HomeMy WebLinkAboutWORK ORDER - REQUISITION - 20768• EXHIBIT ''A"
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
HIGH PLAINS MECHANICAL
DATED: JANUARY 1, 1997
Work Order Number: HY-09-2004
J k 0�- �016�
Purchase order Number:
FURNISH AND INSTALL NEW AC UNIT ON THE 1 ST FLOOR FOR TARED SOARES AREA / HIGH PLAINS WILL BE HANDLING THIS AND
Project Title: HELMUT WILL ASSIST. AS PER RANDY NACE.
Commencement Date: June15,2004
Completion Date: July 15,2004
Maximum Fee (time and reimbursable direct costs) : $6,875.00
Project Description: FURNISH AND INSTALL NEW AC UNIT ON THE IST FLOOR FOR JARED SOARES
AREA / HIGH PLAINS WILL BE HANDLING THIS AND HELMUI' WILL ASSIST. AS PER RANDY NACE.
Scope of Services:
SAME AS ABOVE / AS PER RANDY NACE AT 566-7053.
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.