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Agenda 02/14/2012 Item #16E5
2/14/2012 Item 16.E.5. 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 December 22, 2011 through January 24, 2012. FISCAL IMPACT: The total for 5 changes to contracts is $78,102.58. The total for 9 changes to work orders is a deduction of $122,939.13. 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 Diaz DeLeon, CPPB, Contracts Technician, Purchasing Department Packet Page -1881- COLLIER COUNTY Board of County Commissioners Item Number: 16.E.5. 2/14/2012 Item 16.E.5. Item Summary: Recommendation to accept reports and ratify staff - approved change orders and changes to work orders. Meeting Date: 2/14/2012 Prepared By Name: DeLeonDiana Title: VALUE MISSING 1/31/2012 3:17:37 PM Submitted by Title: VALUE MISSING Name: DeLeonDiana 1/31/2012 3:17:38 PM Approved By Name: WardKelsey Title: Manager - Contracts Administration,Purchasing & Ge Date: 2/1/2012 9:22:11 AM Name: CarnellSteve Title: Director - Purchasing/General Services,Purchasing Date: 2/2/2012 3:04:06 PM Name: SmithKristen Title: Administrative Secretary,Risk Management Date: 2/2/2012 3:41:12 PM Name: PriceLen Title: Administrator - Administrative Services, Date: 2/2/2012 4:23:04 PM Name: FinnEd Packet Page -1882- Date: 2/3/2012 6:40:55 PM Name: KlatzkowJeff Title: County Attorney, Date: 2/6/2012 4:12:12 PM Name: IsacksonMark 2/14/2012 Item 16.E.5. 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O 0ti� O O LO cli V en Q Z 0 In Oi C6 N C E E @ C a � 'o aa0 rn N N M O O O 4N'' N Lo v o c� E N w T >> of d > �3U o m U) _ o c � a d LO -0 U C p 0 0 o a d a x K W U' 2 N �d o Z M N to •C C r o d E c Q O a UT N d �o o H Y ??p @ L y) v d o Q7 c @ d L m m O F !yF Vfj. 4 dive Serv:c�s Division urrthasxg }� Contract Change Request Contract #: Mod #: 1 11 -5650 Project #: 33045.1 Project Manager: Giama and 35065.1 1 Carter 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form ❑ Work Order Modification POtWork Order #: Project Name: Intelligent Transportation 4500129375 Systems (ITS) for Collier Area Transit Department: ATM Contractor /Firm Name: Avail Technologies, Inc. Original Contract/work Order Amount $ 1,:109,9470D 7/26/111, 10B Original BCC Approval Date; Agenda Item # Current BCC Approved Amount $ 1,:109,947.00 change): Not Applicable Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount $ 1,1091 947'DD 11129/2012 SAP Contract Expiration Date (Master) Dollar Amount of this Chanae 11 $17,908::00 1.61% Total Change from Original Amount Revised Contract/Work Order Total $1,127,855.00 1.617/6 Change from Current BCC Approved Amount Cumulative Changes $17,908.D0 1.61% Change from Current Amount Completion Date, -Description of the Task(s) Change, and Rationale forthe Change Original notice to. proceed Last approved completion date: Revised completion date (includes this completion date: 11/29/2012 11/29/2012 change): Not Applicable Number of days added (if Explain why additional days are needed (detailed /specific): extension, must attach current ' insurance certificate(s) from SIRE Not applicable. No days added. or obtain from vendor): Add new task(s) i Change tasks} i F7 Delete task(s) Other (specify): 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): The addition of a "closed mic" system and modification to the types of signs being used for the ReakTime Information System (RTIS) message signs. Two (2) RTIS message signs are being added to the ITS project for the Government Center Transfer Station for a cost increase of $17,908 (cost includes installation, configuration, testing and one year warranty). 2. Provide detailed rationale for the requested change: A) The original quote for ITS project only included RTIS signage for the Radio Road Facility with the understanding that upon completion of the design for the Government Center Transfer Center additional signage would be added. The original quote includes a single line LED sign 20 characters 3 inches in height for the outdoor signage. The quote also included an LCD sign with 7 lines of 20 characters 2 inches in height. It was determined that the more appropriate outdoor sign for both facilities would be an LED sign with a clock, o lines of 20 characters 2 inches in height. The modification to the type of outdoor sign is recommended to accommodate the display information needed for the number of routes. The cost for the outdoor sign is higher than the original LED sign but Avail has agreed to honor the original price as quoted for the Radio Road Facility. This change order will cover the addition of 2 signs (one indoor LCD sign and one outdoor LED sign) for the Government Center Transfer Facility with a cost reduction for the implementation and no cost increase Per unit for the warranty. A cost comparison is attached to this change order. B) As part of the ITS implementation process, an evaluation of the CAT operations was conducted and it was determined that it was necessary to include. a "Closed Mic" system as part of the project in order to improve operational efficiency, passenger ( safety and the passenger experience by reducing distractions and noise from the radio. A "Closed Mic" system is one where I drivers use an in- vehicle unit to request a voice radio call from Dispatchers. The call is then heard only by the Dispatcher, any supervisors or management monitoring the radio and the selected driver(s). Drivers not selected to be a party to the conversation will not hear unnecessary radio communications. Due to budget constraints the closed mic functionality was drooped from the Doiect but after further consideration it was determined that the Transit system will be gaining more value to reallocate some of the funding designed for additional signage to the closed mic system. The Closed Mic System would utilize 533,505 or the 585,000 allocated to additional signage in Phase II. 3. Provide explanation why change was not anticipated in original scope of work: A) At the time this contract was being negotiated and awarded, the design for the Intermodai Transfer Station at the government center was not advanced enough for us to be able to determine what kind of sign specifications were going to be needed. j B) The Closed Mic functionality was originally excluded from the project due to budget constraints. A reevaluation of operations Revised: 7127!1', Packet Page -1887- 2/14/2012 Item 16.E.5. allowed for reallocation of funding to need operational needs. I , -ti 4. Describe the impact if this change is not processed: A) There would be no Real -Time Information System (RTIS) message signs at the CAT Transfer station guiding the public on arrivals and departures of buses. B) There will be unnecessary radio communication heard by individuals that do not need to hear the communication; excessive noise during the ride. Type of Change / Modification ❑ 1. Planned / Elective j 2. Unforeseen conditions/circumstance I ® 3. Quantity or price adjustment 1 4. Correction of error(s) I M 5. Value added I ❑ 6. Schedule adiustment Approved by: Date: Name and Title: Reviewed by: { Date: r Procurement Stratejist's Name: Revised: TT27t' 1 2 Packet Page - 1888 - c1 Adniinit*& Services Division Pumh&irg Contract Change Request 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form ❑ Work Order Modification Contract #: 11 -5652 Mod #: 1 POIWork Order #: 4500127994 1 Revised completion date (includes this j I Project Name: MarGood Harbor Park Project #: 80024 Project Manager: Department: Number of days added (if Contractor /Finn Name: extension, must attach current Vicky Ahmad Parks & Recreation Additional time were needed to retrofit existing raked end walls, build new trusses and i Brooks and Freund. LLC refurbish rotten wood. i I Z raA 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Current BCC Approved Amount _ 1,.119,823:52 5X 13711, t�:1 ', Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount 1`,:1:19;823:52: > Dollar Amount of this Change $6,218 31 -s 0.56 °fo Total Change from Original Amount Revised Contract/Work Order Total $1,126,041.83 0.56 °fo Change from Current BCC Approved Amount Cumulative Chanaes $6,218.31 0.56% Chanae from Current Amount Completion Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed 1 Last approved completion date: 1 Revised completion date (includes this j completion date: 21112012 Z change): 2/1512012 Number of days added (if Explain why additional days are needed (detailed /specific): extension, must attach current insurance certificate(s) from SIRE Additional time were needed to retrofit existing raked end walls, build new trusses and i or obtain from vendor): 14 days refurbish rotten wood. i f Add new task(s) ( Change task(s) I ❑ Delete task(s) ❑ Other (specify): 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): a. Work Directive #1 — Remove and dispose Asbestos Contaminated (AC) pipes b. Work Directive #2 — Retrofit existing raked end walls with new poured in place raked concrete beams; removed and build new trusses and refurbish some existing trusses due to rotten wood, c. Work Directive #3 — to improve the visibility of plantings to the patio, one new plant was added and two plantings i were deleted. i 2. Provide detailed rationale for the requested change: a. Force main was adjusted to provide additional separation between force main and abandoned AC pipe. Fire lane l from top to backfiow to run level at street crossing. As necessary a small segment of abandoned AC pipe was removed and disposed at the property. Subcontractor, AMRC was utilized. I b. Retrofit existing raked end walls includes remove/dispose top layer of existing concrete block, drill and epoxy new rebar into existing beam, form. pour and strip new formed raked tie beam. Wood trusses- carpenter removed and build new trusses that were rotten and some existing trusses were refurbish. c. To improve the visibility of plantings adjacent to the patio behind the main building and to improve visibility of the j water and the retaining wail that will remain some changes in plantings were proposed. The Dwarf Bougainvilieas from the front of the main building will be spaced apart and some Dwarf Bougainvilleas will be move to the back patio. So two plantings (Spider Lily and Jamaican Caper) are to be deleted from the contract and new plant (Golden Beach Creeper) will be added to the contract. d. Provide explanation why change was not anticipated in original scope of work: a. Asbestos Contaminated (AC)pipes were unforeseen, abandoned pipes and were found only during the excavation of force main. b. Retrofit existing raked end walls and repairs of trusses were discovered during selective demo on the roof. ! Carpenter has to hammer the wood to find that they are hollow. i E c. Changes were made after clearing the area behind the building to improve visibility of the water. i 3. Describe the impact if this change is not processed: a. Work at the force main cannot be completed without removing the AC pipes. b. Building will be unstable without poured concrete and rotten wood are left in place, j c. This change will improve visibility of plantings to the patio and saved some money for the County, Revised: 7127/11 i Packet Page -1889- 2/14/2012 Item 16.E.5. i Type of Change ! Modification ID 1. Planned / Elective 1 E2. Unforeseen conditions /circumstance ! 3. Quantity or price adiustment F 1 4. Correction of error(s) 10 5. Value added I E 6. Schedule adjustment j :Approved by: Date: Name and Title: Vicky Ah a Project Manager l Reviewed by Purchasing Professional's Name: Revises: 7127111 Packet Page -1890- 2/14/2012 Item 16.E.5. C&I cowity Purchasing Department Purc7contract Change Modification Form Change Request ❑ Work Order Modification Contract #: 11- Mod #:0 ( PO: 4500130058 Project Name: Lake Trafford Rd. & SR 0679 29 Improvements Project #: 33124 j Project Manager: Tony Department: Transportation I Contractor /Firm Name: Gulf Paving Gaffoli i Comoanv Inc. Original Contract/Work Order Amount $ ... 982;923:`32 5t2 )er )Cr�frED_ Original BCC Approval Date; Agenda Item # Current BCC Approved Amount $ .982,923:.32' f ` Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount $ 982;'923 32 extension, must attach current SAP Contract Expiration Date (Master) Dollar Amount of this Change 5Q;976:Z7. 5.197lo Total Change from Original Amount Revised Contract/Work Order Total $9 9.59 5.19% Change from Current BCC Approved Amount Cumulative Chanaes 50976.27 5.19% Change from Current Amount i Completion Date, "Description of the Tasks) Change ;.and Rationale.forthe Change �. j Original notice to proceed Last approved completion date: I Revised completion date (includes this completion date: April 7t', 2012 1 change): April 11th 2012 April 1 2012 Number of days added (if extension, must attach current 1 1. Comcast utilities were in the way of contractor. 