HomeMy WebLinkAboutPW10-221 - Amendment - #1 - Jones & Stokes Associates, Inc. - S 224th St Project - 12/15/2011ecords M em
KENT D ocument
WASHINGTO{
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 irave questions, please contact City Clerk's Office.
Vendor Name: Jones & Stokes Asso ciates Inc
Vendor Number:
JD Edwards Number
Contract Number:Pu f o- t^l
This is assigned by City Clerk's Office
s. 224 th st. ProiectProject Name:
Description: ! Interlocal Agreement
n Other:
I Change Order X Amendment n Contract
/
Contract Effective Date; Date
/t- //
eM Sionature Termination Date'12/3L/t2S
/2-
br *r
Contract Renewal Notice (DaYs):
Number of days required notice for termination or renewal or amendment
Contract Manager: Garrett Inouye rtment:ineerin
Detail: (i.e. address'
Extend the time of com
location, parcel nu
pletion to December
mber, tax idt
3L, 20L2 so th
etc.):
e Consultant can continue to
provide environmenta I permitting services for the project
S:Public\RecordsManagement\Forms\contractCover\adcc7832 | 11/08
KENT
WaSHtNGToN
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR:
CONTRACT NAME & PROJECT NUMBER:
ORIGINAL AGREEMENT DATE:
ICF Jones & Stokes' Inc.
S. 224th St. Proiect
Seotember 1O' 2O1O
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
priorAmendments,theConsultantorVendorshall:
No change is necessary to the scope of work, however an
amendment is needed to extend the time of completion to
December 31-, 2OL2 so the Consultant can continue to provide
environmentalpermittingservicesfortheproject.
Z. 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
$23,086.33
Net Change bY Previous Amendments
includ i ng applicable WSST
$o
Current Contract Amount
inctuding all previous amendments
$23,086.33
Current Amendment Sum $o
Applicable WSST
Amendment
Tax on this $o
Revised Contract Sum $23,086.33
AMENDMENT-1OF2
Original Time for ComPletion
(insert date)
t2l3lltl
Revised Time for ComPletion under
prior Amendments
(insert date)
0
Add'l Days Required
Amendment
(+) for this 366 calendar daYs
Revised Time for ComPletion
(insert date)
t2l3u12
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 oiii." 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'
CITY OF KENT:
(signature)
DATE:
By
coNSULTANT/VENDOR:
By
14-Ovl:4-Oll
Print Name:
Its
e-.
DATE:
(signature)
(title)
lEx)d-
t Law DePartmentK
FORM:
signature
APPROVED AS
(applicable if
Jones & Stokes - 224'n Amd l/lnouye
AMENDMENT-2OF2
A!5?o'CERTIFICATE OF LIABILITY INSURANCE
THIS ASAMA AND RIGHTS UPON TE
CERTIFICATE OOES NOT AFFIRMATTVELY OR NEGATIVELY AMEND'EXTEND OR ALT€R THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
A CONTRACT BETWEEN THE ISSUING INSURER(S)' AUTHORIZED
CERTIFICATE HOLDER CANCELLATION
citvpubl of Kentic Uorks Departmeh!
Fourth Avenue south, wA 98032 USA
220
Ken t
@1388-2010 ACORD CORPORATION' All rlghts rEserved,
The ACORD name and logo are registered marks of ACORD
OJ
arTI
1)!
o
!
@oN
@oN
oots
ozo
r!u
E
d,o
0E.12712011
(847) 953-5390(856) 283-7122
NAIC ftNsuRER{Sl AFFORDING cOVERAGE
tomustanthetocertlflcatethlsnotconferdoesendorgemenl,statementA on rightsincertamaypoliciesrequlralcY'pol
New
the torrns and condltlons of the
certilicste holder in lieu of such
nisk services Northeast, Inc
York NY offlce
water street
York MY 10038-3551 UsA
tNsuReRA: Great Norrhern lhsurance Co.
INSURER B:
INSURER C:
INSURER Dr
NSURER Ei
INSURER F:
lones & Stok€s Associates, fnc
fCF Internatiohal, Inc.
9300 Lee High$,ay
Fai rfax vA 2203L-1207 usA
ES
THISWHIGHOTHER
THE TERMS,OF ANYOR
AFFORDED BY THE
are asSHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS.
LIMIT6PDLICYI'IUMBERTYPE OF INSURANCd
EACH OCCURRENCE $1. , 000,000
$1, 000, 000DAMAGE Tq XtsNIEU
PREM|SFS aFE odrdf,*)
MED EXP (Any ont laBsn)510, o0o
$1, 000,000PERSONAI &
^DVINJURY $2,0o0,0uuOENERAL AGGREGATE
PRODTJCTS. COMPIOP AGG
uD! 4)t avLL ub/lrltstt
Package - oonesf,ic
5EIZ4{J9
COMMERCIAL GENERAL UAgILITY
Prod-Comp op lncl in GenlA99
X
X
X
X
CLAIMS.N/IADE OCCUR
AGCREGATE LIMIT
PRo.poLlcY
PER.
