HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATER, AND STORMWATER FACILITIES CAPITAL IMPROVEMENTSUtilities Work Order Form Official Purchasing Form
Last updated 10/2017
WORK ORDER
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
BT CONSTRUCTION, INC
WORK ORDER NUMBER: UBT-2019-01
PROJECT TITLE: U2900 Blk Moore Lane WWMR
ORIGINAL BID/RFP NUMBER & NAME: U8106 – Utility Infrastructure Construction
Services for Water, Wastewater, and
Stormwater Facilities CIP
MASTER AGREEMENT EFFECTIVE DATE: UAugust 17, 2015
ARCHITECT/ENGINEER: UNA
OWNER’S REPRESENTATIVE: UAndrew Gingerich
WORK ORDER COMMENCEMENT DATE: UApril 4, 2019
WORK ORDER COMPLETION DATE: UApril 26, 2019
MAXIMUM FEE: (time and reimbursable direct costs): U$97,893.97
PROJECT DESCRIPTION/SCOPE OF SERVICES: UInstall 100 LF of 16" Steel Casing under
Spring Creek via auger bore methods. Remove and replace 140 LF of 8" Sanitary Sewer Pipe
and connect to existing. See 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 six (6) pages are hereby accepted and incorporated herein, by
U U
this reference, and Notice to Proceed is hereby given after all parties have signed this document.
SERVICE PROVIDER: BT Construction, Inc.
By: Date:
Name: Title:
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John Beckos
April 4, 2019
Project Manager
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:
Andrew Gingerich, Director – Water Field Operations
REVIEWED: Date:
Pat Johnson, Senior Buyer
APPROVED AS TO FORM: Date:
Name,City Attorney's Title
(if greater than $1,000,000)
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)
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April 4, 2019
April 4, 2019
April 4, 2019
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER COST & SCOPE OF SERVICES
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Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
WORK ORDER SCHEDULE OF SERVICES
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3-Apr 4-Apr 5-Apr 8-Apr 9-Apr 10-Apr 11-Apr 12-Apr 15-Apr 16-Apr 17-Apr 18-Apr 19-Apr
Mobilization
Setup
Boring
Pipe Install
Connect to Existing
Site Remediation (if needed)
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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.
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