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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICES (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 L.T. ENVIRONMENTAL WORK ORDER NUMBER: OXL Phase 2 - LTE PROJECT TITLE: Oxbow Levee Improvement Project ORIGINAL BID/RFP NUMBER & NAME: 8631 General Environmental Services MASTER AGREEMENT EFFECTIVE DATE: 2/28/18 ARCHITECT/ENGINEER: Anderson Consulting Engineers OWNER’S REPRESENTATIVE: Jason Stutzman WORK ORDER COMMENCEMENT DATE: January 21, 2019 WORK ORDER COMPLETION DATE: June 1, 2019 MAXIMUM FEE: (time and reimbursable direct costs): $14,135 PROJECT DESCRIPTION/SCOPE OF SERVICES: Environmental construction oversight during the completion of the Oxbow Levee Improvement Project 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 Five (5) 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: L.T. Environmental Inc. By: Date: Name: Title: DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD Chief Operating Officer 1/9/2019 John Peterson 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, Senior City Atty (if greater than $1,000,000) ACCEPTANCE: Date: Owen Randall, Director Engineering ACCEPTANCE: Date: Theresa Connor, Deputy Director, Utilities 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: D3E553CC-8AD2-4292-B931-896DD64444BD 1/9/2019 N/A N/A N/A 1/9/2019 N/A N/A 1/9/2019 1/13/2019 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD LT Environmental, Inc. 4600 West 60th Avenue Arvada, Colorado 80003 303.433.9788 January 3, 2019 Mr. Jason Stutzman, P.E. Stormwater Master Planning Engineer Fort Collins Utilities 700 Wood Street Fort Collins, Colorado RE: Proposal for Environmental Construction Oversight Oxbow Levee Improvement Project Between Linden Street and Lincoln Avenue Fort Collins, Colorado Dear Mr. Stutzman: LT Environmental, Inc (LTE) is pleased to present this proposal to the City of Fort Collins (City) for environmental construction oversight during the completion of the Oxbow Levee Improvement Project located north of the Poudre River between Linden Street and Lincoln Avenue in Fort Collins, Colorado (Site). The scope of services will include initial training for onsite construction staff prior to the start of the project and as needed environmental construction oversight to comply with the conditions of approval as outlined in the beneficial use determination (BUD) issued by the Colorado Department of Public Health and Environment (CDPHE) on January 2, 2019. LTE appreciates the opportunity to provide the City with this proposal and looks forward to working with you on this project. If you have any questions or comments, feel free to contact the undersigned at 303-962-5542 or ntalocco@ltenv.com. Sincerely, LT ENVIRONMENTAL, INC. Nick Talocco Senior Engineer Attachments: Attachment 1 – Scope of Work and Cost Estimate DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD ATTACHMENT 1: SCOPE FIGURES OF WORK AND COST ESTIMATE DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD SCOPE OF WORK Task 1 – Environmental Constrcution Oversight LTE is proposing to provide environmental construction oversight for the project. LTE is proposing to perform the following in relation to Task 1: 1. LTE will provide 2-hour awareness training and site-specific training to the contractor and subcontractor staff during one training class. The training will be completed at Connell Resource Office in Fort Collins, Colorado; 2. As requested by the City provide through visual inspection during excavation of non- native fill material to ensure that the excavated material does not contain additional environmental contaminates beyond those approved for reuse under the BUD; 3. Verify that the non-native fill material is placed, at a minimum of three feet above the seasonally high groundwater table at the North Lemay Avenue project; 4. Verify the non-native fill material is placed as confined geotechnical backfill at the North Lemay Avenue project and properly covered with 6-inches of clean soil and stabilized; 5. Verify the proposed beneficial use meets all other local, state and federal requirements; 6. Collect samples of suspect building materials that may be considered regulated asbestos containing soil (RACS), or of impacted fill/soil material not previously characterized and differing from non-native fill approved for reuse under the BUD. Task 2 – Summary Report LTE will supply a summary report at the completion of the project. The summary report will include field notes documenting total non-native fill material excavated and transported to the North Lemay Avenue project, and maps illustrating the location the material is placed. It will also include photos documenting the non-native fill was properly covered and stabilized. The summary report will include laboratory analytical results related to samples collected, and waste manifest as needed, documenting proper disposal of RACS or impacted fill/soil that was not previously characterized as non-native