HomeMy WebLinkAbout20142495.tiff TASK ORDER
15
Date: Task Order N: Master Agreement CMS N: 14 HA4 64551 Task Order CMS N:1A-HA4 71622
7/16/2014 20052ER1 Project N:C 030-062(20052) PO:400000146/331001024
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:
1) 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 27.5 CR 48A Bridge
over Big T 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 §S.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
J .Hickenlooper,Governor
By:
Jo ua Laipply, hief e i eer
Coldrado Department of'I'ransportation
Date: 7/16/20/4
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 ros CP , BA,JD
By: 7 /
Date: -719 7" y
2014-2495
o
li-Zo�U 9- v- arty R.00451
E6 0013
EXHIBIT 0 - FORM OF LOCAL AGENCY OFFER - ER1
Local Agency Offer
C 030-062
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 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 27.5 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.
Roy Rudisill
Director, Weld County Office of Emergency Management
Date
04...e-
` 6� 2*
Page 1 of 1
Task Order Scope
Project Name: ERLA WCR 27.5 CR 48A BRDGE OVER BIG T
Project Number: C 030-062
Subaccount No: 20052
Local Agency: Weld County
CDOT Contact: Adam Hanks
CDOT Flood Recovery Office
1901 56th 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 backfilling
behind the scoured bridge abutments and backfilling the embankment, shoulders,and roadway
to restore essential traffic. Emergency work to protect the existing structure Includes placing
riprap as scour protection.
Permanent Repairs
Permanent work consists of the work to repair the flood damages described in the Permanent
Repair DDIR. Permanent repairs include restoring the bridge approach, roadside embankments,
and shoulders to pre-disaster conditions. Permanent repairs also include paving the damaged
roadway and replacing scour protection at the bridge abutments and piers.
Page 1 of 1
EXHIBIT C -FUNDING PROVISIONS Task Order#: 20052 ER1
Estimated Cost of Work Project Name: ERLA WCR 27.5 CR 48A BRDGE OVER BIG T
The estimated total cost the Work is as follows:
BUDGETED FUNDS
a. Federal Funds $80,887.00
(I00%of Participating Costs) $56,245.00
(82.79%of Participating Costs) $24,642.00
b. Local Funds $5,122.00
(0%of Participating Costs)
(17.21%of Participating Costs) $5,122.00
c. Stale Funds $0.00
(0%of Participating Costs)
TOTAL BUDGETED FUNDS: $86,009.00 $86,009.00
2 'ESTIMATED PAYMENT TO LOCAL AGENCY*:
a. Federal Funds Budgeted(I a) $80,887.00 $80,887.00
b. State Funds Budgeted(Ic) $0.00 $0.00
TOTAL ESTIMATED PAYMENT TO LOCAL AGENCY*:I$80,887.00 I$80,887.00
C
3 FOR CDOT ENCUMBRANCE PURPOSES
WBS Element Phase Function Payable Participating Percentage Budgeted Encumbered
Y P gFunds Funds**
Design 3020
ROW 3111/3114
(Acq/Reloc)
ROW 3114
Incidentals
Const(100%) 3301
Const(82.79) 3301
20052.10.50 Miscellaneous 3404 $86,009.00 $86,009.00
Utilties 3988
Environmental 3403
TOTAL ENCUMBERED FUNDS:1 I$86,009.00
Sheet of
U.S.oeparunent or Report Number:
irenepptasan DETAILED DAMAGE INSPECTION REPORT 20052,Weld County_04A-ER
Fay
ederal
(Title 23,Federal-aId Highways) Inspection Date:
10/30/2013
Location(Name of Road and Milepost) FHWA Disaster Number:
co-13.1
Weld County Site 04 Federal-aid Route Number:
County Road 27.5(CR4SA Bridge)Over Big Thompson River 02750
Description of Damage (ONLY ONE ITEM MAY BE CHECKED) State: County:
❑' Emergency Repair 0 Pemtanent Repair ❑ Debris Removal CO Weld
Extreme rain amounts caused floodwaters that overtopped the roadway,scouring the embankments and shoulders,and Work Order Number:
washed shoulder pavement north of the bridge.Emergency repairs to restore essenetlel traffic Include backalling of
embankments,shoulders,and roadway.Emergency repairs to protect the stmcture Include placing dprep in the
channel.
