HomeMy WebLinkAboutCP1605 Contract 16-16 Groat Brothers * 6y. N s
CITY OF * *
T T�T T� Nancy Backus, Mayor
�.! t.!
�,�/A$H1[�]G'[0(�] 25 West Main Street * Auburn WA 98001-4998 * www.auburnwa.gov * 253-937 3000
July 18, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Groat Brothers
PO Box 1630
Woodland, WA 98674
NOTICE TO PROCEED
RE: CP7605, Herr Properties Demolition, Contract#16-16
You are hereby notified to proceed as of July 18, 2016, with the work on the above-
referenced project, within the time period specified, in accordance with the provisions of
the contract documents, copy enclosed. This project has 20 working days for completion.
If you have any questions, please contact the inspector for the project, Seth Loop at 253-
804-5082 or the Contract Administration Specialist, Amanda DeSilver at 253-876-1980.
Sincerely,
.
��o l �
�ngri aub
Asst. Director of Engineering/City Engineer
Community Development & Public Works Department
IG/ad/as
Enclosure
cc: Dani Daskam, City Clerk
Kim Truong, Project Engineer
Aleksey Koshman, Associate Engineer
Seth Loop, Project Inspector
File 13.11 Project#CP1605
AUBURN *MORE THAN YOU IMAGINED
09. Li.
•
CITY OF AUBURN
CONTRACT CHANGE ORDER AGREEMENT NO. I
Contract No., Project No. and Project Title: Contract 16-16, Project CP1605
Herr Properties Demolition
Contractor Name and Address: Groat Brothers, Inc
PO Box 1630
Woodland, WA 68674
The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all
attachments are a supplement to the contract. All work, materials,measurements and unit bid prices for the type of
construction involved shall be in accordance with the contract documents of the above named project unless stated
otherwise in this change order.
.Summary of Proposed Changes:
1. Eight(8)working days added to the Contract for the following reasons:
1. 7/21/16: Unforeseen asbestos containing pipe wrap was discovered under the Vacant Retail Store. Groat
Brothers Inc. (GBI) critical work path was interrupted due to the extra asbestos abatement. (I Day)
2. 7/27/16: Unforeseen asbestos contaminated concrete was discovered at the Big Daddy's building. GBI's
critical work path was interrupted due to the required special handling and disposal of the contaminated
concrete.(1 Day)
3. 8/2/16: GBI discovered asbestos containing transite panels installed in multiple locations in the temporary
library building. These panels were not on the hazardous material survey but needed to he properly removed
prior to commencement of demolition. (2 Day)
4. Change in work: The quantity of asphalt to he removed increased and the scope of hid item 12 "Roof
Downspout Control"significantly changed. (4 Days)
This is a time extension only; compensation for the work will be tracked under the existing appropriate pay
items. No additional working days will be added for this item beyond this change order.
The Contract time is extended by 8 days.
Item Sch. Sec. No. Item Description Quantity Units Unit Price Total Price
(+/-) (5) (+/-)
Subtotal $ -
Washington State Sales Tax(9.5%)on applicable items $ -
TOTAL $ -
Base Amount Total incl. Tax
I. Total Cost this C/O -
2. Total Cost Previous C/O -
3. Original Contract Amount $ 164,643.00 $ 180,284.09
4. Revised Contract Amount $ 164,643.00 $ 180,284.09
•
H:\Forms\FCO25.xls
(Revised 05/2012)
•
CITY OF AUBURN
j1,' CONTRACT CHANGE ORDER AGREEMENT NO. I
Contract No.,Project No. and Project Title: Contract 16-16, Project CP1605
Herr Properties Demolition
This change order constitutes full and complete compensation for all labor,equipment,materials,overhead,profit,any and
all indirect costs,and time adjustment to perform the above described changes. All other costs are non-compensible. All
other terms and conditions of the contract remain unchanged.
Counterparts: This agreement may be executed in multiple counterparts,each of which shall be one and the same
Agreement and shall become effective when one or more counterparts have been signed by each of the parties and
delivered to the other party. /�
Contractor: de-- (/'>,/„.., lJ/B/te
Inspector ' et.,.,L4 /3 4_4'1_ 1/9�al�n
Project Manager: � t—�7 �`\"�jn/��_1P
tate
City Engineer:. A /O ��j
Approved by: 'r , _ it 1011 gateMayor, it ofAuburn /n Date
H:\Forms\FCO25.xls
(Revised 05/2012)
CONTRACT
Contract No. 16-16
THIS AGREEMENT AND CONTRACT, made and entered into, in duplicate, at Auburn,
Washington, this ]� day of SJT, 2016, by and between the CITY OF
AUBURN, WASHINGTON, a municipal corporation, and Groat Brothers, Inc, PO Box
1630. Woodland. WA 98674, hereinaRer called the CONTRACTOR.
WITNESSETH. That, in consideration of the terms and conditions contained in the Contract
Documents entitled "CP1605, Herr Properties Demolition," which are by this reference
incorporated herein and made a part of this Contract, the parties hereto covenant and agree as
follows:
I. The CONTRACTOR shall do all work and furnish all tools, materials and equipment for
Project CP1605, Herr Properties Demolition — demolition and disposal of structures and site
improvements of four commercial buildings, salvaging specific components of a landmark
carport, removal and disposal of hazazdous materials from the properties, severance of
eXisting utilities serving the properties, removal and disposal of asphalt and/or cement
concrete, site restoration, and erosion control for a unit bid price of one hundred sixty-four
thoiisand six hundred forty-three dollars ($164,643.00) and Washington State Sales Tax of
fifteen thousand six hundred forty-one dollazs and nine cents ($15,641.09) for a total contract
value of one hundred eighty thousand two hundred eighty-four dollars and nine cents
($180,284.09) in accordapce with and as described in the Contract Documents which aze by
this reference incorporated herein and made a part hereof, and shall perform any alterations in
or additions to the work provided under this Contract and every part thereof.
This Contract shall be executed by the Contractor and retumed to the City within 7 calendar
days after the receipt of the dated notification of award and the Contract time.shall commence
within 5 working days after execution of the Contract by the City and so designated on the
Notice to Proceed. Physical completion shall be within 20 working days of the date on the
Notice to Proceed.
If said work is not completed within the time specified, the CONTRACTOR agrees to pay
liquidated damages to the CITY OF AUBURN, as specified in Section 1-08.9 (Liquidated
Damages) of the Standazd Specifications.
The CONTRACTOR shall provide and bear the expense of all equipment, work and labor of
any sort whatsoever that may be required for the transfer of materials and for constructing
and completing the wark provided for in this Contract and every part thereof, except such as
are mentioned in the Contract Documents to be furnished by the CITY OF AUBURN.
II. The CITY OF AUBURN hereby promises and agrees with the CONTRACTOR to
employ, and does employ the CONTRACTOR to provide the materials and to do and cause
to be done the above described work and to complete and finish the same according to the
Contract Documents and the terms and conditions herein contained and hereby contracts to
pay for the same according to said Contract Documents and the aforesaid proposal hereto
attached, at the time and in the manne.r and upon the conditions provided for in this Contract.
xxvi
III. The CONTRACTOR for himself, and for his heirs, executors, administrators, successors,
and assigns, does hereby agree to the full performance of all the covenants herein contained
upon by part of the CONTRACTOR.
N It is further provided that no liability shall attach to the CITY OF AUBURN,
WASHINGTON by reason of entering into this Contract, except as expressly provided
herein.
IN WITNESS WHEREOF the parties hereto have caused this Contract to be executed the day
and yeaz first hereinabove written.
CITY OF AUBURN, WASHINGTON
By
cy Backus,Mayor
Countersigned:
this�'day of ��, 2016
ATTEST
�-�
Danielle E.Daskam,City Clerk
APPROVED AS TO FORM.
- �c �4 c��'ss 1" ��-
�'�L Daniel B. Heid,City Attomey
GROAT BROTHERS, INC
BY�"°.," �fc� I GE'AS
Authorized Official Signature
�c�cvii
CONTRACTBO� D
i ,
� CONTRACT NO 16-16
BOND NO 53szozzsi ��
BOND TO CITY OF AUBliRN, WASH[NGTON �.�`a �
KNOW ALL MEN BY THESE PRESENTS.
