Agenda 04/13/2010 Item #16E 6
Agenda Item No. 16E6
Aprii 13,2010
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.
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 February 16, 2010,
through March 23, 2010.
FISCAL IMPACT: The total change to contracts is $107,196.24. The total change to work
orders is $117.649.20.
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 iisted change orders and changes to work orders
PREPARED BY: Diana De Leon, Contract Technician, Purchasing Department
ttem Number:
Item Summary:
Meeting Date:
Agenda Item No. 16E6
April 13, 2010
Page 2 of 53
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16E6
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board-
Approved Contracts.
4/13/20109:00:00 AM
Contracts Technician
Date
Prepared By
Diana DeLeon
Administrative Services
Division
Purchasing & General Services
31301201011:51:45 AM
Approved By
Director. Purchasing/General Services
Date
Steve Carnell
Administrative Services
Division
Purchasing & General Services
3130/20101:25 PM
Approved By
Date
Len Golden Price
Administrative Services
Division
Administrator - Administrative Services
Administrative Services Division
4/1/20105:16 PM
Date
Approved By
OMS Coordinator
County Manager's Office
Office of Management & Budget
41212010 9:21 AM
County Attorney
Date
Approved By
Jeff Klatzkow
4/5/20109:49 AM
Manager. Operations Support - Trans
Date
Approved By
Therese Stanley
Office of Management &
Budget
Office of Management & Budget
415/2010 5:31 PM
Approved By
Management/Budget Analyst, Senior
Date
Mark Isackson
Office of Management &
Budget
Office of Management & Budget
416/201011:59 AM
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E6
~riI13, 2010
;0z o.cra~f)ffi3{)
\i0/
PROJECT NAME: Everalades A/rnarl< HanaarCenstnJetion PROJECT #: ~ PROJECT MANAGER: DebbleBrueaeeman
BlDIRFP '" 09-5209
MOO II: -L PO#: 45oo1D7965
WORK ORDER #: N/A
DEPARTMENT: A1roort Aulhoritv CONTRACTOR/FIRM NAME: Coral Sand. ConstnJCljon Co LLS
Original Contract Amount: $ 299 984 50
(Starting Point)
Current CeM Approved Amount: $ 311 944 <45
(lut Total Amount ApProved by the CCAA)
Cu......t ContrectAmounl: S 311944.<45
~ncluding All Cha~ Prior To Thla Modification)
e~!~e Amou"nt: $ 83 313.30
~~.~Ork On:r.r Amount: $ 39525775
QndudtlllJ This Change Order)
Cumulative Don., Value of Changes to
. th;e Coritractlwork Order: S 95 273.25
0.1e of Last CCM Approval
1/11/16
Agenda Item # WI B.
Peri:an'1'geoflhe chango ov.r/Under current contract amount
Formula: (R.."aied Amount /last CCAA approved amounl)-1
C!JRRENT COMPlETION DAlE (5): O"RIGINAl: D9I15109
2!f ~"1\ %
CURRENT:
212a110
Thisohange order will: 181 Add a new Tasks for $a3 313.30 0 ,"""'_ rallk Number _ by $
.. . . . . J. . ", ,-. / /
.Detlfrlbe ~e cllaneels): &.'dleclrical ~ot in oriainal contract_ ~..-u..&:.#. Wft ~ tc.Jtl4 ~~~,
. (J/U.l)......d ..:?>~ .' /,tJ...b. <1A d' . ' 4.l~$i-1!. .
S~jf'( th.e ree50mI f~rthe.cha. ng-<.s) 1~ or itltC~",,~..~ndltiOn$' ~~ ~
Adlu5tments . r 4, Correction of Errol'll (Plans, Spec/flcatlons or Scope of Wolit) a' 5. Value. Added r 6. l:>.
Scheduls Adlustments Note: One or more may be checked, depending on the natul'll of tbe chang8(s).
COesign Professional rJRegulatory Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r Other (Specify)
r Yes r No
.",
~
o:s
~.
~
r:c,
~
~
;f
~
...
~
"\"..
Identify all negative Impacts to the project If this change order were not processed: T-hanoars at Everaladas
Airpark will no! have electrical s'ilrv1ce
This change was requested by: rJContractor/Consultant P'I Owner
n Using Department C COES
This lorm is to be signed and dated.
APPROVED BY: Q.f<-u.J 13-<-<~, ';" n,..,
roject Manager' /
REVIEWEO BY:. ~ 111 UJt~
Cent ct cia/is
Date: ,Jllt-I/u
~ /
Dale:
,.}/ /~!tD
Revised 7-14-09
Agenda Item No. 16E6 "
April 13, 2010 .,..
