HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191925Work 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: 08EBAC70-F9DE-46A8-80D1-23C10E7917D9
Small and Miscellaneous Concrete Services
October 30, 2019
Rendezvous Trail Repair
Colored concrete trail repair along Rendezvous trail per attached quote and specs.
Jill Wuertz
$ 8,300
two
11/1/2019
2
5/1/2020
November 1, 2019
Elliot Dale
November 7, 2019
Estimator
Fox Construction Systems
Reed W Nelson
November 7, 2019
Fox Construction Systems, LLC
P.O BOX 389
WINDSOR, CO 80550 US
estimating@fcsnoco.com
Estimate
ADDRESS
Jill Wuertz
Rendezvous Trail Repair
ESTIMATE # DATE EXPIRATION DATE
1031 10/03/2019 10/31/2019
P.O. NUMBER SALES REP
1031 Reed Nelson
DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT
10/03/2019 DEMOLITION Remove and Replace four sections of
trail (two locations) where they have
heaved
400 12.00 4,800.00
10/03/2019 Structural Fill /
Base Course
Import & Placement of Structural Base
Course
1 500.00 500.00
10/03/2019 CONCRETE
MATERIAL
Colored Concrete 8 200.00 1,600.00
10/03/2019 TRUCKING Haul off and Dispose of concrete and
unsuitable subgrade
1 600.00 600.00
10/03/2019 Concrete
Pumping
Concrete Pump 1 800.00 800.00
NOTES:
- City to provide colored concrete mix design / color desired
- Both sections to be replaced at the same time, this limits access
EXCLUSIONS:
- Traffic Control
- Winter Conditions
- Overtime / After Hours Work
TOTAL $8,300.00
Accepted By Accepted Date
DocuSign Envelope ID: 08EBAC70-F9DE-46A8-80D1-23C10E7917D9
E. Drake: Rendezvous Trail – remove and replace trail sections
DocuSign Envelope ID: 08EBAC70-F9DE-46A8-80D1-23C10E7917D9