LOC
COMBINED SINqLE LIMIT gL, 000 , ooc
BoDILY INJURY ( Pcr pe6on)
BoolLY INJURY (Per rccidenl)
PROPER:Y DAT'AGE
ubl a)l zuLt Db/ zr/ ts!2
automobile - All states
3 52295 5AUTOMOEILE LIABILIIY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
SChEOULED
AUTOS
NON.OWNED
AUTOS
X
x x
EACH OCCURRENCE
AGGREGATE
occuR
CTAIMS.MADE
UMBRELLA LIAB
EXCESS LIAB
WC STATI"LINFV I IMITS IOTH,IFD
E L. EACH ACCIDENT
E.L. DISEASE.EA EMP!OYEE
E.L. DSEASE.POLICY LIMIT
N
WORX€RS COMPENSATION ND
EHPLOYERs' LIAEIITTY
Af{YPROPfiETOR' PM1NER / EXgCUTI\E
OFFICER'MEMBER EXCIUDEO?
l!ftndaroryln NH)
ll v68. de6cribo underDesffilPiloN oF oPERATloNs balorv
r
Z, subject to the standard terms and condirions of the individua'l policies, indicated coverage is primary but only as respect
, vEHlcLEs latt.ch RcmarkB il mDre lptia t qllredl
anket Additionalty and Autonobilin[erest may appear
enents attached toi ncl uded
organ i zat i
addi ti onal
requi red byThe city
u red-Any oe fSoh
licies.
5Insu red itasasanKentof5.l BI
1i
theiabife9pec
cenera
as
rhe L
t
Iendorsonascontractor
L Iabi 1 ty po
ei South ?24th slreet Project
SHOULD ANV OF THE ABOVE OESCRIBED POLICIES EE CANCELLED EEFORE THE
ixptmrtolt oATE THEREoF, NortcE wlLL BE oELlvEREo lN AccoRDANcE wFH THE
POLICY PROVISIONS.
-&@r"/9"*Jetfut-%
REFRESEMTATIVE
ACORD 25 (2010/051
AGENcY cUSTOMER lD: 570000024256
LOg #:
ADDITIONAL REMARKS SCHEDULE Rage 1 of 1
AGENCY
aon nisk services Northeast, Inc
NAMED INSUREO
lones & Stokes Associates, rnc'
POUCY NUMBER
see Certificate Number:570042988208
CARRIER
see certificate Number: 570042988208
NAIC CODE
EFFECTIVE DAIE:
ADDITIONAL REMARKS
Addlllonal De5qipilen
work being done by lones & stokes for the city of xent
.acjilo*
3. chattac
accordance
compani es,the 1 nsuran
sto
ubb
hed
CancelJation Conditions (20 days for Hgn-payment of Premium / 60 days for.any other.reasoll) are-ftF7iil;;-& i[6[eii C6m,i"i.Til-cinirii-rii'uiiiiy and eusiness auto-po]icies and wi'll app'lv' rn
with'the terms of the insurance policy contract between lcFllones & Stokes anO lts lnsurance
i.ioiici"ir-iitv-wiit -ije tiini'iij-icF-ii-'tni-Firii-ruimeJ-insurei. por a]l other part'ies at interest'
ce companies'shal'l endeavor to provide notice.
@ 2008 ACORD CORPORATION. All rights resenred
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM'
TITLE: Certlficale of lnsuranceFORM NUMBERI ACORD2S
ACORD {01 (2008/ol)
The AcoRD name and logo are reglstered rflarks of ACORD
)
LiabilitY Insurance
Endorsement
Pollcy Pertad
Ellxliva Dale
Policy Numbar
lnsured
Name ofComPanY
Date lssued
JUNE 25, 2OI I TO JIJNB25' 2012
ruNE25,2011
358t-24-09 BUC
ICF II{TERNATIONALINC'
GREATNORTTIERN INSURAI'ICE COMPAI'IY
ruNE25,201r
This Endonement applies to the following forms:
GENEMLLIABILITY
r:.i.r:ia +x'f:{,t{4 } x'L! x'f?
