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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICES (10)Utilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND CGRS WORK ORDER NUMBER: 2020 -6.10 PROJECT TITLE: SPCC Plan for Hoffman Mill Road Fueling Facility ORIGINAL BID/RFP NUMBER & NAME: 8631- General Environmental Services- CGRS MASTER AGREEMENT EFFECTIVE DATE: 2/28/18 OWNER’S REPRESENTATIVE: Errin Henggeler WORK ORDER COMMENCEMENT DATE: June 17, 2020 WORK ORDER COMPLETION DATE: September 17, 2020 MAXIMUM FEE: (time and reimbursable direct costs): $2,922.00 PROJECT DESCRIPTION/SCOPE OF SERVICES:  . Mobilize to the site to perform a walkthrough and verify applicable secondary containment volumes, and document site specific information. The attached Spill Prevention Control and Countermeasure Plan update Proposals for Hoffman Mill Road 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: CGRS By: Date: Name: Title: Brannan Davis CGRS, Senior Engineer OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. ACCEPTANCE: Date: Shane Armfield, Fleet Supervisor DocuSign Envelope ID: 0BB57BFD-B104-4B72-875D-93A9107D1245 6/17/2020 6/17/2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 REVIEWED: Date: Errin Henggeler, Env Regulatory Specialist REVIEWED: Date: Pat Johnson, Senior Buyer, Utilities DocuSign Envelope ID: 0BB57BFD-B104-4B72-875D-93A9107D1245 6/17/2020 6/17/2020 Proposal for SPCC Plan Update City of Fort Collins – Hoffman Mill Crushing Operation 1 www.cgrs.com 800.288.2657 1301 Academy Ct. Fort Collins, CO 80524 May 20, 2020 Ms. Errin Henggeler Via E-Mail: ehenggeler@fcgov.com City of Fort Collins PO Box 580 Fort Collins, Colorado 80522 Re: Proposal for Spill Prevention, Control, and Countermeasure Plan Update City of Fort Collins Hoffman Mill Crushing Operation 1380 Hoffman Mill Road Fort Collins, Colorado 80524 Dear Ms. Henggeler: CGRS, Inc. (CGRS) is pleased to provide this proposal to prepare a Spill Prevention, Control, and Countermeasure (SPCC) plan update for the above-referenced facility. The proposal includes a facility inspection and professional engineer certification of an SPCC plan to comply with current U.S. Environmental Protection Agency (EPA) SPCC plan rule requirements. CGRS will prepare an SPCC plan that conforms to applicable EPA requirements outlined in the Code of Federal Regulations (CFR), Title 40, Part 112 for facilities with aggregate aboveground oil storage capacity greater than 1,320 gallons, which will be organized as follows: SPCC Plan Outline Plan Certification and Management Approval The Environmental Director or other person responsible for implementing the SPCC plan at the facility will sign the document verifying management approval. The SPCC plan will be approved, signed and stamped by a CGRS certified professional engineer. General Requirements Prepare a site diagram detailing the facility layout, listing oil storage container descriptions, describing discharge prevention, control, and countermeasure equipment and procedures, and procedures related to disposal and spill response notification. Inspections, Tests and Records Prepare written procedures on performing regular inspections, guidelines on integrity testing and record keeping requirements. Personnel, Training and Prevention Describe training requirements, designated person for spill prevention and regular review/briefings of personnel on SPCC plan requirements and procedures. DocuSign Envelope ID: 0BB57BFD-B104-4B72-875D-93A9107D1245 Proposal for SPCC Plan Update City of Fort Collins – Hoffman Mill Crushing Operation 2 www.cgrs.com 800.288.2657 1301 Academy Ct. Fort Collins, CO 80524 Security This section of the plan describes required security measures implemented at the facility to secure and control access to the tanks and transfer equipment, securing flow valves, drain valves, pump controls and sealing loading and unloading connections when not in use, and lighting to detect nighttimespills. Tank Loading/Unloading Area Describe secondary containment required for tanker trucks in loading and unloading areas and measures taken to prevent spills from occurring during transfer. Facility Drainages Describe measures taken to prevent uncontrolled drainage of precipitation from secondary containment/dike areas, management of drain valves, control of drainage from undiked areas and final diversion systems (such as retention basins), if applicable. Bulk