That we, the tindersig�ed, Groat Brothers Inc PO Box 1630 Woodland WA 98674,as principal,
and
The Ohio casualty Insurence Company &COtPOt3hOTL,
organized and existing under the laws of the State of New Hampshire
as a surety corporation, and qualified under the laws of the State of Wnshington to become swety
upon bonds of contractors with municipal cotporations, as surery, are jointly and severally held and
firmly bovnd to the City of Auburn, Washington, in the penal sum of one hundred eighty thousand
two hundred eighty-four dollars and nine cents ($180,284.09) for the payment of which sum we
jointly and severally bind onrselves and our successors, heirs, administrators or personal
representatives as the case may be. •
Ttiis obligation is ente�ed into in pursuance of the Statutes of the State of Washington and the
Ordinances of the City of Aubum, W ashington.
Dated at Aubum, Washington, this 1� day of T )�� , 2016. Nevertheless,
the conditions of the above obligation aze such that:
WHEREAS, the City of Aubum on the 20th day of June, 2016, let to the above bounden principal a
certain Contract. T'he said Contraet being numbered 16-16, and providing for the construction of
Project CP1605, Herr Properties Demolition - demolirion and disposal of stiuctures and site
improvements of four eommercial buildings, salvaging specific components of a landmark c:arport,
removal and disposal of hazardaus materials from the properties, severance of existing utilities
serving the properties, removal and disposa] of asphalt and/or sement concrete, site restoration, and
emsion control (which Contract is referred to here.in and is made a part hereof as though attached
hereto), and
WHEREAS, the said principal has accepted, or is about to accept, the said Contract, and undertake to
perform the work therein providad for in the manner and within the time set forth: NOW,
THEILEFORE, if the above bounden principal shall faithfully and truly obser�•ed and comply with
the terms, conditions, and provisiuns of said Contract in all iespects and shal] well and truly and fuliy
do and perfonn all matters and things by them undertaken to be performed under said Cont;act, upon
the terms proposed therein, and any and ull duly authorized modifications of said Contract that may
hereaRer by made, and within the rime prescribed therein, and until the same is accepted, and shall
pay all laborers, mcchanics, subcontractors and material men, and all persons who shall supply
principal o'r snbcontractors with provisions and supplies for the carrying on of said work and shall
hold said City af Aubum, Washington, harmless from any loss or damage occasioned to any person
or property by reason of any carelessness or negligence on the part of said principat or any
subcontractor in the performance of said work, and shall in all respects faithfully perform said
Contract accor�iing to law, and shall indemnify and hold the City of Aubum, Washington, harmless
from any damage or expense by reason of failure of performance, as specified in said Contract, and
xacvui
y, The u,ndersigned principal and the undersigned surety present this contract bond related to the
' Contract, PROVIDED that this dociunent shali not be enforceable unless azid until the City af
Aubum a�vards and executes the Contract to the undersigned principal. No obligatians under this
bond, for the perftirmance of the above-referenced contract, shall be enforceable until tt},e-City of
Aubwn has executed the contract to the undersigned principal.
The Surery, hereby agrees that modifica6ons and changes may be made in the teims
acul.pz'@a�}_sions
of the�aforesaid Contract without notice to Surery, and any such modificarions or changes increasing
the total amo�nt to be paid the Principal shall automaticalty increase the obligation of the Surety on
this Contrac�Bond in a like amount, such increase; however, not to exceed twenty — five percent
(25%)of the original amount of this bond without tha consent of the Swety
PROVLDED;however, that after the acceptance of this Contract and the expiration of the lien period,
and if there are no liens pending, then the pena] sum of this boncl, shall be reduced to either ten
percent (10%) of the value of the improvements to the City or two thousand dollars ($2,000),
whichev.er is greater, to warranty against defects appearing or developing in the material or
workmanship provided or performed under this Contract within a period of one (1) yeaz after
accepfance• Not withstanding the redpction of this bond, the principal and surety shall hold the City
of Aubum hannless from all defects appearing or developing in the material or workmanship
provCded or performed under this Contract within a period of one (1) year after acceptance, THEN
and in that event this obligation shall be void; but otherivise it shali be and remain in full force and
effect.
