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WORK ORDER - PURCHASE ORDER - 9131589
Vendor: Hydro Construction Company, Inc. Requisition Form Today's Date: Ship To: Vendor #: Special Instructions: March 27, 2013 A, (� \, --- (zq Requisition No.: Date Entered: Date Approved: Date Denied: Item # Quantity Unit Description Unit Price . Total Charge Number 1 1 Is Work Order H-2013-2 Fire $69,009.00 $69,009.00 5029300501.562020.6 Work Order H-2013-2 (Replacement) $257,375.00 $257,375.00 5026310033.562020.6 Project Total $326,384.00 �� J Eg)N&qC Tmj Item Description !O Standas ate Report Page 1 012012013 ION FC 2 System 11:54 AM Takeoff Oty Amount Amount Amount Name Amount Amount Amount 01 General Conditions 1000.000 GENERAL CONDITIONS 16 Bonds 1.00 Is 10 Contingency 1.00 Is 10 Survey & Layouts 1.00 Is 14 PM 6.00 wk 14 Supt 4.00 wk 14 Job Trailer 1.00 mo 100 Office Supply & Equip -GC 1.00 mo 10 Safety 1.00 Is 12 Trash 5.00 wk 10 Fuels 5.00 wk GENERAL CONDITIONS 602.00 Labor hours 400.00 Equipment hours 1900.000 OWNED EQUIPMENT 45 Connex Box 1.00 mo 20 ZX350 Hitachi Trackhoe 0.50 mo 60 305 Cat Mini Excavator 0.50 mo OWNED EQUIPMENT " - - 6,528 6,528 - 0 - - 5,000 5,000 510 - 545 1,055 6,615 - 765 - 7,380 6,468 - 1.020 436 7.924 " - 0 1,020 163 1.183 - - 153 163 316 510 - 545 1,055 - 545 545 " - 953 953 13,083 1,020 2,958 14,876 31,937 765 4,621 1,265 6,650 765 4.621 1,265 6,650 01 General Conditions 13,083 0 1,020 9,608 14,876 38,588 602.00 Labor hours 400.00 Equipment hours 02 C102 Room 2000.000 SITEWORK 14 Demo Pumps & Piping 1.00 Is 564 - - - 38 603 14 Demo Generators & Misc Equip 1.00 Is 423 - - 0 49 472 14 Core Drill 1.00 Is 423 - - 153 16 593 SITEWORK 1,411 153 103 1,668 20.00 Labor hours 10000.000 SPECIALTIES 20 Pump Shelving 1.00 ea 212 357 - - 16 585 SPECIALTIES 212 357 16 585 6.00 Labor hours Eg)HYDRO Standard Estimate Report Page 2 CONSTRUCTION FCWTF C102 System 312012013 11:54 AM Item Description Takeoff City Amount Amount Amount Name Amount Amount Amount 11000.000 EQUIPMENT 100 Pumps 2.00 ea 0 28,764 - - - 28,764 100 Install Pumps 2.00 ea 564 153 - - - 717 100 Generators 2.00 ea 83,640 - - - 83,640 100 Install Generators 2.00 ea 1,693 153 - - - 1,846 200 Install Strainer 8 Valves 1.00 ea 141 - - - 141 100 BV 2.00 as 0 82 - - - 82 100 BV 4.00 ea 82 - - - 82 100 BV & PRV 8.00 ea 612 - - - 612 100 BV & CV 8.00 ea 367 - - - 367 100 BV & Pre Valve 4.00 ea 184 - - - 184 EQUIPMENT 2,399 114,036 116,435 164.00 Labor hours 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 564 459 - - - 1,023 15 PVC Pipe Sch 80 10.00 LF 282 45 - - - 327 15 PVC Pipe Sch 80 18.00 LF 508 81 - - - 589 15 PVC Pipe Sch 80 24.00 LF 677 108 - - - 785 15 PVC Pipe Sch 80 24.00 LF 677 108 - - - 785 15 PVC Pipe Sch 80 18,00 LF 508 1,313 - - - 1,821 MECHANICAL 3,218 2,113 5,330 182.40 Labor hours 16000.000 ELECTRICAL -sub Electrical Sub 1.00 Is - - 82,859 - - 82,859 ELECTRICAL 82,859 82,859 02 C102 Room 7,239 116,506 82,859 153 120 206,877 372.40 Labor hours ' 03 UV Room 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 564 459 - - - 1,023 15 PVC Pipe Sch 80 80.00 LF 2,258 5,834 - - - 8,092 MECHANICAL 2,822 6,293 9,116 160.00 Labor hours 03UVRoom 2,822 6,293 0 0 0 9,116 160.00 Labor hours Item Description ;O Standa�mate Report Page 3 T I O N FC 2 System f120/2013 11:54 AM �17ii�1".a6`or'" AAatiHalP�# 'S}r��.Ca"� " Nn; Takeoff Qty Amount Amount Amount 04 Poudre River Disp Vault '�E u Ill!" �;thli9r 1 a ��'�xGTotal# �»t Name Amount Amount Amount 2000.000 SITEWORK 14 Core Drill 1.00 Is 282 - - 153 16 452 12 Corporation Valve 1.25" 1.00 ea 282 357 255 - 16 911 SITEWORK 564 357 255 153 33 1,362 16.00 Labor hours 