HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICESWork Order Form
Official Purchasing Form
Last updated 10/2017
WORK ORDER FORM
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
LT ENVIRONMENTAL, INC.
WORK ORDER NUMBER: OP-518224
PROJECT TITLE: 212 West Mountain Avenue
Interior Emergency Response
ORIGINAL BID/RFP NUMBER & NAME: 8631
MASTER AGREEMENT EFFECTIVE DATE: 02-28-2018
WORK ORDER COMMENCEMENT DATE: 05-30-2020
WORK ORDER COMPLETION DATE: 09-18-2020
MAXIMUM FEE: (time and reimbursable direct costs): $10,759.55
PROJECT DESCRIPTION/SCOPE OF SERVICES: Environmental services in response to an
interior flooding event at the above referenced property.
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 thirteen (13) 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: Date:
John Peterson, LT Environmental
ACCEPTANCE: Date:
Matthew Schaefer, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
9/9/2020
9/9/2020
9/14/2020
Mr. Matthew Schaefer
City of Fort Collins
300 Laporte Avenue, Building B
Fort Collins, CO 80522
July 17, 2020
Invoice No: 061620003 - 3
Project 061620003 212 Mountain Avenue - Clearances
WO#: RFP 8631 General Environmental Services
Email invoice to: invoices@fcgov.com
Professional Services from May 30, 2020 to June 26, 2020
Task 0002 Interior Emergency Response
Professional Personnel
Hours
Rate
Amount
Technical Director 2.00 170.00 340.00
Project Eng/Sci II 26.00 105.00 2,730.00
Staff Eng/Sci III 10.00 75.00 750.00
Admin/Clerical .75 55.00 41.25
Totals 38.75
3,861.25
Total Labor 3,861.25
Consultants
Subcontractors
5/29/2020 Stiles Environmental &
Industrial Hygien
Services 1,666.00
Lab Analyses
5/15/2020 Reservoirs Environmental, Inc. Analyses 108.00
5/16/2020 Reservoirs Environmental, Inc. Analyses 324.00
5/18/2020 Reservoirs Environmental, Inc. Analyses 675.00
5/19/2020 Reservoirs Environmental, Inc. Analyses 250.00
5/21/2020 Reservoirs Environmental, Inc. Analyses 180.00
5/22/2020 Reservoirs Environmental, Inc. Analyses 525.00
Total Consultants 1.1 times 3,728.00 4,100.80
Billing Limits Current
Prior To-Date
Total Billings 7,962.05 0.00 7,962.05
Limit 9,490.00
Remaining 1,527.95
Total this Task $7,962.05
Total this Invoice $7,962.05
Billings to Date
Current Prior Total
Labor 3,861.25 2,386.27 6,247.52
Consultant 4,100.80 5,041.79 9,142.59
Unit 0.00 318.94 318.94
Totals 7,962.05 7,747.00 15,709.05
Terms: Net 30
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Stiles Environmental and Industrial
Hygiene, LLC
4602 Plettner Lane, 3C
Evergreen, CO 80439 US
(303) 593-0683
renee@stileseih.com
www.stileseih.com
INVOICE
BILL TO
INVOICE 20-056
LT Environmental DATE 06/03/2020
TERMS Net 30
DUE DATE 07/03/2020
DESCRIPTION
AMOUNT
212 W. Mountain
Ave., Fort Collins
0.00
5/8/2020 Asbestos
Clearance & Travel
(Fort Collins)
848.00
5/14/2020 Asbestos
Clearance & Travel
(Fort Collins)
848.00
5/15/2020 Asbestos
Bulk Sampling &
Travel (Fort Collins)
688.00
5/18/2020 Asbestos
Clearance & Travel
(Fort Collins)
848.00
5/22/2020 Asbestos
Clearance & Travel
(Fort Collins)
848.00
Throughout Project
-
Equipment/Media/A
dmin.
260.00
Thank you for your business.
BALANCE DUE
$4,340.00
Stiles Environmental & Industrial Hygiene
TAX ID - 27-0769934
Page 1 of 1
06162000
TASK 1
TASK 2
TASK 1
TASK 2
TASK 1
Split T1 T2
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
P:(303) 964-1986
F:(303) 477-4275
5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV
www.reilab.com
Service Charge of 18% per annum may
be charged on past due invoices.
