HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191946Work 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: 362A3B0C-F338-4C2F-AB48-F48055E1801A
Spring Canyon Park concrete repairs
See attached quote and details for various concrete repairs at Spring Canyon Park.
5/1/2020
10/30/2019
six
October 30, 2019
6
$21,005
Jill Wuertz
Small and Miscellaneous Concrete Services
November 7, 2019
November 1, 2019
Elliot Dale
Estimator
Fox Construction Systems
Reed W Nelson
November 12, 2019
Fox Construction Systems, LLC
P.O BOX 389
WINDSOR, CO 80550 US
estimating@fcsnoco.com
Estimate
ADDRESS
Jill Wuertz
Spring Canyon Park Curb & Sidewalk
ESTIMATE # DATE EXPIRATION DATE
1033 10/03/2019 10/31/2019
DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT
10/03/2019 DEMOLITION A: Remove and Replace Sidewalk along
the north end of the 1st base dugout on
the western base ball field (Size of scope
is below minimums)
1 2,000.00 2,000.00
10/03/2019 TRUCKING A: Haul Off & Disposal 1 450.00 450.00
10/03/2019 Equipment A: Skid Steer (Concrete will be bucketed
in by skid steer)
1 980.00 980.00
10/03/2019 DEMOLITION B: Remove and Replace 4 squares of
concrete that have sunken
200 10.00 2,000.00
10/03/2019 TRUCKING B: Haul off & Disposal 1 450.00 450.00
10/03/2019 Equipment B: Skid Steer with Breaker 1 980.00 980.00
10/03/2019 DEMOLITION C: Clear area outlined in attached map,
sawcut existing sidewalk, cut and set
grade for 2' wide drain pan and catch
pan, Labor and Materials to form and
pour new concrete. Slope concrete to
center (drain pan) then to the north.
175 10.00 1,750.00
10/03/2019 Structural Fill /
Base Course
C: Import & Placement of Structural
Base Course
175 2.50 437.50
10/03/2019 TRUCKING C: Haul off & Disposal 1 450.00 450.00
10/03/2019 Equipment C: Skid Steer 1 980.00 980.00
10/03/2019 Equipment C: Mini Excavator 0.50 870.00 435.00
10/03/2019 DEMOLITION D: Demo Existing Curb and adjacent
flatwork to make room for new 2' wide
curb & gutter, (Sawcutting, Jackhammer
includes skid steer)
350 5.00 1,750.00
10/03/2019 Equipment D: Skid Steer with Breaker 1 980.00 980.00
10/03/2019 Structural Fill /
Base Course
D: Import & Placement of Structural
Base Course
350 2.50 875.00
10/03/2019 Rebar &
Reinforcing Steel
D: Furnish, Drill and Install #4 dowels 18"
OC
175 4.50 787.50
10/03/2019 CONCRETE D: Labor & Material to Form & Pour 20 380.00 7,600.00
DocuSign Envelope ID: 362A3B0C-F338-4C2F-AB48-F48055E1801A
DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT
Curbing
10/03/2019 TRUCKING D: Haul Off & Disposal 2 450.00 900.00
10/03/2019 Discount DISCOUNT if all options are chosen
(Combines equipment, trucking cost and
removes minimums charge)
1 -2,800.00 -2,800.00
NOTES:
- See attachment for area map
- Areas of work will be taped off with caution tape, expected duration if all
options are selected.
- Fort Collins Parks to remove the fencing for option C, additionally they will
provide the rough grading on the north side of the path (remove the tree /
shrub and provide access)
-Expected Durations
-- A: one day
-- B: one day
-- C: one-two days
-- D: two-three days
--If all selected: 4-5 days
EXCLUSIONS:
- Winter Conditions
- Overtime / After Hours Work
- Traffic Control
- Landscaping of any kind (Unmarked irrigation lines may be hit by form
stakes)
- Irrigation Work
- Caulking
- Pumping
TOTAL $21,005.00
Accepted By Accepted Date
DocuSign Envelope ID: 362A3B0C-F338-4C2F-AB48-F48055E1801A
DocuSign Envelope ID: 362A3B0C-F338-4C2F-AB48-F48055E1801A
DocuSign Envelope ID: 362A3B0C-F338-4C2F-AB48-F48055E1801A
DocuSign Envelope ID: 362A3B0C-F338-4C2F-AB48-F48055E1801A
DocuSign Envelope ID: 362A3B0C-F338-4C2F-AB48-F48055E1801A