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HomeMy WebLinkAboutRolfe Construction - 2014 Agreement - Change Order No. 07C%tp of Oitrop 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: 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 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. Description of Work Extra Work at Agreed Upon Lump Sum Compenstation Price: This CCO is warranted due to additonal work which caused delay to the critical path schedule and ongoing work in regards to the controlling operation of work. The impact to the controlling operation which caused the delay (and ultimately temporary suspension period between March through May 2015) was due to the actual found alignment of the exist. 33" main which forced the new 42" sewer main to be in direct conflict with the exist 24 ". This CCO therefor provides for the permitted removal of the exist. 24" main and replacement at the Princevalle Storm Drain (ditch) crossing not origianlly planned for or designed within the existing contract documents. Work entailed revised jacking/boring, hand - removal of the exist. 24" pipe not provided on the contract documents inclsuive of labor and provision of casing insulators (22 ea). This additional item of work was necessary per the Project Manager and Resident Engineer's in effort to remove and replace the sewer main at the Princevalle Storm Drain (ditch) crossing as approved by the DFG and SCVWD via permit. (See attached Rolfe / PB DEWRs and total cost estimate for all additional costing information). All requirements of the original Contract Documents shall apply to the above work except as specifically modified by this Change Order. The contract time shall not extend unless expressly provided for in this Change Order. 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. 7. I (We) agree to make the above change subject to the terms of this Change O for not to exceed $74,015.82 CONTRACTOR By: Rolfe Construction, Inc. RECOMMENDED BY: ACCEPTED BY: 26 Working Days Cost Percentage Initial Contingency Amount 815,095.00 88% used Original Contract Price $3,423,467.00 Previous Change Orders $641,234.00 18.73% of bid Total to Date $4,064,701.00 This Change Order $74,015.82 Total Change Orders to Date $715,249.82 20.89% of bid Revised Contract Price $4,138,716.82 Date: 31 n It (o 3/16/2016 (rev) Date `Project EnVrfer/Project Manager Date s G"_ 5/14116 -fO'r City/Enpineer , , Date ✓ - Zip .G City Administrator Date CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DD/YYYY) 11/9/2015 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 NAME: Joanne Cadarette PH °NE 916- 609 -8362 FAX 916- 979 -7562 N. E-MAIL .jadarette @iwins.com INSURERS AFFORDING COVERAGE NAIC # Sacramento CA 95865 -5188 INSURER A: Financial Pacific Ins Company 31453 $1,000,000 INSURED ROLFE -6 INSURERB:Torus National Insurance Company 25496 INSURER C: MED EXP (Any one person) Rolfe Construction 3573 Southern Pacific Ave Atwater CA 95301 INSURER D $2.000 Ded. PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JECT 7 LOC OTHER: INSURER E: $2,000,000 INSURER F $2,000,000 1 rnVFRAr1FS r'FRTIFIr'ATF NIIMRFR• 135160320 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 /DDIYYYY POLICY EXP MM /DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EX OCCUR Contractual Liab Y 60468861 10/30/2015 10/30 /2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence) $100,000 X MED EXP (Any one person) $5,000 X $2.000 Ded. PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a JECT 7 LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 1 $ A AUTOMOBILE LIABILITY AUTOS NED ACUTOESULED IX ANY AUTO HIRED AUTOS X NON -OWNED AUTOS 60468861 10/3012015 10/30/2016 Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ T AMA Per accident/ $ A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 60468861 10/30/2015 10130/2016 EACH OCCURRENCE $5,000,000 X AGGREGATE $5,000,000 DED X RETENTION $0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A y I T10150083 I 10/1/2015 I 10/1/2016 X PER DTH- STAT TE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 I E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached If more space is required) Re: Joint Trunk Sewer. Additional Insured Status Applies To City Of Gilroy, Its Officers, Elected Or Appointed Officials, Employees, Agents, Volunteers Per Endorsement Attached. Primary Wording, WC Waiver Attached. City of Gilroy, Public Works Division 7351 Rosanna Street Gilroy CA 95020 UANUhLLA 1 IUN 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 @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 60468861 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): Locations Of Covered Operations Re: Joint Trunk Sewer City Of Gilroy, Its Officers, Elected Or When this insurance applies, and required Appointed Officials, Employees, Agents, by contract, such insurance is afforded by Volunteers the General Liability policy is primary and any other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. Information required to complete this Schedule. if not shown above, will be 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 affordec 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, mainte- nance or repairs) to be performed by or on be- half 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 ❑ POLICY NUMBER: 60468861 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s): City Of Gilroy, Its Officers, Elected Or Appointed Officials, Employees, Agents, Volunteers Location And Description Of Completed Operations Re: Joint Trunk Sewer When this insurance applies, and required by contract, such insurance is afforded by the General Liability policy is primary and any other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 COMMERCIAL GENERAL LIABILITY CG 20 21 01 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VOLUNTEER WORKERS This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART WHO IS AN INSURED (Section 11) is amended to include as an insured any person(s) who are volun- teer worker(s) for you, but only while acting at the direction of, and within the scope of their duties for you. However, none of these volunteer worker(s) are insureds for: 1. "Bodily injury" or "personal injury": a. To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability com- pany), to your other volunteer worker(s) or to your "employees" arising out of and in the course of their duties for you; b. To the spouse, child, parent, brother or sister of your volunteer worker(s) or your "employees" as a consequence of para- graph 1.a. above; c. For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs 1.a. or b. above: or d. Arising out of his or her providing or failing to provide professional health care serv- ices. 2. "Property damage" to property: a. Owned, occupied, or used by, b. Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your other volunteer workers, your "employees ", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). CG 20 21 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 0 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4 -84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA 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. Schedule Person or Organization City of Gilroy 7351 Rosanna Street Gilroy. CA 95020 Job Description Joint Trunk Sewer 7351 Rosanna Street Gilroy, CA 95020 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/01/15 Policy No. T10150083 Insured Rolfe Construction Company Insurance Company Torus National Insurance Company Countersigned By WC 04 03 06 (Ed. 4 -84) CZ`1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. Endorsement No. 18 Policy Effective Date 10,101/15 - (��4 M-- - � ® ,4`oRO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 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 NT NC AMEACT Cynthia Sanderl n PHONE 916- 609 -8355 FAX 916- 979 -7515 E-MAIL . csanderlyn @iwins. com INSURER (S) 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 INSURER C: 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 ❑ JE� F_� LOC OTHER: GENERAL AGGREGATE INSURER E PRODUCTS - COMP /OP AGG INSURER F : $ COVERAGES CERTIFICATE NUMBER- 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 IN SD WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR Y 103GL001079200 8/1512015 8/15/2016 EACH OCCURRENCE $1,000,000 DAMAGETO PREMISES Eaocr, rrence $100,000 MED EXP (Any one person) $5,000 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JE� F_� LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY AUTOS NED SCHEDULED Ix ANY AUTO HIRED AUTOS X NON -OWNED AUTOS Y BAS56509224 8/15/2015 8/15/2016 Eaaccident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR ERTY DAMAGE Per accident $ C X UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE CAEX000005691901 8/15/2015 8/15/2016 EACH OCCURRENCE $5,000.000 AGGREGATE $5,000,000 DIED X RETENTION $0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yyes. describe under DESCRIPTION OF OPERATIONS below N/A T10150083 10/1/2015 10/1/2016 X 77 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 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 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 @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 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- tion(s) 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 11 — 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 © ISO Properties, Inc., 2004 Page 1 of 1