HomeMy WebLinkAboutWORK ORDER - BID - 7391 MISCELLANEOUS CONCRETE ANNUALEXHIBIT "A" 9
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
and
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DATED: September H, 2012
Work Order Number: 06-4009021013-12
Project Title: City Bridgc-:Suu—VhLEmsiq brl4rcRcpkies
Commencement Date: April 1, 2012 A
Completion Date: July 31, 2012
Maximum Fee: (time and reimbursable directs costs): not to exceed $5,125.80
Project Description: South Lemay Bridge Repairs.
Scope of Services: Shallow sawcut 1.5" and remove concrete only, leaving rebar exposed.
Remove 4" thick concrete pan off bridge deck. Haul offsite broken concrete for recycle crushing. Set,
pour and finish 10" +/- curb face only. Bevel grind back of curb and caulk with sealant.
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: n5 i
Date: September 11, 2012
Approved By:
Purchasing Agent over $60,000
The attached forms consisting of one (1) page are
hereby accepted and incorporated herein by this
reference, and Notice to Proceed is hereby given.
City of Fort Collin
By:
Date: September 11, 2012