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EXHIBIT ''A"
WORK ORDER FORM
OS V(p O PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
ROCKY MOUNTAIN COATINGS
DATED: JULY 2, 2003
Work Order Number: PT-07-2004
Purchase order Number:
Project Title: Shooting Range
Commencement Date: April07,2004
Completion Date: April09,2004
Maximum Fee (time and reimbursable direct costs): $2,600.00
Project Description: Seal floor
Scope of Services: See proposal of3/30/04
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 N/A
USER
The attached forms consisting
of One U pages are hereby
accepted and incorporated
herein by this reference, and
Notice to Proceed is hereby
given -
CITY OF FORT COLLINS
By:
Date: April 05, 2004
Director of Purchasing and Risk Management over
$30,000.