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 141 128 - - - 269 15 PVC Pipe Sch 80 41.00 LF 1,157 2,990 - - - 4,147 MECHANICAL 1,298 3118 4,416 73.60 Labor hours 04 Poudre River Disp Vault 1,863 3,475 255 153 33 5,778 89.60 Labor hours 05 Plea Valley Vault 2000.000 SITEWORK 14 Core Drill 1.00 Is 282 - - 153 16 452 6 Trench Excav & Lay Pipe 4- 6' 115.00 If 1,129 352 - 0 31 1,512 12 Corporation Valve 1.25" 1.00 ea 282 357 255 - 16 911 10 Excavation & Backfill 1.00 ea 564 77 - - 641 10 Vault 1.00 ea 0 15,402 - 0 - 15.402 12 Vault Install 1.00 ea 282 1.530 128 163 - 2,103 10 Site Restoration 1.00 Is 564 153 510 - - 1,227 SITEWORK 3,105 17,870 893 316 64 22,248 124.80 Labor hours 44.00 Equipment hours 11000.000 EQUIPMENT 100 BV 2.00 ea 92 - - - 92 EQUIPMENT 92 92 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 141 128 - - - 269 15 PVC Pipe Sch 80 126.00 LF 564 9,189 - - - 9,754 O)HYDRO Item Description Takeoff City MECHANICAL 40.00 Labor hours Standard Estimate Report FCWTF C102 System Amount Amount Amount 706 9,317 Page 4 312012013 11:54 AM HE Name Amount Amount Amount 10,022 05 Plea Valley Vault 3,810 27,279 893 316 64 32,362 164.80 Labor hours 44.00 Equipment hours Estimate Totals Desc►iotion Amount Totals Hours Rate Cost Basis Cost oer Unit Percent of Total Labor 28.818 1.388.799 his 8.63% Material 153.553 47.05% Subcontract 85.026 26.05% Eauipment 10.231 444.000 hrs 3.13% Other 15.093 4 69% 292,721 292,721 89.69 Profit & Overhead 33.663 11.500 % T 10,31% Total 326,384 0 0 0 PERFORMANCE BOND • KNOW ALL BY THESE PRESENTS: that Bond No. 0175079 (Firm) Hydro Construction Company, Inc. (Address) 301 East Lincoln Avenue, Fort Collins CO 80524 j�fi4ft@Li lq tl Rilili(�Za Corporation), hereinafter referred to as "the Principal,"- and (Firm) Berkley Regional Insurance Company (Address) 11201 Douglas Avenue, Urbandale, IA 50322 hereinafter referred to as "the Surety," are held and fimfly bound unto the City of Fort Collins, 300 West LaPorte Avenue, Post Office Box 580, Fort Collins, Colorado 80522, a Municipal Corporation, hereinafter referred to as "the Owner," in the penal sum of $ 326, 384.00 Three Hundred Twenty Six Thousand Three Hundred Eighty Four Dollars and 00/100 in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Contract Agreement with the Owner, dated the 26th day of May , 2011 , a copy of which is hereto attached and make a part hereof for the performance of City of Fort Collins Project, Work Order No. H-WTF-2013-2 - Chlorine Dioxide Feed System Replacement and Improvements - Notice of Award Date: March 19, 2013 NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the undertakings, covenants, terms, conditions and agreements of said Contract Agreement during the original term thereof, and any extensions thereof which may be granted by the Owner, with or without Notice to the Surety and during the life of the guaranty period, and if he shall satisfy all claims and demands incurred under such Contract Agreement, and shall fully indemnify and save harmless the Owner from all cost and damages which it may s er by reason of failure to do so, and shall reimburse and repay the Owner all outlay and expense which the Owner may incur in making y default, and then this obligation shall be void; otherwise to remain in fall force and effect. PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Agreement or to the work to be performed thereunder or the specifications accompanying the same shall in anyway affect its obligation on this bond; and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract Agreement or to the work or to the specifications. PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge the right of any beneficiary hereunder, whose claim maybe unsatisfied. IN WITNESS WHEREOF, this instrument is executed in three counterparts, each one of which shall be deemed an original, this 20th day of March , 2013 . Hydro Construction Company, Inc. P 'pal (Title) 301 East Lincoln Avenue, Fort Collins, CO 80524 &ORFORATE SELL) (Address) G14 Page 1 of 2 0SENCE OF: N/A IN PRESENCE OF. WitBy: s�_p_ 0 La Other Partners N/A Berkley Regional Insurance Company ( Surety By: U l\ 1 U" Homey-m- Nicole L. McCollam Philip J. Monasch 11201 Douglas Avenue, Urbandale, IA 50322 (Address) (SURETY SEAL) ; ;.; •:' 44. NOTE: Date of Bond must not be prior to date of Contract Agreement. If Contractor is Partnership; all partrizrs sirrula,eay u¢e Bond. i' '' ....:..• nil ' esn�•s IMPORTANT: Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the Owner. IMA • I r, CO Den Street, Suite 600 Denier, C80202-1657 Phone 303.534.4567 Page 2 of 2 OD601 PAYMENT BOND Bond No. 0175079 &NOW ALL BY THESE PRESENTS: that (Firm) Hydro Construction Company, Inc. (Address) 301 East Lincoln Avenue, Fort Collins, CO 80524 , �mao�ii�vitdtraaxlrtr (a Corporation), hereinafter referred to as "the Principal," and (Firm) Berkley Regional Insurance Company (Address) 11201 Douglas Avenue Urbandale IA 50322 hereinafter referred to as "the Surety," are held and firmly bound unto the City of Fort Collins, 300 West LaPorte Avenue, Post Office Box 580, Fort Collins, Colorado 80522, a Municipal Corporation, hereinafter referred to as "the Owner," in the penal sum of $326, 384.00 Three Hundred Twentv Six Thousand Three Hundred Eiqhtv Four Dollars and 00/100 in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION are such that whereas the Principal entered into a certain Contract Agreement with the Owner, dated the 26th day of May , 2011 , a copy of which is hereto attached and make a part hereof for the performance of City of Fort Collins Project, Work Order No. H-WTF-2013-2 - Chlorine Dioxide Feed System Replacement and Improvements - Notice of Award Date: March 19, 2013 0 W, THEREFORE, if the Principal shall make payment to all persons, firms, subcontractors and corporations furnishing for or performing labor in the prosecution of the work provided for in such Contract Agreement, and any authorized extension or mo ifrcation thereof, including all amounts due for materials, lubricants, repairs on machinery, equipment and tools, consumed, rented or used in connection with the construction of such work, and all insurance premiums on said work, and for all labor, performed in such work whether by subcontractor or otherwise, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Constriction Agreement or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Construction Agreement or to the work or to the specifications. PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. • Page 1 of 2 IN WITNESS WHEREOF, this instrument is executed in three counterparts, each one of which shall be deemed an original, this 20th day of March 1 2013 - (CORPORATE SEAL) IN PRESENCE OF: N/A I)WV PRESENCE OF: i n ss: BY �(S Vy� Philip J. Monasch • (SURETY SEAL) Principal Hydro Cor4struction Company, Inc. B • #'L ` . " true) 301 East Lincoln Avenue, Fort Collins, CO 80524 am By: By: (Address) Other Partners N/A Surety Berkley Regional Insurance Company By: V �U.l 'p.ysVv�jwyfI� At omey4n-Fact Nicole L. McCollam 11201 Doualas Avenue (Add9W)'1': Urbandale, IA 50322 NOTE: Date of Bond must not be prior to date of Contract Agreement. If Contractor is execute Bond. IMPORTANT: Surety Company must be authorized to transact business in the