HomeMy WebLinkAbout20142494.tiff TASK ORDER
Date: Task Order#: Master Agreement CMS#: 14 HA4 64551 Task Order CMS#:15 HA4 71572
07/15/2014 20053ER1 Project#:C 030-063(20053) PO:400000152/331001024
In accordance with§7 of the Master Agreement("Master Agreement") (routing number 14 HA4 64551) between
the State of Colorado, Department of Transportation ("State" or "COOT"), and WELD COUNTY ("Local
Agency"), beginning 04/09/2014, and ending on 04/08/2019, the provisions of the Master Agreement, and any
amendments thereto affected by this task order("Task Order")are modified as follows:
I) TASK ORDER DESCRIPTION
The State accepts the Local Agency Offer dated June 6,2014,which is incorporated by reference herein. Local
Agency shall perform the Emergency Repairs Work authorized in this Task Order at WCR 53 CR 58A Bridge
over S. Platte in accordance with the Master Agreement and the attached Local Agency Offer. All terms not
defined in this Task Order shall have the meaning given in the Master Agreement.
2) PRICE/COST
The maximum amount payable by the State to Local Agency for performance of this Task Order is limited to
the amount identified as the "Total Estimated Payment to Local Agency" in Section 2 of the attached Task
Order Budget (identified as "Exhibit C — Funding Provisons"), as determined by the State from available
funds. Local Agency agrees to provide any additional funds required for successful completion of the Work.
Funding for each phase of Work(as identified on the attached Task Order Budget)shall be encumbered as each
phase is authorized pursuant to a unilateral Task Order amendment by State authorized pursuant to §8.A.ii of
the Master Agreement.
3) PERFORMANCE PERIOD
Local Agency shall complete its obligations under this Task Order on or before the expiration date of the Master
Agreement.
4) EFFECTIVE DATE
This Task Order shall not be effective or enforceable until it is approved and signed by the Colorado State
Controller,or their designee,("Effective Date").
5) APPROVALS
STA E OF COLORADO
J W. ckenlooper,Governor
By: ./✓
Jos a Laipply E,Chief Engine
C rado Depart of Transportation
Date: 7. ' 11.7
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State contracts. This'Fast( Order is not valid until signed and
dated below by the State Controller,or delegate.Except as provided in§8.F of the Master Agreement,the Local Agency is not
authorized to begin performance until such time. Except as provided in §8.F of the Master Agreement, if the Local Agency
begins performing prior to the date below,the State of Colorado is not obligated to pay for such performance or for any goods
and/or services provided.
State Controller
Robert Jaros,
CPA,MBA,JD
By
Date: 7'2,5"./y
�
2014-2494
l( 1)1 (Coltinuti ce:can (40.-PD
Rapt/5
S- II-zory 9//o7o/y E6tcro
EXHIBIT 0 - FORM OF LOCAL AGENCY OFFER - ER1
Local Agency Offer
C 030-063
In accordance with Section 7 of the Master Agreement, 14 HA4 64551 ("Master Agreement)
between the State of Colorado, Department of Transportation ("COOT")and Weld County
("Local Agency"),the authorized person signing below for Local Agency hereby submits this
Local Agency Offer to CDOT for creation of a Task Order under the Master Agreement for the
purpose of authorizing Local Agency to perform Work in the Flood Damaged Area identified
below and receive reimbursement for such Work.
All terms not defined in this Local Agency Offer shall have the meanings given in the Master
Agreement.
The Local Agency hereby approves the attached documents and Incorporates them by
reference for the creation of a Task Order for the Flood Damaged Area in CR 53 ER ("Project
Location"):
• Task Order Scope
• Task Order Budget
• Local Agency Contract Administration Checklist
• Damage Inspection Report(Form FHWA 1547)
Completion of the Work under this Local Agency Offer is estimated to be 8 months.
Pursuant to§4.L of the Master Agreement, the Local Agency contact information for the project
specified in this Local Agency Offer is:
Roy Rudisill, Weld County Office of Emergency Management, Director
1150 O Street, Greeley, CO 80632
rrudisill@co.weld.co.us
(970)304-6540
Local Agency hereby requests the creation of a Task Order for the Project Location.
•Person signing for the Local Agency hereby swears and affirms that he/she are authorized to act on the Local
Agency's behalf(as indicated In Exhibit B of the Master Agreement)and acknowledge that the State Is relying on
his/her representation to that effect.
pr
Roy Rudisill
Director, eld CoUnty Office of Emergency Management
""` b sq
Date
Page 1 of 1
Task Order Scope
Project Name: ERLA WCR 53 CR 58A BRDGE OVER S PLATTE
Project Number: C 030-063
Subaccount No: 20053
Local Agency: Weld County
CDOT Contact: Adam Hanks
CDOT Flood Recovery Office
1901 5e Avenue, Suite 100
Greeley, CO 80634
Emergency Repairs
Emergency work consists of the work to repair the flood damages described in the Emergency
DDIR and Revised Emergency DDIR. Work for the emergency repairs includes the complete
repair of approximately 2,100 feet of roadway and embankments, as well as backfllling behind
the scoured bridge abutments to restore essential traffic. Emergency work to protect the existing
structure includes placing riprap as scour protection, infilling scoured areas, installing a check
dam,and installing turf reinforcing and erosion control measures along the 2,100 feet of
damaged roadway.
Permanent Repairs
Permanent work consists of the work to repair the flood damages described in the Permanent
Repair DDIR. Permanent repairs include restoring the 2,100 feet of roadway, and both bridge
approaches to pre-disaster conditions per design standards.
Page 1 of 1
EXHIBIT C -FUNDING PROVISIONS Task Order It: 20053 ER1
Estimated Cost of Work Project Name: ERLA%VCR 53 CR 58A BRDGE OVER S PLATTE
The estimated total cost the Work is as follows:
IItIDCETED FUNDS
a. Federal Funds S 1.034.653,00
(100%of Participating Costs) $612,157.00
(82.79%of Participating Costs) S422,496.00,
b. Local Funds S87,827.00
(0%of Participating Costs)
(17.21%of Participating Costs) $87,827.00
c. State Funds $0.00
(0%of Participating Costs)
TOTAL BUDGETED FUNDS: $1,122,480.( $1,122,480.00
2 (ESTIMATED PA1'MENTTO LOCAL AGENCY":
a. Federal Funds Budgeted(I a) S1,034,653.C$1,034,653.00
b. State Funds Budgeted(I c) $0.00 $0.00
TOTAL ESTIMATED PAYMENT TO LOCAL AGENCY":'S 1,034,653.4$1.034,653.00
3 FOR CBOT ENCUMBRANCE PURPOSES
WBS Element Phase Function Payable Participating Percentage Budgeted F:ncumheml
Funds Funds*"
Design 3020
ROW 3111/3114
(Aca/Reloc)
ROW 3114
Incidentals
Const(100%) 3301
Const(82.79) 3301
20053.10.50 miscellaneous 3404 $1,I22,480.C $1,122,480.00
Utilties 3988
Environmental 3403
TOTAL ENCUMBERED FUNDS:I 01,122,480.00
Sheet ^of
UAL Department of Report Number:
Tramp aviation DETAILED DAMAGE INSPECTION REPORT 20053 WeldCounty 05A-ER
Federal Highway
ation (Title 23, Federal-aid Highways) Inspection Date:
Administration
10/30/2013
Location(Name of Road and Milepost) FHWA Disaster Number:
CO-13-1
Weld County Site OS Federal-aid Route Number:
Coun Road 53 CR58A Brid e)Over South Platte River 00053
___
Description of Damage (ONLY ONE ITEM MAY BE CHECKED) State: County:
Q Emergency Repair ❑ Permanent Repel? ❑ Debris Removal CO Weld
prtrerme rain amounts caused floodwaters that overtopped and washed out 2,100'of roadway,embankments, Work Order
Number:
wbgrade,paving,and roadside elements. Emergency repairs to restore essential traffic are necessary for the roadway,
subarade,embankments,roadside elements,and scour mitigation measures at the■huimrnts.Emergency weirs to
protect the structure include placing riprap and fell at scour holes,Installing a check dam,installing turf reinforcing,
seeding,and Installing erosion control measures.
