HomeMy WebLinkAboutCORRESPONDENCE - BID - 7658 MISCELLANEOUS CONCRETE ANNUAL (14)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
BANNER CONCRETE LLC
WORK ORDER NUMBER: 1630-3693
PROJECT TITLE: Cherry St. Duct Bank
ORIGINAL BID/RFP NUMBER & NAME: 7658 Miscellaneous Concrete
MASTER AGREEMENT EFFECTIVE DATE: 7/15/14
ARCHITECT/ENGINEER: N/A
OWNER’S REPRESENTATIVE: Clint Reetz
WORK ORDER COMMENCEMENT DATE: Dec.12, 2017
WORK ORDER COMPLETION DATE: Feb. 15, 2017
MAXIMUM FEE: (time and reimbursable direct costs): $9,800.00
PROJECT DESCRIPTION/SCOPE OF SERVICES:
Remove concrete sidewalk 656/ sq. ft.
Remove concrete curb and gutter 49 sq. ft.
Flat work 6” 232 sq. ft.
Colored trail with fibermesh 5” Yosemite Brown 424 sq. ft.
Vertical curb & gutter 49 sq. ft.
Materials
Traffic control
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 1 (1) pages are hereby accepted and incorporated herein, by
this reference, and Notice to Proceed is hereby given after all parties have signed this
document.
DocuSign Envelope ID: 0F4B3982-CBAA-42B4-8A8E-F372BE4CB094
Utilities Work Order Form
Official Purchasing Form
Last updated 10/2017
SERVICE PROVIDER: Banner Concrete
By: Date:
Name: Title:
DocuSign Envelope ID: 0F4B3982-CBAA-42B4-8A8E-F372BE4CB094
Banner Concrete owner
12/19/2017
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:
Clint Reetz, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Janet McTague, ELEC PROJECT ENGINEERING MGR
ACCEPTANCE: Date:
Tim McCullough, LIGHT AND POWER OPERATIONS MGR
ACCEPTANCE: Date:
Kevin Gertig, Utilities Executive Director
(if greater than $1,000,000)
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 0F4B3982-CBAA-42B4-8A8E-F372BE4CB094
12/18/2017
12/18/2017
12/18/2017
12/19/2017
Utilities Work Order Form
Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER COST DETAIL
DocuSign Envelope ID: 0F4B3982-CBAA-42B4-8A8E-F372BE4CB094
Utilities Work Order Form
Official Purchasing Form
Last updated 10/2017
DocuSign Envelope ID: 0F4B3982-CBAA-42B4-8A8E-F372BE4CB094