00 63 36 - Work Order Form.pdf

PDF 254 KB Posted

Attached to
Contract 2026-01: Sewer Maintenance & Emergency Contract
Solicitation number
Not on record
Issued by
Lancaster County, Pennsylvania

About this file

This is a Work Order Form for the Borough of Elizabethtown's Sewer Maintenance & Emergency Contract (Contract No. 2026-01), prepared by Herbert, Rowland & Grubic, Inc., the project engineer. The form serves as a directive for the contractor to commence work on emergency and maintenance activities related to the Borough's sanitary sewer and storm sewer collection and conveyance systems, including repair of existing facilities. Work orders are issued individually and specify the scope of work to be performed, with contractors required to complete all work within a designated number of consecutive calendar days as determined by final inspection conducted by the Owner or its representative. The form includes provisions for overtime work authorization, subcontractor usage with associated fee tracking, and estimated work order pricing and completion dates. Sealed bids for the underlying contract were due June 16, 2026, at 10:00 AM local time via PennBid, with no pre-bid conference scheduled for this emergency services contract. Bid security of not less than 10% in the form of a Certified Check or Bid Bond is required.

The work order form contains blank fields for estimated pricing, completion dates, commencement dates, and contractor authorization signatures, indicating this is a template used for issuing individual work orders under the master contract. Checkboxes allow designation of overtime work authorization and subcontractor approval as needed for specific work orders. The contract encompasses ongoing emergency and maintenance services for municipal utility infrastructure on an as-needed basis, with work scope and pricing determined on a per-order basis rather than a fixed project scope. This indefinite-term contract model allows the Borough flexibility to address emergency repairs and routine maintenance throughout the contract period without requiring separate competitive bidding for each work request.

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Text version

Herbert, Rowland & Grubic, Inc. 00 63 36 - 1 000598.0465

CONTRACT NO. 2026-01

SEWER MAINTENANCE & EMERGENCY CONTRACT

WORK ORDER. NO. 20XX -XX

Date of Issuance: Effective Date: Dated signed by the Owner

Owner: Borough of Elizabethtown Owner’s Contract No.: 2026-01

Contractor: Contractor’s Project No.:

Engineer: Herbert, Rowland & Grubic, Inc. Engineer's Project No.: 000598.0465

Project: Sewer Maintenance & Emergency Contract Location:

Pursuant to the Contract Documents for the Sewer Maintenance & Emergency Contract, Contractor is hereby directed to promptly commence work hereunder as described as follows:

Description:

Work Order Requirements:

If box is checked, Contractor is approved to work hours outside of the Normal Working Hours.

If box is checked, Contractor is approved to be paid for Overtime work completed under this Work Order.

If box is checked, Contractor anticipates the use of a Subcontractor for this Work Order.

Estimated Subcontractor Fees:

Attachments:

Time of Commencement and Completion The effective start date for this Work Order is , and all work shall be completed within consecutive calendar days as determined by a final inspection conducted by the Owner or a designated representative as described in the Agreement and General Conditions.

Herbert, Rowland & Grubic, Inc. 00 63 36 - 2 000598.0465

Estimated Work Order Price and Completion Date:

Estimated Price: $

Completion Date:

ISSUED: RECEIVED:

By: By:

Owner (Authorized Signature) Contractor (Authorized Signature)

Title: Title:

Date: Date:

Copy to: ☒Owner ☒Engineer

File details come from the government source that posted it. Updated .