HomeMy WebLinkAboutWORK ORDER - PURCHASE ORDER - 9121827EXHIBIT "A"
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
•T/32 Ccbyc/�tc
DATED:
Work Order Number:
Purchase Order Number:
Project Title: hg &CINKU ray PpTXf3i d /kgb(7.www4s
Commencement Date: 2 -15, 12,
Completion Date:
Maximum Fee: (time and reimbursable direct costs):
S
Project Description:
Scope of Services: C"irC.• z�F � • ,.':•..,� � �rl,f� r�J r��e,
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 /
BQti (/Gt
Date: Z-14-l2�
sn wo. Uaeyi
Acceptance ! ni
User
The attached forms consisting of _ (j pages
are hereby accepted and incorporated herein by
this reference. and Notice to Proceed is hereby
given.
City of Fort Collins
By:
Date:
S0 39b'd 66990agEOE ZO:ST ZLOZ16S/Z0
Payment Application
JOB:'S=E Community Park Bridge Abutments
Date: 3/16/2012
JAR Invoice # 260
Contact: Craig Foreman
�i
W.O.# ?
Contractor Information
Name: J.A.R. Concrete, LLC
Address: 11621 County Road 13
Longmont, CO 80504
Phone: 303.678.9727
Item Number
Description
Unit Price
Unit
Quantity
Total Cost
. Notes
203.01
Excavation
15.00
CY
20
300.00
FA61
Mini Track hoe
85.00
HR
8
580.00
FA1 !
Labor
19.00
HR
60
1,140.00
FA2
Foreman
35.00
HR
20
70.00
602.01
Reinforcing Steel
1.00
LB
250
250.00
608.40
Concrete Wall
7.75
SF
132
1023.00
1/2 " Cable & Clams
10.00
25
250.00
FA51
Skid loader
65.00
HR
13
845.00
630.11
Safety Fence
20.00
roll
2
100.00
i
TOTAL
$5,288.00
6
r�oo?p2