Cost Estimate
Description of Work to Date Cost
(Equipment,Labor,and Materials) Unit Unit Price Quantity_Completed Remaining
Major Earthwork items CY 0 p
Aggregate Base Course el, a 0
Surfacing-HMA TN 0 0
Surfacing-Concrete SY 0 0
Structure Repairs LS 0 1 0
Walls SF _ 0 0
Drainage LF 0 0
-
Engineering Services(See Attached) Per Randy neen _ $ 106,408.50r
ER Work to Protect the Structure(See attached)a * $ 510,322.89
ER Work to Restore Traffic(See attached) LS _ 0 ^____ $ 577,014.64
Deduction-Debris Removal L5 0 $ (25,200.00)
Deduction-PR Item(Pavement) $ (121,892.19)
Project Total-Local Forces(See attached) $ 76,960.47
Deduction-Debris Removal $ (1,135.08)
Construction Estimate Subtotal $ 1,122,479.23
Right-of-Way $ -
e Indicates item reimbursed at 80/20 rate due to work Preliminary Engineering $
occuring during the Emergency Repair Extension Construction Engineering $ -
Indlrects $ _
—
Method
❑Q Local Forces ❑ State Forces 0contract Estimated Project Total $ 1,122,479.23
Environmental Assessment Recommendation Prepared By: Date:
❑� Categorical Esdi�on ❑ EA/ETS Adam Hanks,P.E. 05/08/11
Concurrence I ��rr Fin a FHWA Englrti !�re�9f a°a`.00rcrowd,r....,mo�e7ZR;im
i0 Yes ❑ No V i E L nM'Alak,wead(o tn-IOSHUA t)soft
_ ceic lSlaffiu0e9905 peca
Conc. ,Hrenca State Engineer(Print Name): S a Engineer(Signat e: Date:
tlej es ❑ No Miranda Lange,P.E. p/1
Concurrence rv--ie Local envy(P�jvl Na Local Age1T�y{ urer� Da e4,r /V
FHWA USE ONLY Form FHWA-1547 a
FEMA Eligible' ❑ Yes (] No COOT 11,5.2013
For estimate purposes only. ALL reimbursements up through 3/30/14 are eligible for
100%. Any after are subject to regular reimbursable share. - Josh Kiel
LOCAL AGENCY CONTRACT ADMINISTRATION CHECKLIST
The following checklist has been developed to ensure that all required aspects of a
project approved for Federal funding have been addressed and a responsible party
assigned for each task.
After a project has been approved for Federal funding In the Statewide Transportation
Improvement Program, the Colorado Department of Transportation (CDOT) Project
Manager, Local Agency project manager, and CDOT Resident Engineer prepare the
checklist. It becomes a part of the contractual agreement between the Local Agency
and CDOT. The CDOT Agreements Unit will not process a Local Agency agreement
without this completed checklist. It will be reviewed at the Final Office Review meeting
to ensure that all parties remain in agreement as to who is responsible for performing
individual tasks.
xvi
•
COLORADO DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY CONTRACT ADMINISTRATION CHECKLIST
Project No. STIP No. Project Code Region
C 030-083 ER
20053 HA4
Project Location Date
CR 53 5/1/14
Project Description
ERLA WCR 53 CR 58A BRDGE OVER S PLATTE
Local Agency Local Agency Project Manager
Weld County Mike Bedell/Clay Klmmi
COOT Resident Engineer COOT Project Manager
Miranda Lange,PE Adam Hanks,PE
INSTRUCTIONS:
This checklist shall be utilized to establish the contract administration responsibilities of the individual parties to this agreement.
The checklist becomes an attachment to the Local Agency agreement.Section numbers correspond to the applicable chapters
of the COOT Local Agency Manual.
The checklist shall be prepared by placing an"X"under the responsible party,opposite each of the tasks.The"X'denotes the
party responsible for initialing and executing the task.Only one responsible party should be selected.When neither COOT nor
the Local Agency is responsible for a task,not applicable(NA)shall be noted.in addition,a"Sr will denote that COOT must
concur or approve.
Tasks that will be performed by Headquarters staff will be indicated.The Regions,in accordance with established policies and
procedures,will determine who will perform all other tasks that are the responsibility of COOT.
The checklist shall be prepared by the COOT Resident Engineer or the CDOT Project Manager,In cooperation with the Local
Agency Project Manager,and submitted to the Region Program Engineer. If contract administration responsibilities change,the
COOT Resident Engineer,in cooperation with the Local Agency Project Manager,will prepare and distribute a revised checklist.
