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Home My WebLink AboutPW14-066 - Amendment - #9 - GEI, Consultants, Inc. - Briscoe-Desimone Levee Reach 1-4 - 12/23/2020ApprovalOriginator:Department: Date Sent:Date Required: Authorized to Sign: o Director or Designee o Mayor Date of Council Approval: Budget Account Number: Budget? o Yes o No Grant? o Yes o No 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: Project Details: Agreement Amount: Start Date: Basis for Selection of Contractor: Termination Date: Local Business? o Yes o No* *If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace. Notice required prior to disclosure? o Yes o No Contract Number: Agreement Routing Form For Approvals, Signatures and Records Management This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms. (Print on pink or cherry colored paper) Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20 AMENDMENT - 1 OF 2 AMENDMENT NO. 9 NAME OF CONSULTANT OR VENDOR: GEI Consultants, Inc. CONTRACT NAME & PROJECT NUMBER: Briscoe-Desimone Levee Reach 1-4 ORIGINAL AGREEMENT DATE: March 25, 2014 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: No change to the scope of work, however an amendment is needed to extend the time of completion to December 31, 2021 due to as-builts and certification documents need to be completed. 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 $399,124 Net Change by Previous Amendments including applicable WSST $65,690 Current Contract Amount including all previous amendments $464,814 Current Amendment Sum $0 Applicable WSST Tax on this Amendment $0 Revised Contract Sum $464,814 Original Time for Completion (insert date) 3nn5 Revised Time for Completion under prior Amendments (inseft date) t2t3lt20 Add'l Days Required (+) for this Amendment 365 calendar days Revised Time for Completion (insert date) t2t3il2t 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 RmenOment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement ofall claims of any kind or nature arising from or connected with any work either covered oraffected 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 theguarantee 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 ratifled 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 betow. CONSULTANT DO (nau(knb a By Pri Its nt ame; (title DATE: CITY OF KENT: By: (signa Print Name: Carla Maloney, P,E. DATE: ATTEST: {-* Kent City Clerk APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department GE! - Sriscode-Desioone lEeee 5 And 9/Maloney AMENDMENT-2OF2 CERTIFICATE OF LIABILITY INSU RANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISIFRT|F|CATE DOES NOT AFFTRMATTV ILOW. THIS CERTIFICATE OF INSU ELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES RANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE R(S), AUTHORIZED '{EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. DATÉ (MM/DDTYYYY) 0412312020 IMPORTANT: lf the certificate holder is an ADDITIONAL tNSURED, the must have ADDITIONAL INSURED provisions or be endorsedlf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on policy(ies) this certificate does not confer to the certificate holder in lieu of such e Alicia M, LyndeCONTACT NAME: 860-723-5670 marsh.com AFFORDING NAIC # MARSH USA, INC. 20 CHURCH STREET,8TH FLOOR HARTFORD, CT 06103 Altn: Harlf 0rd.certrequest@ l\llarsh.com cN1 02051 728-GEt 1 -GAWUX.20-21 PRODUCER !!!!!tER A : National Union Fire lns. Co. of P¡ttsburoh, PA '19445 INSURER B : Steadfast Insurance CompanV 26387 INSURER C : AIU Insurance Co 193S9 INSURER D : INSURER E : GEI Consultants, Inc. (1700) 180 Grand Ave, Suite 1410 Oakland, CA 94612 INSURED INSURER F : COVERAGES CERTIFICATE N NYC-01 0838806-03 REVISION NUMBER: 0 INDICATE HSTANDING MAY MAY MAY tsTH TOIS FYCERTI TTHA POLTHE ESlcr OF SURANCEN ISTEDL EL HAVEOW Eı ISSUEDEN THTO E NAMEDNSURED FOABOVE THER PERIPOLICY ODNOTWITD.ANY REOU ENTREM ORTERM DICON UFTION CONTRACTANY OTHEROR WITHDOCUMENT TORESPECT WH rcH THCERTITETHENFICABEEDssuORPERTAINùRANCEUBYAFFORDEDPOLITHEDESCRICIESEBHDREIEISNUòBJECTTOTHEALLRMTEONSEXCLUS¡CONDITIONSAND