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HomeMy WebLinkAboutCAG2021-205 - Amendment - #3 - Wood Environment & Infrastructure Solutions, Inc. - S. 224th St Project Clean Up Action Plan - 08/09/2021ApprovalOriginator: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 AMENDMENT - 1 OF 2 AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR: Wood Environment & Infrastructure Solutions, Inc. CONTRACT NAME & PROJECT NUMBER: S. 224th Street Project Wetland Remediation ORIGINAL AGREEMENT DATE: April 22, 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: Conduct a pre-remediation soil sampling and analyses for the vacant parcels located at the west street end of South 216th Street. 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 $39,732 Net Change by Previous Amendments including applicable WSST $20,269 Current Contract Amount including all previous amendments $60,001 Current Amendment Sum $18,807 Applicable WSST Tax on this Amendment $0 Revised Contract Sum $78,808 Original Time for Completion (insert date) t2t3U2l 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) t2t3U2t 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. Wood - 224th 3 Amd 3/Bryant coNSULTANT/VENDOR: By . -,5*,y{*-; (signature) Print Name : Kathleen Goodman Princi (titte) DATE: August 8, 2021 CITY OF KENT: By ,fu8; (signature) Print Name: Chad Bieren P.E. Its Public Works Director (title) DATE: ATTEST: Kent City Clerk APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department AMENDMENT-2OF2 ATTORNEY-CLIENT PRIVILEGED AND CONFIDENTIAL \A/ood. Wood Environment & lnfrastructure Solutions, lnc. 4020 Lake Washington Blvd NE, Suite 200 Kirkland, Washington 98033 USA T:425-368-1000 www.woodplc.comJuly 22,2021 Proposal No.24179 Ms. Meara Heubach, M.E.S./Ms. Carla Maloney, P.E Engineering Department City of Kent 220 Fourth Avenue South Kent, Washington 98032 subject Primary Areas: scope and Budget for Pre-Remediation sampling Vacant Parcels at the West End of South 216th Street Kent, Washington Dear Ms. Heubach and Ms. MaloneY, At your request, Wood Environment & lnfrastructure Solutions, lnc. (Wood), is submitting this scope of work and budget estimate to conduct pre-remediation soil sampling and analyses to stake out excavation areas for the contractor firm. The work will be conducted to take advantage of the current dry weather so that areas previously under water can be sampled. The project location is the vacant parcels located at the west street end of South 216th Street (the property), which are owned by the City of Kent (the City). This work will be done in general accordance with requirements under the Model Toxics Control Act, Washington Administrative Code 173-340. Background The City is in the process of procuring a contractor to conduct the excavation, transport, and disposal of contaminated surface soil on the property. The procurement process is expected to take 4 to 6 weeks with the contractor fully on board by the beginning of September. Because the property is a wetland and it is critical that the excavation is completed before the rainy season, this pre- remediation sampling is intended to collect confirmation samples where possible ahead of excavation. This will allow the staking of the outlines of the excavation areas ahead of time (where accessible) and help to minimize contractor standby time while the post-excavation confirmation samples are being analyzed. ln addition, collecting the samples ahead of the contractor means that the samples can be analyzed on a standard turnaround time to minimize the number of samples that need to be run on a rush turnaround time at a higher cost' Contamination at the property was primarily affected in the stormwater ditches and area around the main outfall that are downstream of the storm drain system under South 216th Street. The contaminants of concern are cadmium, arsenic, lead, chromium, petroleum hydrocarbons, and polycyclic aromatic hydrocarbons. The predominant contaminant is cadmium, and all of the other contaminants were subordinate in frequency and generally co-located with the cadmium. For this reason, cadmium will be used as the indicator contaminant. 