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CORRESPONDENCE - RFP - 8704 ROAD BASE & RIP RAP
Requisition Form Vendor: Today's Date: March 19, 2018 Requisition No.: Ship To: Fort Collins, CO. Date Entered: Date Required: ASAP Date Approved: Special Instructions: Date Denied: Item # Quantity Unit Description Total Charge Number 1 393.2 TON $9,240.20 5040440016.553010 2 132.5 TON $6,028.75 5040440016.553010 $15,268.95 Requested By: Authorized By: Authorized By: Name, title typed here under the line Doug Groves Matt Fater, P.E., Interim WEFS Ops Manager Total: Drainage System Maintenance Superintendent Water Field Operations Simon Materials Unit Price CDOT Class 6 Road Base $23.50 Type M 12-Inch Rip Rap $45.50 I\ENG\FORMS\$74706cef3de0$F5E38CF5D12043F2A621A288FF1D2677.xlsx DocuSign Envelope ID: 0ABD2ECD-7897-4D2C-B90E-F48C8202E988 604934 .6 .6 59702 3/28/18 mw PROJECTTITLE: CONTRACTOR: Simon Materials WORKORDERNUMBER: PURCHASEORDERNO.: DESCRIPTION: 1.Reasonforchange: 2.DescriptionofChange: Quantity Unit Price Unit 393.20 $23.50 TON 132.50 $45.50 TON 3.ChangeinContractCost: 4.CompletionDate(ifchanged): ORIGINALCONTRACTCOST TOTALAPPROVEDCHANGEORDER TOTALPENDINGCHANGEORDER TOTALTHISCHANGEORDER TOTAL%OFORIGINALCONTRACT,THISC.O. TOTAL%OFORIGINALCONTRACT,ALLC.O.'S ADJUSTED WORK ORDER COST CONTRACTOR: Simon Materials BY: DATE: NAME: TITLE: REVIEWEDBY: DATE: SeniorBuyer PatJohnson ACCEPTEDBY: DATE: DrainageSystem Maintenance Superintendent: DougGroves ACCEPTEDBY: DATE: ProjectManager: JasonStutzmanP.E. REVIEWEDBY: DATE: ChiefEngineer: OwenRandall,P.E. APPROVEDBY: DATE: WaterFieldServices &OpsManager: MattFater,P.E.(Interim) APPROVEDBY: DATE: PurchasingDirector: GerryPaul (ifgreaterthan$60,000) Change Order Form (for Work Orders) Official Purchasing Form Last updated 10/2017 CHANGE ORDER NO. 1 330.14% 330.14% $19,893.95 Total $ 9,240.20 $ 6,028.75 $4,625.00 $ 15,268.95 $0.00 $0.00 $15,268.95 Project required additional material based upon site soil conditions. We encountered 3-4 feet of mucky soils and various debris that required removal in the road section therefore new materials were required to build the road section properly. These conditions were not determined in the design of the project. Additional quantities of Class 6 Road Base and Rip Rap as follows: Invoice No.: 1132240 Invoice Date: 3/1/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 890976 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112297 02/28/18 9181361 Cheyenne Pit 13.140 TN 8.50 111.69 15.00 197.10 .00 308.79 112298 02/28/18 9181361 Cheyenne Pit 17.620 TN 8.50 149.77 15.00 264.30 .00 414.07 112299 02/28/18 9181361 Cheyenne Pit 18.760 TN 8.50 159.46 15.00 281.40 .00 440.86 112306 02/28/18 9181361 Cheyenne Pit 13.360 TN 8.50 113.56 15.00 200.40 .00 313.96 112307 02/28/18 9181361 Cheyenne Pit 19.380 TN 8.50 164.73 15.00 290.70 .00 455.43 112308 02/28/18 9181361 Cheyenne Pit 17.270 TN 8.50 146.80 15.00 259.05 .00 405.85 112313 02/28/18 9181361 Cheyenne Pit 16.760 TN 8.50 142.46 15.00 251.40 .00 393.86 112314 02/28/18 9181361 Cheyenne Pit 12.390 TN 8.50 105.32 15.00 185.85 .00 291.17 Subtotal Item 352069 Class 6 Base 128.680 1093.79 1930.20 .00 3023.99 Item/Description 352124 Rip Rap - Granite 112292 02/28/18 9181361 Cheyenne Stone Yard 16.580 TN 30.50 505.69 15.00 248.70 .00 754.39 112293 02/28/18 9181361 Cheyenne Stone Yard 13.700 TN 30.50 417.85 15.00 205.50 .00 623.35 Subtotal Item 352124 Rip Rap - Granite 30.280 923.54 454.20 .00 1377.74 Subtotal Date 02/28/18 158.960 2017.33 2384.40 .00 4401.73 Total Quantity: 158.96 Material/Other 2,017.33 Taxable Material/Other 0.00 Freight 2,384.40 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $4,401.73 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1132675 Invoice Date: 3/2/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Cheyenne Stone Yard 4819 S. Industrial Service Road PO Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 891314 SO JWS Order #: 25310200359-FC-AGG18- R Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112244-R 02/23/18 9181361 Cheyenne Pit 14.960 TN 8.50 127.16 15.00 224.40 .00 351.56 112245-R 02/23/18 9181361 Cheyenne Pit 11.250 TN 8.50 95.63 15.00 168.75 .00 264.38 112250-R 02/23/18 9181361 Cheyenne Pit 17.710 TN 8.50 150.54 15.00 265.65 .00 416.19 Subtotal Item 352069 Class 6 Base 43.920 373.33 658.80 .00 1032.13 Item/Description 352124 Rip Rap - Granite 112252-R 02/23/18 9181361 Cheyenne Stone Yard 16.860 TN 30.50 514.23 15.00 252.90 .00 767.13 112255-R 02/23/18 9181361 Cheyenne Stone Yard 18.630 TN 30.50 568.22 15.00 279.45 .00 847.67 112256-R 02/23/18 9181361 Cheyenne Stone Yard 18.970 TN 30.50 578.59 15.00 284.55 .00 863.14 Subtotal Item 352124 Rip Rap - Granite 54.460 1661.04 816.90 .00 2477.94 Subtotal Date 02/23/18 98.380 2034.37 1475.70 .00 3510.07 Total Quantity: 98.38 Material/Other 2,034.37 Taxable Material/Other 0.00 Freight 1,475.70 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $3,510.07 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1132679 Invoice Date: 3/2/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 891314 SO JWS Order #: 25310200359-FC-AGG18- R Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112234-R 02/22/18 9181361 Cheyenne Pit 12.870 TN 8.50 109.40 15.00 193.05 .00 302.45 112235-R 02/22/18 9181361 Cheyenne Pit 15.020 TN 8.50 127.67 15.00 225.30 .00 352.97 112237-R 02/22/18 9181361 Cheyenne Pit 13.850 TN 8.50 117.73 15.00 207.75 .00 325.48 112238-R 02/22/18 9181361 Cheyenne Pit 16.900 TN 8.50 143.65 15.00 253.50 .00 397.15 Subtotal Item 352069 Class 6 Base 58.640 498.45 879.60 .00 1378.05 Subtotal Date 02/22/18 58.640 498.45 879.60 .00 1378.05 Total Quantity: 58.64 Material/Other 498.45 Taxable Material/Other 0.00 Freight 879.60 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $1,378.05 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1134056 Invoice Date: 3/2/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 892400 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112315 03/01/18 --- Cheyenne Pit 18.130 TN 8.50 154.11 15.00 271.95 .00 426.06 Subtotal Item 352069 Class 6 Base 18.130 154.11 271.95 .00 426.06 Subtotal Date 03/01/18 18.130 154.11 271.95 .00 426.06 Total Quantity: 18.13 Material/Other 154.11 Taxable Material/Other 0.00 Freight 271.95 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $426.06 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1134529 Invoice Date: 3/6/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 893052 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112345 03/05/18 9181361 Cheyenne Pit 12.190 TN 8.50 103.62 15.00 182.85 .00 286.47 112359 03/05/18 9181361 