Agenda 03/09/2010 Item #16E 4
Agenda Item No. 16E4
March 9, 2010
Page 1 of 53
EXECUTIVE SUMMARY
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board.
Approved Contracts.
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 which 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) which 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.
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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 period January 14, 2010, through
February 10, 2010.
FISCAL IMPACT: The total change to contracts is $79,656.53. The total change to work
orders is ,$148,876.45.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with
this action.
RECOMMENDATION: That the Soard 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 De Leon, Contract Technician, Purchasing Department
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Agenda Item No. 16E4
March 9, 2010
Page 2 of 53
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COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16E4
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board-
Approved Contracts.
3/9/20109:00:00 AM
Meeting Date:
Prepared By
Diana Deleon Contracts Technician Date
Administrative Services
Division Purchasing & General Services 2/23/20109:22:45 AM
Approved By
Steve Carnell Director - Purchasing/General Services Date
Administrative Services
Division Purchasing & General Services 2/24/20104:18 PM
Approved By
Len Golden Price Administrator - Administrative Services Date
Administrative Services
Division Administrative Services Division 2/24/20104:45 PM
,'-
Approved By
OMS Coordinator Date
County Manager's Office Office of Management & Budget 2/25/20109:55 AM
Approved By
Therese Stanley Manager - Operations Support - Trans Date
Office of Management &
Budget Office of Management & Budget 3/1/20102:52 PM
Approved By
Mark Isackson Management/Budget Analyst, Senior Date
Office of Management & Office of Management & Budget
Budget 3/1120104:19 PM
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,I
CONTRACTIWORK OROER MODIFICATION
CHECKLIST FORM
PROJECT NAME: EvelYl~~~s Ai~rlLH..nger Construction PROJECT #: 50060 PROJECT MANAGER: Debbi
BlDlRFP II: 09-5209
MOO #: 2
POri: 4500107~65
WORK ORDER II: N/A
DEPARTMENT: Air
CONTRACTOR/FIRM NAME: Coral SanQi Co~on QQ LkS
Original Contract Amount:
$ 29'9,984.50
(Starting Point)
;.-
Current CCAA Approved Amount:
$ 299,984..50
(Last Total Amount Approved by tha CCAA)
$ 299.984.50
(Including All Changes Prior To This Modification)
$ 11.959.95
Current Contract Amount:
Change Amount:
.
Revised Contraet/Work Ordar Amount: $ 311.~.45
(Ineluding This Chenge Order)
Cumulative Dollar Value. of Changes to
this ConlractIWork Ordor: $
11,95.,.5
Oate of Last CCAA Approval
4113/09
Agenda Itom rI X.B.
., Percentage of the change over/under current contract amount
Fonnula: (Revised Amount / Last CCM approved amount)-'
CURRENT COMPLETION DATE (8): ORIGINAL: 09/15109
.A:" 3.'11
%
CURRENT:
12/31109 REVISED: 2/?8f10
This change order will: is] AddanewTaSk.sfOr$11,959~[J IncreaseTaskNumbe! '. by$ :6. ",'
c..dhd w41ZL x.1 C~f", ha111.k1l I <fl'L)'!-- k'"1 ;.).4-/fU I ('II~
.Describe the changa(s): Proyide !><IiklI89 me<lffieeli<>fl$'tQ accommodet€ oIl<l 'i'~r Idi ~c-!0 () b-tt ~ "1"
_ 0 t!. ~'r.A.e d r::tU1- /i:J & JL tVJ1 (l.J2- ~ L:l i A n ~AA.. tt:{~~Lk-eo(/ c:--/ /i u ,/f ~~l;; : .
SpeCify the reasons for the change(s) ('-' 1. Pla1tned or Elecfive~' 2. nforeseen Conditlo~).-tlUe:nflty
A~Justments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r. 5. Value Added .~.. 6.
. . Schedule Adjustments Note; One or more may be checked, depending on the nalur.,. of the change(s).
Identify all negative impaCts to lI1e project if lI1is change order were not processed: I:!leIJgar will not Rass building
permit review. be stnucturall~ sound, or be up to code.
This change was requested by: f"lcontractorlConsultant 1'1 Owner <! Using Oepartment C CDES
r Design Professional lIRegulatory Agency (Specify) _ r Other (SpecifyL
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes r No
APPROVED B .
This form Is to be igned and dated_
v6
P-roject Manager
- /:,)
.G_~'.hv~.'
REVIEWED BY:
I
I
Date: ;,P 5./lcJ
Date I/d 7/;0
I
Revised 7-14.09
.
.
. Agenda Item No. 16E4
March 9, 2010
Page 6 of 53
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CONTRACT/WORK ORDER MODIFICATION
CHECKUSTFORM
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PROJECT NAME: Inu,--locol A<m.!~ for ~nt l!!!:l!Isllll PROJECT #: N1A PROJECT MANAGER: Kyle Lukaq
BIDIRFP#: !Ita- MOD#: 1 PO#: 4500114578 WORKORDER#: ""~51$- ,J/A . .
DEPARTMENT: PeDcan Bay servlces DlvIaion CONTRACTOR/ARM NAME:
Original Contract Amount:
$ 103,262.00
(Slatting Polnt)
$ 103,262.00
(Last Total Amount ApprlMld by lha BCC)
$ 103,262.00
~ncluding All Changes Prior To This Modification)
$ 4,320.00
$ 107,582.00
(Including This Change Order)
Current ace Approved Amount:
Current Contract Amount
Change Amount:
Revill8d ContractlWork Order Amount:
CumulatiVe Dollar Value of Change_to
this ContractlWori< Order:' $
'/,.no.oo
Dale of last Bce ApproYII_10113/02009
Agendaltem# 16F3
~ 'In %
Perce.&.ge of the change overJund.. current contract amount
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (8): ORIGINAL: 10/12/2010 CURRENT: 1011212010
..
This chang. order win: 0 Add. MW Task for $ x Increase Tesk Number _2. 3. 5_ by 5..,2.656.00: 1,024.00; 840.00_
T8S~ ~,~:. 6{(PS<C .CO" ~SL, ;,3 :,p.;;!'-\..!)o llM-6l Tas t. ~.fi; lPl./o.oo
Describe the change{s): Addition of Crayton Road, Myra Janco Daniels Blvd. South R1dgewood Drive Ext. and tht
soUlhllm Right-of-Way edge of Vandeltlilt Drive for the landllcaping, Irrigation. street lighting and pathway
Imp.ove.....nts design anaIysls for the Pelkan Bay Community Improvement Plan at ~ direction of the PBSD
board. ThC(LldIt1:) Cl6cht-lona' O-r-e.ctg, -ti9r d~~l~t'\ 4-f'lQ I '1SlS.
Specify the reasons for the change(s) )( f. Planned or Elective . 2. Unfore_n Conditions ... 3. Quantity
Adjustments :.: 4. Correction of Errors (Plans. Specifications or Scope of Work) .j( 5. Value Added
( 5. Schedule Adjuslmllllts Note: One or more may be cheeked, depending on the nature of the Change(s).
Identffy all negative Impacts to the project if this change order were not processed: If the above listed areas that
are part of the Pelican Bay PUD are riot included the design phase of the Community Improvement Plan would be
incomplete.
This change was requested by: X':ontractor/COnsultant I Owner . I Using Department _ CDES
;...I)esign Professlonal .. lRegulatory Agency (Specify)
CONTRACT SPEClAUST PARTICIPATION IN NEGOTIATIONS:
Yes
Other (Specify)
1- No
,
This form is to be s'
Contrad Specialist
Date: /hl'~,IJ
Date:
Date: 02/1 liD
-
APPROVED BY:
APPROVED BY:
~.
REVIEWED BY:
Revised 7-14-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
-r
Agenda Item No. 16E4 -
March 9, 2010
Page 7 of 53
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PROJECT NAME: Consulti!'lI SeJVlees f!>r the CQlller Area TraQ.l!!t.ICATI P~
MANAGER: Glama CarWr
PROJECT #: N1A PROJECT
BIDIRFP #: 09-5207 MOD #:
DEPARTMENT: ATM
1
Contract#:4600002308
WORK ORDER #:
,J ./k
CONTRACTOR/FIRM NAME: T1ndale-Oliver &
Inc.
Original Contract Amount: $ N/A
(Starting Point)
Current BCC Approved Amount: $ N/A
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ N/A
(Including All Changes Prior To This Modification)
Change Amount: $ N/A
Revised ContracllWork Order Amount: $ N/A
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $ NIA
Date of Last BCC Approval 9/29/09
Agenda Item # 1688
Percentage of the change over/under current contract amount 0 %
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: NIA CURRENT: N/A
Thla change order will: 0 Add a new Task for $
o Increase Task Number
by$
Other Amend contraet to add option to use Best Value Offer {>I'Qcedure.
Describe the change(s): Added new lan.ll.!!!Se to Article 1, Consultant's RellPonsibilil;y
Specify the reasons for the change(s) C 1. Planned or Elective Co 2. Unforeseen Conditions C 3. Quantity
Adjustments () 4. Correction of Errors (Plans, Specifications or Scope of Work) X 5. Value Added
o 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: Under cOIT!P9nents of the
contract that fall within CCNA guldellnee, d~artment Is unable to contract with finn that Is most Cl.!!.allfled. to
perform work without gettin!!. !!Iultip'e lJuotes.,
This change was requested by: Clcontractor/Consultant CI Owner CI Using Department Q CDES
!:oeslgn Professional CIRegulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: eYes
r: No
This form is to be
Date:
c?-\ '5 ~D
APPROVED BY:
APPROVED BY:
REVIEWED BY:
Revised 6 18 09
Date:
Date: c9-/6 /~/u
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Agenda Item No. 16E4 30
March 9, 2010 \
Page 8 of 53
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EXHIBIT A-I Contract Amendment 1# I to 09-S107
"ColISultlnc Services for the Collier Area Tranllt (CAT) Proltram"
This amendment, dated-1o. '" 7 q ,2010 to the referenced agreement shall be b)' and between tho
parties to the original Agreement. Tlodale-Ollver & Associates, Inc.. (to be ...rOiled to II "Consultant")
and Collier Count)', Florida, (to be refcrred to as "County"),
Statement of U oderstandlnlt
RE: Contract 1f09-5107 "Consuldnlt Services for tbe Collier Area Transit (CAT) Procram"
The following change to the above referenced Agreemcnt has been mutuall)' agreed to b)' the Consultant
and the County. The additions to the existing language in the Agreement are shown herein by IIDl!m:liIw.
Add the following language 10 Article I, Consultant's Responsibility:
,
The Consultant agrees that this amends the original Agreement. All other terms and conditions of rhe
Agreement shall remain in force.
,-.--
IN WITNESS WHEREOF, lb. Consultant and the County have cach, respcc:tively, by an aurhorizcd
person or agenl, hereunder set their hands and seals on the date(s) indicated below.
CONSULTANT
7.....i.,h.- CI.""",,- (o~4--'
Tindale-Oliver Associates, Inc.
By:
Title:
Dated:
OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY. FL.ORIDA
By:
Approved as to form and
gal suffi' cy
_~ ~~L
t County Attorney
j)t-J><"'?
-
,,---~
_.....,,__,a.._
......,- ...
~
-
Agenda Item No. 16EL/
. March 9, 2010 !
Page 9 of 53
,
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
.
PROJECT It. ..1MA-PROJECT
PROJECT NAME:
IlANAGER:.J:i!IID Callar
B1D1RFP It. ~MODt:
DEPAR11IIENT:
Original Contnlc:t Amount:
Nj/t-
WORK ORDER t:
CONTRACTORIFIRM NAME: C
1
$ .JtIA
(Starting Point)
$.lYA
(La8l Total Amount Approved by 1/18 BCC)
$JlIA
(1nc:ludl1g All Ch8ng8a Prior To This Modlfic8lion)
$JUA
$.JMt.
