The URL can be used to link to this page

16-048.02 Moore Iacofano Goltsman: Appleway Shared Use Path Pines to Evergreen tio - o4-g .oz. � Washington State Department of Transportation Supplemental Agreement Organization and Address Number 2 MIG/SvR Original Agreement Number 615 Second Ave, Ste 280, Seattle,WA 98104 16-048 Phone: (206)223-326 Project Number Execution Date Completion Date Public Works CIP No. 0227 10/28/2016 12/31/2017 Project Title New Maximum Amount Payable Appleway Shared Use Path $131,172.39 Description of Work Provide bid support, construction administration services and prepare record drawings as requested by the City and as described in the attached scope of work(Supplement#2: Exhibit B - Scope of Work) The Local Agency of City of Spokane Valley desires to supplement the agreement entered in to with Moore lacofano Goltsman,Inc. and executed on July 13,2016 and identified as Agreement No. 16-048 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: See Supplement#2 Exhibit B - Scope of Work. II 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 III Section V, PAYMENT, shall be amended as follows: Maximum amount payable increased from$107,323.07 to$131,172.39; an addition of$23,849.32. 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 above, please sign in the Appropriate spaces below and return to this office for final action. By:Dave Lodgers,PE By: PI a r k (houvt Cdhert Consultant Signature Approving Authority Signature 'VW 2-016 Date DOT Form 140-063 Revised 09/2005 0227-Appleway S.U.P.-Pines to Evergreen All Activity as of Nov 17 2016 Project Prior Life Original Adjusted Years 2015 2016 To Date Available REVENUES Budget _ Budget Actual Actual Actual Actual Encumbered Funds STP/TAP 1,642,853.00 1,845,959.00 0.00 1,559.54 97,586.24 99,145.78 0.00 1,746,813.22 312 256,399.00 288,098.00 0.00 243.40 0.00 243.40 0.00 287,854.60 Total Revenue 1,899,252.00 2,134,057.00 0.00 1,802.94 97,586.24 99,389.18 0.00 2,034,667.82 Original Adjusted Prior 2015 2016 Life Available EXPENDITURES Budget Budget Years Actual Actual To Date Encumbered Funds Preliminary Engineering Salaries&Wages 87,400.00 46,660.00 0.00 1,427.80 13,646.98 15,074.78 0.00 31,585.22 Employee Benefits 30,590.00 16,330.00 0.00 375.14 5,504.95 5,880.09 0.00 10,449.91 Employee Benefits 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Engineering&Architectural 50,000.00 110,000.00 0.00 0.00 98,830.52 98,830.52 0.00 11,169.48 Prof.Svcs-Survey 15,000.00 10,000.00 0.00 0.00 9,430.85 9,430.85 69.15 500.00 Prof.Svcs.-Geotech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Advertising 1,500.00 1,500.00 0.00 0.00 0.00 0.00 0.00 1,500.00 Printing&Binding 1,500.00 1,500.00 0.00 0.00 0.00 0.00 0.00 1,500.00 Miscellaneous Services 2,110.00 2,110.00 0.00 0.00 350.00 350.00 0.00 1,760.00 PE Contingency 20,000.00 20,000.00 0.00 0.00 0.00 0.00 0.00 20,000.00 Total Prelim.Engineering 208,100.00 208,100.00 0.00 1,802.94 127,763.30 129,566.24 69.15 78,464.61 Right of Way 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Right of Way 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Construction Salaries&Wages 127,000.00 127,000.00 0.00 0.00 0.00 0.00 0.00 127,000.00 Overtime 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Employee Benefits 44,450.00 44,450.00 0.00 0.00 0.00 0.00 0.00 44,450.00 Employee Benefits 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Engineering&Architectural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Prof.Svcs.Mat.Testing 20,000.00 20,000.00 0.00 0.00 0.00 0.00 0.00 20,000.00 Prof.Svcs.-Consulting 0.00 10,000.00 0.00 0.00 0.00 0.00 0.00 10,000.00 Advertising 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Miscellaneous Services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Construction 1,474,700.00 1,624,507.00 0.00 0.00 0.00 0.00 0.00 1,624,507.00 Contingency 25,000.00 100,000.00 0.00 0.00 0.00 0.00 0.00 100,000.00 Traffic Control Devices 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Construction 1,691,150.00 1,925,957.00 0.00 0.00 0.00 0.00 0.00 1,925,957.00 Total Expenditures 1,899,250.00 2,134,057.00 0.00 1,802.94 127,763.30 129,566.24 69.15 2,004,421.61 Exhibit "A" Summary of Payments . Basic Agreement Supplement#2 Total + SuDolement#1 Direct Salary Cost $34,080,84 see attached see attached Overhead $60,672.37 see attached see attached (Including Payroll Additives) Direct Non-Salary Costs $2,300.00 see attached see attached Fixed Fee $10,224.25 see attached see attached Total $107,277.46 see attached see attached DOT Form 140-063 Revised 09/2005 DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The five pages entitled "Supplement 2 Exhibit A" contain confidential cost and rate data and are 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. Supplement#2 Exhibit B—Scope of Work Bidding and Construction Administration Services Appleway Trail— Pines Rd to Evergreen Rd: Project Description This is an amendment to the original contract to provide bidding support and construction administration services to the City of Spokane Valley. Specific tasks and deliverables are summarized below. Task 1: Project Management— NO CHANGE This task is for MIGISvR to project management services during the duration of Construction including coordination with the City and consultant team and preparing and submitting invoices. Deliverables: • Invoices Task 2: 60% PS&E Documents —NO CHANGE Task 3: 90% PS&E Documents—NO CHANGE Task 4: Bid Set PS&E Documents—NO CHANGE Task 5: Bid Support and Construction Administration (New Task) This task is for MIGISvR, Fehr& Peers and MTLA to support the City as needed during construction. This includes budget for the followings tasks: • Bid Support including: o Responding to Contractor questions o Preparing addenda as necessary o Prepare conformed drawings to address updates resulting from Addenda o Attend pre-bid meeting and walk through • Construction Administration o Review and responding to Contractor submittals and shop drawings o Review and response to clarifications and RFIs o Review of pay requests and change orders o Review Operation and Maintenance manuals for irrigation prepared by Contractor • Up to 10 Site visits to observe the progress of work and/or attend construction meetings as requested by the Owner. Includes written field report summarizing observations. Site observations may include: o Pressure testing of irrigation mainline and lateral lines. o Review of planting material for quantity and quality o Punchlists for substantial and final completion This document is proprietary information prepared by MIGISvR Design Company for this project only and shall not be forwarded, copied or used by other parties without written permission. o 'Back check' site visit for warranty issues including seed establishment, plant material survival and irrigation system operation. Deliverables: • Preparation and responses for addenda, Contractor submittals and RFIs, change orders and other documents as requested by the Owner. • Field report for site visits Task 6: Record Drawings (New Task) Review and prepare record drawings for civil, irrigation, electrical and signal plans. The record drawings will be based on Contractor and Owner provided redline as-built drawings. Deliverables: • PDFs of Record Drawings 2 of 2 , Client#:2042 MOOREIACO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 08/(MM/DD(MMIDD/YYYY) 6 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 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 Jo Lusk Dealey,Renton&Associates P ONE FAX y (ac,Ne,Ext):510 465-3090 _q/C,No): 510 452-2193 P.O.Box 12675 ADDRE MAILESS:Ilusk@eaY jlusk@dealeyrenton.com Oakland,CA 94604-2675 INSURER(S)AFFORDING COVERAGE NAIC# 510 465-3090Travelers PropertyCasualtyCo 25674 INSURER A: INSUREDINSURER B:Twin City Fire Insurance Co. 29459 Moore lacofano Goltsman,Inc. INSURER C:ACE American Insurance Company 22667 MIGISvR INSURER D 800 Hearst Avenue INSURER E: Berkeley,CA 94710 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. EXP TR TYPE OF INSURANCE NSR WVD POLICY NUMBER (MMIDDY (EFF MM/DDY LIMITS A X COMMERCIAL GENERAL LIABILITY 6801H899998 08/31/2016 08/31/2017 EACH OCCURRENCE $1,000,000 NTED CLAIMS-MADE X OCCUR DAMAGE IS(EaEoccurrence) $1,000,000 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 X ECT LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER: $ A AUTOMOBILE LIABILITY BA2G258325 08/31/2016 08/31/2017acadenDtj INGLE LIMIT 51,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS — X HIRED AUTOS X_ N -0WNED PROPERTY DAMAGE r accident) $ $ A X UMBRELLA UAB X OCCUR CUP0H758762 08/31/2016 08/31/2017 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE _AGGREGATE $10,000,000 DED RETENTIONS $ B WORKERS COMPENSATION 57WEDD8525 04/01/2016 04/01/2017 X STATUTE FORµ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? n N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Professional G21656434013 07/01/2016 08/31/2017 $2,000,000 per Claim Liability $3,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) General Liability Policy excludes claims arising out of the performance of professional services. 30 Days Notice of Cancellation(10 Days for Non-Payment of Premium). Project Name/Number:Appleway Trail Ph 2-Pines Rd to Evergreen Rd/#15066/#16-048 The State and City of Spokane Valley,their officers,employees,and agents are named as Additional Insured as respects General Liability and Auto Liability coverages.Insurance is Primary/Non-Contributory per policy form wording. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cityof Spokane ValleySHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Darla Arnold ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E.Sprague A venue Spokane,WA 99206 AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1774988/M1774972 AZM DESCRIPTIONS (Continued from Page 1) Waiver of Subrogation applies.See attachments.Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will mail 30 days written notice to the Certificate Holder. SAGITTA 25.3(2014/01) 2 of 2 #S1774988/M1774972