HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9201147Work Order Form
Official Purchasing Form
Last updated 10/2017
WORK ORDER FORM
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
City of Fort Collins Light & Power
WORK ORDER NUMBER: 1
PROJECT TITLE: Eastside Park Improvements
ORIGINAL BID/RFP NUMBER & NAME: na
MASTER AGREEMENT EFFECTIVE DATE: na
WORK ORDER COMMENCEMENT DATE: 4/10/20
WORK ORDER COMPLETION DATE: 7/16/20
MAXIMUM FEE: (time and reimbursable direct costs): $12,211.73
PROJECT DESCRIPTION/SCOPE OF SERVICES: see attached work request & invoice.
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) 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:
City of Ft. Collins Light & Power: Austin Kreager, Project Manager
ACCEPTANCE: Date:
Jennifer Torrey, Project Manager
REVIEWED: Date:
Elliot Dale, Buyer or Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 051AB41F-264C-406B-8D8E-A7FD18C4B833
July 28, 2020
July 28, 2020
July 28, 2020
July 29, 2020
PROJECT #:
400702471.6
July 30, 2020
WORK REQUEST
L & P Representative: Date: .
Description and location of work to be performed:
Comments: The individual signing below (or the company represented by the individual) agrees to pay
the cost of the construction described on this work request, based on actual labor, equipment, materials,
contractual, and overhead costs incurred by the utility. Any estimates given are based on the best
information available at the time of the request. Actual costs may vary from the estimate due to
unspecified field conditions encountered during construction.
Bill To:
Company Name:
Attention:
Mail Address:
City & Zip:
Telephone:
Authorized signature
Print name Telephone
Title
Customer purchase order No. (if available)
Terms: Payment in full due 30 days from invoice date.
Dm:wkreq-T&M.doc revised January 27, 2014
Light and Power Utility
700 Wood St. - P.O. Box 580
Ft. Collins, CO 80522-0580
(970) 221-6700
(970) 221-6619 (fax)
Austin Kreager
City of Fort Collins - Park Planning & Development
Jennifer Torrey
PO Box 580
Fort Collins CO 80522
970.221.6303
Jennifer Torrey Digitally signed by Jennifer Torrey
Date: 2020.04.10 11:03:55 -06'00'
Jennifer Torrey 970.221.6303
Senior Landscape Architect
04/10/2020
This is for the improvements in Eastside Park. The work will include the addition of
two new light poles, and six LED post top luminaires. The addition of the two new
poles will require some trenching. The work is scheduled to be performed during
normal business hours, and no overtime work is anticipated.
A cost estimate (anticipated range in cost is approximately $14,000 - $18,000) has
been provided, and if we run into unexpected complications, we will coordinate
with the Park Planning & Development Department prior to proceeding to ensure
that budget issues are not created.
DocuSign Envelope ID: 051AB41F-264C-406B-8D8E-A7FD18C4B833
DocuSign Envelope ID: 051AB41F-264C-406B-8D8E-A7FD18C4B833