It is hereby expressly agreed that if any legal action is necessary to be brought under the wnditions
of this bond, that the decisions of the Courts of the State of Waskungton shall be binding.
IN WtTNESS WHEREOF, the above-bounden parties have executed this instrusnent tliis
2etn day of �une , 20]6.
i��
Groat$rothers,Inc
- 7he Ohio Casualty Insurance company
rcty
y ey asser �y in Fact
1499 Se Tech Center place suite 280 ,
Vancouver,WA 98883
360.892.5840
Resident Agent's Address&Phone Number
xxix
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OHIO CASUALTY INSURANCE COMPANY THE
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OI'QBI112at1Of1 typ2: PROPERTY KEENE, NH 03431 BOSTON, M,4 02116
WAOIC: iooi Telephone Telephone
NAIC: 24074 513-603-2400 617-357-9500
StetUS: ACTIVE
Admitted date: oa/io/i9z6
Ownership type: SroCK
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*
CITY OF * * Escrow Agreement
� For
. Retainage Declined
WASHINGTON
GROAT BROTHERS, INC, PO BOX 1630, WOODLAND, WA 98674
(CONTRACTOR) acknowledges that they have been offered the option of setting
up an escrow agreement for their retainage on Contract No. 16-16, Project No
CP1605, Herr Properties Demolition. The CONTRACTOR declines to set up an
escrow agreement and understands that the City will hold the 5% retainage with
no interest until the project is complete, accepted by the City, and all releases
and liens have been satisfied.
�- /U�tra�
Authorized Signature
�� ��r
Print or Type Name
SEc-��£�95
Title
6-z8-�6
Date
File: 13.11 (CP1605)
AUBURN * MORE THAN YOU IMAGINED
A`��m CERTIFICATE OF LIABILITY INSURANCE �,�is�zo��
THIS CER71flCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER77FICATE HOLDER.THIS
CERTIFICATE�DOES NOT AFFIRMATVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL�CIES
. .._ __ ' ' _ _
BELOW.._TMIS CERTIFICATE OF INSURANCE DOES NOT CONST_ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER.. _
IMPORTANT If Ne certificale-holder is an ADDI710NAL INSURED,the po�ley(tes��mus!be endorsed. If SUBROGATION�IS WAIVED,-subJect tn
fhe Eetms and eondHions of Ne policy,eertain polieies may requlre an endorsement. A statement on this certHi�ate does not eoMer rights to the
certlflcate holder In Ileu oi sueh endorsemen!s.
PROWCER R090R8i�B TON[180IICI
Leavitt Grwp Nozthvest ��NE . (a25)256-2300 F� N .(t35)258-9363
PO Boz 9068 'pLL .rosemarie=toxasend@leavitt.com
IN9URER S AFFOROING COVEPAGE NpIG p
Tacoma 9PA 98690 �NSURERA:Zurich Amesican Iasurance Com aa 16535
INSURED INSURERBGx'eat AmeiiCan IaBuianCO Ca� 8n D16691
GtO8L BIOY.hBZB� IIIC INSURERC�89tC}IB9tBi $ll lll9 LSlleB ID9YLSRCO 10172
PO Box 1630 iNwneno.
XBII Gi08t� PiB8id0EL INSURERE.
WOOCu86[S SPA 98674 INSURERF.- -
COVERAGES CERTIFICATE NUMBER:CL1671509C41 REVISION NUMBER:
THIS IS TO CERTIFV THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY'PERIOD
INOICATED. NOTWITHSTANDING ANY RE�UIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERT'IFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CIAIMS.