(1ncluding ThIs Change Order)
Current ace Approved Amount
Cummt Conlnlct Amount
Chmlge Amount:
RevIMd Contrsct/Worl< Order Amount:
cumuhltlv8 Dollar Valll8 of ChallllH to
this Con1nICCIWorl< Order:
$..!tI.&
Dal8 of Last see ~proval---"J29II!!l A...... "'"'" . 1lm6
Percentage of the change IWW1under CUmtnt contract amount 0 %
Formul8: (Revls8d Amount I last BCC app.Gwed amount).1
CURRENT COMPLETION DATE (S): ORIGINAL: !tlA
This change OftIer will: 0 Add a .- Task for $
CURRENT: N1A
o Incnoa.. Task Number
by$
Dllcrlbe the change{s): &IJI!!l nll'/!..!ll!lll!e to Art!J:Ie 1. CO/WIn,nfi Respol1!llbl!!tY
Specify the reasons for the change(s) 0 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans. Speclflcations or Scope of Work) X 5. Value Added
o 6. Schedule Adjustments Nola: Ona or more may be checked. depending on the natura of the change(s).
Identify all negative Impacts to the project If this change Older were not ~ed: nls t
llPotu~~ln CCNA Q!Jldel.l!!8. deQltlm8nt Is. unable to con~ f1l1f1that IsIl!!!lUl!!l!lfled to
I!!!f!nnwoIjcW~uotes.
This change was requested by: D\contractor/Consultant Cl awner Cl Using Department D CDES
ODeslgn Profellslonal DRegulatory Agency (Specify) uOther (Specify)
CONTRACT SPECIAlIST PARTICIPATION IN NEGOTIATIONS: 0 Yes 0 No
APPROVED BY:
Date:
This fonn Is to be
APPROVED BY:
Date:
Date::i 5 ~ (0
REVIEWED BY:
Revised 6 18 09
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Agenda Item No. 16E4
March 9, 201'1
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.'.. I'XIIlBIT A-I Cc>;.t.!,. ';""d!llDeDt 1I.1to 09-'5107
"caiandtiq ServI... for flte Collier ~_ TnuWt (CAT) Pro&ntl\l!'
.
. ~.m~~.'. 20Igtotjt~referenced8&'~"OIltshall~b)'~dbet.weenthe
poa!Ifes"".~~Il$t(l/ll!..Jit,.CIUM1till, Ibc.,{to bti ~ to as ~CoDSultanl")!'ridCollier
CQ_. Florida.1to ~ nifOn'ecl to as ''County''). ..... ". . . :'. .
.' . .
. .
..
,.
..
'. ~
,
.. s_eatofUDderslaadiDl.
.":..
..
. .
.. ..
.,,' ,
.. .
. ,. " 'lO:,c..;.trIId _si01"CoiriHlliD1 Sent- for d.e c..meI'AreaTralUit-(CAT)~"
", ".' 1,".. ,...." .
. . .
. .
. . '. n.eoUbwi'ng ~I\u!ge iIltbb abOVe refareneed ApeiDeDthss be,eii mulUAlly agreed to bytbe. Consultant
.. ..' ~d thlO CoWJ!Y. ~ #i~to the exisling Iangtu\ge in.the AgreolD~ ~ sbowrt~in by ~
. ," -. '". . ,:..' .
. ,'. ..-. ."' . .
Add~. ro~~lll Article I, CoDsoltaDl's ~ponsibility.
.
..
. . ,'" . .
." .'~ tb~ !*'~ ~.!lib ~u1tanIS'..~~W ~AI;lL~A)' i.e. ~
~A~~~FofaiWseMa
......~~
., .,.
..
. ..
.
. ....
..
..'
...
,,"
. ." .' . . . .
.'" '.: '. The.: ConsultaDt agreesiJ.atthis amends tbecriginal A&<""",enL All other Ibu,' BJuJ' Conditions of the
..' . .~t sh8U mIlaio in.ro,,,,,. .. ....... .'
.J . .. ' . .
. .
. .' ..,,- '... . ..-. '. .
. ..... .. .'. . ......i1'l wri'NESs W1H:UOF, the Consultanl and the CountY hav<; each, respe.,tiVely,'by a.. autborizel;l... ..
'. ......P=O!'or"llour.1iereUlldcfsaltheirhaDds and seals on the datil(s) iDdicamd below.
. . .
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"
CONSULTANT ..
}J?' l~ Q~
"ClJ2M; Hill,lQc.
,
..
-
,", .
'.
...
.
,. ." ",
..
P!<Ii... (!kJ1/;"'r-
"/~,Jfe.tts;AIIL ..,
'-',':- 4 .:. zo,.o ..
,
!
..
'. '-.".,-,
By:
Title:
D_
OWNBR:
. ..
..
<
. .
..
..
,.'.
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BOARD OF COUNTY COMMISSIONERS
COLUBR CO TY, FLORIDA
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By:
,
..
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..~--~~-
----,...
d'''''''..__ ____--. ....
.... ...-..-..---....
-,--,..--'..
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4 ""
March 9, 2010 -'
Page 11 of 53
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PROJECT NAME: Consulting Services for the Collier Area TranslLICAn Program
MANAGER: Glsma Carter
PROJECT #: N/A PROJECT
BIDlRFP #: 09-5207 MOD #:
1
ConUact#:4600002315
WORK ORDER #:
r1A
DEPARTMENT: A TM CONTRACTOR/FIRM NAME:W1lbur Smith Associates Inc.
Original Contract Amount $ N/A
(Starting Point)
Current BCC Approved Amount $ N/A
(Last Total Amount Approved by the BCC)
Current ConUact Amount $ N/A
(Including All Changes Prior To This Modification)
Change Amount $ NIA
Revised ContractlWork Order Amount: $ N1A
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ N/A
Date of Last BCC Approval 9/29/09
Agenda Item # 16B8
Percentage of the change over/under current contract amount 0 _0/",
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (8): ORIGINAL: N1A CURRENT: N1A
This change order will: 0 Add a new Task for $
o Increase Task Number
by$
Other Amend contract to add option to use Best Value Offer procedure.
Describe the change(s): Added new language to Article 1, Consultant's Responsibility
Specify the reasons for the change(s) C 1. Planned or Elective ("\ 2. Unforeseen Conditions r 3. Quantity
Adjustments ("\ 4. Correction of Errors (Plans, Specifications or Scope of Work) X 5. Value Added
('I 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: Under components of the
contract that fall within CCNA Q.uidelines, d~partment Is Unable to contract with firm that is most qualified to
perfonn work without !letting mul~I"le quotes.
This change was requested by: rk::ontractor/Consuftant rI Owner rl Using Department r CDES
rOesign Professional r1Regulatory Agency (SpecifyL r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: DYes
C No
This form is to be 5i
8fQject anljlger .
Date:
.;L
APPROVED BY:
APPROVED BY:
Date:
,
aoio
REVIEWED BY:
Revised 6 I 8 09
Date:
~b
- -
Agenda Item No. 16E4
March 9, 2010
Page 12 of 53
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EXHmlT A-1 Contract Amendment III to 09-5207
"Conlultlnll Services for the Collier Arell Transit (CAT) Proaram"
Thil amendment, dated _ la.v> ~, 20 I 010 the referenced agreement shall be by and between the
partics to the original Agreement, Wilbur Smith Associates, IDC., (to be referred to al ''Consultant'') and
C<>lIier County, Florida, (to be referred to al "County").
Statement OfUDdenlaDdlnll
RE: CODtract 1/09.5207 "Coalultlaa Serviecs for lhe Collier Area Tranalt (CAT) Pl'OIram"
The following change 10 the above referenced Agreement has been mutually agreed to by the Consullant
and the County. The additions to the e.isling language in the Agreemenl are shown herein by JIDllm:lIna.
Add the following language to Article I, Consultanl's Responsibility:
. . d ,.... tN' .,
~s~.. ~ er ~.e ~o live e I. n 1
~b;;' rve ing. arc subj;;;;;'i~ Collier Co~est Valu.e ~ll'I'. ~
~u.;;'~n]y :;f~~ -;;~~~d do~r_fsso.OOQLlhresh!llil...lbe p~
::~ u .~.e ofTer fro a For rvlce;~!\Y tlw.!aoll d9~'000l.I!!lI
~~;b~~;;i=i~:OOo)LaIlCO~ u~in:
t . lue ofTers. ces dW ;~ceed o~e hulll!rnl thousand dolll!lllSJ OO,O9!!l, the I!1!'m
w' I e 5 0 a on c mm'ttee.'~
The Consultant agrees lhat this amends the original Agreement. All other tenus and conditions of the
Agreement shall remain in force.
c~..._
IN WITNESS WHEREOF, the Consultanland the County have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date(s) indicated below.
By:
Tille:
Doled:
N/c....;S..{OJ 7iio61'150/t...o
YII e pp~s. f DiSJ...Jr-
,/Zf:l/2,PIO
I {
OWNER:
BOARD OF COUNTY COMMISSIONERS
COL COUNTY. FLORIDA
eta
By:. .
Stepl n Y. C ,ell
Direclor of Purchasing and General Services
7.<.c;.L
J<sSis!iij1 County Attomey
~.J;
,
'--"-"-'-
--~.-.._-
""~-'"--"-'~'''''''''''''--~' -,
-....".-. ._~,~.-
0- _..,_._,~___,~___"",'._,_..,__~.__
"
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4 I
March 9, 2010 "
Page 13 of 53
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PROJECT NAME: COIJ!!ill!!!Jl ~rvlces for the ColiN! Area TranslUCA n Pro!lt!!!!
MANAGER: Glams Cpr
PROJECT #: N1A PROJECT
BIDIRFP #: 09,-5~7 MOD #:
DEPARTMENT: ATM
1
Contract II: 4600002334 WORK ORDER #':-4 k
CONTRACTOR/FIRM NAME: Renal ce Pia .
Original Contract Amount: $ NIA
(Starting Point)
CUrTent BCC Approved Amount: $ NIA
(Last Total Amount Approved by the BCC)
CUrTentContractAmount: $ NIA
(Including All Changes Prior To This Modification)
Change Amount: $ N/A
Revised ContractJWork Order Amount: $ NIA
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractJWork Order. $ NIA
Date of Last BCC Approval 9/29/09
Agenda Item 1# 1668
Percentage of the change over/under current contract amount 0 %
Fonnula: (Revised Amount I Last 6CC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: NIA CURRENT: N1A
This change order will: 0 Add a new Task for $
o Increase Task Number
by$
Other Amend ct>ntracl to add ol.ltlon to uee Best Value Offer procedure.
Describe the change(s): Added new liI,Rll!!!lIe to Article 1. Consultant's Responsibility
Specify the reasons for the change(s) r 1. Planned or Elective () 2. Unforeseen Conditions C 3. Quantity
Adjustments 0 4. Correct/on of Errors (Plans, Specifications or Scope of Work) X 5. Value Added
o 8. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identity all negative impacts to the project If this change order were not processed: Under components of the
contract that fall within CCNA guidelines. department Is unable to contract with firm that is most qualified to
perform work without getting multiple guotes.
This change was requested by: Clcontractor/Consultant rl Owner rl Using Department r CDES
CDesign Professional r1Regulatory Agency (Specify) LOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes
[J No
This form is to be
Date: ~1'5\ ID
APPROVED BY:
APPROVED BY:
Date:
REVIEWED BY:
Revised 6 18 09
"
.
Date:
,~ 5 .;t-ojD
----
Agenda Item No. 16E4
March 9, 2010 r r.
Page140f53 '<',
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EXHIBIT A-I Contract Amendment # 1 to 09-5207
"CoDSnlting Services for the Collier Area Transit (CAT) Program"
. This amendment, dated Jo.'" z.tl ,2010 to the referenced agreement shall be by and between the
parties to the original AIl'_emenl, Renaissance Planning Group, Inc., (to be referred to as "Consultant")
and Collier County, Florida, (to be referred to as "County").
Slatement of U nderstandlnll
RE: Contract 1109-5207 "COBsBlting Servlees for the Collier Area Transit (CAT) Program"
The following change to the above referenced Agreement has been mutually agreed to by the Consultant
and the County. The additions to the existing language in the Agreement are shown berein by underlines"
Add the following language to Article I, Consultaot's Responsibility:
U . It' i'y Nc tiatio .' .
M;QPi(lf~~n~~~;~~~~(Uljklect to ColUer COI!ll.~ "~ Valut..Q~~
lh w. . er till!. finy_lhousan~50.000~CCt MlnJger !1lA)!
