HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICES (3)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
AECOM TECHNICAL SERVICES INC.
WORK ORDER NUMBER: 2020-011
PROJECT TITLE: Poudre River Removal Action- Monitoring Well
Abandonment
ORIGINAL BID/RFP NUMBER & NAME: 8631 General Environmental Services
MASTER AGREEMENT EFFECTIVE DATE: 2/28/2018
ARCHITECT/ENGINEER: Margaret Zebley
OWNER’S REPRESENTATIVE: Matt Zoccali
WORK ORDER COMMENCEMENT DATE: 11/23/2020
WORK ORDER COMPLETION DATE: 12/31/2020
MAXIMUM FEE: (time and reimbursable direct costs): $12,857.25
PROJECT DESCRIPTION/SCOPE OF SERVICES:
Task 100 Project Management
The project management task includes project coordination and communication with City
of Fort Collins and AECOM project teams; project planning and scope development;
project financial reviews; and project quality assurance/quality control.
Task 200 Monitoring Well Abandonment
This task includes health and safety tasks, well abandonment, and reporting associated
with monitoring well abandonment at the Poudre River Removal Action (PRRA) site.
Health and Safety will include creating a Health and Safety Plan (HASP) to cover this
scope of work at the PRRA site.
ꞏ Task Hazard Analyses (THA) associated with specific tasks that occur at the
individual sites are included in the (HASP).
Field oversight includes support for monitoring well abandonment at the site. Up to ten
(10) monitoring wells at the site will be abandoned in accordance with State of Colorado
regulations.
All ten (10) wells will be abandoned if all can be located prior to the start of work.
AECOM’s selected subcontractor, Remington Technologies, LLC, will implement the
work and AECOM will provide observation of the abandonment activities. AECOM will
also coordinate a One Call utility locate for the abandonment work and communicate the
schedule.
Based on discussions with the City of Fort Collins, an asbestos spotter is not required
during these activities, however the City will provide an 0.5-hour asbestos awareness
DocuSign Envelope ID: 7FD8D0FB-600B-4934-ADA5-2A842EF1731F
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
training to the field as part of the daily tailgate the first day of activities. Any potential
asbestos containing material findings during abandonment will result in a stop work for
that location and the City will be immediately notified.
Task 300 Reporting
The reporting task will include filling out and submitting well abandonment forms
required by the State of Colorado for permitted wells and providing a brief summary
memo of field activities to the City of Fort Collins.
The memo will summarize activities, provide a table of abandoned wells, provide a figure
of abandoned well locations, and provide well abandonment forms.
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 Certificate of Liabilities (2) 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: AECOM
By: Date:
Name: Margaret Zebley, P.E. Title: Associate Vice President
DocuSign Envelope ID: 7FD8D0FB-600B-4934-ADA5-2A842EF1731F
11/24/2020
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:
Matt Zoccali, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
APPROVED AS TO FORM: Date:
Name,City Attorney's Title
(if greater than $1,000,000)
ACCEPTANCE: Date:
Name, Title
ACCEPTANCE: Date:
Name, Title
ACCEPTANCE: Date:
Name, 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)
DocuSign Envelope ID: 7FD8D0FB-600B-4934-ADA5-2A842EF1731F
11/24/2020
11/24/2020
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE OF SERVICES
DocuSign Envelope ID: 7FD8D0FB-600B-4934-ADA5-2A842EF1731F
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
WORK ORDER COST DETAIL
DocuSign Envelope ID: 7FD8D0FB-600B-4934-ADA5-2A842EF1731F
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: 7FD8D0FB-600B-4934-ADA5-2A842EF1731F