'Wood' is a trading name for John Wood Group PLC and its subsidiaries EXHIBIT A Ms. Meara Heubach, M.E.S./Ms. Carla Maloney, P.E. City of Kent July 22,2021 Page 2 of 3 Scope of Work This scope covers the labor and expenses for: r Project management and meetings . Conduct sampling in the field and laboratory analysis, and . lncorporate the sampling results into a map of all the sample locations and results' Wood will collect soil samples based on the frequency outlined by the Washington Department of Ecology to the degree possible without the excavator present. Soil samples will be analyzed by Friedman & Bruya, lnc. laboratory in Seattle, Washington. Laboratory testing will include the following: r Total arsenic, cadmium, chromium, and lead by U.S. Environmental Protection Agency (EPA) Method 60208. ln some locations the samples will be selectively analyzed for cadmium only where cadmium is the sole contaminant. ln other cases (e.g., in the southeast ditch), all of the metals will be analyzed. Additional samples will be archived for the following potential analyses after the initial metals results are known. The analyses are the following: r Total petroleum hydrocarbons (TPH) as diesel and oil by Washington State Department of Ecology (Ecology) Method NWTPH-Dx; . Reanalysis of TPH as dieselwith silica gel cleanup fortotalTPH as diesel samples over 200 milligrams per kilogram to determine natural organic component. . Carcinogenic polycyclic aromatic hydrocarbons by EPA Method 8270E; Analyses will be run on standard turnaround times. Wood will verify data quality upon delivery to assure that all information is present; that appropriate methods, proper containers, and field and laboratory quality control procedures were used; and that sample custody is intact' Wood will perform an EPA Stage 2A validation of the project data. Data qualifiers and reason codes will be added to the report tables. All solid investigation-derived waste (lDW) generated during sampling activitieswill be disposed of along with the contaminated soil at the selected landfill or profiled and disposed of separately, aepenUing on landfill acceptance. All liquid IDW will be placed inside a 5-gallon bucket and allowed to evaporate. For cost estimating purposes, Wood has assumed that the IDW will be disposed of along with the contaminated soil. Deliverables One electronic draft of the data tables and results map will be produced for the City's review. The results will be used to refine the excavation areas for the contractor and provide preliminary confirmation analysis results for the project. Ms. Meara Heubach, M.E.S./Ms. Carla Maloney, P.E. City of Kent July 22,2021 Page 3 of 3 Assumptions r Two hour-long project status meeting calls' . Surveying will be done with GPS rented by Wood and tape measurements from known locations (where possible). . Wood personnel will comply with a Level D Health & Safety Program. lf other conditions are determined necessary by personnel, additional charges will apply. . Analytical testing will be on standard turnaround o Two Wood field scientists will be required for two field days, plus set-up and lab drop-off. Cost Estimate The estimated cost for this effort is $18,807 as shown on the enclosed Table PR-1. We propose to conduct the work on time-and-materials basis under the terms of a standard agreement with the City The total budget shown in Table P-1 will not be exceeded without your prior authorization- Work will begin upon receipt of the City's notice to proceed. We appreciate the opportunity to provide the City with this proposal. Please let us know if you have any questions or if you would like additional information' Sincerely, Wood Environment & lnfrastructure Solutions, lnc. / Kathleen Goodman, LG, LHg Pri nci pal Hydrogeologist Mobile Tel: (425) 301-2700 E-mail: kathleen.goodman @wood plc.com Koo hghigh Senior Associate Engineer Mobile Tel: (206) 641-6301 E-mai l: koorus.tahg hig hi @woodplc.com E KG/KT:al \\sea-fs1\marketing\02-proposalsV4000\24179 city of kent\proposal 24179 city oi kent pre-remediation sampling.docx Enclosure: Table PR-1 ATTORNEY-CLI ENT PRIVILEGED AN D CON FI DENTIALTABLE PR-1: BUDGET ESTIMATEWetland Parcels - Primary Areas - Pre-Remediation Confirmation SamplingKent, WashingtonI.ABORPrincipal (K. Goodman or T. Reinhardt)Senior Associate Engineer (K. Tahgihighi)Senior Chemist (M. Bevier)Project Engineer or Scientist (no specific)Technical Professional 3 (G. McCormick)Technical Professional 2 (B. Lubenowc. Foster)Senior Draft ing/Graphics (A. Stenberg)Tech Editor (K McBee)Ad ministrative/Procurement$195.00$178.49$145.1 7$1 25.00$101.07$92.81$124.78$117.43$74.2210$6s$1 50$1 1s$e0$30HoursHoursHoursHoursHoursHou6Hou6Hou6H ours$s8s$714$o$o$2,426$1,856$250$o$74s5,sos$232$200$80$300i812$81$893$390$3s7$145$o$606$278$1,997$o$148|3,922$1,365$1,428$145$o$3,032$2,1 3s$2,246$o$371]1O,72211o,722s390$3s7$o$0$o$0$o$o$148189s$s8$o$o$o$58$6$641000007I103018055002122210631602000034002420201400212220000002$o$o$o$o$o$o$o$0$o$oSo$oLabor subtotalTOTAI LABOR (ch*k)OTHER DIRECTCOSTSCar Mileage or rentalSupplies (PPE, sampling equipment sample stakes)ShippingGPS$0.s80$100$80$1 50MilsEachEach$290$200$80$300$870$87i9s7$0$o$2,070$3,780$630$0$0$2,070$3,780$630$o$6,460$648i7,128s13,926MarkupSUB@NTRACTORSAnalSiel