RESPONSIBLE
NO. DESCRIPTION OF TASK PARTY
LA COOT
TIP/STIP AND LONG-RANGE PLANS
2.1 I Review Project to ensure it Is consistent with STIP and amendments thereto � I X
FEDERAL FUNDING OBLIGATION AND AUTHORIZATION
4.1 Authorize funding by phases(COOT Form 418-Federal-aid Program Data.Requires FI-WA X
concurrence/involvement)
PROJECT DEVELOPMENT
5.1 Prepare Design Data-COOT Form 463
5.2 Prepare Local Agency/COOT Inter-Governmental Agreement(see also Chapter 3) X
5.3 Conduct Consultant Selection/Execute Consultant Agreement
5.4 Conduct Design Seeping Review Meeting
5.6 Conduct Public Involvement
5.8 Conduct Field Inspection Review(FIR)
5.7 Conduct Environmental Processes(may require FHWA concurrencelnvolvement) X
5.8 Acquire Right-of-Way(may require FHWA concurrence/involvement)
5.9 Obtain Utility and Railroad Agreements
5.10 Conduct Final Office Review(FOR)
5.11 Justfy Force Account Work by the Local Agency X
5.12 Justly Proprietary,Sole Source,or Local Agency Furnished Items X
5.13 Document Design Exceptions-COOT Form 464
5.14 Prepare Plans,Specifications and Construction Cost Estimates
5.15 Ensure Authorization of Funds for Construction X
COOT Form 1243 01/13 Pagel of 4
Previous editions are obsolete and may not be used
RESPONSIBLE
NO. DESCRIPTION OF TASK PARTY
LA CDOT
PROJECT DEVELOPMENT CIVIL RIGHTS AND LABOR COMPLIANCE
6.1 Set Underutilized Disadvantaged Business Enterprise(UBDE)Goals for Consultant and
Construction Contracts(COOT Region EEO/Civil Rights Specialist)
6.2 Determine Applicability of Davis-Bacon Act X
This project❑is ®is not exempt from Davis-Bacon requirements as determined by the
functional dassificatton of the project location(Protects located on local roads and rural
minor collectors maybe exempt.)
Miranda Lange.PE 1 May 2014
CDOT Resident Engineer(Signature on Ale) Date
6.3 Set On-the-Job Training Goals.Goal Is zero if total construction is less than$1 million(COOT X
Region EEO/Civil Rights Specialist)
6.4 Titie VI Assurances
Ensure the correct Federal Wage Decision,all required Disadvantaged Business
Enterprise/On-the-Job Training special provisions and FHWA Form 1273 are Included in the
Contract(COOT Resident Engineer)
ADVERTISE, BID AND AWARD
7.1 Obtain Approval for Advertisement Period of Less Than Three Weeks
7.2 Advertise for Bids
7.3 Distribute'Advertisement Ser of Plans and Specifications
7.4 Review Worksite and Plan Details with Prospective Bidders While Project Is Under
Advertisement
7.5 Open Bids
7.6 Process Blds for Compliance
Check COOT Form 715-Certificate of Proposed Underutilized DBE Participation when the
low bidder meets UDBE goals X
Evaluate COOT Form 718-Underutilized DBE Good Faith Effort Documentation and
determine if the Contractor has made a good faith effort when the low bidder does not meet X
DBE goals
Submit required documentation for COOT award concurrence
7.7 Concurrence from COOT to Award X
7.8 Approve Rejection of Low Bidder X
7.9 Award Contract
7.10 Provide"Award'and'Record"Sets of Plans and Specifications
CONSTRUCTION MANAGEMENT
8.1 issue Notice to Proceed to the Contractor
8.2 Project Safety
8.3 Conduct Conferences:
_
o Pre-Construction Conference(Appendix a)
`, a 7 Pre-survey
- • Construction staking
41e-l: • Monumentalion
:Fz Partnering(Optional)
Structural Concrete Pre-Pour(Agenda is in COOT Construction Manual°
'% Concrete Pavement Pre-Paving(Agenda Is in COOT Construction Manual°
` rr HMA Pre-Paving(Agenda is In COOT Construction Manual)
8.4 Develop and distribute Public Notice of Planned Construction to media and local residents
8.5 Supervise Construction
A Professional Engineer(PE)registered in Colorado,who will be"In responsible charge of
construction supervision."
Mike Bedell/Clay Kimmi 970-304-6496
Local Agency Professional Engineer or Phone number X
COOT Resident Engineer
CDOT Form 1243 01113 Page2 of 4
Previous editions are obsolete and may not be used
RESPONSIBLE
NO. DESCRIPTION OF TASK PARTY
LA CDOT
Provide competent,experienced staff who will ensure the Contract work is constructed in
accordance with the plans and specifications
Construction Inspection and documentation
8.6 Approve Shop Drawings
8.7 Perform Traffic Control Inspections
8.8 Perform Construction Surveying _
8.9 _ Monument Right-of-Way
8.10 Prepare and Approve Interim and Final Contractor Pay Estimates
Provide the name and phone number of the person authorized for this task.
