Agenda 12/10/2013 Item #16E 9 12/10/2013 16.E.9.
EXECUTIVE SUMMARY
Recommendation to accept reports and ratify staff-approved change orders and changes
to work orders.
OBJECTIVE: To enable the Board to oversee the execution of administrative change orders
and changes to work orders and promote accountability in the use of staff authority.
CONSIDERATIONS: On April 22, 2003, the Board approved a recommendation to implement a
plan to enable changes to BCC-approved contracts (Section XV.C, Collier County Purchasing
Policy) of not greater than 10 percent of the current Board approved amount or $10,000
(whichever is greater) to be authorized by staff. Also included in the report are changes to Work
Orders. These include work orders issued under CCNA Contracts that are less than or equal to
$200,000 (Section VII.C, Collier County Purchasing Policy), and changes to work orders for all
other contracts (Section XV.G, Collier County Purchasing Policy) that are not greater than 10
percent of the current Board Approved amount or $100,000 (whichever is greater). The
Administrative report identifies the percentage changes to contracts or work orders that have
occurred since the prior BCC approved amount which are below the threshold limits as
referenced above.
The plan calls for staff to submit a monthly report listing these change orders from the previous
reporting period. Enclosed is the monthly report of the Administrative Change Orders and
Administrative Changes to Work Orders. These reports cover the period of October 18, 2013 to
November 19, 2013.
FISCAL IMPACT: The net total for 6 changes to contracts is a deductive $616,830.00. The
total for 1 change to work order is $10,000.00.
LEGAL CONSIDERATIONS: This item raises no legal issues 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 accepts the enclosed
Administrative Change Orders Report and Administrative Changes to Work Orders Report and
ratifies the listed change orders and changes to work orders.
PREPARED BY: Diana DeLeon, CPPB, Contracts Technician, Purchasing Department
Packet Page -2026-
12/10/2013 16.E.9.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.9.
Item Summary: Recommendation to accept reports and ratify staff-approved change
orders and changes to work orders.
Meeting Date: 12/10/2013
Prepared By
Name: DeLeonDiana
Title: Contracts Technician,Purchasing
11/21/2013 11:42:00 AM
Submitted by
Title: Contracts Technician,Purchasing
Name: DeLeonDiana
11/21/2013 11:42:02 AM
Approved By
Name: pochopinpat
Title: Administrative Assistant,Facilities Management
Date: 11/21/2013 12:25:18 PM
Name: Markiewiczloanne
Title: Manager-Purchasing Acquisition,Purchasing& Gene
Date: 11/21/2013 3:54:04 PM
Name: DeLeonDiana
Title: Contracts Technician,Purchasing
Date: 11/21/2013 4:26:25 PM
Name: WardKelsey
Title: Manager-Contracts Administration,Purchasing&Ge
Date: 11/22/2013 12:00:09 PM
Name: PriceLen
Packet Page-2027-
12/10/2013 16.E.9.
Title:Administrator, Administrative Services
Date: 11/22/2013 3:26:33 PM
Name: KlatzkowJeff
Title: County Attorney
Date: 11/22/2013 4:34:21 PM
Name: PryorCheryl
Title: Management/Budget Analyst, Senior,Office of Manag
Date: 11/25/2013 3:47:48 PM
Name: KlatzkowJeff
Title: County Attorney
Date: 11/26/2013 2:08:53 PM
Name: OchsLeo
Title: County Manager
Date: 11/26/2013 5:11:56 PM
Packet Page-2028-
12/10/2013 16.E.9.
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12/10/2013 16.E.9.
,..... ...=,;‘,-......N.;- 04........—........ .
ioNot,
Purchasing Department
'.'AdiikiitirallieSiceStiViSion
•- .r...__,_ -. .
Change Modification Form
Puitt0.409-
a Contract Change Request 0 Work Order Modification
Contract#: Change#: PO/Work Order#: Project Name:Utility Design
12,5919 02 4500140629 Engineering Services-US41 from
CR951 to Greenway Road
. . -Project#: I Project Manager: Department: Contractor/Finn Name:
. 70045.8.1 and Nathan Beals Public Uitilities PPMD Johnson Engineering, Inc.
• 73045_8.1 I
:-,0ii.ginal Contract/Work Order Amount -2-3,4441D1013.ef j419/25tUffeca; Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount :i$:-,Jia'ait2.34.4741110a. „..,,-- :.'- '4_': "1/A,,, Last BCC Approval Date;Agenda Item
Current Contract/Work Order Amount t,470:00-a 1.0/22/2013 SAP Contract Expiration Date(Master)
.. ....
Dollar Amountof this Change ,..'-'.!--,!::-C-f-g',-fir-ii$0-.0,0:', 0.00% Total Change from Original Amount
Revised ContiactA/Vork Order Total $234,470.00 0.00% Change from Current BCC Approved Amount
Cumulative Changes $0.00 0.00% Change from Current Amount
e-:, -:...,,,-.-.a.-,•--,.---i.----:;:7";"7...,:,--‘1;"" ,'-'77',:‘--.7,,,'7-.:7-:,-'1-•.'''',,'7,::..7 -•,-"" .t
,755.1-tbritisletitirt:Date beictibticirfrotilfeTeek(s)Chihgs.and
Original completion date: Last approved completion date: Revised completion date(includes this
• January 20.,2013 for Tasks 1..!,2 October 22,20.13 for all Tasks change): October 22,2014
.-
and October 22,2013 for all other (includino 1 &2) L cat ieaska)
. Tasks
Number of days added:365 Each step on the contract modification checklist form has been reviewed prior to me
submitting for approval NCB(this box must be initialed by Project Manager)
D Add new task(s) l 0 Change task(s) 1 0 Add new task(s) -0 Change task(s)
1. . -Provide a detailed and specific explanation of the requested change(s)to the task(s)and/or the additional
days added:Increase the Project Milestone Schedule time for all tasks from three hundred sixty five(365)to seven hundred
- . -- thirty(730).
4404 ON
2. Provide detailed rationale for the requested change:It is critical that Collier County Public Utilties'infrastructure is ..._,
• designed for adherence to specifications since ifs being installed by Florida Department of Transportation(FDOT) during a
road widening project,along US41 from CR951 to Greenway Road.
3. Provide explanation why change was not anticipated in original scope of work:The original schedule was
intended to coincide with FDOTs schedule. FDOT has since slowed their design schedule and chanaed to advertise the
•project as.Design/Build. This means that our design will still need to be coordinated with FOOT for a longer timeframe. The
! 'time being added is to ensure the ability to address any design changes required by FDOT.
4. Describe the impact if this change is not processed:if this change is not processed,the design engineer will be
unable to complete his desiGn. Not completing the design will cause potential delays to the FOOT project. If the FOOT
project is delayed,Collier County could be assessed delay claims from 2 554 million state project.
... _ . ... ... • . . .... , ._ -. .. - - , •
Type of-Change tilifoclification.- - -- • • -, - ..- - - ,-
. . . . .. . .
. _
0 1.Planned/Elective I E 2. Unforeseen conditions/circumstance LLITI 3. Quannty or once adustmero
0 4_ Correction of error(s) I fl 5.Value added • fl E 5. Schedule adjustment
'..-7-.=,- -..i.,:.7-.-,----; 7.....,--..:. -. - . . Change Requested By . - ... ....:
ri Contractor/Consultant 1 isi-ov ----. 0-Using Department
•E Design Professional j 0 Regulatory Agency (specify): 1 Li Other(specify):
Purchasing Professional Participated in Negotiation of Chance/Modification: Li Yes 2 No
• Prepared by: . a 2......- ........._' I Date.
Approved DT a# ' Date:
Reviewed by: _ / _ Date:
F 1
. • .
„ . .
Revised:5116/12 4.1441k
I
-- --
Packet Page -2032-
12/10/2013 16.E.9.
