Backup Documents 06/14/2016 Item #16C 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP c J,
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#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 6-14-16
4. BCC Office Board of County
Commissioners . 15/ �g-j L/-f6
5. Minutes and Records Clerk of Court's Office
0(\it) (I(+l(p 2: -_
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 Oscar Martinez Contact Information 239-252-6214
Contact/ Department
Agenda Date Item was June 14,2016 V Agenda Item Number 16C4
Approved by the BCC
Type of Document Work order for Quotation 14-6213-52, Number of Original One
Attached "Goodland Drive Water Main Replacement," Documents Attached
Project Number 71010,to Quality Enterprises
USA,Inc.,in the amount of$612,305.
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 eeds original signature SRT
2. Does the document need to be sent to another agency for additions ! yes,, N/A
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 06-14-16 and all changes made during SRT
the meeting have been incorporated in 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 the
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
1 6 C 4
MEMORANDUM
Date: June 15, 2016
To: Oscar Martinez, Senior Project Manager
Public Utilities Engineering
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Work Order/Purchase Order
#14-6213-52 — Quality Enterprises USA, Inc.
Attached please find one (1) scanned copy of the original of the document
referenced above, (Agenda Item #16C4) approved by the Collier County Board of
County Commissioners on Tuesday, June 14, 2016.
The Minutes and Records Department has retained the original document to be
kept as part of the Board's Official Records.
If you have any questions, please call me at 252-7240.
Thank you.
16C4
WORK ORDER/PURCHASE ORDER
Contract 14-6213 "Annual Contract for Underground Utilities and General Contractors"
Contract Expiration Date: July 7, 2016
This Work Order is for professional water main replacement construction services for work known as:
Project Name: Goodlaid Drive Water Main Replacement
Project No: 71010.37/ /
The work is specified in the proposal dated December 15, 2015 which is attached hereto and made a
part of this Work Order. In accordance with Terms and Conditions of the Agre ment referenced above,
this Work Order/Purchase Order is assigned to: Quality Enterprises USA, In
Scope of Work: As detailed in the attached proposal and the following:
* Task I Water Main Replacement Construction Services
* Task II Water Main Replacement Construction Allowance
Schedule of Work: Complete work within 180 days from the date of the Notice to Proceed which is
accompanying this Work Order. The C9risultant agrees that any Work Order that extends beyond the
expiration date of Agreement# 14-6213wi11 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 abyve, the County will compensate the
Firm in accordance with following method(s): iINegotiated LGmp Sum (NLS) ❑Lump Sum Plus
Reimbursable Costs (LS+RC) el Time & Material (T&M) (established hourly rate— Schedule A) C
Cost Plus Fixed Fee (CPFF), as provided in the attached proposal.
Task I $562,305.0014,S
Task II $ 50,000.00 TM
TOTAL FEE $612,305.00
9 PREPARED BY: •d r/�
Oscar P. M z, P.E., 'ncipal Project Manager Date
APPROVED BY: FoL
Tom Chme. P.E., PP u _ -ctor Date
APPROVED BY: 070444 / S 15-1i6
Pamela Libby, Distrib on anager Date
(11,*
Page 1 of 3
16C4
APPROVED BY: ,PL---
j .S
Stev• f essner, Water Director Dat
APPROVED BY: di
/ ,// �D ig
Joe 'hone 0 Qerations Support Director ,,,ye
APPROVED BY: e 4
George Yilmaz, Ph.D, Department Head Da
Bythe signature below, the Firm
gn (including employees, officers and/or agents) certifies, and hereby
discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or
currently planned interest or activity(financial,contractual,organizational,or otherwise)which relates
to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally,the Firm agrees to notify the Procurement Director,in writing within 48 hours of learning
of any actual or potential conflict of interest that arises during the Work Order and/or project duration.
ACCEPTED BY: Quality Enterprises USA, Inc.
r/
515-No
N and Tit of Authorized Company Officer Date
Ho and J. Murrell, President
(Remainder of page intentionally left blank)
IN WITNESS WHEREOF, the parties hereto, have each,respectively, by an authorized person or ��
agent, have executed this Work Order on the date and year first written below. b
Page 2 o 3
16C4
ATTEST: BOARD OF COUNTY COMMISSIONERS
Dwight E. Brock, Clerk of Courts COLLIER COUNTY, FLORIDA
�
By: 1-vlr
L By: �
Donna Fiala, Chairman
Dated: _ ' e_ 1 r
Attest as to Chairman's
(SEAL)Sig ur$only Quality Enterprises USA, Inc.
tg By: %Mr
First Witness S ,'ature
Larry Benjamin Howa d J. Murrell, President
Print Type/Print Signature and Title
Second Witness
Marcie Cohen
Print
Ap rov d t o d Legality:
Z1 '4'u,
Scott R. Teach, Deputy County Attorney
Page 3 of 3
16C �4
Co icr 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: November 24, 2015
From: Swainson Hall, Procurement Strategist
239-252-8935, Telephone Number
239-252-6334, Fax Number
SwainsonHallacolliergov.net
To: Potential Proposers
Subject: RFQ 14-6213-52 Goodland Drive WM Replacement
As provided in the referenced contract, the Collier County Purchasing Department is soliciting
quotes for the referenced project.
RFQ Due Date: 3:00 PM 12/15/2015
Q&A Deadline: 5:00 PM 12/11/2015
2:30 PM 12/3/2015
Pre-Quote Meeting Procurement Services Conference Room
Number of Days to Final Completion: 150 substantial +30 Final = 180 Days Total
Scope Provided Yes
Plans and Specs: Yes
Liquidated Damages:' $937.00 per day
Estimated Value $726,525.00
Payment & Performance Bonds Yes, if project value exceeds $200,000.00
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. ?i
ij
Quality Enterprises USA. Inc.
Firm's Complete Legal Name
239-435-7200 239-435-7202
Tel ax Number
Vice President
Title
Louis J. Gaudio 12/15/15
Print Name Date
C: Nathan Beals/Project Manager
1
RFQ 14-6213-52