HomeMy WebLinkAboutWORK ORDER - BID - 7658 MISCELLANEOUS CONCRETE ANNUAL (41)S/
17/ 5- 3 � �0
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EXHI BIT "A"
WORK ORDER FORM
AGREEMENT BETWEEN THE CITY OF FORT COLLINS
AND BANNER CONCRETE, INC.
BID NO: 7658 MISCELLANEOUS CONCRETE
Email work orders to bannerconcrete(cDamail.com
DATE:
REQUESTED BY: Angel Ontiveros
BILL TO (name, address, zip): Angel Ontiveros
EMAIL ADDRESS: aontivercis0goov.com
WORK ORDER NO: STS 2015-22
PHONE NUMBER: 970-218-1973
DEPARTMENT: Streets
PROJECT TITLE/DESCRIPTION: 2525 W. Lake St. RuR DO6 Large tree needs to he removed ty
homeowner
SCOPE OF SERVICES: 85 LF of 006 flgeds COST: $ jV-41.1 `k
rreAlaced_I need to coordinate with the
homeowner to get the tree removed
COMMENCEMENT DATE: 611n�l
CITY OF FORT COLLINS:
BY: Angel Ontiveros
COMPLETION DATE: May
DATE: 1 1
Banner Concrete, LLC. agrees to perform the services identified above and on the attached forms In accordance
with the terms and conditions contained herein and in the Services Agreement between parties. In the event of a
conflict between or ambiguity in the terms of the Services Agreement and this work order (including the attached
forms), the Services Agreement shall control.
BANNER CONCRETE, LLC:
BY: DATE: _
CC. Purchasing; the attached form(s) consisting of page(s) are hereby accepted and incorporated herein by this
reference, and Notice to Proceed Is hereby given.
Miscellaneous Concrete Annual - Page 1 of 2