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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191304Utilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND AYRES ASSOCIATES SC@Edora Post Construction Closeout and Monitoring Spring Creek Rehab at Edora Park WORK ORDER NUMBER: PROJECT TITLE: ORIGINAL BID/RFPNUMBER & NAME: 8073 Engineering Services For Future Water, Wastewater and Stormwater Facilities Capital Improvements MASTER AGREEMENT EFFECTIVE DATE: 5/15/2015 ARCHITECT/ENGINEER: Ayres Associates OWNER’S REPRESENTATIVE: Jason Stutzman WORK ORDER COMMENCEMENT DATE: July 15,2019 WORK ORDER COMPLETION DATE: September 30, 2019 MAXIMUM FEE: (time and reimbursable direct costs): 41,102 PROJECT DESCRIPTION/SCOPE OF SERVICES: See attached 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 Three (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: Ayres Associates By: Date: Name: Title: DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 John Hunt Manager-River Engineering 7/22/2019 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, Asst City Attorney II (if greater than $1,000,000) ACCEPTANCE: Date: Matt Fater, Director of Engineering ACCEPTANCE: Date: Theresa Connor, 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) DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 7/22/2019 N/A 7/23/2019 N/A N/A N/A N/A N/A 7/23/2019 7/23/2019 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 June 24, 2019 1 SPRING CREEK AT EPIC REHABILITATION REVEGETATION AND MONITORING PROJECT OBJECTIVE: Ayres support with construction close-out, and monitoring. GENERAL The following Scope of Services outlines the tasks required for the assistance with the completion of construction, and monitoring of the Spring Creek Rehabilitation project. 1 Task 1 – Construction and Revegetation Support 1.1 Progress meetings – The construction time frame was extended due to delays in the Riverside bridge project and several weather delays. Additional meetings are required to finish construction and revegetation of the site. Includes 10 total meetings, including 5 already completed. 1.2 Management and coordination – This task covers internal management and coordination. 1.3 Monitoring – This task covers occasional site visits during the first summer to check on revegetation progress, how the site handles summer flows, and any potential maintenance issues requiring attention. Time is included to document weed conditions and map areas requiring spraying. 1.4 Construction documentation – This task covers organizing and delivering construction related documents to the City, including photos, videos, site diary pdfs, submittals, meeting minutes, schedule pdfs, and a lesson learned memo. This task also includes consolidating all plan and exhibits developed during construction. Ayres will also create an as-built marked up plan set noting deviations from the original drawings. SUMMARY OF PROJECT DELIVERABLES • Observation photos/videos • Construction support documents • Consolidated plan set • As-built plan set • Weed treatment maps DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 Spring Creek Post-Construction Monitoring - Plan Task # Task Name Total Direct Costs Sub- Consultant Total Labor Costs Project Manager Engineer III Project Engineer Admin 1 Project Plan Fee Hours 2 Project Name Spring Creek Post- Construction Monitoring 3 Project Manager Dusty Robinson 4 Client Contact Jason Stutzman 5 Rates $175.00 $150.00 $97.00 $75.00 6 Project Totals $41,102 $184 $2,000 $38,918 148 24 94 4 7 Task 1 Construction and Revegetation Support $41,102 $184 $2,000 $38,918 148 24 94 4 8 1.1 Progress Meetings (10) $9,800 $80 $9,720 50 10 9 1.2 Management and coordination $2,750 $2,750 14 4 10 1.3 Monitoring $13,996 $104 $2,000 $11,892 48 36 11 1.4 Construction documentation $14,556 $14,556 36 24 48 Exported on June 24, 2019 11:02:19 AM MDT Page 1 of 1 DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 Spring Creek Post-Construction Monitoring - Plan Exported on June 24, 2019 11:01:40 AM MDT Page 1 of 1 DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 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: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 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? VENDOR: AYRES Associates DATE ENTERED: REQ #: VENDOR #: FOR: ADDRESS: 3665 JFK Parkway, Bld #2, Suite 200 BID #: Fort Collins, CO 80525-3152 INSTRUCTIONS: PHONE #: (970) 223-5556 FAX #: VENDOR CONTACT Dustin Robinson Today's Date: July 2, 2019 Date Approved: Ship To: Date Denied: Date Required: asap QUANTITY DESCRIPTION TOTAL PRICE 1 $41,102.00 Total $41,102.00 Requested By: Reviewed By: Jason Stutzman, Project Manager Authorized By: Spring Creek Stream Rehabilitation at Edora 7084 - Consulting Engineering Services for Water Utilities Capital Improvements CHARGE NUMBER CITY OF FORT COLLINS REQUISITION Matt Fater, Director, Engineering Theresa Connor Deputy Director, Utilities Post Construction Closeout & Monitoring 5040440034.521210.6 DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95 (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 12/18/2018 Arthur J. Gallagher Risk Management Services, Inc. 245 South Executive Drive, Suite 200 Brookfield WI 53005 Sharon Bannach 262-792-2214 262-792-1712 Sharon_Bannach@ajg.com Travelers Property Casualty Co of America 25674 AYREASS-02 The Travelers Indemnity Company of CT 25682 AYRES ASSOCIATES INC 3433 Oakwood Hills Parkway Eau Claire, WI 54702-1509 107561531 A X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X X Y P6302183P260TIA19 1/1/2019 1/1/2020 2,000,000 A 1,000,000 X X X Y 8102L352245 1/1/2019 1/1/2020 A X X CUP9J784097 1/1/2019 1/1/2020 8,000,000 8,000,000 X 0 Products/Compl Ops 8,000,000 B X N UB9H9437751843E 1/1/2019 1/1/2020 1,000,000 1,000,000 1,000,000 City of Fort Collins is included as Additional Insured for General Liability policy providing ongoing and completed operations coverage as per blanket endorsement CGD4 14 04-08 and Auto Liability as per form CAT3 53 0310. City of Fort Collins Public Works - Utilities, Stormwater 700 Wood Street Fort Collins CO 80521 DocuSign Envelope ID: EF51FDFD-C3B7-4D3F-921C-A0CFC064EF95