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CORRESPONDENCE - RFP - 8073 ENGINEERING SERVICES FOR WATER, WASTEWATER & STORMWATER FACILITIES CAPITAL IMPROVEMENTS PROJECTS
Utilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND AYRES ASSOCIATES WORK ORDER NUMBER: SC-Edora-AYRES-8-2018 PROJECT TITLE: Spring Creek Rehab at Edora Park ORIGINAL BID/RFP NUMBER & NAME: 8073 Engineering Services For Future Water, Wastewater and Stormwater Facilities Capital Improvements MASTER AGREEMENT EFFECTIVE DATE: 5/15/15 ARCHITECT/ENGINEER: Ayres Associates OWNER’S REPRESENTATIVE: Jason Stutzman WORK ORDER COMMENCEMENT DATE: August 2018 WORK ORDER COMPLETION DATE: December 2018 MAXIMUM FEE: (time and reimbursable direct costs): $43,118 PROJECT DESCRIPTION/SCOPE OF SERVICES: See Attached 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 Master Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Master Agreement and this Work Order (including the attached forms) the Master Agreement shall control. The attached forms consisting of Three (3) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. SERVICE PROVIDER: Ayres Associates By: Date: Name: Title: DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D 9/10/2018 John Hunt Manager-River Engineering Utilities Work Order Form Official Purchasing Form Last updated 10/2017 OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. ACCEPTANCE: Date: Jason Stutzman, Project Manager REVIEWED: Date: Pat Johnson, Senior Buyer APPROVED AS TO FORM: Date: Cyril Vidergar, Asst City Attorney II (if greater than $1,000,000) ACCEPTANCE: Date: Owen Randall, Director ACCEPTANCE: Date: Theresa Connor, Deputy Director ACCEPTANCE: Date: Kevin Gertig, Utilities Executive Director (if greater than $1,000,000) ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) ACCEPTANCE: Date: Darin Atteberry, City Manager (if greater than $1,000,000) ATTEST: Date: City Clerk (if greater than $1,000,000) DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D 9/10/2018 N/A N/A N/A N/A N/A 9/10/2018 9/11/2018 9/11/2018 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D August 27, 2018 1 SPRING CREEK AT EPIC REHABILITATION CONSTRUCTION SUPPORT PROJECT OBJECTIVE: Ayres construction administration and resident engineering for the Spring Creek Rehabilitation Project Phase 1. GENERAL The following Scope of Services outlines the tasks required for Phase 1 of the construction the Spring Creek Rehabilitation project. 1 Task 1 – Construction Support 1.1 Progress meetings – Weekly progress meetings will be held on-site to discuss construction progress. A total of 8 weekly meetings and 2 pre-construction meetings are included in this scope. 1.2 Resident work - This task will include time to perform all resident duties during the construction phase. This task assumes 2 months of construction. Construction services provided by Ayres are expected to include more time in September and October. 1.3 Management and coordination – This task covers sub-consultant and internal management and coordination. 2 Alpine Eco – Alpine Nursery Sub 2.1 Construction support – Alpine Eco will provide construction support services as needed in relation to final grading and permit questions. 3 Task 3 – Aqua de Vita Sub 3.1 Construction support for WQ vault – Aqua de Vita (Chris Carlson) will provide construction support services related to the WQ vault install. SUMMARY OF PROJECT DELIVERABLES • Submittal review • Weekly construction documentation • Construction site photos DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D Estimated Fee - Phase 1 Task # Task Name Total By Task Direct Costs Sub- Consultant Total Labor Costs Senior Engineer Project Manager Project Engineer III 1 Fee Proposal Fee Hours 2 Project Name Spring Creek Construction Support - Phase 1 3 Project Manager Dusty Robinson 4 Client Contact Jason Stutzman 5 Ayres Staff John/Chris Dusty Matthew 6 Rates $170.00 $150.00 $145.00 7 Project Totals $43,118 $0 $6,173 $36,945 16 146 85 8 Task 1 Construction Support $37,118 $0 $173 $36,945 16 146 85 9 1.1 Progress meetings (8 + 2 pre-construction) $6,388 $58 $6,330 4 28 10 10 1.2 Resident work (2 months) $27,050 $115 $26,935 8 98 75 11 1.3 Management and coordination $3,680 $3,680 4 20 19 Task 2 Alpine Eco Sub $2,000 $0 $2,000 $0 0 0 0 20 2.1 Construction support $2,000 $2,000 $0 30 Task 3 Aqua de Vita Sub $4,000 $0 $4,000 $0 0 0 0 31 3.1 Construction support for WQ Vault $4,000 $4,000 $0 Exported on August 27, 2018 3:35:45 PM MDT DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED HIRED NON-OWNED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ VENDOR: AYRES Associates DATE ENTERED: REQ #: VENDOR #: FOR: ADDRESS: 3665 JFK Parkway, Bld #2, Suite 200 BID #: Fort Collins, CO 80525-3152 INSTRUCTIONS: PHONE #: (970) 223-5556 FAX #: VENDOR CONTACT Dustin Robinson Today's Date: September 6, 2018 Date Approved: Ship To: Date Denied: Date Required: asap QUANTITY DESCRIPTION TOTAL PRICE 1 $43,118.00 Total $43,118.00 Requested By: Reviewed By: Jason Stutzman, Project Manager Authorized By: Owen L. Randall, Director Theresa Connor Deputy Director, Utilities Resident Engineering Services - Phase 1 5040440034.521210.6 WO SC-Edora-AYRES-8-2018 CHARGE NUMBER CITY OF FORT COLLINS REQUISITION Spring Creek Stream Rehabilitation at Edora 7084 - Consulting Engineering Services for Water Utilities Capital Improvements DocuSign Envelope ID: C5E66978-2004-4627-8658-AC753F89EA4D 9/10/2018 9/11/2018 9/11/2018 $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 have ADDITIONAL INSURED provisions or 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12/19/2017 Arthur J. Gallagher Risk Management Services, Inc. 245 South Executive Drive, Suite 200 Brookfield WI 53005 AYRES ASSOCIATES INC 3433 Oakwood Hills Parkway Eau Claire, WI 54702-1509 Travelers Property Casualty Co of America The Travelers Indemnity Company of CT 25674 25682 Sharon Bannach 262-792-2214 262-792-1712 Sharon_Bannach@ajg.com AYREASS-02 1632906879 A P6302183P260TIA18 1/1/2018 1/1/2019 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 X X X X A X X X P8103790P125TIL18 1/1/2018 1/1/2019 1,000,000 A X X X 0 PSMCUP3790P149TIL18 1/1/2018 1/1/2019 7,000,000 7,000,000 B N UB9H943775018 1/1/2018 1/1/2019 X 1,000,000 1,000,000 1,000,000 EVIDENCE OF COVERAGE DocuSign Envelope ID: 175AA597-C5E66978-4B4A-2004-4627-459A-8658-AEFF-AC753F89EA4D 17EC1CF25196