Under Who Is An lnsure4 ths followingProvision is added:
Who Is An lnsured
Scheduled Person Or
Oryanizatlon
Subjecttotllofthelermsandconditionsofrhisinsuranc€,anyr,efEonororgaDiationstrowninthe
Schodule,actingp,rtsu"ntto a'ii#i cnnlaa "!-ir*t9i*i*eenvou
and such pcrs.or or
organization,is an tnsurcq brr';i;;;;h";;;-fitvrn-ittrr.rpr"ttoliabilitv arisingout ofvour
onerations, or yo*pr"**r, rt y;"J "ilrigtea'p*t-"ant
tosuchcontractoiagreemeot' toprovide
rhem wi$ such insurance as is afhdedby tbls poucy'
However, no such person crr organrzation is an irsured with rcspect to arly:
,assuntptionofliabililybythurni$acontactoragrEelll€nlTlrislimitationdoesootapplyto
the liability fo drr"*, t-i[i"r"-or"J"*"i:, ,:Hr! thia insuancs applies, lbat thc person
;;;;;d.;ilri' tave initre ausence otsuch contact or rgreerrent'
' damagosarisingoutofthehsoleuegligenco'
/
ANvPERsoN ORORGANIZATIoNAS REQITiRED BY CONTRACT /
H:riffi liHi:trEp::F#f"fr3#:$,*ff lfi tlli+iHfr'l:.''
Slo mlio* butthcY rrc lmulodlontt
##lisix-1$rytp;1"5"'p.x1*'ffi #H,"$'aft s
d*cdbsd undcr eny oh9t Plwtron 'ot inY limltllbn apFi6bl. th€relo)'
enthued
Fotm 80+2.2367 (Rev' 8a{Endotsr,ment
Sdladuled Pe''f.on ut uryanvauon
Page 1Addhlonal InsuredUablllty lnsuan@
ceneral LiablliU - Policy 3581-24'09'Great Notthern lnsurance Co'
June 25, 201 1 io June 25. 2012
iciiriillt"ti""ii tnc' il lone" a stokes Associates' lnc'
(continued)
TnnsferOrWaiverOf
Rightsof Recovery
AgpnstOtfrrs
\Vewillrvaiverberightofrecovery,lvervouldotherwisehavelradagginstsno$Epersonor.
mBanizadon, for to* ro .ut i.t',iir'ii***.rrr,-ri", rr"t'ided ihe insurcd has rvaived their rights
ofrecovcry againrt ,u*, pt""oi oi "tg*it*i"it
ltt
"
contracl or .gr€emantdtar is exesrted before
such loss.
To rhe exts*rhar tlre insurcdS rights to recowrall orlanof any palryrtraaie ut!1tl{1
inswance have not u"* *uiuJ, t;;;lgh" t* "*tr*.9.* ui' rtit lrsurcd must do nothng
after los ro impair,r,oo.
^,
#'r"e;;,"o, i**rc *iuking sultortrmsferthose riglnsto us
and help us enforccthern.
This contlition rloe not apply to mcdical c lcnscs'
Liaulity lnsumrve
PoLlCV Nt MEEft 7362-2s-55 o9rlllEnclll.ASroc4mofttD
TH[$ ENOORSEtttEifT Cl{AIrlGEs YHE pdtlcY, F{sASE nEnD ff 0AREHTIY.
DESIGNATED INSURED
Thtt sn{or*enteot tnodifse lflrurrlr,rp vcl'ldd under tha follou4ngl
OOI,EFAGEFOFM
FffiI'
lfllh r€$lal lo E$trrsBE Plovltled' by thls Gndotltnoslt thr provfrlma ol tln cavcnge F6ro lPply unhss ngdtlhd by
thls 6ndofsltrslt.
ill *,u-*"rt*t ldenrifiea paraoo[$] or olgftr*Esfl{r} ttro rrn lnouredilr'n-dsrlttr wlo l+ An FTEUIBd Frstlrlon {d
rilb;i$a;AFiilil. iiita info-i-ij#'t iGi n.r 'afri ;;hqe provrla rn thr corensp Fa'm'
Thb erdorsennnl shilggg {n pdicy dtctiw on tha hcaplim detr of Frc pdlcry ualrm rnldrsr ddr ln lndho'led
bslott.
Grdote(trant Eiocri+e: ry2511 1 Cirrrnqr$ErEd Btl
fia"aer*#
f lt^dhotlzed Raqwa{aliwll,lilnrd lnqrrpd. lcF ltrtentatlonal
Jones & Stokes
lnc.
Associates, lnc.
SCIJEDTITE
t{enn ol Forson({ or OrgnldErt{$;
t'Any pet son or ulglnlzntion ns requlned by an inturtd crrutruf,{"
(ll no efrry tppgfis db6va. lrrlonmdon requked to cotrrpHe lhls andolranpnl Hill b€ 6h!t/:l ln tlte DEchrations es
BPFITM le to lha 6ndcrErfi€nt+
iltn"t s"Jh*gffl,{.f,,$rlg#tif,lrf"#,T#f,F0fl,ff1,trHT.1rohffffi"%is#;"-gtTfitt*
dovrrlga Forn.
trAm$vzcb Copyrlghh lmursnca garrioeo Cfika. Ins* ls8 PqFr di tr
---\ .-,ACORT)"CERTiFICATE OF LIABILIT'Y IhISURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES N OT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSNTUTE
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
A CONTMCT BETWEEN THE ISSUING INSURER{S)' AUTHORIZED
NUMBER: 2r94s526 REVISION
CE iIOLDER
CITY O!'KENT
PUBI.IC WORKS DEP}RTITENf
2?O FOURtrH AI'ENUS SOUTH
..ENT, WA 98032
@'l 988.201 0 ACORD CORPORATIOII',All rights reserved,
ACORD 25 (2010i05)
carolynvar
21948526
Il
usA
DATE (MMIDDTYYYY}
o6/27 /20!t
totfISWAIVED,bemustflcateanINSURED,certiIMPORT thetonotdoesconferAentstatemthisoncertilicaterightsanendorsement.mcertainpolicies ay requiretermspolicytheand conditions of the
holder in lieu of such
O. varnier
804-91 6- 589780rl-915-6946
33600r,t{ xNs coRP
Arthur J, Gallagher Risk Managenent Serv:Lces, Inc.
4860 Cox Road, 9uite 200
Glen A11en, Va 23059o, varnier
PRODUCER
c
Ei
]NSURED
JONES & STOIGS ASSOCTATES, rNC.
93OO iEE EIGEWAY
FATRFN(, VA 22031
LrMtts
THEFOR PERIODTHENAMEDBEENHAVETOINSUREDISSUEDLISTEDINsURANCETHETHATOFPOLICIESCERTIFYTHISWHICHTHISRESPECTTOWJTHORDOCUMENTOTHERotTloNcoNANYOFCONTRACTANYTERMORI,IOTWITHSTANDING REQUIREMENTINDTCATED.THEALL TERMSTOrsSUBJECTHEREINDESCRIBEDBYAFFORDEDPOLICIESTHEORMAYINSURANCETHEMAISSUEDBEPERTAIN,CERTlFICATE BYREDUCED CLAIMS.PAIDSHOWNLIMITSHAVEMAYBEENSUCHOFPOLrclES.ANDEXCLUSIONS CONDITIONS
TYPE OF
!EACH
GENERAL
iAGGREGATE LIMIT PER:
LOC
GENENAL LIABILITY
BoDILY INJURY (Per pelson)$
$BODILY INJURY (Per aecidenl)
$
$
AUTOMOBILE UABILITY
HIRED AUTOS
ALL OWNED
AUTOS
SCHEDULED
AUTOS
NON.OWNED
AUTOS
ANY AUTO
OCOURUMBRELLA LIAB
EXCESs UAE
x
ACCIDENT 1 000 000
$1E.L,
1 000,000D]SEASE.
0 06/25lics-231 -508381- 011
N/A
A AND EMPLOY€Rs' LIABILITY
N
ln
WORKERS
oEscRlPIloN oF oPERATIONS' LOCATIONg JVEHICLES (AtlaahACORD t!1i Addltlonal Remarlas Sohedule, if more sp.ce ls requtr€d)
South 224th Street Project
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANGELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS'
Goq^ C Y,?.-^^,-
AUIHORtrED REPRESENTANVE
The ACORD rlame and togo are registerecl marks of AGORD
314
REQ uEsr FoR MIrgf::"stGNAruRE
Please Fill in All Applicable Boxes
KF"tlI lfirs form must be Printed on cherrY Paqer
Routing Information (ALL REQUESTS MIJST FIRST BE ROIJTED THROUGH THE LAW DEPARTMENT)
Brief ExPlanation of Document:
TheattachedAmendmentNo'ltotheS.224thSt,Projectagreementisnecessa
December 31,2012. roi "n
explanation, see the attached from Garrett lnouye.
rv to extend the time of completion to
AII Contracts Must Be Routed Through the Law Department
Shaded Areas to Be Completed by Administration Staff
Phone (Originator): 55a8
Originator: Garrett lnouYe
Date Required: io/o"r
Date Sent: ia/s/rt
TERMINATION DATE: 12t31t12CONTRACTReturn Signed Document to: NancY Yoshitake
ATE OF COUNCIL APPROVAI:. 9I7I1ODDOR NAME: ICF Jones & Stokes' lnc'VEN
Received: DEC[.$ e0il
ffi:i."ftFffi:$.DEPT
Area to be Completed By the Law Department)
i,; ri*ili
LPtortiur $ tuiJ /Yi,t 1"r*#'l 1\ ir
.}ii:i:* i:i "iii= iiii:.:ri_,'
Date Forwarded to MaYor: \
Disposition:4I
"111-
TA
L! t I *t I --/ ..* t vr
2/07