CoTier County
Purchasing Department Il
Admcnis Services Dyson
9
rurcnervi Change Modification Form
® Contract Change Request 0 Work Order Modification
Contract#: 13- Change#: 1 / PO/Work Order#:45- Project Name: Dredging Doctors Pass
ti?k?5 ( Project g g
147444
Project#: I Project Manager. Gary ; Department: Natural „.;Contractor/Firm Name: Orion Marine
,.. —g 0 5 -'1 ! McAlpin Resources/CZM ' Construcion.Inc.
Original Contracvwork Order Amount $ 733,078.77 9/24/13 Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 733,078.77 16A14 Last BCC Approval Date;Agenda Item#
Current Contraci/Work Order Amount $ 733,078.77 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $38,520.00 5.25% Total Change from Original Amount
Revised Contract/Work Order Total I $771,598.77 C ' 5 25% Change from Current BCC Approved Amount
Cumulative Changes $38,520 00 11 5 25%,✓Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Original completion date: approved d — —
p i Last approppro ve completion date: Revised completion date(includes this
1112112013
11/21/2013 ✓ change):
Number of days added Each step on the contract modification checklist form has been reviewed prior to me
submitting for approval (this box must be initialed by Project Manager)
Add new task(s) ! 0 Change task(s) ' 0 Delete task(s)
; 15g Other(specify):
1. Provide a detailed and specific explanation of the requested change(s)to the task(s)andlor the additional
days added: Increase PO 45-147444 by$38,520. Pre-construction report identified an additional 6,000 cy of dredge
material needed to be removed.
2. Provide detailed rationale for the requested change:Pre-construction survey identified an additional 6,000 cy of
material that required removal.
3. Provide explanation why change was not anticipated in original scope of work: The bid documents and survey
identified approximately 38,000cy of material needing removal as of 3/20/13. Additional shoaling occurred prior to
dredging of 10/2013 that required removal
4. Describe the impact if this change is net processed: If not removed dredging will be required more frequent in the
future
Type of Change/Modification
7 1 Planned/Elective E 2. Unforeseen conditions/circumstance ) 5 Quantity or once ao(ustmen(
7 4. Correction of errors! 5. Value added 5 Schedule adiustmen;
--
Change Requested By ”—
J Contractor/Consultant � RQOUfatory A4enry(snecifv;: I
Gwne: • j Usma Department
L) Denton Professional Other(specify;
Purchasino professional Participated in Negotiation of Chance/Modification J Yes J No
Approved b t ----_ _
r} rt
- Date: � T
!`�� ��_C.h�� �,!�:.-ti� J °/2Z�z�•J
Name and Title M^Ai+.• • F �: 'crag v r r -
!" --
Reviewed try: Gale
Procurement Stra ,gin's _me. •am No rub
Revised:5/16/12
1
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Co ier Cow* 12/10/2013 16.E.9.
Aannistative Purchasing Department
° UsliSIX Change Modification Form
Purchasinc
® Contract Change Request ❑ Work Order Modification
Contract#: 13-6137 Change#: 1 PO/Work Order#: Project Name: J-1 HVAC System
4500147834 Replacement
Project#:51031 Project Manager: Hank Department: Facilities Contractor/Firm Name: Deangelis
Jones _ Diamond Construction Inc
Original Contract/Work Order Amount $ 5,182,845.00 ' ./3 J/,' "Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 5,182,845.00 e / 1/.f Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $ 5,182,845.00 7 /6. SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ (20,000.00) -0.39% Total Change from Original Amount
Revised Contract/Work Order Total $ 5,162,845.00 -0.39% Change from Current BCC Approved Amount
Cumulative Changes $ (20,000.00) -0.39% Change from Current Amount
Completion Date, Description of the Task(s) Change, and Rationale for the Change
Original completion date:2/1/14 Last approved completion date: Revised completion date (inckucles this
Phase I 2/1/14 Phase I change):2/7/14 Phase I
Number of days added: 0 Each step on the contract modification checklist form has been reviewed prior to me
submitting for approval (this box must be initialed by Project Manager)
❑Add new task(s) ❑ Change task(s) ® Delete task(s) , fOther Pe ►s c'
{ fy):
1. Provide a detailed and specific explanation of the requested change(s)to the task(s)and/or the additional days
added:This is a deductive change order to remove Builders Riskifrom Contract and owner will be paying.
