HomeMy WebLinkAboutCAG2019-152 - Amendment - #2 - Tetra Tech, Inc. - Lake Fenwick Hypolimnetic Aerator Retrofit - 08/17/2020ApprovalOriginator:Department:
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o Director or Designee o Mayor
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Type:Review/Signatures/RoutingDate Received by City Attorney:Comments:
Date Routed to the Mayor’s Office:
Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
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AMENDMENT - 1 OF 2
AMENDMENT NO. 2
NAME OF CONSULTANT OR VENDOR: Tetra Tech, ,Inc.
CONTRACT NAME & PROJECT NUMBER: Lake Fenwick Hypolimnentic Aerator Retrofit
ORIGINAL AGREEMENT DATE: March 18, 2019
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 follo ws:
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:
Provide additional design services for the project. 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,
including applicable WSST
$68,490
Net Change by Previous Amendments
including applicable WSST
$29,461
Current Contract Amount
including all previous amendments
$97,951
Current Amendment Sum $17,852
Applicable WSST Tax on this
Amendment
$0
Revised Contract Sum $115,803
Original Time for Completion
(insert date)
t2t3u20
Revised Time for Completion under
prior Amendments
(insert date)
nla
Add'l Days Required (+) for this
Amendment
0 calendar days
Revised Time for Completion
(insert date)
t2t3U20
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 pafties 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 pafties below have executed this Amendment, which will
become effective on the last date written below.
Tetra Tech - Lk Fenwick Aerator Retrofit Amd 2/ Heubach
coNSULTANT/VENDOR:
.et+4'¿.7¿-By:
Print Name
(signature)
Kathy Cox-Czosnyka,P.E
(titte)
DATE: August 13, 2020
CITY OF KENT:
Print Name: Timothy J. LaPofte, P.E.
It
DATE:Ð
ATTEST:
Kent City Clerk
APPROVEDAS TO FORM:
(applicable if Mayols s¡gnature required)
Kent Law Depaftment
AMENDMENT -2OF2
EXHIBIT A
Lake Fenwick Hypolimnetic Aerator Retroflrt
Proposal for Modification to Existing Contract
Pub lic \l'orlcs Department
City of Kent, WA
Iuly 24,2020
Tetra Tech, Inc
t+zo itÀ Àv.nu", s.ri* oso
Seattle, Washington 981 0l
The following is a proposed modification to the existing Lake Fenwick Hypolimnetic Aerator
Retrofit contract (PO #151478) as requested by the City of Kent (City) on July 7,2020. A
modified scope of work (Exhibit A) and fee estimate (Exhibit B) are included and reflect the
additional effort required to complete the design work above and beyond the original scope of
work and fee estimate for the project.
NOTE: In light of the nationwide uncertainty regarding the COVID-19 situation in the U.S.,
Tetra Tech is closely tracking the Centers for Disease Control and Prevention (CDC)
recommendations, to carefully evaluate risk for our employees regarding in-person meetings,
travel, etc. The project schedule shown in the Tasks below is contingent upon several external
factors, most importantly the ongoing ability of both City of Kent staff and Tetra Tech staff to
communicate safely and effectively while continuing to follow all state and local public health
guidelines. With consideration of these factors, Tetra Tech is otherwise committed to meeting
the project timelines for the Task specified below.
Background
A contract amendment (Amendment No. l) documenting the design issues up to the submittal of
the 90Yo design plans that required changes to the original scope of work and schedule was
acknowledged and approved by the City, with the signed amendment transmitted to Tetra Tech
electronically on May 20,2020. Tetra Tech submitted the complete 90Yo design plans in
accordance with the revised scope of work and schedule in Amendment No. I on June 17,2020.
Design Change Requested By City
On June 26,2020, the City transmitted their review comments on the 90% design plans to Tetra
Tech. These comments included a request to change the roof pitch to "... qt least 3: l2 to
decrease building maintenance related to tree litter qccumulation and moss growth". Tetra Tech
notified the City on June 29,2020 via email that changing the roof pitch to at least 3:12
represented a significant design change that would involve a redesign of the roof and the
connecting elements between the roof and the building walls.
At the conclusion of a conference call between City staff and Tetra Tech on July 7 ,2020 that
discussed potential roofing system alternatives, the City notified Tetra Tech that they would like
1
to proceed with a redesign of the roof to a pitch of a 3:12 using a mono-slope concrete roof with
a standing seam metal roof system and requested that Tetra Tech provide a contract amendment
scope and fee for the additional design work.
