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HomeMy WebLinkAboutCAG2019-068 - Change Order - #1 - Nature's Way Tree Service, LLC - Reith Road Water Tank Tree Removal - 02/12/2019 T Records Management Document CONTRACT COVER SHEET Thi U s is to be completed by the Contract M�Drage r prior to s� tJtrdssion to ",-, (: City Clerk's Office, AN portions are .4-, be 'OLI qUestions, please contact the City Clerk's Office at Vendor Name: Nature's Way Tree Service Vendor Number (JDE): 218589 Contract Number (City Clerk): 0 w� Category: -Contract Agreement Sub-Category (if applicable): Change Order Project Name: Reith Road Water Tank & Clark Springs Tree Removal Contract Execution Date: 5/31/19 Termination Date: 6/30/19 Contract Manager: Jim Reed Department: PW: Operations Contract Amount: $1 320 Budgeted: Pv] Grant? Part of NEW Budget: F-I r—I Local: State: F] Federal: 1-1 Related to a New Position: Basis for Selection of Contractor? Other Approval Authority: Wl Director 1:1 Mayor City Council Other Details: Remove two trees and limbs on west side of property located at 26106 SE Kent Kangely Road. KENT WASHINGTON CHANGE ORDER NO. 1 NAME OF CONTRACTOR: Nature's Way Tree Service, LLC ("Contractor") CONTRACT NAME & PROJECT NUMBER: Reith Road Water Tank & Clark Springs Tree Removal I ORIGINAL CONTRACT DATE: February 12, 2019 1 This Change Order amends the above-referenced contract; all other provisions of the contract that are not inconsistent with this Change Order shall remain in effect. For valuable consideration and by mutual consent of the parties, the project contract 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: i } In addition to work required under the original Agreement and any prior Amendments, Contractor shall provide all labor, materials, and equipment necessary to: Remove two trees and limbs on west side of property located at 26106 SE Kent Kangley Road. For a description, and Contractor's quote, see Exhibit A which is attached 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 hereby modified as follows: Original Contract Sum, $5,940.00 (including applicable alternates and WSST) Net Change by Previous Change Orders $0 (incl. applicable WSST) Current Contract Amount $5 940.00 (incl. Previous Change Orders) Current Change Order $1 320.00 Applicable WSST Tax on this Change $0 Order Revised Contract Sum $7,260.00 i 3 i i i l j CHANGE ORDER - 1 OF 3 i ..................... Original Time for Completion 6/30/19 (insert date) Revised Time for Completion under n/a prior Change Orders (insert date) Days Required (±) for this Change 0 calendar days Order Revised Time for Completion 6/30/19 (insert date) I In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor agrees to waive any protest it may have regardfng this Change Order and acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the Contractor from strict compliance with the guarantee and warranty provisions of the original contract, particularly those pertaining to substantial completion date. All acts consistent with the authority of the Agreement, previous Change Orders (if any), and this Change Order, prior to the effective date of this Change Order, are hereby ratified and affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order 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 contract modification, which is binding on the parties of this contract. 3. The Contractor will adjust the amount of its performance bond (if any) for this project to be consistent with the revised contract sum shown in section 2, above. IN WITNESS, the parties below have executed this Agreement, which will become effective on the last date written below. ........................... CONTRACTOR: CITY OF KENTc By: _ (signature) (signature) Print Name: Print Name: David A. Brock P.E. Its Its Deputy Di ect r 0 erations Manager (t�tfe� lr;r�P� DATE: DATE: 3/ / CHANGE ORDER - 2 OF 3 I ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) i 1 Kent City Clerk Kent Law Department I i� Nature's Way Tree Service-Reith Rd Tank-Clark Springs CO 1/Reed 9 I i i I t i i i 1 S 1 i i i i i i i r 7 CHANGE ORDER - 3 OF 3 �����U��U�F � | EXHIBIT" �� | � ���~��M;� ��� N����y^ , �~~~~^��~~ ��" Work ��^ r� � RennVv8| of trees and limbs from property line at the old Lane home site. The City ' � The trees pose a hazard to the adjacent homeowner and limbs from another tree need to be removed as they hang over the driveway and roof 0fthe garage. We added 8 } , change order to the Reith Road tree and brush removal contract with ature's Way Tree 5erV|C8 to include this work. | Thanks, | Jim Reed ) � I ` EXHIBIT A Estimate sheet I Nature's Way Tree Service, LLC Customer Information (Date i 1019184t�Ave Ct E c Lake rIapps W,4 98391 C.._AI al 253-740-4669 Services .fours To Complete Price Pruning Tree evaluation - Tree removal Other comments i f Sub total Fx) __4_1 Tax Oj Totaf Zo- ' i I CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 04/15/2019 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 CONTACT NAME: Don Young Young Insurance Agency, LLC PHONE E110. (253)333-2426 FAX No: (253)333-2431 415 1st Street NE Suite A EMAIL don oun ins.net ADD.ESs: CL g INSURERS AFFORDING COVERAGE NAIC# _ Auburn WA 98002 INSURER A: Wesco Insurance Company INSURED INSURER B Nature's Way Tree Service, LLC INSURER C: 1019 184th Avenue Ct E INSURER D: INSURER E: _ Lake Tapps WA 98391 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 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIVYYV MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE DAMAGE TbTENTED �OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any oneperson) $ 5,000 A X WPP114355305 04/07/2019 04/07/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ElPRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X 3Xr OTHER: WA State Stop Gap $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident)ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Par dent) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE $ AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION tEACH OTH• AND EMPLOYERS'LIABILITY Y/N TE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E. ACCIDENT $ ;T OFFICER/MEMBER EXCLUDED? ❑ N/A(Mandatory in andE. SE-EA EMPLOYE $ If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) The City of Kent is listed as additional insured on the General Liability policy per CG2010 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent 499 West Gowe St AUTHORIZED REPRESENTATIVE Kent WA 98032 � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A4C"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD YYYY) 4/15/2019 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 Liberty Mutual Insurance CONTACT PO Box 188065 PHONE FAX Fairfield, OH 45018 A/c No Ext: 800-962-7132 A/C No: 800-845-3666 E-MAIL ADDRESS: BusinessService Libert Mutual.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: West American Insurance Company 44393 INSURED Nature's Way Tree Services LLC INSURER B 1019 184th Avenue Ct E INSURER C Lake Tapps WA 98391 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 48148761 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 SUER POLICY EFF POLICY EXP R MM/DD/Y LTR TYPE OF INSURANCE WVD POLICY NUMBEYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR OTWAA R D PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JPRO- POLICY El LOC I PRODUCTS-COMP/OP AGG $ _2OTHER: a A AUTOMOBILE LIABILITY BAW56527308 3/14/2019 3/14/2020 COMBINED SINGLE LIMIT $ Ea acc dent 1 000 000 ANY AUTO OED SCHEDULED BODILY INJURY(Per person) $ WN AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ �_H EXCESS LAB EACH AGGREGATE $ DED . RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ NIA (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is listed as Additional Insured per form CA2048. CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 499 W Gowe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kent, WA 98032 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a Adrienne Zolicoffer ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48148761 1 56527308 1 19-20 Master Certificate I Adrienne Zolicoffer 1 4/15/2019 4:44:17 PM (CDT) I Page 1 of 2 POLICY NUMBER:WPP1143553 05 COMMERCIAL GENERAL LIABILITY 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) Or Organization(s) Locations Of Covered Operations City of Kent 499 West Gowe Street, Kent, WA 98032 Information required to complete this Schedule, if not shown above, will 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. Your acts or omissions; or 1. All work, including materials, parts 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 in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed, or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its insured only applies to the extent permitted by intended use by any person or organization law; and other than another contractor or subcontractor 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 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 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 48 02 99 DESIGNATED INSURED ENDORSEMENT The endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"under the WHO IS AN INSURED provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Policy Number BAW56527308 Named Insured Nature's Way Tree Services LLC Coun#ersi ned b (Authorized Representative) SCHEDULE Name of Person(s)or Organizations) The City of Kent 499 W Gowe Kent, WA 98032 (If no entry appears above, information required to complete this endorsement will be shown in the Dec- larations as applicable to this endorsement.) Each person or organization shown in the Schedule is an"insured" for LIABILITY COVERAGE,but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision contained in SECTION II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 7996 Page 1 of t 48148761 1 56527308 1 19-20 Master Certificate I Adrienne Zolicoffer 1 4/15/2019 4:44:17 PM (CDT) I Page 2 of 2