Con-Quest Contractors - 2014 Agreement - Change Order No. 6Citp of Offrop
Flly!No Public Works Department - Engineering Division
_ 7351 Rosanna St., Gilroy, CA 95020
_ Phone (408) 846 -0451; Fax (408) 846 -0429
CHANGE ORDER NO. 6
To contract for: EIGLEBERRY WATER SERVICE AND WATER MA;N REPLACEI City Project No.: 15 -PW -215
Contractor: CON -QUEST CONTRACTORS INC. Contract Date: 10/22/2014
This order shall become effective when it has been signed by the City Administrator, City Engineer, Project Engineer, and
Description of Work
Full and complete reimbursement for all costs, including all costs of the work, taxes, insurance, bonds, overhead, home
office, costs associated with any time extension and any other costs that may be associted with the field change orders 23-
45 inclusive, except field change orders No's 31, 34, 41, 42, 43, 46 and 47.
All requirements of the original Contract Documents shall apply to the above work except as specifically modified by this
By signing this Change Order, Contractor acknowledges and agrees that the adjustments to cost and time contained
herein are in full satisfaction and accord, and are accepted as payment in full, for any and all costs and expenses
associated with this Change Order, (the "Extra Work "), including but not limited to labor, materials, overhead and profit,
delay, disruption, loss of efficiency and any and all other direct and /or indirect costs or expenses associated with the Extra
Work and hereby waives any right to claim any further cost and time impacts at any time during and after completion of the
Contract associated with the Extra Work.
Change in working time granted by this change order:
► All Extra Work authorized under this Change Order
must be billed separately from the original contract. All
bills for work done under this Change Order shall
reference this Change Order No. 6.
I (We) agree to make the above change subject to the
terms of this Change Order for a NET INCREASE not
to exceed $54,649.51.
By:
RECOMMENDED BY:
ACCEPTED BY:
City administrator
0 Working Days
Cost
Percentage Initial
Original Contract Price
$509,230.00
Previous Change Orders
$232,111.94
45.58%
Total to Date
$741,341.94
This Change Order
$54.64951
Total Change Orders to Date
$286,761.45
56.31 % IY-
Revised Contract Price
$795,991.45
Date: 9/28%/9_
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Date e
3
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ate
EIGLEBERRY STREET WATER MAIN PROJECT 15 -PW -15
CHANGE ORDER 6
CONTRACT PAY 'ITEMS
ITEM
ESTIMATED
UNIT
ORIGINAL
THIS ESTIMATO
THIS ESTIMATE
TOTAL ESTIMATE
TOTAL ESTIMATE
NO
DESCRIPTION
UNIT
QUANTITY
PRICE
RUTH. AMT
QUANTITY
$ AMOUNT
QUANTITY
$ AMOUNT
1
Mobilization
$0.00
$0.00
0.00
$0.00
1a
Mobilization, Submittal, Start Up Meeting
LS
1
$201000.00
$20,000.00
$0.00
0:00
$0.00
1b
Demobilization
LS
1
$20;000.00
$20,000.00
$0.00
0:00
$0.00
2
Trench Safety
LS
1
$10;000.00
$10;000.00
$0.00
0:00
$0.00
3
Traffic Control & Safety
LS
1
$5;000.00
$5,000.00
$0.00
0:00
$0.00
4
Abandon Water Valve
EA
6
$1,000.00
$6,000.00
$0.00
0:00
$0.00
5
Cut & Plug Water Main
EA
6
$1,000.00
$6,000.00
$0.00
0.00
$0.00
6
8" DIP Water Main
LF
1300
$103.00
$133,900.00
$0.00
0.00
$0.00
6A
Pressure Testing and Disinfection
LS
1
$20,800.00
$20,800.00
$0.00
0.00
$0.00
7
Water Main Tie -in
EA
7
$5,000.00
$35,000.00
$0.00
0.00
$0.00
8
Cut & Cap Existing Water Main
EA
2
$2,500.00
$5,000.00
$0,00
0.00
$0.00
9
Fire Hydrant Installation
EA
9