3 day awarded. insurance certificate(s) from SIRE Structure 203 -A had to added due to conflict with sewer conflict. j or obtain from vendor): 4 Add new tasks) add structure ❑ Change task(s) j El Delete task(s) ® Other (specify): Utilities had to j j be removed 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Design changes were reouired due to unforeseen Utilities conflicts with LCEC (Lee County Electric Co-) and Immokalee Public Utilities that resulted in the addition and adiustment of quantities i 2. Provide detailed rationale for the requested change: Unforeseen conditions resulted in the need to add or adiust pav items to cover chanoes in the lesion. 3. Provide explanation why change was not anticipated in original scope of work: Unforeseen Design issues and Utilities conflict. 4. Describe the impact if this change is not processed: Will not be able to complete the proiect. i Change Requested'By Contractor /Consultant i ® Owner Usin Department I ❑ Design Professional ❑ Regulato Agencv (specify): 1 ❑Other (specify): j Purchasina Professional Participated in Neaotiation of Chance 1 Modification: Z Yes No Revised: 7!27'11 1 Packet Page -1891- 2/14/2012 Item 16.E.5. .W. Approved by: -5 Dater Name and Title : eve Ritter, anager Road Construction Reviewed b Date: Procurement S tegist's Name; Rhonda Cum. mings L" Revised: 7127111 2 Packet Page -1892- 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form ❑ Work Order Modification Contract #101-5720 Mod#:2 PO/Work Order #: I Project Name: Tubing Replacement at Last approved completion date: I Revised completion date (includes this 4500130216 1 SCRVVTP Deep Injection Well IW-2 Project #: 70088 Project Manager: Alicia Department: PUPPMD Contractor /Firm Name: Youngquist Explain why additional days are needed (detailed /specific): Abbott Brothers, Inc. Original Contract/Work Order Amount urrent BCC Approved Amount Current Contract/Work Order Amount b&ii� K'm"-o-u-'n'-t--o-f*'th-i-s-'-"C--h*-a-n Change --- k-e Contract/Work Order Total— ;Original BCC Approval Date- Agenda Item # Approval Date-, Agenda Item # Mftom ......... . 5.230/. Total Change from Original Amount $758,000.00 5.23% 75h-Wr�-6-ti �from_Cu_r_re_n_t'_BCC Approved Amount $37,700.00 0.00% Chan I . . g e fr , om _ C - u - rre . nt Amount - - 11, ' npbt1oTD,At6 0 iscr btio h of I h R T, k an nWRAt ona I e1orV e Grange % I Z Original notice to proceed Last approved completion date: I Revised completion date (includes this completion date: January 2, 2012 January 20, 2012 change): -February 19, 2012 Number of days added (if Explain why additional days are needed (detailed /specific): extension, must attach current Additional Time is requested to provide adequate time for Florida Power & Light insurance certificate(s) from SIRE (FPL) to disconnect the electrical power and allow YoungQuist Brothers to remove or obtain from vendor),-30 days their sub-station. Add new task(s) ❑ Change task(s) 17 Delete task(s) E Other (specify): Time Extension 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): The requested change is to provide an additional 30 days to allow time to remove the electrical sub-station from the South County Regional Water Treatment Plant site, The electrical substation was used to provide power for the electric drill rig during the deep injection well tubing replacement project, The FPL schedule does not meet the completion date of the contract, so additional time is needed. 2. Provide detailed rationale for the requested change:. FPL was not immediately available to disconnect the substation, so additional time is reqested, 3. Provide explanation why change was not anticipated in original scope of work: The Contractor anticipated the substation removal but may have underestimated the lead time necessary to get FPL to disconnect the power. ,4. Describe the impact if this change is not processed: The contract time will run out prior to the removal of the substation if additional time is not granted. 4M iqa; ion, "T if'.Ch- nge, od 1 F-1 1. Planned Elective rr 2. Unforeseen con d ition s/ci-r'cumstance 3. Quantity or price adjustment L 4. Correc on of eor(s) 1 El 5. Value added hedule adjustment e,r 43 equesIed, y,::,-, I Z Contractor/Consultant ❑ Owner I ❑ Usinq Department Design Professional I ❑ Regulatory Agency (specify): I ❑ Other (specify): Purchasing Professional Participated in Negotiation of Change / Modificagon. ❑ Yes Z No Approved by: Date Name and Title: I Reviewed by: I Date: Purchasing Professional's Name: Packet Page -1893- I Revised, 71277111 1 2/14/2012 Item 16.E.5. - Purchasing Department Change Modification Form F71 Work Order Modification I-ontract #:09- Mod#:.2 Cc-#,,), 1 PO #: 4500130731 i Praiect Name: Management Services 51 -4 i for PBSD Proiect #: Project Manager: Kvie Department: :'BE) Contractor/Firm Name: Dorrill Luk2SZ I Management Group, Inc. Original Oontract,'V'Vork Order Amount $ 56,400.00 6/23.20-09 16-F3 Original 511"C Approval Date, Agenda Item # Current B00' Approved Amount 7s-, .3cn 9/14/201-0 16F4 Last BCC , Approval Date; Agenda Item �' M.oU Current ContractiWork0rde r r A N nt $ 75,360.00 SAP Contract Expiratio,-, Date (Master) Dollar Amount of this Change $3,000.00 38,94 ILI Total Change from Original Amount Revised Contract/Work Order Total S78,36 . 8 344-2-1W/o Change from Current BCC Approved Amount 000 Cumulative Changes S21,9521,960.00 3.98%1 Change from Current Amount Completion Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed Last approved completion date: Revised completion. date (includes-this completion orn, ietion daire,-3f30,12013 613012013 change;: 6130/2013 Number of days added (if 1 E'xplain why additional days are needed {detailed /specific;: extension, must attach current insurance certificate(s) from SIFE o- obtain from vendor): n/a E XI—Auzfd new tasks) j ❑ Change tasks} Delete taskk"s) I I J Other (specify): 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Services for Fieid lvlaneigeF needed in conjunction with Berm Permitting for FRestor2tior., Work. Z. Provide detailed rationale for the requested change: Having a Field Manager at Dorrill N(1211`12gement Group is part of the original :)roposa,' and specifically can be used when client appoints 'task(s). 