Backup Documents 10/27/2015 Item #16C1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 C 1
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 41 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
4??'205
4. BCC Office Board of County
Commissioners \// kckackVC
5. Minutes and Records Clerk of Co 's Office
0 ,erre rArn e&e&fui - fi (o(2I(15 q
Y CO
PRIMARNTACT IN�rVIATION
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 Primary Staff �` n£ Phone Number
Contactt// Department CEJie n r a� ,q502-
5a— V0233
Agenda Date Item was ate., 477�/S Agenda Item Number
Approved by the BCC (/ `7*02& UDC__A— V Type of Document Nock__arie tom" Number of Original
Attached Documents Attached
PO number or account
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?cr `moi, c .6 freh'" c C
2. Does the document need to be sent to another agency for additional signatur ? If yes, "/'/t 4
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. ,Y
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters,must be reviewed and signed /�Q�'
by the Office of the County Attorney. `"'������
4. All handwritten strike-through and revisions have been initialed by the County Attorney's Ala)
Office and all other parties except the BCC Chairman and the Clerk to the Board "f
5. The Chairman's signature line date has been entered as the date of BCC approval of the N/41
document or the final negotiated contract date whichever is applicable. ��l
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's �yy�
signature and initials are required. (�fj
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. 0,1-
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aw ire of your deadlines!
8. The document was approved by the BCC on/ t nter date)and all changes made
during the meeting have been incorporated id the attached document. The County .,
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the ?
BCC,all changes directed by the BCC have been made, and the document is ready for thi Vj''"0/
Chairman's signature.
1: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
16C1
MEMORANDUM
Date: October 29, 2015
To: Corrine Trtan, Project Manager
Public Utilities Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Work Order for Contract #14-6213-45
w/Quality Enterprises USA, Inc.
Attached is a scanned copy of the document referenced above, (Item #16C1)
approved by the Board of County Commissioners on Tuesday, October 27, 2015.
The original will be held on file in the Minutes and Record's Department for the
Board's Official Record.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
Attachment
1 r I
/ WORK ORDER/PURCHASE ORDER
Contract 14-6213-45 "Annual Contract for Underground Utilities 8.� General Contractors"
Contract Expiration Date: July 7, 2016
This Work Order is for professional Construction services for work known as:
Project Name: Pump Station (PS) 302.09 Improvements
Project No: 70046.43.1 1/
The work is specified in the proposal dated September 25, 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 Relocation of Pump Station 302.09
* Task II Mobilization/Demobilization
* Task III Owner Directed Allowance /
Schedule of Work: Complete work substantially within 70 days and final within 60 days a total of
130 days from the date of the Notice to Proceed which is accompanying this Work Order. The
Vendor agrees that any Work Order that 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
Vendor in accordance 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), (define which method will be used for which tasks) as provided in the
attached proposal.
Task I $355,000.00 NLS/
Task II $ 17,000.00 NLS'
Task III $ 30,000.00 T&M/ �(
TOTAL FEE $402,000.00
PREPARED BY: • `05/�/5
Corinne Trtan, Project Manager Date
APPROVED BY: iz 5 I)
Craig Paj , rind ProjectManager Date
Page 1 of 3
1 A r 1
APPROVED BY: d
om Chmelik, PPMD Director Date
APPROVED Y il "7/5
Beth J hnssen, astewater Director Date
(APPROVED BY: �r-- --`-� cf/ 5/rj
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.
5_Z --/>—
Name & Title of Authorized Officer Date
40 C J. 6R✓o y' vacs`
(Remainder of page intentionally left blank)
Page 2 of 3
1601
IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or
agent, have executed this Work Order on the date and year first written below.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Dwight E. Brock, Clerk of Courts COLLIER COUNTY, FLORIDA
v .ler
• SBy: i ,
{Z Tim Nance, Chairman
Dated L ( (l S
(SEAL)
,est as to Chairman's
iinfature only.
