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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 9139 CAPITAL PROJECT PARTNERINGUtilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND INSTITUE FOR THE BUILT ENVIRONMENT (IBE) - CSU WORK ORDER NUMBER: I-HWSP-2020-08 PROJECT TITLE: Halligan Project 01 – Initial Partnering ORIGINAL BID/RFP NUMBER & NAME: 9139 Capital Project Partnering MASTER AGREEMENT EFFECTIVE DATE: June 1, 2020 ARCHITECT/ENGINEER: NA OWNER’S REPRESENTATIVE: Linsey Chalfant WORK ORDER COMMENCEMENT DATE: June 21, 2020 WORK ORDER COMPLETION DATE: November 31, 2020 MAXIMUM FEE: (time and reimbursable direct costs): $17,755.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: Scope of work for work order 01 includes the initial partnering. 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 two (2) 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: Institute for the Built Environment (IBE) - CSU By: Date: Name: Title: Page 1 of 6 DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9 Josie Plaut Associate Director July 6, 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: Linsey Chalfant, Civil Engineer III REVIEWED: Date: Pat Johnson, Senior Buyer REQUISITION ENTERED BY: Date: Melissa Walker, Coordinator, Finance ACCEPTANCE: Date: Matt Fater, Director, Civil Engineering ACCEPTANCE: Date: Andrew Gingerich, Interim Deputy Director, Water Engineering & Field Services ACCEPTANCE: ACCEPTANCE: Date: Date: 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 6 Carol Webb, Deputy Director, Water Resources & Treatment Operations Eileen Dornfest, Halligan Project Manager DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9 June 30, 2020 July 1, 2020 July 1, 2020 July 8, 2020 July 6, 2020 July 7, 2020 July 8, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER COST OF SERVICES Page 3 of 6 DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9 1 HALLIGAN DAM PARTNERING SESSIONS Scope of work IBE will lead the design, delivery, documentation, and follow up for a 2.5 day partnering session (July 15- 17) for the Halligan Dam project. Tasks will be completed with collaboration and direction from the City of Fort Collins Utilities’ staff. Task 1: Prep, Content Development & Logistics • Design 2.5-day Partnering Session agenda for Halligan Dam Team • Design teaming activities specific to the project and APDS o e.g., guiding project principles and practices, developing illustrative case stories for APDS, creating risk scenario activities, conflict resolution process, etc. • Develop PowerPoint presentation including flow, content, and visual presentation • Aid the City in developing needed content and collateral for communicating APDS to project team members for partnering session and for new partners as the come on to the project • Provide input on meeting logistics (e.g., location food, supplies, etc.), as needed Task 2: Onsite Partnering Session Facilitation • Provide in person facilitation for 2.5 days • Transit to and from meeting location and project site Task 3: Documentation • Record detailed meeting notes including one round of revisions • Create a partnering summary document specific to Halligan Dam project team including up to two rounds of revisions Task 4: Follow Up Support • Hold a debrief meeting in July after partnering session • Provide follow up support, as needed, from August to October (est. 4 hours per month, up to 12 hours total) Schedule Week Of Month Activity 6/21 6/29 7/6 7/13 7/20 7/27 Aug Sept Oct Task 1: Agenda design & prep Task 2: Facilitate partnering session Task 3: Documentation Task 4: Follow Up Support Page 4 of 6 DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9 2 1. Fee Estimate Josie Plaut ($150/hr) Sr. PM ($135/hr) Student Associate ($68/hr) Task Hours Task Cost Task 1 Agenda Design & Prep 40 5 45 $6,340 Task 2 Onsite Facilitation (inc. travel) 24 24 48 $5,232 Task 3 Documentation 15 3 15 33 $3,675 Task 4 Follow Up 14 6 20 $872 Total 93 3 50 146 $17,755 Page 5 of 6 DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9 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 6 of 6 DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9 Holder Identifier : 7777777707070700077763616065553330772617546214457707662007550507120073651755144231030777271713147601007767142410455712076050146423757400767731637527554607633512641664201077727252025773110777777707000707007 6666666606060600062606466204446200620226400662224206000024262260022062200240402620220622202404204200006200204062240002062002262602422220622220604006022006220204262042200066646062240664440666666606000606006 Certificate No : 570077752811 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/02/2019 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. PRODUCER Aon Risk Services South, Inc. Franklin TN Office 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED INSURER A: Safety National Casualty Corp 15105 INSURER B: Lloyd's Syndicate No. 2987 AA1128987 INSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.): (800) 363-0105 CONTACT NAME: Colorado State University 1251 Mason Street Fort Collins CO 80523-6021 USA COVERAGES CERTIFICATE NUMBER: 570077752811 REVISION NUMBER: 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. Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL TYPE OF INSURANCE INSD POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 Included Included $1,000,000 Included B 08/01/2019 08/01/2020 SIR applies per policy terms & conditions PK1033619 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000 B 08/01/2019 08/01/2020 SIR applies per policy terms & conditions COMBINED SINGLE LIMIT (Ea accident) PK1033619 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $5,000,000 $5,000,000 08/01/2019 SIR applies per policy terms & conditions B UMBRELLA LIAB PK1033619 08/01/2020 X RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT OTH- ER PER STATUTE Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below SP4061145 08/01/2019 08/01/2021 EL Each Accident SIR applies per policy terms & conditions EL Disease - Policy $1,000,000 EL Disease - Ea Empl $1,000,000 A Excess WC $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Coverage. CERTIFICATE HOLDER CANCELLATION ColoradoREPRESENTATIVE State University AUTHORIZED 1432 General Services Building Fort Collins CO 80523 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DocuSign Envelope ID: CD0B4C51-93D2-48AA-AD1B-9C2F191B96C9