HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9200275Work 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: 15555233-CD80-409A-B6B3-0EF2C38C58B1
two
Jill Wuertz
1/20/2020
See attached documents. Repair of concrete around Edora Concession Building
4/1/2020
January 20, 2020
2
Edora Concession Concrete Repairs
$15,985
November 1, 2019
January 22, 2020
Elliot Dale
Small & Miscellaneous Concrete Services
Reed W Nelson
Fox Construction Systems
January 22, 2020
Estimator
Fox Construction Systems, LLC
P.O BOX 389
WINDSOR, CO 80550 US
estimating@fcsnoco.com
Estimate
ADDRESS
Jill Wuertz
Edora Park Building & Ball Field
Fort Collins Parks
ESTIMATE # DATE EXPIRATION DATE
1041 10/11/2019 11/07/2019
P.O. NUMBER SALES REP
1026 Reed Nelson
DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT
10/11/2019 DEMOLITION A: Demo existing concrete along building
edge, drive lane and existing tall curb,
clear grass and gravel . Form & Pour
new concrete sidewalk, curb & gutter
and drive lane all (6" thick). Include drop
down curbs and ADA ramp.
750 10.00 7,500.00
10/11/2019 Structural Fill /
Base Course
A: Import & Placement of Structural Base
Course
750 2.50 1,875.00
10/11/2019 Equipment A: Skid Steer with Breaker 1 980.00 980.00
10/11/2019 TRUCKING A: Haul off & Disposal 1 450.00 450.00
10/11/2019 DEMOLITION B: Sawcut roughly 12" off the fence line
from ~5' west of the area inlet to the
dugout then north to the grass. Break out
and remove concrete highlighted in
orange in the attachment. Remove ADA
ramp and sunken curb and gutter. Form
and Pour new sidewalk and Curb &
Gutter, slope sidewalk to integral drain
pan shown in the attached drawing.
500 10.00 5,000.00
10/11/2019 Structural Fill /
Base Course
B: Import & Placement of Structural Base
Course
100 2.50 250.00
10/11/2019 Equipment B: Skid Steer with Breaker 1 980.00 980.00
10/11/2019 TRUCKING B: Haul off & Disposal 1 450.00 450.00
10/11/2019 Discount DISCOUNT if options A & B are selected
(reduces the trucking, import and
equipment cost)
0 -1,500.00 0.00
DocuSign Envelope ID: 15555233-CD80-409A-B6B3-0EF2C38C58B1
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 and relocate all irrigation heads, and mark new
irrigation lines to prevent us from staking them with our form stakes.
-Expected Durations
-- A: one - two days
-- B: one - two day
--If all selected: two - three 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
- Colored Concrete
- Truncated domes
TOTAL $17,485.00
Accepted By Accepted Date
DocuSign Envelope ID: 15555233-CD80-409A-B6B3-0EF2C38C58B1
Remove curb between these points, replace
with drop down, driveway curb
Remove all concrete, grass,
rock in shaded area, adjust,
improve & compact subgrade,
pour new concrete.
Top of slab to meet bottom of
split face CMU. Slope away
from building
ADA ramp
Remove existing
concrete at shaded
location. Adjust grade
and replace sidewalk so
it slopes into dark red
shaded drain pan
Remove ADA Ramp, replace curb and gutter to
correct the low flow line have drain pan dump
into gutter at this location.
A
B
DocuSign Envelope ID: 15555233-CD80-409A-B6B3-0EF2C38C58B1