HomeMy WebLinkAboutWORK ORDER - BID - 7658 MISCELLANEOUS CONCRETE ANNUAL (16)EXHIBIT A
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
Banner Concrete LLC.
DATED: 8/19/14
Work Order Number -
Purchase Order Number.
Project Title: 7858 Miscellaneous Concrete Annual
Commencement Date:
Completion Date: !-Z / 51- 1[ 4f
Maximum Fee: (time and reimbursable direct costs):
Project Description: Correct drainage hazard at the Nix Maintenance Shop. Asphalt has settled and
collects water, creating slip hazards.
Scope of Services:
• Sawcut around replacement area
• Demolition 8' asphalt
Excavation T
Compacted crushed concrete road base
8' paving 48 hr concrete
Asphalt Patch
Professional agrees to perform the services
Identified above and on the attached fortes in
accordance with the terms and conditions
contained herein and in the Professional Services
Agreement between the parties. In the event of a
conflict between or ambiguity in the terms of the
Professional Services Agreement and this work
order pncluding the attached fortes) the
Professional Services Agreement shall control.
The attached fortes consisting of _ f 1
pages are hereby accepted and incorporated
herein, by this reference, and Notice to Proceed is
hereby given.
Professional
By:
Date: // 5 Le-/
City of Fort Collins
Byl
Project Manager
Date: 8 /��t'���
By:
Gerry Paul
Director of Purchasing and Risk Management
(over $80,000.00)
Date:
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.Kii
��:EL?;5.'"i¢0!'S',
I Bill To I
City of tort Collins
715 Peterson Street
Fort Collins, CO 80524
bannerconcreteQgmail.com
Accounting:970-219-1026
Invoice
Date Invoice
#
12/3/2014 1301
P.O, No.
Terms
Quantity
Description
Rate
Amount
CITY NATURAL AREAS
106
Sawcut concmtdasphalt 6"0" per If
5.50
583.00
980
Remove asphalt-6" per sq R
3.25
2,860.00
880
Crosspan-8" per square foot
5.00
4,400.00
9.6
Excovation-Gencml lass than 50 cu yd
90.00
774.00
10
Aggmgatc base course/Recycled bast>5 tons
35.00
350.00
106
Asphalt pavement preservation per If
4.00
424.00
17.5
Expansion and caulking per If
5.25
91.88
NATURAL AREAS DEPARTMENT
P.O.# DATE
VENDOR#
OV# BATCH#
PV# BATCH#
CHARGE#_2951aR•431��0 �Ip
F;6e.�'b AAb at� fwd Bch
Total S9A82.88
ICI
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