Agenda 11/10/2015 Item #16E4 11/10/2015 16.E.4.
EXECUTIVE SUMMARY
Recommendation to approve the administrative reports prepared by the Procurement Services
Division for modifications to work orders, change orders, surplus property and other items as
identified.
OBJECTIVE: To promote accountability and provide transparency to the public and gain the
Board's approval/ratification for various procurement-related transactions.
CONSIDERATIONS: In accordance with the Board's Procurement Ordinance 2013-69 as amended by
2015-37 and the Procurement Manual (Section 19 Procedures), the Procurement Services Division produces a
regular Administrative Report which provides for Board approval of the following transactions:
• Administratively approved work order modifications and/or contract change orders/Amendments that
do not exceed ten(10%)of the current Board approved aggregate amount;
• Modifications to the current Board approved performance schedule(number of days);
• Surplus disposal and revenue disbursement; and,
• Other items as determined by the County Manager or designee.
The attached reports cover the period of September 19- October 19, 2015, except for the surplus disposal and
revenue disbursement report which covers the period September 21 —October 19,2015.
FISCAL IMPACT: The net total for 10 changes to contracts is a deductive $72,000.00. The total
number of days added to four (4) contracts is 657. No revenue was received for the disposal of
surplus items.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is
approved as to form and legality, and requires majority vote for approval. -JAK
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this
action.
RECOMMENDATION: That the Board of County Commissioners ratifies/approves work order
modifications, change orders and/or Contract Amendments ; surplus disposal and revenue disbursement; and
other items as determined by the County Manager or designee in accordance with Procurement Ordinance
2013-69 as amended by 2015-37.
Prepared By: Diana De Leon, CPPB, Contracts Technician, Procurement Services Division
Attachments:
1)Change Order Report
2) Change Orders(backup)
3) Surplus Disposal and Revenue Report
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11/10/2015 16.E.4.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.4.
Item Summary: Recommendation to approve the administrative reports prepared by the
Procurement Services Division for modifications to work orders, change orders, surplus
property and other items as identified.
Meeting Date: 11/10/2015
Prepared By
Name:NorthrupAdam
Title: Procurement Specialist,Procurement Services
10/20/2015 12:53:56 PM
Submitted by
Title: Procurement Specialist,Procurement Services
Name: NorthrupAdam
10/20/2015 12:53:57 PM
Approved By
Name: MarkiewiczJoanne
Title: Division Director-Procurement Services, Procurement Services
Date: 10/21/2015 8:58:20 AM
Name: pochopinpat
Title: Operations Coordinator, Administrative Services Department
Date: 10/22/2015 9:30:08 AM
Name: NorthrupAdam
Title:Procurement Specialist,Procurement Services
Date: 10/22/2015 11:31:39 AM
Name: HerreraSandra
Title: Manager-Procurement,Procurement Services
Date: 10/22/2015 11:55:53 AM
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11/10/2015 16.E.4.
Name: PriceLen
Title: Department Head-Administrative Svc, Administrative Services Department
Date: 10/26/2015 1:59:20 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/28/2015 11:09:08 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/28/2015 2:12:55 PM
Name: WellsLaura
Title: Management/Budget Analyst, Senior, Office of Management&Budget
Date: 10/28/2015 2:58:15 PM
Name: CasalanguidaNick
Title: Deputy County Manager, County Managers Office
Date: 11/1/2015 2:04:23 PM
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Cot er Cattrii-v Procurement Services
Change Order Form
Contract Modteestion 0 Work Order Modification 0 Amendment
1.
Contract I: 15.6416 /I Change f1: 3 ✓ Purchase Order t 45-158875 project d 195-80285
ContrsctorfFinn Man.:I Quality Enterprise USA.Inc. contract/project Wiggins Pass Channel Interim Dredging
Project Manager Marne: Clint p.rn
rnan
Division}lame: Coastal Zone Management
Original Cottrec WJork Order Amount $ 242,304.00 9128115:16A8 Original 8CC Approval Date;Agenda Item•
Current BCC Approved Amount $ 242,304.00 (4128/15:16A8 Last BCC Approval Data;Agenda Item d
Current Contract/Work Order Amount S 242.304.00 8/11/2015 SAP Contract Expiration Date(Master)
Dollar Amount of this Change S 0.00 • • 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 242,304.00 / 0.00% Change from Current BCC Approved Amount
Cumulative Changes S 0.00 0.00%_ Change from Current Amount
Completion Date,Description of the Tinkle)Charge,end Rate ale With*Chengs'-
Mottle.to l 7162015 �riginsl 8/512015 1 Last Approved 10/10/15 'Revised Dots 12/31/2015
Date II
D Completion Date Date (knee this )
g of Days Added 62 / select Tasks 0 Add new ankle) 0 Delete teek(s) 0 Change task(*) 1210ther(see Minn
Provide a response to eve following:1.)detailed and specific explanatiorrlretiermle of the mounded chamois)*the task(r)and I or
the additional days added(If requested);2.)why this change wee net Included in the original contract;and,i.) describe the impact If
this change M not processed. Attach additional inlomntion from the Design Professional and/or Contractor It needed.
On July 6,2015,staff issued a Notice to Proceed to the contractor Quality Enterprises USA.Inc.for the contrnetvem enf of construction
*mines on the Wiggins Pass Channel Interim Dredging Psoj.et. The scope of work aseoe+eled with its proj.rd inci des the dredging
or 7,200 c.y.of material to be removed from two shallow Hot Spot areas within the Wiggins Channel and disposed of in two separate
disposal areas.
Since the commencement of construction services there has been a high concentration enration of unusual bad weather oedema during this
period of year musing rain and excessive high sea weather conditions. This tmtau l pattern of bad weather disturbance of high sees
his resulted In excessive delays to the construction schedule and the progress of work;this pattern of unusual bed weather conditions
has been consistent and the continuation of Its existence bas been undetermined.
On July 24,2015 staff approved and lased(Change Order No.2)for an extension of 60 days to the duration of the contract However,
more time is required to address the continual loss of time associated with the construction schedule and work progress due to the
continuous unforeseen conditions. Stall is hereby requesting that an additional eighty two(12)days be added to the drri ion of the
contact to allow the contractor extended time to complete the intended scope of work in view of the unforeseen circtenstwices.
If this change is not processed,Quality Enterprises will not be able to complete the required dredging,that may cause boaters to run
aground while navigating the pass. Dredging will then need to be completed at a later date,with considerable additional cost.
Prepared by: Date;'T, , f S
Conk L. xf�an, ,Project Manager,Coastal Zone Management
Acceptance of this Change Order shat constitute a modification to contract/work order Identified above and wit be subject to at the same
terms and concretions as contained in the contract/work order indicated above,as fully as if the sans we stated in this acceptance. The
adjustment,it any,to the Contract shall constitute a full and final*Moment of any end sit claims of the Contractor/vendor/Corrsueartr
Design Professional rrisi ng out of or related to the change set forth herein,ixiuding- ' .• impel and.,delay costs.
\� by. ^�"�-� �--- • ta:
Gaudio04 President,Quality •Enterprises USA,Inc.
o Approved • I///r. in .1. _ hit Date: _s'��n Appro • by./ �'�� Dais: g` `!! -
�P "4. .' , •fir 'Director 'avid -Wiitkisot,P.E.Department-Head
cn=adamnorthrup @colliergov.net 1;(/),-,
'00'0409:22152015.0925 .,'` y� Date:
by:
•�:. N. Pr. rement Strategist,Purchasing Division
(Divisions who may require additional signatures may include on separate sheet)
Revised:10/2812014
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Go7*eir Coz-inty Procurement Services
Change Order Form
®Contract Modification ❑Work Order Modification ❑Amendment
Contract If: 12.5885 Change#I:I 9 Purchase Ordere: 4600141536 Project#:1 33300 ,
Contractor/Firm Name: Hole Mantes Contract/Project Design&Related Svcs for UM RW 9-27 Rehab
Project Manager Name: Justin Lobb Division Name: Airport Authority
Original Contract/Work Order Amount $ 791,000.00/1/13/12 14A2 Original BCC Approval Date;Agenda Item# -
Current BCC Approved Amount S 1,635,698.5e 10/22/13 14A4 I act BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $ 1,635,698,50 SAP Contract Expiration Date(Master)
Dollar Amount of this Change ,$ (20,000.00)✓'— 112.31%' Total Change from Original Amount
Reused Contrect/Work Order Total V S 1,615,698.50 V -1,22% Change from Current BCC Approved Amount
Cumulative Changes $ 854,698.50 If -1.22% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed Original N/A Last Approved N/A. Revised Date N/A
Date Completion Date Date (includes this change) 1
. #of Days Added PUA Select Tasks ❑Add new task(s) ❑Delete task(s) ❑Change task(s) (3 Other(sea below)
Provide a response to the foilowing:1.)detailed and specific explanation/rationale of the requested change(s)to the tasks)and/or
the additional days added(if requested);2.)why this change was not included In the original contract;and,3_) describe the impact if
this change Is not processed, Attach additional Information from the Design Professional and/or Contractor if needed. _
I Reduce contract amount for Task 1 Construction Administration of Amendment 1 in order to make funding available
for mitigation credits required to obtain South Florida Water Managerment District(SFWMD)permit required for
clearing vegetation in the Runway Visability Zone(RV2).
