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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9192277Utilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND J.D. POWER, A DELAWARE CORPORATION WORK ORDER NUMBER: 1 PROJECT TITLE: 2020 Customer Satisfaction Surveys ORIGINAL BID/RFP NUMBER & NAME: Informal RFP Utilities Customer Satisfaction Survey MASTER AGREEMENT EFFECTIVE DATE: January 14, 2020 OWNER’S REPRESENTATIVE: Samantha Littleton WORK ORDER COMMENCEMENT DATE: February 1, 2020 WORK ORDER COMPLETION DATE: December 31, 2020 MAXIMUM FEE: (time and reimbursable direct costs): $63,700 PROJECT DESCRIPTION/SCOPE OF SERVICES: 2020 Electric and Water Residential Surveys 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 three (3) 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: J.D. Power, a Delaware Corporation By: Date: Name: Title: DocuSign Envelope ID: 140A30C0-A9DA-45A8-A135-7DBD0D60D03D 1/24/2020 Jeff Conklin VP, Utilities and Telecom 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: Samantha Littleton, Project Manager REVIEWED: Date: Marisa Donegon, Buyer II ACCEPTANCE: Date: Mark Cassalia, Customer Accounts Manager ACCEPTANCE: Date: Lisa Rosintoski, Deputy Director Utilities Customer Connections ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) DocuSign Envelope ID: 140A30C0-A9DA-45A8-A135-7DBD0D60D03D 1/24/2020 1/24/2020 1/27/2020 1/28/2020 1/28/2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Service Provider will perform the following: 2020 Electric Residential Study – Oversample Includes: VoX access, data file, summary deck, and study subscription Schedule: Proposed Waves 2 & 4 - Wave 2 Proposed Dates o Fielding: April – May 2020 o Results Published: June 23rd, 2020 - Wave 4 Proposed Dates o Fielding: October – November 2020 o Results Published: December 15th, 2020 General Proposed Timeline for Waves 2 & 4 - Estimated Start Date: February 1st, 2020 - Estimated End Date: December 31st, 2020 2020 Water Residential Study – Oversample Includes: VoX access, data file, summary deck, and study subscription Schedule: Proposed Waves 1 & 2 - Wave 1 Proposed Dates o Fielding: June – July 2020 o Results Published: August 15th, 2020 - Wave 2 Proposed Dates o Fielding: October – November 2020 o Results Published: November 5th, 2020 General Proposed Timeline for Waves 1 & 2 - Estimated Start Date: April 1st, 2020 - Estimated End Date: December 31st, 2020 DocuSign Envelope ID: 140A30C0-A9DA-45A8-A135-7DBD0D60D03D Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL 2020 Electric Residential Study – Oversample: $31,850 2020 Water Residential Study – Oversample: $31,850 DocuSign Envelope ID: 140A30C0-A9DA-45A8-A135-7DBD0D60D03D Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C CERTIFICATE OF INSURANCE CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents. DocuSign Envelope ID: 140A30C0-A9DA-45A8-A135-7DBD0D60D03D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Northeast, Inc. fka Willis of New York, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA J.D. Power 3200 Park Center Drive, Suite 1300 Costa Mesa, CA 92626 City of Fort Collins PO BOX 580 Fort Collins, CO 80522 01/17/2020 1-877-945-7378 1-888-467-2378 certificates@willis.com Hartford Fire Insurance Company 19682 Hartford Casualty Insurance Company 29424 W15259463 A 1,000,000 1,000,000 10,000 1,000,000 2,000,000 Included Y 72UUNHC3103 09/07/2019 09/07/2020 A 1,000,000 Y 72UUNHC3103 09/07/2019 09/07/2020 B 72 WE AB8K88 1,000,000 09/07/2019 09/07/2020 1,000,000 1,000,000 City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability. SR ID: 19141594 BATCH: 1535761 DocuSign Envelope ID: 140A30C0-A9DA-45A8-A135-7DBD0D60D03D Page 1 of 1