Cheyenne Pit 11.710 TN 8.50 99.54 15.00 175.65 .00 275.19 112364 03/05/18 9181361 Cheyenne Pit 13.040 TN 8.50 110.84 15.00 195.60 .00 306.44 Subtotal Item 352069 Class 6 Base 36.940 314.00 554.10 .00 868.10 Subtotal Date 03/05/18 36.940 314.00 554.10 .00 868.10 Total Quantity: 36.94 Material/Other 314.00 Taxable Material/Other 0.00 Freight 554.10 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $868.10 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1135041 Invoice Date: 3/7/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 893275 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112378 03/06/18 9181361 Cheyenne Pit 12.330 TN 8.50 104.81 15.00 184.95 .00 289.76 112379 03/06/18 9181361 Cheyenne Pit 14.220 TN 8.50 120.87 15.00 213.30 .00 334.17 112392 03/06/18 9181361 Cheyenne Pit 12.380 TN 8.50 105.23 15.00 185.70 .00 290.93 112394 03/06/18 9181361 Cheyenne Pit 14.450 TN 8.50 122.83 15.00 216.75 .00 339.58 Subtotal Item 352069 Class 6 Base 53.380 453.74 800.70 .00 1254.44 Subtotal Date 03/06/18 53.380 453.74 800.70 .00 1254.44 Total Quantity: 53.38 Material/Other 453.74 Taxable Material/Other 0.00 Freight 800.70 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $1,254.44 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1135438 Invoice Date: 3/8/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 893711 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112400 03/07/18 9181361 Cheyenne Pit 15.950 TN 8.50 135.58 15.00 239.25 .00 374.83 112410 03/07/18 9181361 Cheyenne Pit 21.420 TN 8.50 182.07 15.00 321.30 .00 503.37 112416 03/07/18 9181361 Cheyenne Pit 18.260 TN 8.50 155.21 15.00 273.90 .00 429.11 112419 03/07/18 9181361 Cheyenne Pit 17.380 TN 8.50 147.73 15.00 260.70 .00 408.43 Subtotal Item 352069 Class 6 Base 73.010 620.59 1095.15 .00 1715.74 Item/Description 352124 Rip Rap - Granite 112418 03/07/18 9181361 Cheyenne Stone Yard 14.080 TN 30.50 429.44 15.00 211.20 .00 640.64 Subtotal Item 352124 Rip Rap - Granite 14.080 429.44 211.20 .00 640.64 Subtotal Date 03/07/18 87.090 1050.03 1306.35 .00 2356.38 Total Quantity: 87.09 Material/Other 1,050.03 Taxable Material/Other 0.00 Freight 1,306.35 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $2,356.38 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1136168 Invoice Date: 3/9/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Cheyenne Stone Yard 4819 S. Industrial Service Road PO Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 894132 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352124 Rip Rap - Granite 112425 03/08/18 9181361 Cheyenne Stone Yard 18.960 TN 30.50 578.28 15.00 284.40 .00 862.68 112427 03/08/18 9181361 Cheyenne Stone Yard 16.880 TN 30.50 514.84 15.00 253.20 .00 768.04 Subtotal Item 352124 Rip Rap - Granite 35.840 1093.12 537.60 .00 1630.72 Subtotal Date 03/08/18 35.840 1093.12 537.60 .00 1630.72 Total Quantity: 35.84 Material/Other 1,093.12 Taxable Material/Other 0.00 Freight 537.60 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $1,630.72 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1137471 Invoice Date: 3/10/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Water Utilities Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 895464 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112441 03/09/18 9181361 Cheyenne Pit 11.520 TN 8.50 