2. Construction administration costs were less than initially anticipated. Based on costs to date,there will be funds
remaining in Task 1 that can be utilized for other items within the scope of the grant.
3. The Airport Authority will be unable to comply with FAA regulations for line of sight requirements.
/ i___,Prepared d� /„;,r � Date: ci1G((I�
Justin Ldbb,Airpo• • r"ject anager,Airport Authority
Acceptancekrt this C ange Orde sh:fl constitute a modification to contract/work order identified above and will be subject to all the same
terms and co lion as coMaine• the contract/work ardel indicated above,as fully as if the same were stated in this acceptance. The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor I Vendor/Consultant./
Desion Professional arising out of or related to the change set forth herein,including claims for impact and delay costs.
Approved by. -.L.•t —. {-_ Date: ('./9 ���
Robert L Murray,Senior Vice President,Hole Monies.Inc.
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Approved by: Date' C/i!bPC-- .
Gene Shue,Di -ctor-Operations Support,Growth Management Department
Approved by � !� Date; 1
' ''". Nice-•- .a •uida, pull C. Tanager
Approved by _--._ Date: ///://5
• ',Ion,P..• urement Strategist,Purchasing Department
5,. /v IDivis' ns who may require additional signatures may include on separate steel.)
Revised:10128/2014
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Nam
HOLE MONTES
EflG1NEE1 •PLAK1L •4L"11YEYp1L
6207 Wniskey Creek Drwe•Fort Myers,Ronda 35919•Phone 239.985 1200•Fax:239.985,1259
•
June 9, 2015
•
Mr. Justin Lob!)
Airport Manager .
Collier County Airport Authority
2005 Mainsail Drive •
Naples, FL 34114 •
•
RE: Design and Related Services for IMM Runway 9-27 Rehabilitation •
Contract No. 12-5885
Purchase Order No.4500/41536 •
Collier County Project No.33300
NM Project No. 2012.065 _
Dear Justin: .
The construction for the Runway 9-27 Rehabilitation Project at the lmmokalee Regional
Airport, along with the engineering services for Construction Administration for this project,is
complete. Based on costs to date, it appears that there will be funds remaining in this
engineering task that the Authority could utilize for other items within the scope of the
grants. If this would be beneficial to the Authority, it is suggested an amendment to the
agreement be prepared reducing Task 1, Construction Administration by the sum of
$20,000.
The balance of the work for this project will primarily be performed under Task 3,
Miscellaneous Services, which primarily covers project closeout including the FAA AGIS
submittal and some work performed for Environmental Services under Task 5.
Very truly yours,
H ,f jC.
_yaw
j
Luc J, 'arriere, P.E.
Vice 'resident
LJC,kgc
Enclosures
•
•
Naples•Fcrt Myers
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11/10/2015 16.E.4.
Alter Cnuray Procurement Services
Change Order Form
El Contract Modification, r-'1 Work Order Modification f-"I Amendment
LJ Ll L1
Contract#: 12-5885 Change#: 10 Purchase Order#: 4500141536 Project#: 33300
•
Contractor/Firm Name: Hole Mantes Contract/Project: Design&Related Svcs for IMM RW 9-27 Rehab
Project Manager Name: Justin Lobb Division Name: Airport Authority
Original Contract/Work Order Amount $ . 761,000.00 11/13/12 14A2 Original BCC Approval Date; Agenda Item#
Current BCC A roved Amount $ 1,635,698.5d 10/22/13 14A4 Last BCC Approval pproval Date; Agenda Item#
Current Contract/Work Order Amount $ 1,615,698.50 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ (60,000.00) 104.43% Total Change from Original Amount
Revised Contract/Work Order Total $ 1,555,698.50 -4.89% Change from Current BCC Approved Amount
Cumulative Changes $ 794,698.50 -3.71% Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change;
Notice to Proceed 12/4/13 Original N/A Last Approved N/A - Revised Date N/A
Date Completion Date Date (Includes this change)
#of Days Added N/A Select Tasks 0 Add new task(s) 0 Delete task(s) ❑Change task(s) 0 Other(see below)
Provide a response to the following: 1.) detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested); 2.)why this change was not included in the original contract;and, 3.) describe the impact if
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1. Reduce contract amount for Task 1 Construction Administration$15,000, Task 2 Construction Inspection $15,000,
and Task 3 Miscellaneous Services$30,000 in order to make funding available for construction of Runway Visibility
Zone(RVZ)vegetation removal for a total of$60,000; and
Reallocate $2,000 from Task 1 Construction Administration, $2,000 from Task 2 Construction Inspection, $4,000 from
Task 3 Miscellaneous Services, and $3,200 from Task 4 Ecological Services to Task 5 Environmental Services to
cover costs associated with monitoring of listed species during the removal of vegetation in the RVZ.
See detailed breakdown below:
TASK CURRENT DEDUCT REALLOCATE REVISED
Task 1 —Construction Administration $229,577.00 ($15,000.00) ($2,000.00) $212,577.00
Task 2—Construction Inspection $280,457.00 ($15,000.00) ($2,000.00) $263,457.00
Task 3—Miscellaneous Services $210,450.00 ($30,000.00) ($4,000.00) $176,450.00
Task 4—Ecological Services $ 47,407.50 ($3,200.00) $ 44,207.50
Task 5— Environmental Services $ 37,611.00 $11,200.00 $ 48,811.00
$805,502.50 ($60,000.00) $ 0.00 $745,502.50
2. Construction administration, construction inspection, miscellaneous services, and ecological services costs were less
than initially anticipated. Based on costs to date, there will be funds remaining in Tasks 1 —4 that can be utilized for
other items within the scope of the grant.
3. If we are unable to comply with the FAA requirements, the Airport may be cited for deficiencies: and, unable to
comply with FAA regulations for line of sight requirements without this CO.
Prepared by: f ` , r Date:� l -(
∎ ;bje '
Justin L�6,Airpor`fi oleo Manager,Airport Authority
1 �
(J V
I �J (Divisions who may require additional signatures may include on separate sheet.)
Packet Page-1346- Revised:10/28/2014
_ 11/10/2015 16.E.4.
Ace prance of this Change Ordershaii canstituto a modification to contracts work order identified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above,as fully as if the same were stated In this acceptance. The
adjustment, if any,tote Contract shall constitute a full and ftnai settlement of arty and all claims of the Contractor/Vendor t Consultant./
Design Professional arising out of nr related to the chance set forth herein:including claims for impact and delay costs.
Approved by: 4 _ Date: 71.02/ �1J
Luc Carriere President,Hole Monies,Inc
Approved by: 0�' —yj Date: 9l i2.31
Gene 'ham!rect•r- perstions Support,Growth Management Department
sad
//��/ � 'l
Approve, b • Mr __.. Date:
rte, David jS..LNnlii_dsoon,, 7E.,Department Head,Growth Management Department i
j//'�'-""' / // Date: 9- Z
Approved by:. ._..___ .�.__.
Jason Crouch,Proo.i ment Strategist,Purchasing Department
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;Divisions wno may require udditirna;::tgnaturts may irctude an separate sheet)
Revised:'10128/2014
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Fi0LE-MONTES
62.00 Whisk EN,Creek Drive.Fort tVIVer<,t io;i.-t 3391%Phone.229.9 ?_120 l Fax:239:935.125x'
September 15, 2015
Mr. Justin Lobb
•
Airport Manager
Immokalee Regional Airport
165 Airpark Blvd.
Immokalee, FL 34142
RE: Runway Visibility Zone Vegetation Removal(RVZ)
Immokalee Regional Airport
HM Project No. 2012.465
Dear.l ustin:
In order to accommodate the construction of the RVZ Vegetation Removal Project,the Authority will
need to redesignate funds currently assigned to engineering services during construction.