$10,000.00
$90,000.00
$0.00
0.00
$0.00
10
8" Gate Valve and Box
EA
8
$1,625.00
$13,000.00
$0:00
0.00
$0.00
11
1" Copper Service (Long)
EA
45
$2,086.00
$93,870.00
$0:00
0:00
$0.00
12
1" Copper Service (Short)
EA
18
$1,700.00
$30,600.00
$0.00
0.00
$0.00
13
2" Copper Service
EA
3
$3,020.00
$9,060.00
$0.00
0:00
$0.00
14
Connect Exist. Service to New Main
EA
5
$1,100.00
$5,500.00
$0:00
0.00
$0.00
15
4" Service w /Manifold/ Multiple Meters
EA
1
$5,500.00
$5,500.00
$0:00
0:00
$0.00
16
Add saddles and sleeves on existing - CO 1
LS
1
$39,095.00
$39,095.00
$0.00
17
Add Force Account Work 1 -22 - CO 2
LS
1
$34,899.94
_$34,899.94
$0.00
18 jAdd
8" Water Line & Accessories
LS
1
$161,900.00
$161,900.00
$0.00
19 jAdjust
Contract Value for Units not
LS
1
(349,325.00)
($49325.00)
$0.00
_
20 jAdd
Bid Items Exceeded
LS
1
$45,542.00
$45,542.00
$0:00
21
Force Account Work 23-45 except 31,34,41-
43- 46- 47- 50 -51 -52
LS
1
$54,649.51
$54,649.51
$0.00
TOTAL BID ITEMS =
$795,991.45
$0.00
$0.00
A Y CERTIFICATE OF LIABILITY INSURANCE
ILTR
TYPE OF INSURANCE
12 /1N/2DI4
2/iD/ao14
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 LIC, #0829370 1- 415 -356 -3989
Edgewood Partners Insurance Center (EPIC)
CONTACT Teri L. Koehler
NAME
PHONE 415- 356 -3965 C No• 4
135 Frain Street, 21st Floor
EMAIL
ADDRESS : teri.koehlerea icbrokera.com
INSURER AFFORDING COVERAGE
NAIC0
San Francisco, CA 94105
INSURER A: NATIONAL UNION FIRE INS CO OF PITTS
19445
requesta@ep icbrokere.com
INSURED
Con -Quest Contractors, Inc.
INSURERS: GRANITE STATE INS_ CO
23809
INSURER c1.AGCS MARINE INS CO
22837
INSURER D:
$5,000
290 Toland Street
INSURER E:
San Francisco, CA 9412.4
INSURER F
-
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.
ILTR
TYPE OF INSURANCE
B
X
POLICY NUMBER
GL5388331
POLICYIFF
M@ DNYYYI
07/01/1
POLICY EXP
(WWOD1YYYy1
07/01/15
LIWTS
EACH OCCURRENCE
$,1,000,000
A
GEN ERAL LIABILITY
X
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 'f 7X OCCUR
lire
$ 300, -00.0 -
MED EXP mm pereem
$5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
i OENIL AGGREGATE LIMIT APPLIES PER
POLICY: X PRO• LOG
PRODUCTS - COMPIOPAGO
$2,000,000.
$
3
AUTOMOBILE UIABILITY
X ANYAUTO
X
CAS101698
07/01/14
07/01/15
COMBINED N MIT
$1,000,000
BODILY INJURY (Per peraon)
$
U� SCHEDULED
X HIRED AUTOS X AUTOS NON-OWNED
BODILY INJURY (Per audderd)
$
PROPERTY DAMAGE
;
$
A
UMBRELLALIAS
X
OCCUR
X
BE015157281
07/01/1
07/01/15
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
X
EXCESS LIAa
CLAIMS -MADE
DIED I I RETENTION $
1
$
1
1
A
WORKERS COMPENSATION
ANDEMPLOYEPZLIABILITY YIN
ANY PROPRIETCRtPARTNER/EXECUTNE
OFFICERIMEMBEREXCLUDED9
(Mandatory lnNH)
6yes tlesa9be under
DES( RIPTION OF OPERATIONS below
eu er's a
NIA
X
WC0 3 415 73 3 7
5
07(01/1
07/01/15
X TA H-
E.L. EACH ACCIDENT
$ 1,000,000
E.L.IXSEASE -EA EMPLOY
1,000.000
E. L. IXSEASE • POLICY LIMB $ 1,000,000
Limit: 09,
DESCRIPTION OF & RATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUoaal Remarks Schedule, It more spaee is raqulred)
Bet Job No. 58, Project No. 15 -PW -215 - EIGLEBERRY WATER SERVICE AND WATER MAIN REPLACEMENT
City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers are included as
additional insured as respects to General Liability on a primary and non - contributory basis, and Automobile Liability
per the attached endorsements. General Liability and Workers, Compensation waiver of subrogation applies in favor
of the additional insured(,) above, per the attached endorsements.
