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14-173.02 Budinger & Associates: Sullivan West Bridge Replacement PH 2 WWashington State Department of Transportation Supplemental Agreement Organization and Address Number 2 Budinger&Associates,Inc Original Agreement Number 1101 North Fancher Spokane Valley,WA 99212 14-032 Phone: (509)535-8841 Project Number Execution Date Completion Date CIP#0155 Oct 01,2014 Jul 31,2017 Project Title New Maximum Amount Payable Sullivan Rd West Bridge Replacement,#0155 $66,974.00 Description of Work Material testing and inspection services for Phase 2-Sullivan Road West Bridge Replacement Project,#0155. This Supplemental Agreement No.2 adjusts the Total Amount Authorized and Maximum Amount Payable to reflect testing quantity revisions and inclusion of additional concrete. The Local Agency of City of Spokane Valley desires to supplement the agreement entered in to with Budinger&Associates.Inc. and executed on Oct 01.2014 and identified as Agreement No. 14-032 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: Scope of work is unchanged. • II Section IV,TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days for completion of the work to read: Time for completion is extended to July 31.2017. III Section'V, PAYMENT, shall be amended as follows: The Total Amount Authorized is increased from$65,474.00 to$66,974.00 and the Maximum Amount Payable is increased from $65,474.00 to$66,974.00. 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 aotion. By: Budinger&Associates.Inc. By: efratt,L— Consultant Signature Approving Authority Signature /�(,71 Date DOT Form 140-063 Revised 09/2005 Sullivan Road West Bridge Replacement Budinger and Associates Exhibit A-Price Proposal-Revised 1-3-2017 Original Agreement Suppl.Agreement 1 Suppl.Agreement 2 Revised Agreement Item Description Units Price/Unit Quantity Total Quantity Total Quantity Total Quantity Total Fabricated Metal Inspection Hours $60.00 20 $1.200.00 20 $1200.00 Concrete Reinforcing Steel Inspection Hours $55.00 100 $5,500.00 -60 -$3,300.00 40 $2,200.00 GRAVEL BORROW Compaction Testing/Sampling(1/500 CY) Hours $48.00 10 $480.00 10 $480.00 20 $960.00 Sieve Analysis(1/4000 ton) Each $120.00 2 $240.00 2 $240.00 Sand Egvivalest(1/4000 urn) Each $120.00 2 $240.00 2 $240.00 Maximum Density/Optimum Moisture(1/Source) Each $120.00 I $120.00 I $120.00 EMBANKMENT/SUBGRADEBACKFILL Compaction Testing/Sampling(12500CY/500LF/500CY) Hours $48.00 40 $1,920.00 20 $960.00 3 $144.00 63 $3,024.00 Maximum Density/Optimum Moisture(12500CY) Each $120.00 2 $240.00 2 $240.00 CRUSHED SURFACING TOP COURSE Compaction Testing/Sampling(1/I000LF)(Per Layer) Hours $48.00 6 $288.00 19 $912.00 25 $1,200.00 Sieve Analysis(1/2000 ton) Each $120.00 1 $120.00 1 $120.00 Sand Egvivalent(12000 ton) Each $120.00 1 $120.00 1 $120.00 Fractured Face(1/2000 ton) Each $120.00 1 $120.00 I $120.00 Maximum Densitv/Optimum Moisture(1/source) Each $120.00 I $120.00 I $120.00 CRUSHED SURFACING BASE COURSE Compaction Testing/Sampling(1/1000 LF) Hours $48.00 6 $288.00 19 5912.00 25 $1,200.00 Sieve Analysis(1/2000 ton) Each $120.00 1 $120.00 I $120.00 Sand Egvivalent(I2000 ton) Each $120.00 I $120.00 I $120.00 Fractured Face(12000 ton) Each $120.00 I $120.00 1 $120.00 Maximum Density/Optimum Moisture(1/source) Each $120.00 I $120.00 1 $120.00 HOT-MIXED ASPHALT CLASS 1/2"PG 70-28 Compaction Testing/Sampling(1/80 ton) , Hours $48.00 16 $768.00 4 $192.00 20 $960.00 Sieve Analysis(1/800 ton) Each $120.00 2 $240.00 2 5240.00 Asphalt Content(1/800 ton) Each $120.00 2 $240.00 2 $240.00 Volumentrics(Va,VFA,VMA)(I/800 ton) Each $350.00 2 $700.00 . 2 $700.00 Sand Equivalent(1/1600 ton) Each $120.00 I $120.00 1 $120.00 Fractured Face(1/1600 ton) Each $120.00 I $120.00 1 $120.00 Uncompacted Void Content(1/1600 ton) Each $120.00 I $120.00 1 S120.00 PORTLAND CEMENT CONCRETE PAVEMENT Field Testing/Sampling slipup,Air,TempentureMit Weight)(t/500s Hours $55.00 30 $1,650.00 40 52,200.00 10 5550.00 80 $4,400.00 Coring for Density and Thickness(1/500 CY) Hours 555.00 5 5275.00 5 $275.00 Compressive Strength 5/Set(I Set/500 CY) Each $20.00 15 $300.00 30 5600.00 21 $420.00 66 $1,320.00 Aggregate Grading(Coarse and Fine)(12000 CY) Each $120.00 3 5360.00 3 $360.00 Core Density(1/500 CY) Each $60.00 5 5300.00 5 5300.00 Core Thickness(1/500 CY) Each $20.00 5 $100.00 5 $100.00 PORTLAND CEMENT CONCRETE STRUCTURES Field Testing/Sampling(nix,Air,T.mamnu.,unh Waavxn..us Tmot.) Hours $55.00 200 511,000.00 75 $4,125.00 275 $15,125.00 Compressive