HomeMy WebLinkAboutWORK ORDER - BID - 7016 PRAIRIE DOG FUMIGATION (7)y (n
r
Aug.08.2012 11:54 AM
ADG/06/201YWED 09:37 ft
PAX No.
EXHIBIT "A"
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
DATED: 7/1 D/2012
Work Order Number:
Purchase Order Number.
Project Title: Management of Prairie Dog Colonies
PAGE. 1/ 1
P. 001
0//zq���
Commencement Date: 7/1012012 ' i 5
Completion Date: SI 2012 10
Maximum Fees (time and reimbursable direct co&$-7 q-7, /(
Pro]act Description: Management of colonies to protect restoration efforts in close proximity to
urban colonies
Scope of Senrtcee: Attached maps Indicate MCI area that In to receive treatment.
Management areas may have some Inactive burrowa
Pwfeseicrwl agrees to perform the services
identiCred above and on the attached forms in
accordance with the terms and conditions
contained herein and in the Professional
Services Agreement patwoon the parties. In
the event of a writ lot between or ambiguity in
the terms of the Professional Services
attached forms) nt tthe Pro} sstonal ervioes
Agreement shalt control.
Professlonal
Date: 9— V t 2 .
wOPSA061W
4a4c;,s
The attached forma oonsisting of _ U
pages are hereby accepted and Incorporated
herein, by khla referenoe, and Notice to
Proceed is hereby given.
City, f Qrt Coffin
By:
Date: D
By:
Director of Purchasing and Risk
Management (over $30,000,00)
Date: -
1
IRIF
FA IFFAAF
P. 0. Boy 2o233',• t'r t • :• •S Ali' / ��
Boulder 303-494-2.847 • jDenVer 303-833-9105 4 ft. COUIDS 970-221-2847 0 Greeley 970-352-2847
SERVICE ADDRESS:
Fossil Creek Wetlands
BILLING ADDRESS:
City Of Fort Collins
Natural Areas Program
P.O. Box 580
Fort Collins, Co. 80522
x TREATED AREAS ✓ INSPECTED
Chemicals Used
EPA # I
%
Units
I Method of A Ilcatlon
Attic
Bedrooms
7Aq Rq , I
I WE P
93 p
Bathroom
Kitchen
Living Room
Halls
Entries
Garage
Outside
Crawl Space
Offices
Boiler Rooms
Basement
Laundry
Utility Room
Waiting Stations
TARGETED PESTS
Prep Area
Dish Room
❑ Ants ❑ Crickets ❑ Hornets ❑ Spiders
❑ Bedbugs ❑ Earwigs 0 Mice ❑ Termites
❑ Boxelders ❑ Elmleaf Beetles ❑ Rats ❑ Wasps
❑Cockroaches ❑Fleas Other oaf r1P nnr3g
Serving Area
Dining Room
Trash Area
Storage Room
Closets
M Closet
Bar
Patio
Warehouse
R31ai
INTEGRATED PEST MANAGEMENT REPORT
INSECTCONTROL:
Infestation Found ❑ Yes []No
Infestation Location
INSECT CONTROL: ❑ Monthly
SANITATION & CONDITION REPORT:
RODENT CONTROL:
❑ Rats ❑ Mice
Infestation Found Cl Yes ❑ No
Treatment Used
❑ Ouartedy ❑ Commercial ❑ Residential ❑ Specials ❑ Every Other Month
Your next service will be:
=irg" ">< R 4aAles
Charge'' Paid: chock*
❑Cash ❑Vlsa/MC GUARANTEE: N0-NE
Date
Time Due
Time
In
❑ AM
Today's Servce
$e
o
Igpm
Previous Balance
$
Other Charges
$
Time Out
❑ AM
i tQ 10 s
Total Amount Due
$ .e4
FLPM
Commercial applicators are licensed
by the Colorado Department of Agriculture
An
Technician's Signature Lgn,, Avo,--A ma=--2f
Dato=jam .c
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baitirig for rats or mice they may
die anywhere and may leave a odor
Customer's Signature
Any account placed in collections will be responsible for any additional collection and or attorney fees.
r
i
AAA PEI! T RZ09
P. p. Box 20235 Boulder Colo. 80308 Or
17279
Boulder 303-494-28W • DODVer 303•833-9205 • Ft. COIUhS 970 221-2847 • Greeley 970-352-2847
SERVICE ADDRESS: BILLING ADDRESS:
Fossil Creek Reginal open Space City of Fort Collinz
Natural Areas Program
P.O. Sox 530
Fort Collins, Co. 80522
XTREATEDAREAS ✓INSPECTED
Chemicals Used
EPA#
%
Units
I Method of Application
Attic
Bedrooms
11
Bathroom
Kitchen
Living Room
Halls
Entries
Garage
Outside
Crawl Space
Offices
Boiler Rooms
_
Basement
Laundry
Utility Room
Wailing Stations
TARGETED PESTS
Prep Area
Dish Roan
❑ Ants ❑ Crickets ❑ Hornets ❑ Spiders
❑ Bedbugs ❑ Earwigs ❑ Mice ❑ Termites
❑ Boxetders ❑ Elmleaf Beatles ❑ Rats ❑ Wasps
❑Cockroaches ORaw ®Other Prairie Dogs
Serving Area
Dining Room
Trash Area
Storago Room
Closets
Mop Closet
Bar
`Paco
Warehouse
Q•
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
Infestation Found ❑ Yes ❑ No
Infestation Location
'i
INSECT CONTROL: ❑ Monthly
SANITATION & CONDITION REPORT:
RODENT CONTROL:
❑ Rats ❑ Mice
Infestation Found ❑ Yes ❑ No
Treatment Used
❑ Quarterly ❑ Commercial ❑ Residential ❑ Specials ❑ Every Other Month
Your next service will be:
nct4 to.1eg
Charge Paid: check
❑Cash ❑Visa/MC GUARANTEE: DONE
Date Time Due
Time InKAM
Today'sService
$
10 0 3O
[I PM
Previous Balance
$
Other Charges
$
Time Out
r
El AM
f
Total Amount Due
$ I %A07.fs
-5
IgPM
Commercial applicators are licensed
by the Colorado Department of Agriculture
Technician's Signatufe
Date i ^ l I —
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baiting for rats or mice they may
. die anywhere and may leave a odor
Customers Signature
SAny account placed it ons will be responsible for any ddditlonal collection and or attorney fees.
r
.�j' 1
+T ... • a f+�,�,. INVOICE
P. 0. Box 2o233 Boulder Colo. i3o3o8 I s
Boulder 303-494-2847 • Denver 303-833-9105 • Ft. Collins 970.221-2847 • Greeley 970-352-2847
SERVICE ADDRESS: BILLING ADDRESS:
Kingfisher Point City Of Fort Collins
Natural Areas Program
P.O. Box 580
Fort Collins, Co. 80522
X TREATED AREAS ✓ INSPECTED
Chemlcals Used
EPA #
°l°
Units
Method of Application
Atfic
Bedrooms
Bathroom
Kitchen
Living Room
Halls
Entries
Garage
Outside
Crawl Space
Offices
Boiler Rooms
Basement
Laundry
_
UtMty Room
waning Stations
TARGETED PESTS
Prep Area
Dish Room
❑ Ants ❑ Crickets ❑ Hornets ❑ Spiders
❑ Bedbugs ❑ Earwigs ❑ Mlce ❑ Termites
❑ Boxelders ❑ Elmleaf Beetles ❑ Rats ❑ Wasps
OCockroaches El Fleas ljtOther Prririn—DDgS
Serving Area
Dining Room
_
Trash Area
Storage Room
Closets
Mop Closet
Bar
Patio
Warehouse
e
INTEGRATED PEST MANAGEMENT REPORT
94SECT CONTROL.:
Infestation Found ❑ Yes .13 No
Infestation Location
INSECT CONTROL: 0 Monthly
SANITATION & CONDITION REPORT:
RODENT CONTROL:
❑ Rats ❑ Mice
Infestation Found ❑ Yes 13 No
Treatment Used
❑ Quarterly ❑ Commercial ❑ Residential 1_1 spoclats ❑ Every Other Month
Your next service will be:
o1c-C,
Charger Paid: check#
❑Cash ❑Visa/MC GUARANTEE: NOMP
Data
Time Due
Time In
[CAM
Today's Service
$
r ri : o o_
❑ PM
Previous Balance
Other Charges
$
N(AM
Tme Out
$
0
Total Amount Due
$ ,74=
1 ,'+��
❑ PM
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
Commercial applicators are licensed When baiting for rats or mice they may
by the Colorado Department of Agriculture die anywhere and may leave a odor
Technician's Signature Customer's Signature
Date Any account placed in collections will be responsible for any additional collection and or attorney fees.
I
tea.