3. Provide explanatior why change was not anticipated in original scope of work: A meeting with iF::DEP resulted in F-DE'P saying this would have to be a new permit. But. we are restoring the Berm to its original scope and we should be @bie to obtain a less expensive permit for restoration work versus new wont. Describe the impact if this change is not processed: The county would have to expend much more money than necessary if PIDEP does not agree to the less expensive restoration permit. Change 'Requested By L,` Contractor /Consultant 1 Owner 41.1 Design Professional ❑ Regulatory Agency J Other (specffy): �:-Iurc' asino fessio-nal Particioatec in Neactiation ���oclificaiion7 0 Yes N X� o L Contract Change Request 2/14/2012 Item 16.E.5. - Purchasing Department Change Modification Form F71 Work Order Modification I-ontract #:09- Mod#:.2 Cc-#,,), 1 PO #: 4500130731 i Praiect Name: Management Services 51 -4 i for PBSD Proiect #: Project Manager: Kvie Department: :'BE) Contractor/Firm Name: Dorrill Luk2SZ I Management Group, Inc. Original Oontract,'V'Vork Order Amount $ 56,400.00 6/23.20-09 16-F3 Original 511"C Approval Date, Agenda Item # Current B00' Approved Amount 7s-, .3cn 9/14/201-0 16F4 Last BCC , Approval Date; Agenda Item �' M.oU Current ContractiWork0rde r r A N nt $ 75,360.00 SAP Contract Expiratio,-, Date (Master) Dollar Amount of this Change $3,000.00 38,94 ILI Total Change from Original Amount Revised Contract/Work Order Total S78,36 . 8 344-2-1W/o Change from Current BCC Approved Amount 000 Cumulative Changes S21,9521,960.00 3.98%1 Change from Current Amount Completion Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed Last approved completion date: Revised completion. date (includes-this completion orn, ietion daire,-3f30,12013 613012013 change;: 6130/2013 Number of days added (if 1 E'xplain why additional days are needed {detailed /specific;: extension, must attach current insurance certificate(s) from SIFE o- obtain from vendor): n/a E XI—Auzfd new tasks) j ❑ Change tasks} Delete taskk"s) I I J Other (specify): 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Services for Fieid lvlaneigeF needed in conjunction with Berm Permitting for FRestor2tior., Work. Z. Provide detailed rationale for the requested change: Having a Field Manager at Dorrill N(1211`12gement Group is part of the original :)roposa,' and specifically can be used when client appoints 'task(s). 3. Provide explanatior why change was not anticipated in original scope of work: A meeting with iF::DEP resulted in F-DE'P saying this would have to be a new permit. But. we are restoring the Berm to its original scope and we should be @bie to obtain a less expensive permit for restoration work versus new wont. Describe the impact if this change is not processed: The county would have to expend much more money than necessary if PIDEP does not agree to the less expensive restoration permit. Change 'Requested By L,` Contractor /Consultant 1 Owner Using Department Design Professional ❑ Regulatory Agency J Other (specffy): �:-Iurc' asino fessio-nal Particioatec in Neactiation ���oclificaiion7 0 Yes N X� o L I Approvec, cv. ! ZI', fit bil Date. Name an 7 d IV; c C a S I X Revised: 7127111 V / Packet Page -1894- - county Acmtl asm.ovp rvic.: s -Dv -n _r�ta4ir� Contract Change Request 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Farm 71 Work Order Modification Contract #: Mod #: 1 PO/Work Order #: I Project Name: Construction Engineering 09 -5262 4500125178 & Inspection Services for Airport - Pulling Current ContractM/ork Order Amount S 4,285.00 j Rd. at Pine Ridge Rd. Traffic Signal Dollar Amount of this Change $7,113.75 Upgrade I Project #: N/A Project Manager: Department: Contractor /Firm Name: Revised Contract[Work Order Total John W. Miner j Traffic Operations I Cardno /TBE Original Contract /Work Order Amount 4,285.00 Original BCC Approval Date: Agenda Item # Current BCC Approved Amount _ $ ; 4z'85-6t9- last BCC Approval Date; Agenda item # Current ContractM/ork Order Amount S 4,285.00 I or obtain from vendor): Dollar Amount of this Change $7,113.75 166.02% Total Change from Original Amount Revised Contract[Work Order Total F $11,398.75 of the intersection of Airport - Pulling Road at Pine Ridge Road. 166.02% Change from Current BCC Approved Amount Cumulative Changes 1 $7,113.75 166.02% Change from Current Amount 1 ____7 Completion Date, Description of the Task(s) Change, and Rationale for the Change 1 Original notice to precede I Last approved completion date: Revised completion date (includes this completion date: 111312011 1/13!2012 change): January 13, 2012 — Number of days added: 0 days Explain why additional days are needed (detailed /specific): Of extension, must attach current insurance certificate(s) from SAP 1 I or obtain from vendor): I 7_7 Add new task {s) Change task(s) Delete task(s) lOther (specify): Modify concrete foundation. ! 1. Provide a detailed and speck explanation of the requested change(s) to the task(s): 1. Buried Concrete Headwall Structure encountered at approximately seven feet below the surface that is in conflict with the five foot diameter by seventeen foot deep concrete foundation for the traffic signal that is proposed for the southeast comer of the intersection of Airport - Pulling Road at Pine Ridge Road. Options to relocate the mast arm foundation are slim and investigation revealed that it cannot be done. Due to the depth of I the conflict and poor "As- Built" plans from the past the consultant could not have seen or anticipated the issue. Purpose of Change: Design an alternate configuration for the concrete foundation that will allow the proposed traffic signal mast arm assembly to be installed. 1. Planned / Elective 4. Correction of errcrf s Type of Change t Modification 2_ Unforeseen conditions /circumstance 5. Value added Change Requested By Contractor /Consultant i aLowner _ L Z Design Professional 1 ❑ Regulatory Agency (specific): Purchasina Professiorig Parficioated in Negotiation of Chanae / Modification: Z'3. Quantity or price adjustment ❑o. Scheduie adiustment Using Department Other fspeci ): Yes No Approved by. <.. � '` Date: ° I Name and Tits ... �'j f r.. , v s `.:air :— -•:1. 11Vt. r Reviewed by: 6 I Dater�- Purchasing efessionat's Name: ! Revised: 4/6/11 r Packet Page -1895- ❑ contram, Change Request 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form ,1771 ),Vork order Modification Contract =1i 09- I Mod#: 1 1 PO/Work Order Project Name: Pelican Bay Harascape 15 P 450027484 Renovations 11 'project #: 5005eA Project Manager: Kyle 1 Department: Pelican Bay i ContractoriFirm Name: Agnofi, Barber LLJk2SZ Services Division & Brundage, Inc. Original Contractwork Order Amount S. 31,.920;00 iii-Li Original BC-_ Approval Date; Agend2 ftem al Date- Agenda Item # N-41A Last BCC Approval I Current BCC Approved Amount N/A Current ContractMork Order Amount 31.