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CORRESPONDENCE - RFP - 8821 INDEPENDENT COST ESTIMATING SERVICES
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 CAPSTONE, INC WORK ORDER NUMBER: USCP-ABCPICE-022219 PROJECT TITLE: UAB Water Line Cathodic Protection Project ORIGINAL BID/RFP NUMBER & NAME: U8821, Independent Cost Estimating MASTER AGREEMENT EFFECTIVE DATE: UFebruary 1, 2019 ARCHITECT/ENGINEER: UNA OWNER’S REPRESENTATIVE: USue Paquette WORK ORDER COMMENCEMENT DATE: UMarch 1, 2019 WORK ORDER COMPLETION DATE: UMay 31, 2019 MAXIMUM FEE: (time and reimbursable direct costs): U$9,089.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UIndependent cost estimate for the Anheuser Busch Water Line Cathodic Protection Project. 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 UThreeU (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: Capstone, Inc. By: Date: Name: Title: Page 1 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D February 26, 2019 Frank Humbert Vice President 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: Sue Paquette, 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, Director – Civil Engineering ACCEPTANCE: Date: Andrew Gingerich, Director – Water Field Operations ACCEPTANCE: Date: Theresa Connor, Deputy Director – Water Engineering & Field Services 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 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D February 26, 2019 February 26, 2019 February 27, 2019 February 28, 2019 February 28, 2019 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER COST & SCOPE OF SERVICES Page 3 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D 11001 West 120th Avenue, Suite 220 Broomfield, Colorado 80021 tel: 720.887.9191 or 800.788.8544 fax: 720.887.9292 web: www.capstone.com February 22, 2019 Ms. Sue Paquette Project Manager City of Fort Collins Utilities 700 Wood Street P.O. Box 580 Fort Collins, CO 80522-0580 spaquette@fcgov.com Re: Proposal for Independent Cost Estimating Services – AB Line Rectifiers Project. Dear Ms. Paquette, Per your request, the following is our estimated fee for the development of an independent cost estimate for the above referenced project. The estimated fee is based on the information provided by the City of Fort Collins Utility group and the 90% design drawings / specifications package prepared by HDR dated January 23, 2019. Pre-Estimate Orientation Meeting: Staff Description Estimated Hours Rate Estimated Fee Project Manager 2.0 $128.00 $256 Project Manager Travel Time (Rate x 80%) 2.0 $102.40 $205 Sr. Estimator 2.0 $120.00 $240 Sr. Estimator Travel Time (Rate x 80%) 2.0 $96.00 $192 Sr. Electrical / I&C Estimator 0.0 $120.00 $0 Sr. Electrical / I&C Estimator Travel Time (Rate x 80%) 0.0 $96.00 $0 Travel Mileage 160 $0.58 $93 Subtotal - Pre-Estimate Orientation Meeting = $986 Cost Estimate Preparation: Staff Description Estimated Hours Rate Estimated Fee Project Manager 6.0 $128.00 $768 Sr. Estimator 26.0 $120.00 $3,120 Sr. Electrical / I&C Estimator - Kevin Doherty 22.0 $120.00 $2,640 Subtotal - Cost Estimate Preparation = $6,528 Page 4 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D 2 11001 West 120th Avenue, Suite 220 Broomfield, Colorado 80021 tel: 720.887.9191 or 800.788.8544 fax: 720.887.9292 web: www.capstone.com Capstone anticipates completing and submitting the estimate on March 18, 2019 with a review and reconciliation meeting being held on March 27, 2019. Please contact me if you have any questions or require any additional information. Thank you for the opportunity to support your project. Sincerely, Frank Humbert VP / Sr. Project Manager Estimate Review & Reconciliation Meeting: Staff Description Estimated Hours Rate Estimated Fee Project Manager 3.0 $128.00 $384 Project Manager Travel Time (Rate x 80%) 2.0 $102.40 $205 Sr. Estimator 3.0 $120.00 $360 Sr. Estimator Travel Time (Rate x 80%) 2.0 $96.00 $192 Sr. Electrical / I&C Estimator 2.0 $120.00 $240 Sr. Electrical / I&C Estimator Travel Time (Rate x 80%) 1.0 $96.00 $96 Travel Mileage 170 $0.58 $99 Subtotal - Estimate Review & Reconciliation Meeting = $1,575 Total Not-to-Exceed Fee = $9,089 Page 5 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER SCHEDULE DETAIL Page 6 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D March April May June July Project Notice to Proceed Project Construction Project Substantial Completion Project Final Acceptance Schedule for Independent Cost Estimate for AB Water Line Cathodic Protection Project Page 7 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D 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 8 of 8 DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D 1/10/2019 Taggart and Associates, Inc 1680 38th Street, Suite 110 P. O. Box 147 Boulder CO 80306 Ellie Jeffers (303)442-1484 (303)442-8822 elliej@taggartinsurance.com Capstone, Inc. 11001 W. 120th Ave, Suite 220 Broomfield CO 80021 Liberty Mutual Insurance Company 19-20 Master A X X X X BZS57655994 1/6/2019 1/6/2020 1,000,000 1,000,000 15,000 2,000,000 2,000,000 A X X BZS57655994 1/6/2019 1/6/2020 Hired and Non-Owned 1,000,000 A X X X 10,000 USO57655994 1/6/2019 1/6/2020 8,000,000 8,000,000 A XWS57655994 1/6/2019 1/6/2020 1,000,000 1,000,000 1,000,000 Errors & Omissions 03067192 06/02/2018 06/02/2019 Aggregate $5,000,000 Each Claim $5,000,000 City of Fort Collins is included as additional insured in respect to the General liaiblity. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 Ellie Jeffers/AHS The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC PRO- POLICY 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 ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 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. INS025 (201401) DocuSign Envelope ID: 18684BCE-C08B-4DD3-AE79-B06C51D3334D