HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9201078Work Order Form
Official Purchasing Form
Last updated 10/2017
WORK ORDER FORM
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
BRINKMAN CONSTRUCTION
WORK ORDER NUMBER: 01
PROJECT TITLE: Transfort Bike Shelter Installation
ORIGINAL BID/RFP NUMBER & NAME: 9126 Minor Carpentry Construction and
Renovation Contractor
MASTER AGREEMENT EFFECTIVE DATE: July 1, 2020
WORK ORDER COMMENCEMENT DATE: 7/20/2020
WORK ORDER COMPLETION DATE: 7/31/2020
MAXIMUM FEE: (time and reimbursable direct costs): $4,919.00
PROJECT DESCRIPTION/SCOPE OF SERVICES:
All labor and equipment to transport and construct four (4) bike shelters and sixteen
(16) bike racks.
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 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:
Jim Ciesla , CEO
ACCEPTANCE: Date:
Belinda Barnes, Project Manager
REVIEWED: Date:
Jake Rector, Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: B6AE8798-B5E7-4B1F-9654-0A7A816074D0
7/21/2020
7/22/2020
7/22/2020
Date: July 9, 2020
Job # 20-0048
Job Name: Transfort Bike Shelters
Estimate # 20-0048-01
Description: Construct and install 4 bike shelters (owner furnished)
To: City of Fort Collins From: Brinkman Construction, Inc.
Attn: Belinda Barnes Jeremy Clift
Address 215 Nort Mason Street 3528 Precision Drive, Suite 100
Fort Collins, CO 80524 Fort Collins, CO 80528
Email bebarnes@fcgov.com jclift@brinkmanconstruction.com
Phone 970-416-2615 719-210-9677
Scope of Work: Add: $ 4,919
Assumptions:
Exclusions:
Signed: Date: 7/9/2020 Signed: Date:
Jeremy Clift | Project Manager Belinda Barnes | Project Manager
Brinkman Construction, Inc. City of Fort Collins - Transfort and Parking Services
All labor and equipment to transport and construct four (4) bike shelters and sixteen (16) bike racks.
Demo:
• By City of Fort Collins
Construction:
• Uncrate and transport bike shelter componants
• Assemble and anchor bike shelters
• Anchor bike racks
• Clean/touch up shelters
Work to be performed during normal business hours 7 am - 5 pm
No building permit required and no cost included
Existing concrete is the correct size, thickness and condition for these shelters
Sites will be pad ready for new install
Unforeseen conditions, off-hour work.
All permits and fees
Any concrete work
Traffic control
Parking permits or fees
Davis Bacon Wages
DocuSign Envelope ID: B6AE8798-B5E7-4B1F-9654-0A7A816074D0