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Potable Divers, Inc. - 2010 Agremeent - Amendment No. 1
AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND POTABLE DIVERS INC. FOR TANK CLEANING AND INSPECTION DATED OCTOBER 28, 2010 AMENDMENT NO.1 This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and Contractor. All copies forwarded to Contractor for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Contractor's copy will be returned to him as his authority to proceed with the work. This Amendment extends the term of the Agreement for Services between the City of Gilroy and Potable Divers Inc., dated October 28, 2013 to October 28, 2015. 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. Potable Divers Inc. hereby agrees to make the above changes subject to the terms of this Amendment for ongoing acquisition/relocation services. Contractor: Potable Divers Inc. David Harvey Date 4067 1:Q % .201-7 ACCEPTED: Proj f cl Department fA `K) City' A t in . Chyf,shv 7L4 rig erg �9 J /-3 9)20113 Date Dedicated to Potable Water. Visit, us on the internet at http: / /www.potabledivers.com Send to: City of Gilroy From: David Harvey Dan Aldridge Fax: 866 - 913 -4905 408 - 846 -0288 Phone: (866)- 789 -3483 toll free E -mail: davidgZpotabledivers.com Mailing address: PoBox 474 Vernal, UT 84078 7/31/2013 Other Phone: 602 - 920 -9438 If you do not receive the correct number of pages please call (866)789 -3483 Message: Attn: Dan Aldridge Following is the quote you requested. For the last few years Potable Divers has been developing state of the art equipment to better serve your needs. We have proven our methods and equipment are the absolute best in the industry. With the biggest underwater system we save you more time, money and water by cleaning a larger area and remove less water than any other - service provider in the market. Our system is the only way to remove sediment as well as the bacteria biofilm that lives on our floors and walls. Ask about our free wall cleaning. Please sign the last page and FAX' it back to us with the approximate time frame you would like the work done. Please give us a call if you have any questions or we can be of further assistance to you. David Harvey Operations Manager PoBox 474 Vernal, UT 84078 Toll Free (866)- 789 -DIVE (602) 920 -9438 www.potabledivets.com e -mail pdi @potabledivers.com District Name City of Gilroy Phone: 408 - 846 -0271 Address 1 613 Old Gilroy Street FAX 408 - 846 -0288 Address 2 Gilroy, CA 95020 'Address 3 Dan Aldridge Date 7/31/2013 The following is our firm quote and specifies our conditions of services. Our quote is based on the information you provided and the following information: Reservoir Type Dia or Hgt. Max. Surface Cubic Price for 2. C -2 Potable 54 FT LxW Feet Gallons area Yards Cleaning Potable 54 FT 24 FT 410,000 2289 7 (S.F) Sediment and 54 FT 24 FT 410,000 2289 7 $850 5. E -1 1" deep Inspection 24 FT 1. C -1 Potable 54 FT 24 FT 410,000 2289 7 $850 2. C -2 Potable 54 FT 24 FT 410,000 2289 7 $850 3. D -1 Potable 54 FT 24 FT 410,000 2289 7 $850 4. D -2 Potable 54 FT 24 FT 410,000 2289 7 $850 5. E -1 Potable 70 FT 24 FT 710,000 7693 23.64 $900 6. E -2 Potable 70 FT 24 FT 710,000 7693 23.64 $900 7. F -1 Potable 70 FT 24 FT 710,000 7693 23.64 $900 8. G -1 Potable 150x200 26 FT 2,500,000 30,000. '92. $2,000 9. G -2 Potable 150x200 26 FT 2,500,000 30,000 92 $2,000 Total $10,100 1. Cleaning service includes removal of all sediment up to one inch deep. Calculated as an average depth over the reservoir floor. 2. Repairs are done on a basis of $180 per hour plus $20 per tube of epoxy. Repairs are done only with your authorization and are guaranteed. 3. Filtration is charged on a per filter bag basis at'$150 for each 10 cubic yard bag.. Dechlorination is a flat charge of $40 per tank if applicable. These items by request only 4. This quote is valid on the tank(s) listed above thru 2015. Once quote is signed the work shall be accomplished at a mutually accepted date within -one year. 5. PDI complies with all AWWA and OSHA standards and requirements. Insured, Licensed, and Bonded. 6. All cleaning and inspections are done with high quality color camera and sound,. recorded on dvd, vcd, or svcd, along with full computer generated reports with digital photos. rroposal Acceptance Signature Required PO Number ACORDATE N, CERTIFICATE OF LIABILITY INSURANCE (MMIDDlYYYY) 08/01/2013 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()es) 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 Leavitt Group of Vernal 205 N. Vernal Ave. Verna?, UT 840.78 GUNTAUT NAME: AICNN FA :435:781.0000 A/C,Ne :435.781.0001 lL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Essex Insurance Conpany 39020 INSURED Pot able Di vers, Inc PO BOX 474 Vernal, UT 84078 INSURER B: Nat I onal I, ndermi t y COrrpany 20087 INSURER C: Wrker's Oorrp Fund of Utah 010033 INSURER D. PREMISES (Ea occurrence) INSURER E: MED EXP (Any one person) INSURER F • ' PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: 13 -14 Wi t h r evi sed BA 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 3DM105 02/17/2013 0211712014 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 5, 000 PERSONAL & ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $ 2, 000,000 GEN'L AGGREGATE .LIMIT APPLIES PER: X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2, 000, 000 $ B AUTOMOBILE LIABILITY - . ANY AUTO ALL OWNED IX SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS 70APW4038 03/07/2013 03/07/2014 (Ea accident) $ 1,500,000 BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ X (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTI OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 249003 02/02/2013 02/02/2014 i X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION aty of GIroy Dan Aldridge 613 (Id G l r oy Street G Ix ov. 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 C p_ Sharon zcAragon /SHLANG ©1988 -2010 ACORD ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD i 'Mil. mARKEr COMMERCIAL GENERAL LIABILITY Policy Number: 3DN5105 ESSEX INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS /COMPLETED OPERATIONS COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM PROFESSIONAL LIABILITY COVERAGE OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM Please refer to each coverage form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all coverage forms. SCHEDULE Person or Entity: CITY OF GILROY Address: 613 OLD GILROY STREET GILROY,. CA 95020 Interest of the Above: Additional Premium: $ 100 (Check box if fully earned.) WHO IS AN INSURED is amended to include the person or entity shown in the Schedule above as an Additional Insured under this insurance, but only as respects negligent acts or omissions of the Named Insured and only as respects any coverage not otherwise excluded in the policy. Our agreement to accept an Additional Insured provision in a contract is not an acceptance of any other provisions of the contract or the contract in total. When coverage.does not apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. No coverage shall be afforded to the Additional Insured for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the Additional Insured to indemnify another because of damages arising out of such injury or damage. All other terms and conditions remain unchanged. MEGL 0009 09 11 Includes copyrighted material of Insurance Services Office, Inc. with its Page 1 of 1 permission.