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HomeMy WebLinkAboutPW18-151 - Amendment - #1 - American Water Central Laboratory - Unregulated Contaminant Monitoring Rule (UCMR4) Testing - 06/27/2019 ,000""lli Agreement Routing Form KEN T For Approvals,Signatures and Records Management W w 9.H IN G T 0 N This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. (Print on pink or cherry colored paper) Originator: Nancy for Tom Cunningham Department. Public Works Date Sent. 7/1/19 Date Required: 7/3/19 A Authorized Director or Designee Date of 0 N/A Q, to Sign: Council dMayor Approval: Budget 41005550.64190.7431 Grant? Yes ❑✓ No Account Number: Type: N/A Vendor Name: American Water Central Laboratory Category: Contract = Vendor Sub-Category 0 Number: 1757039 9 Y Amendment o Project E Name: Unregulated Contaminant Monitoring Rule (UCMR4) Testing 0 c Project Extend the time of completion to December 30, 2020. �. Details: c EAgreement N/A Basis for all Amount: Selection of Other sv Contractor.* v� a Start Date: 6/27/19 Termination Date: 9/3 0/20 Notice required prior to 1:1Yes1:1 No Contract Number: disclosure? W n$ —I5 1 Date Received by City Attorney: Comments: c 0 IA d i Date Routed to the Mayor's Office: in a3, Date Routed to the City Clerk's Office: a► Date Sent to Originator: Visit Documents.KentWA.gov to obtain copies of all agreements adccW22373_6_19 • KENT W A S H I N G T O N AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: American Water Central Laboratory CONTRACT NAME & PROJECT NUMBER: Unregulated Contaminant Monitoring Rule (UCMR4) Testing ORIGINAL AGREEMENT DATE: March 14, 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: Extend the time of completion to September 30, 2020 due to the U.S. EPA extended Fourth Round Unregulated Contaminant Monitoring Rule testing for the City of Kent through May 2020. 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, $12,540.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $12,540.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $12,540.00 AMENDMENT - 1 OF 2 Original Time for Completion 6/30/19 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add1 Days Required (t) for this 458 calendar days Amendment Revised Time for Completion 9/30/20 (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: 7 By; T-�-mz�14 (si nature) (signature) Print Name: ��, G r-v S'*- Print Name: David A. Brock, P.E. Its_ a'`a9er "L 12(a,rers Atvt1y,,,,4-,-} Its Deputy Director 0 erations Manager (title) tltl DATE: G — ? - I `I DATE: �o Z / If ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) lxl�c Kent City Clerk Kent Law Department American Water Central Laboratory-UCMRa Testing Amd i/Cunningham AMENDMENT - 2 OF 2 AC RO " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/02/2019 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 Marsh USA Inc. NAME: PHONE FAX A/c N Exit: A/C 1166 Avenue of the Americas No): New York,NY 10036 E-MAIL Attn:NewYork.Certs@marsh.com Fax:212-948-0500 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# GAEW INSURER A:Travelers Prop.Casualty Co.Of America 25674 INSURED American Water Works Service Company,lnc INSURER B:Berkshire Hathaway Specialty Insurance Company 22276 1115 S.Illinois Street INSURER C:The Phoenix Insurance Company 25623 Belleville,IL 62220 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-008955864-35 REVISION NUMBER: 2 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 TR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP MMI D/YYYY) (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY TC2JGLSA-26OT3317-19 01/01/2019 01/01/2020 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE [K, OCCUR PREMISES Ea occurrence $ 2,000,000 i MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 12,000,000 X POLICY a PRO- JECT LOC PRODUCTS-COMP/OP AGG $ Included Above OTHER. A AUTOMOBILELIABILITY TC2JCAP-26OT3298-19 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO OWNED j SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY I AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY HAUTOS ONLY Per accident X UMBRELLALIAB X OCCUR 47-UMO.100402-04 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS.Iv1ADE AGGREGATE $ 5,000,000 HIDED I X I RETENTION$10 000 $ C WORKERS COMPENSATION TC2NUB-121D3206.19 0110112019 01/01/2020 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER �ANYPROIIRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUC ] N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION American Water-Central Lab 1115 S.Illinois Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Belleville,IL 62220 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kimberly Parkseelre ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD