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HomeMy WebLinkAboutCAG2021-323 - Amendment - #1 - Integra Washington, Inc. - 277th Bridge Easements - 08/03/2021ApprovalOriginator:Department: Date Sent:Date Required: Authorized to Sign: Director or Designee Date of Council Approval: Grant? Yes No Type:Review/Signatures/RoutingComments: 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? Yes No* Business License Verification: Yes In-Process Exempt (KCC 5.01.045) If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace. Notice required prior to disclosure? Yes 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. Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20 Budget Account Number: Budget? Yes No Dir Asst: Sup/Mgr: Dir/Dep: rev. 20210513 FOR CITY OF KENT OFFICIAL USE ONLY (Optional) * Memo to Mayor must be attached CAG2021-323 AMENDMENT - 1 OF 2 AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: Integra Washington, Inc. CONTRACT NAME & PROJECT NUMBER: 277th Bridge Easements ORIGINAL AGREEMENT DATE: July 12, 2021 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 September 30, 2021. 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 $7,250 Net Change by Previous Amendments including applicable WSST $0 Current Contract Amount including all previous amendments $7,250 Current Amendment Sum $0 Applicable WSST Tax on this Amendment $0 Revised Contract Sum $7,250 Original Time for Completion (insert date) 45 days (8126121\ Revised Time for Completion under prior Amendments (insert date) nlt Add'l Days Required (+) for this Amendment 35 calendar days Revised Time for Completion (insert date) 9t30t2t 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: By (signature) Print Namg.LoriSafer Managing Director (tiile) DATE I August 2, 2021 CTTY OF KENT: By fuL (signature) Print Name: Chad Bieren, P.E. Its Public orks Director 8/s/at (titte) DATE: ATTEST: Kent City Clerk APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department IntegE - 277u Brldge Easements Amd l/Rolclk-Wilcox AMENDMENT-2OF2 02/17/2021 Conover Insurance 155 108th Avenue NE, Suite 725 P.O. Box 90007 Bellevue WA 98004 Cori Alexander (425) 455-5000 (425) 454-5550 coria@conoverinsurance.com INTEGRA WASHINGTON INC 600 UNIVERSITY ST STE 310 STE 310 SEATTLE WA 98101 Mutual of Enumclaw Insurance Company 14761 21-22 A Y BOP0001383 03/14/2021 03/14/2022 2,000,000 100,000 10,000 4,000,000 2,000,000 A BOP0001383 03/14/2021 03/14/2022 2,000,000 A UMC0000555 03/14/2021 03/14/2022 1,000,000 1,000,000 A BOP0001383 03/14/2021 03/14/2022 WA Stop Gap 2,000,000 2,000,000 2,000,000 City of Kent is an additional insured when required in a written contract. Policy Form include; #EB9901 1219 Businessowners Enhancement Endorsement with Blanket Additional Insured; #BP1488 0713 Primary and Noncontributory - Other Insurance Condition. City of Kent 220 Fourth Avenue South Kent WA 98032 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY CERTIFICATE OF LIABILITY INSU RANCE DATE (MM/DD/YYYY) 2t28t2020 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. TH|S CERTTFTCATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE TSSU|NG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co lnsurance Broliers of CA. lnc LIC#07262gg 505 N. Brand Boulevard, Suite 600 Glendale CA 91203 com 8',t8-539-1247 81 :mt*.. LARealEstateCerts@aio.com INSURER{S} AFFORDING COVERAGE NAIC # rNsuRER a , Underwriters at Llovd's. London 11230 INSURED INTEREA-o3 lntegra Washin 600 University Seattle, WA 98 gton, lnc. Street #310 101 INSIJRER B : INSI,'RER C : INSURER D INSI,IRER E : INSIJRER F : COVERAGES CERTIFICATE N U MBER: 66007039 REV 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. INSRITR TYPE OF INSURANCE ADDL POLICY NIIMBFR POLICY EFF POLIGY EXP/MM/hhrywv\LIMITS EACH OCCURRENCE $ UAMASE IUKENItsU PRFMISFS rFe o.nilrranca\$ l/ED EXP (Anv one oerson)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY GEN'L AGGREGATE LII,4IT APPLIES PER:f--] pno-I lJEcr I I CLAIMS.MADE OCCUR LOCPOLICY $ COMBINED SINGLE LIMIT BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ $ ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY AUTOMOBILE LIABILITY $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB OCCUR CLAII\4S-MADE AGGREGATE $ DF T)RFTFNTION S $ PtKqTATI ITtr OIH. ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICERYMEMBEREXCLUDED? (Mandatory ln NH) lf yes, describe under DESCRIPTION OF OPERATIONS belnw T N/A E.L. DISEASE - POLICY LIMIT $ E1106 & Omissions Errors & Omissions.E&O Dsductibls Reimburs€ment MPLl 531 1 99.20 MPLl s42399.20 PRFDR 46-APP20G.30692-201 311412020 311412020 311412020 3t14t2022 3t14t2022 3t14t2022 Each Claim Aggregats Limit EaClaim/Agg16gatB' $2,000,000 $1 0,000,000 $1 50,000 DEScRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 10'1, Additional Remarks Schsdule, may be attachod if more space is required) Location: 600 University Street, Ste 310, Seattle, WA 981 01 Evidence only..Policy is-subject to $25,000 Self lnsured Rentention/Deductible payable by local office. This certificate of insurance is not a policy of insurance and does not affirm:atively or negatively amend, extend or alter the coverage afforded by ihe policy to which the certificate of insrirance irakes'reference. CANCELLATION @ 1988-2015 ACORD CORPORATTON. Ail rights reserved. 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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following BUSINESSOWNERS COVERAGE FORM The following is added to Paragraph H. Other 2. You have agreed in writing in a contract or Insurance of Section III — Common Policy agreement that this insurance would be Conditions and supersedes any provision to the primary and would not seek contribution from contrary: any other insurance available to the additional Primary And Noncontributory Insurance insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1. The additional insured is a Named Insured under such other insurance; and BP 14 88 07 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Department of Labor & Industries C e rt i f ic a te o f W o r ke r s' Compe n sa t io n Cover a g e July 9, 2021 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). WA UBI No.602 168 268 L&I Account ID 469,507-01 Legal Business Name INTEGRA WASHINGTON INC Doing Business As INTEGRA REALTY RESOURCES-SEATT Workers' Comp Premium Status:Account is current. Estimated Workers Reported (See Description Below) Quarter 1 of Year 2021 ''7 to 10 Workers'' Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor?No