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Home My WebLink AboutPW10-263 - Amendment - #2 - ESA Adolfson, Inc. - S 224th St Project Wetland Boundry Reinvestigation - 12/20/2011ecords M em KENT D ocumentWASHINGTON CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. Vendor Name: ESA Vendor Number: JD Edwards Number Contract Numberu This is assigned by City Clerk's ce lo Project Name = S. 224th St. Proiect Description: I Interlocal Agreement ! Change Order I Other: X nmyment E Contract Contract Effective Date: 1 0 11 Terminat Date: L2/3L/L2 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager:Garrett Inouye Depa rtmentr Enq tneeflno Detail: (i.e. address, location, parcel number, tax id' etc.): Extend the time of completion to December 3t,20L2 so the consultant can condinue to reinvestigate the boundary of wetlands A, B, G and P, SiPubllc\RecordsManagement\Forms\Contractcover\adcc7832 | 11/08 KENT NAME OF CONSULTANT OR VENDOR: CONTRACT NAME & PROJECT NUMBER: ORIGINAL AGREEM ENT DATE : AMENDMENT NO. 2 ESA S. 224th Street Proiect December 15' 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 prior Amendments, the Consultant or Vendor shall: No change is necessary to the scope of work, however an amendment is needed to extend the time of completion to December 3L, 2OL2 so the Consultant can continue to reinvestigate the boundary of Wetlands A, B' G and P. 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 $3,901.98 Net Change by Previous Amendments i ncluding applicable WSST $4,093.86 Current Contract Amount including all previous amendments $7,995.84 Current Amendment Sum $o Applicable WSST Tax on this Amendment $o Revised Contract Sum $7,995.84 AMENDMENT-1OF2 Original Time for Completion (insert date) t2tst/lt Revised Time for Completion under prior Amendments (insert date) 0 Add'l Days Required (t) for this Amendment 366 calendar days Revised Time for Completion (insert date) 12/31/12 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 acknowle-dges and accepts that this Amendment constitutes full payment and final settlement of all claims bf uny 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)r 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: Print Name:E Q- DATE: (title)l),-/.\-l I CITY OF KENT: By Print Name: Tim v J. LaPorte.P. E. DATE:I APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department EsA - 224'h Amd 2/Inouye AMENDMENT-2OF2 ACORD* G ERTIFIGATE OF LIABILITY INSURANCE PRODUCER I Wc '(41 3gll:-2i41::: :it '; ', INSURED ' rff-Sawyer & Co. .sh St , 7th Floor Francii6o CA'94104 REQUIREMENT, TERM OR PERTAIN, THE INSUMNCE Envlronmental$i6nca.fiiodiaies- " t, -'-':----.-,:.i;- --:--- i' 'r "-r - . :: !-r, .rj ESA Adqlfsog Jfib;'i+'1 j tl t'rr :i""! i 225 Bush'Strbet;1suite.,l700 j SanFranciico,CA 94104 i I'JAN 0 6 20ll CITY OF t I(E ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY MAY AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A B A OESCRIPTION OF D205118.2X; lttached. B A OPEMTIONS / LOCATIONS' VEHICLES / EXCLUSIONS Kent S 224th Street Project. City of Kent is ADDED BY ENDORSEMENT / SPECIAL PROVISIONS;;-,;iil ;aditi;;i jnrut#on'6i-.i"..ug. per endorsements CG 2010 07 04 and CG 2037 07 04 OATE (MM/DD'YYYY} 0ll03l20ll NFORMATIONERTIFICATE FICATE ONLY HOLD MATTER OFlsASISSUEDAISTHc c ERTIFICATETHEuPoRIGHTSNDFERScoNNOANOREXTENDESTHICERTISDOER.BERTHE ! COVERAGEAFFORDING '^22322^ -"-I 5e: XL POLICY NUMgER IEACH 1X MED EXP & ADVx X 2PRODUCTS - 0y0ll20l1 0U0ll20l2GEC001336708X X contractual Liabiliw Stop Gap Emolovers LIABILITY LIMIT APPLIES PER: LOC GEN'L POLJCY $ 1,000,000COMBINED SINGLE LIMIT (Ea accident)X BODILY INJURY(P6ie;iiden0 - AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS .. '.;. r HIRED AUTOS'.... 