Con-Quest Contractors - 2014 Agreement - Change Order No. 7Cite of Offrop
Public Works Department - Engineering Division
7351 Rosanna St., Gilroy, CA 95020
Phone (408) 846 -0451; Fax (408) 846 -0429
CHANGE ORDER NO. 7
To contract for: EIGLEBERRY WATER SERVICE AND City Project No.
Contractor: CON -QUEST CONTRACTORS INC. Contract Date:
15 -PW -215
10/22/2014
This order shall become effective when it has been signed by the City Administrator, City Engineer, Project
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 associated
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
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 anv time during and after completion of the Contract associated with the Extra Work.
Change in working time granted by this I 0 Working Days Cost Percentage Initial
► 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. 7.
I (We) agree to make the above change
subject to the terms of this Change Order
for a NET INCREASE not to exceed
$65,850.00.
CONTRACTOR
By:
RECOMMENDED BY:
Construction M<
ACCEPTED BY:
Proje
ministrator
Original Contract Price
$509,230.00
Previous Change Orders
$286,761.45
Total to Date
$795,991.45
This Change Order
$65,850.00
Total Change Orders to Date
$352,611.45
Revised Contract Price
$861,841.45
Date: 5/21 /75
Date
511311, C,
Manager e
1ST S
56.31 %
69.24% AW
Summary of Field Orders for Change Order No. 7
Change Order No. 7 - Eigleberry Waterline Project
Field Change Order No.
Date
Description
Value
Included on C/O
31
2/11/2015
At 7th Street Intersection - Add Restaint/Support at East Valve
$8,545
7
34
2/17/2015
At 7th Street Intersection -Add pipe and fittings, install thrust blocks
$12,568.
7
41
2/20/2015
At 9th Street - Dig to east to find valve, install thrust blocks
$7,895
7
42
2/23/2015
At 9th Street - Cut and cap 6 " water main, repair leak at 7140
Eigleberry
$0
7
43
2/24/2015
At 9th Street - Locate and remove old water line /cut and cap
$5,892
7
46
2/25/2015
At 8th Street - Install additonal piping to install fire hydrant on
opposite side due to ATT ductbank - partial completion
$22,545
7
47
2/25/2015
At 9th Street - Locate exisiting water main - perform shutdown and
tie -in
$8,405
7
- -
— ... TOTAL
1 $65.850
A' °® CERTIFICATE OF LIABILITY INSURANCE
DAB
YPE OF WSWWCE
TLICY:
12/10/2014
F
THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,1'}U3
CB TIFICATE 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(Sh AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT -.- If 1h6`earNtlCate holder Is an ADDITIONAL INSURED, the policy(" must be endorsed If SUBROGATION IS WAIVED, Subject to
the farms and eonditlons of the policy; certain policies may require an endorsement A statement on thls Certificate does not confer rights to the
Certificate, holder In lieu of such:endorsemerIft
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Edgewocd Partners Xneurance Center (EPIC)
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PHONE 415 -356 -3965 4
135 Main Street, 21st Floor
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290 Trolaad'Street
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INSURFB
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THIS .
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CATED: NOTWITHSTANDING ANY R�EOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE 'ISSUED OR MAY P iRTAIN, THE INSURANCE .AFFORDED BY THE POLICIES DESCRIBED HEREW IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CQNDfi'70N8 OF SUCH POLICIES. LIMITS SHOWN, MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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GlIICR1PnON CFOPEtATIONS 1. LOCATIONS 1 V#ACLJES (Atlas ACORD 104, AddWomCRam dm Idredu % N mere epwa M rup:h"
Re: Job No. 58, Project No. is -PN -215 - SXGLEBS8RTL WAT88 SERVICE AND WATIR MAXN EEPLAC83aw
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
Par the attached endorsements. General Liability and Workers,'ek- p— gation waiver of subrogation applies in favor
of the additional insured(s) above, per the attached. endorsements.
30 Days Written Notice of Cancellation for Non- gsaewal. and 10 Days Notice of Cancellation for Hon - Payment of Premiums
City of Gilroy, its officers, elected or
appointed officials, employees, agents and volunteers
Public Works Division
7351 Rosanna Street
lGilrcy, CA 95020 '
BSA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
0
ACORD 25 (2010105) The ACORD name and logo are registered Linarks of ACORD
emaclure
42282840
CCiZ±?
ENDORSEMENT
This endorsement, effective 12:01 A.M. 07/01/14 terms a parr of
pa5cy No. GL5388331 issued to Con -guest Contractors: Tho.
by ltat.ional Vaian rtra =nsuranca Co. PA
THIS WDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS - COMPLETED
OPERATIONS'
This endorsement modrAas kwurence provided wider the /bAbwing:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF ADDmDNAL.iNsURED PERSowm oRGA zoiow:
city or Gilroy, its officers, elected or appointed officlals, employees and volunteers
LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:
Project No. 15-PW -215 - Eigleberry Water Service and Water Main Replacement
ADDtT10NAL PREMIUM:
Of No entry appears above, Uibrrnation required to complete this endorsement will be shown h tha
Declarations as applicable to the endorsement,)
SECTION 11- WHO IS AN INSURED Ir amended to include as to Ir tnre 1,
The person or organlzatlors show In the Schadtda, but only with re8pect to pebWw wising out of
°your work" st ttte lacatioa daaignated ad da=lbed in the schddtde of this endorsement
performed for that additional insured and included in the "produchmmmpleted operations hazeMO.