30 Days Written Notice of Cancellation for Non - Renewal and 30 Days Notice of Cancellation for Non - Payment of Premiums
City of Gilroy, its officers, elected or
appointed officials, employees, agents and volunteers
Public Works Division
7351 Rosanna Street
Gilroy, CA 95020
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
9 1988.2010 ACORD CORPORATION_ All rinhhe rpmary ar♦
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
omcclure
42282840
ENDORSEMENT
This endorsoment, cffective 12:01 A.M. 07/01/14 forms a part of
policy No. GL5388331 issued to Con -Quest Contractors, 1:ne.
by National Uaien Ftra Insurances Co. PA
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 FORM
SCHEDULE
NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION:
City of Gilroy, its officers, elected or appointed olficlals, employees and volunteers
LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:
Project No. 15 -PW -295 - Eigleberry Water Service and Water Main Replacement
ADDITIONAL PREMIUM:
(1f No entry appears above, Information required to complete this endorsement will be shown in the
Declarations as applicable to the endorsement.)
SECTION If - WHO 1S AN INSURED is amended to include as an insured;
The person or organization shown in the Schedule, but drily with respect to liability arising out of
"your work" at ilia Watiart designated and described In the schedule of this endorsement
perforated for that additional insured and included in the "products - completed operations hazard ".
All other terms and conditions remain unchanged.
uthcr ; I:d Repress tive or
counter-alggnature iu( States Where
Includes copyrighted material a4Applicabla
97837 14108) inurance SeNloete office, Inc., vaith Its perntsaeion. Page 1 of 1
ENDORSEMENT
This endorsement, effective 12 -01 A.M. 07/01/14 forms a part of
policy No. GL5368331 issued to Con -Quest Contractors, Inc.
by National Union fire xnsuronae Co of PA
THIS ENbORSEMENT CHANGES THE POLICY. PLEASE REAb IT CAREFULLY.
ADDITIONAL INSUnED- OWNERS, LESSEES, OR CONTRACTORS =
SCHEDULED PERSON OR ORGANIZATIOM
This endorsement modifies Insufance pro vlded under the foAowing.-
COMMERCIAL GENERAL LIAli1Lr1Y COVERAGE FORM
SCHEDULE
NAME OF PERSON OR ORGANIZATION:
City of Gilroy, its officers,. elected or appointed officials, employees and volunteers
Of no entry appears above, Informat(ori retluired to complete this endorsement will be shovYn In the
Declarations as applicable to the endorsement.)
A: SECTION nl WHO 1S AN INSURED Is amended to include air an Insured;
The person or organtratrorM shown fry the schedule, but only with respect to liability arising
out of your ongoing operations performed for that additional insured.
a. With respect to the insurance afforded to these additional Insureds, SECTION -1 -
COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY. 2. -
Exclusions, Is amended to Include the follovinng additional exclusion;
This insurance does not apply to "bodily Injury" at 'property damage" occurring after:
III all work, including materials, parts or equipment furnished in eoorwetion with suCh
work, on the project (outer then service, maintenance or repairs) to be performed by or
on behalf of the additional Insured(s) at the site of the covered operations has been
completed; ar,
(2) that portion of 'your work" out of which the Injury or damage arises has been put to its
intended use by any person or orgenization other than another adntr$etor or
subcontractor engaged in performing operations for principal es it part of the earns
project.
All other terms and conditions remain unchanged.
utl lzed fiepreea st Or-'
untarsiggnature (in St es Where
Applicablal
97838 (4108) lrwkilas eopynghtod mstedai of Page 1 of 1
tmuranos services Office, lno.. with 119 permbslon
Policy No: GL5388331
1. STATE OR POLITICAL SUBDIVISION - PERMITS
Any State or Political Subdivision, subject to the following provisions:
1. This insurance applies only with respect to operations performed by you or on your
behalf for which the state or political subdivision has issued a permit.
2. This insurance does not apply to:
a. "Bodily injury," "property damage" or" personal and advertising injury"
arising out of operations performed for the state or municipality; or
b. "Bodily injury" or "property damage" included within the "products -
completed operations hazard ".
* * * * * * II. PRIMARY INSURANCE -ADDITIONAL INSUREDS
Where persons or organizations have been added to your policy as additional insureds to
comply with insurance requirements of written contracts mandating primary coverage for
such additional insureds relative to:
a) the performance of your ongoing operations for the additional insureds; or
b) "your work" performed for the additional insureds and included in the "products -
completed operations hazard,
then with respect to these additional insureds as defined above In this Section only,
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. - Other
Insurance, a. - Primary Insurance, is deleted in its,entirety and replaced with the following:
This insurance is primary over any similar insurance available to any person or organization
we have added to this policy as'an additional insured to comply with insurance requirements
of written contracts mandating primary coverage for such additional insureds relative to (a)
the performance of your ongoing operations for the additional insureds, or (b) "your work"
performed for the additional insureds and included in the "products - completed operations
hazard. However, this insurance is primary over any other similar insurance only if _ the
additional insured is designated as a named insured of the other similar insurance. We will
not require contribution of limits from the other similar insurance if the insurance afforded is
primary.