~est'~nl~ ~y ~~~~n~: EQrs~rvl~l\S that ~salld doll&!l!$SO.OOO) and
!)D't~ ;e hund~_:hom:Pd..llQllal)l (,JI QO.OOOl....Al1 Con~\Iltants under coutract will have the OllRQrtunit)!
to sub it best valu oers. For ..trvices ih~t exceed one h~ndreQ thousand dollars <t 1 00.000), the offer.;
will be eval~, scored. ,pg ranl;~d by a ~n.9ommittee. ..
The Consultant agrees that this alnellds the original Agreement. All other lenns and conditions of the
Agreement shall remaiu in force.
IN WITNESS WHEREOF, the Consultant and the County have each, respectively, by an authorized
person Or agenl, hereunder set their hands and seals on the date{s) indicated below.
By:
Title:
Dated:
OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: .~
Stephen Y. mell
Director of Purchasing lInd General Services
Approved as to form and
L su lie y,
-'""L
. t County Attomey
)Yi'.,-
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., -._~-~-"., '~ --~. "-.....-
... ..._-~--~-.,._.-
..~..._-
----.--.-... ..
,4genda I
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7
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: ABC Standards & Pilot Bridge Construction PROJECT #: 66066 PROJECT MANAGER:_Marlene Messam J
BID/RFP #: 08-5130
MOD #: 1
PO#:
45-108526
WORK ORDER #:
N1A
DEPARTMENT:
TECM
CONTRACTOR/FIRM NAME:
CME Associates Ine.
Orlglnal Contract Amount:
$ 395,012.00
(Starting Point)
$~ "3A?rOI).,OO
(Last Total Amount Approved by the BCC)
$ 395,012.00
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
$ 34,295.00
Revised ContractIWork Order Amount: $ 429,307.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $_34,295.00
Date of Last BCC Approval_May 12, 2009 Agenda Item # ___15.8.5
Percentage of the change over/under current contract amount~- '3" ,,,,-i %,
Formula: (Revised Amount r Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: Januarv 27,2010
CURRENT:
April 27, 2010
This change order will: IZI Add a new Task for $ 5,200.00__.1Z1 Increase rasks Number _1,2, 5 & 7 by $ 29,095.00
other
Describe the change(s):_The Big Cypress Basin (BCB) requires a 4' ft freeboard from design highwater elevation
to the lowest bridge member. This criterion would elevate the bridge decks to the roof or the surrounding homes.
The County and consultant met with the BCB and requested a waiver or 1 ft freeboard. After the plans were
revised to the 1 ft freeboard they were unacceptable to the BCB and they asked for an increase to a 2' freeboard.
Additionally to grant the 2 ft waiver, BCB requested that the waiver application include hydraulic analysis of the
future bridge sites In the east Golden Gate estates as Identified in the Horizon study. As a result of the changes
mentioned the construction plans for the White and 23"' ST SW bridges will need to be revised before the waiver
can be approved. Additional geotechnical borings are needed at the 23" ST bridge' to determine rock depth.
Specify the reasons for the change(s) x 1. Planned or Elective ('\ 2, Unforeseen Conditions C 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) X 5. Value Added
X 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed:
This change was requested by: nContractorrConsultant x Owner II Using Department C CDES
rDeslgn Professional ?{RegulatOry Agency (Specify) '. r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No
This form is to be
Date: :!- 1- /0
APPROVED B :
Revised 6 18 09
.
.
..
.
REVIEWED !:IY:
Revised 6 18 09
~
.
",,~,--~--,-,-,-,---,-
Date:
-."'~----.'" " -
Agenda Item No. 16E4
,
Page 16 of 53
"'~
_..._"~-_.-
.
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
. I
Agq1)da t '0. 16E4 <6
f\Q. arch 9, 2010
Page 17 of 53
PROJECT MANAGER: Bob Pierce
.
PROJ~,CT NAME: MI Library, Rose Hall Addition PROJECT #: 54004
BID"'rP #: 09-5195
MOD #: 2
PO#:4500106876
WORK ORDER #:_n/a
DEPARTMENT: Facilities M ml
- .
I Original Contract Amount:
CONTRACTOR/FIRM NAME: Boran Crai Barber En el Const. Inc. BCBE
$ 832,170.00
(Starting Point)
Current BCC Approved Amount:
$832,170.00
(Last Total Amount Approved by the BCC)
$~43 it./'f,t.lS'f.o'l
(Including All Changes Prior To This Modification)
Current Contract Amount:
I
I
i Change Amount:
, ReVIsed Contra.ctIWork Order Amount:
$2&;9!lH9
::l"l(oiIl. >"a
~ '1"815",/0.(" 1
$8~2 .
(Including This Change Order)
I Cumulative Dollar Value of Changes to
, this ContractIWork Order: $~
'-Ic./'/10. ~ 1
Date 01 Last BCC Approval 3/24/09
Agenda Item # 16(D)(11)
Perce,.,tage of the change over/under current contract amount>K% 5'.61 '(6
"ormuia: (Revised Amount 1 Last BCC approved amount)-1
CURF(=NT COMPLETION DATE (S): ORIGINAL: 2/10/10
CURRENT: 4/11/10
This change order will: D Add a new Task for $
D Increase Task Number
by $
Other: Net amount for pending change orders No. 18R through 22.
DesClibe the change(s): See attached summary sheet and backup.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjlll;tments r, 4. Correction of Errors (Plans, Specifications or Scope of Work) ~ 5. Value Added
r 6 Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Ider.::fy all negative impacts to the project if this change order were not processed: Work authorized by PM by
cha"'le directive.
Thio;, change was requested by: CIContractor/Consultant CI Owner 171 Using Department C COES
~:Design Professional P'lRegulatory Agency (SpecifyJ_Fire Code
COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
IY' Yes
r No
This f:lrm is to be signed and
Date: 2/12/10
APPn,OVED BY: Bob Pierc
Project M
~EV'~':VVED BY:
,
,-,:2.- -'~
Contra t Specialist
Date:
1/6fo
Reyised 6 18 09
PROJECT NAME:
BID/RFP AI: 09-\1'" MOD It: 3
DEPARTMENT: P
PROJECT #: _80015
PO#: 45Q!l.1061ll5
PROJECT MANAGER: Ton
WORKORDER#: 4500106195
~
CONTRACTIWORK ORDER MODIFICATION
CHECKliST FORM
CONTRACTORIFIRM NAME: W II
Original Connct Amount:
$ _529,384.83
(Starting Point)
$_529,364.63
(Last ToIaI Amount Approved by the BCC)
$_560,455.53
(Including AD Changes Prior To This Modification)
$ 0.00
$_ 9.D8: 5~~5". 53
(Including This cli&nge Order)
Cummt Bee Approved Amount
CUlT8nt Contract Amount:
.
Change Amount:
RItvtMd ContractlWork Order Amount:
Cumulative Dollar Val... of Changes to
lhla ContractlWork Order: $_ 0.00 .'.l,i ( 0 '10. q 0
Date or Last Bee Approval 2/24109 Agenda Item # _16D.2
I'eR;entage or the change owrfunder cun'8nt contract lIITlount~S. i 'L%
Formula: (Revised Amount 1 Last BeC approved amount}-1
CURRENT COMPLETION DATE (5): ORIGINAL: CURRENT: ~ 2010
.-.
This change order will: 0 Add a new Task for $
o Increaae Task Number
by $ 0.00
Other
Describe the change(a): This cballge order is to extend time to ~ow wet land areas to dty UItPrior
to plant:in&.-
Specify the reasons for the change(s) r 1. Planned or Elective 2. Unfol'8lleen Conditions 3. Quantity'
Adjustments r 4. Correction or Errore (Plans, Specifications or Scope of Work) 5. Value Added
X 6. Schedule Adjustments Note: One or more may be checked, depending on the nature or the change(s).
ll!enUfy all negative Impacts to the project If this change order _re not processed: Due h rains I
plantll!gll will nm su.,,!ve !n flooded ~Iand area~.
This. change was requested by: X ContractorfConaultant Owner
!:Design Professional r1Regulstory Agency (Specify)
rI Using Department C CDES
r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
This form Is to be signed and dated.
REVIEWED BY:
Date:
.2{ '1/' (}
~ 10 10
Date:
_.
Revised 6 18 09
_.~---,---- , .-.--..---
---_.-
--"---'--"."-"~"-
-..._--.... '" '
~._-_.,.,...._..-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
IlAgendjll~e n}J~,o 16E4
/CP--(! ~ M 6W /lD 1 0
age;t:::.J3
I
PROJECT NAME: Generator Fuel Tank, Removal & Replacement PROJECT #:n/a PROJECT MANAGER: Bob Pierce
BID/RFP #: 06-3970 MOD #: 2 PO#:4005103648 WORK ORDER #: 4005103648
DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: HS.A Engineers & Scientists
I
,
Ortginal Contract Amount: $ 138,570.00
(Starting Point)
Current BCC Approved Amount: $138,570.00
(Last Total Amount Approved by the BCC)
Current Contract Amount: $142,770.00
(Including All Changes Prior To This Modification)
Change Amount: $9,850.00
Revised ContracllWork Order Amount: $152,620.00
(Inciuding This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $14,050.00
Date of Last BCC Approval Agenda Item #
Per;.:entage of the change over/under current contract amount_1Q, 14%
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 1/26/10 CURRENT: 1/26/10
This change order will: Ji Add a new Task for $ 9'!i';:tJ.~ Increase Task Number
Other
by $
Describe the change(s):_Additional pennitting, plan review, and construction management for unforeseen
underground site conditions encountered by the contractor.
Specify the reasons for the change(s) C 1. Planned or Elective ... 2. Unforeseen Conditions r 3. Quantity
Adjustments ('; 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
C 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: Work was authorized by the
PM on a T&M basis per annual contract.
I
I
I
I
This change was requested by: CIContractor/Consultant 171 Owner n Using Department
r CDeS
rOesign Professional ClRegulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
rYes
P' No
This form is to be signe
.
APPROVED BY;
AP~DV/t;
REVIEWED BY:
Date: 1/19/10
Bob Pierce, Project Manager
Date:
Date:
/ / :J.. ;lllu
I I
Revised 7-14-09
",,-,-
Agenda Item No. 16E4
March 9, 2010
Page 20 of 53 ~
"-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
. .- '...... ~ . .'.~' " . . -.'
PROJECT #: 90048.3 PROJECT MANAGER: c
. WORK ORDER II:
PROJECT NAME:
BIDlRFP#: ~OD#: ..1_... .PO#:
. .
. '" -'..."" " -' .
'.
DEPARTMENT: Paries reatlon
.-.,-.
LLC
CONTRACTORIFIRM NAME:
Original Contract Amount
$ _4,250.00
(Starting Point)
$ NJA
(Last Total Amount Appmved by the BCG)
$_4,250.00
(Including All Changes Prior To This Modification)
$-11'<. 0.(:;0
Current sec Approved Amount:
Current Contract Amount:
Change Amount:
Revleed Contract/Work Order Amount $ !Jl!'C 4,2-50. 00
(InclUding This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $---JlH<
D.OO
Date of La8t BCC Approval
~!r
,
r4A
~_O_D
.
%
Agenda Item If.
Percentage of the change over/under current contract amount
Formula: (Revised Amount J Last BCe approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
CURRENT:
Mim;!l23.201.o.... -'.
by$
o Acid a new Task for $ 0 Increase Task Number
(&\0)
Other Add more cak!ndar claY!' lp t!!e work order.
Describe the change(s):
Presl!.u", tn-ateci ,,",God ~ to be coml!18teIY d!Y before contractor fln"J1 thll to.och l!P wort\.
This change ordllr will:
--;;-'.."...-.... - .-, -' ,... . - .".'
'_n., ......,......."':.:".,.'<,L_""",.._ "" _.'....
.-, ..' -". ......... ~.. '.., ..
.".-- ,,-" . .,'. ... " .. '.' . -, . ..,.. -.'-' ,-- ....~ ..~ . . ..^,,~ .. .......