fill approved for reuse, if encountered. COST ESTIMATE AND ASSUMPTIONS LTE has developed a time and materials estimate of $14,135.00 for the scope of work above. Table 1 provides a detailed breakdown of the cost estimate. LTE will only bill the City for time and other direct cost used on the project. The cost estimate is based on the following assumptions: DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD • LTE will collect up to 10 samples of suspect building materials which may contain asbestos and be classified as RACS, samples will be submitted to the laboratory on a 2-hour turnaround; • LTE will collect up to three samples of observed impacted fill/soil that may require proper disposal at an offsite facility. All samples will be submitted on 72-hour turnaround; • LTE will be onsite no more than 100 hours to provide oversight; • LTE will not need to collect any groundwater samples as part of this work; and • The City will obtain all permits for completion of the project this includes stormwater and construction dewatering. DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD ESTIMATED COST TABLE CITY OF FORT COLLINS LABOR PRINCIPAL PROJECT STAFF STAFF STAFF CADD/ CLERICAL SCI/ENG II SCI/ENG I SCI/ENG II SCI/ENG IIIDRAFTING TASK 1 - ENVIRONMENTAL CONSTRUCTION OVERSIGHT 3 24 100 2.5 TASK 2 - SUMMARY REPORT 0.5 2 2 12 4 2 0.5 TOTAL HOURS 3 0 24 0 100 0 2.5 RATE ($) $143.00 $102.00 $95.00 $85.00 $73.00 $70.00 $56.00 LABOR COST $429.00 $0.00 $2,280.00 $0.00 $7,300.00 $0.00 $140.00 LABOR SUBTOTAL: $10,149 OTHER DIRECT COSTS TASK 1 - ENVIRONMENTAL CONSTRUCTION OVERSIGHT QUANTITY UNIT UNIT PRICEUNIT FEE COST Laboratory Analytical Asbestos Bulk Samples - PLM Analysis 10 SAMPLE $18.00 $1.80 $198.00 VOCs by EPA Method 8260 3 SAMPLE $122.50 $12.25 $404.25 SVOCs by EPA Method 8270SIM 3 SAMPLE $192.50 $19.25 $635.25 RCRA 8 Metals by EPA 6010 3 SAMPLE $96.25 $9.63 $317.63 TCLP 1 SAMPLE $96.25 $9.63 $105.88 Vehicle 13 EACH $110.00 $1,430.00 PID 12 EACH $65.00 $780.00 Misc. Field Supplies 5 EACH $23.00 $115.00 TASK 1 ODC SUBTOTAL: $3,986 TOTAL ESTIMATED COST: $14,135 TABLE 1 ENVIRONMENTAL CONSTRUCTION OVERSIGHT FORT COLLINS, COLORADO OXBOW LEVEE IMPROVEMENT PROJECT DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD 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: D3E553CC-8AD2-4292-B931-896DD64444BD VENDOR: LT Environmental DATE ENTERED: REQ #: VENDOR #: FOR: ADDRESS: 4600 West 60th Avenue BID #: Arvada, Colorado 80003 INSTRUCTIONS: PHONE #: 303.433.9788 FAX #: VENDOR CONTACT: Nick Talocco Today's Date: January 8, 2019 Date Approved: Ship To: Date Denied: Date Required: asap QUANTITY DESCRIPTION TOTAL PRICE 1 $14,135.00 Total $14,135.00 Requested By: Reviewed By: Jason Stutzman, Project Manager Authorized By: Owen L. Randall, Chief Engineer Jon Haukaas, Manager, Water Engineering & Field Operations Construction Oversite and Environmental Administration 5040440012.563040.6 P.O. # CHARGE NUMBER CITY OF FORT COLLINS REQUISITION Oxbow Levee Improvement Project 8047 ‐ ENVIRONMENTAL SERVICES DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD 1/9/2019 1/9/2019 1/13/2019 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? SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: LT Environmental, Inc. $75,000 Limit; $1,000 Deductible Eff Date: 07/01/18-07/01/19 Insurer B: See Above Leased & Rented Equipment Coverage: Policy #QT6604598789 $10,000 Deductible $1,000,000 Per Claim Limit; $2,000,000 Aggregate Limit Eff Date: 07/01/18-07/01/19 Insurer A: See Above Fungus/Spore/Mold Liability Coverage: Policy #SP003432012018 07/02/2018 DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD (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 E D IMA, Inc. - Colorado Division X 2,000,000 07/01/19 07/01/19 X C 07/01/19 07/01/19 07/01/19 1,000,000 WC463252008 - OS 4023969 - CO 1,000,000 LT Environmental, Inc. SP003432012018 4600 West 60th Ave. pollution, professional liability, automobile liability and employers liability policies. written contract or agreement subject to the policy terms and conditions. The umbrella policy is excess of the general, City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by 16535 41190 21199 25674 X 07/01/18 26620 X Denver, CO 80202 X X 1,000,000 X francine Professional Ded. $ 53306845 53306845 Aggregate $ Limit $ 5,000,000 1,000,000 1-303-534-4567 Arvada, CO 80003 X A 100,000 Fort Collins, CO 80522 07/02/2018 Suite 100 07/01/18 1705 17th Street USA 07/01/18 1,000,000 07/01/18 07/01/18 ZURICH AMER INS CO(Pinnacol) PINNACOL ASSUR ARCH SPECIALTY INS CO TRAVELERS PROP CAS CO OF AMER AXIS SURPLUS INS CO(Bonding & Ins Spec) denaccounttechs@imacorp.com 07/01/18 N A City of Fort Collins 25,000 2,000,000 1,000,000 5,000 $10,000 Pollution Deductible Professional Liability 07/01/19 Contractors Pollution & 8103A906345 BI/PD Ded: $25,000 1,000,000 X 2,000,000 B PO Box 580 215 N. Mason Street, 2nd Floor 12EMX4381711 5,000,000 SP003432012018 DocuSign Envelope ID: D3E553CC-8AD2-4292-B931-896DD64444BD