The current balance in the engineering contract is $123,407.12 and, it is recommended that the-
contract value be reduced by$60,000, The funds would be taken from the following categories;
Task 1 Construction Administration $15,000
Task 2 Construction Inspection $15,000
Task 3 Miscellaneous Services $30,000
Cost associated with engineering services during the bid and construction phase of the RVZ
Vegetation Removal Project will be invoiced against the remaining balance. While there are
sufficient funds overall, some will need to be transferrer to cover the cost under the Environmental
Services to address listed species during construction.
It is estimated that this task will cost $15.000 and there is currently a balance of $3,846.80. It is
recommended that the funds be transferred to Task 5 from the following tasks:
Task 1 Construction Administration S2,000
Task 2 Construction inspection 52,000
Task 3 Miscellaneous Services $4,000
Task 4 Ecological Services $3,200
This recommended transfer will provide sufficient funds for the construction activities and, the
required engineering services associated with the vegetation removal.
If you have any questions or need any further information, please do not hesitate to call or email
this office.
Very_tru�lyY yYe�ur�;—„
HO,E"MONTES, 9.
// ` fr
•r
LuT arriere, P.E.
Vic resident
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11/10/2015 16.E.4.
ot .r ' ��,�-fly Procurement Services
..` Change Order Form I
F uni nstrauv ri icev ni tan
r Fruxuvnn=nl Seritr
4 Contract Modification [ Work Order Modification. ❑Amendment
•
Contract#: 13-6178 Change#: 3 Purchase Order#f: 4500152314 Project#: N/A
Contractor/Firm Name: Hole Monies Inc. Project Name: Vanderbilt Beach MSTU Utility Conversion
PTNE(Public Transit&Neighborhood ,
Project Manager Name: Harry Sells Department: Enhancement)
Original Contract/Work Order Amount $ 546,093:00 4/8/14, 16.D.2 Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 9.4„W3.4xa 4/8/14, 16..0.2 Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 578;493.00 ,'/7--lift.il SAP Contract Expiration Date (Master)
D
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ollar Amount of this Change $ 8,000,00. 7.40% Total Change from Original Amount
Revised ContractNVork Order Total $ 588;493,00' 7 4O% Change from Current BCC Approved Amount
Cumulative Changes _ $ 40,400.00 _ 1.38% Change from Current Amount
Completion Date, Description of the Teak(s)Change,and Rationale for the Change
Notice to Proceed 8/25/14 Original 8/24/16 Last Approved 8124/16 Revised Date fJA
Date Completion Date Date (Includes this change)
#Of Days Added 0 Select Tasks ❑Add new task(s) ❑ Delete task(S) Change task(s) ®other(see Below)
Provide a response to the following:1.)deteiled'and specific explanation/rationale of the requested chenge(s)•to the task(s)and.f or
the additional days.added (If requested);2.)Why this change•was not Included In the original contract;and, 3.) Describe the impact
if this change is not processed. Attach additional information from the Design.Professional and/or Contractor if needed,
1. An additional$8,000 is needed for survey services on Vanderbilt Drive,Vanderbilt Beach Road,and Bluebill Avenue.
T&M Add $ 8,000
Existing limit for Item 5.1 $ 4,900
New total for Item 5.1 $12,900
1 2. The surveys were underestimated by in-house design. After performing the survey work it was discovered that additional
surveys were required to allow the contractor to remain in the right-of way.
3. If surveys are not completed now,large sections of utility runs may be missed that will need to be replaced at a later date
with greater cost to the taxpayer.
Prepared by: Date August 12, 2015
Harry Sells, Pu�Transit&'Neighborhood Enhancement
Acceptance of this Change Order shall constitute a modification to contract/work order idenlified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above,as fully as tithe same were stated in this acceptance. The
adjustment,if any to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/
Design Professional arising out of or related to the change set forth herein,Including claims for impact and delay costs:
// 1
itif' df,,,Z11. Date:`� -1)if
Accepted by: 7
W.TerryCle,PE Vice President Hole Montes Inc.
Approved by: (//1"------------ ,l�_'^, . :-- -Y Date: P-NN 7ir
Michelle Ar old, Director;Public Transit )1r6hborhood Enhancement
Approved by: Air eJ,/ t � Date: 1'-7,, 5
Pp Y
Steve-. arneli,Adrnr istratopPublic Services Division
'.- J i I"'L. (,44 1y1.'"Approved by 4. Date:
0____.
(Procurement Professional
(Divisions who may require additional signatures may include on separate sheet.)
Revised;10/23/2014
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11/10/2015 16.E.4.
HOLE MONTES
ENGINEERS•PLANNERS•SURVEYORS
950 Encore Way•Naples,Florida 34110.Phone 239.254.2000.Fax:239.254.2099
July 29, 2015
VIA E-MAIL& US.MAIL
Mr.Harry Sells,Project Manager
Collier County Government
Public Transit and Neighborhood Enhancement Department
3299 Tarniami Trail East, Suite 103
Naples, Florida 34112
Re: Vanderbilt Beach Beautification Utility Conversion MSTU
Additional Services to Contract#13-6178,P.O.#4500152314
HM File No.: 8200A/2011059
Dear Mr. Sells:
Based on our meeting and discussions related to the above referenced project,it is our pleasure to provide
you with the following Scope of Services for survey related work to provide ROW staking for the
remainder of Phases 2 and 3 and for Vanderbilt Dr north of Bluebill Avenue up to the north side of the
third bridge waterway of Bluebill Avenue,
The Consultant shall provide survey services required to locate the ROW, as needed, and requested by the
County project manager. The personnel involved with this task shall include a 2-man survey crew, survey
tech, and surveyor. The Consultant shall complete any requested survey within 5 working days of said
requests
Time and Materials: $8,000
The work will be billed on a time and material basis.We will bill in accordance with the provisions of our
present contract. We look forward to working with you on this project. Please let us know if additional
information is required as to the format of this Change Order.
If this proposal meets with your approval, please indicate so by signing and dating a copy of this letter
and returning a copy to our office. Please do not hesitate to contact me should you have any questions.
Very truly yours,
HO 'NTES1 ,INC.
. Ban. E.Jones,P.E.
Senior Froject Manager
BEJ/selc
AUTHORIZATION TO PROCEED:
Authorized Signature/Title Date
H:\8200\A-Markcting\15\WTC1Vanderbilt MSTU-Additional Services\HS 150729 Additional Services Proposal ROW Staking.docx
NaniP.S•Fort MvP.rS
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Exhibit E:Construction
Change Order Form
Contract ft: 143270 Change!f: 9 Purchase Order ft: 4500J'152007 Project ri: 70009.10
Contractor/Firm Name: Quality Enterprises USA,inc. Project Name: SGRWTP SRO MV Cable Replscemenl
I Alicia Abbott Planning&Project Management
:,i Project Manager Name: Department
—
I Original ContractiWark Orde r Amount '�:=J-�1`�B9:4;999'00.. 7/el 1}11F1
Original B CC Approval Date;Agenda aide Item y
Current BCC Approved Amount $:'' 1691;909;00r Last BCC Approval Date;Agenda Item ii i
Current ContractlWork Order Amount t,t94,999.O0' SAP Contract Expiration Date(Master)
;j Dollar Amount of this Change $.• 100 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 1,694,999.00 0.00% Change from Current BCC Approved Amount
Cumulative Changes , $ 0.00 0.00% Change from Current Amount
`.t Completion.Date,Descrlptlon of the Tasft(s)Change,and Rationale for the Change •
1 Notice to Proceed 10/14/14 " Original 8/10115 Last Approved 1019!15 / Revised Date 1118115 `•
I , • Date Completion Date Date , etudes this change)
71 II of Days Added 30 f Select Tasks 0 Add new task(s) 0 Delete taslc(s) 0 Change tasit(sj tat Other(see below)
IProvide a response to the following:1.)detailed and specific explanationhatlonale of the requested changes)to the tasks)and 1 or
the additional days added Of requested);2.)why this change was not included in tile original contract;and,3.) describe the Impact if
1 this change Is not processed. Attach additional information from the Design Professional and/or Contractor if needed,
i 1.)This change order Is to add additional time to the contract and to reallocate funds. The change order will add 30 days fo the
' contract to finalize a change request and close out the project Funds will be reallocated,in the amount of$51,288,49, from Task 5
{ (Installation of conduit from EMH-W1 to EMH-W2)to Task 10(Electrical Construction llems Allowance).The allowance fund amount
will be increased to$151,288.49,to cover costs related le,but not limited to,additional electrical conduit,carrier pipe for the conduit,
l additional concrete and steel reinforcement,and an additional manhole for the directional drill.This change was required to cross a
-I private road via a horizontal directional drill instead elan open cut
I
,I 2.)The neighborhood impact of an open cut was nol fully recognized.
