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1362 Fausnight Stripe & Linez PURCHASING DEPARTMENT T RANSMITTAL MEMO RANDUM rP TO: City Manager /City Clerk RE: Work Order No. 13STFSL 13 Street Rd Reconstruction Project VJ�11 ©® - The item(s) noted below is /are attached and forwarded to your office for the following action(s): ❑ Development Order ❑ Mayor's signature ❑ Final Plat (original mylars) ❑ Record' ❑ Letter of Credit en ring ❑ Maintenance Bond Safe in Va ❑ Ordinance ❑ Performance Bond ❑ Payment Bond ❑ Resolution ® City Manager Signature ❑ ® City Clerk Signature _Onee please: ® Return Ainal — cl`Keturn copy El Special Instructions: Need executed signatures (both parties). Please advise if you have any questions regarding the above. Thank you! From Date TADept_ forms \City Clerk Transmittal Memo - 2009.doc EXHIBIT A WORK ORDER FORM Work Order Number 13STFSL CITY OF SANFORD FLORIDA Master Agreement /Contract Number: SC Piggyback Dated: 8/12/2008 Contract /Project Title 13th Street Road Reconstruction Project Solicitation No: ISanford Project No. 10JPAS I Purchase Order No. Consultant /Contractor: Fausnight Stripe & Line Consultant /Contractor's Business Address, Phone Number, Fax Number and E -mail Address 910 Charles Street, Longwood, FI 32750 Ph. 407.261.5446 ATTACHMENTS TO THIS WORK ORDER METHOD OF COMPENSATION DRAWINGS /PLANS /SPECIFICATIONS X I 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: 240 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: $ 6,000 Dollar Amount Written Out: Six Thousand --------------------------------------------------------------------------- -- -- -------- -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 t and the Consultant/Contractor by and through its duly authorized corporate officer having the full and complete authority to execute same. CONSULTANT /CONTRACTOR ATTEST: EXECUTION: Signature, Corpor to Officer Si at Corporate President ✓L fk i- c /—c a aA�� /�� .� . us r I G Aj1� 4 j L�_ / /Z- 0 Corporate Officer Printed Name, Title and Date Cor orate resident, Printed Name and Date CITY OF SANFORD at re, chasing Manager I - 2 3 -Z o P ,` Purchasing Mana er, Printed Name and Date Signature, ity Clerk U Signature, City City Clerk, Printed Name and Date City Manager, Printed Name and Date Revised: 1 -6 -2011