HomeMy WebLinkAboutWORK ORDER - PURCHASE ORDER - 9153614WORK ORDER
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
La'neI� 11
DATED: r/-1W J
Work Order Number:
Purchase Order Number, (� l
Project Title:
Original Bid/RFP Project Number & Name:
Commencement Date:
Completion Date:'T$ D ff
Maximum Fee: (time and rei bursable direct costs):
Iy,�s�. J7 ►
Project Description:J,-�.
Scope of Services: \
g GC A4. �
Professional agrees to perform the services
Identified above and on the attached forms In
accordance with the terms and conditions
contained herein and in the Professional Services
Agreement between the parties. In the event of a
conflict between or ambiguity in the terms of the
Professional Services Agreement and this work
order (including the attached forms) the
Professional Services Agreement shall control.
The attached forms consisting of �}
pages are hereby accepted and incorporated
herein, by this reference, and Notice to Proceed is
hereby given.
City of
Project
Date: -r1l
By:
Gerry Paul
Director of Purchasing and Risk Management
(over $60,000.00)
Date:
Connell Resources, Inc
7785 Highland Meadows Pkwy. #100
Fort Collins, CO 80528-9527
(970) 223-3151
TO Ryan Kogut
PHONE"
ORDBR TAKEN BY
P Ra
CUSTOMM ORDER NO.
5/15/2015
❑
DAY WORK ElCONTRACT®
EXTRA
Oa NARmmummn
..,
CORK
2151024
Poe I.00AT+ON
Fill Haul to Shields Pit
t0B PHONE
STARTING DATE
HUURS
134.6111
ma's' +�, SUIPMBNT`'
Side Du
"jPRICE
O
D99CLMIION OFWORS `-
$106.00
$ 14 134.17
$ -
QTY��Mh7ER1A1L`',,,
PRICE°`AMOt1NT'
$ -
TOTAL OTHER
_
rl1MOUNT�
$
$ -
DATE COMPLETED
TOTAL
$ 14,134.17
TOTAL WOR
$ _
Work Ordered er TOTAL EQUIPMENT & MATERIAL
$ 14,134.17
Signature TOTAL OTHE
$
I hereby ecknovAedge the sattsfadory compeet3on of the above desaibed work
ff474
TOT
$ 14,134.17
563 S"