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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8475 CIVIL ENGINEERING PROFESSIONAL ON-CALL (7)Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER FORM PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND WORK ORDER NUMBER: PROJECT TITLE: ORIGINAL BID/RFP NUMBER & NAME: MASTER AGREEMENT EFFECTIVE DATE (Contract Signed): WORK ORDER COMMENCEMENT DATE: WORK ORDER COMPLETION DATE: MAXIMUM FEE: (time and reimbursable direct costs): PROJECT DESCRIPTION/SCOPE OF SERVICES: 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 ( ) page(s) 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: Date: , ACCEPTANCE: Date: , Project Manager REVIEWED: Date: , Buyer or Senior Buyer ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) DocuSign Envelope ID: C9790102-5527-47BA-9136-922F3D3588D3 11/1/2018 two $9,500 11/1/2018 6:43:00 AM PDT Jill Wuertz JUN-01-2017 Design for bridge replacement at S206 in Rolland Moore and Michener Bridge near Spring Creek Trail. See attached scope for further detail. 2 8475 CIVIL ENGINEERING PROFESSIONAL ON-CALL Bridge replacement design for S206 & Michener bridge 3/1/2018 11/1/2018 10:37:12 AM MDT Elliot Dale 11/1/2018 9:43:57 AM PDT Project Manager Interwest Consulting Group Mike Oberlander