Tetra Tech notified the City via telephone on July 9,2020 that a revision to the 90%o construction
cost estimate should also be included in the contract amendment due to the various changes to
the overall design discussed during the July 7,2020 conference call in order for the City to have
a construction cost estimate that matches up with the design plans when the project goes out to
bid. The City agreed that a revision to the 90olo construction cost estimate would be appropriate
and therefore has been included in this amendment.
The modified scope of work and fee estimate requested by the City for the items described above
is included below:
2
Modified Additional Scope of Work
The design change identified above has driven the need for added scope in the task below
Task 500M - Roof System Redesign for 100%o Design Plans and Revised Cost Estimate
Tt will conduct design work for a new roofing system for the compressor building that
consists of a mono-slope concrete roof at a3:12 pitch with a standing seam metal roof
system. The design work will involve architectural, structural, and electrical efforts along
with CAD work to produce drawings of the new roofing system. The drawings for the new
roof will be incorporated in to the lÙÙyo design plans. Tt will also provide a revised
construction cost estimate that reflects the revised design work included in the 100% design
plans.
Tt to include additional technical specifications for updated roof designs. Specifications
may be located on design plans when appropriate.
Deliverables:
o l00Yo design plans including the new rooflrng system for the compressor building
in electronic format.
¡ Revised construction cost estimate in electronic format.
o Additional specifications will be included in 100% design plans and Bid
Document Preparation deliverables described in Task 5.0 in original scope
and Task 5.10M in Amendment No.l .
Task Completion Timeline:
o l00o/o design plans, any additional technical specifications, and construction cost
estimate deliverables to be provided to City within 3 weeks after this Contract
Amendment has been Approved and Executed by both the City and Tetra Tech.
Assumptions:
. City will obtain all required permits as a result of any design changes required due
to the roof redesign work. Any major changes to the design as a result of
permitting requirements are not covered by this Contract Amendment.
o City to continue coordinating with PSE, as noted in Task 4.10M in Amendment
No.1.
. Any additional design changes requested by the City to items in the 90o/o design
plans, beyond the roof system redesign described above, are not covered by this
Contract Amendment.
¡ Task 500M Task Completion Timeline replaces both Task 5.10M timeline in
Amendment No. I and Task 5.0 timeline in original contract.
3
EXHIBIT BFee Est¡mate & Labor Rate Table7t24t2020TEIRA TECH- Rirær & Coastal Engineering (RCQ GroupFee EstimateCITYOFKE\{TLAKE FThI\ryrcKAMATOR RETROTTT MODIFICATION FTE ESTIMATETotal Laborwith OH$ l 7,8s2s17,852*NOTE: Rates valid until llll202l, afterwhich annual rate undates mav occurTotalHou¡s102102AdminStpport$95.0044CADTechnicianst06.72l616StructuralEngineersl77.422424ElectricalEngineer$ 17s.9544ProjectCivilEngineers 123.2088ProjectManager(PM)/Civil-EnvironmentalEngineer9142.7744DesignArchitect$217.314040PrincipalEngineer9276.7022Direct Labor + OH + profit*DescriptionRoof System Redesign for I 00% Design Plans &Revised Cost EstimateWork Task #500MIotal LaborLabor Rate TableStaff/ L¿bor ClassDJRmark-up(ove rh e ad+ profit)Labor Rate$/hou rHamid Naderi / Principal EngineerMarcel Bodsky/ Design ArchitectMark Hopkinson / Project Civil EngineerAdam Baines / PM-Civil-Environmental EngineerShannon Brattebo / Civil-Environmental EngineerRandy Fritch / Electrical EngineerRyan Maas / Structu¡al EngineerNadine Stock / CAD ManagerAlex Buescher / CAD TechScout Heck / CAD TechNOTÊ Rates are valid until l/1/2021. after which annual rate uodates mav occur90.7271.2577.0046.8145.4557.695 8.1786.0034.993t.733.0s3.051.603.053.053.053.051.603.053.0s276.70217.3tt23.20142.77r38.62175.95r77.42137.60106.7296.78$$$$$$$$$$4
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CERTIFICATE
CERTIFICATE HOLDER CANCELLATION
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Policy No.Eff. Date of Pol.Exp. Date of Pol.Eff. Dale of End.Producer No.Add'|. Prem Retum Prem.
GLO 1817406-01 lWUnglg 10t01p420 1UA1Eo',tg 75272000 N1A N/A
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAÞ IT CAREFULLY.
