HomeMy WebLinkAboutWORK ORDER - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATER, AND STORMWATER FACILITIES CAPITAL IMPROVEMENTS (13)WORK ORDER
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
Connell Resources, Inc.
DATED: 08/17/2015
Work Order Number: 201706
Purchase Order Number:
Project Title: Walnut / Pine Street Water Main Rehabilitation
Original Bid/RFP Number & Name: 8106 Construction Services for w/ww & Stormwater Facilities Capital
Improvements
Commencement Date: 04/15/17
Completion Date: 08/01/17
Maximum Fee: (time and reimbursable direct costs):$16,990.00
Project Description: Replacement of 100 year old Water Mains and Services in Walnut / Pine Streets.
Scope of Services: Design Phase Services for above Project
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 one (1) pages
are hereby accepted and incorporated herein, by
this reference, and Notice to Proceed is hereby
given.
CONTRACTOR
By:_______________________________
Date:_____________________________
CITY OF FORT COLLINS
Submitted By: _________________________
Jay Rose, Special Project Manager
Date: _________________________
Reviewed by: _________________________
Pat Johnson, Senior Buyer
Reviewed by: _________________________
Owen L. Randall, Chief Engineer
Date: _________________________
Approved by: _________________________
Jon Haukaas, Water Engineering & Field
Services Operations Manager
Date: ________________________
Approved by: _________________________
Kevin Gertig, Utilities Executive Director
Date: ________________________
Approved by: _________________________
Gerry Paul, Purchasing Director (if over
$60,000)
Date: _______________________
DocuSign Envelope ID: 90A5047E-3655-4F36-8750-BEDE1B0DB94D
4/7/2017
4/7/2017
4/9/2017
4/9/2017
4/10/2017
DocuSign Envelope ID: 90A5047E-3655-4F36-8750-BEDE1B0DB94D
Requisition Form
Vendor : Connell Resources, Inc. Today’s Date 04/05/2017 Requisition
7785 Highland Meadows, PKWY. Ship To: Date Entered:
Suite 100 Date Required: Date Approved:
Fort Collins, CO 80528 Special Instructions: Date Denied:
Item
#
Quantity
Unit
Description
Unit Price
Total
Charge Number
1
1
each
Pine Street Water Main Rehabilitation
$16,990.00
$16,990.00
502.5026410128.535010.3
Contractor’s Design Phase Services
Requested By: ____________________________________ Authorized By: ______________________________________
DocuSign Envelope ID: 6FB7F5C2-90A5047E-3655-CFB7-4F36-4E84-8750-9293-BEDE1B0DB94D 368A31AAA88A