Page 8 of 53
CONlRACTIWORK ORDER MODIFICATION
CHECKUSTFORM
PROJECT NAME: Everaladell AimetI< HanoarC""strucllM PROJECT II: ...JiOOl!lL. PROJECT MANAGER: Debbie Brneoaeman
BIDiRFP '" 09-5209
MOD#:~ POlJ: 4500107965
WORt< ORDER /I: NlA
DEPARTMENT: AlfIlort Aulhorllv CQNTRACTORlFIRM NAME: Coral Sand. eon.1nlclion Co LLS
0rI9lnal Contract Amount: $ 299 984 50
(starti1g Polnlj
Cul'J8llt CCAA ApptlMld Amount: $ ~95 2IJ7.75
(last ToIal Amount Approved by1he CCM)
C4mlOlt ConnctAmoUftt:
.;;';;:),
Amount:
<?~lt~ort Order AmOU~t:
$ 395 257.75
(includlng AD Chlnget Prior To Thi$ Modification)
$ 8758 18
$ 404.015.91
(I1lCludlilg Thl8 Change Old<<)
$ 10.4031,4
Iii'!'
Dataof,L&st~APpro..a1 , , ~/l1nO
Pef\::"""lJIt. of tI1e change overfum:fe
Formula: (Revioed Amounl/lMt CC
CURRENT COMPLETION OATE (8); ORIGINAL: 09115109
Thls,duInge order will: 181 Add a new Taw for $8.758 15
Agenda
,'.;:r
h.'1
i,
2.~ %
CURRENT:
.~
3/30//0
. ...
o Increas8 Task Number____ by $
QlIS~l~ the~lUIiIe($): Add drv wall to aoc:ommodale taller interior waRs lhan sDecified in bid doCtlrnems and orovjde lbr eIedl1cal
hook-110 10 LCEC;
S~ tl1;t. !'elSonB for th~ ~hlln9~(8r.(" .1. PhlOned 9r Elective t4' 2~ Unfore""en Condltionli\3. Quelltlw
A~~.(" ,4: Correction of Errol'll (plans, S~cmcalloll$ or Scope of Worklt' S. Ya.lu~. Mded (' 5.
Seheduh!t Adfuatmenta Nola: O~~ or more may be. ell8cked, depending on the nature ofth~etilln~e(8).
Identify all negative Impacts to the projlll;t if this chaJ1ge order were not proeessed~ CeM will be unable to
comolate reconslrur;:lion of T -hanaar bulldinll al Everolades Alrnark.
this change was requested by: f1contractorlConsultant 171 Ownor n Using Depa$tent C COES
!:Design Professional r1Regulatory Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIAnONS:
This fonn is to be signed and dated.
APPROVED BY: ~hag14<' V' ,;7 '.-.'."....4"
REVIEWED BY: &r 7~1 ti) d
n, Specla 1St
r Other (Specify)
rYes r No
Date: ~ Ilu/IO
,
Date:
J lib/It)
I I
Y;UYorkOrtJer.,-COlJlrocn MiJc'CQIYlJ SanfbjCoralSandsCO #</ ModForm-J:JJl T-hangar P.l(lctrico{ (l-ll-W),doa
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
PROJECT NAME: NCRP Boa_lk PROJECT II: _80602_ PROJECT MANAGER:
BIOIRFP I/: 09-11233 MOD I/: PO#: 4500109158 WORK ORDER II: ......11t158
DEPARTMENT: Parb & Ree_tlon CONTRACTORIFIRM NAME: HHthe_ Construction Comoan!..
3
Original Contract Amount: $ _159,183.00
(starting Point)
Cumtnt Bce ApProved Amount: $_159,183.00
(last TotaJ Amount Approved by the BCC)
CumontContl'llctAmount: $_159,1113.00
(Including All Changes Prior To This Modification)
Change Amount: $_11,223.78
Revised ContnlctlWork Order Amount: $_ 168,416.78
Onclur:fmg ThIs Change 0rtIer?
Cumulmlve Dollar Velue of Chang.. to
lhla ContractlWork Order: $_ 11.223.78
DafaofLaat BeC ApProval_5J26109 Agenda It8m "_16013_
Percentage of the change over/under cumont _ct lIIIIount_5.79_",
Formula: (Revised Amount / Last BeC approved amount)-1
CURRENT COMPlETION DATE (5): ORIGINAL: February 15. 2010 CURRENT: ADrlll. 2010
This change ordar will: 0 Add. new T_k for $
o Inc"",.. Task Number _ by $_9,223.76_
Specify the reasons tor th change(s) r 1. Planned or Elective 2. Unforeseen Conditions 3.xQuanllty
Adjustments r 4. Correction of Errore (Plans, SpecIflcationa or Scope of WOrk) S. Value Added
X 6. Schedule Adjuatrnenta Note: One or more may be checked, depending on the nature of the change(s).
