Backup Documents 03/24/2015 Item #16C3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLID c 3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO j
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office SRT 3/24/15
4. BCC Office Board of County
Commissioners \� S 3\6
5. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Corinne Trtan, Project Manager,Public Phone Number 252-4233
Contact/ Department Utilities
Agenda Date Item was 3/24/15 Agenda Item Number 16-C-3
Approved by the BCC
Type of Document Work Order/Kensington Number of Original One
Attached Documents Attached
PO number or account n/a
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? STAMP OK SRT
2. Does the document need to be sent to another agency for additional signatures? If yes, SRT
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be SRT
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's SRT
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the SRT
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SRT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SRT
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 3/24/15 and all changes made during the SRT
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes, if applicable. ' a�
9. Initials of attorneyverifying that the attached document is the version approved bythe
g PP SFC
BCC,all changes directed bythe BCC have been made, and the document is readyfort "ff ` ��e '
ii , rr �Z
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16C3 3
Martha S. Vergara
From: Martha S. Vergara
Sent: Thursday, March 26, 2015 10:05 AM
To: Trtan, Corinne
Subject: Work Order- Kensington
Attachments: Corinne Trtan.pdf
Corinne,
Attached for your records.
Thanks,
Martha Vergara, BMR Senior Clerk
Minutes and Records Dept.
Clerk of the Circuit Court
& Value Adjustment Board
Office: (239) 252-7240
Fax: (239) 252-8408
E-mail: martha.vergara@,collierclerk.com
WORK ORDER/PURCHASE ORDER
+Contract 14-6213 "Annual Underground Utility Contractors"
Contract Expiration Date: July 7, 2016
RFQ 14-6213-23 ,j
This Work Order is for Utility Contractor services for work known as:
Project Name: Pump Station 147.00 Improvements (Kensington)
Project No: 70046.18.3
The work is specified in the proposal dated February 13, 2015 which is attached hereto and made a part of this
Work Order. In accordance with Terms and Conditions of the Agreement referenced above, this Work
Order/Purchase Order is assigned to: Quality Enterprises USA, Inc.
Scope of Work: As detailed in the attached proposal and the following:
* Task I Rehabilitation of New Pump Station
i * Task II Mobilization/Demobilization
./* Task III Owner Directed Allowance
r/Y
Schedule of Work: Complete work within 365 days (substantial completion within 305 days) from the date of
the Notice to Proceed which is accompanying this Work Order. The Vendor agrees that any Work Order that
I extends beyond the expiration date of Agreement #14-6213 will survive and remain subject to the terms and
conditions of that Agreement until the completion or termination of this Work Order.
Compensation: In accordance with the Agreement referenced above, the County will compensate the Firm in
Gaccordance with following method(s):) ® Negotiated Lump Sum (NLS), Lump Sum Plus Reimbursable
Costs (LS+RC) Time & Material (T&M) (established hourly rate — Schedule A) ❑Cost Plus Fixed Fee
(CPFF), as provided in the attached proposal.
Task I `�$ 433,140.95 NLS
Task II `' $ 15,000.00 NLS
Task II ;/$ 47,000.00 T&M
TOTAL FEE $ 495,140.95
PREPARED BY: , L 02
/c96//
Corinne Trtan, Project Manager Date
\\l)
111
APPROVED BY: - Z Z3 /)
•
Craig P. e 'rine' al Project Manager Date
APPROVED BY: 5
To Chmelik, PPMD Department Director Date
Page 1 of 3
4-
APPROVED BY: 11‘711 r 3-1 5
Steve Nagy, Wastewater Collections Manager Date
APPROVED6......_ v -- 23/,5-
eth Johnsen astewater Director Dat
( ,---) r ' ---..\
�� APPROVED BY: - ---�_ 2/ZV-�
George Yilmaz, Division Administrator Date
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby discloses,
that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned
interest or activity(financial, contractual, organizational, or otherwise)which relates to the proposed work; and
bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally, the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning of any
actual or potential conflict of interest that arises during the Work Order and/or project duration.
ACCEPTED BY: Quality Enterprises USA, Inc.
02 " .20 — ice
Louis J. Gaudio, Vice President Date
Page 2 of 3
IN WITNESS WHEREOF, theparties hereto, have each, respectively, byan authorized ersSn o C
p Y, p
3
agent, have executed this Work Order on the date and year first written below.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Dwight E. Brpca':Opiirkof-Courts COLLIER COUNTY, FLORIDA
/
Bey: .i1 -- .
� � By: er, ��.
�� Tim Nance, Chairman 3
Dated: 1\,1\117,1re\t)` 2.:(e P 6
SEAL)
Attest as to Chairman's
signature only.
Quality Enterprises USA, Inc.
1
// ^ By:
First Witness Lou J. Gaudio, Vice President
(Y1 ;2c e Co h-ef3
Print
1 \\ I I
Second Witness
i;,\,.1i C .
Print
Ap oved as to Form Leg ity:
41
Scott R. Teach, Deputy County Attorney
Page 3 of 3
1603
Co ler County
Administrative Services Division
Purchasing
REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT
#14-6213
"Annual Contract for Underground Utilities & General Contractors"
Date: January 20, 2015
From: Swainson Hall, Procurement Strategist
239-252-8935, Telephone Number
239-252-6334, Fax Number
swainsonhall(cDcollieraov.net
To: Potential Proposers
Subject: RFQ #14-6213-23 Pump Station 147.00 Improvements
As provided in the referenced contract, the Collier County Purchasing Department is soliciting
quotes for the referenced project.
RFQ Due Date: 3:00 PM 1/30/2015
Q&A Deadline: 5:00 PM 1/26/2015
Non-Mandatory 2:00 PM 1/23/2015
Purchasing Conference Room
Pre-Quote Meeting 3327 Tamiami Trail East, Naples, FL 34112
Number of Days to Final Completion: 305 days substantial/60 days final/365 total
Scope Provided Yes
Plans and Specs: Yes
Estimated Value Attached
Liquidated Damages: $1,002.50 per day
Payment & Performance Bonds Yes, if project value exceeds $200,000
Direct Material Purchase No
Your quotation response for this project is due no later than the date and time specified above. We
will not accept any quotation responses later than the noted time and date. If your firm is unable to
respond electronically, your quotation must be received in the office of the Purchasing Department at
the above referenced address no later than the time and date specified. We look forward to your
participation in this request for information/quotation process.
Quality Enterprises USA, Inc.
Firm's Complete Legal Name
239-435-7200 239-435-7202
Tegcl�Nu er/ Fax Number
Signature
Vice President
Title
Louis J. Gaudio 2/13/15
Print Name Date
C; Corinne Trtan I Project Manager
RFQ 14-6213-23
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QUALITY
ENTERPRISES
MEMORANDUM
To: Swain Hall, Procurement Strategist
Collier County Purchasing
From: Louis J. Gaudio
Vice President
Date: February 20, 2015
Subject: RFQ# 14-6213-23 Pump Station 147.00 Improvements
I hereby acknowledge receipt of Addendums 1 —6 for R FQ# 14-6213-23 Pump Station 147.00
Improvements.
•
Louis J. Gaudio
Vice President
•
208 Tintern Court 3894 Mannix Drive,Suite 216
Chesapeake,VA 23320 Naples,FL 34114-5406
(757)548-8000 (239)435-7200
Fax(757)548-2600 Fax(239)435-7202