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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9200892Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER FORM PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND Fox Construction WORK ORDER NUMBER: PROJECT TITLE: Veterans Plaza Entry Improvements ORIGINAL BID/RFP NUMBER & NAME: NA MASTER AGREEMENT EFFECTIVE DATE: 11/6/2019 WORK ORDER COMMENCEMENT DATE: 4/30/2020 WORK ORDER COMPLETION DATE: 5/15/2020 MAXIMUM FEE: (time and reimbursable direct costs): $9,194.50 PROJECT DESCRIPTION/SCOPE OF SERVICES: See Attached 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 one (1) 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: Name, Title ACCEPTANCE: Date: Name, Project Manager REVIEWED: Date: Name, Buyer or Senior Buyer ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) 400702502.563040.6 DocuSign Envelope ID: 10489B3F-2601-4C13-B818-04908D788A5F May 14, 2020 May 15, 2020 June 1, 2020 1 / 2 Address Veterans Plaza Code Description Quantity Rate Amount Equipment Skid Steer 1 $980.00 $980.00 Concrete Exterior Flatwork - Excavate, Form, and Pour Concrete Curb 125 $8.50 $1,062.50 Concrete Exterior Flatwork - Excavate, Form, and Pour Sidewalk 380 $6.50 $2,470.00 Concrete Exterior Flatwork - Excavate, Form, and Pour Tent Pad 6.5 $503.00 $3,269.50 Concrete Concrete Pump 1 $800.00 $800.00 Trucking Haul off Spoils and Import of Structural Fill 1 $400.00 $400.00 Concrete Add On Exterior Flatwork - Excavate, Form, and Pour Concrete Curb 25 $8.50 $212.50 Subtotal $9,194.50 Total $9,194.50 Total $9,194.50 Notes Notes; - Traffic / Pedestrian Traffic Control is not included, We will Stake the Areas we are working in with caution tape, duration is expected to be one to two days. Exclusions; -Winter Conditions -Landscaping of any kind -Repairs of unmarked utilities (irrigation Lines) For: Greg Oakes goakes@fcgov.com Estimate Estimate No: 1025 Date: 04/22/2020 F.C.S. PO BOX 389 WINDSOR CO 80550 luis@fcsnoco.com fcsnoco.com 9706897727 (970) 657-6227 Estimating@FCSnoco.com DocuSign Envelope ID: 10489B3F-2601-4C13-B818-04908D788A5F F.C.S. - Estimate 1025 - 04/22/2020 2 / 2 -Traffic / Pedestrian Control other than what is listed. DocuSign Envelope ID: 10489B3F-2601-4C13-B818-04908D788A5F