Insurance Co. Endorsement No: 9Effective Date: 03/31/2017 Insured Name: GEOENGINEERS, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office,Inc.,with its permission. CNA CNA71527XX (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 ANY PERSON OR ORGANIZATION, BUT ONLY IE YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO MAKE THAT PERSON OR ORGANIZATION AN ADDITIONAL INSURED UNDER THIS 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" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. m N O N 8 O NS N RM CNA71527XX(10/12) Policy No: Page 1 of 1 Endorsement No: Insured Name:GEOENGINEERS, INC. Effective Date: 03/31/2017 Copyright CNA All Rights Reserved. Terra Insurance Company TERRA (A Risk Retention Group) if Two Fifer Avenue, Suite 100 INSURANCE COMPANY Corte Madera, CA 94925 DATE O1/O1/18 CERTIFICATE OF INSURANCE CERTIFICATE HOLDER City of Kent Attn: Nancy Yoshitake 400 West Gowe 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 all 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 $2,000,000 EACH CLAIM $2,000,000 ANNUAL AGGREGATE PROJECT DESCRIPTION Frager Road Levee,Kent, Washington. GeoEngineers No. 0410-200-00 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 (10) 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. NAME AND ADDRESS OF INSURED ISSUING COMPANY: TERRA INSURANCE COMPANY GeoEngineers, Inc. (A Risk Retention Group) 1101 Fawcett Avenue, Suite 200 Tacoma, WA 98402 President Terra Insurance Company TERRA (A Risk Retention Group) Two Fifer Avenue, Suite 100 INSURANCE COMPANY Corte Madera, CA 94925 DATE 01/01/19 CERTIFICATE OF INSURANCE CERTIFICATE HOLDER City of Kent Attn: Nancy Yoshitake 400 West Gowe 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 all 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 219019 01/01/19 12/31/19 LIMITS OF LIABILITY $2,000,000 EACH CLAIM $2,000,000 ANNUAL AGGREGATE PROJECT DESCRIPTION Frager Road Levee,Kent,Washington. GeoEngineers No. 0410-200-00 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 (10) 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. NAME AND ADDRESS OF INSURED ISSUING COMPANY: TERRA INSURANCE COMPANY GeoEngineers, Inc. (A Risk Retention Group) 1101 S. Fawcett Avenue, Suite 200 Tacoma, WA 98402 President- - --- REQUEST FOR MAYOR'S SIGNATURE KENT 'A'nyninu r�ry Routing Information: (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) i Approved by Cij,, 5. Originator: Steve Lincoln Phone (Originator): 5552 Date Sent: 3`0,h,9 Date Required: Return Signed Document to: Nancy Yoshitake Contract Termination Date: 12/31/20 VENDOR NAME: Date Finance Notified: GeoEng ineers, Inc. (Only required on contracts 3/ 1 4/ 1 9 _ 20 000 and over or on any Grant DATE OF COUNCIL APPROVAL: N/A Date Risk Manager Notified: N/A (Required on Non-City Standard Contracts/Agreements) Has this Document been Specificall-Y Account Number: D2OO92 Authorized in the Bud et? • YES NO Brief Explanation of Document: The attached Amendment No. 3 with GeoEngineers allows the consultant to complete the Frager Road Levee Certification Report (CLOMR) and submit the report to FEMA. RECEIVED KENT LAW DEPT. All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received: Approval of Law Dept.: Law Dept. Comments: Date Forwarded to Mayor: Shaded Areas To Be Completed By Administration Staff Received: Recommendations and Comments: RECEIVED Disposition: S 1 -5 e- 3� I 1`( Date Returned: City of Kent Office of the Mayor \Civil\orms\Document roce—g\ eq—t for Mayor s Signature.aocx