Specify the reasons for the changll(s) r 1. Planned or Elective r 2. Unforeseen CondItions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
X 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project If this change order were not processed: Need more..tlme to comQIet!
thJUm!lect.
".
_...~ 0.... .'.,." . .' - .,-,' .~.. ,
,'.."......- "',
.... ...........
This changll was requested by: Contractor/Consultant X Owner rI Using Department r CDES
. Lonign Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
This fonn is to be signed and dated.
Date: J -tllLJ- Jo
.
APPROVED BY:
. . Murdo Smith
ReQional Manager
.,',
REVIEWED BY:
J ~O./()
Date:
. Revised 618 09
._'---,
- .-------..-.-...-
,----
,..._._..~_..~,-"
... ,
Agenda Item No. 16E4 '3
March 9, 2010
Page 21 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME: !i!!!!9. "F" Gef\l'rator Wall enclosure PROJECT#:52525 PROJECT MANAGER: Robert Fu,!!!!!!!
BID/RFP #: 06-3971 MOD #: 3
.
PO#:4500109359 WORKORDER#: ~ "'S-OoIOQ35'i
DEPARTMENT: Facilities Management CONTRACTORIFIRM NAME: Surety Construction Co.
Original Contract Amount $ 146.500.00
(Starting Point)
Current BCC Approved Amount: $ NIA
(Last T 0181 Amount Approved by the BCC)
Current Contract Amount: $ 155,292.6t
(Including All Changes Prior To This Modification)
Change Amount: $ 2,801.45
Revised ContractlWork Order Amount: $ 158.0~.O6
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: S 11 ,594.06
Dale of Last BCC Approval NlA Agenda Item # NIA
Percentage of the change overlunder current contract amount ~. i. ? 0 'I.
.
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 11/22/09
CURRENT:
1/24110
Describe the change(s): The hand rails for the Generator stairs needed to be increase in length for safety and
code issues. The addition of the grounding bar by the wall provides additional grounding on the unit.
Specify the reasons for the change(s) (' 1. Planned or Elective. 2. Unforeseen Conditions (' 3. Quantity
Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work). 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: A!!Y code and safety Issues
must be address at all times to com.elY VO'1th code.
This change was requested by: ~ontractor/Consultant II Owner n Using Department r CDES
Loesign Professional -ERegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATIO IIIl NEGOTIATIONS:
---------
This form Is to be ~ed cl dated.
r
Yes
o
APPROVED BY:
Date:
h:;Z/-(V
REVIEWED BY:
Date:
/-j/-/u
Revised 11.19.2007
Agenda Item No. 16E4 tj
March 9, 2010
Page 22 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
-."
.
PROJECTNAME:Co e
O~.3C'lI-1
BID/RFP fI;..NM MOD ill:
2
PROJECT#:52004 PROJECT MANAGER: Robert Fuentes
.4500109964 WORKORDER#: ...Hf1(' -4SooI0<t"c.~
DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: Wright Construction Groilp
Origlnsl Contract Amount: $ 95,835.00
(Starting Point)
Current BCC Approved Amount
$ N~
(Last Total Amount Approved by the BCC)
$ 103,082.10
(Including All Changes Pr10r To This Modification)
CurrentContractAJnou~
Change Amount:
J 0.00
Revised ContractIWork Order AJnount: $ 103.082..10
(Including This Change Order)
Cumulative Dollar Value of Changes to
thlsContractlWork Order: $
7.247.10
Date of Last Bee Approval-..NiA
Agenda Item # NIA
'.' c
Percentage of the change over/under current conlnlct amount,M t>. ;;;
Formula: (Revised Amount 1 Last BCC approved amoun.t)-
-
CURRENT COMPLETION DATE (8): ORIGINAL: 12117109
CURRENT:
2/22110
Describe the changa{s): Additional time was needed due toAweather related issues.
Specify the reasons for the change(s) r. 1. Planned or Elective - 2. Unforeseen Conditions r. 3. Quantity
Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work) (' 5. Value Added
., 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If thIs change order were not processed:
.
This change was requested by: ~ontractor/Consultant n Owner rl Using Department r COES
Coesign Professional rJRegulatory Agency (SpecIfy)
r Other (Specify)
CONTRACT SPECIAU~T'f'"AR+ICIPATIO"EGOTIATIONS: .Yes
This form is to be si~ec:ta" dat,* <-1-' "
j r i.u-t. ( .;,.." _
APPROVED BY: / --L.. 0 , - ~~ Date: /-
L Project ;
v>> -/0
REVIEWED BY:
Date:
(- ,2/- Ie)
~
Revised 11.19.2007
.-..-.-.."--
..- ..-
'....--. .
.. ,
.."
'----."~ ,
Agenda Item No. 16E4
~arc~
Page 23 of 53
s
,
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
."
,
PROJECT NAME: Cia
PROJECT #: 195-l!0028.1 PROJECT MANAGER: Gary McAlIlli!
BID/RFP #: 07-4153 MOD #: LPOIWO#: 45-100227
DEPARTMENT: Coutal Zone Mana ement
CONTRACTORIFIRM NAME: PBS&J
Original Contract Amount:
$ 25,060.00
(Starting Point)
Current acc Approved Amount: $ N1A
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 115.700.00
(Including All Changes Prior To This Modification)
Change Amount $ 10.100.00
RevIsed ContractlWork Order Amount: $ 1;/$,700.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 100.640.00
Date of Last BCC Approval nla Agenda Item # nla
Percentage of the change over/under current contract amount~ "- .(do{ (0
Formula: (Revised Amount I Last Bee approved amount)-1
CURRENT COMPLETiON DATE (5): ORIGINAL: 5/1912010
CURRENT:
11/1Q12010
This change order will: t8I Add a new Task 4 for $10,000.00 0 Increase Task Number by $
other
.
Describe the chan e s : Th s will add Task 4 Miscellaneous CZM Services R uests . ~'-t' d;. )
~a ~ ..u! ~cif o~A1. kL~1 "uJ /.....ec/(Ra/
SpecifY the reasons for t'i1l!' c!hanlie1s) C 1. prann-ea or-Elective J< 2. Unfo een ConditiOn r 3. Quantity
. Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) ('. 5. Value Added
Co 6. Schedule Adjustments FOEP request for additional information In the permitting phase of this project
Note: One or more may be checked, depending on the nature of the change(s). .
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Identify all negative Impacts to the project If this change order were not processed: Wl!:I "lit-lie l!bfe.to eolftltlet~
~Lb~lhuy~i"'~""'lle"tlKieR. I'.lWl.Q.nl! to QI8/'-re9Il!\.t! \1
~~f8:~O:~:CDEpPa~~~d ~ f.;
Thi cli es e ontractor/Consultant X Owner rl Using Department n COES 1 ~ ~
rOeslgn Professional Regulatory Agency (Specify) r Other (Specify) "" j
~ ~
~
~ ~.
. .t~
~\
~
~
rYes
r No
Date: -.!/Zo /'0
.
APPROVED BY:
REVIEWED BY:
Date:
;j;(~/;o
,Contract peciaiist
Revised 6 18 09
- ....
.. " ....--.
Agenda Item No. 16E4
March 9, 2010
Page 24 of 53
G>
...-
CONTRACTIWORK ORDER MODIFICATION
CHECKliST FORM
PROJECT NAME: T
B1~P #: ~31189
DEPARTMENT:
PROJECT//: ~
j)(! brtt Brue'39'= tY/Qf)
PROJECT MANAGER:
MOD II: 2 PO ,: 45oo1Q2,642
CONTRACTORIFIRM NAME:
Original Conttacl AmOllnt:
$ 2Qi.M2
(Slarting PIlint)
$ 209.ll42
(last Total Arncunt Apprwecl by the CCAA)
$ 209,842
(Including All ClBlgu PIior To This ModiIIC8lion)
J (b!l,!Ir 0_0'
current cCM Approved Alnount:
. CUrrent eonlnct Amount:
"',,,,"<1':,',";'-'
..,....-
Change Amount:
RevIsed ConbactlWorlr. Order Amount $ ~,~2
(Inr;:1uding This Chllll\lll Order)
Cumulallv9 Do'lar Valu<l of Changes to
this COntlllct/WOrtI Ofder:' $-!!lIl6l
H""
o.a of,LMt CCAA Approve! Illltt.2.IOjl
Petoenlage of the ~"IIe overIundet cumlnt contract amount
FormuIlI: (Revised AmOunII Last CCAA approved amount)- f
,. ,. "
Agenda hem # VJlI. E,
~IAI 0.0 ~
CURRENT: .~ I $'t-
~!i.( %
" "'"
CURRENT COMPLETION OATE(S): ORIGINAL: Q/1120Q1l
//.JtI~OJtJ
I "
,.. .. . . ,
P_ntage of lhe C....IlIl. over!\lI\der cUlTent contract ti....
Fonnula: (Revised J\i'riOlri I Last CCAA apprcwd .....ounl)- f
This change ordirWlll: 0 Add a newT......for $ 0 InClelMTaskNumber by$
. ... .. ItI~ c:/.a.'f$ .. ,. ........ '. . .
. Describe the chatl9ltI$I:~p!l.,~l<t S~hllc!!1~to el\te.!l~jlm 9lil*,*,nicalli!urvll~ ~1l'I'\3,
. SpecIfY ~ reaSons for the c:hange(sl 0 1. PlanMd or elllctlve C 2. Utl.wrenen Cl)ndltlons () 3. Quanlfty
,~",_, Adjustments C 4, C~)tTeetlon of Errors (Plans, SplldflcatlOll$ or SCOJMI of Work) 0 6. V!IIua Added -'
I:.' e. Schedule AdJustrl'lents Nota: One or more may be checked, depending on the nature of the change(s).
Identlfr all nagallvII Impacts to the project if this change order were not processed: 6..iro!;!rt Au!b!:!ctlY wm,nQ! !l!!
a~lPlliq~~. .
This change was requested by: I""bcntractorlConsultant m Owner CI Using Dfi!partment !:l coes
!;:Design Professional!;: Regulatory Agency (Specify)
rOther (SpoolfYl
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
I" Yes r No
This form is to be ned and dated.
REVIEWED BY:
.
Date:
1/:JcJ/IO
. ,
APPROVED BY:
reject Manager
Revised 11.19.2007
Date:
1/ dltJ /10
/ f
<,~~
'--'.,t'';;' .
.. n... ..___.. _....._... __...._....... ..... ..... _..
Agenda Item No. 16E4 7
March 9, 2010
Page 25 of 53
,
..
.'",."
..
'"
CONTRACTIWORK ORDER MODIFICATION
. .. CHECKLIST FORM
"" ." ; e ... PR'&II;CT NAME: PUD Immokale.iJ3jgj9!lal AiriWl.. PROJECT Ii:
;.:, "".-,' ',,'
. " .
.. , BIDlRFP #; 01>-3969 MOO Ii: 5
50002
PROJECT MANAGER:
Debbie Bru.Bll@lllllR
POII': 4500088.ll90 WORK ORDER tI: QGM:FT.3~ll.9-oIl:-Q2
CONTRACTOR/FIRM NAME: .
',.."
'",,"'"
, ,\
Original Contract Amount
,'~:',. . ..'
$ 19,985
($13ltlng Point)
$ 57,,745
(Last T olal Amount Approved by the CCAA)
$ 57,745
(Including All Changes Prior To This Modification)
..
Current CCAA Approved Amount:
"
.."
. Current Contract Amount
Chang.. AmOU/lt:
, ,
.
.$ ~.~15
$ 67.660
. (Including This Change Order)
"
, ,'"
. Relllsed Contract/Work Ordw Amount
. Cumulative Dollar Value <>! Changes 10
tn.. ContraotIWork Oi-dar:
S 47.675
,."
" Cate of Last CCAA Approval
10/1210ll
AQenda Item # Xii f-.
-
Parce"l4lge of the change overlunder current oontract amount
Formula: (ReVised' Amount I Lalit cCAA "approved amount)- t
. ,,' ',',' '..
17.q
."
