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HomeMy WebLinkAboutCORRESPONDENCE - BID - 8844 MISCELLANEOUS CONCRETE (36)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 LIGHTFIELD ENTERPRISES, INC WORK ORDER NUMBER: 2020.09.23 PROJECT TITLE: Brewer, Sitka, Conifer Replacement Project ORIGINAL BID/RFP NUMBER & NAME: 8844, Miscellaneous Concrete MASTER AGREEMENT EFFECTIVE DATE: February 1, 2019 ARCHITECT/ENGINEER: NA OWNER’S REPRESENTATIVE: Jason Eich WORK ORDER COMMENCEMENT DATE: September 23, 2020 WORK ORDER COMPLETION DATE: December 31, 2020 MAXIMUM FEE: (time and reimbursable direct costs): $82,639.12 PROJECT DESCRIPTION/SCOPE OF SERVICES: Replace 6" concrete flatwork, and include Traffic Control, Flagging Hours, Dump Fees, Base Material, crosspan-8”, metal sidewalk culvert, vertical curb, gutter, high back curb and gutter, outfall curb and gutter, concrete walls non- reinforced 8” remove concrete. Actual costs will be invoiced at contract unit prices. See attached supporting documentation. 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 three (3) 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: Lightfield Enterprises, Inc. By: Date: Name: Title: Page 1 of 8 Lucia Lightfield President October 5, 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: Jason Eich, Crew Chief, Stormwater Maintenance Operations REVIEWED: Date: Dale Elliot, Senior Buyer REQUISITION ENTERED BY: Date: ACCEPTANCE: Date: Douglas Groves, Manager, Stormwater Maintenance Operations ACCEPTANCE: Date: Andrew Gingerich, Interim Deputy Director, Water Engineering & Field Services ACCEPTANCE: Date: Kevin Gertig, Utilities Executive Director (if greater than $1,000,000) ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) ACCEPTANCE: Date: Darin Atteberry, City Manager (if greater than $1,000,000) ATTEST: Date: City Clerk (if greater than $1,000,000) Page 2 of 8 Melissa Walker October 1, 2020 Coordinator, Finance October 5, 2020 October 5, 2020 October 5, 2020 October 5, 2020 October 5, 2020 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER COST AND SCOPE DETAIL Page 3 of 8 Estimate Date 9/16/2020 Estimate # C2031 Bill To: City of Fort Collins Stormwater Attn: Doug Groves P.O. Box 580 Fort Collins, Co. 80522 Project Location Brewer Sitka Conifer P.O./ Work order # Terms Net 30 Representat... CH Phone # 9704843880 Fax # 970-416-6230 E-mail smagdaleno@lightfieldenterprises.com Total 2600 Midpoint Drive Fort Collins CO 80525 Description QtyUnit Cost Total Remove Monolithic Curb, Gutter & Sidewalk 545 SF 3.95 2,152.75 Driveover Curb, Gutter & 6" Sidewalk 83 LF 44.07 3,657.81 Remove Concrete Driveway/Apron/Crosspan 1,190 SF 3.85 4,581.50 Crosspan - 8" 1,190 SF 8.89 10,579.10 Metal Sidewalk Culvert - 2' Opening, Remove & Replace 3 EA 815.67 2,447.01 Metal Sidewalk Culvert - 2' Opening, Materials Only 3 EA 1,632.33 4,896.99 Vertical Curb, Gutter and 6" Sidewalk 34 LF 44.07 1,498.38 Vertical Curb and Gutter - No Sidewalk 13 LF 27.11 352.43 Flatwork - 6" 80 SF 6.11 488.80 Reinforcing Steel 80 LBS 3.95 316.00 Vertical Curb and Gutter - No Sidewalk 157 LF 27.11 4,256.27 Highback Curb and Gutter - No Sidewalk 851 LF 38.89 33,095.39 Out Fall Curb & Gutter 12 LF 26.02 312.24 Non-reinforced Concrete Wall - 8" 120 SFF 18.59 2,230.80 Page Page 4 of 1 8 Estimate Date 9/16/2020 Estimate # C2031 Bill To: City of Fort Collins Stormwater Attn: Doug Groves P.O. Box 580 Fort Collins, Co. 80522 Project Location Brewer Sitka Conifer P.O./ Work order # Terms Net 30 Representat... CH Phone # 9704843880 Fax # 970-416-6230 E-mail smagdaleno@lightfieldenterprises.com Total 2600 Midpoint Drive Fort Collins CO 80525 Description QtyUnit Cost Total Aggregate Base Course/Recycled Concrete Base > 5 Tons 90 TON 40.01 3,600.90 Temporary Asphalt Patching 17.5 TON 202.10 3,536.75 Sawcut Concrete/Asphalt (8" = 10") 68 LF 5.75 391.00 Remove Asphalt - 6" 340 SF 3.08 1,047.20 Channelizing Barrels 60PEPD 1.50 90.00 Traffic Control Supervisor 20 HR 46.20 924.00 Flagging 20 HR 26.69 533.80 Type III Barricade Without Light 8 PEPD 5.00 40.00 Concrete Pumping 1 LS 1,610.00 1,610.00 Page 2 $82,639.12 Page 5 of 8 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER SCHEDULE DETAIL Page 6 of 8 9/23/2020 10/5/2020 12/1/2020 Project Notice to Proceed Project Construction Project Final Completion/Acceptance Brewer, Sitka, Conifer pipe and channel job Page 7 of 8 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. Page 8 of 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/19/2020 The Harry A. Koch Co. P.O. Box 45279 Omaha NE 68145-0279 402-861-7000 lynn.haugen@hakco.com National Union Fire Ins Co. of Pitt 19445 LIG46636 New Hampshire Ins Company 23841 Lightfield Enterprises 2600 Midpoint Drive Fort Collins CO 80525 1372187799 A X 1,000,000 X 300,000 25,000 1,000,000 2,000,000 X X Y 3506965 6/1/2020 6/1/2021 2,000,000 A 1,000,000 X 4544903 6/1/2020 6/1/2021 B X N 25893880 6/1/2020 6/1/2021 1,000,000 1,000,000 1,000,000 RE: Miscellaneous Concrete Contract (Bid# 8844). Certificate holder is additional insured for General Liability and Auotmobile Liability if required by written contract executed prior to loss. City of Fort Collins Purchasing Division PO Box 580 Fort Collins CO 80522