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HomeMy WebLinkAboutPW10-263 - Amendment - #6 - ESA Adolfson, Inc. - S 224th St Project Wetland Boundry Reinvestigation - 12/29/2016ecords M em KENT CONTRACT COVER SHEET Documen SCANhIEI) n^trJhlhnJlb+u WAgHINGTON 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:flwr h- Lu 7' 001 This is assigned by City Clerk's Office Project Name:s. 224th St.Proiect Description: n Interlocal Agreement [] Other: I Change Order X Amendment I Contract Contract Effective Date t L2/29/L6 Termination Datel t2/3L/L7 Contract Renewal Notice (DaYs): Number of days required notice for termination or renewal or amendment Contract Manager:Garrett Inouye Depa rtment: Enqineerinq Contract Amount:$o.oo Approval AuthoritYr (CIRCLE ONE) Detail: (i.e. address, location, parce Mayor City Council I number, tax id' etc.)l Extend the time of comP etion to December 31,20L7 to proc ure the Phase I CorPs Department Directo permit. As ofi 08/27/L4 KENT WASHINcTON AMENDMENT NO. 6 NAME OF CONSULTANT OR VENDOR: CONTRACT NAME & PROJECT NUMBER; ORIGINAL AGREEMENT DATE : ESA S. 224th Street Proiect Desember 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 lnd 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' 2OL7 to procure the Phase I Corps permit' 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 $3,901.98 Net Change by Previous Amendments including 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 L2/3llt6Revised Time for ComPletion under prior Amendments (insert date) 365 calendar daysAdd'l Days Required (+) for this Amendment t213ll17Revised Time for ComPletion (insert date) Original Time for ComPletion (insert date) t2l3utt 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 acknowledg"r 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 6nY)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 betow have executed this Amendment, which will become effective on the last date written below. coNSULTANT/VENDOR: v^ALBy:a Print Na e:€r Its DATE:/2 - >9''9 to / L r€ 9i CITY OF KENT: Print Name : Tim v J. LaPofte.P.E. I DATE: APPROVED AS TO FORM: (appticabte if Mayor's signature required) Kent Law DePartment esA . 22+'n emd 6/tnouye AMENDMENT-2OF2 '\ "l CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 3ELOW. THIS CERTIFTCATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. A CONTRACT BETWEEN THE ISSUING INSURER(S)' AUTHORIZED DATE (MM/DD/YYYY} 12t221201s IMPORTANT: lf the certificate holder the terms and conditions of the policy, is an ADDITIONAL INSURED, certain policies maY require the policy(ies) must be endorsed' lf SUBROGATION lS WAIVED' subjecl to an "ndors"ment. A statement on this certificate does not confer rights to the certificate holder in lieu of such 415-391-214 1 m NAIC #rNsuRER(S) AFFORDING CIVEBAGE__ 22322lNsuRER A rGreenwich lnsu rance comoanv PRODUCER Woodruff-Sawyer & Co. 50 California Street, Floor 12 San Francisco CA94111 37885rNsuRER B 'XL Specialty lns urance Companv INSIIRFR C : INSIIRFR D : INSIIRFR E : INSIIRFR F : INSURED Environmental Science Associates 550 Kearny Street, Ste 800 San Francisco CA 94108 ENVISCI.Ol 11 M PERTAI THEFORTOINSUREDTHEHAVEBELOWBEENOFTOTHATCERTIFYIS WHICHTO THISOTHERMDOCUWITHENTRESPECTOROFONCONTRACTANYoTERMCONDITIRNOTWITHSTANYANDINGREOUIREMENTCAINDITED.ETHNHEREISUBJECTISALLTO TERMS,D BY POLICIESTHE DESCRIBEDINSURANCETHEAFFORDEORISSUEDMAYN,MAYCERTIFICATE BE PAIDBY CLAIMS.MASHOWN HAVE REDUCEDBEENSUCHOFLIMITSPOLICIES.ONSEXCLUSI CONDAND ITIONS LIMITSTYPE OF INSURANCE EACH OCCURRENCEX 000 MED EXP oneX PERSONAL & ADV INJURYY GENERAL AGGREGATE PRODUCTS. COMP/OP $ 1t112016 1t1t2017GEC0013367'13 X COMMERCIAL GENEPAL LIABILITY X oTHER: No Deductible Stoo Gan PRO-JECT I I OCCUR POLICY GEN'L LIMIT APPLIES PER: LOC Contrachral Liab CLAII\4S-MADE $ $BODILY INJURY (Per person)X $BODILY INJURY (Per accldenl) $XX $ 1t1t2016 1t1t2017AECO01 33651 3 A X AUTOMOBILE LIABILITY ANY AIJTO ALL OWNED AUTOS HIRED AUTOS No Ded. SCHEDULED AUTOS NON.OWNED AUTOS 1EACH OCCURRENCEXX 1 OCCURUMBRELLA LIAB EXCESS LIAB 1t1t2016 