All other tanms and conditions remain unchanged.
It'll tirkad Repre"m a or d
edunteft nature but Stan Where
Inch des cawght d matedst at'4- . 1i1
97837 {4108) , wsno4 sen%='otfin, Inc- v*h its pwWmftn. Pape i of 1
ENDORSEMENT
This endorsement, effective 12.01 A.M. 07/01/14 forms a part of
policy No• GL5358331 issued to Cant -Quart Conbracbers, Inc.
by Nat1esal -vision rise suca aooe cc of PA
THIS ENbORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
ACIDMONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS =
SCHEDULED PERSON OR ORGANIZATION
7h/.v eedutremarrt motffms butusace piaWd8d Wider the 1686w9ipF:
GOMMERCIAL GENERxt ilABmny COvetAGE FORM
SCHEDULL
NAME OF PERSON OR ORGANIZATION-
City of Gilroy, its officers,.elected or appointed officials, employees and volunteers
IN no entry app*ste shove, NoftniNda iegtdred to complete 06 endorsement vA be shown in the
Declarations as appl[cable to the andarserrtam.)
A. SECTION II WHO IS AN ASSURED is amended to include as an inwrad;
The Peron or organizathm show by the schedule, but only with respect to Qabl* arising
out of Your ongoing operWwm performed for that additional insured.
B. With respsct to the hwurancs afforded to these additional Inwreds, SECTION .1 -
CTiVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE UABiUM 2. -
Exclusions, is amended to Include *a foilovitg addit onal`exclusion;
This insurance does not apply to "bodh injury' or'pmpwW damage" ooctaring after.
Ili sQ vm*, including rnemble, parts or egtdpmert futnisfigd in oorvtection whp Such
work, ort 6ts project (odw then service, mahttettence at repairs) to be performed by or
on .behalf of the adddonal bmuredisl at the 2119 of the eovared operations has been
completed; bf,
(2) that portion of "your work' aui of vAft the injury or damage wises has been put to Its
Intended use by way person or organization other than 06ther a:drlVaet it or
subcontractor engaged In performing operations for prfn*el ae a part of the same
project.-
All other terms and conditions remain unchanged.
dWiid- �p[ee trr-'
unterel� m I�tr 9 as Where
AppQcable7
97836 (4106) +rte eovYnglaed rneteder o! . _ ,/ pegs l of i
Mursam@ Swvkea Office. tno.. vdrh 3Ge permbston
Policy NO-- GL5388331
1. STATE OR POLITICAL SUBDIVISION - PERMITS
Any State or Political Subdlvision,.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 ".
* * * * * * 11. 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
III. INCIDENTAL MEDICAL MALPRACTICE LIABILITY COVERAGE
SECTION 11 - 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: WA380331
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 Roe- Street
Gilroy, CA 95020
us&
(if no entry appears above, Informaton 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 041185 Copyright, insurance Services Office, Inc., 1984
POLICY& cAsioisse
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.
Named Insured:
con -Quest Contractors, It=.
Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s): city or Gilroy, its officars, elected or
appointed officials, employees, agents and volunteers
7951 Rosanna Street
Gilroy, CA 95010 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 101 AM: 07/01/2014
Forms a part of policy no: BE0151572 11
Issued to: Con -Quest Contractors, Inc.
By: National Union Fire Insurance Company of Pjttstutrgh
Prime Expresses►
Additional Insured Endorsement — Primary and Non - Contributory
This policy is amended as follows:.
Section VII. DEFINITIONS, Paragraph N. is amended to include the folloWng additional provision:
Insured means: City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers
Any person or organization for whore you are performing operations when you and such person or
organization have agreed in writing In a contract or agreement that such person -or organization is an
addntonal- Insured on your policy, but only It 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 Work at the location(s) designated in such contract or agreement.
This provision does not apply to liability arWhg out of the sole negligence of.such person or organization for
its awn acts or omissions or those of its employees or anyone also acting on its behalf. Coverage afforded
to these additional insured parties vA be primary to, and non - contributory with, any other Insurance
available to that person or organizetion.
All other terms, definitions, conditions, and exciusions of this policy remain unchanged.
105514 (5110)
AH28N
WAIVER OR 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 fonowiog'Sabtac IW olm W awd be completed only when this aodumm ud is issued subsequent to p adaa of the policy.)
This endorsement, effective 12:01 AM 07/01/14 forms a part ofpolieyNo. W00341S7337
Issuedto: Con -guest Contractors, Inc.
$y: IM7 =CML ONION EM =9 co 01 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. C116 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 officialo, employees, agents and volunteers
Public Works Division
7351 Rosanna Street
Gilroy, CA 95020
Job Description
Job No. 50, Project No. 15 -PW -215 - ZZ LLE�MIBMMY IMT9R ORMCH AMID WAT9R MAIN RSPT4C =n
WC 04 03,06
Countersigned by _
11
(Ed. 4-84)
Authorized Representative