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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER & WASTEWATER TREATMENT FACILITIES (2)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
HYDRO CONSTRUCTION, INC.
WORK ORDER NUMBER: UH-WRF-2018-29
PROJECT TITLE: UNPT Blower Building HVAC Replacement
ORIGINAL BID/RFP NUMBER & NAME: U8286, Construction Contractor for Projects
at the Water and Wastewater Treatment
Facilities
MASTER AGREEMENT EFFECTIVE DATE: UJune 20, 2016
ARCHITECT/ENGINEER: UNA
OWNER’S REPRESENTATIVE: UChristina Schroeder
WORK ORDER COMMENCEMENT DATE: UNovember 16, 2018
WORK ORDER COMPLETION DATE: UFebruary 22, 2019
MAXIMUM FEE: (time and reimbursable direct costs): U$8,515.00
PROJECT DESCRIPTION/SCOPE OF SERVICES: UDesign support associated with
development of NPT Blower Building HVAC Replacement. See the attached supporting
documentation.
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 UfourU (4) 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: Hydro Construction, Inc.
By: Date:
Name: Title:
Page 1 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
John Podeyn Project Manager
November 19, 2018
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:
Christina Schroeder, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
APPROVED AS TO FORM: Date:
Name,City Attorney's Title
(if greater than $1,000,000)
ACCEPTANCE: Date:
Owen Randall, Civil Engineering Director
ACCEPTANCE: Date:
Jason Graham, Plant Operations Director
ACCEPTANCE: Date:
Carol Webb, Utilities 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)
Page 2 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
November 13, 2018
November 13, 2018
November 21, 2018
November 23, 2018
November 26, 2018
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE/COST OF SERVICES
Page 3 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
Hydro Construction Company, Inc. DWRF - NPT Blower HVAC Design Page 1
Pre-construction/Design Services Estimate 10/24/2018 5:12 PM
Page 4 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
Hydro Construction Company, Inc. DWRF - NPT Blower HVAC Design Page 2
Pre-construction/Design Services Estimate 10/24/2018 5:12 PM
Item Description Takeoff Qty
Labor
Amount
Material
Amount
Subcontract
Amount Name
Equipment
Amount
Other
Amount
Total
Amount
1000.000 GENERAL CONDITIONS
1100.100 Project Management
14 Coordination Meetings 6.00 ea 2,484 - 1,272 0 - 3,756
14 Cost Estimating 1.00 ls 2,415 - 1,500 0 - 3,915
Project Management 4,899 2,772 7,671
GENERAL CONDITIONS 4,899 0 2,772 0 0 7,671
Page 5 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
Hydro Construction Company, Inc. DWRF - NPT Blower HVAC Design Page 3
Pre-construction/Design Services Estimate 10/24/2018 5:12 PM
Estimate Totals
Description Amount Totals Rate Cost Basis Percent of Total
Labor 4,899 57.53%
Material
Subcontract 2,772 32.55%
Equipment
Other
7,671 7,671 90.09 90.09%
Profit & Overhead 844 11.000 % T 9.91%
844 8,515 9.91 100.00%
Total 8,515
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DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
WORK ORDER SCHEDULE DETAIL
Page 7 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
Oct-18 Nov-18 Dec-18 Jan-19 Feb-19
Design Meetings
Design Development
Procurement
Key Dates: Commencement Date: 11/16/2018 Completion Date: 02/22/2019
NPT Blower Building HVAC Replacement Hydro Design Services
Project Schedule
SCHEDULE
Page 8 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
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.
Page 9 of 9
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838
11/19/2018
Flood and Peterson
PO Box 578
Greeley CO 80632
Dana Stewart, CIC, CISR
(970) 266-7149 (970) 506-6845
DStewart@floodpeterson.com
Hydro Construction Company Inc.
77 NW Frontage Road
Fort Collins CO 80524
Phoenix Insurance Company 25623
Travelers Indemnity Company 25658
Travelers Property Casualty Company of America 25674
Pinnacol Assurance 41190
GL/AU/XS/WC x4/19
A Y DT-CO-8G990899-PHX-18 04/01/2018 04/01/2019
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
B Y DT-810-8G990899-IND-18 04/01/2018 04/01/2019
1,000,000
C
10,000
Y CUP-2J40080A-18-26 04/01/2018 04/01/2019
10,000,000
10,000,000
D Y 2091550 04/01/2018 04/01/2019
1,000,000
1,000,000
1,000,000
Project #: 19-01-555
Owner #: H-WRF-20118-29
DWRF - NPT Blower HVAC Design
City of Fort Collins is included as Additional Insured on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement
and with respect to work performed by Insured subject to the policy terms and conditions.
City of Fort Collins
700 Wood Street
Fort Collins CO 80521-1945
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
PROPERTY DAMAGE $
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS
NON-OWNED
OWNED SCHEDULED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
(MM/DD/YYYY) LIMITS
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
LTR TYPE OF INSURANCE POLICY NUMBER
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $
AGGREGATE $
$
OCCUR
CLAIMS-MADE
DED RETENTION $
PRODUCTS - COMP/OP AGG $
GENERAL AGGREGATE $
PERSONAL & ADV INJURY $
MED EXP (Any one person) $
EACH OCCURRENCE $
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
DocuSign Envelope ID: C8C46D24-F1E6-40DA-99E7-9631682E9838