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WORK ORDER - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER AND WASTEWATER TREATMENT FACILITIES (8)
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-HydroWTF12918 PROJECT TITLE: WTF Pleasant Valley Presedimentation Basin Repairs 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: February 5, 2018 WORK ORDER COMPLETION DATE: April 30, 2018 MAXIMUM FEE: (time and reimbursable direct costs): $63,297.00 PROJECT DESCRIPTION/SCOPE OF SERVICES: Contractor to provide construction services for the Pleasant Valley Presedimentation Basin Repairs for the Fort Collins Water Treatment Facility. Services shall include construction and repairs through excavation, fill, fabric, liner, and other repair and replacement work. See the attached supporting documentation. 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 five (5) pages are hereby accepted and incorporated herein, by this reference, and Notice to Proceed is hereby given after all parties have signed this document. SERVICE PROVIDER: Hydro Construction, Inc. By: Date: Name: Title: Page 1 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C January 31, 2018 Jim Eurich COO Utilities Work Order Form Official Purchasing Form Last updated 10/2017 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) ATTEST: Date: City Clerk (if greater than $1,000,000) Page 2 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C January 31, 2018 January 31, 2018 January 31, 2018 January 31, 2018 February 1, 2018 February 5, 2018 Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT A WORK ORDER SCOPE OF SERVICES Page 3 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C January 26, 2018 Hydro Construction Company, Inc. - Scope of Services. Pleasant Valley Presed Intake Structure Provide personnel and equipment to remove existing fence, remove existing liner (as necessary) and remove existing soil materials to wall footing elevation. Place flow fill and clay material as necessary, install geotextile where needed and reinstall liner and fence. Page 4 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT B WORK ORDER COST DETAIL Page 5 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C Standard Estimate Report Page 1 Pleasant Valley Presed Re 1/26/2018 9:52 AM Project name Pleasant Valley Presed Re Labor rate table Labor - Bare Equipment rate table Equipment Report format Sorted by 'Structure/Group phase' 'Detail' summary Allocate addons Page 6 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C Standard Estimate Report Page 2 Pleasant Valley Presed Re 1/26/2018 9:52 AM Item Description Takeoff Qty Labor Amount Material Amount Subcontract Amount Name Equipment Amount Other Amount Total Amount 02 Pleasant Valley Presed 1000.000 GENERAL CONDITIONS 10 Bonds 1.00 ls - - - 1,234 1,234 14 Project Manager 3.00 wk 2,130 - - 1,122 112 3,365 14 Superintendent 3.00 wk 6,390 - - 1,122 241 7,753 14 Electric Power 1.00 mo - - - 160 160 18 Telephone Charges 1.00 mo - - - 128 128 20 Temporary Toilets 1.00 mo - - - 128 128 10 Safety 1.00 ls 0 - 500 535 535 1,569 10 Fuels 1.00 ls - - - 1,069 1,069 GENERAL CONDITIONS 8,520 500 2,779 3,607 15,407 292.00 Labor hours 240.00 Equipment hours 1900.000 OWNED EQUIPMENT 45 Connex Box 1.00 mo - - - 535 - 535 10 938 Cat Loader 0.50 mo - - 2,039 - 2,039 20 ZX350 Hitachi Trackhoe 0.50 mo - - - 4,843 - 4,843 30 Compaction Wheel Trackhoe 0.50 mo - - - 134 - 134 10 Dump Truck 0.50 mo - - 1,347 - 1,347 OWNED EQUIPMENT 8,897 8,897 1.00 Labor hours 2000.000 SITEWORK 40 Site Exc 190.00 cy 660 - - 1,016 508 2,183 40 Site Fill 100.00 cy 711 0 - 535 267 1,513 40 Site Fill-Clay 190.00 cy 1,423 7,921 - 1,016 508 10,867 40 Flow Fill 20.00 cy 142 2,031 - 107 53 2,334 50 Filter Fabric 1.00 ls 772 2,673 - - - 3,445 50 Liner 1.00 ls 772 0 8,500 - - 9,272 2 Fence R & R 1.00 ls 97 - 2,500 - - 2,597 SITEWORK 4,577 12,625 11,000 2,673 1,336 32,211 188.17 Labor hours 02 Pleasant Valley Presed 13,097 12,625 11,500 14,349 4,944 56,514 481.17 Labor hours 240.00 Equipment hours Estimate Totals Description Amount Totals Hours Rate Cost Basis Cost per Unit Percent of Total Labor 13,097 481.166 hrs 20.69% Material 12,625 19.95% Subcontract 11,500 18.17% Equipment 14,349 240.000 hrs 22.67% Other 4,944 7.81% Page 7 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C Standard Estimate Report Page 3 Pleasant Valley Presed Re 1/26/2018 9:52 AM Estimate Totals 56,515 56,515 89.29 Profit & Overhead 6,782 12.000 % T 10.71% Total 63,297 Page 8 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C Utilities Work Order Form Official Purchasing Form Last updated 10/2017 ATTACHMENT C WORK ORDER SCHEDULE DETAIL Page 9 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C Project/Task (week ending) 6 13 20 27 3 10 17 24 3 10 17 24 31 7 14 21 28 5 12 Preconstruction Issue City Work Order Construction Pleasant Valley Presed Fence & Liner Demo Excavation Backfill & Flow Fill Liner Replacement Fence Replacement by others by Hydro Jan Feb Mar Apr May Page 10 of 10 DocuSign Envelope ID: 06638CD2-13D5-463B-ACD2-0F5D14282B5C 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) 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) 1/31/2018 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: 18-01-506 WTF Pleasant Valley Presedimentation Basin Repair 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: 06638CD2-13D5-463B-ACD2-0F5D14282B5C