HomeMy WebLinkAboutWORK ORDER - GENERAL CORRESPONDENCE - 19663E�
i EXHIBIT ''A"
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
DICKINSON ELECTRIC
DATED: JANUARY 1, 1997
Work Order Number: EL-05-2004
Purchase order Number:
Project Title: Youth Activity Center Relamp
Commencement Date: February 12, 2004
Completion Date: March 01, 2004
Maximum Fee (time and reimbursable direct costs) : $2,092.44
Project Description: Replace burnt out lamps that need a man lift to get to.
Scope of Services: Replaced 8 vent lamps, 4 ballast kit, 18 - 75w bulbs, 1 8T12 120v 2x ballast.
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 Services
Agreement between the parties. In
the event of a conflict between or
ambiguity in the terms of the
Services Agreement and this work
order (including the attached forms)
the Services Agreement shall
control.
SERVICE PROVIDER
By:
Date
CC: Purchasing
ACCEPTANCE
USER
The attached forms consisting
of ( ) pages are hereby
accepted and incorporated
herein by this reference, and
Notice to Proceed is hereby
given -
CITY OF FORT COLLINS
By:
Date:
Director of Purchasing and Risk Management over
$30,000.