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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9178076Utilities 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-HydroHSPSLP-LVT
PROJECT TITLE: WTF Replacement – HSPS Lighting Panels and Transformer (BU 5026310070)
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: If using a 3rd party architect/engineer or
City PM/Engineer
OWNER’S REPRESENTATIVE: Sue Paquette
WORK ORDER COMMENCEMENT DATE: December 15, 2017
WORK ORDER COMPLETION DATE: May 31, 2018
MAXIMUM FEE: (time and reimbursable direct costs): $62,644.00
PROJECT DESCRIPTION/SCOPE OF SERVICES: Contractor to provide construction services
for the installation of electrical components at Fort Collins Water Treatment Facility. Services
shall include the installation of lighting panels and transformers in the High Service Pump
Station located at the Water Treatment Facility.
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 six (6) 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:
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DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
Jim Eurich COO
December 5, 2017
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:
ACCEPTANCE:
ACCEPTANCE:
Date:
Linsey Chalfant, Interim Water Systems Engineering Division Manager
Date:
Mark Kempton, Water Production Division Manager
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)
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DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
December 5, 2017
December 5, 2017
December 5, 2017
December 5, 2017
December 6, 2017
December 6, 2017
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE OF SERVICES & COST DETAIL
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DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
City of Fort Collins Water Treatment Plant – High Service Pump Station Lighting Panel and Transformer
Replacement
Hydro Construction Company, Inc. - Scope of Services
Provide design assistance and work with plant staff on investigative effort to determine final configuration of
electrical equipment associated with the replacement of the existing lighting panels, other power panels and
transformers. Once final design is reached procure long lead, critical path materials. Upon delivery, provide labor
and miscellaneous electrical materials associated with the replacement of the existing the lighting panels, and
transformers (including patch and repainting of areas) in the High Service Pump Station.
1) 193LP1, 191LP2 and 191LP3
a) Procure and Install (3) 240/120V, 100A, 10KASC panel with an external SPD to replace the existing
lighting panel
b) Reconnect the existing power feeder into the new panel. We anticipate that the existing wire is long
enough to re-use.
c) Reconnect the branch wiring into the new panel. We anticipate that the existing wire is long enough to
re-use.
d) Provide temporary generator power to support any critical loads in this panel.
e) The 480 volt panel will be de-energized for approximately 1 day.
f) We can begin investigative work on all panels as soon as work order is issued with critical path submittals
to follow.
g) This gear will arrive approximately 10 weeks after submittals are approved.
2) LVT-191LP1
a) Procure and install (1) 5KVA, 1 Ph 480V- 240/120V dry-type transformer.
b) Reconnect the existing power feeder into the new transformer. We anticipate that the existing wire is
long enough to re-use.
c) Reconnect the feeds to panels. We anticipate that the existing wire is long enough to re-use.
d) Will conduct investigative effort along with the plant staff to confirm the information listed on the
panel’s schedules and trace out circuits that are not identified. We can begin investigative work on this
transformer as soon as work order is issued with critical path submittals to follow.
e) This gear will arrive 10 weeks after submittals are approved
3) LVT-191LP2 & LVT-191LP3
a) Procure (2) 15KVA, 3 Ph 480V- 208/120V dry-type transformer.
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b) Reconnect the existing power feeder into the new transformer. We anticipate that the existing wire is
long enough to re-use.
c) Reconnect the feeds to panels. We anticipate that the existing wire is long enough to re-use.
d) Will conduct investigative effort along with the plant staff to confirm the information listed on the panel’s
schedules and trace out circuits that are not identified. We can begin investigative work on this
transformer as soon as work order is issued with critical path submittals to follow.
e) This gear will arrive 10 weeks after submittals are approved.