► ► INVOINN
P. 0.13OX 20235 Out er 010. 80308 ,
Boulder 3o3-g9Y-2847 • penver 303-833-9105 • Pt. Collitls 970.221-2e47 * Greeley 970-352-2847
SERVICE ADDRESS:
Arapaho Beni Natural Area
BILLING ADDRESS:
city Of: Fort Collins
Natural Areas Program
P.O. Box 560
Fort Collins, Co. 80522
X TREATED AREAS ✓ INSPECTED
Chemicals Used
EPA #
%
Units
Method of Application
Attic
Bedrooms
Q
77
.1
Bathroom
Kitchen
Uving Room
Hails
Entries
Garage
Outside
Crawl Space
Offices
Boller Rooms
Basement
Laundry
Utility Room
Wailing Stations
TARGETED PESTS
Prep Area
Dish Room
❑ Ants ❑ Crickets ❑ Homets ❑ Spiders
❑ Bedbugs ❑ Eanvlgs El Mice El Termites
❑ Boxelders ❑ Elmleaf Beetles ❑ Rats ❑ Wasps
❑Cockroaches ❑Fleas ]Other Prairie Doas
Serving Area
Dining Room
Trash Area
Storage Room
Closets
Mop Closet
Bar
Patio
Warehouse
C'
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
RODENT CONTROL:
Infestation Found ❑ Yes T7 No
❑ Rats ❑ Mice
Infestation Location
Infestation Found ❑ Yos []No
Treatment Used
INSECT CONTROL: ❑ Monthly
❑ Quarterly O Commercial ❑ Residential ❑ Specials CI Every Other Month
Your next service will be:
SANITATION & CONDITION REPORT:
8'0 10'n tl••3o 7'
,J
� — %�ia-� �... �r 2 � t-I �R S.
00�3o_ to is 7-
216--111- ry-t tro1e5
ChargelK Pald:checklt
❑Cash ❑Vlsa/MC GUARANTEE: NONE
Date
Tirne Due
Time In
r] AM
Today's Service
$ -
❑ PM
Previous Balance
$
Other Charges
$
Time Out
❑ AM
Total Amount Due
$ % /'� %� I,
❑ PM
Commercial applicators are licensed
by the Colorado Department of Agriculture
Technician's Signature
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away''from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baiting for rats or mice they may
rile anywhere and may leave a odor
Customer's Signature
Date 1 - ` o — u_ (Z Any account placed in collections will be responsible for any additional collection and or attorney fees.
I
` ti
,444 PEST PROT MOM
17277
p. p. Box 2o235 Boulder Colo. 80308 ,
Boulder 30-494-2847 • Denver 303-833-9205 • Ft. Collins 970-221-2847 • Greeley 970-352-2847
SERVICE ADDRESS: BILLING ADDRESS:
Bobcat City Of Port Collins
Natural Areas Program
P.O. Box 530
tort Collins, Co. 80522
%TREATED AREAS ✓ INSPECTED
Chemicals Used
EPA#
%
units
Method of Application
Attic
Bedrooms
c
Bathroom
Kitchen
Living Room
Halls
Entries
Garage
Outside
crawl Space
Offices
Boiler Rooms
Basement
Laundry
Utility Room
Waiting Stations
TARGETED PESTS
Prep Area
Dish Room
❑ Ants 0 Crickets 0 Homets ❑ Spiders
0 Bedbugs ❑ Earwigs D Mice ❑ Term tes
❑ Boxelders ❑ Elmleal Beetles ❑ Rats ❑ Wasps
❑ Cockroaches ❑Flees Mother a1?i' _'i r_ ice' TTOC(.^,
Serving Area
Dining Room
Trash Area
Storage Room
Closets
Map Closet
Bar
Patio
Warehouse
`
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
RODENT CONTROL:
Infestation Found ❑ Yes 3 No
❑ Rats ❑ Mloe
Infestation Location
Infestation Found 0Yes ❑ No
Treatment Used
INSECT CONTROL: ❑ Monthly
❑ Quarterly ❑ Commercial ❑ Residential 0 Specials ❑ Every. Other Month
Your next service will be:
SANITATION & CONDITION REPORT
U "I'l. nIieS
`te -t2 ps
Charge Paid:check#
❑Cash ❑Visa/MC GUARANTEE: NONE
Date Time Due
Time !n
DAM
Today's Service
$
❑ PM
Previous Balance
Other Charges
$
0 AM
Time Out
$
Total Amount Due
$ t ij'72 -75'
0PM
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food,
Commercial applicators are licensed When baiting for rats or mice they may
by the Colorado Department of Agriculture die anywhere and may leave a odor
r
Technician's Signature �_ Customer's Signature
Date Any account placed in collections will be responsible for any additional collection and or attorney fees.