2. Provide detailed rationale for the requested change: It is less expensive for the Owner to provide Builders Risk
3. Provide explanation why change was not anticipated in original scope of work: It was at,-:,c:£ 1. F-6, i2vtu� h
f YL7e525,-htte...1 tt.L .:.6 Cs sTC,d.jit •-4 s-4,,,:-. '- tJr,.,_4,
4. Describe the impact if this change is not processed: The County would not realize the saving.
Type of Change I Modification
Er 1. Planned/Elective 1 ❑ 2. Unforeseen conditions/circumstance {3'3. Quantity or price adjustment
❑ 4. Correction of error(s) is-5. Value added
❑ 6. Schedule adjustment
Change Requested By
❑ Contractor/Consultant 0 Owner ( ❑ Using Department
Design Professional ❑ Regulatory Agency(specify): [R Other(sheaf IA rs r
Purchasing Professional P•rticipated in Negotiation of Change/Modification: ❑ Yes No
/\
Approved by: Date:
it ) git3
Name and Title:
/� r„._ ��% g --
Reviewed by:ar 7 I Date: / / /3
+/ 4 /
Procurement - egist's Name: /
Revised:726/13
Packet Page-2034-
Ter C o
CO uuty
12/10/2013 16.E.9.:
Purchasing Department
Aormim e Serviass Division Change Modification Form
Pdithasin9
® Contract Change Request ❑Work Order Modification
Contract#: 13-6137 Change#: 2 PO/Work Order#: Project Name: J-1 HVAC System
4500147834 Replacement
Project#: 51031 Project Manager: Hank Department: Facilities Contractor/Firm Name: Deangelis
Jones Diamond Construction Inc
Original Contract/Woric Order Amount $ 5,182,845.00 9/24/13#11 Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 5,182,845.00" 9/24/13#11 Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $ 5,162,845.00 ce9/20'(o SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ (633,343.00) / -12.61% Total Change from Original Amount
Revised Contract/Work Order Total $ 4,529,502.00 -12.61% Change from Current BCC Approved Amount
Cumulative Changes $ (653,343.00) -12.27% Change from Current Amount
Completion Date, Description of the Task(s) Change,and Rationale for the Change
Original completion date:2/1/14 Last approved completion date: Revised completion date (includes this
Phase I 2/1/14 Phase I change): 2/014 Phase I
Number of days added: 0 Each step on the contract modification checklist form has been reviewed prior to me
submitting for approval (this box must be initialed by Project Manager)
■ Add new task(s) ❑ Change task(s) ® Delete task(s) EirOther(specify):
S^7Cw
1. Provide a detailed and specific explanation of the requested change(s)to the task(s)and/or the additional
days added:This is a deductive change order for Direct Material Purchases.
2. Provide detailed rationale for the requested change: For Tax Savings
3. Provide explanation why change was not anticipated in original scope of work: It was atn°(1c;.p.+ f'tx t
rhr� r7.{rrri.:5<3, `1 #VAC Eqtt ek:oes,,4 A 4*.5 Ii S4ee -1464. ,n;,,. c F ter„
4. Describe the impact if this change is not processed:The County would not realize th tee ax saving.
Type of Change/Modification
'1. Planned I Elective ❑2. Unforeseen conditions/circumstance ❑ 3. Quantity or price adjustment
❑ 4. Correction of error(s) ❑ 5. Value added ❑ 6. Schedule adjustment
Change Requested By
❑ Contractor/Consultant Owner ` ❑ Using Department
❑ Design Professional Regulatory Agency (specify): I Other(specify): n�i
Purchasing Professional Participated in Negotiation of Change/Modification: ❑Yes [ Vo
Approved by _ Date: 11 fe1�
/ /2.