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Commercial General Liability Coverage Part
SCHEDULE
N/A
A. Section ll - Who ls An lnsured is amended to include as an insured âny person or organization shown in the
Schedule of this endorsement, but only with respect to liability arising out of your ongoing operalions performed for
that insured at or from the corresponding location designated and described in the Schedule.
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the Schedule of this endorsement, the insurance afforded to such additional insured only applies to the extent
permitted by law.
B. With respect to the insurance afforded to any additional insured shown in the Schedule of this endorsement, tha
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This insurance does not apply to "bodily injury" or "property damage" occurring after:
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covered operations has been completed; or
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principal as a part of lhe same project.
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U-GL-1465-D CW (12-13)
Page 1 of 1
Name of Person or Organization Location and Description of
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lncludes copyr¡ghted material ol lnsurance Services Office, lnc., with its permission.
ledditional Insured - owners, Lessees Or Contractors -
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARËFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage part
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are required to provlde add¡t¡onal insurod status
psrson or organlzal¡on to whom or to which you
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hazard".
However, íf you have entered into a construction contract with an additional insured person or organization shown in theSchedule of this endorsement, the insurance afforded to such additional insured onþ applies to ihe extent permitteO Uylaw.
All other terms and conditions of this policy remain unchanged.
U-GL-1466-D CW (12-13)
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Policy No.Êff. Ðate of Pol.Exp. Date of Pol.Eff. Date of End.Producer No.Add'|. Frem Relum Prem
7406-01 10t01t2919 1UUn020 10101t2019 7527200A NIA N/A
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POLICY NUMBER: GLO 187"1406-01 COMIGRCIAL GENERAT LIABILITV
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THIS ENDOffiEMENT CHANGES THE FOLICY. PLEASE READ TT CAREFULLY.
CONTRACTUAL LIABILITY . RAILROADS
This endorsenent modifies insurance provided under the lollowing
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEÐULE
Súeduþd Hallroad:Ilesþnaed Job Site:
CONTRACTS FOR h'ORK DONE FOR
LROADS, AS REQUTRED BY WRI?TBN
ONTRACT
(lf no entry appears above, infornntion required to complete this endorsernent will be shown in the Declarations
as applicable to this endorsenent.)
Vlith respect to operations perforned for, or affecting,
a Scheduled Railroad at a Designated Job Site, the
definilion of 'lnsured contract" in the Delinitions sec-
tion is replaced by the following:
9. "lnsured Contract" mgans:
a. A contract for a fease of premises. However,
that portion of the conlract for a fease of
premises that indemnifies any person or or-
ganization for damage by fire lo premises while
rented to you or temporarily occupied by you
with permission of the owner is not an Tnsured
contracl";
b. A sidetrack agreemenl;
c. Any easement or license agreerrnnt;
d. An obligation, as required by ordinance, to
indemnify a municipality, except in connection
with work for a municipality;
e. An elevalor nnintenance agreernent;
f. That part of any other contract or agreenent
pertaining to your business (including an in-
demnification ol a municipality in connection
with work performed for a municipality) under
which you assume the tort liability of another
party to pay lor 'bodily injury" or 'þroperty
damage" toa third person or organization. Tort
liability means a liability that would be imposed
by law in the absence of any contract or
agreenEnt.
Paragraph f. does not include lhat part of any
conlract or agreement:
(f) That indemnifies an architecl, engineer or
surveyor lor injury or danrage arising out
of:
(a) Preparing, approving or failing to pre-
pare or approvê rnaps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and specifi-
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cause of the injury or damage;
(2) Under which lhe insured, il an architect,
engineer or surveyor, assurÞs liability for
an injury or dannge arising out of the in-
sured's rendering or failure to render pro-
fessional services, including those l¡sted in
Paragraph (1) above and supervisory, in-
spection, arch itectu ral or engineering activi-
tþs.
cG24171001 O ISO Properties, lnc., 2000 Pagel ofl tr
POLICY NUMBER: GLo 1877 40 6-00 COMilERCTAL GENERAL L¡ABtLmy
cG 25 fit 05 09
THIS ENDOHSEMENT CHANGES THE PC}LICY. PLEASE READ IT CAREFULLY.