u .c. :-r�.s
Atk�' AAA PEST PROS' ONVO E
17275
?. Q. BOY. 20233 T3oUlder Colo. 803011(jl§�Q
Boulder 303-94-2847 • DenVer 303-833-9103 • Ft. Collins 970-221-2847 • Greeley 970-352-2847
SERVICE ADDRESS: BILLING ADDRESS:
Coyote Ridge City Of Fort Collins
Trilby & Tali: Natural Areas Program
P.O. Box 580
Fort Collins, Co. 80522
l
X TREATED AREAS ✓ INSPECTED
Chemicals Used
EPA #
0%
Units
Method of Application
Attic
Bedrooms
R f
Bathroom
Kitchen
Room
Halls
-Living
Entries
Garage
Outside
Crawl Space
Offices
Boiler Rooms
Basement
Laundry
Utility Room
Waiting Stations
TARGETED PESTS
_
Prep Area
Dish Room
CI Ants ❑Crickets ❑Hornets ❑Spiders
O Bedbugs 0 Earwigs ❑ Mice ❑ Termites
❑ Boxelders O Elmleaf Beetles ❑ Rats ❑ Wasps
❑Cockroaches El Fleas Lather Prairie Dogs
Serving Area
Dining Room
Trash Area
Storage Room
_
Closets
Mop Closet
Bar
Patio
Warehouse
'
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
Infestation Found ❑ Yes ❑ No
Infestation Location
INSECT CONTROL: ❑ Monody
SANITATION & CONDITION REPORT:
RODENT CONTROL:
❑ Rats ❑ Mlce
Intestation Found ❑ Yes ❑ No
Treatment Used
❑ Quarterly ❑ Commercial ❑ Residential ❑ Specials ❑ Every Other Month
Your next service will be:
--r"e kA
t13 I 1 i oles
Charge Paid: chock 4
❑Cash 0Visa1MC GUARANTEE: NONE
Date Time Due
Time InKAM
Today's Service
❑ PM
Previous Balance
$
Other Charges
$
r Time Out
OAM
') I ��
Total Amount Due
$ .
L 11 ,6'0
la'PM
Commercial applicators are licensed
by the Colorado Department of Agriculture
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away from treated areas
unfit dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baiting for rats or mice they may
die anywhere and may leave a odor
Technician's Signature r1 customers Signature
Date �`cr Any account placed in collections will be responsible for any additional collection and or attorney fees.
41
P.O.BOX 20235Bouider coo. 80308 A . .
17394
AV
!.
Boulder 303-494-2847 • Denver 303-833-9205 • Ft. C011lDS 970-=-2847 • GreeleY 970-352-2847
SERVICE ADDRESS: BILLING ADDRESS:
Eagle View City Of Fort Collins
Natural Areas Program
P.O. Box 580
Ft. Collins, Co. 80522
X TREATED AREAS ✓ INSPECTED
Chemicals Used
EPA #
%
Units
Method of A plicalion
Attic
Bodrooms
oM
.
_
Bathroom
Kitchen
Living Room
Halls
Entries
Garage
Outside
Crawl Space
Offices
Boiler Rooms
Basement
Laundry
Utility Room
Waiting Stations
TARGETED PESTS
PrspArea
Dish Room
❑ Ants ❑ Crickets ❑ Hornets ❑ Spiders
❑ Bedbugs ❑ Earwigs ❑ Mice ❑ Termites
❑ Boxelders ❑ Elmleaf Beetles ❑ Rats ❑ Wasps
❑Cockroaches ❑Baas �0therrairie t30g9
Serving Area
Dining Room
Trash Area
Storage Room
Closets
Mop Cfoset
Bar
Patio
Warehouse
R.
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
Infestation Found ❑ Yes ❑ No
fastatiory\ocatlon
INSECT CONTROL: ❑ Monthly
SANITATION & CONDITION REPORT:
RODENT CONTROL:
❑ Rats ❑ Mice
Infestation Found Cl Yes ❑No
Treatment Used
❑ Quarterly ❑ Commercial ❑ Residential Cl Specials ❑ Every Other Month
Your next service will bc:
0-A.4- 0 Sa 't'i_n kk
charge Paid: check #
❑ Cash ❑ VisalMC GUARANTEE:
Date Time Due
Today's Service $
Time In
A, ; p O
❑ AM
[RPM
Previous Balance
$
Other Charges
$
Time Out
❑ AM
+
3 y o
Total Arno un[ Due
$ IU ,
to
I0,PM
Commercial applicators are licensed
` by the Colorado Department of Agriculture
Technician's Signature
WARNING
Keep Children and pets away from bait placements.
Do not ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baiting for rats or mice they may
die anywhere and may leave a odor
Customer's Signature
~ ✓ r / v
Date Any accountplaced in collections will be responsible for any additional collection and or attorney fees.