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PURCHASING DEPARTMENT
T RANSMITTAL MEMORANDUM
To: City Manager /City Clerk
RE: Work Order No. SS1ffAI for Subsurface Soil Exploration FT Mellon Park
& OC -
The The item(s) noted below is /are attached and forwarded to your office for the following action(s):
❑ Development Order
❑ Final Plat (original mylars)
❑ Letter of Credit
❑ Maintenance Bond
❑ Ordinance
❑ Performance Bond
❑ Resolution
El
mince completed, please:
� ® Retu original
- Return copy
Special Instructions:
Need executed signatures (both parties).
❑ Mayor's signature
❑ Re
Rendering 3�-z
Safe keeping (Vault l
❑ Payment Bond
® City Manager Signature
® City Clerk Signature
Please advise if you have any questions regarding the above.
Thank you!
W �
From
TADept_ forms \City Clerk Transmittal Memo - 2009.doc
Date
EXHIBIT A
WORK ORDER FORM
Work Order Number SSEAAI
CITY OF SANFORD FLORIDA
Master Agreement/Contract Number: Q101006.106R03
Dated: 9/2/2009
Contract/Project Title Subsurface Soil Exploration - Ft Mellon Park Maintenance Bulidin
Solicitation No: RFQ 05106 -15
Isanford Project No.
I Purchase Order No. 3 2 E
Consultant/Contractor:
Consultant/Contractor's Business Address, Phone Number, Fax Number and E -mail Address
8008 S Orange Avenue 32809 - PO Box 593003, Orlando, FI 32859 -3003
Ph. 407.855.3860 Fax. 407.859.8151
ATTACHMENTS TO THIS WORK ORDER
METHOD OF COMPENSATION
DRAWINGS /PLANS /SPECIFICATIONS
X
FIXED FEE BASIS
SCOPE OF SERVICES
TIME BASIS -NOT TO EXCEED AMOUNT
SPECIAL CONDITIONS
TIME BASIS - LIMITATION OF FUNDS
PRICING IINFORMATION
UNIT PRICE BASIS -NOT TO EXCEED AMOUNT
WO TERMS AND CONDITIONS
TIME FOR COMPLETION: 200 Days of the effective date of this Work Order
Effective date- this Work Order: Date of Execution by City
Time for completion: The services to be provided by the Consultant/Contractor shall commence upon execution
of this Work Order by the parties and shall be completed within the time frame indicated above. Failure to meet
the stated completion requirement may be grounds for termination for default.
Work Order Amount: Dollars Expressed in Numbers: $ 2,800.00
Dollar Amount Written Out: Two Thousand Eight Hundred Dollars ------------------------------------------------------------------------ 00 /xx
In Witness Where of, the parties hereto have made and executed this Work Order on the
respective dates under each signature: The City through its City Commission taking action on the
and the Consultant/Contractor by and through its duly authorized corporate officer having the full and complete
authority to execute same.
CONSULTANT /CONTRACTOR
ATT T: EXE UTION: 4 L
Signature, Corporate Officer Signature, Corporate President
f 1 V,Ze
A zo . 2 '
Corporate Oficer Printed Name, Title and Da e Cor orate President, Printed Name and Date
CITY OF SANFORD
W ature, P chasing Manager
)��,
Purchasing Manager, Printed Name and Date
Signature, tity Clerk Si ature, City Man r
City Clerk, Printed Name and Date City Manager, Printed Name and Date
Revised: 1 -6 -2011