Cost Estimate
Description of Work to Date Cost
(Equipment,Labor,and Materials) Unit Unit Price Quantity...Completed Remaining
Major Earthwork Items CY 0 0
Aggregate Base Course CY 0 0
Surfacing-LIMA TN 0 0
Surfacing-Concrete SY 0 0
Structure Repairs LS 0 1 0
Walls SF 0 0
i Drainage LF 0 0
Misc.Items LS 0 _ 0
General Construction Items LS 0 0
Engineering Services(See Attached) Per Randy eensen $ 24,400.00
ER Work to Protect the Structure(See Attached)* • $ 29,764.20
ER Work to Restore Traffic(See Attached) $ 39,748.38
Deduction-Debris Removal $ (2,685.30)
Deduction-(Pavement)PR Item _ $ (5,218.11)
Construction Estimate Subtotal $ 86,009.17
Right-of-Way $ -
•Indicates Item reimbursed at 80/20 rate due to work Preliminary Engineering $ -
occuring during the Emergency Repair Extension Construction Engineering $ -
Indirects $ -
_
Method Estimated Project Total $ 86,009.17
❑+ Local Fords ❑ State Face p Contract
Environmental Assessment Recommendation Prepared By: Date:
9 Categorical Exclusion ❑ ENE35 Adam Hanks,P.E. 05/08/1014
Concurrence g r ri a • FHWA Engl 0
� ' irJA 0 M L �I as°�t n.
bl . tw.mr m a�n , aRf�. u., cu
gj Yes 0 No a.IMaUmm
Der arususaoapap
Concur ence State Engineer(Print Name): Stet Engineer(Sig azure): Date:
PEI Yes ❑ No Miranda Lange,P.E. 372)11-
Concur Local (Print me): / L Ag//a�ajJ', nature): �/J 0 e:`p
Yes ❑ No 44Lr/.b11 f�" a.IJ `f^ /'/L/
FHWA USE ONLY Form FHWA-1547
FEMA Eligible: ❑ Yes 0 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
CHECKLIST
LOCAL AGENCY CONTRACT ADMINISTRATION CHE C
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 030-062 ER
20052 HA4
Project Location _ Date
CR 27.5 5/1/14
Project Description ERLA WCR 27.5 CR 48A BRDGE OVER BIG T
Local Agency •, Local Agency Project Manager
Weld County Richard White/Clay Klmi
CDOT 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 initiating 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)shell be noted.In addition, a'#'will denote that CDOT 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 ail other tasks that are the responsibility of CDOT.
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
CDOT Resident Engineer,in cooperation with the Local Agency Project Manager,will prepare and distribute a revised checklist.
RESPONSIBLE
NO. DESCRIPTION OF TASK PARTY
LA CDOT
TIP/STIP AND LONG-RANGE PLANS
2.1 1 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(CDOT Form 418-Federal-aid Program Data.Requires FHWA ` X
concurrence/lnvolvement)
L
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
5.4 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 concurrence involvement) X
5.8 Acquire Right-of-Way(may require FHWA concurrencerinvolvemenl)
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
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(CDOT Region EEO/CMI Rights Specialist)
6.2 Determine Applicability of Davis-Bacon Act X
This project❑is 0 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
COOT Resident Engineer(Signature on File) Date
6.3 Set On-the-Job Training Goals.Goal is zero If total construction is less than$t million(COOT X
Region EEO/Civil 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 AIWA 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 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 CDOT 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 CDOT 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;
4:;;z % Pre-Construction Conference(Appendix B)
Pm-survey
r q • Construction staking
a • Monumentation
I Partnering(0ptonaq
Structural Concrete Pre-Pour(Agenda is in COOT ConsUucton Manual)
Concrete Pavement Pre-Paving(Agenda is in COOT Construction Manual)
HMA Pre-Paving(Agenda Is in COOT Construction Manual)
_8.4 Develop and distribute Public Notice of Planned Construction to media and local residents j
8.5 Supervise Construction _
A Professional Engineer(PE)registered in Colorado,who will be"in responsible charge of _
construction supervision?
Richard White/Clay Klmmi 970-304-6496
Local Agency Professional Engineer or Phone number X
COOT Resident Engineer
COOT Form 1243 01113 Paget of 4
Previous editions are obsolete and may not be used
RESPONSIBLE
NO. DESCRIPTION OF TASK PARTY
LA COOT
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 Surveyir%
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.
Richard White/Clay Klmml 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 Pro ect 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 970-982-4017
CDOT Resident Engineer Phone number
MATERIALS
—9.1 Conduct Materials Pre-Construction Meeting
9.2 - Complete COOT Form 250-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 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❑CDOT Procedures El
• 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 01/13 Page3 of 4
Previous editions are obsolete and may not be used
CONSTRUCTION CIVIL RIGHTS AND LABOR COMPLIANCE
10.1 RAN 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 OpportuNty and Labor Compliance Verification Employee
Interviews. Complete CDOT 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 COOT Form 200-
OJT Training Questionnaire
10.6 Check Certified Payrolls(Contact the Region EEO/Civil Rights Specialists for training requirements.)
10.7 Submit FHWA Form 1391-Highway Construction Contractors 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 CDOT 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
11.10 Complete and Submit CDOT 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: CDOT Resident Engineer/Project Manager
CDOT Region Program Engineer
CDOT Region EEO/Civil Rights Specialist
COOT Region Materials Engineer
COOT Contracts and Market Analysis Branch
Local Agency Project Manager
CDOT Form 1243 01/13 Pause 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
Ok,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(a baseta ctica I.com
www.basetactical.com
This transmission is intended only for 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.
06Th r11.4.441
n•
t�Q L lAN p
8-]]- 2ojy X0045
1 8-G CO'70
Hello