HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9200591Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
WORK ORDER
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
SAGE TELECOMMUNICATIONS CORP. OF COLORADO, LLC
WORK ORDER NUMBER: USage - B&S SW Channel 022020
PROJECT TITLE: UBrewer & Sitka Drainage Channel
ORIGINAL BID/RFP NUMBER & NAME: U8820, Directional Boring & Trenching On-
Call
MASTER AGREEMENT EFFECTIVE DATE: U03/11/2019
ARCHITECT/ENGINEER: UNA
OWNER’S REPRESENTATIVE: USandra Bratlie
WORK ORDER COMMENCEMENT DATE: UFebruary 26, 2020
WORK ORDER COMPLETION DATE: UMarch 13, 2020
MAXIMUM FEE: (time and reimbursable direct costs): U$7,156.00
PROJECT DESCRIPTION/SCOPE OF SERVICES: UThis work order is for 23 potholes in Conifer
St and adjacent easement in support of the Brewer & Sitka drainage channel improvements
design. The contractor will coordinate traffic control and obtain necessary permits to complete the
work. The work is scheduled to be completed in the next two weeks (by Mar 13th) dependent on
weather and traffic plan restrictions. See the attached supporting documentation.
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 1 (UoneU) 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: Sage Telecommunications Corp. of Colorado, LLC
By: Date:
Name: Title:
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DocuSign Envelope ID: 72EB0E41-C3DE-4F00-85B1-FA85379F9EB3
Project Manager
March 2, 2020
Domingo Torres
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:
Sandra Bratlie, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
REQUISITION ENTERED: Date:
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field 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: 72EB0E41-C3DE-4F00-85B1-FA85379F9EB3
2/28/20
Coordinator, Finance
Melissa Walker
March 1, 2020
March 1, 2020
March 9, 2020
March 10, 2020
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER COST & SCOPE DETAIL
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DocuSign Envelope ID: 72EB0E41-C3DE-4F00-85B1-FA85379F9EB3
NTI NUMBER:
DATE SENT: 2/25/2020
COMPANY: City of Ft.Collins Water Department COMPANY: SAGE TELECOMMUNICATIONS CORP. OF COLORADO,LLC
ADDRESS: 700 Wood Street ADDRESS: 6700 Race Street
Fort Collins,Co 80522 Denver,Co 80229
PHONE: 970-221-6700 PHONE: (303) 227-0986
FAX 970-221-6619 FAX: (303) 227-0991
CONTACT: DOMINGO TORRES, (970) 566-1257
DOMINGO.TORRES@SAGECOM.NET
CONTR. ID:
JOB LOCATION CONTACT PO NUMBER
Brewer St & Sitka Dr Doug Groves
FC.202
QTY DESCRIPTION TOTAL
15 Potholes (Soft) FC.19 Ea. $115.00 $ 1,725.00
8 Potholes (Hard) FC.18 Ea. $257.00 $ 2,056.00
4 Traffic Control 23.B Day $768.75 $ 3,075.00
1 Permits 23.B Ea $300.00 $ 300.00
TOTAL $ 7,156.00
APPROVED BY DATE
(303) 227-0986 PHONE (303 227-0991 FAX
Estimate
Estimate
SERVICES FOR SERVICES FROM
UNIT COST
SAGE TELECOMMUNICATIONS CORP. OF COLORADO, LLC
Denver, Co 80229
6700 Race Street
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DocuSign Envelope ID: 72EB0E41-C3DE-4F00-85B1-FA85379F9EB3
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: 72EB0E41-C3DE-4F00-85B1-FA85379F9EB3