DESTGNATED CONSTRUCTTON PROJECT(S)
GENERAL AGGREGATE LI MIT
This endorsernent modifies ínsurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
A GENERA'L AGGREGATE LIMIT APPLIES TO EACH CONSTRUCTTON PROJECT IVHERETHA NAMEÐ INSURED IS PERFORMING OPERATIONS, HCII¡IEVER, A GENERALAGGRËGATE LrMIT DoEs NoT APPLY TO ANY CONSTRUCTToN Þno,:scr WHERE THENAMED INSURED TS PERFORMING OPERATTONS THAT ARE INSURED UNDER A ¡IRAPUF OR ANY OTHER CONSOLTDATED OR STMILAR INSURANCE PROGRAM.
llesignaled Proþct(s):
u ¡f wiflbe on
A. Fo¡''allsums which the ínsured becomes legally
obligated to pay as dannges caused by
"occurrencgs" under Section I - Coverage A, and
for all npdicalexpenses caused by accidents
under Seclion I -Coverage C, which can be
attributed only to ongoing oporations at a single
designated construction project shown in the
Schedule above:
1. A separate Designated Construction Project
Creneral Aggregate Limit applies to each
designated construction project, and that limit
is equal to the amount of the General
Aggregate Limit shown in the Declarations.
2. The Designated Construction Proþct General
Aggregate Limit is the most we will pay for the
sum of all danages under Coverage A, except
dannges because of 'bodily injury" or
'þroperty damge" included ín the'þroducts-
completed operalions hazãrd", and for
npdicalexpenses under Coverage C
regardless of the number of:
a. lnsureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or
bringing "suíts".
3. Any payffÞnts nsde under CoverageA for
damages or under Coverage C for nedical
exp€nses shall reduce the Designated
Construction Project General Aggregate Limit
for that designated construction proþct. Such
payrnenls shall not reduce the General
Aggregate Limit shown in lhe Declarations nor
shall they raduce any other Designated
Construction Project Cæneral Aggregate Limit
for any olher designaled conslruction project
shown in the Schedule above.
4 The limits shown in the Declarations for Each
Occurrence, Dannge To Premíses Rented To
You and t\¡bdical Expense continue to apply.
However, instead of being subject to the
General Aggregate Limit shown in the
Declarations, such límils will be subject to lhe
applicable Designated Construction Project
Generaf Aggregate Limit.
cG 25 03 05 09 @ lnsurance Services Office, lnc., 2008 Page 1 of2 tr
B. For all sums which the insured beconæs legally
obligated to pay as clannges caused by
'occurrences" under Section I - Coverage A, and
for all medical expenses caused by accidents
under Section I -Coverage C, which cannot be
attribuled only to ongoing operations at a single
desígnated construction project shown in the
Schedule above:
1. Any payrnents nade under Coverage A for
dannges or under Coverage C for ¡rpdical
êxpenses shall reduce the amount available
under the General Aggregate Limit or the
Products+ompleted Operations Aggregate
Límit, whicher¡er ís applicable; and
2. Such payments shall not reduce any
Designated Construction Project General
Aggregate Limit.
C. Wren covêrage for liability arising out of the
'þroducts-completed operations hazard" is
provided, any payments for danages because of
'bodily injury" or'þroperty darnage" included in
the'þroduclsrompleted operalions hazard' will
reduce the Productscompleted Operations
Aggregate Limil, and not reduce the C*neral
Aggregate Limil nor the Designated Construction
Proþt General Aggregate Limit"
D. lf the applicable designated conslruction project
has been abandoned, delayed, or abandoned
and then restarled, or if the authorized
contracting partbs deviate from plans, blueprints,
designs, specifications or tinetables, the proþct
will still be deemed to be the sarne construction
project.
E. The provisions of Seclion lll -Limits Of
lnsurance not otherwise modified by this
endorsenent shall continue to apply as
stipulated.
Page 2 of 2 @ lnsurance Services Office, lnc., 2008 cG26030509 tr
POLICY NUMBER:GLo IBLT 406*00
This endorsement modif¡es insurance provided under the followíng
COMMERCIAL GENERAL L¡ABILITY COVEFAGE PART
SCHEDULE
COMMERCI/AL GENE RAL LIAB'LIW
cc25ø0509
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [T CAREFULLY.
DEStc NATE D LOCATT O N(S)
GENERAL AGGREGATE LI N¡ iT
A. For all sums which the insured becomes legally
obligated to pay as damages caused by
"occurrences" undsr Section I -Coverâge A, and
for all rnedicalexpanses caused by acciðents
under Section I -Coverage C, which can be
attributed only to operat¡ons at a single
designated "location" shown in the Shedule
above:
1. A separate Ðesignated Location Cæneral
Aggregate Limit applies to each designated
'location", and that limit is equalto thã amount
ol the General Aggregate Limit shown in the
Declarations.