I 3.) if this change order is not processed there will not be adequate time to close out the project and there will not be funds in the
i11 project allowance to compensate the Contractor for the work performed.
Prepared by: � is\ � ``� Dale; e —5-- c=
1 Alicia Abbott,Project Manager,PPMD
Acceptance of this Change Order shall constitute a modification to contract!work order identified above and will be subject to all the same
terms and conditions as contained in the contract I work order indicated above,as fully es if the same were stated in this acceptance. The i
adjustment,it any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor!Consultant//--. \ r?
I Design Professional arising out of or related to the change set forth herein,including claims for impact and delay costs. (J\)' ''�
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Accepted by: _ Date: /6 �rI'j~
Lours-J. sun.,Quality Enterprises USA,Inc.,
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Approved by: f/ • '�.. - / Date: k)--5--LS-
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Jas. clan. .. DM-6rni '
Approved by: Matt Catoe � Dale: /60/9457
PP
cwoln Hall,Procurement krategist
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Revised:9/23/2015
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Packet Page-1352-
11/10/2015 16.E.4.
DocuSign Envelope ID:180E512A-C75A-4ABA-8022-493163DF4105
Gcer2t Procurement Services
�,�j�� y Change Order Form
]Contract Modification ❑Work Order Modification Amendment
Contract#: 12-5813 Change#: I Purchase Order#: N/A Project#:..+ N/A
Contractor/Firm Name: Quest Diagnostics Clinical Contract/Project: B n n1 1 b►" /4JQ (r'ie.4 4-p4CG5
Project Manager Name:
Karen Eastman Division Name: Risk Management
Original Contract/Work Order Amount $ 259,380.0010/23/12; 16.E.1 Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ 259,380.00 tc/73 1Z' ►(of Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 259,380.00 3c Ir SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 259,380.00 0.00% Change from Current BCC Approved Amount
Cumulafive Changes $ 0.00 0.00% Change from Current Amount
Completion Date, Description of the Task(s) Change,and Rationale for the Change
Notice to Proceed 10/23/2012 Original 9/30/2016 Last Approved N/A Revised Date N/A
Date Completion Date Date (Includes this change)
#of Days Added Select Tasks ❑Add new task(s) ❑ Delete task(s) ®Change task(s) ®Other(see below)
Provide a response to the following: 1.)detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested); 2.)why this change was not included in the original contract;and,3.) describe the impact if
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1. Make changes to the current agreement to: a.condense MyGuide to Health Partners Report, b.Remove the requirement to
provide printed MyHealth Reports in the mail directly to employees,c.Lowered Unit Cost of Program Description and Fees
(Overall cost to provide services are projected to remain the same as the usage of services is expected to increase based on the
amount of employees),and expand description of services provided in Amendment No.2 of items 1 through 7.
2. This is the third year of this contract and needs have changed since the inception of this agreement.Staff wishes to simplify Group
Health Plan qualifiers by eliminating the requirement to complete the personal health report.Apart from the objective lab values
presented in the report, much of information provided is subjective in nature and not of great value. If approved,members will no
longer have to complete the report,eliminating one step in the qualifying process. Rather,they will schedule their blood draw and
the results will be sent directly to the Health Advocate(Community Health Partners).At that time,they will proceed to their meeting
with the Health Advocate, if necessary.The new report will only compare objective lab values from year to year to assess
progress.This change order does not significantly change the essence of the agreement, rather it streamlines the delivery of
services and simplifies the qualifying process for the member while reducing overall program cost.
3. If this change is not processed,the County will pay for unneeded products and services at a higher rate.
Prepared by: '.,- "---`— Date: `T'/ierVr
(P *le Manager Name and Division)
Acceptance of this Change Order shall constitute a modification to contract/work order identified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above,as fully as if the same were stated in this acceptance. The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/
Design Professi na°Lgi5���19��� $�?Fof or related to the change set forth herein, including claims for impact and delay costs.
gtAkt,Vt, b 151/41'bin, 9/27/2015
Accepted by: 7 us..
actor Date:
(Contr �ndor/Consultant/Design Professional and Name of Firm, if project applicable)
Approved by: A Date:
(Desk Professih'nal and Jame of Firm,if project applicable) q(;i" Date: '/ /30 I i 5
proved b ., ��
(Proourement"Professioal)
(Divisions who may uire addrtional signatures may Y re 9 9 Y include on separate sheet.)
Revised:10/28/2014
Packet Page-1353-
11/10/2015 16.E.4.
AMENDMENT NO. 1 OF
MASTER SERVICE AGREEMENT FOR BLUEPRINT FOR WELLNESS SERVICES
BETWEEN
COLLIER COUNTY GOVERNMENT
AND
QUEST DIAGNOSTICS CLINICAL LABORATORIES, INC.
(Contract No. 12-5813)
THIS AMENDMENT NO. 1 is retroactively approved and effective as of the 15th day of October 2013 by and between
Quest Diagnostics Clinical Laboratories, Inc., with a principal place of business located at 10101 Renner Blvd Lenexa KS
66209 ("Quest Diagnostics"), and Collier County Government with a principal place of business located at 3311 East
Tamiami Trail, Naples, FL 34112.
WHEREAS, the parties have previously entered into an Agreement on the 23rd day of October 2012 for the performance
of Blueprint for Wellness Services (the"Master Agreement"); and
WHEREAS, the parties, by this Amendment No. 1, desire to amend the Master Agreement to (1) modify the Laboratory
Test Panel to include the correct laboratory test panel and the Serum Cotinine Lab Test as a separate lab test panel and
to include the Lipid and Hemoglobin Al c Retest Program.
NOW, THEREFORE, for and in consideration of the covenants and agreements made herein and of the mutual benefits
occasioned by the terms of this Amendment No. 1, the presence of which are mutually acknowledged and confessed, the
parties each agree as follows:
1. The Laboratory Test Panel section in the Master Agreement shall be changed to read as follows:
Main Screening Program: Comprehensive Panel (Collier
• Gov) 329334-total cholesterol, HDL, calculated LDL,
Triglycerides, calculated cholesterol/HDL ratio, TSH and
Free T4, BUN, Creatinine, Bun/Creatinine ratio, calcium,
albumin,total protein, globulin, A/G ratio, alkaline
phosphatase,ALT, AST,total and direct bilirubin, GGT,
Laboratory Tests Included Glucose, Hemoglobin A1c, chloride, potassium, sodium, iron
(List Panels,any specific tests or restrictions) TIBC, Iron/TIBC, % Saturation, Ferritin, CBC Hemogram,
Serum Cotinine (eReq): Cotinine,Serum 58845
Cotinine Retest: Cotinine, Urine 58860
Hemoglogin A1c Retest: Hemoglobin A2c w/eAG 16802
Lipid Panel Retest: Fasting Lipid Screen 14852
Lipid Panel and Hemoglobin A1c Retest: Hemoglobin A2c
,w/eAG 16802 and Fasting Lipid Screen 14852
All other terms of the Master Agreement, including the Attachment(s) thereto, not specifically modified by this
Amendment, remain in full force and effect. In the event of a conflict between the terms of this Amendment and the
Master Agreement, the terms of this Amendment shall prevail.
QUEST DIAGNOSTICS CLINICAL
LABORATORIES, INC. COLLIER COUNTY GOVERNMENT
By: By:
Print Name: Steve Burton Print Name: Joanne Markiewicz
Title: Gen. Mgr., General Health&Wellness Title: Director of Procurement Services Division
Date: Date:
Approved as to Form and Legality:
ssistant County Attorney
Packet Page-1354- 0
11/10/2015 16.E.4.
