HomeMy WebLinkAboutPW07-236 - Supplement - Hunnicutt & Associates, Inc. - East Valley Highway Improvements Summary Appraisal Reports Time Extension - 07/17/2007 Records Management---
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Document
WASMINGTON
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission to City Clerks Office. All
portions are to be completed, if you have questions, please contact Mary Simmons, City
Clerks Office.
Vendor Name: Hunnicutt & Associates, Inc.
Contract Number:
This is assigned by Mary Simmons
Vendor Number:
Project Names: East Valley Highway Improvements
Contract Effective Date: Date of the Mayor's signature
Contract Termination Date: August 31, 2007
Contract Renewal Notice Da s):
� Y
Number of days required notice for termination or renewal or amendment
Contract Manager: Nick Horn
Department: Engineering
Abstract:
A supplemental agreement to extend the completion date for the summary appraisal
reports.
ADCL7832 07/02
CAI 12.//z106
Allk
� Washington State
�I/ Department of Transportation
Organization and Address
Supplemental Agreement Hunnicutt & Associates, Inc.
PO Box 531
Agreement Number Kirkland, WA 98083-0531
Contact David Hunnicutt
LA 6075
Project Number Phone
STPUL-1073 (004) (425) 576-1203
Protect Title New Maximum Amount Payable
EE
ast Valley Highway Improvements $ 60,700.00
cription of Work
Provide summary appraisal reports
The Local Agency of City of Kent
desires to supplement the agreement entered into with Hunnicutt&Associates, Inc
and executed on 7/17i2007 and identified as Agreement No LA 6075
All provisions in the basic agreement remain in effect except as expressly modified by this supplement
The changes to the agreement are described as follows
I
Section 1, SCOPE OF WORK, is hereby changed to read
No change
I I
Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days for
completion of the work to read August3l.2007_- _
III
Section V, PAYMENT, shall be amended as follows
No change
as set forth in the attached Exhibit A, and by this reference made a part of this supplement
If you concur with this supplement and agree to the changes as stated above, please sign in the appropriate spaces
below and return to this office for final action
By Hunnicutt By Su7ette-C9oke, Mayor
Consultant Signature ppro ing Authority Signature
DOT Form 140-063 EF
Revised 10/97
Date Issued• Policy Number Previous Policy Number:
03/09/2007 LIU002844-006 LI0002844-005
REAL ESTATE APPRAISERS PROFESSIONAL LIABILITY
Liberty
Insurance
Underwriters Ina.
THIS IS A CLAIMS NLADE AND REPORTED POLICY.
55 Water Street, 18th Floor PLEASE READ IT CAREFULLY.
New York, NY 10041
LIBERTY INSURANCE UNDERII'RITERS, INC. (herein called "the Company")
Item DECLARATIONS
1. Customer ID: 127664
Named Insured:
HUNNICUTT & ASSOCIATES, INC
David E Hunnicutt
10716 127th Avenue NE
Kirkland, WA 98033
2. Policy Period:
From: 0510112007 To: 0 510 1/200 8
12.01 A M. Standard Time at the address stated in
Item 1
3. Deductible: $1,000.00 Each Claim
4. Retroactive Date: 05/01/1997
S. Inception Date: 05/01/2002
6 Limits of Liability: The Limit of Liability for Each Claim and in
A. $1,000,000 00 Each Claim the Aggregate is reduced by Damages and
B. $2,000,000 00 Aggregate Claims Expenses as defined in the Policy.
7. Mail All Notices to Agent:
Liability Insurance Administrators
1600 Anacapa Street
Santa Barbara, California 93101
(805) 963-6624; Fax: (805) 962-0652
8. Annual Premium: $1,134.00
9. Number of Appraisers: 1
10. Forms attached at issue: LIA002 (07/01) LIA WA (08/01) LIA009 (10/01) LIA012 (07/01)
LIA013 (07/01) LIA018 (07/01) LIA025 (07/01)
This Declarations Page together with the completed and signed Policy Application including all attachments and exhibits thereto, and the
Real Estate Appraisers Professional Liability Insurance Policy shall constitute e c ntract between the Named Insured and the Company
L1A001 (07/01) - Authorized Signature
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96/21/2007 08:42 206-364-1912
WARREN ELMER INS rH
FARMERS INSURANCE GROUP OF COIVIPAN�—S
---^ __ WARREN El-ketER, CLU
Insur�rce Age-�nT
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TO WHOV IT MAY CONCERN
DAV 10 E HUNNICUT HAS THE FOLLOWING INSURANCE
I?OLICIESs
AVT040d ILE 19-16938-a9-<5
- HOMEOWW RS 79-9)124-5)-20
UMBRELLA* 79-60025-46-28
11000,000 EXCESS LIABILITY POLICY
ADDITIONAL INSURED
CITY OF KENT
229 WEST GOWE STREET
` KENT WASHIN'GTON 980)I
1` -
WARREN ELMER, AGENT
FARIVIFI•#S GETS YOU BACK WHERE YOU 13ELON
1179b Aur6ra Five N, SU3tt!O WA 98163-P;2511
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