HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICES (7)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
LT ENVIRONMENTAL
WORK ORDER NUMBER:
PROJECT TITLE: Ashley-Brink Environmental Hazards Testing
ORIGINAL BID/RFP NUMBER & NAME: 8631 General Environmental Services
MASTER AGREEMENT EFFECTIVE DATE: 2/28/2018
WORK ORDER COMMENCEMENT DATE: October 5, 2020
WORK ORDER COMPLETION DATE: October 31, 2020
MAXIMUM FEE: (time and reimbursable direct costs): $5,200.00
PROJECT DESCRIPTION/SCOPE OF SERVICES: See attached
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 six (6) 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: LT Environmental, Inc.
By: Date:
Name: Title:
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
John Peterson Chief Operating Officer
10/1/2020
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:
Aaron Reed, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
9/30/2020
10/1/2020
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE OF SERVICES
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
WORK ORDER COST DETAIL
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT C
CERTIFICATE OF INSURANCE
CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract Documents.
DocuSign Envelope ID: 42520B31-79D7-4636-BB59-5B0740FE6F73