HomeMy WebLinkAbout25-079.01 KPFF - Argonne Bridge ReplacementWashington State
Department of Transportation
Supplemental Agreement
Organization and Address
Number 1
KPFF, Inc
1601 Fifth Avenue, Suite 1600, Seattle, WA 98101
Original Agreement Number
25-079
Phone:
Project Number
Execution Date
Completion Date
5.22.2025
12.31.2028
Project Title
New Maximum Amount Payable
Argonne Bridge Replacement
No change
Description of Work
This amendment removes Osborn Consulting (Osborn) from the contract and and transfers their design scope
elements to KPFF. The total fee for Osborn, $86,049.29, will be moved to KPFF fee. This amendment is a no
cost change amendment.
The Local Agency of City of Spokane Valley
desires to supplement the agreement entered in to with KPFF, Inc.
and executed on 5.22.2025 and identified as Agreement No. 25-079
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 attached exhibit A-1.
11
Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days
for completion of the work to read: No changes
III
Section V, PAYMENT, shall be amended as follows:
No changes to payment or project totals
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. I
By; Gregory He By; '10 � n t6krnae,
onsultan ature Approving Authority Signature
Z — Ll — Z- G
Date
DOT Form 140-063
Revised 09/2005
Exhibit "A"
Summary of Payments
Basic
Agreement
Supplement #1
Total
Direct Salary Cost
Overhead
(Including Payroll Additives)
Direct Non -Salary Costs
Fixed Fee
Total
DOT Form 140-063
Revised 09/2005
December 5, 2025
EXHIBIT A-1
SCOPE OF WORK
Argonne Bridge: AMENDMENT 01
SUBJECT: This amendment removes Osborn Consulting (Osborn) from the contract and and
transfers their design scope elements to KPFF. The total fee for Osborn, $86,049.29, will be
moved to KPFF fee. This amendment is a no cost change amendment.
Amendment to Scope of Work as outlined below:
TASK NO. 1.0 —PROJECT MANAGEMENT
Task 1.2 — Coordination and Meetings with City and other Agencies
• Remove all references to "Osborn" and replace with "KPFF"
TASK NO. 6.0 — STORM WA TER (KPFF)
• Remove all references to "Osborn" and replace with "KPFF"
page 1 of 1 Attachment 1
Rev Date 8/18/2025 Scope of Work
C a a DATE (MMIDD/YYYY)
A
C" CERTIFICATE OF LIABILITY INSURANCE 5/9/2025
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
Edgewood Partners Insurance Agency PHONE_ Jerry Noyola _ FAx
3780 Mansell Rd. Suite 370 iArc No ts=u 770.220.7699 IC No):
Nel:
E-MAIL
Alpharetta GA 30022 ADoaes : greylingcerts@greyling.com
INSURED KPFFINC
I KPFF, InAve
KPFF n Ave
Suite 1600
Seattle WA 98101
INSURER(S) AFFORDING COVERAGE
NAIC C
_
INSURER A: National Union Fire Ins Co of Pittsburg
19445
INSURER B : The Travelers Indemnii Company _
25658
INSURER c:New Hampshire Insurance Company
23841
INSURER D : Allied World Surplus Lines Insurance Co
24319
_
INSURER E :
[INSURER F
rnVFRAr:FS rFRTIFIrATF NI IMRFR•'7a91;On400 RFVISIr)N NIIMRFR-
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
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DDlYYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X
COMMERCIAL GENERALLLIABILITY
GL5268336
4/1/2025
411/2026
EACH OCCURRENCE
$2,000,000
CLAIMS -MADE L,^ OCCUR
NTED_
PREMISES EaDAMAGE TO ence
$500,000
MED EXP (Any one person)
$25,000
PERSONAL 8 ADV INJURY
$2.000.000
GEN'L
AGGREGATE LIMIT APrP-L�IES PER
GENERAL AGGREGATE
$4,000,000
POLICY � JERCT I - - ; LOC
PRODUCTS - COMP/OP AGG
S 4,000.000
$
OTHER:
A
AUTOMOBILE
LIABILITY
CA9775930
4/1/2025
4/1l2026
COMBINED SINGLE LIMIT
Ea accident
$2,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
S
x
PROPERTY DAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
_
S
B
X
UMBRELLALIAS
X
OCCUR
CUP7X94996725NF
4/1/2025
4/1/2026
EACH OCCURRENCE
$10,000,000
AGGREGATE
S 10.000,000
EXCESS LIAB
CLAIMS -MADE
DED . X I RETENTIONS in non
S
I
C
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
WC072113237 (ADS)
WC072113237 (CA)
4/1/2025
4l1/2025
4/172026
4/1/2026
PER OTH-
X STATUTE ER
ANYPROPRIETOR'PARTNERlEXECUTIVE
E.L. EACH ACCIDENT
S 2,D00,000
OFFICE R/MEMBER EXCLUDED? �
NIA
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
S 2,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
5 2.000,000
D
Professianat/Pollution Liability
03120067
4/1/2025
4/1/2026
Per Claim
10,000,000
Aggregate
10,000,000
I
�
SIR
250.000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re Agreement #25-079, Argonne Bridge Replacement. The State and Agency, their officers. employees, and agents is named as an Additional Insured With
respects to General & Automobile Liability where required by written contract. The above referenced liability policies with the exception of workers
compensation and professional liability are primary & non-contributory where required by written contract. Waiver of Subrogation in favor of Additional
Insured(s) where required by written contract & allowed by law. Should any of the above described policies be cancelled by the issuing insurer before the
expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) Will be provided to the Certificate Holder.
rFRTIFIrATF wni nFR rANCFI I ATICIN
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 Spokane Valley
10210 E. Sprague Avenue
Spokane Valley WA 99206
AUTHORIZED REPRESENTATIVE
i
U 1988-2915 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD