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HomeMy WebLinkAboutCAG2023-526 - Amendment - #1 - Associated Underwater Services, Inc. - Lake Fenwick Aerator Maintenance - 11/21/2023 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form Dir Asst: • For Approvals,Signatures and Records Management Dir/Dep: KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional) WASHINGTON Sheet forms. Originator: Department: Dani for Rowena Valencia-Gica Public Works Date Sent: Date Required: c 11/21/2023 11/29/2023 CL Director or Designee to Sign. Date of Council Approval: Q N/A Budget Account Number: Grant?[:]YesZNo D20097 Budget?R]Yes:No Type: N/A Vendor Name: Category: Associated Underwater Services, Inc. Contract Vendor Number: Sub-Category: = Amendment 0 Project Name: Lake Fenwick Aerator Maintenance -Amendment 1 E �° ProjectDetails:An Amendment for additional funds is necessary as tax amount = was not included in original contract. c 40 g $1 081.71 Other Agreement Amount: Basis for Selection of Contractor: 47 `Memo to Mayor must be attached 3- Start Date: 11/21/2023 Termination Date: 12/31/2023 Q Local Business?F--]YesF--]No* If meets req uiremen ts per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace. Business License Verification:Yes:ln-Process:Exempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: F1Yes�✓ No CAG2023-526 Comments: a1 G 3 4) H •� i N 3 f0 C V1 Date Routed to the City Clerk's Office: 11/21/23 Interlocal Agreement has been uploaded to website: adccW22313_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20210513 • KENT WASHINGTON AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: Associated Underwater Services, Inc. CONTRACT NAME & PROJECT NUMBER: Lake Fenwick Aerator Maintenance ORIGINAL AGREEMENT DATE: October 12, 2023 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: An amendment for additional funds is necessary as tax amount was not included in original contract. 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, $10,710 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $10,710 including all previous amendments Current Amendment Sum $1,081.71 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $11,791.71 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/2023 (insert date) Revised Time for Completion under N/A prior Amendments (insert date) Add'I Days Required (f) for this N/A calendar days Amendment Revised Time for Completion 12/31/2023 (insert date) 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. CONSULTANT/VENDOR: CITY OF KENT� : By: �t--- By: Print Name: Samantha Cumpton Print Name: Michael Mactutis, P.E. Its Controller Its: Environmental Engineering Manager DATE: 11/21/2023 DATE: f/� // Z ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent City Clerk Kent Law Department P:\Ad min\Contracts\Dani AMENDMENT - 2 OF 2 DATE(MM/DDIYYYY) `I CERTIFICATE OF LIABILITY INSURANCE 104/06/06/20232023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT TIV VOn SOU NAME: 9 ry McGriff Insurance Services,LLC PHONE 503-943-6621 FAX 503-943-6622 1800 SW First Avenue,Suite 400 AIC No Ext: AC, No): Portland,OR 97201 E-MAIL v.von sour me ADDRESS:ti 9 y@ riff.com 9 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Underwriters At Lloyds 32727 INSURED INSURER B:The Travelers Indemnity Company of Connecticut 25682 Associated Underwater Services,Inc 3091 E Ferry Ave INSURER C:Great American Alliance Insurance Company 26832 Spokane,WA 99202 INSURER D:American Equity Insurance Company 43117 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:EGXFKNEH REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY MA2208385 12/31/2022 12/31/2023 EACH OCCURRENCE $ 1,000,000 � OCCUR DAMAGETORENTE CLAIMS-MADE D PREMISES Ea occurrence $ 50,000 X Marine General Liability MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: WA STOP GAP $ 1,000,000 B AUTOMOBILE LIABILITY BA-OT883978-22-SEL 12/31/2022 12/31/2023 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS x HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR TMU-413239 12/31/2022 12/31/2023 EACH OCCURRENCE $ 9,000,000 X EXCESS LIAB P CLAIMS-MADE AGGREGATE $ 9,000,000 DED I I RETENTION$ $ C WORKERS COMPENSATION WC409245208 12/31/2022 12/31/2023 X I PER OTH- AND EMPLOYERS'LIABILITY 'PER Y/N TE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D USL&H ALMA01139-06 12/31/2022 12/31/2023 See WC EL Limts $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The General Liability policy contains"blanket"Additional Insured,Waiver of Subrogation and Primary and Non-Contributory wording endorsement(s),which subject always to policy terms,conditions and exclusions provide such status to person(s)or organizations(s)when required by a written contract with the Named Insured. The Auto Liability policy contains"blanket"Additional Insured and Waiver of Subrogation wording endorsement(s),which subject always to policy terms,conditions and exclusions provide such status to person(s)or organizations(s)when required by a written contract with the Named Insured The USL&H policy contains a"blanket"Waiver of Subrogation endorsement(s),which subject always to policy terms,conditions and exclusions provide such status to person(s)or organizations(s)when required by a written contract with the Named Insured. Notice of cancellation applies according to policy provisions CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent AUTHORIZED REPRESENTATIVE �� 220 4th Avenue S. ' Kent,WA 98032 Page 1 of 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: A�� ADDITIONAL REMARKS SCHEDULE Page 2 of 2 PRODUCER INSURED McGriff Insurance Services,LLC Associated Underwater Services,Inc POLICY NUMBER CARRIER NAIC CODE ISSUE DATE: 04/06/2023 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Professional Liability: Limits of Liability: $1,000,000 Each Claim/Agg. Policy # HPL230005 Effective Date: 04/08/2023-04/08/2024 Insurer: Certain Underwriters as Lloyd's ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER: EGXFKNEH