09-016.00 Taylor Engineering: Sprague Ave Resurfacing University to Evergreen• AW
Washington State
vV Department of Transportation
Supplemental Agreement
Organization and Address
Taylor Engineering, Inc.
Number
106 W . Mission Ave.
Spokane, W8 99201
Original Agreement Number
08 -038
Phone*
Project Number
Execution Date
Completion Date
12/22/2008
7/1/09
Project Title
Maximum Amount Payable
Ave. Resurf c in
Z$S:w
81,740
Description of Work
Engineering services for the Sprague Ave. Resurfacing Project 1,
University to Evergreen
The Local Agency of
City of Spokane Valley
desires to supplement the agreement entered into with Taylor Engineering, Inc.
and executed on 12/22/2008 and identified as Agreement No 08 -038
All provisions in the basic agreement remain in effect except as expressly modified by this supplement
The changes to the agreement are described as follows*
Section 1, SCOPE OF WORK, is hereby changed to read:
Additional services to include Licensed Surveyor services and stormwater
uocrrades. See attached nevi sad exbi hi t A -1 _
Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days for
completion of the work to read. No change
Section V, PAYMENT, shall be amended as follows
Supplement No. 1 sezvices will increase contract amount by $13,888.
See attached Exhibit E-1 & G-1 for Supplement #1.
as set forth in the attached Exhibit A, and by this reference made a part of this supplement
If you concur with this supplement and agree to the changes as stated
below and return to this office for final action
By Mark Aronson By
O-W— W40 �� J#1
Consultant Signature
DOT Form 140 -063 EF
Revised 9/2005
, please sign in the appropriate spaces
1 14
Authority Signature
Date
C09 - 016
Exhibit "A
Summary of Payments
DOT Form 140 -063 EF
Rewsed 10/97
Basic Agreement
Supplement #1
Total
Direct Salary Cost
$21,551
$4,645
$26,196
Overhead
(Including Payroll Additives)
$34, 069
$7,342
$41,411
Direct Non -Salary Costs
$ 676
$ 740
$ 1 , 416
Fixed Fee
$5,388
$1
$ 6
Total
$61
$13,888
$75,572
DOT Form 140 -063 EF
Rewsed 10/97
SUPPLEMENT #1— Scope of Work
1— Licensed Surveyor Services
Services provided under this category will include researching and locating legal survey
markers such as GLO monuments and reference points within the construction limits.
Prepare a signed and sealed pre - construction survey map per DNR requirements
including but not limited to basis of bearings, coordinate system per Washington State
Coordinate System of 1983, and description of monuments within the construction limits.
Complete the Temporary Monument Removal Application for each monument within the
construction limits. Provide copy of survey map to City for contractor's use in
completing the post - construction survey (if required due to monuments being destroyed
or disturbed).
2 — Stormwater Upgrades
Services provided under this category will include design of stormwater improvements to
protect groundwater. These improvements will generally include:
• removal of existing inlets and replacement with units with spill control separators
• replace storm piping between inlets and drywells
• new drywell cones and lids
• new inlets with spill control separators near locations where an existing drywell is
at the low point in the curb
• replacement of curb, curb and gutter, and sidewalk related to installation of
stormwater upgrades
Services will also include field investigation to inventory the existing stormwater system.
Information gathered will include existing inlet type, measure down from rim to pipe
invert(s), pipe size, structure invert, existing drywell depth and measure down from rim
to pipe invert(s). A hand held level will be used to characterize flow direction. It is
assumed that no topographic survey is required to complete this task. It is also assumed
that no road or pipe profiles are required. Improvements will match existing curb and
asphalt grades.
DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE
The previous page entitled " Supplement #1 - Exhibit E -1 " contains confidential cost and rate
data and is withheld from public disclosure pursuant to 23 USC 112(2)(F).
Prenotification; confidentiality of data A recipient of funds requesting or using the cost
and rate data shall notify any affected firm before such request or use. Such data shall be
confidential and shall not be accessible or provided, in whole or in part, to another firm or to any
government agency which is not part of the group of agencies sharing cost data under this
paragraph, except by written permission of the audited firm. If prohibited by law, such cost and
rate data shall not be disclosed under any circumstances.
You may petition for a review of our findings pertaining to any redacted or withheld documents
pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE
The previous page entitled " Exhibit G -1 / Consultant Fee Determination — Summary Sheet
contains confidential cost and rate data and is withheld from public disclosure pursuant to 23
USC 112(2)(F).
Prenotification; confidentiality of data A recipient of funds requesting or using the cost
and rate data shall notify any affected firm before such request or use. Such data shall be
confidential and shall not be accessible or provided, in whole or in part, to another firm or to any
government agency which is not part of the group of agencies sharing cost data under this
paragraph, except by written permission of the audited firm. If prohibited by law, such cost and
rate data shall not be disclosed under any circumstances.
You may petition for a review of our findings pertaining to any redacted or withheld documents
pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
Client#: 335033
TAYLOENG
ACORD CERTIFICATE OF LIABILITY IN SURANCE
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION
1110710
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kibble $ Prentice, a USI Co.
P.O. Box 370
Beattie, WA 98111
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
LTR NN TYPE OF INSURANCE
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
206441-6300
INSURERS AFFORDING COVERAGE
NAIC 8
INSURED
Taylor Engineering, Inc.
106 ka Mission Avenue
Spokane, WA 99201
INSURERA. Travelers Indemnity Company of CT
25682
INSURER B, Hudson Insurance Company
25054
INSURER C: Travelers Indemnity Company
25658
INSURER D
PRODUCTS - COMP /OP AGO s2,000.000
INSURER E
C AUTOMOBILE LIABILITY
COVERAGES
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 AGGREGATE LIMITS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS
LTR NN TYPE OF INSURANCE
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A GENERAL LIABILITY
68082581-286 02124108 02/24109 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL UABL17Y
DAMAGE TO RENTED s300,
1 $5, 000
CLAIMS MADE � OCCUR
MED EXP (Anyone n
PERSONAL a ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEWL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGO s2,000.000
7 POLICY X PRQ LOC
C AUTOMOBILE LIABILITY
BAS254L171
02/24/08
02IM09
COMBINED SINGLE LIMIT
X ANY A UTO
(Es acd�)
$1 000,000
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per Pte)
X HIRED AUTOS
BODILY INJURY
$
X NON-OWNED AUTOS
(Per acddent)
PROPERTY DAMAGE
$
(PeraoddeM)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY. AGO
EXCESSIUMBRE.LA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR F-1 CLAIMS MADE
S
$
DEDUCTIBLE
$
RETENTION $
A woRKERs coMPENSATIoN AND
68082581-286
02/24/08
02/24/09
we 1-116 X O TR
EMPLOYERS' LIABILITY
ANY PROPRIETORIP
WA Stop Ga
( P P 1
E L. EACH ACCIDENT
$1.000.000
E.L. DISEASE - EA EMPLOYEE
$1, 000,000
OFFICERIMEMBER EXCLUDED?
Hyes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$1,000 000
B OTHER Professlonal
AEE7123203
03/24/08
03/24/09
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Sprague Avenue Re- Surfacing Project 1 - University to Evergreen. City
of Spokane Valley Is named as an Additional Insured on the General
Liability policy with respects to work being performed by the Named
Insured.
City of Spokane Valley
11707 E. Sprague Ave.
Spokane, WA 99216
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001108) 1 of 2 #S30848181M2430690 TAAJU o ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon.
ACORD 25s (2001108) 2 of 2 #S3084818/M2430690