Docstoc

Subcontractor Work Order - DOC

Document Sample
Subcontractor Work Order - DOC Powered By Docstoc
					                                                                                 MnDOT Contract No._____ Work Order No. __

[INSTRUCTIONS FOR COMPLETING THIS FORM ARE IN BRACKETS. FILL IN EVERY BLANK AND DELETE ALL
INSTRUCTIONS BEFORE SENDING THIS TO THE CONTRACTOR. CONTACT CONSULTANT SERVICES IF YOU NEED
ASSISTANCE WITH THIS FORM.]
                                               STATE OF MINNESOTA
                                              WORK ORDER CONTRACT

Federal Project Number: _________
State Project Number (SP): ________
Trunk Highway Number (TH): ___________
Project Identification: ________________________________________________________________

This Work Order Contract is issued under the authority of State of Minnesota, Department of Transportation (Mn/DOT)
Contract No. [Enter Master T-Contract Number, OR if using an Admin Master Contract, Enter Admin CFMS/SWIFT
Number] between the state of Minnesota acting through its Commissioner of Transportation (“State”) and [Insert the
Legal Name of the Contractor, also indicate whether the Contractor is a Corporation, Partnership, Sole Proprietorship or a
Limited Liability Company] Address: [Insert the Contractor’s Address] (“Contractor) and is subject to all applicable
provisions and covenants of that Contract which are incorporated herein by reference.

Contractor will furnish all products and perform all services defined in Article 2, Scope of Work and Deliverables.

                                                   Work Order Contract

1 Term of Work Order Contract; Incorporation of Exhibits:
  1.1 Effective Date:  This Work Order Contract will be effective on the date that all required signatures are
                       obtained by State, pursuant to Minnesota Statutes Section §16C.05, subdivision 2.
                       Contractor must not begin work under this Work Order Contract until ALL required
                       signatures have been obtained and Contractor has been notified in writing to begin such
                       work by State’s Authorized Representative.
  1.2 Expiration Date: This Work Order Contract will expire on [Insert Date], or when all obligations have been
                       satisfactorily fulfilled, which ever occurs first.
  1.3 Exhibits:        Exhibits _ through __ are attached and incorporated into this Work Order Contract.
                       [DELETE THIS CLAUSE AND “INCORPORATION OF EXHIBITS” FROM ARTICLE
                       TITLE IF NOT USING EXHIBITS.]

2 Scope of Work and Deliverables:
  2.1 Contractor will [PROVIDE A DETAILED SCOPE OF SERVICES, OR IF USING AN EXHIBIT INSERT
      “CONTRACTOR WILL PERFORM THE DUTIES AS SHOWN IN EXHIBIT _.” WHETHER INCLUDED IN
      THE BODY OF THIS CONTRACT OR AS AN EXHIBIT, THE SCOPE OF DUTIES MUST BE
      SUFFICIENTLY DETAILED TO HOLD THE CONTRACTOR ACCOUNTABLE FOR PERFORMANCE.]

   2.2 Deliverables are the work products created or supplied by Contractor pursuant to the terms of this Work Order
       Contract. Deliverables to be provided for under this Work Order Contract by Contractor are:
       [GIVE A BRIEF DESCRIPTION OF DELIVERABLES ALONG WITH DUE DATES. THIS LIST SHOULD
       SPECIFY IN WHAT FORMAT THE STATE WANTS THE DELIVERABLES (I.E., DISK, REPRODUCIBLE
       HARD COPY, NUMBER OF COPIES).]

        Items                                         Date Due
        [A DETAILED LIST SHOULD SPECIFY IN WHICH FORMAT STATE WANTS THE DELIVERABLES (I.E.
        DISK, HARD COPY, NUMBER OF COPIES, ETC.)]

        [If using an exhibit insert “See Exhibit __ for details on the required deliverables.”]

3 Items Provided and/or Completed by State:
  3.1 After authorizing Contractor to begin work, State will furnish any data or material in its possession relating to the


                                                             -1-
(CSS/CM Reviewed 8/17/2011)
                                                                                 MnDOT Contract No._____ Work Order No. __

        project that may be of use to Contractor in performing the work.
   3.2 All such data furnished to Contractor, will remain the property of State and will be promptly returned upon State’s
       request or upon the expiration or termination of this Work Order Contract.
   3.3 Contractor will analyze all such data furnished by State. If Contractor finds any such data to be incorrect or
       incomplete, Contractor will bring the facts to the attention of State before proceeding with the part of the project
       affected. State will investigate the matter, and if it finds that such data is incorrect or incomplete, it will promptly
       determine a method for furnishing corrected data. Delay in furnishing data will not be considered justification for
       an adjustment in compensation.

       [GIVE A DETAILED DESCRIPTION OF ANYTHING ELSE SPECIFIC BEING PROVIDED BY STATE.]

