Loading...
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