*.920-0.0 31812013 SAP Contract Expiration Date (Master) , Amount I Dollar Amount of this Change $11:16-00 9,76% Total Change from Original Revised ContracVAlork Order Total S3-5,0364� Change from Current BCC Approved Amount Cumulative Changes i $3,116.0©, 9-76% Change frorn Current Amount I Rationale far the Change Completion Date, Description of the Tasks) Change. and Original notice to proceed 1 Last approved completion date: 1. Revised completion date (includes this completion date Mayl 3, 2011 January 5, 2012 change): September 4, 211)12 Number of days added (if 1 _ ::::p - lain why additional days are needed (detaliedispecific): 1 extension, must attach current 'I Z-xtensiop of time to allow project to be contracted after "season' and additional time insurance certificate(s) from SIRE and materials services during construction. or obtain from vendor): 240 Ofiange tasks Delete task(s) Z-4 Other (specify): 1. Add new tasK�s) S) Provide a detailed and specific explanation of the requested change(s) to the task(s).: Time extension to allow for the project to be constructed outside season. Additional time for services during construction is anticipated because of conflicts discovered doing design layout that will require additional time to adrees. i 2. Provide detailed rationale for the requested change: Time extension is to avoid impacting the high population of residents in the winter months. Anticipated additional time to review and con-dinate routing conflicts of the widened pathway. Provide explanation why change was not anticipated in original scope of work: Until survey and deisgn layout these conflicts weren't identified. 4 Describe the impact if this change is not processed: Withod the time extension and. addlonal time and materials . hours the project would not proceed. 1. Planned I _le 4. Correction of Co_ntracior/Consultant Owner. Desion Professional 1 17 ReOule Type of Change l Modification 1, 1 nforeseen conditions/•cli-curnsLa 5. Value added Change Requested By anon of Chance f Modification: Approved by: t% Tq—ame.and Title'Kyle Luk8SZ1 PBSE) Qp6Fa-#ens Manager Reviewed by: Procurement Strategist's Name: Nicole Parker Packet Page -1896- 11 3. Quantity or price E! 6. Schedule adjust Using Department Other (specify): Vos LY Na i Date, Date: Pevised- 7,77/11 I Cki:r Cow'my Adnrvrii re Semms lDvisinn ,rzhasinc Ell, Contract Change Request Contract #: I mod#: -1 Project #: Project Manalger: 71068.15 Mark J. Suhvak. P.E. 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form F-1 Work Order Modification PO/Work Order #: Project Name: Water Treatment 4500118050 Facilities CT Compliance . fiance Department: Contractor/Firm Name: PPMD Tetra Te--h, Inc. Original Contract/Work Order Amount Original BCC Approval Date,- Agenda Item # Current BCC Approved Amount lCurrent :, NIA 4 'NYA Last BCC Approval Date-, Agenda Item Contract,/Work Order Amount 3/8/2012 SAP Contract Expiration Date (Master) lDollar Amount of this Change 0.00% Total Change from Original Amount Revised Contract/Work Order Total 20,782.50 #VALUE.! Change from Current BCC Approved Amount )Cumulative Chances 0,00% Chanae from Current Amount Completion Date, Description ofuthe Task(s Change, and :Rafionafie,.for the Change Original notice to proceed I Last aDoroved completion date: Revised completion date (includes this c m-olation date: 8130!10 8/3011 0 1 ' i i changeN-1,22!12 Number of days added (if Explain why additional days are needed. (detailedYspeccific): Original scope did not extension, must attach current anticipate the complexity of improvements to meet regulatory criteria after initial insurance certificate(s) from SIRE. I analysis and testing. There was an extended period of time where coordination with or obtain from vendor).- 5 1 C FDEP occurred in addition to a formal bidding process for the improvements. orden'na of special equipment and parts, and processing of the data upon completion of the work. All these items had to occur prior to submittal of necessary documentation to FDEP for approval. Add new task(s) J Change task(s) El Delete task(s) Other (specify), Time Extension on 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Changes required to meet 4-log virus deactivation at the SGRW TIP took much longer than anticipated and included a bid package, construction, ordering of specialty parts and monitoring equipment necessary for use with chemical delivery and dispensing during the treatment process- Once construction was completed and the system was fully functional, sampling and verification of the efficacy of the changes was documented and a revised permit application was submitted to FDEP for approval. 2. Provide detailed rationale for the requested change: Permitting delays are possible when attempting a plant- specific permit modification. Until data is collected, the regulators are aware of the results, and a dedicated plan is enacted. executed and documented, the regulatory process can be delayed or modified resulting in a significant time delay. 3. Provide explanation why change was not anticipated in original scope of work. Until FDEF discussions were conducted and prefirninary data collected, a complete permit scheme could not be devised that would satisfy the regulators. 4. Describe the impact if this change is not processed: There would be significant operational expenditures required if the 4-log permit approval is not obtained. Type of Change-J'Modification I Planned /Elective ZJ 2. Unforeseen conditionsicircurnstance f 3. Quantity or price adjustment 4. Conectton of errors; ❑ 5. Value added Z C3, Schedule adjustment Change -Requested. By ----------------- Contractor/Consultant Owner ❑.Usino Deoartmeni Z Design Professional Regulatory Agency (Specify): Approval ❑ Other (specify): procedure was dependent on a variety of issues which were not known with cartainty at the onset of the project. Revised: 7i27111 Packet Page -1897- - 2/14/2012 Item 16.E.5. I Purchasing Professional Participated in Negotiation of Change / Modification: F—I Yes L — I Approved by: 1 j Date: I Name and Title: S Reviewed by. Date-. J Procurement Strategist's Name: Revised: 7,127111 Packet Page -1898- cler COX111"Y Admn�rabe Serum Wsion Pr sd a:;ino Contract Change Request 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form ® Work Order Modification Contract #09 -5262 Mod #: 1 POMtork Order #: Project Name: SCWRF Lightning & NA 4500123569 Surge Protection and Grounding- Design Project #: Project Manager: Oscar I Department: PUPPMD 1 Contractor /f=irm Name: AECOM 70079.1.1 P. Martinez Last BCC Approval Date; Aaenda Item # Original ContractNVork Order Amount $ 1631133:00 NA Original BCC Approval Date; Agenda Item # Current BCC Approved Amount N /t} 3 . X13 69- NA Last BCC Approval Date; Aaenda Item # Current ContracttWork Order Amount 183;1 00' " �* •°r�t3 fE'Sctst e- �n +rte cf cx Pc.