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HomeMy WebLinkAboutWORK ORDER - RFP - 7637 GENERAL CONTRACTOR FOR FIRE STATION EXPANSION & RENOVATION PROJECTS (2)gIy(lq7S/ EXHIBIT "A" WORK ORDER FORM PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS ACTING AS AGENT FOR POUDRE FIRE AUTHORITY AND BRINKMAN CONSTRUCTION DATED: July 15, 2014 Work Order Number: Station 5-2014-1 Poudre Fire Authority Board Resolution Number. 14-9 Project Title: Station 5- EPDM over Metal Roof Commencement Date: August 26, 2014 Completion Date: November30, 2014 Maximum Fee: (time and reimbursable direct costs): $83,882.40 Purchase Order # Project Description: Furnish and install white EPDM membrane roof over existing metal roof. Frame and sheath parapet and furring at east low metal to shingle roof transition to correct existing leak problem. As defined in the attached proposal from Brinkman Construction dated August 20, 2614, project name Station 5- White EPDM over Metal Re -Roof. 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 On By:Date:�•'ji�0• Zp�— The attached forms consisting of two (1) page are hereby accepted and incorporated herein by this reference, and Notice to Proceed is hereby given. 412001 cceptance Poudre Fire Autho ty Date: S RI N KMAN Poudre Fire Authority -Work Order Proposal OON STRIrGTrON 4 PROJECT NAME: Station 5 - White EPDM Over Metal Re -Roof WORK ORDER 11: ST4T/OAl 'S- Z n / 4 PROJECT ADDRESS: 4615 Hogan Drive Fort Collins, CO Date: 8.20.14 HA O REQ ESTIDESCRIPT Furnish and Install fully adhered Carilsle .060 White EPDM membrane roof over existing metal roof complete with associated sheet metal & gutters/downspouts per attached Front Range Roofing Systems proposal and scope of work dated 8.19.14. Cost includes wood framing/sheathing & EPDM parapet & furring at east low metal to shingle roof transition to cored existing leak problem. COST BREAK00 N I :. - � S. -.. _ SUBCONTRACTOR . .. .... SCOPE AQUANTITYLL &-,E =. CM L'a4c`31 0K%!X1 ron ange rg EPOM Roofl '& Sheet Metal Front RangeRmfi Upgrade for White EPDM 1 LS $ 3.890.00 $ 0. BCI 2x4x10 wood framingmaterial 14 EA $ '5.00 $ 70.00 "BCI lWx4x8 aheaMl material 14 ' FJr $ 25.00 3 .o0 BCI .Small tools �.faatenara&nails material 1 LS $ 100.00'$... 100.00, act Ca ter labor - 16 HRS $ 45.00 $ 720.00 Air Comfort Extend 2 bathroom exhaust fans throh roof 1 - LS _ $ 600.00 S-. - - 600.00 BCI Senior Superintendent 25 HRS $ 80.00 $ - 2,000.00 BCI Senior P eG Manager 5 HRS 80.00 E - 400.00 BCI Project Coordinator 2 HRS $ 45.00 $ 80.00 BCI Project Accountant .2 HRS $ 50.00 $ 100.00 BCI '- Safety1 HRS $ 250.00. $ 250.00 ' Gallegos Portable tdlet 2 WKS $ 120.00 $ - 240.00 City of Fort Collins Permit Alkmvar cat 1 LS '_ $ 100000 $ 1000.00 Air ComforVG Raise la vent fan 1 LS $ 750.00 750.00 $ $ a Exclusions: Storm piping Improvements at downspout drainage problem SUBTOTAL COSTS $ 75,085.00 Contingency —50-OV-1 $ 3,754.25 INSURANCE —08-5%--71 $ 670.13 CONTACTOR OH&PF__5_5_%__j $ 4.373.02 'nCHANG „-..---E-REQUESTJOT._..._AI? ; "e„Trt?i83'8g2:40fi sS_.as S� CHEDUI: EstImated Duration: 2 weeks Lead time & materiel procurement 2 to 3 weeks Poudre Date: Date: 4 DocuSign Envelope ID: 3934D3DA-5E4B-4DBE-8381-A264DBB4A9DB BRIC03 IACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(M7/1a/o1a2014YYY) 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 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 Flood & Peterson Ins., Inc. P. O. BOX 578 NAMNTACT E, Sandy SchiffernS PHONE g70 266.7107 FAX 970 506-6845 (A/C No Ertl: AIC, No EMAIL ADDRESS: L% P sschifferns@(�flood eterson.com Greeley, CO 80632 970 356-0123 .. INSURER(S)AFFORDING COVERAGE NAICp INSURER A: The Cincinnati Insurance Compan INSURED Brinkman Construction, Inc. 3003 E. Harmony, Suite 300 Fort Collins, CO 80526 INSURER B: Starr Technical Rick Insurance INSURER CPinnacolAssurance INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. INSLTRR TYPE OF INSURANCE ADDLSUBR MD POLICY NUMBER POLICY EFF MMOD POLICY EXP MM/DDTYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEER OCCUR X PDDed:2,500 CPP0191182 2/17/201402117/201 EACH OCCURRENCE $1000000 PREMISES EaEONccru ence s300000 MED EXP (Pny ane person) $5,000 PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:_..., POLICY PRO LOC ECT PRODUCTS-COMPIOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY_ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSAMAGEBODILY HIRED AUTO$ X NON-0WNED AUTOS CPP0191182 2117/2014 02/1712015 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY(Per person) $ R INJURY (Per acaccident)daccident)$ PROPERTY D Peraoddent $ $ B X1 UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 1000020715 0211712014 02117/2015 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 DED I X RETENTION$0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y I N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If as, rib s, desce under DESCRIPTION OF OPERATIONS below NIA 4093547 0610112014 06/01/201 WC STATU- OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Fort Collins and Poudre Fire Authority, their officers, agents and employees are included as Additional Insured on general liability and auto liability as required by written contract with respects to liability arising out of work performed by the named insured. Cityof Fort Collins and Poudre SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fire Authority ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S913400IM894670 MZS