[SELECT CORRECT FORM OF ARTICLE 4 FROM THE FOLLOWING FOR USE WITH COST PLUS,
LUMP SUM, OR UNIT RATE WORK ORDER CONTRACT.]
4 Consideration of Payment: [Cost Plus Fixed Fee]
   4.1 State will pay for all services performed by Contractor on a Cost Plus Fixed Fee (profit) basis as follows:

        1.   Direct Labor Costs:                                            $ __________________
        2.   Overhead Costs:                                                $ __________________
        3.   Fixed Fee Costs:                                               $ __________________
        4.   Direct Expense Costs:                                          $ __________________
        5.   Subcontractor(s) Costs:
                        [SUBCONTRACTOR #1]                                  $ __________________
                        [SUBCONTRACTOR #2]                                  $ __________________

                TOTAL WORK ORDER CONTRACT AMOUNT: $ __________________

   4.2 For Federally Funded Work Orders insert “Federal funding applies to this project. See General Conditions for
       applicable controls.”
   4.3 The overhead rate of XXX.XX% [For all work except Drilling, overhead rates are not to exceed 160%. Contact
       Audit to determine Contractor’s most recent Audited Overhead Rate] of direct Salary Costs will be used on a
       provisional basis determined by Mn/DOT’s Office of Audit and will not exceed 160%. [Drilling rates are NOT
       capped at 160%, and should be determined by Audit]
   4.4 See Exhibit _ for Budget Details on Contractor and its Subcontractor(s).
   4.5 Allowable direct costs include project specific costs listed in Exhibit _. State’s Authorized Representative must
       approve any other direct costs not listed in Exhibit _, in writing, prior to expenditure.
   4.6 Contractor will be reimbursed for travel and subsistence expenses in the same manner and in no greater amount
       than provided in the current “Minnesota Department of Transportation Travel Regulations.” Contractor will not
       be reimbursed for travel and subsistence expenses incurred outside the State of Minnesota unless it has received
       prior written approval from State for such out of state travel. State of Minnesota will be considered the home base
       for determining whether travel is “out of state.” See Exhibit _ for the current Minnesota Department of
       Transportation Reimbursement Rates for Travel Expenses.
   4.7 State’s total obligation for all compensation and reimbursements to Contractor will not exceed $ _____________.

4 Consideration of Payment: [Lump Sum]
  4.1 State will pay for all services performed by Contactor on a Lump Sum basis.
  4.2 Contractor will submit invoices for payment in accordance with the following schedule:
      [Choose the appropriate method of payment liquidation: One-time payment or Deliverable schedule payments.]
  4.3 For Federally Funded Work Orders, insert “Federal funding applies to this project. See general conditions for
      applicable controls.”
  4.4 State’s total obligation for all compensation and reimbursements to Contractor will be $__________________.

4 Consideration of Payment: [Unit Rate]
  4.1 State will pay for all services performed by Contractor on a Unit Rate basis as follows:



                                                             -2-
(CSS/CM Reviewed 8/17/2011)
                                                                              MnDOT Contract No._____ Work Order No. __

        1. Direct Labor Costs:                                           $ __________________
        2. Direct Expense Costs:                                         $ __________________
        3. Subcontractor(s) Costs:                                       $ __________________
                      [SUBCONTRACTOR #1]                                 $ __________________
                      [SUBCONTRACTOR #2]                                 $ __________________

                TOTAL WORK ORDER CONTRACT AMOUNT: $ __________________

   4.2 For Federally Funded Work Orders, insert “Federal funding applies to this project. See general conditions for
       applicable controls.”
   4.3 Allowable direct costs include project specific costs listed in Exhibit _. State’s Authorized Representative must
       approve any other direct costs not listed in Exhibit __, in writing, by prior to expenditure.
   4.4 Subcontractor work and cost details are shown in Exhibit _.
   4.5 Contractor will be reimbursed for travel and subsistence expenses in the same manner and in no greater amount
       than provided in the current “Minnesota Department of Transportation Travel Regulations”. Contractor will not
       be reimbursed for travel and subsistence expenses incurred outside the State of Minnesota unless it has received
       prior written approval from State for such out of state travel. State of Minnesota will be considered the home base
       for determining whether travel is “out of state”. See Exhibit _ for the current Minnesota Department of
       Transportation Reimbursement Rates for Travel Expenses.
   4.6 State’s total obligation for all compensation and reimbursements to Contractor will not exceed $____________.

5 Terms of Payment:
  5.1 State will promptly pay all valid obligations under this Contract as required by Minnesota Statutes §16A.124.
  5.2 Contractor must submit invoices electronically for payment, using the format set forth in Exhibit _. Contractor
      will submit invoices for payment in accordance with the following schedule: [Choose the appropriate method of
      payment liquidation 1. One-Time Payment upon acceptance of final deliverable; 2. Deliverable Schedule
      Payments; or 3. On a Monthly Basis.]
  5.3 Contractor must submit a monthly progress report, using the format set forth in Exhibit _ showing the progress of
      work in work hours according to the tasks listed in Article 2 Scope of Work.
  5.4 Contractor must submit the signed invoice, the signed progress report and all required supporting documentation,
      for review and payment, to State’s Consultant Services Section, at ptinvoices.dot@state.mn.us. If Contractor
      cannot support electronic submission of the invoice package, Contractor must contact State’s Authorized
      Representative for possible alternatives.