� t EOn Dollar Amount of this Change DQ. 0.00% Change from Original Amount Revised New Contract/Work Order Total 5163,13100 0.00% Change from Current BCC Approved Amount Cumulative Changes $0.00 (50% Change from Current Amount Completion,. Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed I Last approved completion date: Revised completion date iincludes this completion date: 10128/11 1 1/9/12 change): 113/13 Number of days added (if i Explain why additional days are needed (detailedispecific): Additional time is required extension, must attach current to account for extended equipment and material delivery. insurance certificate(s) from SAP or obtain from vendor): 350 Add new task(s) I Change task(s) Delete task(s) X Other (specify): j Time extension 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Extend completion date 360 days to 13/13 to for project account extended equipment and material delivery. 2. Provide detailed f rationale for the requested change: Additional time is required to account for additional equipment 1 and material delivery times. i 3. Provide explanation why change was not anticipated in original When scope of work: this project was bid out, the required equipment and materials had much shorter delivery times; many items are no longer in stock and we must wait for production. 4. Describe the impact if this change is not processed: If this change is not processed, the design engineer's application for payment of work associated with construction services will be delayed. i I ; Type of Change t Modification 1. Planned / Elective j F72. Unforeseen conditionsicircumstance 3. Quantity or price ad ustment 4. Correction of error(s) j 5. Value added j X 6 S-- hedule adjustment C Approved by j, Date Name and Title: Oscar P, Martinez, Sa iror Project Manager i Reviewed by: Date: Purchasing Professional's Name: Revised: 2121/11 1 Packet Page -1899- coZer €sue y Adrr ni tiv~ Services Olmsion 'urchasina 2/14/2012 Item 16.E.5. - Purchasing Department Change Modification Form F7. \ ^Anrrimr Mrviifirrntinn .; ontract #: 09- Mod #: 1 PO/Work Order #: Project Name: MPS 302 Fiber Optic 5262 CI PLj H2O 3/8/2013 4500121544 System Project #: Project Manager: Crain Department: PPMD Contractor /Firm Name: Q Grady Minor 72549.1.2.1 Pajer 0.00% &Associates, P.A. Original Contract[Work Order Amount Current BCC Approved Amount Current Contract/Work Order Amount Dollar Amount of this Change Revised Contract/Work Order Total Cumulative Changes ;2$,.735 00 NA NA, NA 28,735:.00`'` 3/8/2013 so ;'Go- 0.00% X28.735.00 L)bn S0.00 1 0.00% Original BCC Approval Date; Agenda Item # Last BCC Approval Date; Agenda Item # SAP Contract Expiration Date (Master) Total Change from Original Amount Change from Current BCC Approved Amount Change from Current Amount Completion Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed Last approved completion date: Revised completion date (includes this completion date: November 10, ,/ November 10, 2010 ,% j change): February 27, 2013 2010 Number of days added (if Explain why additional days are needed (detailed /specific): extension, must attach current 1 The amount of coordination with IT was not originally anticipated in the original scope insurance certificate(s) from SIRE of work. j or obtain from vendor): 840 ❑ Add new task (s) Change tasks ❑Delete task(s) Other (specify): Time Extension 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): The Engineer's subconsultants did not complete their work on time due to the need to interface with the IT Department regarding the use of -ion- standard fiber communications equipment. Additional time was necessary to research and obtain approval to use snstandard equipment, 2. Provide detailed rationale for the requested change: In order to establish the use of fiber optic communication in the hazardous environment of wastewater pump stations there was the need to establish an approved IT equipment list for pump station environements. 3. Provide explanation why change was not anticipated in original scope of work: Because this is the first wastewater Master Pump Station to be connected with the county -owned fiber network, the extent of the time required to obtain equipment approval was not known. 4. Describe the impact if this change is not processed: The use of operational communication over the county- owned fiber network is cructial for the reliable operation of major wastewater pumping facilities. f=ailure of the f-nrnmi minafinn ,vgfPms ran result inwastewater flowina onto the streets and drainageways of Collier County. Type of Change l Modification j 1 Planned / Elective ❑ 2 Unforeseen conditions /circumstance I ❑ 3. Quantity or price adjustment 4. Correction of error(s) ❑ 5 Value added S. Schedule adjustment Revised: 7/2-7/1, 1 1 Packet Page -1900- +r�er €t , Y Adnvni e SeMo s Division Purchasing ❑ Contract Change Request r 2/14/2012 Item 16.E.5. ' Purchasing Department Change Modification Form © Work Order Modification Contract #: 0 9- Mod #: 1 PONVork Order #: Project Name: N C W R F FY 11 5262 CI PU NA " 4500124667 Operational Readiness Project I Design $ 989,40:0::00 I SAP Contract Expiration Date (Master) Project #: Project Manager: Craig Department: P P M D Contractor /Firm Name: Hole M o me s 73968.43.7.1 Pajer $189;400.00 Inc. Original Contract /Work Order Amount $ 1`89;400.00 NA Original BCC Approval Date; Agenda Item # Current BCC Approved Amount NA " NA Last BCC Approval Date; Agenda Item # Current Contract /Work Order Amount $ 989,40:0::00 3/812013 SAP Contract Expiration Date (Master) Dollar Amount of this Change $0:00 0.00% Total Change from Original Amount Revised Contract /Work Order Total $189;400.00 2. Provide detailed rationale for the requested change: in order to continue using the existing effluent filters; 0.00 Change from Current BCC Approved Amount Cumulative Changes $0.00 4. Describe the impact if this change is not processed: If the structural design was not incorporated into the project 0.00% Change from Current Amount . Completion Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed Last approved completion date: June ( Revised completion date (includes this completion date: June 18. 