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HomeMy WebLinkAboutWORK ORDER - PURCHASE ORDER - 9131167EXHIBI i''A" N,- IORK ORDER FORM PURSi PANT TO AN ACRUMLNT BE 1'\NL'LN TFIL CITY OF FORT COLLINS AND 0 IJ4-e-- 6 LWI2t� (� l Work Oder Number:_--1—_� �-D� Purchase Ordq Proiec*1 Title: Cotrunenccmcnt Datc: ____ L -I - Completion Date; ___— l-_-----____-- —_--- Masinnuii Fcc: (titiu and rciniliutsabl direct costs) q1 - -- _—l—l-------------- Proiccl Desct iption ' � / G C C'_L_-- Scope of Set vices: Service Provider ;agrees to pel-lbrin 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 betwecu or mmibiguity in the le nu of the Services Agrcement and (his work order (including the eltachcd forms) the Sct ' .: Agreement slitdl coon ol. SetVI(c , wicicr CC: Purchasing The attached forms consisting of (_) pages are hereby accepted and incorporated Herein by this reference, and Notice to Proceed is hereby briven. 4/2001 !/® Usci City ofhorl Collins Date: ------------ Director of Purchasing mid Risk Management. Over $30,000 January 21, 2018 Ms. Eileen Scholl Parks Project Manager Fort Collins Park Division 413,South Bryan Avenue Fort Collins, CO 80521 Project: 12" Irrigation Line W. Mulberry Street and Locust Grove Drive LayrieInliner, LI-Cwilffumlshall labor, materials and, equipment to complete .the following contract items related to cUred-(h-0§cepipe r fb th jce(s)'indi6ted below,all in n '66cbirda- 6e with ASTM F-1216:'- o, ep!,,,,, Description and Prices 11tern --]Descriplion -,� Quantity Units Unit Price- I Extensi 1 '12"•Curedin Place Pipe (appfoxiffiaWy 245 feet) - I , LS- - $16,926.00' $15:925:00 TOTAL PROJECT $15,915.00 Layne Ifiliner, LLC Accepted by. K4bert F. Biggs V I Date: Estimator Attachmnt: Proposal Particulars QUOTATION?PARTICULAR This document is an attachment to and f it a part of the basic quotation. , N' pa q 'on. Layne Inliner, LLC. 'indues'thefollowirig sf, apart o"fthe pp rices) stated: , Certificate of insurance with standard coverages Mobilization and demobilization INLINER related public relations Cleaning and preparation of pipe sections to be lined with INUNER Pre-mristruction video and'servi'ce con'nection''ide'ntification INLINER wet -out, installation, curing and finishing Reinstatement of Service Connections Post construction video inspection and "As -Built' video tape Traffic Control Bypass for INLINER related activities A one-year warranty on materials and woWnanship The following are not induded in the'pnce(s) stated herein: If required they could 'eittier� be provided at a negotiated additional pnce'orbe'fumished by others at notost-to Layne Inliner,'LLC: ` Sales or'other applicable taxes: If any taxes apply to this project, LayneInliner, LLC shall be furnished a PRo)ECT'SPEcikc tax exemption certificate before,& notice to proceed is issued. Special insurance coverage, permits, fees or"licenses'- Any cost of water and/or water meter usage Excavation of soil for any cas use,'ucti as point repairs, bypass pumping.related, etc. Manhole improvement, modification, or replacement Protrudingservice tap cutting or modification Easements or other access related costs Disposal site for debris from pipe cleaning Removal, handling and/or disposal of-hazardous'or toxic -materials Terms: Quantities are estimated, unit prices apply -to actual footages All prices are tied unless otherwise noted Partial monthly payments may requested Final payment due to Layne.Inliner, LLC within thirty days of completion of the project Prices stated are in effect for thirty days and may be extended at the sole option of Layne Inliner, LLC.