Total costs for HSPS lighting panels and transformer installation $62,644.00
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DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
Standard Estimate Report Page 1
FCWTF HSPS Lt & Trans Pan 12/4/2017 3:23 PM
Project name FCWTF HSPS Lt & Trans Pan
Labor rate table Labor - Bare
Equipment rate table Equipment
Report format Sorted by 'Structure/Group phase'
'Detail' summary
Allocate addons
Page 6 of 10
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Standard Estimate Report Page 2
FCWTF HSPS Lt & Trans Pan 12/4/2017 3:23 PM
Item Description Takeoff Qty
Labor
Amount
Material
Amount
Subcontract
Amount Name
Equipment
Amount
Other
Amount
Total
Amount
* unassigned *
1000.000 GENERAL CONDITIONS
20 Bonds 1.00 ls - - - 1 1
14 Project Manager 8.00 wk 2,876 - - 815 - 3,691
14 Project Foreman 8.00 wk 2,301 - - 2,036 - 4,337
18 Telephone Charges 1.50 mo - - - 124 124
20 Temporary Toilets 1.50 mo - - - 124 124
14 Safety 1.00 ls 719 - - 255 111 1,084
16 Misc. Tools 1.00 ls - - - 764 - 764
GENERAL CONDITIONS 5,896 3,869 360 10,126
640.00 Labor hours
640.00 Equipment hours
9000.000 FINISHES
10 Anchor Removal and Floor Patch 1.00 ls 144 17 - - 160
10 Anchor Removal and Floor Patch 1.00 ls 144 17 - - 160
10 Anchor Removal and Floor Patch 1.00 ls 144 17 - - 160
10 Anchor Removal and Floor Patch 1.00 ls 144 17 - - 160
10 Anchor Removal and Floor Patch 1.00 ls 144 17 - - 160
10 Anchor Removal and Floor Patch 1.00 ls 144 17 - - 160
FINISHES 863 99 962
16000.000 ELECTRICAL
-sub Electrical Sub - Lighting Panel LP2 1.00 ls - - 9,340 - - 9,340
-sub Electrical Sub - Transformer LVT-191LP2 1.00 ls - - 5,776 - - 5,776
-sub Electrical Sub - Lighting Panel LP3 1.00 ls - - 9,340 - - 9,340
-sub Electrical Sub - Transformer LVT-191LP3 1.00 ls - - 5,776 - - 5,776
-sub Electrical Sub - Lighting Panel LP1 1.00 ls - - 9,340 - - 9,340
-sub Electrical Sub - Transformer LVT-191LP1 1.00 ls - - 5,776 - - 5,776
ELECTRICAL 45,349 45,349
* unassigned * 6,759 99 45,349 3,869 360 56,437
640.00 Labor hours
640.00 Equipment hours
Estimate Totals
Description Amount Totals Hours Rate Cost Basis Cost per Unit Percent of Total
Labor 6,759 640.000 hrs 10.79%
Material 99 0.16%
Subcontract 45,349 72.39%
Equipment 3,869 640.000 hrs 6.18%
Other 360 0.58%
56,436 56,436 90.09
Profit & Overhead 6,208 11.000 % T 9.91%
6,208 62,644 Page 7 of 10 9.91
DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
Standard Estimate Report Page 3
FCWTF HSPS Lt & Trans Pan 12/4/2017 3:23 PM
Estimate Totals
Total 62,644
Page 8 of 10
DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT B
CERTIFICATE OF INSURANCE
CONTRACTOR shall submit Certificate of Insurance in compliance with the Contract
Documents.
Page 9 of 10
DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2
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)
11/30/2017
Flood and Peterson
PO Box 578
Greeley CO 80632
Dana Stewart, CLCS, CIC, CISR
(970)266-7149 (970)330-1867
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
Zurich American Insurance Company 16535
CL1733116969
A
X
X
X
DTCO8G990899PHX16 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 N
2091550 4/1/2017 4/1/2018
X
1,000,000
1,000,000
1,000,000
E Builders Risk PR04012017 4/1/2017 4/1/2018 $15,000,000 Limit
E Installation Floater PR04012017 4/1/2017 4/1/2018 $1,000,000 Limit
RE: 18-01-489 SCP-WTF-HydroHSPSLP-LVT WTF Replacement – HSPS Lighting Panels and Transformer
City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies
if required by
written contract or agreement and with respect to work performed by Insured subject to the policy terms
and conditions.
N Mosbrucker CIC,CISR
City of Fort Collins
700 Wood Street
Fort Collins, CO 80521
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