Id~ all negative Impacta to the project if this change order were not procasaed: Need addi60nal time to
comD1et8 the Drolect
Thie change was requested by: X Contractor/Consultant X Owner
Loeslgn Professional nReguJatory Agency (Specify)
n Using Department C CDES
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
This tonn Is to be signed and dated.
APPROVED BY: To
-;j1;;;
Dale. I J
REVIEWED BY;
Revised 6 18 09
Agenda Item No. 16E6 1-
April 13, 2010
Page 10 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Naples Station Museum Phase IV PROJECT #: 50401 PROJECT MANAGER: Gary Vincent
~OIlO't3t
BID/RFP #: 09-5242 MOD #: 3 PO#: Nna. WORK ORDER #: N/A
PBS C",.4~cto,-s
DEPARTMENT: Museum CONTRACTOR/FIRM NAME: p......lcll:!c;...."""1 1:1..:1..,;-, Ir'~ ~ -- I ~e,.,~
Original Contract Amount: $ 98,238.00
Current BCC Approved Amount $113,467.49
Current Contract Amount $113,467.49
Change Amount $ 3,184.95
Revised ContracUWork Order Amount $ 116,652.44
Cumulative Dollar Value of Changes to
thie ContractIWork Order: $ 17,052.74
Dale of Last BCC Approval: June 9, 2009 Agenda Item # 16014
Percentage of the change over current contract emount +2.8.%
Formula: (Revised Amount f Last Bee epproved amount)-1
CURRENT COMPLETION DATE ($): ORIGINAL: November 30,2009
CURRENT: April 23, 2010
This change order will: 181 Add a new Task for $3,184.95 0 Increase Task Number _by $
Other: Increase lump sum contract amount by
Describe the change(s): Remove and replace five (5) damaged 2"x8" ceiling joists with new treated lumber
(SYP). Sister up seven (7) new 2"x6" ceiling joists with new treated SYP. Furnish and install treated 2"x4"
parapet cross bracing. Design, permit and install two additional fire sprinkler heads in the Station Master's
Office (Room I09E) and repair two additional holes in the ceiling.
Specify the reasons for the change(s) r 1. Planned or Elective X 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 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: Renovations to the Naples
Depot Museum could not be completed and it would never open as a Museum.
This change was requested by: ! ContractorfConsultant n Owner ! Using Department 1:. CDES
! Design Professional Regulatory Agency (Specify) City of Naples r Other (Specify)
!Yes
r No
APPROVED BY'
Date: ,;J./.a~ :;J.o1 0
Date:
z. Zt.. (0
Date:
'Z12~/IO
I .
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
~
PROJECT NAME: 011 Well Rd PROJECT#: ~ . PROJECT MANAGER:~
BIDIRFP': ~MODII: 1 POII:_4500115601 WORK ORDER II: r"/J.
DEPARTMENT: T eM CONTRACTORIFIRM NAME; Mitchell & Stark ConstrucDon Inc.
Original Contract Amount: 39 1U ilB 18
(SIIIrtlngPolnQ
CurrentBCC Approved Amount: 3918.& 999.18
(Last Total Amount Approved by the BCe)
CummtContractAmount: 3Q is( 999 18
(Including All Changes Prior To This Modification)
Change Amount 91756
Revluc:l Conb'aet1Work Order Amount: $ 39 18591674-
(Inducting This Change Orde~
CumulaUve Doller Value of Changes to
thl, ContractlWork Order: 911.58
Date of Laat see ApproVIII
12/15J2009
Agenda Item #-UllL
00)..
