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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8847 CURED-IN-PLACE PIPE SANITARY SEWERS/ STORMWATER MAINS REHABILITATIONUtilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND C & L WATER SOLUTIONS WORK ORDER NUMBER: U2020-0406C+L PROJECT TITLE: U2020-Mulberry and Mason SWMR ORIGINAL BID/RFP NUMBER & NAME: U8847 Cured-in-Place Pipe MASTER AGREEMENT EFFECTIVE DATE: UOctober 14, 2019 ARCHITECT/ENGINEER: UNA OWNER’S REPRESENTATIVE: USandra Bratlie WORK ORDER COMMENCEMENT DATE: UApril 10, 2020 WORK ORDER COMPLETION DATE: UMay 29, 2020 MAXIMUM FEE: (time and reimbursable direct costs): U$36,109.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: UThe work order is for an urgent repair of damaged storm pipe in the intersection of Mulberry and Mason. The work consists of rehabilitation of 100 LF of 8” and 10” stormwater pipe, pre- and post- cleaning of pipes, investigation of pipe condition, grout/flow fill injection of voids and installation of a cured in place liner. The scope of work includes traffic control. See 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 UoneU (1) 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: C & L Water Solutions By: Date: Name: Title: Page 1 of 5 DocuSign Envelope ID: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD Chris Larson Chief Operations Officer April 20, 2020 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, Special Projects Manager, Utilities Distribution Systems REVIEWED: Date: Pat Johnson, Senior Buyer REQUISITION ENTERED BY: 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 Melissa Walker April 9, 2020 DocuSign Envelope ID: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD April 13, 2020 April 13, 2020 April 22, 2020 April 23, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES & COST DETAIL Page 3 of 5 DocuSign Envelope ID: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD QUANTITY UNIT UNIT PRICE TOTAL 1 27 LF $518.00 $13,986.00 2 29 LF $232.00 $6,728.00 3 45 LF $168.00 $7,560.00 4 1 LS $6,010.00 $6,010.00 5 1 LS $1,825.00 $1,825.00 BID TOTAL $36,109.00 NOTES: Pricing, Inclusions and Exclusions are based on the RFP 8847 Cured in Place Pipe Pricing, excludes any pipe which is collapsed or should not be lined due to condition. Traffic control could change based on special requirements from City of Fort Collins Excludes excavation to access manhole on Asset #10135028 and any railroad permits, flaggers or special requirements DESCRIPTION 8" CIPP 10129541: Item includes pre and post cleaning, cctv, 8" 3mm liner installation, grout injection/flowfill injection through pavement (excludes patch-back), testing and clean up. *Existing line is a 10" pipe that transitions to 8" at the inlet box. We will be installing an 8" liner all the way through. 10" CIPP 10139832: Item includes pre and post cleaning, cctv, 10" 3mm liner installation, testing and clean up. 10" CIPP 10135028: Item includes pre and post cleaning, cctv, 10" 3mm liner installation, testing and clean up. Traffic Control: Item includes estimate based on City of Fort Collins requirements. Investigative Work: Item includes traffic control set up, entering pipe to check sizing and condition _____________ _________ Proposal DATE: CUSTOMER NAME: ATTN: JOB NAME: April 2, 2020 City of Fort Collins Doug Groves Storm Sewer Rehabilitation 2019 - Mulberry & Mason 12249 Mead Way, Littleton, CO 80125 1178 West 17th Street, Marriott-Slaterville, UT 84404 303.791.2521 phone 303.791.2524 fax 303.791.2521 phone 303.791.2524 fax www.clwsi.com Page 4 of 5 DocuSign Envelope ID: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD 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: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD 03/31/2020 Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 Moody Insurance Agency (303) 824-6600 (303) 370-0118 certrequest@moodyins.com C & L Water Solutions, Inc. 12249 Mead Way Littleton CO 80125 BITCO General Insurance Corporation 20095 Pinnacol Assurance 41190 Western World Insurance Co 13196 20-21 Master Cert A Y CLP3692654 04/01/2020 04/01/2021 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 A CAP3692656 04/01/2020 04/01/2021 1,000,000 A 10,000 CUP2817975 04/01/2020 04/01/2021 5,000,000 5,000,000 B 1095870 04/01/2020 04/01/2021 1,000,000 1,000,000 1,000,000 C Excess Umbrella GLX100041902 04/01/2020 04/01/2021 Limit $5,000,000 in excess of $5,000,000 City of Ft Collins 281 N College Avenue Ft Collins CO 80524 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): C & L Water Solutions, Inc. 00003188 Moody Insurance Agency, Inc. 25 Certificate of Liability Insurance: Notes PROFESSIONAL / POLLUTION LIABILITY Policy Number: CPP203162310 Policy Effective Dates: 4-1-2020 to 4-1-2021 Insurer: Nautilus Insurance Co. (NAIC #17370) Claims Made Policy Aggregate: $5,000,000 Professional Liability Aggregate: $1,000,000 Professional Deductible: $25,000 Pollution Liability Aggregate: $5,000,000 Pollution Deductible: $10,000 CONTRACTORS EQUIPMENT POLICY Policy Number: CLP3692654 Policy Effective Dates: 4-1-2020 to 4-1-2021 Insurer: BITCO General Insurance Corp. (NAIC #20095) Total Insurable Value: $6,600,000 Deductible: $1,000 LEASED / RENTED EQUIPMENT POLICY Policy Number: CLP3692654 Policy Effective Dates: 4-1-2020 to 4-1-2021 Insurer: BITCO General Insurance Corp. (NAIC #20095) Limit: $375,000 Deductible: $1,000 INSTALLATION FLOATER POLICY Policy Number: CLP3692654 Policy Effective Dates: 4-1-2020 to 4-1-2021 Insurer: BITCO General Insurance Corp. (NAIC #20095) Jobsite Limit: $100,000 Catastrophe Limit: $100,000 Temporary Storage Limit: $100,000 In Transit Limit: $100,000 Deductible: $1,000 CONTRACTUAL LIABILITY APPLIES PER POLICY TERMS AND CONDITIONS GENERAL LIABILITY GL3085 09/11 form attached includes: Blanket Additional Insured when required by written contract. Blanket Additional Insured Ongoing & Completed Operations when required by written contract. Blanket Primary & Non-Contributory status applies when required by written contract. Blanket Waiver of Subrogation status applies when required by written contract. AUTO LIABILITY AP0401 10/17 form attached includes: Blanket Additional Insured status applies when required by written contract. Blanket Primary & Non-Contributory status applies when required by written contract. Blanket Waiver of Subrogation status applies when required by written contract. WORKER’S COMPENSATION Form attached includes: Blanket Waiver of Subrogation status applies when required by written contract. UMBRELLA POLICY Umbrella Policy is on a follow form basis for underlying insurance coverages: General Liability, Automobile Liability, and Employers Liability. Additional Insured status, including Primary and Non-Contributory status, will follow form when required by written contract. 1st EXCESS LIABILITY POLICY 1st Excess Liability Policy is on a follow form basis for underlying insurance coverages: Umbrella Policy. **PLEASE NOTE: Hard copies of endorsements will not be mailed. ALL endorsements will only be sent electronically via email. Please send your email address and endorsement request to certrequest@moodyins.com for forms and future emailings** ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DocuSign Envelope ID: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD 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? 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CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 22D4CCAA-62E4-4165-B1C9-9BD4EE1AB4CD