HomeMy WebLinkAboutWORK ORDER - BID - 9033 METER BOX INSTALLATIONWork Order Form
Official Purchasing Form
Last updated 10/2017
WORK ORDER FORM
PURSUANT TO A MASTER AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
MSI ENTERPRISES, INC.
WORK ORDER NUMBER: 01-MSI-2020
PROJECT TITLE: Prospect Water Meters
ORIGINAL BID/RFP NUMBER & NAME: 9033 Meter Box Installation
MASTER AGREEMENT EFFECTIVE DATE: November 12, 2019
WORK ORDER COMMENCEMENT DATE: September 8, 2020
WORK ORDER COMPLETION DATE: October 31, 2020
MAXIMUM FEE: (time and reimbursable direct costs): $31,350
PROJECT DESCRIPTION/SCOPE OF SERVICES: Relocate 11 water meters as identified City
Engineering Staff. Upon project completion, work to be reviewed by contractor and project
staff.The scope of services does not include authorization to deviate from the approved
location without approval.
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 form consisting of one (1) page is 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:
Matt Iverson, President
ACCEPTANCE: Date:
Kari Craven, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 85EA620C-EDB9-4F80-AF0A-45C143693F22
9/16/2020
9/16/2020
9/16/2020
9/16/2020
OWNER INFORMATION CONTRACTOR INFORMATION
Name City Of Fort Collins
Address Name
City, State ZIP Fort Collins, CO 80524 Address
Phone 970-222-3984 City, State ZIP
Email kcraven@fcgov.com Phone
Email
Project name Prospect improvments project Completion date
Meter box Relacations
$31,350
COMPANY PROPOSAL PROJECT TOTAL PRICE $ 31,350.00
Submitted by Matt Iverson Date: 9/5/2020
OWNER ACCEPTANCE OF PROPOSAL
Accepted by (Owner/Contractor) Date
I, (insert name here), do accept this proposal and authorize MSI to begin work on (insdert date here) for the contract amount of $ (lump
sum) (or not-to exceed price, or based on time and materials estimated price) .
TOTAL PROJECT COST
Anticipated Start Date Sep-20
Estimated Completion Date
MSI Inc proposes the above scope of work as defined above. MSI will begin work within X# days of owner acceptance of proposal. Work is
anticipated to be completed within X# weeks after start of work.
NOTE:
CONSTRUCTION BID
Summary of Work:
Price includes all labor, materials, and equipment to relocate 11 meter boxes along prospect
*Mobilization of equipment
*Relocate meter boxes and and bring up to curent standards @ $2,850/EA x 11
*Meters to be Relocated: 1536 Peterson, 414 E Prospect, 418 E Prospect, 426 E Prospect, 200 Circle Dr, 210 Circle Dr, 609E
1600 Harris Dr
Fort Collins, CO 80524
970-217-9975
msiexc@aol.com
DocuSign Envelope ID: 85EA620C-EDB9-4F80-AF0A-45C143693F22