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HomeMy WebLinkAboutWORK 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