2011 18, 2011 V I change): February 27, 2013 Number of days added (if Explain why additional days are needed (detaiiedtspecific): extension, must attach current Additional structural design was not originally anticipated in the original scope of work. insurance certificate(s) from SIRE or obtain from vendor): 620 ❑ Add new task(s) 1 ❑Change task {s} ❑ Delete task(s) QI Other (specify): Time Extension 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): The Engineer's subconsultants did not complete their work on time due to a determination that the existing concrete walls of the effluent filter were structurally insufficient. A structural engineer was retained to design additional structural reinforcing. 2. Provide detailed rationale for the requested change: in order to continue using the existing effluent filters; additional structural reinforcing is required to extend the useful like of the concrete basins. 3. Provide explanation why change was not anticipated in original scope of work: The structural integrity of the effluent filter concrete walls was not known when the scope of work was prepared. The scope of work included the structural analysis of the existing structure. Once the inadequacy was determined; additional design was required to fix the deficiency. 4. Describe the impact if this change is not processed: If the structural design was not incorporated into the project j the filter walls could fail and render the structure unusable. I i Type of Change / Modification ❑ 1. Planned t Elective I Z 2. Unforeseen conditions /circumstance { ❑ 3. Quantity or price adjustment ❑ 4. Correction of error(s) I ❑ 5. Value added I P7\ 6. Schedule adjustment Change Requested By i Contractor /Consultant I F Owner Z Using Department Design Professional ❑ Regulatory Agency (specify): I I-1 Other (specify): Purchasing Professional Participated in Negotiation of Change / Modification: ❑ Yes [ No Approved by: Date ! 1 Name and Title: Reviewed by: i Data; Procurement Strategist's Name: %i✓ ,r = �� _ Packet Page -1901- W Revised: 7127.11 2/14/2012 Item 16.E.5. Cain r C, 0 tty Purchasing Department AdrTinist-afive Semoes Division Change Modification Form PLr-chasirpig ❑ Contract Change Request Work Order Modification Contract Mod#: I POAA1ork Order Project Name: 05-5011 4500131387 PS312,41 Rehabilitation Project #: Project Manager: Zamira Department: PUPPMD Contractor/Firm Name: Douglas N. gg 70046.3.4.2 Del Toro Hi ins, Inc. Original Contract/Work Order Amount Current BCC Approved Amount Current Contract/Work Order Amount 343;,B20_M0 Dollar Amount of this Change ($13 46&'88 1 . 3, Revised Contractfwork Order Total $210,451.12 Cumulative Changes ($133,168.88 911'3/2011;;16C8 Original BCC Approval Date, Agenda Item # Last, approved completion date: Last BCC Approval Date; Agenda Item # i completion date: 8127120112 SAP Contract Expiration Date (Master) -3875% Total Change from Original Amount -38.75% Change from Current BCC Approved Amount 15% Change from Current Amount iCompletion;Date,.Descriptio,n of the Task(s) Change, and Rationale for the Change [ —original notice to proceed Last, approved completion date: Revised completion date (includes this i completion date: 8127120112 8127/2012 change): 8127/2012 Number of days added (if Explain why a dditional days are needed (detailed/specific): extension, must attach current 1 insurance certificate(s) from SIRE N/A or obtain from vendor): N/A Delete �task(s)� Z Othje-r �(specify): 7,n Add new task(s) Change task(s) Reductamount�toWC Date: 1. Provide a detailed and specific explanation of the requested change(s): iuct amount to WO in order to execute a Direct Material Purchase 2. Provide detailed rationale for the requested change: Reduce contract by $133,168-88 in order to execute a direct material purchase of equipment. This will provide a cost saving of $7,537,86 to the County. 3. Describe the impact if this change is not processed: The County would not realize the savings in sales tax of $7,537.86 (per vendor quotes attached) Type of Change / Modification I I EZ 1. Planned i Elective ❑ 2, Unforeseen conditions /circumstance ❑ 3. Quantity or price adjustment ❑ 4 correction of error(s) �1. L1.5.. Value added ❑ 6. Schedule adjustment I Chanue Requested By —1 ❑ Contractor/Consultant M owner F1 Usin I g De partment El Design Professional I ❑ Reguiatory!A gency (speci!yj: Other (specify): Purchasing Professional Participated in Negotiation of Change Modification: ❑ YP_q ❑ No Approved by: Date: 174'zO I Tom Chmelik, PUPPMD Director Reviewed by: Date: Nicole Parker, Procurement Strategist Revised: 7!27(1'. i Packet Page -1902- county AdmiWahm Sa� Drosion Purchasing ❑ Contract Change Request -- 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form ® Work Order Modification,; Contract#:09 5262 Mod #: 1 PO/Work Order #: I I Project Name: White Blvd over Cypress Original BCC Approval Date; Agenda Item # 4500123563 1 Canal Bridae Replacement Project #: 66066 I Project Manager: Department: Transportation Contractor /Firm Name: Agnoli, Barber I Margaret Bishop Engineering & Brundage. Inc. Origins{ Contract/Work Order Amount9 11'00A I Revised completion date (includes this Original BCC Approval Date; Agenda Item # Current BCC Approved Amount #NrA Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount $� X45 '331::00 This change order is to grant a time extension for the design and replacement of jj SAP Contract Expiration Date (Master) Dollar Amount of this Change iA 0_0011- because this bridge replacement was originally to be bid together with the 0.00% Total Change, from Original Amount Revised Contract/Work Order Total $149.131.00 11 #NIA Change from Current BCC Approved Amount Cumulative Changes $0.00 11 by an independent consultant to determine the current Cypress Canal Bridge i 0.00% Chance from Current Amount Completion Date, Description of ithe Task(s) Change, and Rationafe:for the Change Original notice to proceed ! Last approved completion date: I Revised completion date (includes this completion date; Sept 30, 2012 Sept 30, 2012 change): June 30, 2016 Number of days added (if Explain why additional days are needed (detailedisoecific): extension, must attach current insurance certificate(s) from SIRE This change order is to grant a time extension for the design and replacement of jj or obtain from vendor):.2,8eO days the White Boulevard at Cypress Canal Bridge. The time extension is requested because this bridge replacement was originally to be bid together with the �r 36.5 White Boulevard & 23`d Street bridge replacement project so that all bridges in j the area would be replaced at the same time. Recent findings determined that the Golden Gate Blvd Bridge took precedence over the Cypress Canal Bridge due to health & safety index reports. A bridge assessment report was prepared by an independent consultant to determine the current Cypress Canal Bridge i � 4 rating. The report determined that the Cypress Canal Bridge replacement could I be delayed five years. I The Cypress Canal Bridge was put on hold so that the Golden Gate Boulevard Bridge could take precedence. The design consultant for the Cypress Canal Bridge was put on hold until the assessment report was complete. A further itime extension would benefit the Countv by gaining knowledge from building the 'White Boulevard Bridge and applying the information to -build the Cypress Canal Bridge. Since funding availability is an issue with the bridge program, the Cvpress Canal Bridge schedule has been moved forward to be constructed i 1 in 2016. 