1t1t2017uEc001 33661 3B E.L. EACH ACCIDENT 1 1E.L. DISEASE - EA 1E.L. DISEASE 1t112016 1t1t2017 N/A wEc001337413BWORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N describe under in NH) EXCLUDED? $1,000,000 $2,000,000 $1 00,000 Occurrence:1t112016 11112017PEC001 336813BProfessional Liability Cov. A. Claims Made Retro Date: 10/1/89 D205118.2X; Kent S 224th Street project. city of Kent is named an additional insured on GL coverage per endorsements xlL2010 07 04 (Ed. 0413) and XIL 2037 07 04 (Ed. 0413) attached. DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (ACORDl0l,AdditionalRemarks Schedule, may be attached if more space is required) ER CELLATION @ 1988-2014 ACORD CORPORATION' All rights reserved. City of Kent 400 West Gowe Attn: Nancy Yoshitake Kent WA 98032 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVEL/fi&* ACORD 25 (2014t011 The ACORD name and logo are registered marks of ACORD This endorsement, effective 12:01 a.m., January 1,2016 forms a part of Policy No. GEC001336713 ENVIRONMENTAL SCIENCE ASSOCIATES by Greenwich lnsurance company. 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 FORM SCHEDULE B. issued to 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 dJmage" 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. With respect to the insurance afforded to these additional insureds, the following additional exclusions applv: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. AII work, including materials, parts or equipment furnished in connection with such work, on the project (other thin 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 Location(s) Of Covered OperationsName Of Additional Insured Person s sOrOanization Various REOUIRED IN A WRITTEN 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, IZATION THAT YOU AREANY PERSON OR O RGAN will be shown in the Declarations.uired to comlnformation this Schedule if not shown above XIL 2010-0704 (Ed. 0413) @2013, XL America, lnc' All rights reserved. May not be copied without permission' lncludes copyrighted material of lnsurance Services Office, lnc., with its permission BV|E 02/1112015 Page 1 of 2 1 That portion of "your work" out of which tha injury or damage arises has been put to its intended use by any perion or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions of this policy remain unchanged' 2. ( (.XIL 2010-0704 (Ed. 0413) @2013, XL America, lnc' All rights reserved. May not be copied without permission. lncludes copyrighted material of lnsurance Services Office, lnc., with its permission BV|E 02111t2015 Page2 of 2 This endorsement, effective 12:01 a.m., January 1,2016 forms a part of Policy No. GEC001336713 issued to ENVIRONMENTAL SCIENCE ASSOCIATES by Greenwich lnsurance company. 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 FORM SCHEDULE All other terms and conditions of this policy remain unchanged Seetion 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" or "property damage" caused, in whole.or in p"rt, 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". (' xtL2o37-0704 (Ed' 0413) Ar rishts,."r"'$1oolilXiffT""o?;Ifi,*no,, permission. lncludes copyrighteO materialof lnsurance Services Office, lnc., with its permission BVIE 0211112015 Location And Description Of Completed OperationsName Of Additional lnsured Perso Or ization VariousANY PERSON OR ORGANIZAT REQUIRED IN A WRITTEN 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 ION THAT YOU ARE lnformation re if not shown a will be shown in the Declarations.ired to co this Schedule Page 1 of 1 CERTIFIGATE OF LIABILITY INSURANCE DATE (MM/DDTYYYY) 1212812016 INFORMATI ALTERTIVELY THLDER.tsERTIcFTECAHOGHTSRITHUPONENFEcoNRSoONNLoANDYMAAoTTERFlsTEssuASEDCERTITHISFICABYPOLICITHEESAFFORDEDTHCOVERAGEEOREXTENDEGANYTIVELAMENIRMAORD,CAFI DOESTE AFFNOTERTIc DAUTHORIZEEISSUINGNSTHBETWEENNTRACTURER(S),ANSTITUTE coDOESNCEcoNOTINSURATEOFcTHISERTIFICAELOW. REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER' of PORTANT: toISSUtfROGATIONBsubjectWAIVED,bemust orsedendNSUEDRtheADDITIONALpol(ies)icycatecertifiisholderanthetfIM