Name and Title. ik t \J tht-E.S Mud
Reviewed b 1 { f ' ` l Date:
;urement rLategist s Name:
Revised:7/26/13
Packet Page-2035-
12/10/2013 16.E.9.
Co . •_county
?�' �i Purchasing Department
rr�hesi* Change Modification Form
123 Contract Change Request ❑Work Order Modification
Contract#: 13-6089 Change#: Change 1, 1 PO/Work Order#: Project Name: Port of the Island
Amend 1 1 4500144783 Ochopee Fire District Station 61
Project#:50069 I Project Manager: Robert l Department: Facilities !
Fuentes • Management i ContractorlFirm Name: Compass
anagement 1 Construction
i
Original Contract/Work Order Amount $ 537,38$0"0 ,.:7/9113:16E1 Original BCC.Approval Date;Agenda Item#
Current BCC Approved Amount $. •, 537,388:'00 719,13 ::1&E1 Last BCC
Current Contract/Work Order Amount $ 53.7,388 0Q Approval Expiration Date;Agenda Item#
SAP Contract expiration Qate(Master)
Dollar Amount of this Change $ ,_ ..-0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 537.388.00 0.00% Change from Current BCC A
Cumulative Changes $ pproved Amount
0.00 0.00% Change from Current Amount
.
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Original mpleti�jn date) ," I Last approved corn letion date: {J(, Revised compie n date(includes thi
3;2Z.Z92 4 j I o, 1'�' "
If(� 1 314.42"014 C7 i rya�l0-! , change):3/2 014 ,
Num ero,.da added! Each �) �� /
days ach step on the contract modification checklist fords has been reviewed prior to me
1 submitting for approval (this box must be initialed by Project Manager)
■
❑Add new tasks) ❑Change tasks) j 0 Delete task(s) E Other(specify).
( P fY)=
1. Provide a detailed and specific explanation of the requested change(s)to the task(s)and/or the additional days
added: To correct the number of days for final completion to correct a scriveners error in the original contract.
I Orillk
2.Provide detailed rationale for the requested change: Since it the number of days to final completion is incorrect it is
important that the contract be corrected.
3. Provide explanation why change was not anticipated in original scope of work:There is no change to the Scope of
work.
4. Describe the impact if this change is not processed:The contractor will be allowed more
days needed, days than the number of
J
Type of Change Modification
i 1. Piannec i Elective 2
. Unforeseen conditions/circumstances ; 3. Quantity or shoe adiustrnent
u 4- Correction of errors) ; 5. Value adder
i L___J.6. Schedule adjustment
. =Change Requested By•
Contactor/Consuita jX Owner 0 Using Department
J Design Professioaai I ❑ ReQulateiry encv(snecn: 1 U Other(specify):
' Purcnasing Professional P.rticioated in Din= tiation of Chance/Modification: - Yes L No
f
Approved o4. �°r f
: .. _,.� Date: // / /fir!
/3
{
Name and Title; } Fuentes otect Mares Pr (
Reviewed / g i
< v' i . x./f, .. LC: / Date: 1 • ' • -
! Procurement Strategist's Name: Cummim_ �_ 4--
'
Revised:7/26/13
1
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12/10/2013 16.E.9.
EXHIBIT A-1 Contract Amendment# I to Contract#13-6089
"Ochopee Fire District Station#61 at Port of the Island Marina"
This amendment,dated (2.-Z ,2013 to the referenced agreement shall he by and between the
parties to the original Agreement,Compass Construction. Inc. (to be referred to as"Contractor")and
Collier County, Florida, (to be referred to as"Owner").
Statement of Understanding
RE: Contract# 13-6089-"Ochopee Fire District Station#61 at Port of the Island Marina"
In order to continue the services provided for in the original Contract document referenced above, the
Contractor agrees to amend the above referenced Contract as follows:
Note:Language deleted has been;truck through. New language has been underlined.