Laboratory (Friedman & Bruya RaGs) Standard TATTPH as diesel (archive samples)cPAHs-Soil/Water (EPA 8270D SIM) (archive samples)Metals (As, Pb. Cd, Cr) -Soil (EPA 6020A)Metals (As, Pb, Cd) -soil (EPA 6020A)cadmium onlyContingenctr Analys6:TPH as diesel +Silica Gel Cleanup (archive samples)subtotalMarkuPonsubcontractors TorALsuBcoNTRAcroRsT.sk TotalESTIMATED PROJECT TOTALAbbreviations:As = aEenicCd = cadmiumCPAHs = carcinogenic polycyclic aromatic hydrocarbonsCr = chromiumEPA = Environmental Protection AgencySubtotalTOTAL OTHER DIRECT COSTS%EachEachEachEachEach001842210001842210$soEach$oi6,480$64817,12a318,807$rE.8O7Wood Environment & lnfrastructure Solutions, lnc.Page 1 of 1$9s9Pb = leadPPE - personal protective equipmentSIM = selected ion monitoringTAT = turnarcund timeTPH = total petrcleum hydrocarbons$,t,922Task 2for and Field WorkDescriptionUnitsQuantityPrcject ManagementandCostCostTask 3and TableTotal\\sea-fs1\Marketing\02-Proposals\24000\24179 City of Kentvable PR-1-Pre-Remediation Sampling Costs Holder Identifier : 7777777707070700077763616065553330772617446304557707442027772507300073640577146321120772405113067011207562411776274556075262331764367740754405351067671207544017172274570077727252025773110777777707000707007 6666666606060600062606466204446200622020626204022206002006262240220062022242622600020622000626026220206200204042260002062022040422620200622200424004202006222006042200620066646062240664440666666606000606006Certificate No :570087917317CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/18/2021 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. PRODUCER Aon Risk Services Southwest, Inc. Houston TX Office 5555 San Felipe Suite 1500 Houston TX 77056 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 26883AIG Specialty Insurance CompanyINSURER A: AA1120187American International Group UK LtdINSURER B: 16535Zurich American Ins CoINSURER C: 22667ACE American Insurance CompanyINSURER D: 20702ACE Fire Underwriters Insurance Co.INSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 CONTACT NAME: JWGUSA Holdings, Inc. and its Subsidiaries and Affiliates 17325 Katy Freeway Houston TX 77084 USA COVERAGES CERTIFICATE NUMBER:570087917317 REVISION NUMBER: 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $3,000,000 $100,000 $5,000 $3,000,000 $3,000,000 $5,000,000 C 07/01/2021 07/01/2022GLO484608501 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000D07/01/2021 07/01/2022 COMBINED SINGLE LIMIT (Ea accident) ISA H2555047A EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTED07/01/2021 07/01/2022 Work Comp- AOS SCFC67807716E 07/01/2021 07/01/2022 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN Work Comp- WI WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WLRC67807674 Aggreagate LimitPSDEF210072607/01/2021 07/01/2022 Claims Made- Prof. Liab.$2,000,000Any One Claim Archit&Eng ProfB SIR applies per policy terms & conditions $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED WOOD COMPANIES. RE: Project Description: Cleanup Action Plan for the 224th Street Project Wetland Remediation, Consultant Services Agreement. Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Pollution Liability policies. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Kent 220 Fourth Avenue South Kent WA 98032 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: 570087917317 570087917317 Aon Risk Services Southwest, Inc. 570000021966 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # JWGUSA Holdings, Inc. TYPE OF INSURANCE POLICY NUMBER LIMITS OTHER A Env Contr Poll CPL12456119 07/01/2021 07/01/2022 Aggregate Limit $4,000,000 Per Loss Limit $2,000,000 Claims Made- Poll. Liab. ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) SIR applies per policy terms & conditions ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Additional Named Insured AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Southwest, Inc. 570000021966 570087917317 570087917317 Page _ of _ JWGUSA Holdings, Inc. JWGUSA Holdings, Inc. Wood Group USA, Inc. Wood Environment & Infrastructure Solutions, Inc. AMEC Construction Management, Inc. AMEC E&E, P.C. AMEC Engineering and Consulting of Michigan, Inc. Amec Foster Wheeler Energia, S.L.U. Amec Foster Wheeler Industrial Power Company, Inc. Amec Foster Wheeler Kamtech, Inc. Amec Foster Wheeler Martinez, Inc. Amec Foster Wheeler North America Corp Amec Foster Wheeler Power Systems, Inc. Amec Foster Wheeler USA Corporation Amec Foster Wheeler Ventures, Inc. BMA Solutions, Inc. C E C Controls Company, Inc. Cape Software, Inc. Foster Wheeler Intercontinental Corporation Ingenious, Inc. John Wood Group PLC John Wood Group, Inc. Kelchner, Inc. MACTEC Engineering and Consulting, P.C. MACTEC Engineering & Geology, P.C. MASA Ventures, Inc. Mustang International, Inc. Rider Hunt International USA, Inc. RWG (Repair & Overhauls) USA, Inc. Swaggart Brothers, Inc. Wood Design, LLC Wood Group Alaska, LLC Wood Group Asset Integrity Solutions Wood Group PSN, Inc. Wood Group UK, Ltd Wood Massachusetts, Inc. Wood Programs, Inc. ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 DA-9U74c (03/16)Page 1 of 1 ADDITIONAL INSURED – DESIGNATED PERSONS OR ORGANIZATIONS ADDITIONAL INSURED – DESIGNATED PERSONS OR ORGANIZATIONS Named Insured John Wood Group PLC Endorsement Number 1 Policy Symbol ISA Policy Number H2555047A Policy Period 07/01/2021 TO 07/01/2022 Effective Date of Endorsement Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered “auto,” Who Is Insured is amended to include as an “insured,” the persons or organizations named in this endorsement. However, these persons or organizations are an “insured” only for “bodily injury” or “property damage” resulting from acts or omissions of: 1. You. 2. Any of your “employees” or agents. 3. Any person operating a covered “auto” with permission from you, any of your “employees” or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative ALL-34275 (10/11)Page 1 of 1 POLICY NUMBER: ISA H2555047A NOTICE TO POLICYHOLDERS NOTICE TO OTHERS – SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE NOTICE TO OTHERS – SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE A.If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the “Schedule”) by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B.The notice of cancellation, as provided by your representative, is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C.We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D.We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E.The provisions of this notice do not apply in the event that you cancel the Policy. 1 DA-21886b (06/14)Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured John Wood Group PLC Endorsement Number 3 Policy Symbol ISA Policy Number H2555047A Policy Period 07/01/2021 TO 07/01/2022 Effective Date of Endorsement Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non- contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read: “All persons or entities added as additional insureds through an endorsement with the term “Additional Insured” in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the “Additional Insured”) for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative 1 DA-13115a (06/14)Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named Insured John Wood Group PLC Endorsement Number 2 Policy Symbol ISA Policy Number H2555047A Policy Period 07/01/2021 TO 07/01/2022 Effective Date of Endorsement Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative POLICY NUMBER: GLO4846085-01 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations Any person or organization, other than an architect, engineer, or surveyor, whom you are required to add as an additional insured under this policy under a written contract or written agreement executed prior to loss. Any Location or project, other than a wrap-up or other consolidated insurance program location or project, for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 Wolters Kluwer Financial Services, Inc. | Uniform Forms C.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: GLO4846085-01 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations Any person or organization, other than an architect, engineer, or surveyor, whom you are required to add as an additional insured under this policy under a written contract or written agreement executed prior to loss. Any Location or project, other than a wrap-up or other consolidated insurance program location or project, for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Wolters Kluwer Financial Services, Inc. | Uniform Forms Blanket Notification To Others Of Cancellation THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO4846085-01 Effective Date: 07/01/2021 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A.If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such Coverage Part has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule: 1.Must be initially provided to us within 15 days: a.After the beginning of the policy period shown in the Declarations; or b.After this endorsement has been added to policy; 2.Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3.Must be in an electronic format that is acceptable to us; and 4.Must be accurate. Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2. 