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EXHIBIT "A"
WORK ORDER FORM d7-f S ff
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
Water Technology Group
Dated: 12/10/2013
Work Order Number:
Purchase Order Number:
Project Title: English Ranch Pump Repairs
Commencement Date: 111612013
.
Completion Date: 1 /28/2014
Maximum Fee: (time & reimbursable'direct costs): $13,903.25
Project Description: Rebuild English Ranch vertical turbine pump.
Scope of Services: Per quote 201
Acceptance
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:
DateDateJ" / d -.. �U/ d � )
CC: Purchasing
User
Director of Purchasing and Risk Management if
over $30,000
The attached forms consisting of_ U pages
are hereby accepted and incorporated herein by
this reference, and Notice to Proceed is hereby
given.
City of Fort Collins
By:
Date: 12/10/2013
7
EXHIBIT "A"
- WORK ORDER FORM
—•-- PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
Water Technology Group
Dated: 12/10/2013
Work Order Number:
Purchase Order Number
Project Title: Miramont Pump Repairs
Commencement Date: 11/6/2013
Completion Date: 1 /28/2014
Maximum Fee: (time & reimbursable direct costs): $9,878.40
Project Description: Rebuild English Ranch vertical turbine pump.
Scope of Services: Per quote 2013-2487
Acceptance
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 Provide/
By: A,
Date:
CC: Purchasing
User
Director of Purchasing and Risk Management if
over $30,000
The attached forms consisting of U pages
are hereby accepted and incorporated herein by
this reference, and Notice to Proceed is hereby
given.
City of Fort Collins
By:
Date: 12/10/2013