SUCHOF trò-POLtCt L ITSM SHOWN HAVE BEEN REDUCE BYD AIDP MCLAI s. TYPE OF INSURANCE LIMITS X E 2,000,000 300,000 MED EXP one 25,000 & ADV INJURY 2,000,000 AGGREGATE 4,000,000 X COIVP/OP AGG 4,000,000 X COMMERCIAL GENERAL LIABILITY GEN'L AGGREGATE LIMIT X APPLIESE CLAIMS-¡/ADE OCCUR POLICY PER: LOCPRO- JECT GL 51 8-02-76 0310112020 0310112021 $ $2,000,000 X BODILY INJURY (Per person)$ BODILY INJURY (Per acc¡dent)$ X $ ANY AUTO OWNED AUTOS ONLY HIRED AUIOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY LIABILITY cA 296"17-04 (t\,4A)0310112020 0310112021 Deduct¡ble $$250/$250 X EACH f,000,000$ X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MADE AGGREGATE 1,000,000$ 7447104-01 0310112020 0310112021 $ X E.L, EACH 1,000,000$ E.L, DISEASE. EA 1,000,000$ c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXÉCUTIVE OFFICEFV¡,4EMBER ËXCLUDED?N ln NH) underdescribe N/A wc 01 2-01-6046 (CA)03101t2020 0310112021 E.L.1,000,000 B PROFESSIONAL ENV¡RONMENTAL CONSULTANT'S LIABILITY PEC 0233595-04 0310112020 0310112021 Each Claim Aggregate:1,000,000 RIPTIONDESC OPERAOF TIONS LOCATIONS VEHICLES Addit¡onal101,Rsmarks(ACORO Schodule,b€¡fattached moro tsmayapacE rêqu¡rod) Briscoe-Des¡moneKent ReachLevee ofProject:1,Kent The ofCity Kent,theand Flood Dislr¡clControlC¡ly CounlyKing CounlyKing are asnamed lnsuredAddit¡onal wilh t0respect general liabilily for and0ng0rng completed aul0,umbrella as wr¡ttenandoperat¡ons,liability conlract,for 0ut lheofbyrequiredliability of namedthe while¡nsuredansrngoperations work thefor the ândDistrictperformingCity, the AutoGeneral UmbrellaândCounty.and writtenLiabilityprimaryNon-contributory required contract.WaiverA of bewillper tnissued w¡lhaccordance termsSubrogation conditions.andpolicy c OLDER o 1988-2016 ACO The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent Public Works Department Attn: Mr. Ken Langholz 20 Fourth Avenue South Kent, WA 98032 AUTHORIZED REPRESENTATIVÊ of Marsh USA lnc. â--t'e æ--Craig A. Parrow ACORD 25 (20r6/03) RD CORPORATION. All rights reserved AGENCY CUSTOMER lD: CN102051728 LOC #: Hartford I\¡ARSH USA, INC. AGENCY POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL R ADDITIONAL REMARKS SCHEDULE Page 2 ol' NAMED INSURED GEI Consullants, lnc. (1700) '180 Grand Ave, Suite 1410 Oâkland, CA 94612 @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liabilitv lnsurance THE PROFESSIONAL ENVIRON¡/ENTAL CONSULTANTS LIABILITY POLICY EVIDENCED ON THIS CERTIFICATE IS A COMBINED POLICY, POLLUTION COVERAGE IS INCLUDËD, ACORD 101 (2008/01) ENDOR$EMENT This endorsernent, effectiye t 2;01 A.M. 03¡01 12020 forrns a part of policy No. tA 296-17 -O5 isçued to GEI COHSULTAI{TS , lNC. bv NÂT l0f,lÀL UN loH F IRE IHSUR.ANCË CO¡|FANY oF p ITTSBURGH , PA THIS ENDOHSEMËNT CHANGES THE POUCY. PLEA5E ÊEAD IT CAREËULLY. ADÞJÏ¡OHALJÍITSUREÞ . WHEREfrËOUIHET UNDËfr CONTRAÊT OR AGREEMENT This endarsement modifies insurance provided under the foÍlawing: BUSINESS AUTÕ COVEBAGE FÛRM SCHËDULE AtrDITIONAL INSUBED: Any person rr organization for whon you aprovide Ádditional ln¡ured status but onìperson's.or organization's I iab il ity arir covEred "auto", ra contractually bound toy to the extent of suching out of the use of a SEcTltN ll - LIAÊlLlrY covERAGE, Å. coverage, 1. . who ls lnsured, is amended ro add: d, Any person or organization, chown in the çchedulc absve, to whorn you become obligatedlo include as an additional incured under thiç pslícy, as a result of any contrsct or agre€ment you ÊrTler into which requires you to iurnísh insurançe to thât pËrËon or organieation of the type provided by this polícy, but only with respect to liatrility arising cut of use of a cpvered "autû", However, the insurance provided will nol exceed the lesser of: {I I The coveråge and/or limitc af this policy, or {2} The r"'ov€rage and/or limits required by said Çontrårt or açJreêment, 0r statës where Page 1 of 1 87ü50 {10/r,5}Á¡t hive Çopy d ENÞOHåSMENT # This endorcement, effective I2:O1 A,M. 03/01 /2û2t forms a part af Palicy No.