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Home My WebLink AboutPW10-263 - Amendment - #3 - ESA Adolfson, Inc. - S 224th St Project Wetland Boundry Reinvestigation - 12/26/2012ecords M em KENT D ocu ment WASHINGToN CONTRACT COVER SHEET This is to be compteted 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 Number:9t^t to- 2Q> This is assigned by City Clerk's Office s. 224th St reet ProiectProject Name: Description: n Interlocal Agreement n Change Order X ngnOment n Contract I Other: Contract Effective Date: t2/26/ t2Termination Date' I2/3t/ L4 Contract Renewal Notice (DaYs)l Number of days required notlce for termination or renewal or amendment Contract Manager:Ga rrett Inouve De partment : Enq ineerinq Detail: (i,e. address, Extend the time of com location, parcel number, tax id, etc.): etion to December 31 2OL4 so the consulta nt can continue to assist the City with design and permitting S : Publlc\RecordsManagement\Forms\Contractcover\adcc7832 | 11/08 KENT WASHINGToN AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR ESA CONTRACT NAME & PROJECT NUMBER:S. 224th Street Proiect ORIGINAL AGREEMENT DATE :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: The scope of work remains the same' however an amendment is needed to extend the time of completion to December 31' zOt4 so the Consultant can continue to assist the City with design and permitting. 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 a ppl icable WSST $3,901.98 Net Change by Previous Amendments includ i ng appt icable 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) t2t3utt Revised Time for Completion under prior Amendments (insert date) t2/31/12 Add'l Days Required (*) for this Amendment 730 calendar days Revised Time for Completion (insert date) 12/3Ut4 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. EsA - 224'n Amd 3TInouye CoNSULTANT/VENDoR: E 54 By: Print Name: At S/. tart€f I <t (title) DATE: CITY F KENT: Print Name:Timothv l.Porte, P.E. Its DATE L APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department AMENDMENT-2AF2 CERTIFICATE OF LIABILITY INSURANCE THts CERTIFICATE tS u ED nb a uerren oF tNFoRMATtoN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THISCFRTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESOF INSURANCE DOES NOTt I R AND THE CERTIFICATE CONSTITUTE A CONTRACT BETWEEN T}IE HOLDER. lssulNc tNsuRER(S), AUTHORTZED l DATE (MM/DDffYYY) t2128/2011 of ,thethet€trms cate of strotderrtifi the dges mustpo endorsed,su bject'tq Aendorsement.onstatement ,certificatethis not coirfer the.'rl(thtF INSIJRERISI AFFOPNINC COVERAGE NAIC # 37885 WjJS#n-sawyer & co. 5g ealifornia Street, Floor 12 San Francisco CA 94111 (41r 39r-2t41 INSURED Enviro@ental Science Associates BgR 66olfson, Inc. 225Busrr Street, Suite 1700 g6n pl3poisco,CA 94104 ffiahH$"HR". B#ffiBY\d trd I '"lAN 0 3 ?fitrZ D TE BER:REVISION NUMBER: INSP wvn POLICY NUMBERTYPE OF INSURANCE B EEN ISSU TOED THE NS URED NAMED FORABOVE POLICYTHE PERIODANYCONTRACTOTHERORWITHDOCUMENTTORESPECTWHICHTHISBYPOLTCtESTHEHDESCRIBEDEREINTOSUBJECTALLTHETERMS,ANDtoNs CONDITIONS SUCHOF LIPOLICIES.ITSM MASHOWN HAVEY REDUCEDBEEN BYEXCLUS PAID MS.CLAI INSRLTR POLICY EFF,MM/DNffiYI LIMITS EACH OCCURRENCE 1.000.000a I.000.00c$ MED EXP (Anv ono oerson) ADV INJURY I X GEC001336709 4u0u2012 01t01t2013 1,000,00c$ BODILY INJURY (Per peFon)$ BODILY INJURY (Per acctdont)$ 6gpg6AL LIABILITYA PER: LOC B X SCHEDULED AUTOS NON.OWNED AUTOS 1;4OBlLE LIABILITY X X X ANY AUTO ib?3y*'o HtREDAUToS AEC001336509 Deductible: $5,000 0t/01t2012 0l/0U2013 TEVTEK I Y UAMAGE(Peraccldent) .._$ $XX EACH OCCURRENCE I,000,000$ OCCURUMERELLA LIAB g1@ESB LIAB AGGREGATE $I RETENTION$ lO.OOODEP A uEC001336609 0t/01t20t2 0t/0U2013 D\. I WC STATU- I/\ I Tnpv I tlrlte I OTH-FP E.L. EACH ACCIDENT 1,000.00($ E.L, DISEASE - EA EMPI.OYFF r,000.00cs N/A aNp gTilpLOYERS' LIABILITY Y/N ANY EXCI-UDED? COMPENSATION B wEC0013377409 01t0v2012 0l/01/20t3 E,L. DTSEASE - POLICY Lil\47 I$ A p161'sssional Liability Cover\ge A- Claims Made Retro D4et l0/1189 P8C001336809 01/01/2012 01/01t2013 Each Claim: $1,000,000 Aggregate: $2,000,000 Retention:I DESCRtpTtON OFOPERAfIONS /.LOCATIONS / VEHICLES (Atlach AcORD 101, addltlonat Rema11s schaduto, D205119,2Xt Kent S 224th Street project. City of Kent is named an additional insured attached. on GL coverage per endorsemenfs CG 2Ol0 07 04 and CG 2037 07 04 ifmore spaca i6 roqulred) HOLDER Attn: Nancy Yoshitake The ACORD TION @ 1988-2010 AcoRD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE W|LL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. CitY of Kent , 400 West Gowe I(ent, WA 98032 t.fcu\^d Q**tA- @w$nd AUTHORIZED REPRESENTATIVE ACORD 25 (20'l0l05l tD #:CORPORATION, Att rights reserved COMMERCIAL GENERAL L]ABILITY cG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY' ADDITIoNAL INSURED - OWNERS, LESSEqq oR COTIRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAMED INSURED: Envitotrmental Science Associates POLICY NUMBF.R: GF,COOI336709 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 iespect to iiaUility for "bodily injury" or "property damage" caused, in whole or in part, by "your work" ADDITIONAL INSURED: CitY of Kent at the location designated and described in the ichedule of this endoisement performed for that ad- ditional insured and included in the "products-com- pleted operations hazard". Page 1 of 1 UNIFORM nOfLocation Name Of Additional lnsu red Person(s) n annamed1SofKentKentStreet224thCityD205Project.8.2X; 2010CG 07endorsementsperadditional insured on GL ooverage and CG 2037 07 04 attached. City of Kent 400 West Gowe Kent, WA 98032 lecom cG 20 37 07 04 Copyright, ISO Properties, lnc., 2004 ENDORSEMENT #OO5 fhis endorsement, effective 12:01 a.m., January 1,2015 forms a part of Policy No' GEcoo13367t2 issued to if.rVl nO r,,t M efrf fnl SC]E flC E ASSOCTATES by Gree nwich I nsu rance Company. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY' ADDITIoNALIN$URED-oWNERs,LEssEEsoRcoNTMcToRs-CoMPLETEDoPERATIoNS This endorsement rnodifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM $GHEDULE PE OR GAN THAT AR All other terms and condltions of this policy remain unchanged REQUIRED IN A WRITTEN CONTRACT OR WRITTEN AGREEMENTTO INCLUDE AS AN nbotlorunl INSURED PRovIDED THE "BoDlLY INJURY" OR "PROPERTY DAMAGE' OCCURS SUBSEOUENTTO THE EXECUTION OF THE WNITTETI CONTRACT OR WRITTEN AGREEMENT section ll - who ls An tnsured is amended to include as an additional insured the person(s) or organization(s) shown in the $chedule, but only with ,"rp."t toli"nitity for "bodily injury" or "Prope.rly.damage" caused, in whole or in part, by ',your worr.;lline iofjiion o"iigr.iid';;'r*.Jl!:liin ttre lcneoule'or tiris endorsement perrormed for that additlonal insured jnO inctuOed in the nproducts-completed operations hazard" ' Location And Description Of Completed OperationsName Of Additional lneured OrO izationPe Various this Schuired to comlnformation Declarations,thelnshownwillabovebeifshownnot x]L20g7-0703(Ed.0413)@2013,XLAmerica,lnc. Allrightsreseryed,Maynotbe-copiedwithoutpermission. lncludes copyrigtii"O materialof lnsurance Services Office, lnc,, with its permission Page 1 of 1