INSR TypE OF INSURANCE FOl1CY EFF POIAGY E%F
POLICV NUMBER - D LIMITS
CONMERGIRL GENERAL IIABILRY EACH OCCURRENCE S 1�000�000
A QAIMS#1ADE �OCCUR � � � y 300�000
X GIA01]673<03 ]/15/2016 6/15/201'I MEDE%P MyoneOersan) E 10,000
PERSONAlBADVINJURY $ 1�000�000
GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGOREGATE $ 2�000�000
$ POLICY�,E4 � LOC PRODUCTS COMP/OPAGG $ 2.000,000
OTHER:-. EmployeeBeneAls 3 l�n/2�
AUTOM081LE IAABILITV ' OMBIN D lE LIMI § " 1�000�000
E a 1 n
A 8 µyq�7p BOOILVINJURV(Perpersan) E
ALLONTIED SCHEOUIED �,ppl]6'73603 ]/15/2016 6/15/201'/ BOOILVINJURY(Perawtlent) S
AUTOS AtR05
NONOWNED PROPERTYDAMAGE $
HIREDAIf�OS AUTOS Peracci
Untlennwretl morons� $ 1�000�000
$ UNBRELLAlIRB p�CI1R EACMOCCURRENCE S 2 000 000
8 E%CESSLI�IB CIAIM$J.1AOE AGGREGATE E 2 000 000
DED g RETENTION 10 000 '�'�N0520B8106 '//15/2016 6/15/201] g
WORNERS COMPENSATION R M- - -
AND EMPLAYERS'LlA01LITV y�N TAT T
ANYPROPftIETOR/PMTNEWEXECUTIVE E.LEALHACCIOEM $
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DESCRIPTION OF OPERATION51 LOCATIONS I VEHICLES (ACORD 101,AEEltlmal Romarks SeM1atl�la,mq ba attaMed I/more spaee Is raquirad)
RE Award oP Contract No 16-16
Project No CP1605, 8err Properties Demolition Letter of Award.
CertiPicate holder is named as an additional ineured, as requiied by written contract, subject to the
Germs and coaditions of the policy
CERTIFICATE HOLDER CANCELLATION
SIiOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CiL]� O£ A7lbuitl THE EXPIRAT�ON DATE THEREQF NOTICE WILL BE OELIVERED IN
2S West MBin ST ACCORDANCEWITNTMEPOLIC�1'PROVISIdIS.
Auburn, WA 98001
AIRHOHISED REPRESENTATIVE
Mike 0'Neil/CHGARC ����� 0'�
� OO 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(207M01) The ACORD name and logo are registered marks of ACORD
INS025r�im��
�
Additional Insured - Automatic - Owners, Lessees Or ZURICHa
Contractors
Pdiq No. EH. Da'oe ot Pd. Exp. pa�e ot Pol. BI.pate ot Erq. Roducer No. AOd'I.Prem ReNrn Rem.
THIS ENDORSEh�NT CHANGES THE POLICY PLEASE FEAD IT CAF�FULLY
Named In�red:
Address(induding ZIP Code)
This endorsement mod'rfies insurance provided under the:
Cortenerdel General Liaba'Ay Covprage part
A Section tl —Who Is M Insured is amended to includeas anadditional insured any person or organization whomyou
are required to add as a_n additional insured on this policy under a written contract or written agreement. Such person
or organization is an additional insured only with respeot to liabiliry for"bodily injury", "properry damage"or"personal
antl advertising injury"caused, in whole or in part, by
1. Your acts or omissions; or
2 The acts or omissions of those acting on your hehalf,
in the performance of your ongoing operations or "your work" as included in the "productscompleted operetions
hazard",which is the subject of the written contract or written agreement.
However,the insurance aflorded to such additional insured:
1. Only applies to the extent permitted by law;and
2 Will not be broader than that which you are required by the written contract or written agrcement to provide for
such additional insured.
B. With respect to the insurance afforded to these additional insureds,the following additional exclusion applies:
This insurance does not apply to:
"Bodily injury" "property damage" or"personal and advertising injury"arising out of the rendering of, or failure to
render,any professional archRectural,engineering or surveying services including:
a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders,change orders or drawings and speciticatians; or
b. Supervisory, inspection,architectural or engineering activities.