Storage Containers This section of the plan provides details on all applicable oil storage containers 55-gallons and greater in size, including compatibility of the containers with products stored, and construction design, secondary containment capable of containing the contents of the largest tank plus precipitation, rainwater drainage procedures, corrosion protection, visual plus additional integrity testing, overfill prevention, and corrective action procedures to promptly correct and remove leaks. Transfer Operations This section includes corrosion protection for buried piping, assuring terminal pipe connections are properly sealed, proper design of pipe supports, regular inspections of piping and associated equipment, and protection of aboveground pipes and transfer equipment from vehicle impact. Scope of Work CGRS will complete the Scope of Work as follows: x Mobilize to the site to perform a walkthrough and verify applicable secondary containment volumes, and document site specific information. x Prepare SPCC Plan for the site in accordance with Code of Federal Regulations (CFR), Title 40, Part 112, prepare site-specific figures, and have the plan reviewed and certified by a Colorado Professional Engineer. If additional work is required due to a change in scope of work or unanticipated site conditions, anticipated costs will be presented to the client prior to implementation. DocuSign Envelope ID: 0BB57BFD-B104-4B72-875D-93A9107D1245 Proposal for SPCC Plan Update City of Fort Collins – Hoffman Mill Crushing Operation 3 www.cgrs.com 800.288.2657 1301 Academy Ct. Fort Collins, CO 80524 Project Cost The costs for CGRS to complete the scope of work is summarized in the following table: Our costs are based in accordance with our current City of Fort Collins contract fee schedule. In addition to all necessary labor equipment, materials, and permits to complete the foregoing work specifications, CGRS will provide commercial general, professional, and pollution liability insurance coverage ($5,000,000 aggregate), standard workers’ compensation, and employers’ liability insurance coverage. In addition to the forgoing terms, this proposal is subject to, and incorporates by reference, the terms of the CGRS, Inc. Service Agreement, a copy of which is provided herewith. If you are in agreement with these terms and conditions, please confirm your acceptance by signing below and returning to CGRS a fully executed copy of this proposal with the CGRS Service Agreement. CGRS appreciates the opportunity to provide our professional environmental services to the City of Fort Collins. If you have any questions regarding this proposal, please contact me at (970) 218-4072 or bdavis@cgrs.com. Sincerely, CGRS, Inc. Joshua Belanger Staff Geologist Brannan Davis, PE Senior Engineer Service Description Quantity Unit Unit Rate Markup (10%) Cost Total A. Site Visit/Prep/Docs Senior Engineer 6 hour $123 $738 TOTAL = $738 B. SPCC Plan Development Staff Scientist 18 hour $83 $1,494 Drafting 2 hour $58 $116 Misc Clerical/Postage 2 hour $47 $94 TOTAL = $1,704 C. SPCC Plan Certification Senior Engineer 2 hour $123 $246 TOTAL = $246 D Project Management Project Manager 2 hours $117 $234 TOTAL = $234 TOTAL COST = $2,922 DocuSign Envelope ID: 0BB57BFD-B104-4B72-875D-93A9107D1245 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 5/6/2020 (970) 635-9400 (970) 635-9401 24856 C G R S, Inc. & CA TESTCO, LLC 1301 Academy Ct Fort Collins, CO 80524 41840 41190 22292 A 1,000,000 FEI-ECC-13290-07 3/1/2020 3/1/2021 50,000 Blanket Add'l Insd 5,000 Blkt Waiver of Subro 1,000,000 2,000,000 2,000,000 B 1,000,000 AW4A232142 3/1/2020 3/1/2021 Blanket Add'l Insd Blkt Waiver of Subro A 10,000,000 FEI-EXS-13291-07 3/1/2020 3/1/2021 10,000,000 0 C 4029480 1/1/2020 1/1/2021 1,000,000 1,000,000 1,000,000 D Leased/Rented Equip RH4A231842 3/1/2020 $1,000 Deductible 200,000 A Pollution/Profession FEI-ECC-13290-07 3/1/2020 3/1/2021 Limit Per Claim 1,000,000 If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability. City of Fort Collins Contractor Licensing 281 N College Ave Fort Collins, CO 80524 CGRSINC-01 LPREWITT PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 info@mypfsinsurance.com Admiral Insurance Company Allmerica Financial Benefit Insurance Company Pinnacol Assurance Co The Hanover Insurance Company X 3/1/2021 X X X X X X X X X X X X X DocuSign Envelope ID: 0BB57BFD-B104-4B72-875D-93A9107D1245