". CURRENT COIViPLETION DATE (5): ORIGINAL: _ 9130108
CURRENT: ____....Q6/3011 0__
This changa order will: 181 Add a new Tasks for ----'SOD. 181 Increase Task Number _....:,_ by $ 3,500
o Add a new Tasks for 181 Inc.......a Task Number __3.... .... _ by S. ~.~15 '. . 'I
('jJ-d-oY<-C714 Iu..t PdfV>V>{.,;y'if ~#~
. Describe the change{s):. ChanQE scope due to unforeseen conditiol1io-to aod additi;:>na_Lreg;",rch, revisions.
""ordination, and meeijng$ and add reimbursable e~e~~!ls.
Sptlcify the re,llsons for the change(s) r 1. Planned or Elective I" 2. Unfores;rn conclitlon~.. n 3; Q~\i!itY
Mjustrnenl$r 4. Cornt~ticm of Errors (Plans, Specifications or Sr>>pe of Work) ~.. . Value Ad~d".. .'.... .,,'i'.'i
v' 6. Schedule Adjustments Note: One or more may be checked, depending on the nature Oftlj~'chan9e(tl).' "
; Identify all negative Impacts to the project if this change order were not processed:
unable to complete PUD rezoQirm.m:2lect
Airport Authorlty l!/!:l~Jd !!l!I.
. .
This change was requested by: nContractor/Consultant!! Owner II Using Department C. CDES
r Design Professional r Regulatory Agency (Specify) f- Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS4Yes ~o
This fonn Is to be JJgned and dated.
/
APPROVED BY: U~ g....<-~-&.4~
Project Manager P ,
tJ
Date:
1/1'1/10
, .
REVIEWED BY:
.
.
Date:
1/2oj/O
,
Revised 11.19.2007
n''''__^'___,____'_,,,,,"m
Agenda Item No. 16E4 '8
"
Rlo\S'\I"Il
CONTRACTIWORK ORDER MODIFICA TlON
CHECKLIST FORM
,
Page 26 of 53
PROJECT NAME: Collier Blvd (CR 951l.=lliYls Blvd. to GG Canal
(,,(;011-
PROJECT #:~ PROJECT MANAGER: Ma~ene Messam
WORK ORDER #;JffA 'I'ioo 1/2'f7'f
BIDJRFP #: 0s-39fl9
MOD#: 1
PO#:_ 45-112479
DEPARTMENT: TECM CONTRACTORIFIRM NAME: A noli Barber & B
Original Contract Amount:
$ 29,270.00
(Sterting Point)
$~I Am~APprOVed by the BCe)
$ 29,270.00
(Including All Changes Prior To This Modification)
Current BeC Approved Amount:
Current Contract Amount:
Change Amount:
$ 18,705.00
.-
Revieed ContractIWork Order Amount: $ 47,975.00
(I nduding This Change Order)
Cumulative Dollar Velue of Changes to l~ n "5 tJ()
this ContractJWork Order: $ ~ <> J - f v ,
Date of Last BCC Approval: JIfr Agenda Item #~_ ~
Percentage of the change over/under current contract amount_~ % le'3.11 1 ()(b
Formula: (Revised Amount 1 Last BCC approved amount)-l .
CURRENT COMPLETION DATE (5): ORIGINAL: 02127/2010
This change order will: 181 Add a new Task for $11,945.00
CURRENT:
06/2712010
18I Increase Task Number ~_ by $_6,760.00
other
Describe the change(s: 1. Adding an additional :1:1.0 acres of drainage runoff to the Collier Blvd. Mixed Use CPUD. Per
DCA the original acreage was 6.6; the new acreage is 7.1 and 2. FDOT requesled aj)rainage Connection Permit for the
[.1 aCfE1.i1 of ru~lOff from Collier ~Iyd. project to the Collier Blvd. Mixed Use CPUD. '7J1/~ IS IL gFW/LIO ,/f"ff'
IYJntIlftA.:/rht-tU We/!,
Specify the reasons for the change(s) (' 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work)" 5. Value Added
"6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: This change is necessary to
secure the construction penmits for the project The consequence is that the projecfs construction will be delayed.
This change was requested by: CIcontractor/Consultant X Owner rJ Using Department 0 CDES
Woesign Professional OIRegulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: C Yes x No
APPROVED BY:
Dale: i - 35'../1)
This form Is to be sl
Date: _1- /2. - ro
APPROVED BY:
C ntract Specialist
Revised 6 18 09
,
I
.... , --,
""-
->
'-~--'-'.' ."', .,_._---~ - ,,-
Agenda Item No. 16E4 a
March 9, 2010 I .
Page 27 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME:
PROJECT II: 51101
BIDlRFP #: lI6-31168 MOO II: i-PO#: ~1~
WORK ORDER #:
DEPARTMENT: R!!!!!l MaInt8l:lance
CONTRACTORIFIRM NAME: MS. Inc.
Original Gontnlct Amount:
$ 67.SOO.OG
(S1artIng Point)
~otal~ltroved by the BCC}
$67.moo
(Induding All Changes Prior To This Modification)
CUlTllnt Bee Approved Amount:
Cu....nt Contract Amount:
ChlInge Amount:
Revlll8d Contnlc:tJWork Order Amount:
$0
~7.SOO,OO .
(Including This Change Order)
C....ulatlve Dollar Va'ue of Changes to
this Contrac:tJWork Order:
$I!
Dam of Laat BCC Approval
Agenda Item #
Percentage of the change over1underct.o......t contract amount 0 %
Fonnula: (Revised Amount 1 Last BCC approved amounl)-l
CURRENT COMPLETION DATE (5): ORIGINAL: ~r 1. 2009 CURRENT: March 1. 2010
Describe the change(s): Ihis chan,ge order is to e~nd the comp'!etion date ~y 151 days ~u~ th: Coun~ Site
Development Plan was not~roved until D~r 2Q09. This later dajulushed back the enYironll)e!1l!l1 ove~ for
ltl.e nesloratiol)_plan.tin9!.,
.
Specify the reasons for the change(s) 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
(0' 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If this change order were not processed: The fioaUovoice for this
plJrchase order could not be processed,
This change was requested by: i!contractor/Consultant 17'1 Owner "Using Department C. COES
r DesIgn Professional "RegUlatory Agency (Specify)
r Other (Specify)
.
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ~ Yes r No
This fonn is to be signed and dated.
,
P .
.
APPROVED BY:
Date: L,.:J.. 7-1 ()
,
REVIEWED BY:
Date: J -~/k>16
Revised 11.19.2007
CONTRACTJWORK ORDER MODIFICATION
CHECKUST FORM
Agenda Item No. 16E4
March 9, 2010 /0
Page 28 of 53
"-'-
PROJECT NAME:
PROJECT it. 52013 PROJECT MANAGER: Hank Jon...
BIDlRFP': ~MOD I: 1 POIII: 4500107553 WORK ORDER #:4500107553
DEPARTMENT: FlICilltlu MaIuIu_nt CONTRACTORIFIRM NAME: Vi
Origln" Cc>ntNct Amount:
S 84,880.00
(SlaIting P<mt)
SN/A
(LasI TctalAmount ApprcMld by the BCC)
. $84,680.00
(Induding AI Chanlles Prior To ThIs MocIiftcation)
$2;400.00
$87 ,G8O.00
(1nc:Iudin!l This CIIanlle Older)
Currant BCC Approved 1omount:
Current Cc>ntNct Amount:
CII8nge Amount:
RevIse ContnIc:t/Wortt Ordw Amount:
Cumulative DoIIu VIIIue ell ~ to
th"~_OnIer:
S2,<<lO.oo
. D8l8 of Lot Bee Approval
N1A
Agenda Item,
NA
Percentage of the change over/under current contrllCt 8/nOunt
F"",,..Ia: (R8IIised Amount 1 Last BCC approved amount)-1
283
%
-,-,
CURRENT COMPLETION DATE (5): ORIGINAL:
. this change order will: 0 Add a new Task for S
CURRENT:
xO Increp... Task reimbursable by S2,400.00
Other
Describe the change(s): Additional reimbursable expense charged on a T & M Basis
.
Specify the _OM for the chlll'lge(s) r. 1. PIlInned or EIecIIve r.. 2. Unfo.....n Conditions r.. 3. Quantity
AdJlIlIlrn8nts r 4. Correc:tlon of Errore (Plans, Spec:lfications or Scope of WOItl) r 5. Value Added
C 6. Schedule A1Qusln1enlB Nole: one or mOre may be checked, iI.pending on the nature of the change(s).
Identify all negative implIcts to the project If this change order _re not proGeSSed: Could not complel8 the task.
This change was requested by: rlcontractor/Consultant rl Own.r PI Using Departm.nt C COES
E:oe$ign Professional nR.gullltory Agency (Specify)
r Other (Specify)
CONTRACT SPECiAliST PARTICIPATION IN NEGOTIATIONS: ryes r No
This fonn is to be signa
Dale:
tI"l.-7/IO
I t
1/,10/ ;0
I
1
REVIEWED BY:
Date:
,"-
---_.-
- -. ."--".~.~-_....- -',' -,-
- .....~~ , ..~--_., ---
--.--."-
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
Agenda Item No. 16E4! (
March 9, 2010
Page 29 of 53
PROJECT NAME:
PROJECT It. 52013 PROJECT MANAGER: Hank Jonea
BIDIRFP #: ll6c3I20MOD 111: 2 POI: 4500105744 WORK ORDER 111:4500105744
DEPARTMENT: Facllm- Man"llement
CONTRACTORIFIRM NAME: VI
Orlgl..... ConIrac:t Amount:
I~ </6, tjt:,g.t1t.J
(SIaJting Point)
IN/A
(last TolIII Amount Apr., o.ad by the BCC)
~ 1(,;" '1btJ. IJO
(lndudng AI Changes Prior To This Moditicetion)
$2,400..00
$79...00
(1ncIucIng This Change Order)
Cummt ace Approved Amount:
CUII.1It Contt8ctAmount:
Change Amount:
RevIaed ConlnlctIWort< Order Amount:
Cumu""" DoIIaI'VoIue or Changea to .
th. ConlnlctIWort< 0nIer:
$(17,800.00)
D.... or Last BCC Approval
N1A
Agenda Item #
~~~.I~
NA
p..,.....rtage of the change overIunder current contract amount
Fonmula: (Revised Amount I Last BeC approvad amount)-1
CURRENT COMPlETION DATE (8): ORIGINAL:
. .
CURRENT:
Thla change order will: 0 Add a new Tuk for I
xD Incre~-a Tnk reimbursable by $2,400.00
Other
Describe the change(s): Additional reimbursable expense charged on a T & M Basis
Spec:Ify the reasons for the change(s) iii. 1. Planned or Elective c: 2. Unfo_n Conditions c: 3. Quantity
Adjustments r 4. Correc:tion of EITO/S (Plan.. Speclftcatlons or Scope of Work) r S. Value Added
r: 8. Schedule ArQustments Nota: One or mont may be checked, depending on the nature of the C:hange{S).
Identify all negative impacts to the project If this c:hange order were not processed: Could not complete the task.
This c:hange _s requested by: rlcontractor/Consultant rI Owner PI Using Department r CDES
!!Design Professional nRegulatory Agenc:y (Specify) r Other (Specify)
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: ryes r No
This fonn is to be sig
REViEWED BY:
Date:
1..-1 iD
APPROVED BY:
Date:
/ /IZ8'J/d
I
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda item No. 16E4 I d--
March 9, 2010
Page 30 of 53
."" PROJECT NAME: !Q SCADA Improvements
PROJECT#: 74033
PROJECT MANAGER: Karen Guliani
dlDIRFP #: 05.3785
MOD #: 3
PO#:_P045.101342 (P045-96008)
CONTRACTOR/FIRM NAME:
WORK ORDER #:HM-FT-3785-08-13
DEPARTMENT:__PUPPMD
Hole Montes, Inc.
Original Contract Amount:
$ 32,800
(Starting Point)
$ st Total Am~ Approved by the BCC)
$ 42,800
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
$
o
(change In time only)
Revised ContractIWork Order Amount: $ 42,800
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 10,000
Date of Last BCC Approval:
toIlA
I
Agendaltem~ AliA
Percentage of the change over/under current contract amount Ci ~
Formula: (Revised Amount 1 Last BCC approved amount)-1
'JRRENT COMPLETION DATE (S): ORIGINAL: June 10. 2009
CURRENT:
April 30. 2010
Describe the change(s): This-GIlafIge-GrdeF-is-feF-addilieflaHime-ooly:-'Fhe-lime extension-is-requested due to the
extended construction period, which has been created by materials procurement, additional programming requested by
the county and site issues. Because construction is being extended through the end of April, Hole Montes will require a
120 days time extension.
