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Backup Documents 01/24/2017 Item #16C2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 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** ROUTINGSLIP 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 4. BCC Office Board of County Commissioners \rtki/ / Z. .'\fl 5. Minutes and Records Clerk of Court's Office 02-1041(1— 3 :a17" 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 Ben Bullert/ p�b1i( (i'1,e5 Contact Information 239-252-25 Contact/ Department Agenda Date Item was January 24,2017 Agenda Item Number 16C2 Approved by the BCC Type of Document A$332,650 work order under Request for Number of Original One Attached Quotation 14-6213-82 to Quality Documents Attached Enterprises USA,Inc.under Project Number 70019,"Cross Connection Control Program;" 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, r' • er is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signat e '•MP OK SRT 2. Does the document need to be sent to another agency for idditional signatures? yes, SRT provide the Contact Information(Name; Agency; Address; PYrotie.)..cm..an.-attgched 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 01/24/2017 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 thee. BCC,all changes directed by the BCC have been made, and the document is ready for the til ' Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Originq 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 MEMORANDUM Date: February 21, 2017 To: Ben Bullert, Sr. Project Manager Public Utilities Engineering & Project Management From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Work Order for Contract #14-6213-82 Contractor: Quality Enterprises USA, Inc. Attached is a copy of the document referenced above, (Item #16C2) approved by the Board of County Commissioners on Tuesday, January 24, 2017. The original has been held by the Minutes and Records Department as part of the Board's Official Record. If you have any questions, please contact me at 252-8411. Thank you. Attachment rt WORK ORDER/PURCHASE ORDER Contract 14-6213 "Annual Contract for Underground Utilities ar1d General Contractors" Contract Expiration Date: July 7, 2018V This Work Order is for professional water main replacement construction services for work known as: Project Name: Backflpw Retro-fit Change Out—Phase 2/ Project No: 70019.9 The work is specified in RFQ #14-6211-82 from Quality Enterprises USA, Inc., dated November 4, 2016 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 Backflow Retro-fit Change Out Construction * Task II Backflow Retro-fit Change Out 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 Consultant agrees that any Work Order that extends beyond the expiration date of Agreement # 14-621/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 accordance with following method(s): ®Unit Price _Negotiated Lump Sum (NLS) I '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 $282,650.00 Unit Pri Task II $ 50,000.00 T&M / TOTAL FEE $332,650.00 M. i 12/ 1/ �e PREPARED BY: - Benjamin N. Bullert, Senior Project Manager Date APPROVE BY: V iik j`� 1 A\QA\ ( Oscar P. Martinez, Principal Project Manager Date APPROVED BY: Tom elik, EPMD Director ate Page 1 of 3 v. APPROVED BY: _ ! I Z1-- /..-2/2e,�E esse ' omorny, Meter Manager' Date APPROVED BY: i1.,. Z ZO W. 4.7e sner, W.ter Director Date APPROVED BY: gig, /,t ` ,..2. _.„ _ .,„,lk Joe :tone, Operations Support Director Date APPROVED BY: 7i Dr. George Yilmaz, Public Utilities Administrator 7a/iC Dat 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 En erprises USA, Inc. Na e . d itle of Authorized Company Officer Date Howard J. Murrell, President (Remainder of page intentionally left blank) CY._ \°''\'''s Page 2 of 3 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: ; f` BOARD OF COUNTY COMMISSIONERS Dwight E. Brock, Clerk of Courts COLLIE' C•QTY' FLORIDA 11(- 2/1-11 Q-C11"4"CCC--- By: // � At Penny Taylor, Cgrrjan , Dated: Ca-la-k. i' (SEAL)Attest as to Chairman's signature only. Name of Firm •ualit Ente .rises USA Inc. i--)1, 4 ,,,./.4:;, , t,----- By: 44eIr First Witness S'gnature Marcie Cohen Howard J. Murrell, President TType/print witness nameT TType/print signature and titleT )1 ,r Second Wi ness Margarita Negron TType/print witness nameT A rov- .I to F and egality: „it...IL__ 'f����County Attorney p Seo-t-i- p. 7�dL Print Name \\?' (4k) Page 3 of 3 SrCount County 1 6 C Administrative Services Department Procurement Services Division REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT #14-6213 "Annual Contract for Underground Utilities & General Contractors" Date: October 17, 2016 From: Swainson Hall, Procurement Strategist 239-252-8935, Telephone Number 239-252-6334, Fax Number swainsonhall(c�colliergov.net { To: Potential Quoters Subject: RFQ 14-6213-82 Backflow Preventers Retro-fit Change Out- Phase 2 As provided in the referenced contract, the Collier County Procurement Services Division is soliciting quotes for the referenced project. RFQ Due Date: Friday, November 4, 2016 at 3:00 PM Tuesday, October 25, 2016 at 10:00 AM 3327 Tamiami Trail East, Naples, FL 34112 Pre-Quote Meeting: Procurement Services, Conference Room B Q&A Deadline: Wednesday, November 2, 2016 at 5:00 PM Number of Days to Final Completion: 180 Days Total Scope Provided Yes Liquidated Damages: $250.00 per day Payment & Performance Bonds If over$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. Quality Enterprises USA, Inc. 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