This exclusion applies even it the ciaims against any insured allege neg�igence or other wrongdoing in tHe supervision,
hiring, employment, training or monitoring of others by that insured, 'rf the "occurrence' which caused the "bodiy
injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the
rendering of or the failure to render any professional architecturai, engineering or surveying services. _
U�GL-117SF CW(04/73)
Paga 1 0l2
Includes copyrighted material oi lnsurance Services Ottice,Inc. with Its permisslon.
C. The following is ailded to Paragraph 2 Duties �n The Event Of Occurrence, Offense, Claim Or SuR of Section N—
Convnerclal General lfabiAly Condidons:
The additidnal insureif must see to it that:
1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim;
2 We receiye written notice of a claim or"suit"as soon as practica6le;and
3. A request for defense and indemnity ot the claim or "suit"will prompty be 6rought against any poiicy issued lry
another insurer under which the additional insured may be an insured in any capacity This provision dces not
apply to insurance on which the additional insured is a Named Insured if the written contract or wrkten agreerr�nt
requires that this coverage be primary and noncoMributory
D. For the purposes of the coverage provided by this endorsement:
1. The following is added to the Other Insurance Condition of Section IV—Cortmprdal General LIebIIHy Conditlons:
Primary and Noncontribu0ory tnstuance
This insurance is primary to and will not seelc contribution from arry other insurance available to an additional
insured provided that:
a The add'Rional insured is a Named Insured under such other insurance;and
b. You are required by written contrect or written agreement that this insurance be primary and not seek
contribution trom any other insurance available to the additional insured.
2 The tollowing paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section N—Cortmercial
Generel Llability Conifilbns
This insurance is excess over•
Any of the other insurance, whether primary,excess, conUngent or on any other basis, available to an additional
insured, in which the additional insured on our policy is also covered as an additional insured on another policy
providing coverage for the same "occurrence', offense, claim or "suit" This provision dces not appy to any
policy in which the additional Insured is a Named Insured on such other policy and where our poiicy is required
by a written contrac4 or written agreement to provide coverage to the additional insured on a primary and non-
contributory basis.
E. This endorsement does not appy to an additional insured which has been added to this policy by an endorsement
showing the additional insured in a Schedule of additional insureds, and which endorsement applies spec'rfically to
that identi(ied additional fnsured.
F Wiih respect to the insurance attorded to the additional insureds under this endorserrent, the following is added to
Section III—LImI1s Of Insurence:
The most we will pay on behalf of the add'Rional insured is the amount ot insurance:
1. Required by the written contract or written agreement referenced in Paragraph A of(his endorsement;or
2. Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
All other terms and conditions of this policy remain unchanged.
UGL-1175-F CW(04/13)
Page 2 of 2
Includes copynghted meredal M lesurance Services OHice,Ina,with its permission.
Waiver Of Subrogation (Blanket) �dorsement
Poliry No. Eff. Dale o( Pol. Exp. Date of Pol. EI'f. Unle o(End. Producer Add1.Prcm Retum Prem.