AMENDMENT NO. 2 OF MASTER SERVICE AGREEMENT
FOR BLUEPRINT FOR WELLNESS SERVICES
BETWEEN
COLLIER COUNTY GOVERNMENT
AND
QUEST DIAGNOSTICS CLINICAL LABORATORIES, INC.
(Contract No. 12-5813)
THIS AMENDMENT NO. 2 is effective as of the day of , 2015 by and between
Quest Diagnostics Clinical Laboratories, Inc., with a principal place of business located at 10101 Renner
Blvd, Lenexa, KS 66219 ("Quest Diagnostics"), and Collier County Government with a principal place of
business located at 3311 East Tamiami Trail, Naples FL 34112 ("Customer")
WHEREAS, the parties have previously entered into a Master Service Agreement (Contract No. 12-5813)
for Blueprint for Wellness Services on the 23rd day of October, 2012 for the performance of Blueprint for
Wellness biometric screening services, as amended by Amendment No. 1 effective October 15, 2013,
(collectively,the"Agreement").
WHEREAS, the parties, by this Amendment No. 2, desire to amend certain terms and condition of the
Agreement as set forth below:
NOW, THEREFORE, for and in consideration of the covenants and agreements made herein and of the
mutual benefits occasioned by the terms of this Amendment No. 2, the presence of which are mutually
acknowledged and confessed,the parties each agree as follows:
1. The section titled"Program Dates" shall be deleted in its entirety and replaced with a new section
titled "Program Dates"to read as follows:
Program Dates Main Screening Program(onsite events and
PSCs)
Program (Registration) opens: November 1,
2015
Program Closes: September 30, 2016
First Event: January 2016
Last Day to visit PSC: September 30, 2016
Retest Screening Programs(PSCs)
Program (Registration) opens: July 2016
Program Closes: September 30, 2016
2. The section titled "Services Requested" shall be deleted in its entirety and replaced with a new
section titled "Services Requested"to read as follows:
Services Requested (modules and pricing, Main Screening Program:
below) • Blueprint for Wellness MyGuide to
NOTE: Standard Quest Diagnostics e-req used Health
unless special exception requested and • Online participant registration
approved. and scheduling
• Onsite venipuncture
collections at client-designated
locations nationwhide
(minimum of 20 participants
required per event)
• Offsite venipuncture
collections at Quest
Diagnostics Patient Service
Centers (PSCs) nationwide
Page 1 of 8
0
Packet Page -1355-
11/10/2015 16.E.4.
f f with easy electronic orders
and online test confirmations
(no participant minimum)
• Biometric measurements—
height,weight, blood pressure,
BMI, waist circumference, hip
circumference,waist/hip ratio
for all participants
• Customized laboratory
solution defined below
• Physician medical oversight,
including outbound calls to
employees with medically
actionable values
• OurCompany Profile and data
analytics to share aggregated,
population-level results
• Printed MyGuide to Health
Reports bulked shipped to
Community Health Partners
• FTP Transmission of MyGuide
to Health Reports (PDF)
delivered to Community
Health Partners
Hemoglobin A1c Retest Program:
• Online participant registration
and scheduling
• Offsite venipuncture
collections at Quest
Diagnostics Patient Service
Centers (PSCs) nationwide
with easy electronic orders
and online test confirmations
(no participant minimum)
• Customized laboratory
solution defined below
• Physician medical oversight,
including outbound calls to
employees with medically
actionable values
Lipid Panel Retest Program:
• Online participant registration
and scheduling
• Offsite venipuncture
collections at Quest
Diagnostics Patient Service
Centers (PSCs) nationwide
with easy electronic orders
and online test confirmations
(no participant minimum)
• Customized laboratory
solution defined below
• Physician medical oversight,
including outbound calls to
Page 2 of 8
CA
Packet Page-1356-
11/10/2015 16.E.4.
employees with medically
actionable values
Serum Cotinine Retest Program:
• Online participant registration
and scheduling
• Offsite venipuncture
collections at Quest
Diagnostics Patient Service
Centers (PSCs) nationwide
with easy electronic orders
and online test confirmations
(no participant minimum)
• Customized laboratory
solution defined below
• • Physician medical oversight,
including outbound calls to
employees with medically
actionable values
Lipid Panel&Hemoglobin A1c Retest
Program:
• Online participant registration
and scheduling
• Offsite venipuncture
collections at Quest
Diagnostics Patient Service
Centers (PSCs) nationwide
with easy electronic orders
and online test confirmations
(no participant minimum)
• Customized laboratory
solution defined below
• Physician medical oversight,
including outbound calls to
employees with medically
actionable values
3. The section titled "Laboratory Tests Included" shall be in its entirety and replaced with a new
section titled "Laboratory Tests Included"to read as follows:
Laboratory Tests Included(List Panels, any Main Screening Program:Comprehensive
specific tests or restrictions) Panel (Collier Gov 2010 Comp 320780)
Cotinine Retest:Serum Cotinine 58845
Hemoglobin Al c Retest: Hemoglobin Al c
w/eAG 16802
Lipid Panel Retest: Fasting Lipid Screen
14852
Lipid Panel and Hemoglobin Al c Retest:
Fasting Lipid Screen 14852 and Hemoglobin
Al c w/eAG 16802
Page 3 of 8
Packet Page-1357-
11/10/2015 16.E.4.
4. The section titled "Biometric Measurements Data Requested" shall be deleted in its entirety and
replaced with a new section titled "Biometric Measurements Data Requested"to read as follows:
Biometric Measurements Data Requested Main Screening Program Only.Bio (Ht, Wt,
BP) 19694
Bio (Wst, Hip) 16355
(Height, Weight, Blood Pressure, BMI, Waist
Circumference, Hip Circumference, Waist/Hip
Ratio)
5. The section titled "Participant Reporting" shall be deleted in its entirety and replaced with a new
section titled "Participant Reporting"to read as follows:
Participant Reporting
*All programs include
Online, English
version. Select Associated Features of Report
Select Custom Cover
• Bulk Ship Paper which Reporting Metabolic Letter,Custom
Report to report Modalities Syndrome Resources and
Community health Included Customization
Partners Guide
• Transmission of
individual
prticil.7:3r7t MyGuide Paper and Online Yes;Waist Customization
MyGuide Report to Health Circumference Guide
PDF delivered to
Commtl17ity Health
Partners via FTP
6. The section titled "Program Description and Fees" shall be deleted in its entirety and replaced
with a new section titled "Program Description and Fees"to read as follows:
Program Description and Fees
Main Screening Program:
MyGuide to Health Profile w/Comprehensive Panel and biometrics $128.00 per participant
• October 1, 2015— September 30, 2016
• Onsite Events &Patient Service Centers
• FTP transmission of MyGuide to Health participant reports(PDF) to Community Health Partners
• Printed MyGuide to Health participant reports bulk shipped to Community Health Partners
Serum Cotinine Retest $43.50 per participant
• October 1, 2015— September 20, 2016
• Patient Service Centers and Med Centers Only
• MyTest Profile Report(printed and online)
Hemoglobin A1c Retest: $27.00 per participant
• October 1, 2015— September 20, 2016
• Patient Service Centers and Med Centers Only
• MyTest Profile Report(printed and online)
Lipid Panel Retest: $ 38.81 per participant
• October 1, 2015— September 20, 2016
• Patient Service Centers and Med Centers Only
• MyTest Profile Report(printed and online)
Lipid Panel and Hemoglobin Al c Retest: $65.81 per participant
• October 1, 2015— September 20, 2016
• Patient Service Centers and Med Centers Only
• MyTest Profile Report(printed and online)
Page 4 of 8
Packet Page-1358-
11/10/2015 16.E.4.
Physician Results Forms (Hemoglobin A1c Retest and Lipid Panel Retest) $ 19,00 per participant
See attachment L for additional terms
MyTest Profile Report(printed and online)
7. Attachment C, Blueprint for Wellness DataLink shall be deleted in its entirety and replaced with a
new Attachment C, Blueprint for Wellness DataLink," which is attached hereto and incorporated
herein by reference.
Executed on the dates set forth below by duly authorized representatives of the parties.
QUEST DIAGNOSTICS CLINICAL COLLIER COUNTY GOVERNMENT
LABORATORIES, INC.
By: By:
Print Name: Steven L. Burton Print Name: Joanne Markiewicz
Title: Gen. Mgr., General Health &Wellness Title: Director of Procurement Services Division
Date: Date:
proved as to Form and Legality:
ssistant County Attorney
Page 5 of 8
Packet Page -1359-
11/10/2015 16.E.4.
ATTACHMENT C
Blueprint for Wellness DataLinkTM
Customer Name!Account#(s) Collier County Government 97560562, 97561098, 97561109
Blueprint for Wellness DataLink
Flexible data interfaces and data file transfer options offered to link clients with key health partners to
help achieve their wellness program goals and objectives.
Request to transmit identified Personal Health Information (PHI)
Customer has directed Quest Diagnostics to release participant test results or other identifiable
health information (the "Data") to a third party, including, by way of example, Customer's Group
Health Plan, third party disease management vendor, or wellness provider("Authorized Third Party/').
Data will be provided in one or more files, format and frequency to be mutually agreed upon. As part
of Customer's direction to Quest Diagnostics to send Data to an Authorized Third Party, Customer
represents and warrants that
(i) it will maintain the confidentiality of the Data as required by HIPAA,
(ii) has provided the appropriate notice to participants in Customer's HIPAA Notice of Privacy
Practices (the"Notice") to allow such third party disclosure, and the disclosure of the Data
is consistent with the Notice,
(iii) access to the Data by Customer's Authorized Third Party will be limited to only those
persons who require access to the Data for the proper performance of their duties,
(iv) any Authorized Third Party receiving the Data per Customer's request is a HIPAA-
compliant"Business Associate"of Customer,
(v) the Data as presented in these files will not be used by Customer or its Authorized Third
Party for healthcare treatment purposes, as the Data provided is not in the form of a
regulatory mandated laboratory report; and
(vi) in no event may Customer or the Authorized Third Party receiving the Data use the Data
in a way that places Quest Diagnostics at a commercial disadvantage, such as by
providing the Data to Quest Diagnostics competitors or by using the Data to populate a
physician desktop management system (also referred to as Electronic Medical Records or
Electronic Health Records).
Customer acknowledges that Quest Diagnostics does not control the final output of how the
Customer, or Authorized Third Party, presents and utilizes the Data, and that Customer is solely
responsible for the uses of Data by its Authorized Third Party. Customer shall defend, indemnify
and hold harmless Quest Diagnostics (including its employees, directors, officers and agents) for
claims of any nature associated with the use of the Data for purposes that are identified as being
prohibited under this Agreement, including without limitation the use of the Data for healthcare
treatment purposes. Nothing in this Attachment precludes a participant from providing a copy of
their Blueprint for Wellness report to their physician, or requesting that Blueprint for Wellness do
so on their behalf, and use of that report for TPO purposes. "TPO" means Treatment, Payment
and Healthcare Operations.
For the avoidance of doubt, Customer, as well as any Authorized Third Party, may not sell or
otherwise commercialize the Data.
Page 6 of8
eA
Packet Page -1360-
11/10/2015 16.E.4.
Scope of Services Requested:
• Customer requests Standardized data transmission(s) to Business Associate(s) identified
below via secured FTP.
❑ Single Standardized data feed per program, is provided at No-Charge. In the
Interface Request below, Standard CSV, Standard HL7 and Custom HL7 formats are
all considered Quest Diagnostics standardized interface formats.
❑ Additional Standard data feed(s), charged at a rate of$3,500 per feed
• Customer requests Custom data transmission(s) to Business Associate(s) identified below via
secured FTP.
❑ Each Custom Report will be charged at a rate of$5,000 per feed, plus a development
fee quoted at a rate of$200/hour based on specifications
DataLink Additional Terms of Service:
1. Thirty days are needed to set up a Standardized data feed.
2. Setup time required for a Custom Report is generally longer than for a Standardized
feed, and is quoted with the devebpment fee.
3. Custom Reports can only be provided at the end of the program;transmissions may not
occur during the program.
4. If interfaces have previously been designed for a targeted health partner,the turnaround
for a new feed is approximately half.
5. Data collected from venipuncture screenings is generally transmitted to third parties two-
to-five days following collection.
6. Data collected from alternate sources (Fingerstick, physician result forms or home
collection kits for example) is generally transmitted to third parties seven-to-ten days
following receipt of results.
DataLink Data Interface Request
Business Associate Client is Type of Data Information Target
Requesting Data Feed for Feed Requested Requested in Data Delivery Charges
Feed Date
Nightly
Co.Name:Community Health Lab Data
Partners
Service: Health Coaching
Address: 851 5th Ave North#201 X Standard CSV E;i`i
Naples, FL 34102 X Secured FTP
Contact:Jason Donahue
Phone/Email: 239.659.7749
donahue
• chealthpartners.com = •-=-
Business Associate Client is Type of Data Information Target
Requesting Data Feed for Feed Requested Requested in Delivery Charges
Data Feed Date
Page 7 of 8
c�
Packet Page-1361-
11/10/2015 16.E.4.
MyGuide to Health Nightly
Co. Name:Community Health Participant Reports in °
Partners PDF format
Service: Health Coaching
Address:851 5th Ave North#201 X PDF Format
Naples, FL 34102 X Secured FTP
Contact:Jason Donahue
Phone/Email:239.659.7749
'donahue•chealth•artners.com
Printed MyGuide to Nightly
Co.Name:Community Health Health Participant
Partners Reports mailed to
Community Health
Service: Health Coaching Partners
X Printed Reports
Address:851 5th Ave North#201 X USPS P I
Naples, FL 34102
Contact:Liz Gomez
Phone/Email:
I.omez• chealth•artners.com
Additional Development Fees hrs. @$200/hr. $
Total Estimated DataLink Charges $0
COLLIER COUNTY GOVERNMENT Quest Diagnostics Clinical
Laboratories, Inc., a Delaware corporation
and
a wholly owned subsidiary of Quest
Diagnostics Incorporated
Print Name: Print Name: Steven L. Burton
Title: Title:General Manager, Health & Wellness
Date: Date:
Page 8 of 8
Packet Page -1362-
11/10/2015 16.E.4.
COIL C.014.11tY Procurement Services ;
Change Order Form
E Contract Modification ❑Work Order Modification ❑Amendment
Pro ect#: N/A
Contract#: 12-5981 Change#: 1 Purchase Order#: 4500161389 j
12-5981 —"Roadway Paint, Thermoplastic
1
Contractor/Firm Name: McShea Contracting, LLC Contract/Project: Markings&Raised Markers
1 Marlene Messam Transportation Engineering
Project Manager Name: Division Name:
Original Contract/Work Order Amount #NIA 01/08/13; 11A Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount #t L/P 01/08/13; 11A Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount #NIA 1/7/2016 SAP Contract Expiration Date(Master)
Dollar Amount of this Change #NVA #NIA Total Change from Original Amount
Revised Contract/Work Order Total #NIA #N/A Change from Current BCC Approved Amount
Cumulative Changes #N/A #N/A Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change
I Notice to Proceed wA Original N/A Last Approved N/A Revised Date N/A
Date Completion Date Date (includes this change)
#of Days Added N/A Select Tasks ®Add new task(s) ❑Delete task(s) ❑Change task(s) El Other(see below)
i
i Provide a response to the following:1.)detailed and specific explanation/rationale of the requested change(s)to the task(s)and i or
the additional days added(if requested);2.)why this change was not included in the original contract;and,3.) describe the impact if h
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1 1) An additional installation unit price line item is to be added to Bid#12-5981 as authorized by Exhibit IV, item 1
of the solicitation, This item is to install temporary channelization curbing within the median at the intersection
I of US41 and Lely Resort Blvd.US4I is a State Route and the County has agreed to assist the State to enhance the
safety of this intersection, The quick curb material being used will be furnished by the Florida Department of
Transportation (FDOT). FDOT will deliver the product to the County's Road & Bridge maintenance yard and
i the contractor will retrieve it for installation. This is incidental to the striping and pavement marking work to be f
i;
performed under the bid 12-5981, r
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2) The material is not being furnished by the Contractor and is only being installed by the contractor to temporarily
channelize the median for safety,A unit price for installation only,was not included on the original bid.
3) If this additional unit price for installation is not added to the contract,the contractor will not be able to install the
quick curb material furnished by the FDOT.
l
NO ha Prepared by: Marlene Messam,Transportation Engineering / /ems--- l e '� �' Date: /o/a r7/4S f
(Project Manager Name and Division) '
Acceptance of this Change Order shall constitute a modification to c tiitract/work order •entified above and will be subject to all the same
terms and conditions as contained in the contract/work order indic led above,as fully as if the same were stated in this acceptance. The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/ .