nfer to thenotdoescooncertificatethisrightsAstatementreutenandorsement.rta in reqconditionsandtheofpoliciesmaytermspolicythe 441 dco.comsla # lnsurance Com PRODUCER 2 885InsuranceLINSUREO Environmental Science Associates 550 Kearny Street, Ste 800 San Francisco CA 94108 ENVISCI-01 21 MAY POLITHE CY toDRABOVETHETOBEENHAVELISTEDOFPOLICIESFYCERTIHWHICTHSWTHENTTORESPECTDOCUMOTHERORANYCONTMCTRONCONDITIOFoTERMRNTANYDINGEOUIREMENOTWTHSTANNDICATED.sTERMTHETOALLNHEREISUBJECTISTHEtctPOLDESCRIBEDESAFRDEDFOBYECEINSURANNERTAITHEDISSUORPMAYCATEBECERTIFIPAIBYCLAIMS.DBEEHAVEREDUCEDNLIMSHOWNtTsMAYSUCOFPOLICIES.HDANDITIONScoNLUSEXCtoNs LIMITS TYPE OF INSURANCE EACH X $ $MED EXP one X & ADV INJURY X $TE $ 1t1120181t112017GEC001 33671 4 X X COMMERCIAL GENERAL LIABILITY GEN'L AGGREGATE LIMIIT APPLIES PER oTHER: No Deductible X PRO-JECT I ] OCCUR LOCPOLICY Contracfiral I iab CLAIMS.MADE $1 $BODILY INJURY (Per Person)X $BODILY INJURY (Per accident) $ XX $ 1t1120181t112017AEC001 33651 4 X AUTOMOBILE LIABILITY ALL OWNED AUTOS SCHEDULED AUTOS NON-O\^AED AUTOS ANY AUTO HIRED AUTOS No Ded. 000OCCURRENCEX TE OCCUR X UMBRELLA LIAB EXCESS LIAB 1t1t2l',t8'v1t2017uEc001 33661 4B 1E.L.ACCIDENT 1EA EME.L, 1 1111201811112017wEc001 337414 N/A B AND EMPLOYERS' LIABILITY COMPENSATION ANY EXCLUDED? ln NH) describe under $2,000,000 $2,000,000 $1 00,000 Each Occurrence:111120181t1t2017PEC001 33681 4Professional Liability cov. A. Claims Made Retro Date: 1011189 &9hn6 RE: D2051-18.4X - Kent S, 224Lh Street' b-i;y;i-rent is inci"a.a as additional insured per form attached Remarks Schedule, may be attached if more space ls required) DESCRTPTTON OF OPERATIONS I LOCATIONS / VEHICLES (ACORD l0l, Additlonal c CAN @ 1988-2014 ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ixe exprnnrtoN DATE THEREoF, NorlcE wlLL BE DELIvERED lN ACCORDANCE WITH THE POLICY PROVISIONS' REPRESENTATIVE Citv of Kent Atth: Nacy Yoshitake 400 West Gowe Kent WA 98032 ACORD 25 (2014t0',t1 The ACORD name and logo are registered marks of ACORD CORPORATION All rights reserved. ENDORSEMENT #OO7 This endorsement, effective 12:a1 a.m., January 1,2a17 forms a part of Policy No. G8C001336714 issued to ENVTRONMENTAL SCIENCE ASSOCIATES by Greenwich lnsurance company' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIoNALIN$URED.owNERS,LEssEEsoRcoNTRAcToRs* SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENIRAL LIABILITY COVERAGE FORM SCTIEDULE A Section ll - Who ls Afl 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 O""r"g;, or ';personal and advertising injury" cauged, 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 perfonnance of your ongoing operations for the additional insured{s) at the location(s) designated above. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does nct apply to "bodily injury" or "property damage" occurring after: L All work, including materials, parts or equipment furnished in connection with such work' on the project {other thin 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 B Location{s) Of Covered OperationsName Of Additional lnsured Pe Or Various REQUIRED IN A WRITTEN 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. IZATION THAT YOU AREANY PERSON OR ORGAN will be shown in the Declarations'lete this Schedu if not shownuired tolnformation XIL 2010-0704 (Ed. 0413) O 2013, XL America, lnc' All rights reserved. May not be copied wilhout permission' lncludes copyrigh"ted material of lnsurance Services Office, lnc', with its permission BV|E 01/06/2016 Page 1 of 2 t1 2. All other terms and conditions of this policy remain unohanged That portion of "your work" out of which fre injury or damage arieee has beon put to its intended use by any perlon or organization olhor thah inother contractor or eubcontractor engaged in porforming-operations for a principal as a part of the same proiec't' XIL 2010-0704 (Ed. 0413) O 2013, XL America, lnc'' All rights regerved. May not be coplod wilhout permission' lncludee copyrigit6d material of lngurance $ervices Office, lnc., with its permission BV|E 01106/2016 Page? of 2