HomeMy WebLinkAboutPW10-263 - Amendment - #4 - ESA Adolfson, Inc. - S 224th St Project Wetland Boundry Reinvestigation - 12/31/2014ecords M em
KENT DocumenWAgHIN6TON
CONTRACT COVER SHEET
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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 Number:?wrct - ?,Lob:00{
This is assigned by City Clerk's Office
Project Na mei S.224th St. Project
Description: I Interlocal Agreement
I Other:
I Change Order X Amendment n Contract
Contract Effective Date: L2/3t/14 Termination Date: t2/3L/L5
Contract Renewal Notice (DaYs):
Number of days required notice for termination or renewal or amendment
Contract Manage r: Garrett Inouve Depa rtment: Enqineerinq
Contract Amount:
Approval AuthoritY: (CIRCLE ONE Mayor City Council
Detail: (i.e. address'
Extend the time of com
location, parcel number, tax id, etc.):
e consultant is needed to
Department Directo
As oft 08/27/L4
Army Corps o neers 404 Permit.
letion to December 31 2015 because th
o tna Eng
KENT
WAsHtNGToN
AMENDMENT NO. 4
NAME OF CONSULTANT OR VENDOR:
CONTRACT NAME & PROJECT NUMBER:
ORIGINAL AGREEMENT DATE :
ESA
S. 224th Street Project
December 15' 201O
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 ind 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,
2015. The consultant is needed to obtain a US Army Corps of
Engineers 4O4 Permit. Submittal of the permit was delayed as
we concentrated on higher priority projects.
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,
includ ing applica ble WSST
$3,901.98
Net Change by Previous Amendments
includ ing applica ble WSST
$4,093.86
Current Contract Amount
including all previous amendments
$7,99s.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)
t2/3lltt
Revised Time for Completion under
prior Amendments
(insert date)
12/3ll14
Add'l Days Required (+) for this
Amendment
365 calendar days
Revised Time for Completion
(insert date)
t2t3t/t5
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
acknowleiges 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
J. o//,J4A 1V*"L/,
Print me:re,tT"t*l+, Va no{e,
; c4-
DATE:Zo
r€si
CITY OF KENT:
B
Print Name:
Its
DATE:
APPROVED AS TO FORM:
(appticable if Mayor's signature required)
Kent Law Department
ESn - 224'n nmd 4/tnouye
AMENDMENT-2OF2
PRODUCER
'a a,
CERTIFIUATE OF LIABILITY INSIJTilNCE
tr€F,ffi&Co.
Floor 1250 California
San Francisco CA 111
INSURED
Environmental Science Associates
550 Kearny Street, Ste 800
San Francisco CA 94108
JAN 0l 'ltjil
t$ $ff,
DATE (MM/DD/YYYY)
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
.EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER'
in lieu of suchcertificate
CERTIFICATEFICATE
TIVELY TIVELY
tsTHNOHTSRIGTHEUPONONLTIONANDYCONFERSASATTERMAINOFFORMAISTHCERTItsISSUED
BY POLtCIESTHEEDTHETERAFFORDCOVERAGEOREXTENDALRMAAFFINEGAORAMEND,ERTIFICAc DOESTE NOT RIZE DAUTHOTHEBETWEENINGrssuCONTRACTrNsuRER(S)A
toTIONWAIVED,subjectustmendorsed.be tfINSULtheRED,thetf holdercertificate ants DDA to thenotdoesconferAonstatementcertificatethisrightsanendorsement.certaintheof maypolicies requiretermstheconditionsandpolicy
NAIC #INSURERISI AFFORDING COVERAGE
,t'1.t2rNsuRER A :Greenwich lnsurance Com nanv
I7RR5rNsuRER e Xl Sneeiallv lnsrrrance Comoanv
INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBERI l
FY THAT
INDICATED. NOTWTHSTANDING ANY REQUIREME
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
LISTED UED TO
NT,TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RCSPTCT TO WHICH THIS
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
REVISION NUMBER:
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHO!\N MAY HAVE BEEN REDUCED BY PAID CLAIMS.
A
B \UTOMOBILE LIABILITY
ANYAUTO
ALL O\^NED
AUTOS
SCHEDULED
AUTOS
NON.O\A/NED
AUTOS
A
B
A
HIRED AUTOS
Ded.
DESCRIpTtON OF OpERATTONS / LOCATTONS / VEHTCLES (Aftach ACORD 1Ol, Additional Remarks schedule, if moro space is required)
DZOS11B.2X; Kent S 224th Street Project. City of Kent is named an additional insured on GL coverage per endorsements CG 2010 07 04
and CG 2037 07 04 attached.
