HomeMy WebLinkAboutCORRESPONDENCE - BID - 7658 MISCELLANEOUS CONCRETE ANNUAL (19)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: 5601B705-477A-4D14-B358-C219DEE4F48C
2
11/14/2018 12:55:59 PM PST
Demo to be done by others, removed from cost. Installation of 3,000 sf of 4" concrete cart path and base
in SE corner of Collindale Golf Course.
11/14/2018
3/1/2019
two
7/15/2014
7658 Misc Concrete
$17,144.45
Collindale Cart Path 2018
Doug Evans
11/15/2018 2:25:56 PM MST
Elliot Dale
Executive Vice President
Lightfield Enterprises, Inc.
11/15/2018 2:44:34 PM PST
Keith R Lightfield
DocuSign Envelope ID: 5601B705-477A-4D14-B358-C219DEE4F48C
DocuSign Envelope ID: 5601B705-477A-4D14-B358-C219DEE4F48C
DocuSign Envelope ID: 5601B705-477A-4D14-B358-C219DEE4F48C