Strength(5/Set)(1 Set/5 Trucks) Each $20.00 400 58,000.00 375 $7,500.00 775 $15,500.00 Aggregate Grading(12000 CY) Each 5120.00 3 $360.00 3 $360.00 PORTLAND CEMENT CONCRETE(mise) Curbs,Gutters,Sidewalks.Traffic Island,Grout Field Testing/Sampling(Slump.Air,Temperature,Unit Weight) Hours $48.00 40 $1,920.00 40 $1,920.00 Compressive Strength(5/Set)(1 Set/5 Trucks) Each $20.00 100 52,000.00 100 $2,000.00 OTHER Project Management Hours $80.00 50 $4,000.00 5 $400.00 2 $160.00 57 54,560.00 Word Processing Hours $60.00 SO 53,000.00 5 5300.00 2 $120.00 57 $3,420.00 Vehicle Mileage(Portal to Portal-14 Miles Ramal Trip) Miles $0.56 2100 $1,176.00 300 $168.00 100 $56.00 2500 51,400.00 Nuclear Deusometer Days 525.00 25 $625.00 35 $875.00 2 $50.00 62 $1,550.00 Core Drill and Equipment Days $100.00 3 $300.00 3 $300.00 *No minimum charge for hourly services ORIGINAL ESTIMATE TOTAL $49,150.00 SUPPLEMENTAL AGREEMENT NUMBER 1 $16,324.00 , SUPPLEMENTAL AGREEMENT NUMBER 2 $1,500.00 TOTAL NEW AGREEMENT $66,974.00 BUDI&AS-01 MACHAVEZ ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/6/2017 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 NONTACT Hub Intentational Northwest LLC PHONE FAX 12100 NE 195th St. (A/C,No,Ext):(425)4894500 (a/c,No):(425)485-8489 Suite 200 Mass;now.info@hubinternational.com Bothell,WA-98011 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Mutual of Enumclaw Insurance Company 14761 INSURED INSURER B: Budinger&Associates Inc INSURER C: 1101 N Fancher Rd INSURER D: Spokane,WA 99212 INSURER E: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DD/YYYY1 IMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CPP001178504 08/06/2016 08/06/2017 DAMAGE TO RENTED 300,000 X X PREMISES(Ea occurrence) $ X Stop Gap MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 s",X POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) X ANY AUTO X X CPP001178504 08/06/2016 08/06/2017 BODILYINJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS ONLY (Perr accIdent�AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A AND EMPLOYERS'LWBIILOITY Y/N STATUTE X CAH - Y PROPRIETOR/PARTNER/EXECUTIVE CPP001178504 08/06/2016. 08/06/2017 1,000,000 AFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (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 $ /DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESACORD 101,Additional Remarks Schedule,may be attached it more space Is required) RE:SULLIVAN ROAD WEST BRIDGE REPLACEMENT ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT:JIM DINGFIELD.SEE ATTACHED ENDORSEMENT(S). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JIM DINGFIELD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E SPARAGUE AVENUE,SUITE 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. TI ORD name and logo are rOgistered marks of ACORD Policy#: CPP001178504 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or"personal added as an additional insured on your policy. and advertising injury" arising out of the Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including: advertising injury"caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, behalf; change orders or drawings and specifications; or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured. engineering activities. However,the insurance afforded to such additional This exclusion applies even if the claims against insured: any insured allege negligence or other wrongdoing 1. Only applies to the extent permitted by law; in the supervision, hiring, employment, training or and monitoring of others by that insured, if the 2. Will not be broader than that which you are "occurrence" which caused the "bodily injury" or required by the contract or agreement to "property damage", or the offense which caused provide for such additional insured. the "personal and advertising injury", involved the rendering of or the failure to render any A person's or organization's status as an professional architectural, engineering or additional insured under this endorsement ends surveying services. when your operations for that additional insured are completed. CG 20 33 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 2. "Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these after: additional insureds, the following is added to a. All work, including materials, parts or Section III—Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at` the location of the covered or operations has been completed; or of"your work" out of which the 2. Available under the applicable Limits of b. That portiony Insurance shown in the Declarations; injury or damage arises has been put to its intended use by any person or organization whichever is less. other than another contractor or This endorsement shall not increase the subcontractor engaged in performing applicable Limits of Insurance shown in the operations for a principal as a part of the Declarations. same project. Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 33 0413 POLICY NUMBER: CPP001178504 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Operations Or Organization(s) AS REQUIRED BY WRITTEN AS REQUIRED BY WRITTEN CONTRACT CONTRACT 1101 N FANCHER RD SPOKANE WA 99212 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Policy#:CPP001178504 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: CPP001178504 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: AS REQUIRED BY WRITTEN CONTRACT 1101 N FANCHER RD SPOKANE WA 99212 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms' POLICY NUMBER: CPP001178504 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): AS REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes le- gate Limit for that designated construction gaily obligated to pay as damages caused by project. Such payments shall not reduce "occurrences" under Section I — Coverage A, the General Aggregate Limit shown in the and for all medical expenses caused by acci- Declarations nor shall they reduce any dents under Section I — Coverage C, which other Designated Construction Project can be attributed only to ongoing operations General Aggregate Limit for any other at a single designated construction project designated construction project shown in shown in the Schedule above: the Schedule above. 1. A separate Designated Construction Proj- 4. The limits shown in the Declarations for ect General Aggregate Limit applies to Each Occurrence, Damage To Premises each designated construction project, and Rented To You and Medical Expense that limit is equal to the amount of the continue to apply. However, instead of General Aggregate Limit shown in the being subject to the General Aggregate Declarations. Limit shown in the Declarations, such 2. The Designated Construction Project Gen- limits will be subject to the applicable eral Aggregate Limit is the most we will Designated Construction Project General pay for the sum of all damages under Aggregate Limit. Coverage A, except damages because of B. For all sums which the insured becomes "bodily injury" or "property damage" legally obligated to pay as damages caused by included in the "products-completed oper- "occurrences" under Section I — Coverage A, ations hazard", and for medical expenses and for all medical expenses caused by under Coverage C regardless of the accidents under Section I — Coverage C, number of: which cannot be attributed only to ongoing a. Insureds; operations at a single designated construction project shown in the Schedule above: b. Claims made or"suits" brought; or 1. Any payments made under Coverage A c. Persons or organizations making for damages or under Coverage C for claims or bringing "suits". medical expenses shall reduce the amount 3. Any payments made under Coverage A available under the General Aggregate for damages or under Coverage C for Limit or the Products-completed Opera- medical expenses shall reduce the Desig- tions Aggregate Limit, whichever is ap- nated Construction Project General Aggre- plicable; and CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 Wolters Kluwer Financial Services 1 Uniform Forms TM 2. Such payments shall not reduce any Des- D. If the applicable designated construction proj- ignated Construction Project General ect has been abandoned, delayed, or aban- Aggregate Limit. doned and then restarted, or if the authorized C. When coverage for liability arising out of the contracting parties deviate from plans, blue- products-completed operations hazard is pr te project will sllbelfications deemed torbel hesblessame provided, any payments for damages because of "bodily injury" or "property damage" in- construction project. cluded in the "products-completed operations E. The provisions of Section III — Limits Of In- hazard" will reduce the Products-completed surance not otherwise modified by this Operations Aggregate Limit, and not reduce endorsement shall continue to apply as the General Aggregate Limit nor the Desig- stipulated. nated Construction Project General Aggregate Limit. • Page 2 of 2 ©Insurance Services Office, Inc., 2008 CG 25 03 05 09