97.92 15.00 172.80 .00 270.72 112442 03/09/18 9181361 Cheyenne Pit 16.720 TN 8.50 142.12 15.00 250.80 .00 392.92 112443 03/09/18 9181361 Cheyenne Pit 12.220 TN 8.50 103.87 15.00 183.30 .00 287.17 Subtotal Item 352069 Class 6 Base 40.460 343.91 606.90 .00 950.81 Subtotal Date 03/09/18 40.460 343.91 606.90 .00 950.81 Total Quantity: 40.46 Material/Other 343.91 Taxable Material/Other 0.00 Freight 606.90 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $950.81 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1137478 Invoice Date: 3/10/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Cheyenne Stone Yard 4819 S. Industrial Service Road PO Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 895471 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352124 Rip Rap - Granite 112433 03/09/18 9181361 Cheyenne Stone Yard 16.860 TN 30.50 514.23 15.00 252.90 .00 767.13 Subtotal Item 352124 Rip Rap - Granite 16.860 514.23 252.90 .00 767.13 Subtotal Date 03/09/18 16.860 514.23 252.90 .00 767.13 Total Quantity: 16.86 Material/Other 514.23 Taxable Material/Other 0.00 Freight 252.90 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $767.13 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1137693 Invoice Date: 3/10/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Cheyenne Stone Yard 4819 S. Industrial Service Road PO Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 895471 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352124 Rip Rap - Granite 112434 03/09/18 9181361 Cheyenne Stone Yard 13.140 TN 30.50 400.77 15.00 197.10 .00 597.87 112440 03/09/18 9181361 Cheyenne Stone Yard 17.840 TN 30.50 544.12 15.00 267.60 .00 811.72 Subtotal Item 352124 Rip Rap - Granite 30.980 944.89 464.70 .00 1409.59 Subtotal Date 03/09/18 30.980 944.89 464.70 .00 1409.59 Total Quantity: 30.98 Material/Other 944.89 Taxable Material/Other 0.00 Freight 464.70 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $1,409.59 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D Invoice No.: 1137765 Invoice Date: 3/13/2018 Terms: Net 30 Days from Invoice Date Customer Acct/ID # 10200359 Page No.: 1 of 1 Ship To: Ft.Collins Aggregate Supply 20 Water Utilities Sold To: City of Fort Collins PO Box 580 Fort Collins CO 80522 Remit To: Simon Contractors P.O. Box 209 Cheyenne WY 82003 Phone: (307) 632-7900 JDE Order #: 895578 SO JWS Order #: 25310200359-FC-AGG18 Ticket No. Date Cust PO Shipping Location QTY UOM Materials/Other Freight Fee Total Amt Unit Price Amount Rate Amount Amount Item/Description 352069 Class 6 Base 112444 03/12/18 9181361 Cheyenne Pit 13.380 TN 8.50 113.73 15.00 200.70 .00 314.43 112445 03/12/18 9181361 Cheyenne Pit 14.320 TN 8.50 121.72 15.00 214.80 .00 336.52 112447 03/12/18 9181361 Cheyenne Pit 12.330 TN 8.50 104.81 15.00 184.95 .00 289.76 Subtotal Item 352069 Class 6 Base 40.030 340.26 600.45 .00 940.71 Subtotal Date 03/12/18 40.030 340.26 600.45 .00 940.71 Total Quantity: 40.03 Material/Other 340.26 Taxable Material/Other 0.00 Freight 600.45 Taxable Freight 0.00 Fee 0.00 Taxable Fee 0.00 Sales Tax 0.00 Invoice Total $940.71 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D No Class 6 Road Base Type M Rip Rap Description Additional materials required Mulberry & Riverside Drainage Improvements 9181361 DocuSign Envelope ID: 7851F577-1F92-42D7-8CE0-4620F114408D