Design Professional arising out of o rel ted to the change set forth herein,including claims for impact and delay costs.
r k
Accepted b : '='r, � Date: /i,` w:s---
p Y
Dan McWilliams,Vice President,McShea Contracting,LLC t
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__ Packet Page-1363-
11/10/2015 16.E.4.
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Approved by: L,);',- �-_, G r,_ j! -' fJ 1
Date: „ t• i
1
Anthony Khawaja, PA Chief Traffic,0fis. Engr.,Transportation Engineering Division
t-
Approved by: ;!�__ 1 Date: /0/')
,,1a' Ahn ad, P ivis.on Dire r,Transportation Engineering Division !
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Approved - -`;;;;'‘'
/` ./ ` -7(.._.' Date: /0.t 4�S./
i ,,,Ni Dip Wikison, RE., De.artment Head,Growth Management Dept.
Approved by: A a I./f„d .' 4'/ Date: /D// '- .
(Evelyn Colon,P .curement Specialist, Procurement Services Division /
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(Divisions who may require additional signatures may include on separate sheet.)
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Packet Page-1364-
11/10/2015 16.E.4.
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GROWTH MANAGEMENT DEPARTMENT
INTEROFFICE MEMORANDUM
DATE: 11/03/2015
TO: David S. Wilkison, P.E., Department Head of Growth Management Department
FROM: Marlene Messam, P.E., Principal Project Manager
SUBJECT: Change Order for Contract 12-5981to McShea Contracting, LLC.
The attached Change Order #1, and Notice to Proceed request are for the median modification at the
intersection of US41 and Lely Resort Boulevard. US41 is a state road, and Lely Resort Boulevard is a county
maintained roadway. The County in partnership with the Florida Department of Transportation (FDOT) is
seeking to enhance the safety of this intersection. The intersection does not currently meet the warrants for a
traffic signal:therefore, FDOT and the County have agreed to a temporary channelization of the median.
The County, using its contractor, is willing to provide the construction services for installation of the signing,
pavement marking and the labor to install the temporary curbing. The FDOT will he providing the material for
the temporary curbing.
McShea Contracting, LLC has been awarded bid #12-5981 for "Roadway Paint, Thermoplastic Markings &
Raised Markers" and will do the work under this contract. Bid #12-5981 does not cover installation as a
separate line item. Installation is typically incidental to the bid line items; however, in this case where the
FDOT is supplying the material, a change order is needed to address the installation only.
cc: Anthony Khawaja,P. E.,Chief Engineer of Traffic Operations
Jay Ahmad, P.E., Director of Transportation and Engineering
Attachment: 1)Change Order#1),2)Notice to Proceed
Packet Page-1365-
11/10/2015 16.E.4.
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11/10/2015 16.E.4.
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Date:11103/2015
Lely Resort Blvd
Median Modification
November 3, 2015
LOCATION:Naples
LINE ITEM ITEM UNIT
DESCRIPTION QUANTITY UNIT PRICE TOTAL
PAVEMENT MARKINGS
8"Solid Yellow,Thermoplastic 404 LF $ 1.7500 $ 707.00
18"Solid Yellow,Thermoplastic 255 LF $ 4.9500 $ 1262.25
Thermoplastic meassages 112 SF $ 5.0000 $ 560.00
Thermoplastic Arrows 34 SF $ 5.0000 $ 170.00 !!!I
Thermoplastic Removal 442 SF $ 1.5000 $ 663.00
Installation Of Qwick Kurb(INSTALLATION ONLY-MATERIAL SUPPLIED BY COUNTY) 168 LF $ 17.6726 $ 2,969.00
TOTAL $ 6,331.26
NOTES
A) QUOTE IS BASED ON USING THE GRINDING METHOD FOR ALL REMOVAL OF EXISTING/CONFLICTING PAVEMENT MARKINGS.
SINCERELY,
MCSHEA CONTRACTING
DAN MCWILLIAMS
MOO:2319 368.5200•Fait 230 308-1085
008 0MR Aye.North•Lehigh fines,FL 33011
nil Equal Opportunity Emit =
Packet Page -1367-
16.E.4.
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,t7 7i .1; Procurement Services
"""`s~°-Y'-‘ ^4, ---- .- Change Order Form
Q Contract Modification 0 Work Order Modification 0 Amendment
•
Contract#:1 12-5952 Change#: 26 Final Purchase Order#: 4500142952 Project#: 70091
Contractor/Firm Name: Mitchell and Stark Contract/Project: NCWRF ASHT/FET
Project Manager Name: Pete Schalt Division Name: Public Utilities
Original Contract/Work Order Amount _ $ 6,307,000.00 2112113, 11b Original BCC Approval Date; Agenda Item #
ii
Current BCC Approved Amount $ 6,058,498.24. 9/8/15; 16813 Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 5,902,222.57 8/23/2015 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0 00 -6.42% Total Change from Original Amount
Revised Contract/Work Order Total $ 5,902,222.57 -2.58% Change from Current BCC Approved Amount
Cumulative Changes $ (404,777.43) 0.00% Change from Current Amount
E.
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 3/28/2013 Original 9/19/14 Last Approved 3/26/2015 Revised Date 8/23/2015
Date Completion Date Date (Includes this change)
#of Days Added 150 Select Tasks 0 Add new task(s) 0 Delete task(s) 0 Change task(s) E Other(see below)
Provide a response to the following: 1.) detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested);2.)why this change was not included in the original contract;and, 3.) describe the impact if
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1. To get approval from the Board of County Commissioners for the aggrecate of zero dollar time extensions that were
administratively performed over the period of February 11,2015 through June 4,2015.The specific changes are as follows
(backup attached):
• 2/11/2015—Extension of 60 oays, new completion date 5/25/2015
• 5/7/2015—Extension of 30 days, new completion date 6/24/2015
• Of4/2015—Extension of 60 days, new completion date 8/23/2015
2. Staff determined that this change would be required to enable pre-audit efficiency. This change will result in no
additional cost to the project.
3. If this change is not processed the Clerks Finance Department will not make final payment to the contractor to close out this
completed project.
1,, C
-':,"/ r
Prepared by j �,j r°� Date:
(Pete Schalt PPMD Senior Project Manager)
Acceptance of this Change Order shall constitute a modification to contract/work order identified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above,as fully as if the same were stated in this acceptance. The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/
Design Professional arising out of or rela ed to the change set forth herein,including claims for impact and delay costs.
Accepted by: Date: /0 _ i J1__--
(Mitchell and Stark
Approved by: NA Date;:
(Design Professional and t' rte of Firm, if project applicable)
Approved by ,/�'` + c - ! Date. +' (.{r `) /".
(Swale iaa{;Procurement Strategist) = ,,
(Divisions who may require additional signatures rosy include on separate sheet.)
Revised:10128/2014
Packet Page-1368-
Page 2/2 11/10/2015 16.E.4.
Change Order#26 Final
Contractor: Mitchell&Stark
P0:4500142952
Project#70091
Craig Pajer, P C.)
Principal Proj )Manager- Planning& Project Mgmt. Division
/r
fl
1'7( ' u_. --' t O it 5/2015
Tom CF melik, P.E.
Division Director- Planning,& Project Management
' / J
Beth Johrnfsen
Division irector-Wa
n stewater
` ";
Joe Bellorxe
Divisior4Director-Operations Support
George Yilmaz, Ph.D.
Department Head—Public Utilities
Packet Page-1369-
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c o 7 , C ,.-tty Procurement Services I
Change Order Form
®Contract Modification 0 Work Order Modification ❑Amendment
Contract#:111-5729 I Change#:I 3 jPurchaseOrder#: P/A Project#: .