Change Section 5. Contract Time and Liquidated Damages, Item A. Time of Performance to read:
Contractor shall achieve Final Completion within Two Huadr,.a (2 0)Twenty (20) calendar days after
the date of Substantial Completion.
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF,the Contractor and the County have each,respectively, by an authorized
person or agent,hereunder set their hands and seals on the date(s)indicated below.
Accepted: S %Z-�i. , 20 Is
O W'NER:
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY,FLORIDA
By: ;///"'iC ?!",;).4r%[G �fir.
Joanne Mld kiewicz
Interim Purchasing/General Services Director
Contractor First Witness CONTRACTOR:
Compass Construction, inc.
By: Z(' -642 ,� ;��'��
a /7;7141-
d;f`l`.SfertI By
Print Name /"1,
Du OS. V Ytc 0.0./DeA r
Print Name and Title
Contractor Second Witness
Print Name
Approved as to Form and Legality:
( 4A -�3
Assistant C my Atto ey V -
Packet Page-2037-
12/10/2013 16.E.9.
Colt-Got ty
A Purchasing Department
irchasi� Change Modification Form
, Contract Change Request ❑Work Order Modification
Contract#: 13- Change#:y � ' PO/Work Order#: Project Name: POI Ochopee Fire
6089 4541000144783 District Station#61
Project#: 50069 I Project Manager, Department: Facilities Contractor/Firm Name: Compass
R.Fuentes Mgmt. j Coast.
7/4i13: t4,6i
Original Contract/Work Order Amount .$537,388 00 5af3 Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $537;388 00'
4t.ilic9 22013 Last BCC Approval Date, Agendz item # 16E
Current Contract/Work Order Amount r )
X537;388.00 322/2014 SAP Contract Expiration Date (Master)
Dollar Amount of this Change --- Amount
($2DD7.00)' -0.37% Total Change from Original Amount
!Revised Contract/Work Order Total $535,381.00 -0.37% Change from Current BCC Approved Amount
!Cumulative Changes ($2,007.00) -0.37% Change from Current Amount
Completion Date,Description of:the Task(s) Change,and.Rationale for the Change I 4 Original cpmpletion date: Last approved completion oat i.:Re used compie" n date (includes this
3122/2.9* ' 3/22/ 4
�' 3�2 l�/ .. / change): 4/ 014 ,:g�/r- /`4/,-c''t ..
Number of days added .'10 EadIi step on the contract n10 Ii j_
P d �cauon the klistorrn-had been-reviawed prior to me
• submitting for approval RF(this box must be initialed by Project Manager)
E Add new task(s) ! ❑ Change task(s) i N Delete task(s)( ) ! Other(specify):
1. Provide a detailed and specific explanation of the requested change(s)to the task(s)and/or the additional
days added: PCO#1 remove infili CMU and steel window supports at the (2)side arches. Almok
PCO#2 remove asbestos mastic in apparatus bay floor as per EPA regulations.
2. Provide detailed rationale for the requested change: during the initial demolition of walls it was discovered that
walls were not made out totally with concrete block with no rebar. the structural Engineer determined that the walls
needed to be completely torn down and replace with CMU infill with concrete and#6 rebar to withstand a wind load of
150 mph. During the removal of carpet and VCT contractor found suspicious mastic glue on the concrete. an Asbestos
survey was perform and found asbestos mastic which was removed.
3.Provide explanation why change was not anticipated in original scope of work:when County purchase the POI
Marina document provided include some architectural drawings which did not have all structural and interior details, the
renovation Architect for the project design the project base on existing data, during demolition of some walls it was
determined that they would not meet present Florida Building Codes
4.Describe the impact if this change is not processed: Build out of me station would stop due to the newer codes
that must be in place for code compliance.
