Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191585Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
WORK ORDER
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
CH2M HILL ENGINEERS, INC.
WORK ORDER NUMBER: UCH-2019-WO-1
PROJECT TITLE: UFile Conversion
ORIGINAL BID/RFP NUMBER & NAME: U8497, Stormwater Consulting Engineering
Services
MASTER AGREEMENT EFFECTIVE DATE: September 25, 2017
ARCHITECT/ENGINEER: U
OWNER’S REPRESENTATIVE: U
WORK ORDER COMMENCEMENT DATE:
WORK ORDER COMPLETION DATE:
U
CH2M HILL ENGINEERS, INC.
Brad Burke
August 19, 2019
U
September 31, 2019
U
MAXIMUM FEE: (time and reimbursable direct costs): U$4,145.00
PROJECT DESCRIPTION/SCOPE OF SERVICES: UProfessional Engineering Services to bulk
convert .tif files to .hmr files. 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 four (4) 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: CH2M HILL ENGINEERS, INC.
By: Date:
Name: Title:
Page 1 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
Albert Paquet
September 12, 2019
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:
Brad Burke, Sr Analyst, Apps Software
REVIEWED: Date:
Pat Johnson, Senior Buyer
APPROVED AS TO FORM: Date:
Name,City Attorney's Title
(if greater than $1,000,000)
ACCEPTANCE: Date:
Mary Evans, Sr Manager, Apps Software
ACCEPTANCE: Date:
Tim McCollough, Deputy Director, Light & Power 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 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
September 12, 2019
September 13, 2019
September 13, 2019
September 13, 2019
September 13, 2019
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE OF SERVICES
Page 3 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
PAGE 3 OF 4
Attachment A - Scope of Services
Attachment A to the AGREEMENT between the City of Fort Collins, Colorado, a Municipal
Corporation, hereinafter referred to as the City, and CH2M HILL Engineers, Inc., hereinafter referred
to as the Professional, for a project generally described as:
Professional Engineering Services to perform design services to bulk convert .tif files to .hmr
files.
This scope of service will be performed under a Work Order issued in accordance with the
Professional Service Agreement No. 8497 for Stormwater Consulting Engineering Services, dated
September 25, 2017.
The Professional’s services for the project are detailed hereinafter.
Project Objective: Convert aerial .tif files to .hmr files.
It is understood the City will designate Mr. Brad Burke as the City’s Project Manager (City’s PM). Mr.
Brad Burke will be the City’s primary point of contact with respect to the work performed under this
AGREEMENT, with authority to transmit instructions, receive information, and interpret and define
City policies and decisions relative to elements pertinent to the work covered by this AGREEMENT.
Task 1 – Project Management
Professional’s Project Manager (Professional’s PM) will manage the scope, schedule, and budget,
and keep the City’s PM informed throughout the project. Professional’s PM will prepare and submit
monthly an invoice for services performed and a brief status report. The report will include a
narrative description of progress to-date, actual costs for each Task, estimates of percent complete,
and potential cost variances.
Deliverables:
• Monthly invoice and status report.
Task 2 – File Conversion
Professional will convert City provided .tif files to .hmr files.
Deliverables:
• .hmr files on jump drive and/or on a file transfer site whichever is most efficient for
Professional to transfer to City
Assumptions:
• File conversion will take up to 21 hours of Senior Technologist time for file conversion
• City will provide files on jump drive (~32GB) and/or file transfer site, whichever is most
efficient for downloading by Professional.
• City will provide quality control of the converted files. Professional will not provide quality
control checks of the converted files.
• Professional will be able to bulk convert files without a technician present (overnight).
Page 4 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
WORK ORDER COST DETAIL
Page 5 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
PAGE 4 OF 4
Schedule
An anticipated schedule is shown below in Table 1.
Table 1: Project Schedule
Activity Anticipated Milestone Dates
Notice To Proceed August 19, 2019
City Deliver Files to Professional August 19, 2019
Converted Files Delivered to City September 6, 2019
Assumptions Used in Developing this Scope of Services
The Professional’s estimate of engineering costs for the project is based on the elements included in
the task descriptions above and the following assumptions:
1. The City will give prompt notice to Professional whenever the City observes or becomes aware
of any development that affects the scope or timing of Professional’s services, or of any defect
in the work of Professional.
2. Professional will provide the City with deliverables as defined in this Scope of Services.
Fee Estimate
Compensation will be on a Time and Materials – Not to Exceed basis. Hourly rates are in accordance
with Contract No. 8497 Stormwater Consulting Engineering Services. Refer to Attachment B for a
detailed breakdown of the fee estimate.
Page 6 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT C
WORK ORDER SCHEDULE DETAIL
Page 7 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
Attachment B
Compensation Schedule
Aaron Cook
Project Manager
Roy Marken
Senior Technologist
Lisa Hoffman
Office/Clerical/Accounting
Labor
Hours Labor Expense Total Cost
Per Diem Code/Classification 05 05 19
2019 Labor Rates
(1) $173 $173 $83
1.0 Project Management 2 2 4 $ 512.00 $ - $ 512.00
2.0 File Conversion 21 21 $ 3,633.00 $ - $ 3,633.00
Total 2 21 2 25 $ 4,145.00 $ - $ 4,145.00
1
Rates are in accordance with Contract No. 8497 Stormwater Consulting Engineering Services
Exhibit_B_Fee_File_Conversion.xlsx\Fee Estimate 8/13/2019
Page 8 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT D
CERTIFICATE OF INSURANCE
CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract
Documents.
Page 9 of 9
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
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 (10/00)
SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE
NAME OF INSURED:
06/06/2019
CH2M HILL ENGINEERS, INC.
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2
(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
CIRTS_Support@jacobs.com
Marsh Risk & Insurance Services
"CLAIMS MADE"
P.O. Box 580
PROFESSIONAL LIABILITY 07/01/20
1,000,000
USA
N
A
Cert_Renewal
56368845
56368845
ATTN: Purchasing Department
2,000,000
EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.*
for states of: AK, LA, OH, TX. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT
the General Liability and Automobile Liability policies as required by written contract or agreement. *$2,250,000 SIR
Consulting Engineering Services . The City its officers, agents and employees are included as an additional insured on
LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Gretchen Sage. Re: Contract# 8497; On-Call for RFP 8497 Stormwater
ACE AMER INS CO
DEFENSE INCLUDED
AGGREGATE
HDO G71565129
PER CLAIM/PER AGG
07/01/19
1-212-948-1306
Los Angeles, CA 90071
07/01/19
7,000,000
07/01/19
07/01/19
CONTRACTUAL LIABILITY
06/06/2019
07/01/19
WLR C65892248 (AOS)
WCUC65892285 (AK,LA,OH,TX)*
SCF C65892327 (WI)
Englewood, CO 80112-5946
A
A
A
2,000,000
22667
X
633 W. Fifth Street
07/01/19
LIC #0437153
Fort Collins, CO 80522
5,000
10,000,000
A 07/01/20
9191 South Jamaica Street
07/01/20 1,000,000
07/01/20
07/01/20
1-212-948-1306
X
City of Fort Collins, Colorado
CH2M HILL ENGINEERS, INC.
X
7,000,000
10,000,000
07/01/20
X
500,000
X
1,000,000
ISA H25295511
X
A EON G21655065 010
DocuSign Envelope ID: 9524C2C1-6E5D-407D-8382-9A0BB3CCA6A2