HomeMy WebLinkAbout20142493.tiff TASK ORDER GLr.
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Date: Task Order H: Master Agreement CMS q: 14 HA4 64551 Task Order CMS N:JA-HA4 71577
07/15/2014 20055ER1 Project q:C 030-065(20055) PO:400000151/331001024
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 "CDOT"), 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 Repair Work authorized in this Task Order at WCR 54 CR 41A Bridge
over South 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 Provisorts"), 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
STATE OF COLORADO
Joh ickenlooper,Governor
•
By:
Jos a Laipply,PE,,C rgii e
Col ado Department of Transportation
Date: 71f Abe)l!
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State contracts. This Task 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
Rober r s,CP ,MBA,JD
By:
Date: d a 1p
2014-2493
(Q»2I1'UAI7tC-q,LC)%41 Cc,'Dermi (�?d') -8 ooy.5
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EXHIBIT 0 - FORM OF LOCAL AGENCY OFFER - ER1
Local Agency Offer
C 030-065
In accordance with Section 7 of the Master Agreement, 14 HA4 64551 ("Master Agreement")
between the State of Colorado, Department of Transportation("CDOT")and Weld County
("Local Agency"),the authorized person signing below for Local Agency hereby submits this
Local Agency Offer to COOT 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 54 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
9 9
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)D to that effect.
Roy Rudisill
Direct() Weld County Office of Emergency Management
z4.4.-P G,, 701e,
Date
Page 1 of 1
Task Order Scope
Project Name: ERLA WCR 54 CR 41A BRDGE OVER S PLATTE
Project Number: C 030-065
Subaccount No: 20055
Local Agency: Weld County
CDOT Contact: Adam Hanks
CDOT Flood Recovery Office
1901 56'^Avenue, Suite 100
Greeley, CO 80634
Emeraencv 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 repair of
approximately 120 feet of roadway and 330 feet of shoulder, embankment,and pavement to
restore essential traffic. Emergency work to protect the existing structure Includes placing riprap
as scour protection and seeding the damaged embankments.
Permanent Repairs
Permanent work consists of the work to repair the flood damages described in the Permanent
Repair DDIR. Permanent repairs include restoring the roadway to pre-disaster conditions per
design standards. Permanent repairs also include paving the damaged roadway and the
installation of permanent erosion control measures.
Page 1 of 1
EXHIBIT C -FUNDING PROVISIONS Task Order#: 20055 ER1
Estimated Cost of Work Project Name: ERr.A WCR 54 CR 41A MIDGE OVER S PLATTE
The estimated total cost the Work is as follows:
BUDGETED FUNDS
R. Federal Funds $242.368.00
(100%of Participating Costs) $144,017.00
(82.79%of Participating Costs) $98,351.00
b. Local Funds $20,445.00
(0%of Participating Costs)
(17.21%of Participating Costs) $20,445.00
c. State Funds $0,00
(0%of Participating Costs)
1 TOTAL BUDGETED FUNDS: $262,813.00, $262,813,00
2 --1I'ST1MATED PAYIv1ENT TO LOCAL.AGENCY*:
a. Federal Funds Budgeted(I a) $242,368.00 $242,368.00
b. State Funds Budgeted(Ic) $0.00 $0.00
] TOTAL ESTIMATED PAYMENT'TO LOCAL AGENCY*:j$2421368.001$242,368,00
3 FOR COOT INCUhIBRANCE PURPOSES
Budgeted Encumbered
WI3s Element Plum Function l'nyebtc Pnrltclpntlne Percentage
Funds fua[Is•"
Design 3020
ROW 3111/3114
(Acq/Reloc)
ROW 3114
Incidentals
Coast(100%1 3301
Const(82.79) 3301
20055.10.50 Miscellaneous 34O4 $262,813.00 $262,813.00
Utllttes 3988
Environmental 3403
I -
TOTAL ENCUMBERED FUNDS: j$262,813.00
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
Sheet of
U.S.Department or
Report Number:
Transportation DETAILED DAMAGE INSPECTION REPORT 20055_,,Weld_County 07A-ER
Federal Highway (Title 23,Federal-aid Highways) Inspection Date:
Administration (Title
_
Location(Name of Road and Milepost) FHWA Disaster Number:
CO-13-1
Weld County Site 07 Federal-aid Route Number:
County Road 54(CR41A Bridge)Over South Platte River 00054
Description of Damage (ONLY ONE ITEM MAY BE CHECKED) State: County:
0 Emergency Repair 0 Permanent Repair 0 Debris Mnevel CO Weld
Extreme mie@maume awed floodwaters that washed out.pray.11a an of raadasy:overtopped the roadway and Work Order Number:
demand 330(eel of shoulder,embankment,and pavement.Emergency repairs to restore essential traffic include
ratedng the roadway,soberer,emankm.nb,androadsldaelements.Emergency repeir,to protect nature Include
pladna dprap end seeding the embodiment.
