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CORRESPONDENCE - PURCHASE ORDER - 9178076
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-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: Page 1 of 10 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) Page 2 of 10 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 Page 3 of 10 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. Page 4 of 10 DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2 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 Page 5 of 10 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 DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2 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 Page 10 of 10 DocuSign Envelope ID: 4FBE5821-35B4-424A-A1A8-20BE749417C2