HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8164 PLAYGROUND SURFACING CONSTRUCTION SERVICES (4)Work Order Form
Official Purchasing Form
Last updated 10/2017
WORK ORDER FORM
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
WORK ORDER NUMBER:
PROJECT TITLE:
ORIGINAL BID/RFP NUMBER & NAME:
MASTER AGREEMENT EFFECTIVE DATE (Contract Signed):
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 ( ) 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:
, Project Manager
REVIEWED: Date:
, Buyer or Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 1E0BA536-DF2C-4142-A8A0-0E53FACBD1E2
4/30/2020
11/1/15
$ 60,768.75
2
Library playground PIP, see attached quote
8164 Playground Surfacing Construction Services
Jill Wuertz
October 2, 2019
two
Library Park Playground PIP
10/2/2019
October 2, 2019
Elliot Dale
October 2, 2019
Jim Ritzel Owner-Manager
October 7, 2019
Tatonka Contractors
QUOTATION
TATONKA CONTRACTORS LTD
14555 Quail Run Rd
Hudson, CO 80642
Phone: (720)940-1806
Fax: (888)431-1699
Email: tatonka2003@yahoo.com
October 1, 2019
TO:
Jill Wuertz
City of Fort Collins
Phone: (970)416-2062
Email: jwuertz@fcgov.com
RE:
Library Park
Fort Collins, CO
QTY UNIT DESCRIPTION
UNIT
PRICE
TOTAL
4,725 sf
Surface America PlayBound Poured in Place
3-1/2” and 4-1/2” thick for 8’ and 10’ fall heights.
50% color and 50% black speckled mix.
Industry standard binder.
$11.75 $55,518.75
Notes:
(1) Price includes all materials, freight, and installation.
(2) Price does not include taxes, security, dumpster or subbase
preparation.
(3) Surface America PIP is IPEMA-certified and carries an industry-
leading warranty.
SUBTOTAL $55,518.75
SALES TAX
SHIPPING & HANDLING $ 5,250.00
TOTAL $60,768.75
Representing Surface America Products
Serving Your General Installation Needs
Acceptance Date
Thank you for your interest!
DocuSign Envelope ID: 1E0BA536-DF2C-4142-A8A0-0E53FACBD1E2
DocuSign Envelope ID: 1E0BA536-DF2C-4142-A8A0-0E53FACBD1E2