Z Jl'," Designated Location Cieneral Aggregate
Limit Ís the most we will pay for the éumót all
darnages under Coverage A, êxcept damages
becausê of 'bodi[ injury" or 'þroperty
damage' included in the'þroductscómpleted
operations hazatd", and for medicalexpenses
under Coverage C regardless of the númber
of:
a. lnsureds;
b. Claims made or'suits" brought; or
e. Persons or organizations making claíms or
bringing "suits..
3. Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the Designated
Locatíon General Aggregate Limit for thal
desígnated'localion". Such payments shall
not reduce the CæneralAggregate Limit
shown in the Declarations nor shall they
reduce any other Designated Location -
General Aggregate Limit for any other
designated location" shown in lhe Schedule
above.
4. The limits shown in the Declarations for Each
Occurrence, Damage To premises Rented To
You and lradical Expense continue to apply.
However, instead of'being subject to thé'
General Aggregate Limit shown in the
Declãrations, such limits will be subiect to the
applicable Des ignated Locat ion Cæn'eral
Aggregate Limit.
OTHER THAN CONSTRUCTION PROJECTS, OCCUPIED BY THEEACH LOCATTON,
NAMED TNSURED
to OV€s
cG 25 04 fE 09 @ lnsurance Services Office, lnc., 200g Pagel of2 u
B. For all sums which lhe insured beconps legalþ
obligated to pey as damages caused by
'þccurrences" under Section I - Coverage A, and
for all rnedical expsnsos caused by accidents
under Section I - Coverage C, which cannot be
atlributed only to operations at a single
designated'location' shown in the Schedule
above:
1. Any payrrents made under Coverage A for
damages or under Coverage G for npdical
expenses shall reduce the amount avaihble
under the General Aggregate Limit or the
Productscompleled Operalions Aggregale
Limit, whichever is applicable; and
2. Such paynÉnts shall not reduce any
Designated Location Cæneral Aggregate Limit.
C. lMren coverage for liability arising out of the
'þroclucts+omplelerl operalinns hazard" is
provided, any payrnents for darnages because of
"bodily injury" or'þroperty damage" included in
the'þroductscompleted operalions hazard" will
reduce the Productscomplaled Operations
Aggregale Limit, and nol reducê the C*neral
Aggregate Limit nor the Designated Location
C*neral Aggregate Limit.
D. For lhe purposes ol this endorsernenl, lhe
Definltbns Section is arnended by the addition of
the following definition :
"Location" mgåns premises involving the sarne or
connecting lots, or premises whose connection is
interrupted only by a street, roadway, walerway
or right-of-way ol a railroad.
E. The provisions of Section lll - Limits Of
lnsurance not otherwise modifþd by this
endorsernent shall continue to apply as
stipulated.
Page 2 ol 2 @ lnsurance Services Office, lnc., 2008 cG25040509 tr
i
other rnsurance Amendment - primary And ITon-
Contributory
Ø
ZURICH !1
Policy No.Eff. Date of Pol.Exp. Date of Pol.Efi. Dste of End.Producer No.Add'|. Prem Retum Prem.GLO't817406-01 14t01t2019 10t01t2020 10t01t2019 7s272400 N/A NIA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Named lnsured:
Address (inctuding Ztp Code):
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage part
l' The following paragraph is added to the Other lnsurance Condition of Section lV - Commerciat Generat LiabilityConditions:
¡ This ínsurance is primary insurance to and will not seek contribution from any other insurance available to anadditional insured under this policy provided that:
a. The addítional insured is a Named lnsured under such other insurance; and
b' You are required by a written contract or written agreement that this insurance would be primary and would notseek contribution from any other ínsurance available to the additional insured.
2' The following paragraph is added to Paragraph 4.b. of the Other lnsurance Condilion of Section lV - CommercíalGeneral Liability Conditions:
This ínsurance is excess over:
Any of the other insurance. wh.ether prímary, excess, contingent or on any olher basis, available to an addítionalinsured, in which the additional insured on-our policy is alsı covered as ãn additional insured on anolher policyproviding coverage for lhe same "occurrence", offense, claim or "sull". This prouìr¡on does not appi' ré an, policy inwhich the addilional insured is a Named lnsured on such other.policy and'where our policy is requirod by writtencontract or written agreement to provide coverage to the additional'lnsuied on a primaiy and nón-conilioutãry ¡as¡s.
All other terms and condilions of this policy remain unchanged.