Specify the reasons for the change(s) 0 1. Planned or Elective @ 2. Unforeseen Conditions (j 3. Quantity
Adjustments (". 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added
..(6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If this change order were not processed: The necessary engineering
construction services would not be available. This Includes detailed observations, system startup and
functionality, review of record drawings and O&M manuals.
This change was requested by: DIcontractor/Consultant X Owner CI Using Department C COES
b.Design Professional DIRegulatory Agency (Specify) LOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This form Is to be signed and da d
~
x Yes
r No
APPROVED BY:
Kar
Date:
rincipal Project Manager
,
~
1- ;;-1- J.tJ / tJ
Date: "2../1/10
Date: cJ./ ;;/ /tP
.
.eJ>PROVED BY:
REVIEWED BY, .
CUI..
t Specialist
Revised 2-22-08
"---"
----~-
-...-..,,-..,
"._.~", ." '_'d__'
'"___ .'.____w____.
,-.-...--."
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4 (~
March 9,2010 .:,;
Page 31 of 53
PROJECT NAME: IQ SCADA Improvements
PROJECT #: _74033
PROJECT MANAGER:_Karen Gulianl
BIDIRFP #: 05-3681
MOD #: 2
PO#:_P045-1 01397 (P045-90950)
CONTRACTOR/FIRM NAME:
WORK ORDER #:_RKS-FT-3681-08-03
DEPARTMENT:_PUPPMD
RKS Consulting
Original Contract Amount:
$ _54,500
(Starting Point)
$ 5~ ",Ip<
(Lllst Total Amount Approved by the BCC)
Current BCC Approved Amount:
Current Contract Amount: $ 54,500
(Including Ail Changes Prior To This Modification)
Change Amount: $ 0
Revised ContractIWork Order Amount: $ 54,500
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $_0
Date of Last BCC Approva I
nla
Agenda Item #
tJJPc
I
Percentage of the change overlunder current contract amount
Formula: (Revised Amount 1 Last BCC approved amount)-1
o
%
CURRENT COMPLETION DATE (S): ORIGINAL: AUQust 29,2008
CURRENT: April 30, 2010
Describe the change(s):_ This Change Order is for additional time only. The time extension is requested due to the
extended construction period, which has been created by materials procurement, additional programming requested by
the county and site issues. Because construction is being extended through the end of April, Hole Montes will require a
120 days time extension.
Specify the reasons for the change(s) C 1. Planned or Elective' 2. Unforeseen Conditions C 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, SpeCifications or Scope of Work) 0 5. Value Added
, 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: _The necessary engineering
construction services would not be available. This includes detailed observations, system startup and
functionality, review of record drawings and O&M manuals.
This change was requested by: rlContractor/Consultant )(Owner rI Using Department C CDES
CDesign Professional C1Regulatory Agency (Specify)__ r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Ff Yes
r No
This form is to be signed and dated.
I
\
(~ Date:
., Principal Project Manager
rJ..-1- J--cJ / D
APPROVED BY:
APPROVED BY:
Date:
2.11 {2DIO
~/~/~/o
REVIEWED BY:
Date:
Contract Specialist
Revised 2-22-08
Agenda Item No. 16E4 ILl
March 9, 2010 (
Page 32 of 53
-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: !9.. SCADA!'1!.I>rovem~nta
PROJECT II: 74033
PROJECT MANAGER: Karen Gullanl
BIDIRFP II: 05-3785
MOO #: 2
POt/;_P045-101342 (P045-9600BI
CONTRACTORIFIRM NAME:
WORK ORDER II:HM-FT -3785-08-13
DEPARTMENT: PUPPMD
-
Hole Mon~e, Inc.
Original Contract Amount
$ 32,800
(Starting Point)
$ - st Total Amoo~proved by the acC)
$ 32,800
(Including All Changes Prior To This Modltlcation)
$ 10,000
Cumtnt Bee Approved Amount
Cumtnt Contract Amount
Change Amount:
ReviMd Contnlc1lWork Order Amount: $ 42,800
(Including This Chenge Order?
Cumulative Dollar Value of Changes to
thle ContrIoc1lWork Order: $ 10,000
Date of Last BCC Approval:
foliA
Percentage of the change overlunder current contract emount
Formula: (Revised Amount I last BCC approved amount)-l
Agenda Item ~ ,,;fA
~ 30.1/9%
CURRENT COMPLETION DATE (5): ORIGINAL: JY!le 10. 2009
CURRENT:
Decmnber 31. 200!!
Describe the change(s): This Change Order is for addnional Engineering Services during Construction. Preparing
additional submittal and exhibits for the County CDES required for the building permit to construct the antennae at IQ
Sites 3 and 4 that were not originally part of the project scope. Because of new longer project construction schedule.
additional funds (time & material) are added to cover the needed contract administration associated with the construction.
All work is under Task II ofWO #HM-FT-3785-08-13.
Specify the reasons for the change{s) ('" 1. Planned or Elective'" 2. Unforeseen Conditions r 3. Quantity
Adjusbnents r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If this change order were not processed: The necessary engineering
construction selVices would not be available. This includes detailed obaelVatlons, system startup and
functionality, review of record drawings and O&M manuals.
This change was requested by: rJcontractorlConsultant x Owner n Using Department C CDES
CDeslgn Professional nRegulatory Agency (Specify) r Other (Specify)
REVIEWED BY:
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This form Is to be sign and da ed.
~
x Yes
r No
Date:
rincipal Project Manager
10/2-1, / IJ '1
Director
Date: IOfu:,/O'f.
Date: /rJtzt(O'
Revised 2-22-08
"-"'- , _._-~.
----'-. -
"'Il _ -~_._-
--~-,
-
-, -."...-...-.
Agenda Item No. 16E4 "
March 9, 2010
Page 33 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAMlt..Radio Road MSTU Phase III Type B Landscape and Irrigation Design Project No. 158-162522
~ 4500107444 (dated 0610312009)
PROJECT MANAGER:_Darryl Richard, RLA, Project Manager. ATM Department
B1DIRFP.: ~ #08-5060 MOD t: ~
POt: 450010744~LWORKORDER': 4500107444
DEPARTMENT: ATM De t CONTRACTORIFIRM NAME: Windham Studio Inc.
Original Contract Amount: $~18.50
(Starting Point)
Cumont sec Approved Amount: $...!!lI
(Last Total Amount Approved by the BCC)
Current Contract Amount: $~8.so
(Including AD Chenges Prior To This Modification)
Change Amount: $--1.!U.OO
Revised ContractlWorl< Order Amount: $ 51i,824.50
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWorl< Order: $ 1.505.00
Date of Last Bee Approval_n1a; Agenda .tam . n1a
Percentage of the change over/under current contract amount~
Formula: (Revised Amount 1 Last BCC approved amount)-l
CURRENT COMPLETION DATE (S): ORIGINAL: October 29. 2999 CURRENT: November 30.2010
This change order will: Add Time and money to Worl< Order; Add Task XI and Task XII
Describe the change(s):
Change is related to (1) additional payment to consultant for time allocated to (a) meeting
attendance for FOOT grant proposal as requested by staff and MSTU Committee. Also,
consultant has requested additional payment (b) for 'soil testing' plans and coordination as per
Staff/MSTU Committee request. Change Also entails (2) 397 days additional time (a) due to
delay in project bidding caused by additional time required in review of planting plan related to
'sight-line' windows <in relation to FDOT Standards) some adjustment in planting design was
required due to this plan review for ROW Penmit; Also, additional time is requested due to (b)
delay caused by 'soil testing' which prolonged the time-line for production of final drawings and
specifications; and adjustment in consultant time to completion to match anticipated construction
completion date.
ADD TASK XI "Grant Application Assistance"
DESIGN ASSOCIATE 0.0 HRS @$75.00 HR
PRINCIPAL LA. ARCH. 9.0 HRS @ $128.00 HR
Total Added Task XI:
-
-
$0.00
j1,152.00
$1,152.00
-
ADD TASK XII "Soli Test Plans"
DESIGN ASSOCIATE 3.0 HRS
PRINCIPAL LA. ARCH. 1.0 HRS
@ $75.00 HR =
@ $128.00 HR -
Total Added Task XII:
$225.00
j128.00
$353.00
$1,505.00
TOTAL ADDED TASK XI & XII:
.
Revised 6 18 09
Agenda Item No. 16E4
March 9, 2010
Page 34 of 53
15"
""'"
Specify the reasone for the change(a) e1. Planned or Elective e2. Unforeeeen Conditione 0 3. Quantity
AdJuetmenta C 4. Correction of Errore (Plane, Specifications or Scope of Work) es. Value Added
. 6. Schedule AdJuetmenta Nota: One or more may be checked, depending on the natu... of the change(s).
Identify all negative Impacte to the project If this change order were not ProceMed: Negative im..Qllct would be
that additional services reguel>ted by the COrylmittee wouJd not be done. Not agproving change would
~arcli?:e the Radio Road MSTU Committe,e solicitation of FOOT Grant Funding. Also, not allProving chang~
would result in no soil test beinQ..performed which would leave the condition of the soil as 'unknown' leadl,ngjQ
both higher bids results and also potential change orders.
This change was requested by: - Contractor/Consultant
- Design Professional nRegulatory Agency (Specify)
.
n Using Department
rOther (Specify)
C. CDES
- Owner
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: n Yes - No
This form Is to be signed and dated.
Date:
1...' 02: !()
2> /0
APPROVED BY:
,-'
APPROVED BY:
Co
.-
,
Revised 6 18 09
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t PROJECT #: ~ PROJECT MANAGER: CL r. " ~
-lob WORK ORDER #: y.n.-ff -o~;.qUl
Agenda item No. 16E4 1(;,
March 9, 2010
Page 35 of 53
1
.
,
jP..u~~{nv 2.
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
V~~AcH
PROJECT NAME: ~.F",~.......I/~
BIDlRFP#: 1J~-3q;).q MOD#:1- PO#:
G-~
DEPARTMENT:
CONTRACTORIFIRM NAME:
Original Contract Amount:
$
07-, 040.c><'
.
(Starting Point)
(02-, e>4o. 00
(Last Total Amount Approved by the BCC)
$ to?.... ~?{o. ~o
(Including All thanges Prior To This Modification)
$ (p( Q '00 .c::>o
$ (Including ~~h~gd:r?iJ'
Current BCC Approved Amount:
$
Current Contract Amount:
Change Amount:
Revised ContractIWork Order Amount:
Cumulativa Dollar Value of Changes to
this ContractlWork Order: . $
t;( OoaOO
Date of Last BCC Approval
~.II.O~
Agenda Item #
Percentage of the change over/under current contract amount 9 ~ s:; %
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: S. \ 2-..1-' CURRENT: 5. t 1-.11
ThIs change order will: 0 Add a new Task for $ rr;yr;;-crease Task ~ by $_C"a:v. 00
lAst:. -z.....~,z.oo.~)_ Ti'6\=- b...lll;.~ C,/t-0
. Other
"
Describethechange(S):j'vt.oyd)E3'_ A-lLr~""--ru~ ~~S( AI~l)
R,x==-v~;;;:' c..o ~ c:...\P--R\C.J A-L- DE:.5urJ fl..ANS
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work). 5. Value Added
('"'6. Schedule Adjustments Note: Ol'le or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed:
VB-si:qr.l ~t\C"?-~~'_'
..-
~nor
II Using Department r CDES
ange was requested by: r1Contractor/Consultant
esig" Professional nRegulatory Agency (Specify)
r Other (Specify)
rYes <
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
REVIEWED BY:
Date: ,oz..,,>./O.
f^ Date: J - 'S'-/O
Revised 6- I 5-09
<,.'
,;
,
~,
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Agenda Item No. 16E4
March 9, 2010
Page 36 of 53
)1
-.