Quality Enterprises USA, Inc.
PI By:
First Witnes / Signature ��-
,L.o uz 5 J 6'fl"ac� , V .
4P4 ( H ri e TType/print signature and titleT
TType/print witness nameT
(Aik::---- in iC,G-4‘41
Secon&Witness
(.4ck-k.,n:c, r1, k ok-rd) o✓;u)
TType/print witness namet
A: prove as t7land Legality:
,i,,,\
..\
S ;tt R. each, Deputy Attorney
Cp)1-
gTk
. -r,„,b._
Print Name
Page 3 of 3
1 6 C 1
Olt County
Administrative Services Department
Procurement Services Division
REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT
#14-6213
"Annual Contract for Underground Utilities & General Contractors"
Date: September 16, 2015
From: Swainson Hall, Procurement Strategist
239-252-8935, Telephone Number
239-252-6334, Fax Number
swainsonhaMcolliergov.net
To: Potential Proposers
Subject: RFQ 14-6213-45 Pump Station 302.09
As provided in the referenced contract, the Collier County Purchasing Department is soliciting
quotes for the referenced project.
RFQ Due Date: 3:00 PM 9/25/2015
Q&A Deadline: 5:00 PM 9/23/2015
Mandatory 11:00 AM 9/18/2015
Pre-Quote Meeting Procurement Services Department Conference Room
Number of Days to Final Completion: 70 Substantial + 60 Final = 130 Total
Scope Provided Yes
Estimated Value $378,330.00
Liquidated Damages: $1,501.00 per day
Payment & Performance Bonds Yes, if project value exceeds $200,000
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
•— — of •— — 202
T Number Number
rgmtife
Vice President
Title
Louis J. Gaudio 9/25/15
Print Name Date
C: Corinne Trtan/Project Manager
1
RFQ 14-6213-45
I C
Bid Form
Collier County,Florida
PS 302.09 Relocation
Collier County PPMD Project#70046.43.1
BID DESCRIPTION ' UNIT QTY UNIT PRICE EXTENSION
ITEM .
1 Relocation of Pump Station 302.09 LS 1 $ 355,000.00 $ 355,000.00
Subtotal Bid Item 1 (Base Bid) $ 355,000.00
2 Mobilization/Demobilization(5%Base Bid) LS 1
$ 17,000.00 I $ 17,000.00
Subtotal Bid Items 1 &2 $ 372,000.00
3 Owner Directed Allowance T&M 1 $ 30,000.00 $ 30,000.00
Total Bid Price $ 402,000.00
TOTAL BID PRICE $402,000.00
TOTAL BID PRICE(WRITTEN IN WORDS:) Four Hundred Two Thousand Dollars and Zero Cents
THIS BID MADE BY AND ON BEHALF OF:
Com an Quality Enterprises USA,Inc.
A y:
y -
Address: 3894 Mannix Drive,Suite 216
Naples,FL 34114-5406
. . (SEAL)
Fax#: 239.435-7200
-- LGAUDION'QFUSA.COM
Address:Email
BY: 3--•
Authorized Signature
PRINT: Louis J.Gaudio
TITLE: Vice President
ea 7eY County Email: DianaDeLeon@colliergov.net
.. _, . . ..,. Telephone: (239) 252-8935
Administrative Services Department FAX: (239) 252-6597
Procurement Services Division
ADDENDUM #1
Date: September 24, 2015
From: Swainson Hall, Procurement Strategist
To: Potential Proposers
Subject: Addendum #1 — RFQ 14-6213-45 Pump Station 302.09
The following clarifications are issued as an addendum identifying the following changes for the
referenced solicitation:
CHANGE:
Posting Questions and Answer, Permits, and clarifications from engineer
If you require additional information please post a question on the Online Bidding site or contact me
using the above contact information.
C: Corinne Trtan, Project Manager
1
RFQ 14-6213-45
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