U-GL-1327-B CW(04113)
Page 1 of 1lncludes copyrighted material of lnsuranse services office, lnc,, with its permission.
POLICY NUMBER: GLO J.817406-01 COMMERCIAT GENERAL L IABILITY
cG24 04 (F f!9
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENEHAL LIABILITY COVERAGE PART
PHO DUCTS/ COMPLETED OPERATIONS LIABI L ITY COVERAGE PART
SCHEDULE
NarB Of Person Or Organization:
ANY PERSON OR ORGANIZATION THAT REOUIRES YOU TO IVAIVE YOUR RIGHTS OF
RËCOVERY, IN A Î/IRITTEN CONTRACT OR AGREEMENT WITH THE NAMED ÏNSURED
THAT IS EXECUTED PRIOR TO THE ACCTDENT OR LOSS.
The following is added to Paragraph 8. Trar¡sþr Ol
Rights Of Recorrery Against Others To Us of Section
lV-Condlllons:
lÂþ waive any right of recovery we may have against
the person or orqanization shown in the Schedule
aboüe because o-f paynænts we make for injury or
darnage arising out of your ongoing operalions or
'!our work" done under a contract with that person
or oroanization and included in lhe'broducts-
completed operatlons hazard". This rivaiver applies
only to the person or organization shown in the
Schedule above,
cG 24 04oS @ @ lnsurance Servícss Office, lnc., 2008 Pagei ofl tr
I
Blanket Notification to Others of Cancellation
or Non-Renewal
Ø
ZURICH
Policy No.Eff. Dateof Pol,Exp. Þate of Pol.Iìfl ljate of Ë.nd.Producer No.Add'l. Pr¿¡n Rcturn Prcm.
1 14t01/2020 75272000 INCL
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsemenl modifíes insurance provided under the:
Commercial General Liability Coverage part
A. lf we cancel or non-renew this Coverage Part by written notice to the first Named lnsured, we will mail or delivernotification that such Coverage Part has been cancelled or non-renewed to each pÊtson or organization shown ín alíst provided to us by the first Named lnsured if you are required by written contact or wrilen ägreement to provide
such notification. However, such notification will not be mailed or deiivered if a conditional notice ãf renewal has beensent to the first Named lnsured. Such list:
f . Must be provided to us prior to cancellation or non-renewal;
2. Must contain lhe names and addresses of only the persons or organizations requiring notification that such
) Coverage Part has been cancelled or non-renewèd; and
3. Must be in an electronic format that is acceptable to us.
B- Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records
as of the date the nolice of cancellation or non-renewal is mailed or delivered to the first Named lnsured. We will mail
or deliver such notification to each person or organization shown in the líst:
1. Within seven days of the effective date of lhe notice of cancellation, if we cancel for non-payment ol premium; or
2. At least 30 days prior to the effective date of:
â. Cancellation, if cancelled for any reason olher than nonpaymenl of premium; or
b. Non-renewal, but not including conditional notice of renewal.
C. Our mailing or delívery of notification described in Paragraphs A. and B. of lhis endorsement is intended as a courtesyonly. Our failure to provide such mailing or delivery will not:
1. Extend the Coverage Part cancellation or non-renewal date;
2. Negate the cancellation or non-renewal; or
3. Provide any additÍonal insurance thal would not have been provided in the absence of this endorsement.
D. We are not respons¡ble for the accuracy, integrity, timeliness and validity of information contained in the list provided
to us as described in Paragraphs A. and B. of this endorsement.
All other terms and conditions of this policy remaín unchanged.
u-GL-1521-A CW {10/12)
PagB 1 of Ilncludes copyrighted material of lnsurance services office, lnc., with ils permission.
Blanket Notification to Others of Cancellation
or Non-Renewal
ø,'-
ZURICH"
Policy No.Elf. Date of Pol.Exp. Dale ol Pol.Eff. Date of Ënd Producer No.Add'l. Prem Return Prem.
IAP 1857085-01 1.0 / 0t /2079 10 / at /2020 7 521 200A I IIC],
THIS ENDORSEMENT CHAIIGES THE POLICY. PLEASE READ lT CAREFULLY.
