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Home My WebLink AboutRolfe Construction - 2014 Agreement - Change Order No. 04Citp of Oiirop Public Works Department - Engineering Division 7351 Rosanna St., Gilroy, CA 95020 Phone (408) 846 -0451; Fax (408) 846 -0429 CONTINGENCY CHANGE ORDER NO. 4 To contract for: Gilroy- Morgan Hill Joint Trunk Sewer Main City Project No.: 14 -PW -208 Contractor: Rolfe Construction, Inc. Contract Date: August, 2014 This order shall become effective when it has been signed by the City Administrator, City Engineer, Project Engineer, and Description of Work Extra Work at Agreed Upon Compensation Price: Modifications to the contract to include installing 6 -inch Class II Aggregate Base on City of Gilroy utility access road from Holloway Road going south approximately 2800 -feet. This additional item of work was deemed necessary per the Project Manager and Resident Engineer's recommendations. (See attached Rolfe Construction estimate for additional information). 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. 4. I (We) agree to make the ve change subject to the terms of this Change er for a NET INCREASE not to exceed $ 9. ^CONTRACTOR i47 1 ^ By: J/ p h i RECOMMENDED BY: ACCEPTED BY: Manager 5 Working Days Cost Percentage Contingency Amount $815,095.00 78.0% used Original Contract Price $3,423,467.00 Previous Change Orders $577,162.00 16.86% of bid Total to Date $4,000,629.00 This Change Order $58,669.00 Total Change Orders to Date $635,831.00 18.57% of bid Revised Contract Price $4,059,298.00 Date: t / — J —1 anager Date ine Da e CitvLAdministrator Date Cftp of (bilrop PUBLIC WORKS DEPARTMENT 7351 Rosanna Street, Gilroy, CA 95020 MAIN (408) 846 -0451 1 FAX (408) 846 -0429 www.citvofqilroy.org Date 11/05/2015 Name Division Extension No. Prepared by: Christine Salmo Public Works 413 Subject or Project No. 14 -PW -208 — Change Order No. 4 Project Name Council 09/28/2015 Approval Date Comments: Change Order No. 4 is to place base rock along 2800 -ft City of Gilroy maintenance access road that wasn't part of original scope of work. 11/04/2015 W IX CONSTRUCTION Rolfe Construction 3573 Southern Pacific Ave. Atwater, Ca. 95301 CCO PROPOSAL Ph: 209 358 -5548 Fax: 209.357.2916 rolfeconstruction@comcast.net 1410 Gilroy - Holloway Rd to Maintenance Yard Road Date: 11/3/2015 Change Order Proposal City of Gilroy Christine Salmo c/o CALTROP James Schaaf Office -(925) 548 -0895 Cell -(510) 299 -3789 Change Order Upon Approval Install 6" of base rock on Camino Arroyo access road from 1 -LS Holloway Rd to Obata Maintenance Yard. Includes Labor, $58,669.00 $58,669.00 Equipment, Base Rock and Mobilization. $58,669.00 Thank you for your business! Approved by: Date: Printed Name: Rolfe Approval: CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYYI 11/3/2015 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 InterWest Insurance Services License #0601094 P.O. Box 255188 NAMEACT Cynthia Sanderl n P " °NE 916- 609 -8355 FAX 916- 979 -7515 E-MAIL . csanderlyn @iwins. com . INSURERS AFFORDING COVERAGE NAIC # Sacramento CA 95865 -5188 INSURER A:Colony Insurance Company 39993 $1,000;000 INSURED ROLFE -4 INSURER B:Liberty Mutual Ins Company 23043 INSURERC:First Mercury Insurance 10657 Rolfe Construction 3573 Southern Pacific Ave Atwater CA 95301 INSURER D :Torus National Insurance Co. 25496 $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ,r PRO a LOC JECT OTHER: GENERAL. AGGREGATE INSURER E: PRODUCTS - COMP /OP AGG INSURER F: 1 $ COVFRACFS CFRTIFICATF NIIMRFR• 851157888 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM /DDNYYY POLICY EXP MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR Y 103GLOO1079200 8/15/2015 8/15/2016 EACH OCCURRENCE $1,000;000 _ _ _ DAMAGET RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ,r PRO a LOC JECT OTHER: GENERAL. AGGREGATE $2,000.000 PRODUCTS - COMP /OP AGG $2,000;000 1 $ B AUTOMOBILE LIABILITY ANY AUTO AUTOS NED SCHEDULED HIRED AUTOS X NON -OWNED AUTOS Y BAS56509224 8/15/2015 8/15/2016 , accident $1,000;000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ $ PROPERTY AMAGE Per accident $ $ C X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CAEX000005691901 8/15/2015 8/15/2016 EACH OCCURRENCE $5,000;000 AGGREGATE $5,000,000 DED -' x I . RETENTION $O $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N OFFICER /MEMBER EXCLUDED? ❑ (Mandatory inNH) If yes, describe under DESCRIPTION OF OPERATIONS.below NIA T10150083 10/1/2015 10/1/2016 _ X PER- OTH - "- STATUTE - ER - - -- - E.L. EACH ACCIDENT _ $1,000,000 E.L. DISEASE - EA EMPLOYEE - - $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTIONOFOPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) - Project: City of Gilroy Joint Trunk Sewer City of Gilroy, its officers, officials and employees are named as additional insured, per the attached endorsements 112 City of Gilroy, Public Works Division 7351 Rosanna St. Giiroy 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 Vim/ A , n 19RR -2014 ACORD CORPORATION- All riahts reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 103 GL 0010792 -00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - COMPLETED OPERATIONS & ONGOING OPERATIONS AS SCHEDULED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Operations City of Gilroy, It's Officers, Elected or Appointed City of Gilroy Joint Trunk Sewer Officials, Employees, Agents and Volunteers 7351 Rosanna Street Gilroy, CA 95020 A. Section II — Who Is An Insured is amended to include the person(s) or organization(s) shown in the Schedule (called additional insured), but only with respect to: (1) Liability for "bodily injury" or "property damage "caused, in whole or in part, resulting from "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard" when you and such person(s) or organization(s) have agreed in writing in a con- tract or agreement that such person(s) or organization(s) be named as an additional in- sured on your policy. (2) Liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by resulting from: (a) Your acts or omissions; or (b)The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the loca- tions) designated above. B. Section IV — Commercial General Liability Conditions, 4. Other Insurance is amended and the following added: If you are required by written contract to provide primary insurance, the insurance afforded by this Coverage Part for the additional insured shown in the Schedule is primary insurance and we will not seek contribution from any other insurance available to that additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U462 -0310 Includes copyrighted material of ISO Properties. Inc., 2004 Page 1 of 1 with its permission. 103 GL 0010792 -00 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations City of Gilroy, Its Officers, Elected or Appointed City of Gilroy Joint Trunk Sewer Officials, Employees, Agents and Volunteers 7351 Rosanna Street Gilroy, CA 95020 Information required to complete this Schedule, if not shown above, will shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and 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 behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 O ISO Properties, Inc., 2004 Page 1 of 1