üA 296-17-AS issued ro GFI CûNSULTAI{TS, lî'lC Ëyl{ATl0HA[ UNlCIil FIRã iNSURAHCE CûHPANY 0F PITTSBURGH, PA THI$ FN¡TTR$EMENT SHAI'¡GE$ THE POLICY. PLTASE REAÞ IT CAREFULTY LIMITEÞ AÞVICE OF TANCETLATION PROVIÞEÐ VIA E.MAIL Tü FHTITIËS ÕTHER THAru T}.IE FIRST NAMËÞ INSURËB This policy is amended ac follows: ln the event that ths lnuurer cancels this policy for arry rëåson other than nön-pêyment of premium, and 1. the cancellation effective date is priar to this policy's expiration date 2, the First Namcd lnrured is under an existing contractual obligation to notìfy a certificate holder when this policy is canceled {hereinafter. tlre "Certificeite Hclder{s} ".} and has provideci tü thË lnsurÊr, either directly or throuçh its broker of record, the *mail address of a contact at each sueh entity; and 3. the lnturer received this information after the Firöt Namsd lnsured receives notioe of cancellatic¡n of tlris policy and prior to this policy's cancellation e{fective date, vìa an electronic sfireadsheet that is accsptable to the lnsurer, the lnsu¡er will provide advice of c¿ncellatiern lth€ "Advice") via e'mail to each suclr Certificate Holders within f0 daye after the First Named lnsured provicles such informstion tÕ the lnsurer; provided, however, thåt if a specific number of days is nat stated above, then the Advice will be provided to such Certificate Holcjer{s} as soon as reasonably pracricable after the First Named lnsured provides such Inform*tion to the lnsurer. Praof of the lnsurer emailing the Advice, using the information provided by the Fir¡t Hamed lneured will *erve as proof thå:t the lneurer has fully $ati$fied its obligations under this endûrsemsnt. This endorsemënt does not affect, irr any way. çrveraçe provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any riçhts in any entity not insured under this polìcy, The following Definitions äpply to this endorsement 1. First l\lamed lnsured means the Named lnsured shown on the Declarations Page of this policy. 2. lnsure¡ mean$ the insuranee rompðny shown in thç header on the Declarations page of thi* policy. All *ther term$, conditicns and exclusi¡:ns shall remain th€ samê 107414 {03/1 tfirchivæ *e¡py Page 1 Aurhnrieed flepresentative EI.¡DORSEMENT This endorsement, effective 12:01 A.M. 03/01 120?:t forms a part ol policy No. GA 29â-17 -û5 issued to 6Ë I CONSULTANTS , INC by FlATlol.lAL UNIüN FIRE ¡NSURANCË g0l,lPAllY 0F PITTSBURGH, PA THIS EHDORSEMËNT THAII¡GES THE POLICY. FI-EÀSE REAÐ IT TAREFULLY. U"Â¡I/ER OF TRANSFER OF RIGHT$ OF RECOVERY AGAF¡sT OTHER$ TO U5 Ihr.s endorsement modifres insursnce prøvided under lhe follawing: BUSÍNES$ AUTO COVËRAGE FORM Seetion lV . tsusiness Ar¡to Condilions, À ' Loss tonditions, å. . TransfEr of Rights of Recovery Àgainst Others to Us, is amended to add; Hswever, we will waive any right of recovsr we have againet ãny person or organieation with whom you have entered inìo a contract or agreement because of payments we make under this Çovenage Form arising out of an "accident" or "loss" if: t1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and 12], The contract or ãgreËment was entered into prior to any "accident,, or ,, loss.. No rryaiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovÊry funds obtained by any injured employee, 628sz (6,s5) Archive Çopy AUT ED REFRE$Ëh¡TAIIVE PoLlcY NUMBER: GL 518-û2-76 This endo¡sement madifies ineuran*e i:rsvided under the iqllnyi'ing: CÛMMãRCIAL GENËRAL LIAåILITY COVËRAûË PAÊT 6THEPULE çTMMEBCIAL 6ÉNËRAL LHAILITY cG 20 10 04 13 that which ysu 6re required by the contracï or ägrÈement to provide for such additionaf insured. S. With rtspËet lö the insurance afforded to these additional insureds. the following additi*nal exchLsions apply: This insu¡antÊ does not apply to "bodily injury" or "property damage" occurring after: 1. All wark, incluciing materials, Ëårt$ ûr equipment furnished in connectian with such wçrk, on the project {other than service, rnaintenance or repairs) to be