S 5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This ondorsement modifies insuiance provided under tho:
Coimiie�cial Geocia� LiabiGty Cove�age PaR
The following is added w the 1Yamier Of Righls Of Reeuvery Agairot Others To Us Conditioa
!f you aro required by a wri[ten convact or agreement,which is e�cecuted before a ]oss,to waive your righes of recovery from
others,wo agree to waive our rights of recovery This waiver of rights shall not be construed ro be a waiver with tespect ro
any other operauons in which thb insured has no contracNal intrrest
U-GL-925-8 CW(@/Oq
Page 1 of I
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ZURICH AMERICAN INSURANCE COMPANY
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N8tft0: ZURICH AMERICAN INSURANCE Registered address Mailing address
COMPANY 1 LIBERTY PLAZA 165 1400 AMERICAN LN,TWR 1,
Corporate family group: zur;iC,H rry5 gROADWAY 19TH F
GRP O NEW YORK, NY 10006 SCHAUMBURG, IL 60196
Organization type: PROPERTY
Telephone Telephone
WAOIC: 1476 847-605-6000 847-605-6000
NAIC: 16535
5tatus: ACTtvE
Admitted date: o5/z5/i9z3
Owne�ship type: sTocK
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GREAT AMERICAN INSURANCE COMPANY
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Nd�172: GREAT AMERICAN INSURANCE COMPANY Registered address Mailing address
GOfP01'dt2 f011111y g�OUp: ANIERICAN FINANCIAL 580 WALNUT ST 301 E FOURTH STREEf
GRP O CINCINNATI, OH 45202-
CINCINNATI, OH 45202 4201
Organization type: aROPea1v
Telephone Telephone
WAOIC: 539 513-287-8100
NAIC: 16691 800-972-3008
StBtUS: ACTIVE
Admitted date: oi/i5/i9�s
Ownership type: STOCK
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o 4,LL/S
CITY OF AUBURN
CONTRACT CHANGE ORDER AGREEMENT NO. 2
Contract No., Project No. and Project Title: Contract 16-16, Project CP1605
Herr Properties Demolition
Contractor Name and Address:
Groat Brothers, Inc
PO Box 1630
Woodland, WA 68674
The Contractor is hereby directed to make the changes to the Contract as described herein. This document and all attachments are
a supplement to the contract. All work,materials and measurements for the type of construction involved shall be in accordance
with the contract documents of the above named project unless stated otherwise in this change order.
Summary of Proposed Changes:
DELETE Pay Item#I 1 (Standard Dispersion Trench Installation) in its entirety from the Contract. This
work was removed in favor of an alternate method for controlling stornwater.
2 DELETE Pay Item #I2 (Roof Downspout Control) in its entirety from the Contract. A modified method
for controlling downspout discharge was established.
3 ADD Pay Item CO2-I (Roof Downspout Control Revised)to the Contract. Roof Downspout Control
Revised will be paid per lump sum and shall include payment for all labor,equipment, and materials
necessary to install a row of crushed rock(18 inches wide by 6 inches deep)with weed barrier fabric
around the sides and back of the warehouse.
4 Two(2)working days added to the contract for the following reasons:
1. 8/18/16:There was a discovery of a basement footing at south edge of project limits that needed to
removed to complete the project that was not identified in the original contract documents. This is a time
extension only;compensation for the work will be tracked under the existing appropriate pay items. (I
Day)
2. 8/18/16: The existing commercial signage was removed with the entire footing instead of cut at the
base 12 inches below existing grade as depicted in the contract documents. This is a time extension only;
compensation for the work will be tracked under the existing appropriate pay items. (I Day)
The Contract time is extended by 2 days.
Item Sch. Sec. No. Item Description Quantity Units Unit Price Total Price
(+/-) (5) (+/-)
I I A 7-05 Standard Dispersion Trench Installation -1 LS 5500.00 $ (5,500.00)
12 A 7-05 Roof Downspout Control -1 LS 3850.00 $ (3,850.00)
CO2-I A 7-05 Roof Downspout Control Revised I LS 6545.00 $ 6,545.00
Subtotal $ (2,805.00)
Washington State Sales Tax (9.5%)on applicable items $ (266.48)
TOTAL $ (3,071.48)
Base Amount Totals incl.Tax
1. Total Cost this C/O $ (2,805.00) $ (3,071.48)
2. Total Cost Previous C/O $ - $ -
3. Original Contract Amount S 164,643.00 $ 180,284.09
4. Revised Contract Amount $ 161,838.00 $ 177,212.62
• 7--
CITY OF AUBURN
CONTRACT CHANGE ORDER AGREEMENT NO. 2
Contract No., Project No. and Project Title: Contract 16-16, Project CP1605
Herr Properties Demolition
This change order constitutes full and complete compensation for all labor,equipment,materials,overhead,profit,any and
all indirect costs,and time adjustment to perform the above described changes. All other costs are non-compensible. All
other terms and conditions of the contract remain unchanged.
Contractor: /4 /6
•
Date
Inspector:lir ANBEIMAIW
Project Manager: � 3 Date
City Engineer: a�mity •' Dat`
Approved by: Yr��t7►ttill _ ,w�•ate
Mayor, i ofAuaurn y Date