State of Colorado and be acceptable to the Owner. IMA 11SS0 17th Street, Suite 600 Denver, CO 80202-1657 Phone 303.3.539.4567 Page 2 of 2 No. 7724d POWER OF ATTORNEY BERKLEY REGIONAL INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof.. Please review carefully. OALL .MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company"), a orporatW ion duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa, 9 has made, constituted and appointed, and does by these presents make; constitute and appoint: Sheryll Show, Nicole L. McCollam, D Sue Wood, Bradley J. Jeffress, Kristen L. McCormick, Sarah Finn, Robert L. Cohen, Robert J. Reiter, Michael Lischer, Jr., Philip J. Monasch or Jessica Talbot of 1M4, Ltc. of Denver, CO its true and lawful Attorney -in -Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars c (U.S.$50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected Nofficers of the Company at its principal office in their own proper persons. = This Power of Attorney shall be construed and enforced in accordance. with, and governed by, the laws of the State of Delaware, o without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following resolutions which were duly and validly adopted at meeting of the Board of Directors of the Company held on August 21, 2000: E "RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations o on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; and further 0 o RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, m or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the t manner and to the extent therein stated; and further oRESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and further zRESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any o power of attorney or certification thereof authorizing the execution and delivery of.any bond, undertaking, recognizance, or Q other suretyship obligation of the -Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have z ceased to be such at the time when such instruments shall be issued." b '0 IN WITNESS WHEREOF the Company has caused these resents to be signed and attested b its appropriate officers and its �� � P Y P b Y� E o corporate seal hereunto affixed this J t day of 2013. oAttest: Berkley Regional Insurance Company U U (Seal) By F Ira S. Lederman r.Wafter Senior Vice President & Secretary S Viee President o WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER. 7 0 o STATE OF CONNECTICUT ) ss: 0 o COUNTY OF FAIRFIELD ) o�° Sworn to before me, a Notary Public in the State of Connecticut, this / 1 day of ^'fin 2013, by Jeffrey M. Hafter and s Ira S. Lederman who are sworn to me to be the Senior Vice President, and the Senior Vice President and Secretary, respectively, of Berkley Regional Insurance Company. EILEEN KILLEEN Q ❑ Norv;r rutn.Ic P;+re OF conavFCncUr - Notary Public, State of Connecticut ° MY CONMISSION EXPIRES JUNE 30.14017 CERTIFICATE Z <r I, the undersigned, Assislaptt&cretary of BERKLEY REGIONAL INSURANCE COMPANY, DO HEREBY CERTIFY that the FA, W.- ZU foregoing is a true, o recL6B1Yomp„ fete copy of the original Power of Attorney; that said Power of Attorney has not been revoked „ or rescinded -and Yh'at the authonty.. -the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this „au N arb • ower of Attorney israttached is m full -force and effect as of this date. Givenund�r my h d and s ' 1.0f. he Company, this 20th day of March 2013 (Seal) :3.., :• .T a Instructions for Inquiries and Notices Under the Bond Attached to This Power 0 Berkley Surety Group, LLC is the affiliated underwriting manager for the surety business of: Acadia Insurance Company, Berkley