Contractor/Firm Name: Allegiance Contract/Project: 'Titt'id Poi-77-( ttoka (H FOe 1/-edtW(4 ply
Project Manager Name: Alice Toppe Risk Management
Division Name:
Original Contract/Work Order Amount $ 690,976.00 1 • -S Original BCC Approval Date;Agenda Item*
Current BCC Approved Amount $ 2,763,904.00 ' AI _ .//, 3 Last BCC Approval Date;Agenda Item#
, Current Contract/Work Order Amount $ 2,763,904.00 SAP Contract Expiration Date(Master)
Dollar Amount of this Change 0,pp 300.00% Total Change from Original Amount
Revised Contract/Work Order Total • $ 2,763,904.00 0,00% Change from Current BCC Approved Amount
Cumulative Changes $ 2,072,928.00 0.00% Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed hl/� Original NI(p Last Approved ' f,([ Revised Date -Id/A
Date + Completion Date (/` - Date (Includes this change) 1
#of Days Added 0 Select Tasks 0 Add new task(s) El Delete task(s) 0 Change task(s) 0 Other(see below)
Provide a response to the following:t)detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested); 2.)why this change was not Included in the original contract;and,3.) describe the impact if
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1. Benefits and Finance have decided to implement the use of a Debit card for employees enrolling in a Medical Flexible
Spending Account for 2016.
2. The use of the Debit card has been available since the approval of the original service agreement with Allegiance but not
used,
3. A change order to the service agreement is now requested as the monthly fee to admininster the debit card has been reduced
from$1.06 to$.25 per card. Total Monthly FSA Service fee will reduce from$5.46 to$4.90 including the electronic payment
card services. This change will be a reduction to the overall administration of the Flexible Spending Account.
If this change is not processed, County staff will be unable to have the option of using
Flexible Spending debit cards, and the County will not recognize the cost savings in
reduced FSA service fees.
t
1°1 L '5 Prepared by: . �4=
Date:
(Project Manager Name and D ion)
Acceptance of this Change Order shall constitute a modification to contract/work order identified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above, as fully as if the same were stated in this acceptance. The
adjustment,if any to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/
Design Professoopa ; • g out of or relate to the change set forth herein, including claims for impact and delay costs.
/
Accepted by: 1 4 L ofes Date: 4814811/5---(Contractor/Vendor/Consultant/Design ofessional and Name of Firm, if project applicable)
Approved by: ., ( Date:
( signs rofessiorial and Nme of Firm,if project applicable)
)/i / - o ,�
Approved by: � . ,� I/ji °�.t��{-� ����PO-1/V\
(Procurement Professional) - Date: ( /
(Divisions who may require additional signatures may include on separate sheet.)
Revised: 10/28/2014
Packet Page-1370-
11/10/2015 16.E.4.
`y9.^�� y�i M 9
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410.. &Cigna.ComPanY
•
DEBIT CARD IMPLEMENTATION AGREEMENT
This notice is confirmation that Collier County has elected to implement the debt card option for our reimbursement
accounts as of January 1,2016. As sponsor/plan administrator of the plan,we understand:
• Successful implementation and efficient administration is directly related to employer understanding and support
of the process, clear and appropriate employee communications,and timely submission of plan year enrollment.
• Each participant will receive two cards;the second card may be signed and used by the spouse or dependent at
the discretion of the participant.
• Lost and/or stolen cards will be replaced at a cost of $5.00 per set of two. The fee will be deducted from the
participant's available FSA balance.
• Plan participants will now have two reimbursement options: traditional claim filing and the debit card. IRS
regulations require claims be substantiated.
• Participants will receive a cardholder agreement. Employees will certify, upon enrollment and through each use
of the_card,that they w111 use the card only for eligible expenses, that any expense paid by the card has not been
reimbursed nor will the employee seek reimbursement under any other plan. Participants and their spouses will retain•
documentation for all expenses for submission to claims processor,
• .. Cards will be Inactivated if a plan participant or their spouse does not provide appropriate documentation;and the
participant will be required to-reimburse the plan. Unsubstantiated claims not reimbursed by a participant will be
charged to the employer as an expense which is offset by the gain realized when the reimbursement is removed from
the plan during year-end plan reconciliation.
• Employer will have sufficient funds available at all times to cover card transactions.
• If the Employer chooses to use a company bank account,a$1.00 ACH Debit Card processing fee will be charged .
against the account at the time of set-up.
• Employer will inform temiinated employees that the card will be de-activated. The employer is encouraged to
collect the card as part of the exit interview.
• Please review the limits of the card and choose one of following:
❑ Please use the Allegiance standard co-pays as the auto-approve standard for the debit card.
o Please use our actual co-pays as the auto-approve standard(please attach).
ALLEGIANCE STANDARD AUTO APPROVE PARAMETERS
DESCRIPTION OF SERVICES STANDARD CO-PAYS
Medical $5.00 through $1.00.00 in $5,00 increments
Prescription $5.00 through $100.00 in $5.00 increments
Emergency $5.00 through$200:00 in $5.00 increments
Dental $5.00 through$100.00 in $5.00 increments
Vision $5.00.through $100.00 in$5.00 increments
•
Include dependent care use on the debit caed. ❑Yes ❑No
i
�4\ v "a-c �` PRINTED NAME ;.2fl
SIGNED. r � - -,` �
DATE. _ - 1, TITLE: -f�F ,
� �,.
1 �
;proved as to form and legality
Assis,3, t C way ttormey
Packet Page-1371-
C _ 11/10/2015 16.E.4.
Procurement Services
...... Cam-Pay
AdrruNstrative Services Division Change Order Form
i Procurement Services
E Contract Modification 0 Work Order Modification ❑Amendment
1
Contract#: 11-5751 vol Change#: A. Purchase Order#: 4500137702 Project#: 51101
LASIP!I Wingsouth/County Barn I Close-out
Contractor/Firm Name: ABB, Inc Project Name:
Shane Cox Capital Project Planning, Impact Fees &Program
Project Manager Name: Department: Management Division
Original Contract/Work Order Amount $ 599,148.00 24JUL'12-16A2 Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ 599,148.001 24JUL'12-16A2 Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 599,148.00 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 0,00% Total Change from Original Amount
Revised Contract/Work Order Total $ 599,148.00 0.00% Change from Current BCC Approved Amount
Cumulative Changes $ 0.00 0.00% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 30AUG'12 Original 24NOV'15 Last Approved 24NOV15 Revised Date 23DEC'16 /
Date Completion Date Date (Includes this change)
#of Days Added 395 Select Tasks 0 Add new task(s) 0 Delete task(s) 0 Change task(s) ®Other(see below)
Provide a response to the following: 1.)detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested); 2.)why this change was not included in the original contract;and,3.) describe the impact If
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed. •
1) This PO had three different tasks&related NTPs to go with three distinctly different parts of LASIP. We wish to add a time
extension of 395 days to the WINGSOUTH task.
• 2) Start of construction of Wingsouth was delayed so that this project could qualify for a grant from the SFWMD during fiscal year
• 2016. Plans for this project now include a construction start in January of 2016, and the SFWMD has approved the grant.
3) If this change is not processed,assistance&guidance from the Engineer-of-Record/designer during construction would not be
possible ,-==..,--,c1 , N :5.. ---t, - ,'-1.sue. 1 t- --, ,-,- L), .� r, ; - <_ .
y, I
,
1
Prepared by -' �s .-"t`_.. ..__.� ,... Date: /6'/ ,r ,% ,✓
Shane Cox PE, Sr Project Manager i'
Capital Project Planning,Impact Fees&Program Management Division
Acceptance of this Change Order shall constitute a modification to contract/work order identified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above,as fully as if the same were stated in this acceptance, The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor!Vendor!Consultant/
Design Professional arising out of or related to the change set forth herein,including claims for impact and delay costs.
(Divisions who may require additional signatures may include on separate sheet.)
Revised:10/28/2014
Packet Page-1372- mat
k 11/10/2015 16.E.4.
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Atxxpttd by: v V /
� .r' Date: October 12,2015
D r I W Bnuntta ' President
Abnoli, Barber*Bru dage, Inc
O�/1 r V 7
�C� Date [O- 1 (
Approved by:
Gerald N Kurtz PE, Principal Project Manager ,
Capital Project Planning, Impact Fees&Program Management Division
�v - 1 S`—
1 S--
Approved by: („L G1`l,{'i_ i , (., (.,,LE, i._.. e l Date
Amy Pattersbn,
Division Director
Capital Project Planning, Impact Fees&Program Management Division
0 provAp
e ,j"--. / /�f' Date �! l `s Approve �!�• \'. ,
(✓ David S.Wilkison FE.
J Department Head
Growth Management Dept
I, /
i
Approved by:
• A ./. / Date /°//0//■.c
Evelyn Colon,Proc Cement Strategist
Procurement Division
(Divisions who may require additional signatures may include on separate sheet)
Revised:1 012 8/2 01 4
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