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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER & WASTEWATER TREATMENT FACILITIES (55)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-HydroWTFSolidsPonds050718
PROJECT TITLE: WTF Solids Ponds 1 and 2 Lining
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: NA
OWNER’S REPRESENTATIVE: Sue Paquette
WORK ORDER COMMENCEMENT DATE: May 21, 2018
WORK ORDER COMPLETION DATE: December 31, 2018
MAXIMUM FEE: (time and reimbursable direct costs): $50,998.00
PROJECT DESCRIPTION/SCOPE OF SERVICES: Services shall include scarifying and
recompacting subgrade, then placing recycled concrete road base in solids ponds 1 and 2 at the
Fort Collins Water Treatment Facility. 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 one (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.
SERVICE PROVIDER: Hydro Construction, Inc.
By: Date:
Name: Title:
Page 1 of 8
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
Jim Eurich
May 11, 2018
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 8
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
May 10, 2018
May 11, 2018
May 11, 2018
May 11, 2018
May 11, 2018
Utilities Work Order Form Official Purchasing Form
Last updated 10/2017
ATTACHMENT A
WORK ORDER SCOPE OF SERVICES & COST DETAIL
Page 3 of 8
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
May 1, 2018
Hydro Construction Company, Inc. - Scope of Services.
Fort Collins Water Treatment Facility-Solids Drying Ponds – Gravel Lining
Provide assistance and efforts to scarify and re-compact subgrade and place approximately six inches of
recycled concrete road base in solids drying ponds (1 and 2). Solids material and water will be removed
by others.
Cost of Work $50,998.00
Work will commence after issuance of signed work order and the cleaning of the ponds has occurred
(estimate late fall of 2018), with a substantial completion date of November 30, 2018.
Page 4 of 8
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
Standard Estimate Report Page 1
FC WTF Solids Dry Pond Gr 5/3/2018 7:49 AM
Project name FC WTF Solids Dry Pond Gr
Labor rate table Labor - Bare
Equipment rate table Equipment
Report format Sorted by 'Group phase'
'Detail' summary
Allocate addons
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
Standard Estimate Report Page 2
FC WTF Solids Dry Pond Gr 5/3/2018 7:49 AM
Item Description Takeoff Qty
Labor
Amount
Material
Amount
Subcontract
Amount Name
Equipment
Amount
Other
Amount
Total
Amount
1000.000 GENERAL CONDITIONS
14 Project Manager 1.00 wk 1,420 - - 300 37 1,757
14 Superintendent 2.00 wk 2,840 - - 600 160 3,600
12 Office Trailer 0.50 mo - - - 80 80
18 Telephone Charges 0.50 mo - 0 - - 64 64
20 Temporary Toilets 0.50 mo - 0 - - 64 64
10 Safety 1.00 ls 284 - 0 - 107 391
GENERAL CONDITIONS 4,544 900 513 5,957
130.00 Labor hours
120.00 Equipment hours
2000.000 SITEWORK
30 Scarify & Compact Slab 39,240.00 sf 2,210 - 2,300 - 4,510
30 Agg Base Slab 973.00 cy 3,749 27,828 - 3,900 - 35,477
SITEWORK 5,959 27,828 6,200 39,987
190.76 Labor hours
127.171 Equipment hours
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
Standard Estimate Report Page 3
FC WTF Solids Dry Pond Gr 5/3/2018 7:49 AM
Estimate Totals
Description Amount Totals Hours Rate Cost Basis Cost per Unit Percent of Total
Labor 10,503 320.756 hrs 20.60%
Material 27,828 54.57%
Subcontract
Equipment 7,100 247.171 hrs 13.92%
Other 513 1.01%
45,944 45,944 90.09
Profit & Overhead 5,054 11.000 % T 9.91%
Total 50,998
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
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 8 of 8
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3
05/09/2018
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.
HCC Holdings, LLP
77 NW Frontage Road
Fort Collins CO 80524
Phoenix Insurance Company 25623
Travelers Indemnity Company 25658
Travelers Property Casualty Company of America 25674
Pinnacol Assurance 41190
Zurich American Insurance Company 16535
GL/AU/XS/WC/L&R x4/19
A Y DT-CO-8G990899-PHX-18 04/01/2018 04/01/2019
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
B Y DT-810-8G990899-IND-18 04/01/2018 04/01/2019
1,000,000
C
10,000
Y CUP-2J40080A-18-26 04/01/2018 04/01/2019
10,000,000
10,000,000
D Y 2091550 04/01/2018 04/01/2019
1,000,000
1,000,000
1,000,000
E
Leased/Rented Equipment
CPP027727100 04/01/2018 04/01/2019
Limit $1,000,000
Deductible 2% subject to
$5,000 Minimum.
RE: 18-01-523
Project#: SCP-HydroWTF SolidsPonds050718
WTF Solids Ponds 1 and 2 Lining
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.
City of Fort Collins
700 Wood Street
Fort Collins CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
PROPERTY DAMAGE $
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS
NON-OWNED
OWNED SCHEDULED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
(MM/DD/YYYY) LIMITS
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
LTR TYPE OF INSURANCE POLICY NUMBER
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $
AGGREGATE $
$
OCCUR
CLAIMS-MADE
DED RETENTION $
PRODUCTS - COMP/OP AGG $
GENERAL AGGREGATE $
PERSONAL & ADV INJURY $
MED EXP (Any one person) $
EACH OCCURRENCE $
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
DocuSign Envelope ID: DA910B1A-C414-4CA7-A2FF-5F9163B271D3