HomeMy WebLinkAboutCORRESPONDENCE - BID - 9025 WATER RECLAMATION FACILITY BIOFILTER MEDIA (3)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
HAGEMAN EARTH CYCLE
WORK ORDER NUMBER: UHAG-WRF-2019-17
PROJECT TITLE: U2019 DWRF Primary Biofilter Media
ORIGINAL BID/RFP NUMBER & NAME: U9025 Water Reclamation Facility Biofilter
Media
MASTER AGREEMENT EFFECTIVE DATE: UOctober 21, 2019
ARCHITECT/ENGINEER: UNA
OWNER’S REPRESENTATIVE: ULink Mueller
WORK ORDER COMMENCEMENT DATE: UNovember 20, 2019
WORK ORDER COMPLETION DATE: UMarch 31, 2019
MAXIMUM FEE: (time and reimbursable direct costs): U$73,372.20
PROJECT DESCRIPTION/SCOPE OF SERVICES: UHaul off and recycle expended media from
DWRF's Primary Biofilters. Deliver bare and blended media for installation by another contractor.
Quantities per Master Services Agreement. See attached supporting documents.
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 UoneU (1) 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: Hageman Earth Cycle
By: Date:
Name: Title:
Page 1 of 5
DocuSign Envelope ID: 1981497B-D9D7-4E50-950B-E5C0420F88C8
Roger Hageman Presidnet
November 25, 2019
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:
Link Mueller, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
REQUISITION ENTERED: Date:
ACCEPTANCE: Date:
Jason Graham, Director, Water Reclamation & Biosolids
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
ACCEPTANCE: Date:
Carol Webb, Deputy Director, Water Resources & Treatment 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 5
DocuSign Envelope ID: 1981497B-D9D7-4E50-950B-E5C0420F88C8
Melissa Walker Coordinator, Finance
11/22/19
November 22, 2019
November 22, 2019
November 25, 2019
November 25, 2019
November 25, 2019
November 25, 2019
November 25, 2019
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE OF SERVICES & COST DETAIL
Page 3 of 5
DocuSign Envelope ID: 1981497B-D9D7-4E50-950B-E5C0420F88C8
Official Purchasing Document
Last updated 10/2017
Service Agreement – Work Order Type – Utilities
9025 Water Reclamation Facility Biofilter Media Page 16 of 18
EXHIBIT D
BID SCHEDULE
DocuSign Envelope ID: BB639499-AB34-4827-97EC-31D6F6AA79F5
Page 4 of 5
DocuSign Envelope ID: 1981497B-D9D7-4E50-950B-E5C0420F88C8
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 5 of 5
DocuSign Envelope ID: 1981497B-D9D7-4E50-950B-E5C0420F88C8
DocuSign Envelope ID: 1981497B-D9D7-4E50-950B-E5C0420F88C8