This endorsemenl modifies insurance provided under the:
Corrmrcbl Ar¡tombiþ Corærage Part
A ll we cancel or non-renq/v this Coverage Part by written notice to the first Named lnsured, we will mail or deliver
notilicalion that such Coverage Part has been cancelled or non-renared to each person or organization shown in a
lisl provided to us by the first Named lnsured if you are required by written contact or written agreement to provide
such notification. However, such notification will not be mailed or delivered if a conditional notice of rene¡/al has been
sent to the first Named lnsured. Such list:
1. Must be provided to us prior lo cancellation or non-renalal;
2. Must contain the names and addresses ol only the persons or organizations requiring notification that such
Coverage Part has been cancelled or non-renewed; and
3. Must be in an eleclronic format that is acceptable to us.
B. Our notification as described in Paragraph A of this endorsement will be based on the most recent list in our records
as of lhe date the nolice of cancellation or non-reneì ,al is mailed or delivered to the first Named lnsured. We will mail
or deliver such notification to each person or organization shown in the list:
1. Within seven days of the effective dale of the notice of cancellation, if we cancel for non-payment of premium; or
2. At least 30 days prior to the effective date of :
a. Cancellation, if cancelled for any reason other than nonpayment of premium;or
b. Non-renewal, but not íncluding conditional noticê of rener,r¡al.
C. Our mailing or delivery ol notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy
only. Our failure to provide such mailing or delivery will not:
1. Extend the Coverage Parl cancellation or non-reneu¡al date;
Z Negate lhe cancellation or non-renevrral; or
3. Provide any additional insurance that would not have been provided in the absence of this endorsement.
D. We are nol responsible for the accuracy, íntegrity, timeliness and validity of information contained in the list provided
to us as described in Par4graphs A and B. of this endorsement.
All other terms and conditions of lhis policy remain unchanged.
u-cA{3z-A CW (01t13}
Page I of 1
lncludes copyright€d material of lnsurance Ssrvices Office, lnc., wlth ils permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILIW INSURANCE POLICY WC 9S 06 rt3
BLANKET NOTIF¡CATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT
Thís endorsement adds the folfowing to part Six of the policy
PATTSX
CONDITIONS
Blankel Notification to Others of Cancellation or Nonrenewal
1. lf we cancel or non'renew this policy by written noticêto you, we will nEil or deliver notification that suchpoficy has been cancelled or non-renewed to each person or organizatíon shown in a list provided lo us byyou if you are required by written contracl or writteÀ agreenìent tä provide sucfr notificatiori. Howevàr, ìucf,
notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such líst:
a. Must be provided to us prior to cancellation or non-renewal;
b. Must contain the nanËs and addresses of only the persons or organizations requiring notificatlon thatsuch policy has been cancelled or non-renswedland '
c. Musl be in an electronic format that is acceptable to us.
2. Our notilication as described in Paragraph 1. above will be based on ths most recenl list in our records as ofthe date the notice of cancellation or non-renewal is mailed or delivered to you. We will nnil or deliver such
notification to each person or organization shown in the list:
\ a' Wthin seven days of the effective date ol the notice of cancellation, if we cansel for non-paynent ofJpremum; or
b. At least 30 days prior to the effectíve date of:
(1) Cancellation, if cancelled for any reason other than nonpayment ol premium; or
(2) Non+enewal, but not including condítional notice of renewal.
3. Our nniling or delivery of notification described in Paragraphs 1. and 2. above is inlended as a courtesy only.Our failure to provide such nniling or delÍvery will not:
a. Extend the policy cancellation or non-renewaldate;
b. Negate the cancellation or non-renewal; or
c. Provide any addit¡onal insurance that would not have been provided in the absence ol this endorsernenl.
4. f{b are not responsible for the accuracy, integrily, timeliness and validity of information contained in the lístprovided to us as described in Paragraphs 1. and 2. above.
All other terns and conditions of this policy renain unchanged.
This endorsement changes the policy to which ¡t is attached and is effective on the date issued unless otherwise stated.
(The informalion beftDw is têquired only rvüen this sndorsment ¡s isq¡ed e$seqænt to preparation of the policy.)
Endorsement Effective
lnsured
lnsurance Company
ZURICH AMERICAN INSURÄNCE COMPANY
WC 9906/tíl
(Ed.01-13)
Policy No.
wc 2540616-01
Endorsement No.
Premium g
lncludes copyright malerial of the Natiorsl Counc¡l on Compensation lnsurancs, lnc. used with its permission.
@ 2012 Copyright National Councll on Compensalion lnsurance, lnc. All Ftghls Fleserved.