1 Add new task's) j I Fj Change task(s) ❑ Delete task(s) Other (specify): Time Extension 1. Provide a detailed and specific explanation of the requested change(s) to the task's): N/A . I2. Provide detailed rationale for the requested change: A reprioritizing of the bridges due to critical needs and funding, allows the county to design and replace the White Boulevard at Cypress Canal Bridge replacement at a later date. This reprioritization of the replacement schedule still allows critical bridges to be replaced within a reasonable time frame. 3. Provide explanation why change was not anticipated in original scope of work: The state of disrepair of the Golden Gate bridoes was not know until the assessment reports were submitted Revised: 712'111 1 Packet Page -1903- 2/14/2012 Item 16.E.5. 4. Describe the impact if this change is not processed: If a time estension is not granted for the White Boulevard at f Cypress Canal Bridge project, the design will have to be shelved, and a new work order issued to continue the design and I oost design services for the project. Type of. Change / Modification IJ 1. Planned 1 _fective j-1 4 Correction of error(s) ® 2. Unforeseen conditionslcircumstance I ❑ 5 Value added ❑ 3. Quantity or rice adjustment I I ❑ 6. Schedule adjustment Change Requested By i ❑Contractor /Consultant ❑ owner i ® Using Department ❑ Design Professional ❑ Regulatory Agency (specify): ❑ Other soeci Purchasing Professional Partici ated in Negotiation of Change 1 Modification: M Yes No Approved by: Date: / a - Name and Title: M&K ar A. Bit op, P , Sr. P ject Manager Reviewed by: / �� Date: ; Procurement Stra aist's Name: Rhonda Cummings r J Revised: 7127111 2 Packet Page -1904- toe services W m Durrh@sina ❑ Contract Change Request 2/14/2012 Item 16.E.5. Purchasing Department Change Modification Form X Work Order Modification Contract #09 -5262 Mdd #: 2 PO/Work Order #: i Project Name: Electrical Switchgear & Cu r rent BCC Approved Amount p 4500124197 Generator Power System Upgrades Cry NA L Last BCC Approval Date; Agenda Item # SCWRF Project #: Project Manager: Oscar Department: PUPPMD Contractor /Firm Name: Hole Montes it 79355. 1.1 P. Martinez Amount of this ChangeOiQO 0 Original C Contract/Wark Order Amount 4 49,250;.00 ° NA Original BCC Approval Date: Agenda Item # Cu r rent BCC Approved Amount p pd k $-- Lti�9 -96 , N NA L Last BCC Approval Date; Agenda Item # Clent C Contract/Work Odder Amount f f 49,250'.00 3 3 z' /2L �3 i i�G s i � r �: t, c T -Y-0. 'Z1 Dollar A Amount of this ChangeOiQO 0 0.00% C Change from Original Amount Revised N New Contract/Work Order Total $49,250.00 0 0.00% C Change from Current BCC Approved Amount Cumulative C Changes $ $0.00 0 0.00°% C Change from Current Amount Compilation Date, Description of the Task(s) Change, and Rationale for the Change p i i Original notice to proceed Last approved completion date: I Revised completion date (includes this i completion date: 8/3/11 2/4/12. ; change): 613/12 V Number of days added (if i 1. Explain why additional days are needed (detailedtspecific): Additional time is extension, must attach current required to account for additional design time and construction supervision insurance certificate(s) from SAP associated with delays in coordinating with power company_ i orlobtain from vendor): 120 :Add new task(s) Change task(s) '1' ED Delete task(s) X Other (specify): Time extension 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): Extend project ;I completion date 120 hays to 613112. 2.Provide detailed rationale for the requested change: Additional time is required to account for additional design I time and construction supervision associated with delays in coordinating with power company. 3.Provide explanation why change was not anticipated in original scope of work: When the original design for this j proiect was done, it was not anticipated that these delays would disrupt the project schedule. 4.Describe the impact if this change is not processed: If this change is not processed, the design engineer will be ! unable to complete the design and the construction supervision before the Work Order expires. I I i! i i i 6 C Type of Change / Modification ❑ 1. Planned t Elective X 2. Unforeseen conditionsicircumstance ❑ 3 Quantity or price adjustment ❑; 4. Correction of error(s) I ❑ 5. Value added I X 6 Schedule adiustmen' r Change Requested B I � 9 q Y ! DI Contractor /Consultant X Owner I ❑ Using Department Design Processional Regulatory Agency ( specifv): ❑ Other (specify) r- Ufuiiasiriy rr rarticipaieo in Neaouation or unanoe i Mooitication: yes L�,! No j Approved by: r pa te: Name and Title: Oscar P: Martinez, Senidr Project Manager t i I Reviewed by: r ! Date: Purchasing Professional's Name: �✓,� F ��`� ^._.— / Il: 1 Revised: 2121.11 k Packet Page -1905- Type of Change / Modification ❑ 1. Planned t Elective X 2. Unforeseen conditionsicircumstance ❑ 3 Quantity or price adjustment ❑; 4. Correction of error(s) I ❑ 5. Value added I X 6 Schedule adiustmen' r Change Requested B I � 9 q Y ! DI Contractor /Consultant X Owner I ❑ Using Department Design Processional Regulatory Agency ( specifv): ❑ Other (specify) r- Ufuiiasiriy rr rarticipaieo in Neaouation or unanoe i Mooitication: yes L�,! No j Approved by: r pa te: Name and Title: Oscar P: Martinez, Senidr Project Manager t i I Reviewed by: r ! Date: Purchasing Professional's Name: �✓,� F ��`� ^._.— / Il: 1 Revised: 2121.11 k Packet Page -1905- r- Ufuiiasiriy rr rarticipaieo in Neaouation or unanoe i Mooitication: yes L�,! No j Approved by: r pa te: Name and Title: Oscar P: Martinez, Senidr Project Manager t i I Reviewed by: r ! Date: Purchasing Professional's Name: �✓,� F ��`� ^._.— / Il: 1 Revised: 2121.11 k Packet Page -1905- Revised: 2121.11 k Packet Page -1905-