performed hy pr on behalf of the additirnal insured{s} at the lacation of the covered operations has been conrpleted; cr ?. That porl¡ün of "your work" out of which the injury ar damage arises has been Fut tü its intended uss by any psrson or organizatian sthêr thðn another contråtlr)r 0r subcontractor engaged in perf orming Õpêråtion$ for a prin*ipal as a påfi ûf the same projecl. THIS ENÐßR$EMENT CI{ANGES THE POLICY. PLEA$E HËAÞ IT CAREFULLY. ANNffIONAL INSUREÐ . OWNER$, LE$$EE$ OH CONTRACTOR$ - $CHEDULEN PERSON OH SHGAIUlzATION A. $sstion ll - ï\rho ls ,Ân lnsured is amcndsd to include ns nn additional insured the per*r:ntsI or organization{s} shawn in the $chedul*. but only with respect to lial:ility for "bodily injury", "property damagæ" or "porsonal and advartising ínjury" caused, in whole r.rr in part, [:lyl 1. Your årts Õr omis$i$ns; Õr ?. The åst$ c/ omissions c¡l thos* acting arr your behalf; in fhe performance af your ongr:ing operationr for the additional insured{s} at the location{si designated above. However: 1. The insurance afforded to such additicnal incured only applieo to the €xtent perrnittecl by law; and 2. lÍ covåråge provided 1o tlre additionaf insured is required by å c{¡ntract Õr âgre$ment, Ihe insurance afforded to such additional insurod will not be broader than Itlarns Of Additianal lnsured Person{c} Or trgani¿ation{*}LosationlsÌ Of Coyered Operations AIIY PËR$ÛH OR ORGAH I TAT ION I.¡HCII'' YOU BECOI'ÍE OBLIOATËD TO INCLUÊE A9 AI'I AOOIT¡OHAL II'ISUREO AS A RESULT üF ANY COfiTRÁCT OR AGREEHEHT YOU HÀVE E}ITËRÊD I NTCI. PER THE TüHTR,ACT OR AGREEI'IËNT, lnformatl*n tûqulrad tc complote this $chedule, if not shown above, will be shown in the l)eclaratton$, cG 20 10 t4 13 ê lnsurance $erviue* tffíce, lne ., 2012 Fagelof2 A C. With r6spect 1o the insurance affarded ro these additional insureds. the following is edded ta $ection lll - Limitc Of lnsurance: lf coverage provided ta thÊ ådd¡tíorral insured i¡ required by a contract or âgreêm*nt, the no$t we will påy on behalf ef thç âdditionål insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits sf lnsurance shoy¡n in the Declarations; whichever is lese. Thls endorsement shall nrt increase the appllcable Limits of lnsurance shown in the Ëeclaratians. Fagø 2 oi 2 â lnsurance Services CIffice, lnc., 2ö12 cg¿0100413 n Eh¡ÞoRSËMFn¡T # This endorsement, effective 12:01 A.M" 03/0'l l2û2t forms a part of Policy No,GL 5'l8-0ä-76 issuecl To GEI üOHSULTAHTS, INC åy l{AT IONAL Ul'l ltli¡ tr'l RE I¡¡$URAÍ{CE C0I{PAÌ,¡Y 0f P ITTS8URGH, PA TH¡S ENÐOft$EMËh¡T ÇHJ\ruSES THE POLICY. FLäASI ñãAD IT CARTFULLY. LIMITËT ANVICE üF üAhICELLATION PROVIÐEB VIA Ë-MAIL TÐ EhITIT¡Ë$ OTHËÊ THAN THE FIfr$T NAMEÐ INSURED This palicy is arnended as f*llaws: ln the event that the lnsurer cancels this policy f or any reasün other than non-pôyment of premtum, and 1, the cancellation effectivç date is prior Ìo thi$ policy's expiration date; 2. the First N*rned lnçured is under an existing csntractual otrligation tö nÕtifv ¡ì cårtificåte holder when this policy is canceled {hereinafter, the "Certificate HoldÊr{s}"} and has provided to thë lnsurer, either directly or through its broker of record, the email address of a contact at each such entity; and 3, the lneure¡ received this information after the First Named lnsursd recsives notice cf cancellation *f this policy and prior to this policy's cancellation effective dote, via an electronic spreadsheet that is acceptable to the lnçurer" the lnsurer will provide advic* of cancellation lthe "Advice") via e-mail to each such Certificate Holders within fË days after the First Narned lnsu¡ed provides such information to the lnsurer; Brovided, however, thðt if a specific number of days is not stated above, thsn ths Arjvice will be provided tû sr¡ch C*rtificate Holder{s} e$ soon as reasonebly practicable after tha First Nan¡ed lnsured provides sçch information to thelneurer, Pruaf of the lnsurer ernailing the Advice, using the information provitJ*d by the First Named lneured. will