Page 1 d1
ENDOBSEMENÏ
Thls endorsement. effsctive 1201 AM 1010112019
Forms a part of policy no.: 028182375
lssued to: TETBA TECH, lNC,, ET AL
By: LEXINGTON INSURANCE COMPA IY
ADMCE OF CAIìICELLATION TO ENTITIES OTHER THAN THE NAMED INSURED LIMITEÞ
TO Ë.MAII NOTIFICATION
This policy is amended as follovræ:
ln the event that the lnsurer çancels this policy for any reason other than non payrnent of premium, and
1. The cancellation effective date is príor to this policy's expiration date;
2. The First Named lnsured is under an existing conüacü;al obligation to notifo a certificate
holder wfren fris policy is canceled (hereinafter, the "Certificae Hc¡lder(s)"1; and has
provided to the lnsurer, e¡ther direcüy or through iùs broker of record, the email address of
the contact at such eility,
and trre lnsurer received this ínformation after the F¡rst Named lnsured recê¡ves nslice of
cancslladon of this policy and prior to this policy's cancellation effect¡ve date. via an elecfonic
spreadsheet that is acceplable to the lnsurar,
the lnsurer will provide advice of cancellation (*re "Advice"l via e-mail to such Certificaæ Holders
Proof of the lnsurer emailing the Advice, using the informalion provided by üe First Named Insured,
will serve as proof that fre lnsurer has fully satisfied Íts oblígations under this endorsement.
This endorsement does not affect, in any lray, coverage provided under this policy or the cancellation of
this policy or the effective dat6 thereof, nor shall thís endorsement invest any rights in any entity not
insured under this Folicy.
The follorling Definitions apply þ this endorsement:
1. First Namsd lnsured rneâns the Named lnsured showfl on üre Declarations Page of üris
policy.
2. lnsurer means the insurance company shor¡¡n in lhe header on the Decleralions Page of üris
policy.
Al other ærms, condÍlions and exclusíons shall romain the same.
rx898o 1(E/131 Page I of t
.WORKERS COMPENSATION AND EMPLOVERS LIABILITY INSURANCE POLICY wc 99oe¡ts
BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT
This endorsenent adds the fotlowing to part Six of the policy.
PABTSIX
CONDITIONS
Blanket Notification to Others of Cancelhtion or Nonreneual
1. lf we cancel or non-renew this policy by writlen notic€ to you, we will mail or deliver notification that suchpolicy has been cancelled or non-renawed to eagh person ãr organization shown in a list provided fo us nyyou if you are required by written contract or writteñ agreement iã provide such notificaiiiri. Horæräi, sîcflnolífímlion will not be rna¡lsd or delivared if a conditíonal notice of renewal has been senl lo you. Such líst:a. Must be provided to us prior to cancellation or non-renewal;
b' Must contain the nar¡æs and addresses of only the persons or organizalions requiring notilication thatsuch policy has been cancelled or non+enewediand '
c. Must be in an electronic format that is acæptable to us.
2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as ofthe date lhe notice of cancellation or non-renewal is npiled or delivered to you. We will rnail or deliver suchnotification to each person or organization shown in the list:
a' lMthin seven days of the effective date of lhe notice of cancellation, if we cancel for non-paynent ofpremium;or
b. At least 30 days prior to the ellective date of :
(1) Cancellation, if cancelled for any reason other than nonpayment of premium; or
(2) Non+enewal, but not incrud¡ng conditionar notice of renewar.
3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is íntended as a courtesy only.Our failure to provide such nrailing or delivery will not:
a. Extend the policy cancellation or non-renewaldate;
b. Negate the cancellation or non-renewal; or
c. Provide any additíonal insurance that would not have been provided in the absence of lhis endorsernent.4. Vlb ?* not responsible lor the accuracy, inlegrity, tirnel¡ness and validíty of information contained in the listprovided to us as described in paragraphs 1. and 2. above.
Allother terns and conditions of this policy renain unchanged.
This endorsement changes the policy to which il is atlached and is effective on the date issued unless otherwise stated,
(The infonnation below is rcquired only when this endorcement is iss¡ed s.¡beequsnt to Fþparât¡on of the pollcy.)
Endorsement Effective
Insured
lnsurance Company
i ZURICH AI4ERICAN INSURANCE COMP.ANY
wc st0643
{Ed. 01-13)
)
Policy No.
?üc 1857087-01
Endorsemant No.
Premium g
lncludos copyright fiHlsrlal of the National Cou¡cil on Compensalion lnsurance, lnc. used vuith its pern¡sgon.
@ 2012 Copyrlght National Councll on Compensalion lnsurance, lnc. All Ftghts Reseried.
Page 1 dl
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