3.and 4.above. B.Our delivery of the electronic notification as described in Paragraph A.of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. Delivery of the notification as described in Paragraph A.of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured. C.Proof of e-mailing the electronic notification will be sufficient proof that we have complied with Paragraphs A.and B.of this endorsement. D.Our delivery of electronic notification described in Paragraphs A.and B.of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not: 1.Extend the Coverage Part cancellation date; 2.Negate the cancellation; or 3.Provide any additional insurance that would not have been provided in the absence of this endorsement. E.We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A.and B.of this endorsement. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-107-A CW (10/16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance 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 (2)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Wolters Kluwer Financial Services, Inc. | Uniform Forms Waiver Of Subrogation (Blanket) Endorsement Policy No. Eff. Date of Pol. Exp. Date of Pol.Eff. Date of End. Producer Add’l. Prem Return Prem. GLO484608501 07/01/2021 07/01/2022 07/01/2021 14340000 Incl Incl THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW (12/01) Page 1 of 1 Workers' Compensationand Employers' Liability Policy Named Insured Endorsement Number Policy Number Symbol: Number: Policy Period TO Effective Date of Endorsement Issued By (Name of Insurance Company) Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against 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 any one not named in the Schedule. Schedule For the states of CA, UT, TX, refer to state specific endorsements. This endorsement is not applicable in KY, NH, and NJ. The endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employer in the construction group of code classifications. For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. Authorized Representative WC 00 03 13 (11/05) Ptd. U.S.A. Copyright 1982-83, National Council on Compensation JWGUSA HOLDINGS, INC. 17420 KATY FRWY, SUITE 300 HOUSTON TX 77094 WLR C67807674 07-01-2021 07-01-2022 07-01-2021 ACE AMERICAN INSURANCE COMPANY ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS. Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number Policy Number Symbol:Number: Policy Period TO Effective Date of Endorsement Issued By (Name of Insurance Company) Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. ALTERNATE EMPLOYER ENDORSEMENT This endorsement applies only wit h respect t o bodily injury t o your employees w hile in t he course of special or t emporary employment by t he alternat e employer in t he stat e named in It em 2 of t he Schedule. Part One (Workers Compensat ion Insurance) and Part Tw o (Employers Liabilit y Insurance)w ill apply as t hough the alternat e employer is insured. If an ent ry is shown in It em 3 of t he Schedule t he insurance aff orded by t his endorsement applies only t o w ork you perf orm under t he cont ract or at t he project named in t he Schedule. Under Part One (Workers Compensat ion Insurance)w e w ill reimburse t he alternat e employer f or t he benefits required by t he w orkers compensat ion law if w e are not permitt ed t o pay t he benefit s direct ly t o t he persons entitled to them. The insurance aff orded by t his endorsement is not int ended t o satisf y t he alternat e employer' s dut y t o secure it s obligat ions under t he w orkers compensat ion law . We w ill not f ile evidence of t his insurance on behalf of t he alternat e employer wit h any government agency. We w ill not ask any ot her insurer of t he alternat e employer t o share wit h us a loss covered by t his endorsement . Premium w ill be charged f or your employees w hile in t he course of special or t emporary employment by the alternat e employer. The policy may be canceled according t o it s t erms wit hout sending not ice t o t he alternat e employer. Part Four (Your Dut ies If Injury Occurs) applies t o you and t he alternat e employer. The alternat e employer will recognize our right t o def end under Part s One and Tw o and our right t o inspect under Part Six. Schedule 1. Alternate Employer Address 2.State of Special or Temporary Employment 3.Contract or Project For t he stat e of HI, MI, OK ref er t o stat e specif ic endorsement s. This endorsement is not applicable in AK. Authorized Agent WC 00 03 01A (Ed. 2-89) 1 JWGUSA HOLDINGS, INC. 17420 KATY FRWY, SUITE 300 HOUSTON TX 77094 WLR C67807674 07-01-2021 07-01-2022 07-01-2021 ACE AMERICAN INSURANCE COMPANY IF ANY DOES NOT APPLY TO ANY EMPLOYEE LEASE CONTRACT/ARRANGEMENT ANY STATE SHOWN IN ITEM 3A OF THE INFORMATION PAGE WHERE REQUIRED BY WRITTEN CONTRACT