HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8820 DIRECTIONAL BORING & TRENCHINGUtilities Work Order Form Official Purchasing Form
Last updated 10/2017
WORK ORDER
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
SAGE TELECOMMUNICATIONS CORP. OF COLORADO, LLC
WORK ORDER NUMBER: 5040440045
PROJECT TITLE: Pitkin Street Pipe Project Phase 5
ORIGINAL BID/RFP NUMBER & NAME: 8820, Directional Boring & Trenching On-Call
MASTER AGREEMENT EFFECTIVE DATE: March 11, 2019
ARCHITECT/ENGINEER: NA
OWNER’S REPRESENTATIVE: Jason Eich
WORK ORDER COMMENCEMENT DATE: November 19, 2020
WORK ORDER COMPLETION DATE: December 31, 2020
MAXIMUM FEE: (time and reimbursable direct costs): $21,161,00
PROJECT DESCRIPTION/SCOPE OF SERVICES: Complete 45 potholes of existing utilities, 2
in soft surfaces and 43 in hard surfaces, including traffic control services and necessary right-of-
way permits. Actual costs will be invoiced at contract unit prices. See the attached supporting
documentation.
Service Provider agrees to perform the services identified above and on the attached forms in
accordance with the terms and conditions contained herein and in the Master Agreement between
the parties. In the event of a conflict between or ambiguity in the terms of the Master Agreement
and this Work Order (including the attached forms) the Master Agreement shall control.
The attached forms consisting of 1 (one) page are hereby accepted and incorporated herein, by
this reference, and Notice to Proceed is hereby given after all parties have signed this document.
SERVICE PROVIDER: Sage Telecommunications Corp. of Colorado, LLC
By: Date:
Name: Title:
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DocuSign Envelope ID: B6737EF5-5B1D-44FC-92D7-C87C5AC5A88A
Domingo Torres
December 2, 2020
Project Manager
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
OWNER’S ACCEPTANCE & EXECUTION:
This Work Order and the attached Contract Documents are hereby accepted and incorporated
herein by this reference.
ACCEPTANCE: Date:
Jason Eich, Crew Chief, Stormwater Operations
REVIEWED: Date:
Pat Johnson, Senior Buyer
REQUISITION ENTERED: Date:
Melissa Walker, Finance Coordinator
ACCEPTANCE: Date:
Douglas Groves, Manager, Stormwater Operations
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field Operations
ACCEPTANCE: Date:
Matt Fater, Interim Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Kevin Gertig, Utilities Executive Director
(if greater than $1,000,000)
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
ACCEPTANCE: Date:
Darin Atteberry, City Manager
(if greater than $1,000,000)
ATTEST: Date:
City Clerk
(if greater than $1,000,000)
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DocuSign Envelope ID: B6737EF5-5B1D-44FC-92D7-C87C5AC5A88A
November 30, 2020
December 1, 2020
December 3, 2020
December 3, 2020
December 8, 2020
December 8, 2020
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER COST & SCOPE DETAIL
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DocuSign Envelope ID: B6737EF5-5B1D-44FC-92D7-C87C5AC5A88A
NTI NUMBER:
DATE SENT:11/6/2020
COMPANY:City of Ft.Collins Water Department COMPANY:SAGE TELECOMMUNICATIONS CORP. OF COLORADO,LLC
ADDRESS:700 Wood Street ADDRESS:6700 Race Street
Fort Collins,Co 80522 Denver,Co 80229
PHONE:970-221-6700 PHONE:(303) 227-0986
FAX 970-221-6619 FAX:(303) 227-0991
CONTACT:DOMINGO TORRES, (970) 566-1257
DOMINGO.TORRES@SAGECOM.NET
CONTR. ID:
JOB LOCATION CONTACT PO NUMBER
FC.219 Doug Groves
E Pitkin Street Potholes Phase 2
QTY DESCRIPTION TOTAL
2 Potholes (Soft)FC.19 Ea.$115.00 230.00$
43 Potholes (Hard)FC.18 Ea.$257.00 11,051.00$
8 Traffic Control 23.B Day $1,200.00 9,600.00$
1 Permit 23.B Ea $280.00 280.00$
TOTAL 21,161.00$
APPROVED BY DATE
(303) 227-0986 PHONE (303 227-0991 FAX
DO NOT PAY FROM THIS NTI
NOTICE TO INVOICE
SERVICES FOR SERVICES FROM
UNIT COST
SAGE TELECOMMUNICATIONS CORP. OF COLORADO, LLC
Denver, Co 80229
6700 Race Street
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DocuSign Envelope ID: B6737EF5-5B1D-44FC-92D7-C87C5AC5A88A
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
CERTIFICATE OF INSURANCE
CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents.
Page 5 of 5
DocuSign Envelope ID: B6737EF5-5B1D-44FC-92D7-C87C5AC5A88A