LIMITSPOLICY EFF
.MM/DD/YYYYIAUUt
INSR 'UBRIWD POLICY NUMBERryPE OF INSURANCE
$1.000.000EACH OCCURRENCE
DAMAGb IOT{ENIEUPPFiIIRFQ tFa ^^d rrFn.c\$1,000,000
$5.000MED EXP (Anv one person)
s1.000.000PERSONAL & ADV INJURY
$2.000.000GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG $2,000,000
$
v1120143ECo01 33671 0 U112013
COMMERCIAL GENERAL LIABILIry
GEN'L AGGREGATE LIMITAPPLIES PER:
X
Stop Gap
LOCX
OCCUR
GENERAL LIABILITY
Contractual Liab
CLAIMS-MADE
$1.000.000
$BODILY INJURY (Per person)
$BODILY INJURY (Per accident)
$XK
$
U1t2013 V1t2014AEC001 33651 0
K
s1.000.000EACH OCCURRENCEXK
AGGREGATE $1,000,000
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
s
t1t2014uEc001 33661 0 1112013
nFn RFTFNTION S v I WC STATU-
^ lTnovttiilTQ o tH-FE
$1.000.000E.L. EACH ACCIDENT
$1.000.000E.L. DISEASE. EA EMPLOYEE
$1.000.000
1t112013 t1t2014
E.L DISEASE - POLIOY LIMIT
N/A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILIry
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
{Mandatory in NH)
lf ves. describe under
DFsiRrPTroN oF oPERATtoNS betow
Y/Nt]
l/Ec001 33741 0
$1,000,000
$2,000,000
$1 00,000
Each Occurrence:
Aggregate:
Retention:
v1t2013 t1t20'14)EC001 33681 0Professional Liability
Cov. A. Claims Made
Retro Date: 1011189 & 911176
CERTIFICATE HOLDER TION
@ 1988-2010 ACORD CORPORATION. All rights reserved
City of Kent
400 West Gowe
Attn: Nancy Yoshitake
Kent WA 98O32
SHOULD ANY OF THE ABOVE DESCRIBED POLIGIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
tlertruer Gdtd- esrrru&t
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010/05)The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: GECOO133671 O
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRAGTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
A, Section ll - Who ls An Insured is amended to
include as a n 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 adv ertising 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.
B. With respect to the insurance afforded to these
additional insureds, the following addi tional exclu -
sions apply:
COMMERCIAL GENERAL LIABILITY
cG 20 1007 04
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, mainte
nance or repairs) to be performed by or on
behalf of the additional insured(s) at the loca
tion of the cov ered operations has been com -
pleted;or
2. That portion cf "your work" out of which the
injury or damage arises has been put to its
intended use by any pers on or organization
other than another contractor or subcontrac tor
engaged in performing operations for a principal
as a part of the same Project.
Page {
UNIFORM
Location(sl Of Goverec! Operatio4s
Name Of Additional lnsured Person(s)
Or Organization{s):
VariousNNY PTNSOI.I OR ORGANIZATION THATYOU ARE
REQUIRED IN AWRITTEN CONTRACT OR
WRITTEN AGREEMENT TO INCLUDE AS AN
ADDITIONAL INSURED PROVIDED THE "BODILY
INJURY" OR ''PROPERTY DAMAGE" OCCURS
SUBSEQUENT TO THE EXECUTION OF THE
WRITTEN CONTRACT OR WRITTEN AGREEMENT.
S e aacormre
cG 20 1007 04 Copyright, ISO Properties, lnc., 2004
t,
POLTCY NUMBER: GECOO133671 O
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
GONTRACTORS - GOMPLETED OPERATIONS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Section lt- Who ls An lnsured is amended to include
rs 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" at
the location designated and described in the schedule
COMMERCIAL GEN ERAL LIABILITY
cG 20 37 07 04
of this endorsernent performed for that ad
insured and included in the "products
operations hazard".
ditional
-completed
Location And Description Of Gompleted Operations
Name Of Additional lnsured Person(s)
Or Organization(s):
uired tolnformation lete this Schedule if not shown above, willbe shown in the Declarations
YOU AREPERSON OR
NSURED PROVIDED THE "BODILY INJURY'' OR
TY DAMAGE'OCCURS SUBSEQUENT TO
E EXECUTION OF THE WRITTEN CONTRACT OR
AGREEMENT
IRED IJ{ A WRITTEN CONTRACT OR WRITTEN
EMENT TO INCLUDE AS AN ADDITIONAL
cG 20 37 07 04 Copyright, ISO Properties, lnc., 2004
UNIFORM