Cost Estimate
Description of Work to Date Cost
(Equipment.Labor,and Materials)_ Unit Unit Price QuantltymtCompleted Remaining _
Major Earthwork items CY - 0 0
Aggregate Base Course CY 0 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
Misc.Items LS 0_ 0
General Construction items LS 0 0
Winter Work&Dewatering Items LS 0 0
Minor Contract Revisions LS 0 _ 0
ER Work to Restore Traffic(See attached) _ $ 101,921.25
Deduction-Debris Removal $ (4,814.80)
Deduction-(Pavement)PR Item L._ $ (10,822.06)
ER Work to Protect the Structure(See attached)• • $ 118,795.50
Engineering Services(See Attached) Per Randy Jensen $ 57,732.50
Construction Estimate Subtotal $ 262,812.39
Right-of-Way $ .
•Indicates Item reimbursed at 80/20 rate due to work Preliminary Engineering $ -
occuring during the Emergency Repair Extension Construction Engineering $ -
Indirets $ -
Method Estimated Project Total $ 262,812.39
0 Local form 0 State Forces 0Canned
Environmental Assessment Recommendation Prepared By: Date:
❑. Categorical Exclusion 0 ENDS Adam Hanks,P.E. 04/23/14
Concurrence /yr�p��°l°:yt,'�I�2y� 8 ,'r�,`t„°N1.;mrmynaa,,,.401%mA
TO Yes 0 No YOSI t IA11511EL FHWA En I rexuawerm.wa116010n
im..21WWIMAKOaW
Cortarrence State Engineer(Print Name): St t Engines(Slgnatu ): Date:
ifl Ter ❑ No Miranda Lange,P.E. .1A Leh A////rtq . IfjI-
Concurrence Loa ency(,yP/1,.���•Nem ): Lo I Aga/n�iJ(Slfn�aj0ry: Dar [/
Nsr ,es ❑ No a�'L K� f-U _ ei�//.4GC.a' Jr r-//
FHWA USE ONLY Form FHWA-1547
FEMA Eligible: 0 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
COLORADO DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY CONTRACT ADMINISTRATION CHECKLIST
Project No. STIP No. Project Code Region
C 030-065 ER
20055 HA4
Project Location Date
CR 54 511/14
Project Description
ERLA WCR 54 CR 41A BRDGE OVER S PLATTE
Local Agency Local Agency Project Manager
Weld County Mike Bedell/Clay Kimml
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 shell be prepared by placing an"X"under the responsible party,opposite each of the tasks.The"X'denotes the
party responsible for Initiating and executing the teak.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 1 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 COOT 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 end distribute a revised checklist.
RESPONSIBLE
NO. DESCRIPTION OF TASK PARTY
LA CDOT
TIP/STIP AND LONG-RANGE PLANS
2.1 I Review Project to ensure It Is consistent with STIP and amendments thereto I I X
FEDERAL FUNDING OBLIGATION AND AUTHORIZATION
4.1 Authorize funding by phases(COOT Form 418-Federal-aid Program Data.Requires FHWA X
concurrence/Involvement)
PROJECT DEVELOPMENT
5.1 Prepare Design Data-CDOT Form 463
5.2 Prepare Local Agency/COOT Inter-Governmental Agreement(see also Chapter 3) X
5.3 Conduct Consultant Selection/Execute Consultant Agreement
6.4 Conduct Design Scoping Review Meeting
5.5 Conduct Public Involvement
5.6 Conduct Field inspection Review(FIR)
5.7 Conduct Environmental Processes(may require FHWA concurrencennvolvemenl) 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 Justify Force Account Work by the Local Agency X
5.12 Justify 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
CDOT Form 1243 01113 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/CMI 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 classification of the project location(Projects located on local roads and rural
minor collectors may be exempt.)
