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WORK ORDER - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER AND WASTEWATER TREATMENT FACILITIES (7)
Utilities Work Order Form Official Purchasing Form Last updated 10/2017 WORK ORDER PURSUANT TO A MASTER AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND HYDRO CONSTRUCTION, INC. WORK ORDER NUMBER: SCP-WTF-Microhydro-012418 PROJECT TITLE: WTF Microhydro Equipment Procurement ORIGINAL BID/RFP NUMBER & NAME: 8286, Construction Contractor for Projects at the Water and Wastewater Treatment Facilities MASTER AGREEMENT EFFECTIVE DATE: June 20, 2016 ARCHITECT/ENGINEER: Hydro Construction, Inc. OWNER’S REPRESENTATIVE: Sue Paquette WORK ORDER COMMENCEMENT DATE: January 29, 2018 WORK ORDER COMPLETION DATE: December 31, 2018 MAXIMUM FEE: (time and reimbursable direct costs): $211,303.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: The work is located at the City of Fort Collins Water Treatment Facility (WTF), Fort Collins, Colorado. The project involves design assistance and work with APDS team to complete design, submittal review, delivery - procurement of the materials for installation and construction of the WTF Microhydro Project. Once final design is achieved, procure long lead, critical path materials, estimated 40 weeks (approximately 10 months) to obtain equipment. Work is estimated to begin January 2018. The substantial completion date of the procurement project is December 31, 2018 – dependent on delivery of the equipment and materials. 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 Master Agreement between the parties. In the event of a conflict between or ambiguity in the terms of the Master Agreement and this Work Order (including the attached forms) the Master Agreement shall control. The attached forms consisting of three (3) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. Page 1 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 SERVICE PROVIDER: Hydro Construction, Inc. By: Date: Name: Title: OWNER’S ACCEPTANCE & EXECUTION: This Work Order and the attached Contract Documents are hereby accepted and incorporated herein by this reference. ACCEPTANCE: Date: Sue Paquette, Special Project Manager REVIEWED: Date: Pat Johnson, Senior Buyer APPROVED AS TO FORM: Date: Name,City Attorney's Title (if greater than $1,000,000) ACCEPTANCE: Date: Mark Kempton, Water Production Division Manager ACCEPTANCE: Date: Owen L. Randall, Water Systems Engineering Division Manager ACCEPTANCE: Date: Carol Webb, Water Resources & Treatment Operations Manager ACCEPTANCE: Date: Kevin Gertig, Utilities Executive Director (if greater than $1,000,000) ACCEPTANCE: Date: Gerry Paul, Purchasing Director (if greater than $60,000) ACCEPTANCE: Date: Darin Atteberry, City Manager (if greater than $1,000,000) DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 January 29, 2018 Jim Eurich January 31, 2018 COO January 29, 2018 January 31, 2018 January 31, 2018 February 1, 2018 February 5, 2018 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTEST: Date: City Clerk (if greater than $1,000,000) Page 3 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Page 4 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 WTF Micro Hydro Procurement January 12, 2018 Hydro Construction Company, Inc. - Scope of Services. Procure Micro Hydro Unit Provide personnel and equipment to assist in design and procurement of one turbine-generator unit, complete with associated Generator Control Panel. Unit shall consist of a turbine and generator (480v, 3 phase, 60 hz). Page 5 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL Page 6 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 Standard Estimate Report Page 1 FCWTF Microhydro Procure 1/12/2018 11:37 AM Project name FCWTF Microhydro Procure Labor rate table Labor - Bare Equipment rate table Equipment Report format Sorted by 'Structure/Group phase' 'Detail' summary Allocate addons Page 7 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 Standard Estimate Report Page 2 FCWTF Microhydro Procure 1/12/2018 11:37 AM Item Description Takeoff Qty Labor Amount Material Amount Subcontract Amount Name Equipment Amount Other Amount Total Amount 01 Phase 1 1000.000 GENERAL CONDITIONS 14 Project Manager 3.00 wk 2,156 - - 382 498 3,036 GENERAL CONDITIONS 2,156 382 498 3,036 120.00 Labor hours 120.00 Equipment hours 13000.000 SPECIAL CONSTRUCTION 100 Microhydro Unit 1.00 ls 0 187,327 - - - 187,327 SPECIAL CONSTRUCTION 187,327 187,327 01 Phase 1 2,156 187,327 0 382 498 190,363 120.00 Labor hours 120.00 Equipment hours Estimate Totals Description Amount Totals Hours Rate Cost Basis Cost per Unit Percent of Total Labor 2,156 120.000 hrs 1.02% Material 187,327 88.65% Subcontract Equipment 382 120.000 hrs 0.18% Other 498 0.24% 190,363 190,363 90.09 Profit & Overhead 20,940 11.000 % T 9.91% Total 211,303 Page 8 of 8 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9 PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201401) 1/24/2018 Flood and Peterson PO Box 578 Greeley CO 80632 Dana Stewart, CIC, CISR (970)266-7149 (970)506-6845 DStewart@floodpeterson.com Hydro Construction Company Inc. 77 NW Frontage Road Fort Collins CO 80524 Phoenix Insurance Company 25623 Travelers Indemnity Company 25658 Travelers Property Casualty Company 25674 Pinnacol Assurance 41190 CL17121120854 A X X X DTCO8G990899PHX17 4/1/2017 4/1/2018 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 B X X X DT8108G990899IND17 4/1/2017 4/1/2018 1,000,000 C X X X 10,000 CUP-2J40080A-17-26 4/1/2017 4/1/2018 5,000,000 5,000,000 D 2091550 4/1/2017 4/1/2018 X 1,000,000 1,000,000 1,000,000 RE: 18-01-504 WTF Microhydro Equipment Procurement City of Fort Collins is included as Additional Insured on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. D Stewart, CIC, CISR/ City of Fort Collins 700 Wood Street Fort Collins, CO 80521-1945 DocuSign Envelope ID: 4F50147F-4E13-4686-B550-6AA25C1EACA9