TERMS: Net 30 Days
May 15, 2020
RES 462717-1
Invoice Date:
Invoice Number:
Invoice To:
LT Environmental, Inc. (Arvada)
4600 W. 60th Ave.
Arvada CO 80003
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 462717-1
Submitted By: LT Environmental, Inc. (Arvada)
P/O Number: 061620003
Description: 212 Mountain Ave #3
Contact: Joe Knowles
6 PLM Short Report (EPA/600
/R-93/116) Bulk Rush
$18.00 $108.00
1 PLM Short Report (EPA/600
/R-93/116) Not Received Rush
$0.00 $0.00
Invoice Total: $108.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
P:(303) 964-1986
F:(303) 477-4275
5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV
www.reilab.com
Service Charge of 18% per annum may
be charged on past due invoices.
TERMS: Net 30 Days
May 16, 2020
RES 462818-1
Invoice Date:
Invoice Number:
Invoice To:
LT Environmental, Inc. (Arvada)
4600 W. 60th Ave.
Arvada CO 80003
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 462818-1
Submitted By: LT Environmental, Inc. (Arvada)
P/O Number: 061620003
Description: Bulk samples from inside
Contact: Ryan Zernis
27 PLM Short Report (EPA/600
/R-93/116) Bulk Priority $12.00 $324.00
Invoice Total: $324.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
P:(303) 964-1986
F:(303) 477-4275
5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV
www.reilab.com
Service Charge of 18% per annum may
be charged on past due invoices.
TERMS: Net 30 Days
May 18, 2020
RES 462948-1
Invoice Date:
Invoice Number:
Invoice To:
LT Environmental, Inc. (Arvada)
4600 W. 60th Ave.
Arvada CO 80003
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 462948-1
Submitted By: LT Environmental, Inc. (Arvada)
P/O Number: 06162003 Task 2
Description: 212 Mountain Ave, Ft Collins
Contact: Joe Knowles
5 AHERA (40 CFR 763) Air Rush
$105.00 $525.00
5 AHERA (40 CFR 763)-After
Hours Air Rush
$30.00 $150.00
2 AHERA (40 CFR 763) Not Analyzed Rush
$0.00 $0.00
Invoice Total: $675.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
P:(303) 964-1986
F:(303) 477-4275
5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV
www.reilab.com
Service Charge of 18% per annum may
be charged on past due invoices.
TERMS: Net 30 Days
May 19, 2020
RES 462818-2
Invoice Date:
Invoice Number:
Invoice To:
LT Environmental, Inc. (Arvada)
4600 W. 60th Ave.
Arvada CO 80003
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 462818-2
Submitted By: LT Environmental, Inc. (Arvada)
P/O Number: 061620003 Task 2
Description: Bulk samples from inside
Contact: Ryan Zernis
10 PLM Point Count (EPA/600
/R-93/116) Bulk Priority $25.00 $250.00
Invoice Total: $250.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
P:(303) 964-1986
F:(303) 477-4275
5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV
www.reilab.com
Service Charge of 18% per annum may
be charged on past due invoices.
TERMS: Net 30 Days
May 28, 2020
RES 463722-1
Invoice Date:
Invoice Number:
Invoice To:
LT Environmental, Inc. (Arvada)
4600 W. 60th Ave.
Arvada CO 80003
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 463722-1
Submitted By: LT Environmental, Inc. (Arvada)
P/O Number: 061620003.02
Description: 212 Mountain Avenue - add interior
Contact: Ryan Zernis
10 PLM Short Report (EPA/600
/R-93/116) Bulk Rush $18.00 $180.00
Invoice Total: $180.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
P:(303) 964-1986
F:(303) 477-4275
5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV
www.reilab.com
Service Charge of 18% per annum may
be charged on past due invoices.
TERMS: Net 30 Days
May 22, 2020
RES 463342-1
Invoice Date:
Invoice Number:
Invoice To:
LT Environmental, Inc. (Arvada)