Insurance Company, Berkley Regional Insurance Company, Carolina Casualty Insurance Company, Union Standard Insurance Company, Continental Western Insurance Company, and Union Insurance Company. To verify the authenticity of the bond, please call (866) 768-3534 or email BSGlnquiry@berkleysurety.com Any written notices, inquiries, claims or demands to the surety on the bond to which this Rider is attached should be directed to: Berkley Surety Group, LLC 412 Mount Kemble Avenue Suite 31ON Morristown, NJ 07960 Attention: Surety Claims Department in email BSGClaim@berkleysurety.com Please include with all notices the bond number and the name of the principal on the bond. Where a claim is being asserted, please set forth generally the basis of the claim. In the case of a payment or performance bond, please identify the project to which the bond pertains. • WORK ORDER & NOTICE OF AWARD TO: Hydro Construction Company, Inc. W. O. No. H-WTF-2013-2 PURCHASE ORDER: 1 I � ( 531 TITLE: Chlorine Dioxide Feed System Replacement and Improvements ENGINEER: CH2M Hill OWNER'S REPRESENTATIVE: Kenneth Morrison NOTICE OF AWARD DATE OWNER: March 19, 2013 CITY OF FORT COLLINS 1. WORK. You are hereby notified that your bid dated March 18, 2013, for the above Work Order has been considered. Pursuant to your AGREEMENT with OWNER dated May 26, 2011, you have been Isawarded a Work Order for this Work Order Description: A. See Section 01100 — Summary of Work. 2. CONTRACT PRICE, BONDS, AND CERTIFICATES. The price of your Work Order is Three Hundred Twenty Six Thousand Three Hundred Eighty Four and No Cents ($326 384.00). Pursuant to the AGREEMENT and the Contract Documents, Performance and Payment Bonds and insurance are required., 3. CONTRACT TIMES. Pursuant to the AGREEMENT and the Contract Documents, the date for Substantial Completion of this Work Order is June 28, 2013, and after Substantial Completion, the number of days for Final Payment and Acceptance is July 31, 2013. 4. LIQUIDATED DAMAGES. Liquidated damages will not be assessed. 5. EXECUTION. Three (3) copies of this proposed Work Order & Notice of Award, and accompanying amendments or supplements to the Contract Documents (except any applicable Drawings) incorporated herein, are provided. Four (4) sets of any applicable Drawings will be delivered separately or otherwise made available to you immediately. You must comply with the following conditions precedent within fifteen (fifteen) days of the date of this Notice of Award, that is, by April 9, 2013. 0 You must deliver to OWNER three (3) fully -executed counterparts of this Work Order, including all amendments or supplements to the Contract Documents incorporated herein. Each Work Order must bear your signature as provided. isChlorine Dioxide Feed System Replacement And Improvements March 2013 00525-1 Work Order & Notice of Award 4 AC40R L® CERTIFICATE OF LIABILITY INSURANCE ATE DIDDI 03/20/2013 03/20 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX ac No): E-MAL ADDRESS: 1550 17th Street Suite 600 Denver, CO $0202 INSURERS AFFORDING COVERAGE NAIC# INSURER A: TRAVELERS IND CO 25658 INSURED INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER CPINNACOL ASSUR 41190 INSURER D: 301 East Lincoln Avenue INSURER E: Fort Collins, CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: 32569234 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD/VYYY LIMBS A GENERAL LIABILITY DTC08743RO16IND12 09/30/1 09/30/13 EACH OCCURRENCE $ 1,000,000 % COMMERCIAL GENERAL LIABILITY DAMAG—E'TURENTED PREMISES Ea o rrence E 300,000 CLAIMS -MADE aOCCUR MED EXP(Any one person) $10,000 % PD Ded:$5,000 — PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY MPR0. LOC I I $ AUTOMOBILE LIABILITY DT8108743RO16TIL12 COMBINED SINGLE LIMIT Ea acpdeM 1,000, 000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ % PROPERTY DAMAGE Per accIdeM $ NON -OWNED HIRED AUTOS N AUTOS E B % UMBRELLA LIAR % OCCUR DTSMCUP8743RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE $ 11000,000 AGGREGATE $ 1,000,000 EXCESS LIAR CLAIMS -MADE DEC) I % I RETENTIONS 10, 000 $ C WORKERS COMPENSATION AND EMPLOYERS'LIABIUTY YIN ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? NIA 2091550 04/O1/1 04 /O1/13 WC STATU- OTH- %LIMITS E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, tlascribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. RE: Chlorine Dioxide Feed System Replacement and Improvements Job#H-NTF-2013-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Wood Street AUTHORIZED REPRESENTATIVE Collins , CO 80521 USA 111111 r/�//� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD kiplinginny 32569234 B. You must deliver with the executed Work Order the Contract Security (Bonds) and insurance, as specified in the Agreement, 0 Failure to comply with these conditions within the time specified will entitle OWNER to consider your Bid abandoned and to annul this Work Order & Notice of Award. Within ten (10) days after you comply with those conditions, OWNER will return to you one (1) fully -signed counterpart of this Work Order with any amendments or supplements to the Contract Documents attached. CONTRACTOR'S NOTICE OF AWARD REPRESENTATION & EXECUTION: CONTRACTOR agrees to perform the services identified above, in accordance with the terms and conditions contained herein and in the AGREEMENT dated May 26, 2011 and the NOTICE OF AWARD dated March 19, 2013, between the parties. In the event of a conflict between or ambiguity in the terms of the AGREEMENT or specific Work Orders, the AGREEMENT shall control. CONTRACTOR: Name: James E. Eurich OWNER'S ACCEPTANCE & EXECUTION: Date: -1d 13 Title: VP/COO • This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference and the attached Notice to Proceed is hereby given. ACCEPTANCE:Date: Keryneth Morrison, Technic*Services Supervisor Reviewed By: I /� '\,/ — Li 'a Voytko, Water Produ ion Manager Approved By: e— Kevin Ge ig, Water Resourc s and Trey Operations Manager OWNER: 11 Ja' es,A O'Neill II, CPPO, FNIGP — DieQ06r of Purchasing and Risk Management Chlorine Dioxide Feed System Replacement And Improvements Date: 3 ' 'Ll ' 13 Date: .-�5 -- Z o - � 3 Date: i Work Order & Notice of Award . March 2013 00525-2 01F*DRO C TRUCTION Standaate FC�y�System Report 001201311:54 Page 1 AM Labor Material Subcontract E of ment Other Total Item Description Takeoff Qty Amount Amount Amount Name Amount Amount Amount 01 General Conditions 1000.000 GENERAL CONDITIONS 16 Bonds 1.00 Is - - - 6,528 6,528 10 Contingency 1.00 Is - 0 - - 5,000 5,000 10 Survey & Layouts 1.00 Is 510 - 545 1,055 14 PM 6.00 wk 6,615 - 765 - 7,380 14 Supt 4.00 wk 6,468 - 1,020 436 7,924 14 Job Trailer 1.00 mo - - 0 1,020 163 1,183 100 Office Supply & Equip -GC 1.00 mo - - 153 163 316 10 Safety 1.00 Is 510 - 545 1,055 12 Trash 5.00 wk - - 545. 