6 Contractor’s Project Manager:
  6.1 Contractor’s Project Manager for this Work Order Contract will be:
      Name, Title:
      Address:
      Phone:
      Fax:
      E-Mail:

7 State’s Project Manager and Authorized Representative:
  7.1 State’s Project Manager for this Work Order Contract will be:
       Name, Title:
       Address:
       Phone:
       Fax:
       E-Mail:

        State’s Project Manager, or his/her successor, will sign progress reports, review billing statements, make
        recommendations to State’s Authorized Representative for acceptance or rejection of Contractor’s good or
        services and make recommendations to State’s Authorized Representative for certification of payment of each
        Invoice submitted by Contractor.


                                                           -3-
(CSS/CM Reviewed 8/17/2011)
                                                                               MnDOT Contract No._____ Work Order No. __


   7.2 State’s Authorized Representative for this Work Order Contract will be:
       Name, Title:
       Address:
       Phone:
       Fax:
       E-Mail:

        State’s Authorized Representative, or his/her successor, will monitor Contractor’s performance and has the
        authority to accept or reject the services provided under this Work Order Contract.

8 Termination for Insufficient Funding.
  8.1 Termination by the State. State or commissioner of Administration may cancel this Work Order Contract at any
      time, with or without cause, upon 30 days’ written notice to Contractor. Upon termination, Contractor will be
      entitled to payment, determined on a pro rata basis, for services satisfactorily performed.
  8.2 Termination for Insufficient Funding. State may immediately terminate this Work Order Contract if it does not
      obtain funding from the Minnesota Legislature, or other funding source; or if funding cannot be continued at a
      level sufficient to allow for the payment of the services covered here. Termination must be by written or fax
      notice to Contractor. State is not obligated to pay for any services that are provided after notice and effective date
      of termination. However, Contractor will be entitled to payment, determined on a pro rata basis, for services
      satisfactorily performed to the extent that funds are available. State will not be assessed any penalty if the Work
      Order Contract is terminated because of the decision of the Minnesota Legislature, or other funding source, not to
      appropriate funds. State must provide Contractor notice of the lack of funding within a reasonable time of State’s
      receiving that notice.
  8.3 Suspension. State may immediately suspend this Work Order Contract in the event of a total or partial
      government shutdown due to failure to have an approved budget by the legal deadline. Work performed by
      Contractor during a period of suspension will be deemed unauthorized and undertaken at risk of non-payment.

9 E-Verify Certification (In accordance with Minnesota Statutes §16C.075)
  9.1 For services valued in excess of $50,000, Contractor certifies that as of the date of services performed on behalf
      of State, Contractor and all its subcontractors will have implemented or be in the process of implementing the
      federal E-Verify program for all newly hired employees in the United States who will perform work on behalf of
      State. Contractor is responsible for collecting all subcontractor certifications and may do so utilizing the E-Verify
      Subcontractor Certification Form available at http://www.mmd.admin.state.mn.us/doc/EverifySubCertForm.doc.
      All subcontractor certifications must be kept on file with Contractor and made available to State upon request.

10 Additional Provisions
    [USE THIS SPACE TO INCLUDE ANY NECESSARY INFORMATION NOT COVERED ELSEWHERE IN THIS
    CONTRACT. OTHERWISE, ENTER “NONE”]


                      THE BALANCE OF THIS PAGE IS INTENTIONALLY LEFT BLANK.




                                                            -4-
(CSS/CM Reviewed 8/17/2011)
                                                                                              MnDOT Contract No._____ Work Order No. __


     STATE ENCUMBRANCE VERIFICATION                                            DEPARTMENT OF TRANSPORTATION
     Individual certifies that funds have been encumbered as
     required by Minnesota Statutes §16A.15 and §16C.05.
                                                                               By: __________________________________________________
     Signed:___________________________________________                             (with delegated authority)

     Date: ____________________________________________                        Title:_________________________________________________

     SWIFT Contract (SC) ID No._________________________                       Date:_________________________________________________

     Purchase Order (PO) ID No.__________________________
                                                                               COMMISSIONER OF ADMINISTRATION

     CONTRACTOR                                                            By: __________________________________________________
     Contractor certifies that the appropriate person(s) have executed the
     contract on behalf of Contractor as required by applicable            Date: _________________________________________________
     articles, bylaws or resolutions.

     By: ______________________________________________

     Title:_____________________________________________

     Date: _____________________________________________




     FUND VERIFICATION
     [Contract Management will determine if this signature is
     required – you must leave this signature block in every Contract]

     I certify, based on my knowledge and belief, that the
     expenditures covered by this Contract appear to be legally
     permissible for the source of funds used for the Contract
     encumbrance

     By: ___________________________________________
                     (Warren Skallman)

     Date: __________________________________________




                                                                         -5-
(CSS/CM Reviewed 8/17/2011)

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:29
posted:8/17/2011
language:English
pages:5
Description: Subcontractor Work Order document sample