4600 W. 60th Ave.
Arvada CO 80003
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 463342-1
Submitted By: LT Environmental, Inc. (Arvada)
P/O Number:
Description:
061620003 T0002
212 W. Mountain Ave. Fort Collins - #4
Contact: Ryan Zernis
5 AHERA (40 CFR 763) Air Rush
$105.00 $525.00
2 AHERA (40 CFR 763) Not Analyzed Rush
$0.00 $0.00
Invoice Total: $525.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Mr. Matthew Schaefer
City of Fort Collins
300 Laporte Avenue, Building B
Fort Collins, CO 80522
August 14, 2020
Invoice No: 061620003 - 4
Project 061620003 212 Mountain Avenue - Clearances
WO#: ; RFP 8631 General Environmental Services
Email invoice to: invoices@fcgov.com
Professional Services from June 27, 2020 to July 31, 2020
Task 0002 Interior Emergency Response
Professional Personnel
Hours Rate Amount
Technical Director 1.50 170.00 255.00
Sr. Eng/Sci II 2.00 125.00 250.00
Project Eng/Sci II 5.50 105.00 577.50
Admin/Clerical .35 55.00 19.25
Totals 9.35 1,101.75
Total Labor 1,101.75
Consultants
Subcontractors
7/31/2020 CADD Services, Inc. Services 240.00
Total Consultants 1.1 times 240.00 264.00
Billing Limits Current Prior To-Date
Total Billings 1,365.75 0.00 1,365.75
Limit 9,490.00
Remaining 8,124.25
Total this Task $1,365.75
Task 0003 Interior Clearance Flood Cut Abatement
Professional Personnel
Hours Rate Amount
Construction ManagerII 2.50 80.00 200.00
Technician II .50 60.00 30.00
Admin/Clerical .25 55.00 13.75
Totals 3.25 243.75
Total Labor 243.75
Consultants
Subcontractors
7/21/2020 Stiles Environmental &
Industrial Hygien
Services 950.00
Lab Analyses
7/15/2020 Reservoirs Environmental, Inc. Analyses 105.00
Total Consultants 1.1 times 1,055.00 1,160.50
Unit Billing
7/13/2020 Vehicle 0.25 Days @ 110.00 27.50
Total Units 1.0 times 27.50 27.50
Terms: Net 30
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Billing Limits Current Prior To-Date
Total Billings 1,431.75 0.00 1,431.75
Limit 16,000.00
Remaining 14,568.25
Total this Task $1,431.75
Total this Invoice $2,797.50
Billings to Date
Current Prior Total
Labor 1,345.50 2,386.27 3,731.77
Consultant 1,424.50 5,041.79 6,466.29
Unit 27.50 318.94 346.44
Totals 2,797.50 7,747.00 10,544.50
Terms: Net 30 Page 2
Project 061620003 212 Mountain Avenue - Clearances Invoice 4
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Invoice
DATE
7/31/2020
INVOICE #
2020-219
BILL TO
LT Environmental, Inc.
4600 West 60th Avenue
Arvada, Colorado 80003
P.O. NO. TERMS
Net 30
Thank you for your business.
Total
COMPUTER AIDED DRAFTING & DESIGN
CADD Services Inc.
4891 Independence St., Suite 130
Wheat Ridge, CO 80033
303-421-0185
DATE QTY/HOURS ITEM DESCRIPTION RATE AMOUNT
7/2/2020 0.5 CADD Drafting 061620003.002-212 West Mtn 60.00 30.00
7/2/2020 CADD Drafting 061620003.002-212 West Mtn: ACM Survey
figures
3.5 60.00 210.00
$240.00
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Stiles Environmental & Industrial Hygiene
TAX ID - 27-0769934
Page 1 of 1
Stiles Environmental and Industrial
Hygiene, LLC
4602 Plettner Lane, 3C
Evergreen, CO 80439 US
(303) 593-0683
renee@stileseih.com
www.stileseih.com
INVOICE
BILL TO
LT Environmental
INVOICE 20-085
DATE 07/21/2020
TERMS Net 30
DUE DATE 08/20/2020
DATE DESCRIPTION QTY RATE AMOUNT
LT Project #
061620005
212 W. Mountain
Ave., Fort Collins
1 0.00 0.00
Asbestos Clearance 1 760.00 760.00
Travel, Mobilization,
Demobilization
1 190.00 190.00
Thank you for your business. BALANCE DUE $950.00
Pay invoice
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6
Reservoirs Environmental, Inc Effective April 02, 2018
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
Invoice To:
LT Environmental, Inc.
4600 W. 60th Ave.
Arvada CO 80003
Invoice Date:
Invoice Number:
TERMS: Net 30 Days
July 15, 2020
RES 468037-1
Service Charge of 18% per annum may
be charged on past due invoices.
REMIT TO: 5801 Logan St, Suite 100, Denver, CO 80216
Quantity Analytical Procedure Unit Price Amount
RES Job#: RES 468037-1
Submitted By: LT Environmental, Inc.
P/O Number: 061620005
Description: 212 W Mountain Ave, Ft Collins CO
Contact: Joe Knowles
7 PCM (NIOSH 7400A) Air Rush $15.00 $105.00
Invoice Total: $105.00
P:(303) 964-1986
F:(303) 477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan St, Suite 100, Denver, CO 80216
DocuSign Envelope ID: 4E033B1B-FC34-4DCB-9B79-059DAE56C7D6