Mike Bedell/Clay Kimmi 970-304-6496
Local Agency Representative Phone number
8.11 Prepare and Approve Interim and Final Utility and Railroad Billings
8.12 Prepare Local Agency Reimbursement Requests X
8.13 Prepare and Authorize Change Orders
8.14 Approve All Change Orders X _
8.15 Monitor Project Financial Status
8.16 Prepare and Submit Monthly Progress Reports
8.17 Resolve Contractor Claims and Disputes
8.18 Conduct Routine and Random Project Reviews
Provide the name and phone number of the person responsible for this task. X
Miranda Lantia.PE 970-962-4017
COOT Resident Er_i ineer Phone number
MATERIALS
9.1 Conduct Materials Pre-Construction Meeting —
9.2 Complete COOT Form 250-Materials Documentation Record
• Generate form,welch includes determining the minimum number of required tests and
applicable material submittals for all materials placed on the project
• Update the form as work progresses
• Complete and distribute form after work is completed -- X
9.3 Perform Project Acceptance Samples and Tests _
9.4 Perform Laboratory Verification Tests
9.5 Accept Manufactured Products
Inspection of structural components:
• Fabrication of structural steel and pre-stressed concrete structural components
• Bridge modular expansion devices(0"to 6'or greater)
• Fabrication of bearing devices
9.6 Approve Sources of Materials
9.7 independent Assurance Testing(IAT),Local Agency Procedures fl CDOT Procedures IR)
• Generate IAT schedule
• Schedule and provide notification
• Conduct IAT
9.8 Approve mix designs
• Concrete
• Hot mix asphalt- `
9.9 1 Check Final Materials Documentation
9.10 Complete and Distribute Final Materials Documentation
CDOT Form 1243 01/13 Page3 of 4
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CONSTRUCTION CIVIL RIGHTS AND LABOR COMPLIANCE
10.1 Fulfill Project Bulletin Board and Pre-Construction Packet Requirements
10.2 Process CDOT Form 205-Sublet Permit Application
Review and sign completed CDOT Form 205 for each subcontractor,and submit to
EEO/Civil Rights Specialist _
10.3 Conduct Equal Employment Opportunity and Labor Compliance Verification Employee
Interviews. Complete COOT Form 280
10.4 Monitor Disadvantaged Business Enterprise Participation to Ensure Compliance with the
'Commerdally Useful Function-Requirements
10.5 Conduct Interviews When Project Utilizes On-the-Job Trainees. Complete CDOT Fomi 200-
OJT Training Questionnaire
10.6 I Check Certified Payrolls(Contact the Region EEO/Civil Rights Specialists for training requirements.)
10.7 Submit FFM/A Form 1391 -Highway Construction Contractor's Annual EEO Report
FINALS
11.1 Conduct Final Project Inspection.Complete and submit COOT Form 1212-Final X
Acceptance Report(Resident Engineer with mandatory Local Agency participation.)
11.2 Write Final Project Acceptance Letter
11.3 Advertise for Final Settlement
11.4 Prepare and Distribute Final As-Constructed Plans
11.5 Prepare EEO Certification _ X
11.6 Check Final Quantities,Plans,and Pay Estimate;Check Project Documentation;and submit X
Final Certifications
11.7 Check Material Documentation and Accept Final Material Certification(See Chapter 9) X
11.8 Obtain COOT Form 17 from the Contractor and Submit to the Resident Engineer
11.9 { Obtain FHWA Form 47-Statement of Materials and Labor Used... from the Contractor
X11.10 Complete and Submit COOT Form 1212—Final Acceptance Report(by COOT) X
11.11 Process Final Payment -
11.12 Complete and Submit CDOT Form 950-Project Closure X
11.13 Retain Project Records for Six Years from Date of Project Closure
11.14 Retain Final Version of Local Agency Contract Administration Checklist
cc: COOT Resident Engineer/Project Manager
COOT Region Program Engineer
CDOT Region EEO/Civil Rights Specialist
CDOT Region Materials Engineer
COOT Contracts and Market Analysis Branch
Local Agency Project Manager
CDOT Form 1243 01/13 Page4 of 4
Previous editions are obsolete and may not be used
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