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CONTRACTIWORK ORDER MPDtFICAnON
CHECKUST FORM
PROJECT NAME:
BIOIRFPtI: ~
..
DEPARTMENT:
,. ": "
~
CONTRACTORiFIRM NAME:
..
,
,
<
"",
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Crt' 'i1aJ ContrIctAmount:
';:"'_";;~::~:\" 1,,"" _:"
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(St8l1fnO f>oltIl)
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Cia ;..nt CCA4 Appl'O"Jed Am,....nt:
"",:';t:':':,::::: "- , '-,!', .:", , ' :";,, "';'
":'--'1,_".. ,,'
ii:,~~i:~~,:.,:j_,:,"'i-::: ,- . -" ' :' '. ':
, ...'Umiilt Q<ioltrKt Amount:
:;:;:t~:~;~::':ij:ri;:",:i \ - ,,~',,~,- - ,', - :::':! ".
c~.AmOunt: "
>'v".'r:::,'~;:,-"" - __.c,',-;, "'" ,,,' ' "
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+ r ,-,,;,,', ',_" ,,' ",', ,,' _), , ' ~ , ~\',:;" - '.' ,., ''''~t ' "_'"
:\";"_";-,01,-:,, " -"::"" __;',
ii;:'I:::':;';':::::~::";":';;' : ',){ ,:,,:::"';' ,', " "1';:- .'.; ': ", .':1, :':
... H.... lie cOn ,V.....'~ ' .1 to
C;\Iiri ..~ II 81' .. . Chlmgel$
tl1tf C~oi-kOiif"r: ".... .
,_;i::~f(~}':",~i',!' D,,":~' ;::..-', '~'r~',' -: ::' -;, _'r;,' >:.1.' " '" ,-" ,__ ,,_
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, ';" ":' j ',"'~~ '-, ' '" '~ ," ,', - '- -" -, "
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Regulatory AgencY (specify)
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r other (sPecifY)
..
"
.
, C()ffiRACT SPECiAliSt PA~TICIPATION IN NEGOTIATIONS:
r.r Yes
r No
" .
This form is to be signed and dated.
APPROVEDByn~~.~
"" ~~ Manager" IJ
I..L' 1 ) .
I Specialist
Date:
tj'lfo
Date:
I/~-j; 0
I I
ReVIEWED BY:
Revised 11.19.2007
..-------..
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Agenda Item No. 16E4
,
Page 37 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKUSTFORM
B1D1RFP I:
-
PROJECT #: PROJECT MANAGER &l!!iI..l2!3!lI
I POI: 450011lU8 WORKORflERfI:.EYtI3-fr:-t(I-as
PROJECT NAME: On Cal P .
()7 - I
DEPARl1IIENT:
CONTRACTORIFIRM NAME:
,
Original Contract Amount
$ 24.000.00
(Slarting Point)
J N/A
(Last Total Amount Appfoved by the BCC)
$ 2',4.\!oo.00
(Inclucflllll AI Changes Prior To This Mod"lfication)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount
J 30.000.00
Revised ContractlWorl< Order Amount $ 54.000.l!O
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWorl< Order: $
3O.l!l,!g.Q.O
Date of Last BCC Approvel !ilIA
Agenda IIBm " ~A
Percentage of the change ovariunder current contract amount 125%
Fonnula: (Revised Amount I Last BCC approved amount)-l
"
CURRENT COMPLETION DATE (5): ORIGINAL: N~1(l CURRENT: "l0V!lJllll!r 2010
Thill change order will: 0 Add a .- Task $ 0 Inc,.... Task Number by $
'7>~ ",,'h,t.ndlr~<;; f)-I4UbNtilll ~/e: ..f.-.11,L .
Describe the change(s): Ad(litiona.1 ~rs ~Ulred to complele in J!robIlss T n$llOrtatioiilT" AYe, . r'
Specify the reasons for the change(s) (' 1. Planned or E1KINe n 2. Unfo,l..en Conditions 3. Quantity
Adjustments (' 4. Corrsctlon of Errors (Plans, Specifications or Scope of Work) C 5. Value Added .
C' 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project If this change order were not proceesed: CUlI!'lnt Proj!lClS schedJJI~ for
comp.!etion will not be able to be comple~ due to IT hours required.
This change was requested by: nContractorlConsultant rI Owner n Using Department [[ CDES
Coesi9n Professional r1Regulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: eVes r No
This fonn Is to be sl ned and dated.
APPROVED BY:
Date: Z- (.'S /J 0
/
.
'a e:
I
-
REVIEWED BY:
Date:
9-:5 'I ()
Agenda Item No. 16E4
March 9, 2010
Page 38 of 53
/1
CONTRACTIWORK ORDER MODIFICATION
CHECKliST FORM
,~-,
PROJECT NAME: a
PROJECT II: 800~ 1 PROJECT MANAGER: VI
4SCoiC!o .;n~
WORK ORDER':
CONTRACTOR/FIRM NAME:
BIDlRFP.: !!!:U!LMOD II: 1
DEPARTMENT: PlI
500 oc,::!. 7(::,
Origilllll Contntct Amount
$_117,000.00
(Starling Point)
$ (La'!ltotal Amount Approved by the Bee)
$_117.000.00
(Indudlng All Changes Prior To This Modification)
Current Bee Approved Amount:
Current Contract Amount:
Change Amount:
$
11,665.00
Revieed ContractJWork Order Amount $_128.665.00
(Including This Change Order)
,
CumuletMt Doller V8lue of Chang"" 10
this ContractlWork Order: $
11,665.00
DII18 of Last BeC Approval
N1A
Agenda Item . _N/A
P""""""ge of the change over/under current contract amount
Formula: (Revised Amount / Last BCC approved amount)-1
. .
9.97
%
CURRENT COMPLETION DATE (S): ORIGINAL: Febl\lllIY 7, 2011 CURRENT:
F!,lbrua[Y 7. 20.11
.,_.
This chang" order will: 0 Add a new Task for $
. Increase Task Number
by $_11,665.00
other
Describe the change(s): .
Reguest eddltlonalservlces to chll..!!9!1 from COndition Use as orjglnally anUclP8f!!c! to Razon, aQPlicaUon.
Specify the ",asons for the chang8(s) r 1. Planned or Elective r 2. Unfo",seen COnditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans. Specifications or Scope of Work) r 5. Value Added
6. Schedule AdJustmenlll Note: One or mo", may be checked, depending on the natu", of the change(.).
Identify all negative Impects to the project if thla change order were not processed: A..!Izone aJ!Pl~on will
have to be sllbm~.
This change was requested by: Contractor/Consultant X Owner II Using Department CDES .
!:oasign Professional rJRegulatory Agency (Specify)
r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
REVIEWED BY:
Date:
~/s~o
/ I
_.
Date:
.
Revised 6 18 09
-"'--"""
.
------
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4
March 9, 2010rn
Page 39 of 5317-
.
PROJECT NAME: Generator Fuel Tank, Removal & Replacement. PROJECT #:nla PROJECT MANAGER: Bob Pierce
SID/RFP #: 06-3970 MOD #: 3 PO#:4005103848 WORK ORDER #: 4005103648
DEPARTMENT: Facillti.. Ma""gement
.
CONTRACTOR/FIRM NAME: HS.A Engineers & Scientiats
Original Contract Amount:
$ 138,570.00
(Starting Point)
$~O tJ/A.
(Last Tote) Amount Approved by the BCC)
$152,620.00 ,/
(Including All Chenges Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount: .
Ravlaed ContnlctIWork Order Amount:
$10,900;00
$163,520.00
(Including This Change Order)
.'
Cumulative Dollar Value of Changes to
thiaContnlctlWork Order:
$24,950.00 v'
Oats of Laat BCC Approval ~ ~ Agenda Item # *
Percentage of the change over/under current contract amount~% '7./ '-l %
Formula: (Revised Amount / Last acc approved amount)-l
CURRENT COMPLETION. DATE ($): ORIGINAL: 1/26110
Thla change order will: x[] Add a new Taak for $10,900.00_
: 516110
by$
Other
. Describe the change(s)Unstall 2 monitoring wells to monitor pollution found during building K & J tank removal.
. Specify the reasons for the change(s) C 1. Planned or Elective (0" 2. Unforeseen Conditions (" 3. Quantity
Adjustments. C 4. Correction of Errors (Plans, Specifications or scope of Work) C 5. Value Added
(': 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
.. !.LHkdtl k--
Identify all negative impacts to the project if this change order were not processed: Count,)! fined by State.
This change was requested by: CIcontractor/Consultant I:"] Owner 01 Using Department C CDES
['.;Design Professional CIRegulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALIST PARTiCIPATION IN NEGOTIATIONS: 0 Yes . [;': No
APPROVED BY:
CUd
Bo lerce, Project Manager
Date: 2/5/10
. This form is to be signed and dated.
REVIEWED BY:
)
Date: ~/:;JD
Re'Vised 7-14-09
..-., "'.~,~....,,.~,'.,..,,- -
CONTRACTIWORK ORDER MODIFICATION
Agenda Item No. 16~ I
March 9, 2010
Page 40 of 53
PROJECT NAME: Underground Storage Tank Removal: 4315 Bayshore Drive PROJECT MANAGER: David L. Jackson
BID/RFP #: 08-3970 MOD #: #2 .PO#: 4500111875 WORK ORDER II: PQ# 4500111875
DEPARTMENT: Bayshore Gateway Triangle CRA CONTRACTOR/FIRM NAME: HSA Engineers & Scientists
Original Contract Amount:
$ _49,200
(starting Point)
$ (La~al Amount Approved by the BCC)
$_61,950
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current ContrllCt Amount:
Change Amount:
Revised ContractlWork Order Amount:
$_12,000
$_73,950
(Including This Change Order)
$ 24,750
Date of Last BCC Approva'_NA Agenda Item # _NA
Percentage of the change over/under current contract amount_ -? ~ % i q.;l of.
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: Februarv 1. 2010
,
: September 30, 2010
Describe the change(s): Original Worl< Order Task 2 is modified to include an increased amount of contaminated
soil removed from the project site - above and beyond the original estimate of soil to be removed.
Specify the reasons for the change(s) 1. Planned or Elective XX 2. Unforeseen Conditions XX 3. Quantity
AdJustments' 4. Correction of Errors (Plans, Specifications or Scope of Work) 5. Value Added
XX 6. Schedule Adjustments Note: One or more may be cheeked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: To complete the required
environmental cleanup. ground water must be sampled and tested. This cleanup process, once begun, is
progressive until all impacted soli is removed, and the ground water Is found to be clean.
This change was requested by: lcontractor/Consultant XX Owner
_Design Professional !Regulatory Agency (Specify)
I Using Department _ CDES
Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Yes
XX No
This fonn is to be sign,'W and dated.
APPROVED BY: /\.( ct.(;A..-o.'(;
David J ckson Project
REVIEWED BY:
'2--
Date: ()"2 fa I/;V
I
Date: d/r;/Io
-.
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PR C NAME' 2009-003P Golden Gate Beautifl tion MSTU - Landsca
f!rkway & Hunter Blvd.} .
ffiQ,lECT#;~!iI'I~ /JIlt-
PROJECT MANAGER: Darryl Richard. RLA, Project Manager, A TM Del!jlrtment
BIDlRFP.: 08-5060 MOD': p2 (twol PO#: 4500107120 WORK ORDER': 4500107120
.
DEPARTMENT: ATM Dept CONTRACTORIFIRM NAME: McGee & Associates
Cu....nt Bee Approved Amount:
$ 73,401.00 .
(Starting Poi~l)
$ n/.
(Last Total Amount Approved by the BCC)
Original Contract Amount:
Current Contract Amount:
"
$ 86,651.00 ,/
(Including All Changes Prior To This Modification)
Change Amount:
$ 8,730.00
l..-'/'
Revised ContractlWork Order Amount: $ 95.381.00 "
(InCluding This Change Order)
Cumulative DoUar Value of Changes to
this ContractlWork Order: $ 21.980.00 V
Date of Last Bee Approval
NiA
Agenda Item' _NiA
Percentage of the change over/under cu....nt contract amou~
Fonnula: (Revised Amount I Last BCC approved amount)-1
CIJRRENT COMPLETION DATE (5): ORIGINAL: ~tember 19, 2009 CURRENT: November 28,2010
Thi~ change order will:
t8:I Addnncrease to existing Task 3.1.2 for $1,740.00
t8:I Add/Increase to existing Task 3.1.2 for .54.000.00
t8:I Addllncrease to existing Task 4.1.2 for $1,740.00
t8:I Add/Increase to existing Task 7.1 for }1,25O.00
Describe the change(s):
Task 3.1.2 for $1,740.00 Additional fee paid to Prime Consultant (McGee & Asso.)