Type of Change/ Modification
❑ 1. Manned i Elective ri 2. Unforeseen L; 3. Quantity or price adjustment
conditions/circumstance
❑4. Correction of error(s) I ❑ 5. Value added g'6. Schedule adjustment
Change Requested By
Contractor/Consultant i N'Owner n
® Gesi n Professional � L.� Using Department
Design ( ❑Re ttlatpry Agency(specify): : ❑ Other(specify):
Purchasing Professi al P rticipated i N otiation of Change/Modification: g'Yes ❑ No
Approved b r s
y �' tej2 7."`" ^' .r,.� ! Date: /7_ /f'-070/.
Name and Title ,1461-- 144 fact` j
Revised 5.16.12
Packet Page-2038- •
Q�/ . i ' Jam. ,/, V„i�V, . i �_l
i Date. f, 12/10/2013 16.E.9.2�
?r eme ' 'ategist's Name: I 1 ■
Revised 5.16.12
Packet Page -2039-
12/10/2013 16.E.9.
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Packet Page-2041-
12/10/2013 16.E9.
Ak
o er County
rnt'v
�-,u:nv :. ,<:,_; ", Purchasing Department
Administrative Services Division Change Modification Form .OPT,._
Purchasing
❑Contract Change Request E Work Order Modification
Contract*: 10-5571 I Change#: 1 PO/Work Order#: Project Name: Clam Bay Mng. Plan
4500145233 ___
Project#:N/A Project Manager: Kyle Department: PBSD Contractor/Firm Name: Turrell Hall&
i Lukasz Associates
Original Contract/Work Order Amount $ 11,300.00 Original��2�r� - il�.� 5" I BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ .11,300,00 ' Last BCC Approval
Current Contract/Work Order Amount . ct Exp Date; Agenda Item#
11,300.00 �t�y�j�y SAP Contract Expiration Date (Master)
Dollar Amount of this Change , $ 10,000.00 88.50% Total Change from Original Amount
Revised Contract/Wort; Order Total $ 21,300.00 88.50% Change from Current BCC Approved Amount
Cumulative Changes $ 10,000.00 88.50% Change from Current Amount
Completion Date, Description of the Task(s) Change,and Rationale for the Change
Original completion date: Last approved completion date: Revised completion date(includes this
2/24/2014 2/24/2014 change): 2/24/2014
Number of days added: 0 Each step on the contract modification checklist form has been reviewed prior to me
submitting for approval (this box must be initialed by Project Manager)
E Add new task(s) ❑Change task(s) ❑ Delete task(s)
E] Other(specify):
1. Provide a detailed and specific explanation of the requested change(s)to the task(s)and/or the additional days
added:Additional detailed information to finalize the Clam Bay Management Plan.
2. Provide detailed rationale for the requested change:Work is needed to complete management plan in order to apply
for a 10 year permit for managing the Clam Bay System,
3. Provide explanation why change was not anticipated in original scope of work: Original Scope was to provide Draft
Management Plan as directed by the PBSD Board. This work will allow consultant to finalize the Clam Bay Management
Plan to submit to the regulatory agencies.
4.Describe the impact if this change is not processed:We will not be able to apply for the 10 year Permit needed to
manage the Clam Bay System.
Type of Change/Modification
El 1. Planned/ Elective .0 2. Unforeseen conditions/circumstance i ❑ 3. Quantity or price adjustment
� ❑4. Correction of error(s'i E 5. Value added I ❑6. Schedule adjustment �_--_i
Change Requested By • l
Contractor/Consultant
r'n Owner ❑ Usin. De.artment
❑Design Professional ❑ Regulatory Agency(specify): _ Other(s ecif
Purchasing Professiaial Participated in Negotiation of Change/Modification; ❑Yes No
' Approved by• , _ - .
Date:
�'- -- at _ ----------- '.-/ ' j,y�
Name and Ti ie. Kyle Lu}yasz, Operg"or>s Mana,er
Reviewed by f •:
4 >" t..-. k ,i,"i ---__, .V; Date: ,,,,,4„, _r f
Procurement Strategist's Name:Adam Northrup' i
Revised:7/26/13
1
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