'r.roNlbwrueo eutos 'i: ONLY - EA $EAACCOTHER THAN AUTO ONLY: GARAGE LIABILITY ANYAUTO 0IEACH I0Il0ll20ll0U0l/2012uEC001336608 EXCESS/UMBRELLA LIABILITY sl OCCUR CLAIMS MADE DEDUCTIBLE RETENTION 1ACCIDEN'T 1E,L, DISEASE - . POLICY 0U0U2011 0U0112012wEC0013377408WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRI ETOR'PAIITNEft/EXE CUTIVE OFFICER/MEMBER EXCLI.,,DED? under Each Occunence Aggregate Retention $ $ l,ooo,ooo 2,ooo,ooo 0U0l/2012011011201tPEC001336808orHER Profbssional Liability Cov. A- Claims Made Retro Date 1,0/1189 LDER City of Kent 400 West Gowe Kent, WA 98032 LLATION IO Notice for of Premium sHoULDANYoFTHEABovEDEscRIBEDPoLIcIEsBEcANcELLEDBEFoRETHEEXPIRATIoN DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO N'TEIU 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT' BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABTLITY OF ANY KIND UPON THE INSURER' ITS AGENTS OR REPRESENTATIVES. G*rD-@twllfl.dAUTHORIZED REPRESENTATIVE \CORD 25 (200110811s61 Attn: Nancy Yoshitake @ACORD CORPORATION 1988 IMPORTANT lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certiflcate does not confer rights to the certificate holder in lieu of such endorsement(s). lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsernent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of lnsurance on the reverse side of this. form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certiflcate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. \coRD 2s (2oo1lo8l 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 City of Kent 400 West Gowe Kent, WA 98032 NAMED INSURED: Environmental Science Associates POLICY NUMBER: GECOOI336708 A. Section ll - Who ls An lnsured 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) desig- nated above. ADDITIONAL INSURED:City of Kent GOMMERCIAL GENERAL LIABILITY cG 20 1007 04 B. With respect to the insurance afforded to these additionai insureds, the following additional exclu- sions applY: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintehance or ropairsi to de piirformed by or on behalf oi 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 in- tehOed use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same Project. Of Govered O Name Of Additiorial lnsured Person(s) Or D205118.2X; KentS 224th Street Project' City of Kent is named an additional insured on GL coverage per endorsements CG 20 I 0 07 04 and CG 2037 07 04 attached. to com this Sched if not shown a willbe shown in the Declarationslnformation cG 20 10 07 04 @ ISO Properties, lnc.,2004 Pagelofl tr THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR GONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE co this Sc if not sh be shown in the NAMED INSIIRED: Environmental Science Associates POLICY NUMBER: GECOOI336708 Section ll - Who ls An lnsured is amended to in- clude as an additional insured the person(s) or or- ganization(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" ADDITIONAL INSURED: City of Kent GOMMERCIAL GENERAL LIABILITY cG 20 37 07 04 at the location designated and described in the schedule of this endorsement performed for that ad- ditional insured and included in the "products-com- pleted operations hazard". Page 1 of 1 UNIFORM Location And Description Of Completed Name Of Additional lnsured Person(s) Or Oroanizationfs): D205118.2X; Kent S 224th StreetProject. City of Kent is named an aciditional insured cil Gl.ceverage per diidcrsbmerrts C$20.1.0.A7 0t and CG 2037 07 04 attached. City of Kent 400.VJsst Gc+ie Kent, WA 98032 cG 20 37 07 04 Copyright, ISO Properties, lnc., 2004