545 10 Fuels 5.00 wk - - - 953 953 GENERAL CONDITIONS 13,083 1,020 2,958 14,876 31,937 602.00 Labor hours 400.00 Equipment hours 1900.000 OWNED EQUIPMENT - 45 Connex Box 1.00 mo - - 765 - 765 20 ZX350 Hitachi Trackhoe 0.50 mo - - - 4,621 - 4.621 60 305 Cat Mini Excavator 0.50 mo - - - 1,265 - 1.265 OWNED EQUIPMENT 6,650 6,650 01 General Conditions 13,083 0 1,020 9,608 14,876 38,588 602.00 Labor hours 400.00 Equipment hours 02 C102 Room 2000.000 SITEWORK 14 Demo Pumps & Piping 1.00 Is 564 - - - 38 603 14 Demo Generators & Misc Equip 1.00 Is 423 - - 0 49 472 14 Core Drill 1.00 Is 423 - - 153 16 593 SITEWORK 1,411 153 103 1,668 20.00 Labor hours 10000.000 SPECIALTIES 20 Pump Shelving 1.00 ea 212 357 - - 16 585 SPECIALTIES 212 357 16 585 6.00 Labor hours HYDRO Standard Estimate Report Page 2 CONSTRUCTION FCWTF C102 System 312012013 11:54 AM # LatiwNlateAal'^ ' '- ' - -' 'Subiontraet E ul merit ` '"Other ` 'Total Item Description Takeoff City Amount Amount Amount Name Amount Amount Amount 11000.000 EQUIPMENT 100 Pumps 2.00 ea 0 28,764 - - - 28,764 100 Install Pumps 2.00 ea 564 153 - - - 717 100 Generators 2.00 ea 83,640 - - - 83,640 100 Install Generators 2.00 ea 1,693 153 - - - 1,846 200 Install Strainer & Valves 1.00 ea 141 - - - 141 100 BV 2.00 ea 0 82 - - - 82 100 BV 4.00 ea 82 - - - 82 100 BV & PRV 8.00 ea 612 - - - 612 100 BV & CV 8.00 ea 367 - - - 367 100 BV & Pre Valve 4.00 ea 184 - - - 184 EQUIPMENT 2,399 114,036 116,435 164.00 Labor hours 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 564 459 - - - 1,023 15 PVC Pipe Sch 80 10.00 LF 282 45 - - - 327 15 PVC Pipe Sch 80 18.00 LF 508 81 - - - 589 15 PVC Pipe Sch 80 24.00 LF . 677 108 - - - 785 15 PVC Pipe Sch 80 24.00 LF 677 108 - - - 785 15 PVC Pipe Sch 80 18.00 LF 508 1,313 - - - 1,821 MECHANICAL 3,218 2,113 5,330 182.40 Labor hours 16000.000 ELECTRICAL -sub Electrical Sub 1.00 Is - - 82,859 - - 82,859 ELECTRICAL 82,859 82,859 02 C102 Room 7,239 116,506 82,859 153 120 206,877 372.40 Labor hours 03 UV Room 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 564 459 - - - 1,023 15 PVC Pipe Sch 80 80.00 LF 2,258 5,834 - - - 8,092 MECHANICAL 2,822 6,293 9,116 160.00 Labor hours 03 UV Room Z822 6,293 0 0 0 9,116 160.00 Labor hours 0 0 0 DRO O)F StandarcJ�nate Report Page 3 T R U C T 10 N FC System 0 0/2013 11:54 AM " L'alioi'`'. 'M to eiial'V,''`-°Suticohtrat'' ` 'E `ui rnent Other Total Item Description Takeoff Qty Amount Amount Amount Name Amount Amount Amount 04 Poudre River Disp Vault 2000.000 SITEWORK 14 Core Drill 1.00 Is 282 - - 153 16 452 12 Corporation Valve 1.25" 1.00 ea 282 357 255 - 16 911 SITEWORK 564 357 255 153 33 1,362 16.00 Labor hours 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 141 128 - - - 269 15 PVC Pipe Sch 80 41.00 LF 1,157 2,990 - - - 4,147 MECHANICAL 1,298 3,118 4,416 73.60 Labor hours 04 Poudre River Disp Vault 11863 3,475 255 153 33 5,778 89.60 Labor hours 05 Plea Valley Vault 2000.000 SITEWORK 14 Core Drill 1.00 Is 282 - - 153 16 452 6 Trench Excav & Lay Pipe 4- 6' 115.00 If 1,129 352 - 0 31 1,512 12 Corporation Valve 1.25" 1.00 ea 282 357 255 - 16 911 10 Excavation & Backfill 1.00 ea 564 77 - - 641 10 Vault 1.00 as 0 15,402 - 0 - 15,402 12 Vault Install 1.00 ea 282 1,530 128 163 - 2,103 10 Site Restoration 1.00 Is 564 153 510 - - 1,227 SITEWORK 3,105 17,870 893 316 64 22,248 124.80 Labor hours 44.00 Equipment hours 11000.000 EQUIPMENT 100 BV 2.00 ea 92 - - - 92 EQUIPMENT 92 94 15000.000 MECHANICAL b 20 Pipe Support 1.00 Is 141 128 - - - 269 15 PVC Pipe Sch 80 126.00 LF 564 9,189 - - - 9,754 HYDRO Standard Estimate Report Page C 13 N S T R U C T 10 N FCWTF C102 System 312012013 11:54 AM Labor Material Item Description Takeoff Qty Amount Amount Amount MECHANICAL 706 9,317 40.00 Labor hours E ul ment Other �Total Name Amount Amount Amount 10,022 05 Plea Valley Vault 3,810 27,279 893 316 164.80 Labor hours 44.00 Equipment hours Estimate Totals _ — Descriotion__Amount._— Totals._.._Hours_.