HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8820 DIRECTIONAL BORING AND TRENCHING ON-CALL (12)Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
WORK ORDER
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
COLORADO BORING COMPANY
WORK ORDER NUMBER: U1563461761
PROJECT TITLE: UGarfield St. Inlet & Concrete Replacement Project
ORIGINAL BID/RFP NUMBER & NAME: U8820, Directional Boring - Colorado Boring
Company
MASTER AGREEMENT EFFECTIVE DATE: UMarch 11, 2019
ARCHITECT/ENGINEER: UNA
OWNER’S REPRESENTATIVE: ULuke Lindholm
WORK ORDER COMMENCEMENT DATE: UJuly 11, 2019
WORK ORDER COMPLETION DATE: UJuly 17, 2019
MAXIMUM FEE: (time and reimbursable direct costs): U$10,687.50
PROJECT DESCRIPTION/SCOPE OF SERVICES: UReplaced 2.5" galvanized water main with
4" PVC Certa-lok. 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 UtwoU (2) 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: Colorado Boring Company
By: Date:
Name: Title:
Page 1 of 6
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748
Jon Jacob Managing Member
October 16, 2019
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
500 Block N. Shields Street Alley
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:
Luke Lindholm, Crew Chief, Water Field Operations
REVIEWED: Date:
Pat Johnston, Senior Buyer
APPROVED AS TO FORM: Date:
Name,City Attorney's Title
(if greater than $1,000,000)
ACCEPTANCE: Date:
James Carder, Manager, Ut Distribution System, Water Field Operations
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field 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 6
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748
October 8, 2019
October 22, 2019
October 22, 2019
October 22, 2019
October 22, 2019
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER COST AND SCOPE DETAIL
Page 3 of 6
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748
DocuSign Envelope ID: D0685478-FADA-46AD-A6F7-4A75173BE403
180828
Req #63866
9/17/19
mw
Page 4 of 6
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748
DocuSign Envelope ID: D0685478-FADA-46AD-A6F7-4A75173BE403
Page 5 of 6
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
CERTIFICATE OF INSURANCE
CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents.
Page 6 of 6
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748
DocuSign Envelope ID: 91A79A30-E682-4B42-A24E-369150332748