serve as proof that thelnsurer has fully satisfied its obligrtions undcr this endorsement. This endars€msnt does nût affect, in any way, csverage provided under this palicy or the cancellatinn of this poticy cr the effective date thereof, nar shall this endors*ment ifivest any r¡ghts in any entity not irìsur€d under this potiey. The following Definiticns ðpplv to this endorsement: L First Hamed lnsured mêans the Named lnsured shown on the Declarations Page of this policy, 2. lnsu¡er mËðns the insurance cümpåny shçwn in the header on the Declarations page of this policy. All other term$. conditions and sxclusicns shall remain the säm€ 1CI7414 {0311 1 }Êage 1 oriaed Represental¡vs ') POLTCY NUMBER: GL 519-02-76 The following is added to the Other lnsurance Condition and supersedes any provision to the contrary: Primary And Noncontributory lnsurance This insurance is prímary to and will not seek contribution from any other insurance available to an additional insured under your COMMERCIAL GENERAL LIABILITY cG 20 01 04 13 policy provided that: {1} The additional insured is a Named lnsured under such other insurance; and l2l You have agreod in writing ín a contractôr ãgr€ement that this insurance would be prímary and would not seek contribu- lion from any other insurance available to the additional insured. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULTY. PRIMARY AND NONCONTRIBUTORY . OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PABT PRODUCTSICOMPLETED OPERATIONS LIABILÍTY COVERAGE PART ) cG 20 01 04 13 Ê lnsurance Services Office. lnc., 2012 Pago I of I POLICY I{UMBEË: GL 518-û2-7ô COMMERCIAT GENERAL LIABILITY cG 24 04 05 09 WAIVEH OF TRANSFEH OF RIGHT$ OF RECOVËRY AGAINST OTHEH$ TO US This endorçement modifíeç insurance provided under the following: COMMERÇIAL ügNERAL LIABILTTY COVERAGÊ PART PHODUCTSICÛMPLËTED TPERATIONS LIA8ILITY COVËRAGE FAHT $CHËSULE Name Of Person Or Organization: PIJHSUAHT 1"I} APFLITABLË WRITTEI'I COHTRACT OR AËREEHENT YOU EI'¡TTR IF¡TO, lnformation required to complete this ¡ichçdule, if not shown above, will be shawn in the Declarät¡ons The fcllowing is added ro Paragraph 8. Trrnçfer SfofflecoveryAgainstOthersloUsoSsc-f We waive any right of recovary we rnay have against the person nr organizatiorr shown in the $chedule ahrvç becauso of payment$ wÊ make far injury or darnage arisíng ûut of your ongoing ûperå. tions or "your work" done under a contract withth;t person or organization and included in the "prorlucts-completed o¡reratians haeard". This waiver applies only to the parson or organization shown in the $chedule abclve. cG 24 04 05 t9 ê lnsurance Services Office. lnc,, 20û8 Paga,lofl n WAIVER CIF OUR RIGHT TCI RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. This endorsement, effective 12:01 AM 03/0.l 12020 forms a part of Policy No, t'lC 012-01 -6A47 lssued to GEI C0NSULTAII¡TS, INC By NATIONAL UNION FIRE INSURANCË COI'IPANY 0F PITTSBURGH, PA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right agaínst the person or organization named in the Schedule, This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit âny ône not named in the Schedule. Schedule AIIY PERSON OR ORGANIZATION TO }.,HOH YOU BECOHE OBLIGATED TO I^'AIVE YOUR RIGHTS OF RECOVERY AGAINST, UÍ-¡DER 41.¡Y WRITTEN CONTRACT OR AûREEI'IENT YOU ENTER INTO PRIOR TO THE CICCURRENCE OF LOSS. Ïhis form is not applicable in Kansas for private construclion contracts as defined in K.S,A, 16-1801 through K.S,A 16-1807 or public construction contracts as defined in K,S.A. 16-190'l through 16-1908, except where permitted by statute or other appticable law, such as for use in wrapup insurance programs. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may executea waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classificaliÕns as designated by the waiver of right to recover from others (subrogation) rule in our manual. This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah. wc 00 03 13 {Ed. 04/84)TFrz*'Countersigned by Authorized Representative