__Rate___—______Cost.Basis__Cost.oer_Unit_____ Percent.of_Total Labor 28.818 1.388,799 hrs 8.83% Material 153.553 47.05% Subcontract 85.026 26.05% Eauioment 10.231 444.000 hrs 3.13% Other 15.093 4 62% 292,721 292,721 89.69 Profit & Overhead 33,663 11.500 % T 10.31% Total 326,384 64 32,362 • WORK ORDER & NOTICE OF AWARD TO: Hydro Construction Company, Inc. W. O. No. H-WTF-2013-2 PURCHASE ORDER: 011 3 t a I TITLE: Chlorine Dioxide Feed System Replacement and Improvements ENGINEER: CH2M Hill OWNER'S REPRESENTATIVE: Kenneth Morrison NOTICE OF AWARD DATE OWNER: March 19, 2013 CITY OF FORT COLLINS 1. WORK. You are hereby notified that your bid dated March 18, 2013, for the above Work Order has been considered. Pursuant to your AGREEMENT with OWNER dated May 26, 2011, you have been isA. a Work Order for this Work Order Description: A. See Section 01100 — Summary of Work. 2. CONTRACT PRICE, BONDS, AND CERTIFICATES. The price of your Work Order is Three Hundred Twenty Six Thousand Three Hundred Eighty Four and No Cents ($326,384.00). Pursuant to the AGREEMENT and the Contract Documents, Performance and Payment Bonds and insurance are required.. - . - - . - 'j_. ,.I . 3. CONTRACT TIMES. Pursuant to the AGREEMENT and the Contract Documents, the date for Substantial Completion of this Work Order is June 28, 2013, and after Substantial Completion, the number of days for Final Payment and Acceptance is July 31, 2013. 4. LIQUIDATED DAMAGES. Liquidated damages will not be assessed. 5. EXECUTION. Three (3) copies of this proposed Work Order & Notice of Award, and accompanying amendments or supplements to the Contract Documents (except any applicable Drawings) incorporated herein, are provided. Four (4) sets of any applicable Drawings will be delivered separately or otherwise made available to you immediately. You must comply with the following conditions precedent within fifteen (fifteen) days of the date of this Notice of Award, that is, by April 9. 2013. A. You must deliver to OWNER three (3) fully -executed counterparts of this Work Order, including all amendments or supplements to the Contract Documents incorporated herein. Each Work Order must bear your signature as provided. •Chlorine Dioxide Feed System Replacement Work Order & Notice of Award And Improvements March 2013 00525-1 B. You must deliver with the executed Work Order the Contract Security (Bonds) and • insurance, as specified in the Agreement, Failure to comply with these conditions within the time specified will entitle OWNER to consider your Bid abandoned and to annul this Work Order & Notice of Award. Within ten (10) days after you comply with those conditions, OWNER will return to you one (1) fully -signed counterpart of this Work Order with any amendments or supplements to the Contract Documents attached. CONTRACTOR'S NOTICE OF AWARD REPRESENTATION & EXECUTION: CONTRACTOR agrees to perform the services identified above, in accordance with the terms and conditions contained herein and in the AGREEMENT dated May 26, 2011 and the NOTICE OF AWARD dated March 19, 2013, between the parties. In the event of a conflict between or ambiguity in the terms of the AGREEMENT or specific Work Orders, the AGREEMENT shall control. CONTRACTOR: Name: James E. Eurich OWNER'S ACCEPTANCE & EXECUTION: Date: 3�0� Title: VP/COO This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference and the attached Notice to Proceed is hereby given. �A a ACCEPTANCE: Date: Reviewed Kenpeth Morrls,Rn, Technic�LSeniices Supervisor Voytko, Water ProducWh Manager Approved By-� -_ \_�\ (--I Kevin Gert g, Water Res6urcels and Operations Manager a B. O'Neill II, CPPO, FNIGP r of Purchasing and Risk Management Chlorine Dioxide Feed System Replacement And Improvements March 2013 00525-2 ent Date: Date: 3 - 2 �C3 -13 Date: Work Order & Notice of Award •