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CALTROP - 2014 Agreement - Amendment No. 1AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND CALTROP, Inc. FOR JOINT TRUNK SEWER REPLACEMENT PROJECT NO. 14 -PW -208 PURCHASE ORDER NO. 150194 ISSUED 8/26/2014 AMENDMENT NO. 1 This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and Consultant. All copies forwarded to Consultant for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Consultant's copy will be returned to him as his authority to proceed with the work. As per the attached proposal, this amendment is for additional construction management and inspection support services for the Joint Trunk Sewer Replacement Project 14 -PW -208, in an amount not to exceed $34,869.11. Additional construction management services are requested to address additional inspection activities for items that were not in the original scope such as additional crushed rock surfacing of existing farm access road between the Uesugi property and the Southside Drive entrance, and the rotted 42" pipe replacement between the new 96" manhole and the existing junction box per Contract Change Order No.2. This extra work will require CALTROP to expend additional man hours in the performance of its construction management duties, exclusive of construction surveys, and is based upon a maximum of 12 working day schedule. This Amendment extends the term of the Agreement for Services between the City of Gilroy and CALTROP, Inc., to March 30, 2016. All requirements of the original Agreement Documents shall apply to the above work except as specifically modified by this Amendment. The contract time shall not extend unless expressly provided for in this Amendment. CALTROP, Inc. hereby agrees to perform the above work subject to the terms of this Amendment for additional project and construction management services. Consultant: CALTROP, Inc. By t�' e s M. Schaaf, C / Resident Engineer Dat ACCEPTED: tL -I!D ,4coRO CERTIFICATE OF LIABILITY INSURANCE �� D0 /26I20lyY) 10/26/2015 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 Caltrop Risk and Insurance Services 9337 Milliken Ave. Lic . #OF37595 Rancho Cucamonga CA 91730 CONTACT James Bukowski NAME: PHONE (909) 931 -9331 aC No: (909)931 -0061 IC. E -MAIL ADDRESS: bukowski@caltro p' m co INSURERS AFFORDING COVERAGE NAIC k INSURERA:Starr Indemnit & Liab. A:XIV 138318 INSURED CALTROP Corporation 9337 Milliken Avenue Rancho Cucamonga CA 91730 INSURERB RSUI Indemnity Company A +:XIV 22314 INSURERC:Starr Surplus Lines Ins. A:XV 13604 INSURER D: INSURER E $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE FX1 OCCUR COVERAGES CFRTIFICATF Nt1MRFR:CALTROP 10/6/2015 REVISION Nt1MRFR: 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 /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE FX1 OCCUR X Y 1000025440151 10/6/2015 10/6/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X $50,000 deductible X Contractual Liab. & XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO LOC Per Project Agregate $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 5 00,000 BODILY INJURY(Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HA238678 $5M excess auto policy 10/6/2015 10/6/2016 Ix BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS over primary $1M policy P O CRTY DAMAGE $ $ Excess policy X UMBRELLA LIAB X OCCUR $10M Excess of GL /EL EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,00C Follow Form $ X Y HA238677-follow form 10/6/2015 10/6/2016 WORKERS COMPENSATION WC STATU- TH- OF" EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Professional Liability X SLSLPRO- 262115 -15 10/6/2015 10/6/2016 Perclaim $10,000,000 retro date: 3/19/1993 Aggregate $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: CM Agreement 14 -PW -208; Joint Trunk Sewer Main Replacement project. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreement, are specifically named and included as additional insureds on a primary and non - contributory basis for general liability. Excess umbrella liability follows form over general liability, automobile liability and employer's liability. A waiver of subrogation applies to all policies in favor of the additional insured. 30 days notice of cancellation, except for non -pay then 10 days. 1,tKI III-ILA It HULLJtK (408)846 -0306 Nadia.Garcia @ci.gilroy.ca City of Gilroy Public Works Division attn: Nadia Garcia 7351 Rosanna St Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE James Bukowski /JIM / ACORD 25 (2010105) © 1988 -2010 ACORD CORPORATION. All rights reserved. INS025 oninnS1 ni Tho arr)Pn na and Innn arc ranicfcrorl marlrc of arnpn ACORN® CERTIFICATE OF LIABILITY INSURANCE �..►�" 10/27/2015 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- H the certificate holder is an ADDITIONAL INSURED ,-- the:polioy(ie8) must be endorsed. 1TSUBROGATION 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 Marsh Sponsored Programs a service of Seabury & Smith, Inc. PO Box 14404 Des Moines, IA 50306 -9686 NAME — - - PHONE' 1- 877 -320 -9393 FAX No 515.365 -0895 No ar& ADD Ess riskmana ement @marsh m.com Vendor ID: 31459 - -- -- _ INSURER AFFORDING COVERAGE NAIC0 INSURERA: Old Republic Insurance Company 24147 INSURED INSURER B : CALTROP CORPORATION 9337 Milliken Avenue Rancho Cucamonga, CA 91730 INSURER c INSURER D: E: -INSURER INSURER F. CnVFRAGFS CFRTIFICATE 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. UDR . TYPE OF INSURANCE ADDLSUBR POLICY NUMBER wD -EFF POLICY. LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - $ CLAIMS-MADE F7 OCCUR DAMAGE TO WEWE—D PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY_ '.$ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S R� POLICY El ECT 7 LOC PRODUCTS - COMP /OP AGG $ S OTHER: AUTOMOBILE LIABILI Y COMBINED SING UMIT Ea accident s j.000,000 BODILY INJURY (Per person) S X ANY AUTO BODILY INJURY (per accident) $ A ALL UTOSS AUTOESULED X X L103757 -15 03/01/2015 03101/2016 PROPERTY DAMAGE Per accident) �E NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE $ E(CESSLIAa CLAIMS -MADE DED' I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS, LIABILITY YIN STAT LITE I ERA E.L.. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N/A E.LDISEASE - EAEMPLOYE S "andstoryin*Q If yyes, describe under DESCRIPTIONOFOPERATIONSbelow - E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, AddiOonal Rematb Schedule, may bs atiaclted K mots eyam In esquhsd) GPBR: 2FL4 Policy provides protection for any & all. operations /jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract. Waiver of Subrogation included where required by written contract. Insurance is primary and noncontributory. - CM Agreement 14PW -208 Additional insured: The City, of Gilroy, it's officers, agents and employees. City of Gilroy Public Works Division Attn: Nadia Garcia 7351 Rosanna. St. Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ®1988 -2014 ACORD CORPORATION. All ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modes insurance provided under the following: BUSINESS AUTO COVERAGE FORM Schedule Person(s) or Organization (s): City of Gilroy Public Works Division Attn: Nadia Garcia 7351 Rosanna St. Gilroy, CA 95020 1. SECTION 11— COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include the person(s) or organization(s) designated in the Schedule above but only for damages: a. Which are covered by this insurance; and b. Which you have agreed to provide in a written contract. 2. The limits of insurance afforded to such person(s) or organization(s) will be: a. The minimum limits of insurance which you agreed to provide, or b. The limits of insurance of this policy whichever is less. CA 560 002a 1213 L103757.15 Page 1 of 1 03/01/2015.03101 /2016 CALTROP CORPORATION