Task 3.1.2 for $4,000.00 Additional fee paid to Sub-Consultant (Norm Trebilcock, P .E.)
Task 4.1.2 for $1,740.00 Additional fee paid to Prim Consultant (McGee & Asso.) for update to irrigation plans
Task 7.1 for $1,250.00 Additional reimbursable for Water Use Permit, and related permitting fees
5!illanation for Time Added: 120 days additional time is added to contract for 'Contract Administration' time allocation
which is 120 days construction contract time period.
Specify the reasons for the change(s) e1. Planned or Elective r 2. Unforeseen Conditions 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) es. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: Neqative impact would be
that the QIQject (Desiqn Hunter & Coronado) would not benefit from consultant services that are necessarv.JD.
order to ensure successful construction of the QIQject. '
This change was requested by: - Contractor/Consultant - Owner n Using Department r COES
Revised 6 18 09
.
- Design Professional rJRsgulatory Agency (Specify)
Agenda Item No. 16E~'7"
March 9, 201......c.q
r:Other (Specify) Page 42 of 53 .
__ CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: ryes - No
This fonn Is to be slgnscl end da
APPROVED BY:
P
APPROVED BY:
_.
-
Revised 6 18 09
-
.-"
"'._~-
,,-,.;- -.-
Date:
Date:
.
rnjosp
~ II) rm
--.-.
.
~"._-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Corridor Management Planning Support Services PROJECT #: N/A
ROJECT MANAGE 'MlcJ1ael Greene
o O/~
BIDIRFP MOD #: 001 PO# 45-104665 WORK ORDER #: AIM-FT -4198-09-01
DEPARTMENT: Transportation Planning CONTRACTOR/FIRM NAME: AIM Engineering & Surveying
Original Contract Amount:
$ 40,000.00
(Starting Point)
$4~.00 NI^
(last Total Amount Approved by the BCC)
$40,000.00
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
$
0.00
Revised ContractIWork Order Amount: $40,000.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 0.00
,
Daf.e of Last BCC Approval: NIA, work order at $40,000.00 under existing an annual fixed term contract Agenda 118m # N1A
Percentage of the change over/under current contract amount: 0%
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: February 10. 2010 CURRENT:
Describe the change(s): Time extension only requested for completion of survey and deliverables
Specify the reasons for the change(s) Co 1. Planned or Elective C 2. Unforeseen Conditions 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5, Value Added
@ 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: The consultant will not be able
to deliver the final language and exhibits as directed to finalize implementation of the County's Corridor Management Plan
as previous approved by the Bee in GMP amendments
This change was requested by: C!Jcontractor/Consultant a Owner m Using Department !J CDES
DDeslgn Professional nRegulatory Agency (Specify) nOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: eYes
R1 No, no negotiations necessary
This form is to be sig
Date:
2' I z
~0
APPROVED BY:
REVIEWED BY:
Date:
rJ-. / ()
D
o !tact Specialist
.
Revised 11.19.2007
Agenda Item No. 16E4
March 9, 2010 OJLl
age 4 of 53 .,
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
ID
PROJECT NAME: 1.75 I Immokal.. Rd Interchange Support Services PROJECT #: 60109.1
ROJECT MANAGER: MI~ Greene
BIDIRFP #: JIr 7 -If I ~7JOD #: 002 POI 45-100167 WORK ORDER #: AIM-FT -419B-08-D4
DEPARTMENT: Transportation Planning CONTRACTORIFIRM NAME: AIM Engineering & Surveying
Original Contract Amount:
$ 45,460.00
(Starting Point)
~ N/A
(last Total hnourd Approved by the BCC)
$45.460.00
(Including All Changes Prior To This Modification)
.
.
Current BCC Approved Amount:
Current Contract Amount:
Chenge Amount:
$
0.00
Reviaed ContractlWork Order Amount: $45,460.00
(Including This Change Orde"
Cumul8tiw Dollar Value of Changes to
this ContractlWork Order: $ 0.00
Date of Last BCC Approval: N/A, work order at $45,460 under existing an annual fixed term contract Agenda Item # NlA
Percentage of !he change overlunder current contract amount: 0%
Fonnula: (Revised Amount I last BCC approved amount)-1
,....."
CURRENT COMPLETION DATE (5): ORIGINAL: M!rl;I117. 2009 CURRENT:
-
Describe the change(s): Time extension only requested fbr completion of survey and deliverables
Specify the reasons for the change(s) 0 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added
@ 6. Schedule Adjustments Note: One or more may be checked, dependIng on the nature of the change(s).
Identify all negative Impacta to the project If this change order were not processed: The consultant will not be
able to deliver the final ROW maps needed to acquire the final pIeces of ROW for the Improvements along
Immokalee Rd for the '-75 ( Immokalee Interchange
This change was requested by: DIcontractor/Consultant 0 Owner ~ Using Department 61 CDES
!:Joeslgn Professional ORegulatory Agency (Specify)
DOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes Ri No, no negotiations necessary
_.
Date:
Contract SpeCialist
Date:
!J- I tJ
i)
REVIEWED BY:
.~._..
Revised 11.19.2007
^ ....~~..,__,__ ... <M..... U _.-
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"
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
\
t>
PROJECT NAME: Horizon Study Tran~ortation Infrastructure Needs Assessment Update PROJECT #: N1A
ROJECT MANAGER: Michael Greene
BIDIRFP #: U. -41 ~OD #: 001
PO# 45-100168
WORK ORDER #: AIM-FT -4198-08-D3
DEPARTMENT: Transportation Planning CONTRACTOR/FIRM NAME: AIM Engineertng & Surveying
Original Contract Amount:
$ 49,920.00
(Starting Point)
,
$4~ H/A
(Last Total Amount Approved by the BCC)
Current BCC Approved Amount:
Current Contract Amount:
$49,920.00
(Including All Changes Prtor To This Modification)
Change Amount:
$
0.00
Revised ContractIWork Order Amount: $49,920.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ConlractIWork Order: $ 0.00
Date of Last BCC Approval: N/A, work order at $49,920.00 under existing an annual fixed term contract Agenda Item # N1A
Percentage of the change over/under current contract amount: 0'1. ...
Formula: (Revised Amount I Last BCC approved amount)-1 '
CURRENT COMPLETION DATE (5): ORIGINAL: Julv 10, 2009 CURRENT: ~ue$m)ut4 2Q1Q
Describe the change(s): Time extension only naquested for completion of survey and deliverables
Specify the reasons for the change(s) 0 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added
@ 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
.
Identify all negative impacts to the project if this change order were not processed: The Horizon Study is an
ongoing process and continued consultant support is necessary
This change was requested by: CiContractor/Consultant CI Owner [!jl Using Department Q CDES
QDesign Professional D1Regulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
~ No, no negotiations necessary
This fonn is to be signed and dated.
APPROVED BY:
Date:
---
Date: '7 {-z I to
:>-
REVIEWED BY:
Revised 11.19.2007
:<7
" -
PROJECT NAME:
BIDlRFP #I: 9!::U!L.MOD #I: 1
DEPARTMENT: P
PROJECT II: 80015 PROJECT. GER: n R
J>
POII:_45001gQB WORKORDER~', 1'-f5>t:JO/dP8d 8
,)$
CONTRACTIWORK ORDER MODIFICATION
CHECKlIST FORM
--
CONTRACTOR/FIRM NAME:
OrIginal contract Amount:
$ 2O.l!,4O.oo
(Starting Point)
$~ tV/A..
(Last T.>>at Am~;.:r~ by the BCC)
$_20,340.00
(Including All Changes Prior To This Modification)
$_ 2,005.00
Current see Approved Amount:
Cu....nt Contract Amount:
Change Amount:
Revised ContractlWork Order Amount: $_22,345.00
Oncludlng ThIs Change Ortler)
-
Cumulative Dollar Val.. of Changes to
this ContractIWork Order: $ 2,005.00
Date of Last ace Approval
NlA
Agenda 118m II
N/A
Percentage of the change _under current contract amount
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (8): ORIGINAL: Dec;erober 28. 2Ql)9
9.8;
%
CURRENT:
by $_Z.OO5.oo_
.'~~
This change order will: 0 Add a n_ Task for $
other
o Inc...... Task Number
Desc:r1be the change{s): J;lue to ""~ rail'!. 11'!;!sW!lU!-ti!~~ !!nvl"9"n"lll!!Wl.co~d ~ do ext~
~Iated with plantlngs on the ~wetland. . . .
Specify the reasons for the change(s) r i. Planned or Elective X 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of ErI'Ol'S (Plans, Specifications or Scope of Work) r 5. Value Added
X 6. Schedule Adjustments Note: One or more may be checked. depending on the nature of the change(s).
Identify aU negative Impacts to the project If thia change order _re not processed: Plam_ may not survive.
This change was requested by: X Contractor/Consultant X Owner rl Using Department r CDES
Coeslgn Professional nRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Ves X No
This fonn is to be signed and dated.
Date: d./I/IO
APPROVED BY:
-'-. REVIEWED BY:
Revised 61809
..,,_._.._-~,~_.~, ,--.-.
""".~<>".._,..,_...,.."..-.-~-"
...~"..
,--,,-,"'~.-
CONTRACTIWORK OROER MODIFICATION
CHECKUSTFORM
~~Ite~~c{.t.d'~,c,
March 9.;, ~~~ -;;1.1
Page 4p
PROJeCT NAME:
PROJECT MANAGER: QIlbrB ~rII8Il
PROJECT #: 46037
BlDJRFP II: 05-3889
MOD #: 3 POll: ~600714QO0102.642 WORK ORDER #:_URs.FT-3889-08-03
DEPARTMeNT: Airport Authority
CONTRACTORJFlRM NAME:jJRS Co~
Origlnal Contract Amount
$ 209.fl42
(StBrtilg Point)
$ 209,842
(Last To\llI Amoonl Approved by the CCAA)
$ 2D9,ag
(lndudlng AU Changes PrIor To This Modification)
tJW( 0.00
Cumlllt CCAA Approved Amount:
CunentConba~~unt
Change Amount
Revis.d ContractJWork Order Amount: $ 209.e~2
(Indudlng This Chang. Order)
Cumulative Dollar Value of Chang.. to
\hie ContractJWork Order: $ -JPJ- o. 00
Dal8 01 Last CeM Ap"",val
5/12108
Agenda Item II VlII.E.
Percentage of lhe chang. owr/under current contract amount .JiJH{ 0 'Yt
Formula: (Rll1Iised AmClWlt I Last CCAA approved amoun\)-1
.-
COMPLETION DATE (5): ORIGINAL: 1/31109 CURRENT' 61112010
Percentage of the change over/under current contract time
Formuia: (Revised Amount/ Last CCM approved amoun!).1
Describe the change(e): Extend the Project Schedu.le 120 days dll~ to permitting delays.
22
%
Specify the reasone for lhe change(s) (-1. Planned or Eled:lve r2. Unforeseen CondltiOR$ r 3. Quantlty
Adjustments r 4. Conecrtlon of Errors (Plans, Speciflcatiom. or Scope of Work) r 5. Value Added
to" 6. Schedule AdjUlllbnents. Note: One or more may be checked, depending on the nalure of tl'ie chBnge(s).
~:...-.-
Identify all negative impacts to tile project If this change order were not processed: CCAA wnl not bEl "bleto pl.d
~
This change was requested by: rlcontractorlConsultant PI OWner n Using Department C. COES
!:Design Professional C Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTiCIPATION IN NEGOTIATIONS: PI Yes
rI No
This form is to be signed and dated.
Dale:
<J./II/to
APPROVED BY:
REVIEWED BY:
Oale:
,:;...!/{;/ID
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