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
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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