Miranda Lange.PE 1 May 2014
CDOT Resident Engineer(Signature on File) Date
6.3 Set On-the-Job Training Goals.Goal Is zero if total construction is less than$1 million(CDOT X
Region EEO/Clw Rights Specialist)
6.4 Title 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 Set"of Plans and Specifications
7.4 Review Workafte end Plan Details with Prospective Bidders While Project Is Under
Advertisement
7.5 Open Bids
7.8 Process Bids for Compliance J_
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:
Pre-Construction Conference(Appendix B)
:!m - •„. Pre-survey
• Construction staking
' • Monumentatlon
Partnering(Optional)
— Structural Concrete Pre-Pour(Agenda Is in COOT Construction Manual)
Concrete Pavement Pre-Paving(Agenda is in COOT Construction Manuall) _ _
°°" HMA Pre-Paving(Agenda le 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 Klmml 970-304-6496
Local Agency Professional Engineer or Phone number X
CDOT Resident Engineer_
COOT Form 1243 01/13 Psge2 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 fa constructed in
accordance with the ens and ations
�---- -tipeclflc
�4�f 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 I Clay Kelm' 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 Lange.PE _-_ 970-962-4017
COOT Resident Engineer _ Phone number
MATERIALS
9.1 Conduct Materials Pre-Construction Meeting
9.2 Complete COOT Form 260-Materials Documentation Record
• Generate form,which 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 corLipleted 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 8"or greater)
• Fabrication of bearing devices
9.6 Approve Sources of Materials _
9.7 Independent Assurance Testing(IAT),Local Agency Procedures L CDOT Procedures CE
• Generate IAT schedule
• Schedule and provide notification
• Conduct IAT X
9.8 Approve mix designs
• Concrete
• Hot mix asphalt
9.9 _ Check Final Materials Documentation
9.10 Complete and Distribute Final Materials Documentation , -
COOT Form 1243 01113 Page3 of 4
Previous editions are obsolete and may not bo used
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 CDOT Form 280
10.4 Monitor Disadvantaged Business Enterprise Participation to Ensure Compliance with the
_ "Commercially Useful Function-Requirements
10.5 Conduct Interviews When Project Utilizes On-the-Job Trainees.Complete COOT Form 200-
OJT Training Questionnaire
10.6 Check Certified Payrolls(Contact the Region EEOICMI Rights Specialists for training requirements.)
10.7 Submit FHWA Form 1391-Highway Construction Contractor's Annual EEO Report
FINALS
11.1 Conduct Final Project Inspection.Complete and submit CDOT 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 FI-WA Form 47-Statement of Materials and Labor Used... from the Contractor
11.10 Complete and Submit CDOT Form 1212—Final Acceptance Report(by COOT) X
11.11 Process Final Payment
11.12 Complete and Submit COOT Form 960-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: CDOT Resident Engineer/Project Manager
COOT Region Program Engineer
CDOT Region EEO/Civil Rights Specialist
CDOT Region Materials Engineer
COOT Contracts and Market Analysts Branch
Local Agency Project Manager
COOT Form 1243 01/13 Page4 of 4
Previous editions are obsolete and may not be used
Esther Gesick
From: Katie Wolff[kwolff@basetactical.com]
Sent: Thursday, August 07, 2014 12:35 PM
To: Esther Gesick
Cc: Roy Rudisill
Subject: FHWA Task orders email 3
Attachments: 53-58A TO#20053ER1 copy.pdf; 27.5#20052ER1 copy.pdf
0k,you should have executed emergency work task orders for the following sites:
1. 13/26
2. 13/44
3. 17/50
4. 27.5/48
5. 53/58
6. 54/13
7. 54/41
Let me know if you are missing any.
Thank you!
Katie Wolff
Project Manager
BASE
TACTICAL
DISASTER RECOVERY
(c)803.920.5618
Kwolff@basetactical.com
www.basetactical.com
This transmission is intended only for the person to whom it is addressed and contains confidential information.Any review or use of this information by persons other than the intended recipient is
prohibited.If you receive this in error,please contact the sender and delete the information from your computer.Thank you.
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