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HomeMy WebLinkAboutWORK ORDER - BID - 7658 MISCELLANEOUS CONCRETE ANNUAL (6)WORK ORDER PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND Banner Concrete DATED: July 15th, 2014 Work Order Number: 7-05152017 Purchase Order Number: Project Title: 2nd Street SW Improvements Original Bid/RFP Number & Name: 7658 – Misc Concrete Commencement Date: May 29th, 2017 Completion Date: June 23rd, 2017 Maximum Fee: (time and reimbursable direct costs): $31,587.26 Project Description: Install new inlets, replace curb and gutter and sidewalk on 2nd street as a part of stormwater pipe replacement project. Scope of Services: See attached estimate and line items Contractor agrees to perform the services identified above and on the attached forms in accordance with the terms and conditions contained herein and in the Construction Work Order Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Construction Work Order Agreement and this work order (including the attached forms) the Construction Work Order Agreement shall control. The attached forms consisting of 2 (two) 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: _________________________ Andrew S. Gingerich, Special Project Manager Date: _________________________ Reviewed by: _________________________ Pat Johnson, Senior Buyer Date: _________________________ Approved by: _________________________ Jon Haukaas, Water Engineering & Field Services Operations Manager Date: ________________________ Approved by: _________________________ Gerry Paul, Purchasing Director (if over $60,000) Date: _______________________ DocuSign Envelope ID: 8BDDA702-F334-4987-B345-451E6B31A9AF 5/15/2017 5/15/2017 5/16/2017 5/15/2017 Estimate Date 5/11/2017 Estimate # 412 Name / Address Doug Groves/Storm Water BANNER CONCRETE LLC bannerconcrete@gmail.com 1313 Duff Drive Unit 3 Fort Collins, CO 80524 Project Customer Signature Total Description Qty Cost Total Second Street Drainage Improvement Install new type R inlet-5' opening each 7 4,057.98 28,405.86 Vertical curb, gutter & 6" sidewalk per lf 80 30.17 2,413.60 Aggregate base course/Recycled base >5 tons 20 38.39 767.80 _____________________________________ $31,587.26 DocuSign Envelope ID: 8BDDA702-F334-4987-B345-451E6B31A9AF