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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8619 TRAFFIC SIGNAL POLE INSPECTION PROGRAMWork Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER FORM PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND CONSOR ENGINEERS, LLC WORK ORDER NUMBER: PROJECT TITLE: ORIGINAL BID/RFP NUMBER & NAME: BID NO. 8619 Traffic Signal Pole Inspection MASTER AGREEMENT EFFECTIVE DATE: 12/15/2017 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 an estimate ( ) 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: Britney Sorensen, Project Manager REVIEWED: Date: Elliot Dale, Senior Buyer ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) DocuSign Envelope ID: 3C02D49F-82DD-42EF-B952-2B0F40B663E9 Inspect Phase 3 traffic signal poles identified in the attached list. It is anticipated that Phase 3 will encompass 63 standard inspections, 9 NDT inspections and 1 structure with level 5 work area traffic control (lane closure). 2 Signal Pole Inspection Phase 3 7/1/2019 $26,285.00 8/30/2019 193724 6/28/2019 6/28/2019 6/29/2019 President Anticipated number of inspections to completed in phase 3 Standard inspections 63 $ 395.00 $ 24,885.00 Percentage anticipated to need NDT 15% 9 $ 30.00 $ 270.00 Percentage anticipated to need Traffic Control 10% 6 $ 75.00 $ 450.00 Percentage anticipated to need emergency NDT 1.50% 1 $ 680.00 $ 680.00 Phase 3 estimated total $ 26,285.00 Group Intersection Intersection ID Pole ID Corner Notes 1 Max & Pitkin 187 187C Southwest 1 Max & Pitkin 187 187D Northwest double arm 1 Max & Pitkin 187 187B2 Southeast 1 Max & Lake 188 188C Southwest 1 Max & Lake 188 188D Northwest double arm 1 Max & Lake 188 188B2 Southeast 2 Shields & Elizabeth 46 046A Northeast 2 Shields & Elizabeth 46 046B Southeast 2 Shields & Elizabeth 46 046C Southwest 2 Shields & Elizabeth 46 046D Northwest 2 Elizabeth HAWK 490 490A Northeast 2 Elizabeth HAWK 490 490B Southeast 2 Shields & Springfield 486 486A Northeast 2 Shields & Springfield 486 486D Northwest 2 Sherwood & Mulberry 489 489A Northeast 2 Sherwood & Laurel 473 473D Northwest 2 Shields & Drake 48 048A Northeast 2 Shields & Drake 48 048B Southeast 2 Shields & Drake 48 048C Southwest 2 Shields & Drake 48 048D Northwest 2 JFK & Horsetooth 103 103A Northeast 2 JFK & Horsetooth 103 103B Southeast 2 JFK & Horsetooth 103 103C Southwest 2 JFK & Horsetooth 103 103D Northwest 2 Lemay & San Cristo 479 479B Southeast 2 Lemay & Magnolia 145 145A Northeast 2 Lemay & Magnolia 145 145B Southeast 2 Lemay & Magnolia 145 145C Southwest 2 Lemay & Magnolia 145 145D Northwest 2 Lemay & Lory/Pitkin 487 487A Northeast 2 Lemay & Lory/Pitkin 487 487C Southwest 2 Brookwood & Drake 491 491A Northeast 2 Timberline & Horsetooth 95 095A Northeast 2 Timberline & Horsetooth 95 095B Southeast 2 Timberline & Horsetooth 95 095C Southwest 2 Timberline & Horsetooth 95 095D Northwest 2 Mason & Horsetooth 57 057A Northeast new pole 2018 2 Mason & Horsetooth 57 057C Southwest relocated 2019 2 Overland & Laporte 153 153A Northeast annexed 2019 2 Overland & Laporte 153 153B Southeast annexed 2019 2 Overland & Laporte 153 153C Southwest annexed 2019 2 Overland & Laporte 153 153D Northwest annexed 2019 2 Strauss Cabin & Harmony 190 190A Northeast 2 Strauss Cabin & Harmony 190 190B Southeast 2 Strauss Cabin & Harmony 190 190C Southwest 2 Strauss Cabin & Harmony 190 190D Northwest 2 Impala & Mulberry 193 193B Southeast 2 Impala & Mulberry 193 193C Southwest 2 Impala & Mulberry 193 193D Northwest 2 177 Laporte 930 930A Southeast sign post 2 Worthington & Drake 92 092D Northwest DocuSign Envelope ID: 3C02D49F-82DD-42EF-B952-2B0F40B663E9 2 Shields & Mountain 42 042A Northeast 2 Worthington & Drake 95 092A Northeast 2 Boardwalk & Westshore 416 416B Southeast 2 Lemay & Vine 127 127B Southeast 3 Taft Hill & CR 54G 135 135A Northeast 3 Taft Hill & CR 54G 135 135B Southeast 3 Taft Hill & CR 54G 135 135C Southwest 3 Taft Hill & CR 54G 135 135D Northwest 3 Overland & CR 54G 136 136A Northeast 3 Overland & CR 54G 136 136B Southeast 3 Overland & CR 54G 136 136C Southwest 3 Overland & CR 54G 136 136D Northwest DocuSign Envelope ID: 3C02D49F-82DD-42EF-B952-2B0F40B663E9