HomeMy WebLinkAboutWORK ORDER - BID - 7658 MISCELLANEOUS CONCRETE ANNUAL (20)EXHIBIT "A"
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
Banner Concrete
Dated: 223/2015
Work Order Number:
Purchase Order Number"
Project Title: English Ranch - concrete repair work
Commencement Date: 224/2015
Completion Date: 12/L2014
Maximum Fee: (time 3c reimbursable direct costs): $35,t344.00
17/s
1
Project Description: repair concrete under shade structure, repair broken walkway on north side of
park. expand width of walkway on south side of park
Scope of Services: see scope dated J1712015
Acceptance
User
Service Provider agrees to perform the services
identified above and on the attached forms in
accordance with the tams 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.
Servi.,
ce Provides
By:
Date: 031OZ/ZC-I
CC: Purchasing
Director of Purchasing and Risk Management if
over $30,000
The attached forts consisting of _ U pages
are hereby accepted and incorporated herein by
this reference, and Notice to Proceed is hereby
given.
City of Fort Collins
Date: