HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8192 ELECTRICAL SERVICES 2015 (12)Work Order Form
Official Purchasing Form
Last updated 10/2017
WORK ORDER FORM
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
INTERSTATES CONSTRUCTION SERVICES
WORK ORDER NUMBER: 2020-01
PROJECT TITLE: Flow Meters for De-Icing Facility
ORIGINAL BID/RFP NUMBER & NAME: 8192 Electrical Services 2015
MASTER AGREEMENT EFFECTIVE DATE: 2/1/16
WORK ORDER COMMENCEMENT DATE: April 1, 2020
WORK ORDER COMPLETION DATE: May 31, 2020
MAXIMUM FEE: (time and reimbursable direct costs): $61,570
PROJECT DESCRIPTION/SCOPE OF SERVICES: Replace the flow meters at the de-icing
facility with new Badger mag flow meters.
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 two (2) 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:
Wade Hull, Service Supervisor
ACCEPTANCE: Date:
Jeff Johnston, Project Manager
REVIEWED: Date:
Elliot Dale, Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 9256D5C1-9FAE-48CB-A20C-99EF78BBF4AB
1/8/2020
1/10/2020
1/10/2020
1/10/2020
DocuSign Envelope ID: 9256D5C1-9FAE-48CB-A20C-99EF78BBF4AB
DocuSign Envelope ID: 9256D5C1-9FAE-48CB-A20C-99EF78BBF4AB