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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICES (6)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 CGRS WORK ORDER NUMBER: 2019-12.14 PROJECT TITLE: UTransfort Site Decomissioning ORIGINAL BID/RFP NUMBER & NAME: U8361- General Environmental Services- CGRS MASTER AGREEMENT EFFECTIVE DATE: 2/28/18 OWNER’S REPRESENTATIVE: Errin Henggeler WORK ORDER COMMENCEMENT DATE: UJan. 1, 2020 WORK ORDER COMPLETION DATE: UApril 1, 202U0 MAXIMUM FEE: (time and reimbursable direct costs): $2,522.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: In accordance with the state engineering and Department of Natural Resources – Division of Water Resources (DWR) requirements, we propose to plug and abandon all groundwater monitoring wells according to associated guidance documents. Activities will include the following tasks: • Inspect manways for structural integrity. • Remove any unstable manways from the ground, remove only the steel lid from stable manways. • Plug and abandon five monitoring wells (MW-1R, MW-2, MW-3R, MW-4, MW-5 and RW-1R) according to DWR standards. • Patch surface with concrete to approximately match surrounding surface material. • None of the project wells are permitted with DWR, and well abandonment reports will not be submitted. However, well abandonments will adhere to DWR specifications. • Prepare and submit a Site Decommissioning Report. The attached UTransfort Site Decomissioning ProposalU consisting of three (4) 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: CGRS By: Date: Name: Title: Brannan Davis CGRS, Project Manager DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E 12/16/2019 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: Shane Armfield, Project Manager REVIEWED: Date: Errin Henggeler, Env Regulatory Specialist REVIEWED: Date: Pat Johnson, Senior Buyer, Utilities DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E 12/16/2019 12/18/2019 12/18/2019 www.cgrs.com 800.288.2657 1301 Academy Ct. Fort Collins, CO 80524 ` 1 October 25, 2019 Ms. Errin Henggeler, CHMM Via Email: ehenggeler@fcgov.com Environmental Regulatory Specialist City of Fort Collins P.O. Box 580 Fort Collins, Colorado 80522 Subject: Site Decommissioning – Cost Estimate Transfort Terminal 6570 Portner Road Fort Collins, Colorado 80521 CDPHE Spill ID No. 2012-0821 CGRS Project No. 1-73-167ah Dear Ms. Henggeler: This correspondence presents CGRS, Inc.’s (CGRS) work scope and cost estimate for conducting well abandonments and preparing a Site Decommissioning Report. The event (Spill No. 2012-0821) achieved closure from CDPHE on October 17, 2019, and site decommissioning activities are recommended as follows. Scope of Work In accordance with the state engineering and Department of Natural Resources – Division of Water Resources (DWR) requirements, we propose to plug and abandon all groundwater monitoring wells according to associated guidance documents. Activities will include the following tasks:  Inspect manways for structural integrity.  Remove any unstable manways from the ground, remove only the steel lid from stable manways.  Plug and abandon five monitoring wells (MW-1R, MW-2, MW-3R, MW-4, MW-5 and RW-1R) according to DWR standards.  Patch surface with concrete to approximately match surrounding surface material.  None of the project wells are permitted with DWR, and well abandonment reports will not be submitted. However, well abandonments will adhere to DWR specifications.  Prepare and submit a Site Decommissioning Report. Project Compensation Based upon the scope of work described in this proposal, the estimated time and material cost for completion of the SCR is $ 2,522. All costs for this proposal were completed according to the fee schedule agreed upon by CGRS and the City of Fort Collins. The proposed Cost Estimate worksheet is included as an attachment to this proposal. If you have any questions regarding this proposal or details regarding the site or project, please contact Brannan Davis at (970) 493-7780. DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E 2 www.cgrs.com 800.288.2657 1301 Academy Ct. Fort Collins, CO 80524 Transfort Terminal, Spill No. 2012-0821 Site Decommissioning Proposal and Cost Estimate October 25, 2019 Sincerely, CGRS, Inc. Tarah Winterfeld Staff Scientist And: Brannan Davis, P.E. Senior Engineer Project Manager Attachments: Site Decommissioning Cost Estimate Site Details Figure DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E Site Name: Transfort Terminal Event ID: Submittal Date: Well Abandonments Effective Date: TASK DESCRIPTION UNITS QUANTITY UNIT RATE SUBTOTAL MARKUP SUBTOTAL BY ACTIVITY AND TASK GROUP TOTAL Well Abandonments Well Abandonments MW-1R, MW-2, MW-3R, MW-4, MW-5, RW-1R 2" well abandonment (1 well @ 24', 4 wells @ 20', 1 well @ 22') feet 126 $ 7.85 $ 989.10 $ 989.10 senior engineer/scientist (review/approve field work & well abandonment reports) hours 2 $ 123.00 $ 246.00 $ 246.00 project engineer / scientist (project coordination and Site Decommissioning Report) hours 11 $ 97.00 $ 1,067.00 $ 1,067.00 staff engineer/scientist (2 hrs prep, 0.5 hr travel) hours 2.5 $ 83.00 $ 207.50 $ 207.50 mileage (current IRS rate) 1 round trip @ 20 miles miles 20 $ 0.58 $ 11.60 $ 11.60 Activity Code k. Subtotal $ 2,521.20 TOTAL 3H COSTS: $ 2,521.20 Site Decommissioning Cost Estimate Completion Date: 2012-0821 10/22/19 01/31/20 10/22/19 Site Address: 6570 Portner Road, Fort Collins 80526 Wells: MW-1R, MW-2, MW-3R, MW-4, MW-5, RW-1R TOTAL COSTS $ 2,521.20 Number of wells: DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 12/12/2019 (970) 635-9400 (970) 635-9401 24856 C G R S, Inc. & CA TESTCO, LLC 1301 Academy Ct Fort Collins, CO 80524 41840 41190 22292 A 1,000,000 X FEIECC1329006 3/1/2019 3/1/2020 50,000 Blanket Add'l Insd 5,000 Blkt Waiver of Subro 1,000,000 2,000,000 2,000,000 B 1,000,000 X AW4A232142 3/1/2019 3/1/2020 Blanket Add'l Insd Blkt Waiver of Subro A 10,000,000 FEIEXS1329106 3/1/2019 3/1/2020 10,000,000 0 C 4029480 1/1/2020 1/1/2021 1,000,000 1,000,000 1,000,000 D Leased/Rented Equip RH4A231842 3/1/2019 $1,000 Deductible 200,000 A Pollution/Profession FEIECC1329006 3/1/2019 3/1/2020 Limit Per Claim 1,000,000 If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability City of Fort Collins PO Box 580 Fort Collins, CO 80522 CGRSINC-01 LPREWITT PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 info@mypfsinsurance.com Admiral Insurance Company Allmerica Financial Benefit Insurance Company Pinnacol Assurance Co The Hanover Insurance Company X 3/1/2020 X X X X X X X X X X X X X DocuSign Envelope ID: D31E7C22-0E48-42D3-83D7-37E303F7E79E