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HomeMy WebLinkAboutWORK ORDER - PURCHASE ORDER - 9180381EXHIBIT "A" WORK ORDER FORM PURSUANT TO AN AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND Icon Engineering Inc. DATED: June 28th, 2017 Work Order Number: BLA-2017-03 Purchase Order Number: Charge # 5040452818.521130.2 Project Title: 2017 West Vine Basin Hydraulic and Floodplain Mapping Update Commencement Date: January 1st, 2018 Completion Date: August 1st, 2019 Maximum Fee: (time and reimbursable direct costs): $ 63,019.00 Project Description: Project includes an update to the effective hydraulic model for the West Vine Basin. Flow rates from the recently approved 2016 hydrologic update will be incorporated into the model update. Cross-sectional station- elevation data will be updated to 2013 post-flood LiDAR. As-built survey from the 2014 West Vine Outfall project will also be incorporated into the model. Project will be completed in two phases due to funding limitations. Phase I will involve basemap preparation, updating the hydraulic model for the 100-year run, and performing an encroachment analysis for the 0.5 foot floodway at a cost of $63,019. Phase II will allow for finalizing comments from Phase I, preparing floodplain/floodway mapping, flood profiles, preparation of the final technical report to accompany the analysis. The cost for Phase II is $27,706 and will be funded through an additional funding request at a later time. Scope of Services: See attached scope of work. 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 Services Agreement between the 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. The attached forms consisting of four (4) pages are hereby accepted and incorporated herein by this reference, and Notice to Proceed is hereby given. CC: Purchasing Service Provider: Icon Engineering, Inc. By:______________________ Date: ___________ City of Fort Collins: Water Utilities Engineering Division Submitted By: _____________________________ Project Manager Date: ________________________ Reviewed By:__________________________________ Water Utilities Engineering Manager Date:_______________ Reviewed By:__________________________________ Water Engineering & Field Serv. Manager Date:_______________ Approved By:__________________________________ Utilities Executive Director Date:_______________ Approved By:__________________________________ Purchasing & Risk Mgmt Director Date:_______________ DocuSign Envelope ID: 5ABF76F0-1FD2-416A-BF3A-4FF7ED45D8C1 December 11, 2017 December 11, 2017 December 11, 2017 December 16, 2017 DocuSign Envelope ID: B85C6F55-F729-4916-A68D-31FDBEFCE4AA January 9, 2018 January 9, 2018