Ill. INCIDENTAL MEDICAL MALPRACTICE LIABILITY COVERAGE
SECTION II - WHO IS AN INSURED, 2. a. (1) (d) is deleted in Its entirety and replaced
with the following:
(d) Arising out of his or her providing or failing to provide professional health care
services, except for "bodily injury" arising out of "Incidental Medical Malpractice
Injury" by any physician, dentist, nurse or other medical practitioner employed or
retained by you unless such "bodily Injury" is covered by another primary policy.
However, the insurance provided hereunder to such persons will not apply to liability
arising out of services performed outside of the scope of their duties as your
"employees." Any series of continuous, repeated or related acts will be treated as
the occurrence of a single negligent professional healthcare service, which will be
assignable to the same policy and policy year in which the originating act occurred.
SECTION V DEFINITIONS - Is amended to add:
"Incidental Medical Malpractice Injury" means "Bodily Injury" arising out of the rendering
of or failure to render the following services:
100983 (2/09) Page 3 of 7
POLICY NUMBER: GL5388331
COMMERCIAL GENERAL LIABILITY
CG 24 04 11 85
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization: City of Gilroy, its officers, elected or
appointed officials, employees, agents and volunteers
7351 Rosanna Street
Gilroy, CA 95020
USA
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
We waive any right of recovery we may have against the person or organization shown in the Schedule because
of payments we make for injury or damage arising out of "your work" done under a contract with that person or
organization. The waiver applies only to the person or organization shown in the Schedule.
CG 24 04 11 85 Copyright, Insurance Services Office, Inc., 1984
POLICY #: CASlo169e
COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi-
sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Endorsement Effective: 07/01/14
Countersigned By:
�4✓/t ,
Named Insured:
Con -quest Contractors, Inc.
Authorized Representative)
SCHEDULE
Name of Person(s) or Organzzation(s): City of Gilroy, its officers, elected or
appointed officials, employees, agents and volunteers
7351 Rosanna Street
Gilroy, CA 95020 USA
(If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as
applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent
that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11
of the Coverage Form.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998
ENDORSEMENT No.
This endorsement, effective 12:01 AM: 07/01/2014
Forms a part of policy no: BE015157281
Issued to: Con -Quest Contractors, Inc.
By: National Union Fire Insurance Company of Pjttsburgh
Prime Expresso'"
Additional Insured Endorsement -- Primary and Non - Contributory
This policy is amended as folfovvs:.
Section VII. DEFINITIONS, Paragraph N. is amended to include the following additional provision:
Insured means: City of Gilroy, its oftfcers, elected or appointed officials, employees, agents and volunteers
Any person or organization for whom you are performing operations v%hen you and such person or
organization have agreed in writing in a contract or agreement that such person or organization is an
additional- insured on your policy, but only if such person or organization is included under the coverage
provided by Scheduled Underlying Insurance. Such person or organization is an additional insured only
with respect to liability arising out of Your Worts at the location(s) designated in such contract or agreement.
This provision does not apply to liability arising out of the sole negligence of such person or organization for
its own acts or omissions or those of its employees or anyone else acting on its behalf. Coverage afforded
to these additional insured parties wail be primary to, and non - contributory with, any other insurance
available to that person or organization.
All other terms, definitions, conditions, and exclusions of this policy remain unchanged.
105514 (5/10)
AN 2894
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA
This endorsement changes the policy to which it is attached effective on inception date of the policy unless
a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement, effective 12:01 AM 07/01/14 forms apart of Policy No. WC0 3 4157 3 37
Issuedto: Con -Quest Contractors, Inc.
$y: NATIONAL UNION FIRE INS CO OP PITTS
Premium: INCL
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will
not enforce our right against the person or organization named in the Schedule. (This agreement applies
only to the extent that you perform work under a written contract that requires you to obtain this agreement
from us).
You must maintain payroll records accurately segregating the remuneration of your employees while
engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 5% of the California workers' compensation
premium otherwise due on such remuneration.
Schedule
Person or Organization
City of Gilroy, its officers, elected or
appointed officials, employees, agents and volunteers
Public Works Division
7351 Rosanna Street
Gilroy, CA 95020
Job Description
Job No. 58, Project No. 15 -PW -215 - EIGLESERRY WATER SERVICE AND WATER MAIN REPLACM[ENT
WC 04 03 06
Countersigned by ° - " _
'� •
��/L
(Ed. 4 -84)
Authorized Representative