. IYQ8!' %
Percentage of the ching_ overfunder curnnt contract amount
Formula: (Revised Amount I Last BCC approved amount}.1
CURRENT COMPLETION DATE (8): ORIGINAL: March 15 2012 CURRENT:
March 15 2Q12
This chang. order will: 0 Add. new T..k for $_ 0 Inenta.. Task Number --1-- by S--I1LH.-
othet
Oescribe the change(a): Correct roundlna error In bid IS&e Attached Exhibit A}
Specify the r..sona for the chlng.(.) n 1. Planned or Elective X 2. Unforeseen Conditions n 3. Quantfty
Adjustments 0 4. Correction of Errore (PI.ns, Specifications or Scope of Work) 0 $. Value Added
C 6. Schedule Adjustments Note: One or more m.)' be checked, depending on the mlt.... ofthe,.ch nge(s).
r::t Owne, X Using Departmenl lJ CDES
Coeslgn Professional DtRegulalory Agency (Specify) OOth., (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: X Yes 0 No
APPROVED BY:
APPROVEO BY:
APPROVED BY:
REVIEWED BY:
{\K. '4 0-.. 'J..111b" &
Revised 6 18 09
Date: LA ,~t>
,. ,
Date: '</11 (, 0
Date 1Pf
Date ~o
CONTRACTIWORK ORDE;R MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E6 ,
April 13, 2010
Page 12 of 53
PROJECT NAME: Imlllok.11!1! Rd PhUI!C II & III {J.7S Inler~h.IlnPe to Comer Blvd lCR-9sn
PROJECT If.: 6604$.1 - 66042, 1
PROJECT MANAGER: Bob Petersen l
BID1RFP~ 2J:mi MOO'#:M POl:~ WORK ORDER I: ,J/~
DEPARTMSlT: TransDortatlon ATM DeDL LandSC8D. CONTRACTOR/FIRM NAME: Hannula LandscaDina Inc.
Original Contract Amount: 81,& 836 34
(Starting Point)
Current Bee Approved AmountS1' 836.34
(last Total Amount Approved by the Bee)
Current Contract Amount: 619558.95
(Incll:lding All Changes PFior To This MOdification)
Change A"!ount: 1 31200
Revised ContractIWork Order Amount $ 620 810 95
(I~ing Ttlls ChaFlge Order)
Cumulative Dollar Vafue of Change. to
th1l ContractlWork Onter: $ -15 50.7.048\+3 530 M+4 700.00+C112'" 034.B1
Date of Lut Bee Approval 03itllI2DDI
. Agenda Item' 1,6..8-5
Percem.ge of the chin", overfunder current contra!:' .mount~%
Formula; (Revised Amount I L.asI BCe approved amount)-1
CURRENT COMPLETION DATE 'S~: ORIGINALt November 03 201?9
CURRENT:
Febrnarv 2~ . 2010
This change order will: 181 Add. new Task for $~ 0 Increase 'task Number _by' $-
Other
Describe the cbange(s):- Describe ttie c:b.bge(s):~ Add~d 8 MnnJvomerv Palm! to Phas~ III
Chanpt Order DeseriDtton' Iillmokllte Rd Phase 11&111_ n.7~_CR.95n
Oeseri do..
U.it Cost
T_
MOOI me PalmsAddlO hasclll
IrQ.A. S 16400 S I 312.00
TObll Addillons S I 12.00
Tobl! Ddcllom 0.00
NttChan e SI 12.00
Specify the reasons for the changels) (i 1. Planned or Elective r 2. Unforesee~ Conditions (!. 3. Quantity
Adjustments C. 4. Correction of Errors {Plans. Specifications or ScoP!it of Work) (". 5. Value Added
('" 8. Schedule AdJUstment. Note: One or more may be checked. depending on the nature of the. change(s).
Identify .11 negative In:!pacts to the project If t.his change order were not processed:.
This change was requested by; l3Icontractorl~onsultant 01 Owner GI Using Department 0 coes
EOesign Professional OtRegulat~ry Agency (Specify) nOther (Specify)
CONTRACT SPE;CIALlST PARTICIPATION IN NEGOTIATIONS: 0 Yes [j No
This fonn is to be signed and dated.
Date:~(~-o
APPROVED BY:
APPROVED BY:
;Z .2,:),. 10
~/~Ifo
REVIEWED BY:
. Revised 6 18 09
Agenda Item No. 16E6 . f
April 13, 2010
Page 13 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: MKY Aoron & Exoansion PROJECT #: 46018/46034
PROJECT MANAGER: Bob Tweedie
BIDIRFP #: 09.5245
MOD #: -L- PQ#: 4500112451
WORK ORDER #: N/A
DEPARTMENT: Ai crt Aulhorit
CONTRACTDRlFIRM !tAME: DeAn elis Diamond Construction
Original Contract Amount;
$ 645207.63
(Starting Point)
Current BCC Approved Amount:
$ 645 207.63
(Last Total Amount Approved by the CCAA)
$ 645207.63
(Including All Changes Prior To This Moditk:ation)
$ 5,433.00
,/
Current Contract Amount:
Change Amount:
Revised ContractJWork Dreier Amount: $ 650 640,63
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Dreier: $ 5,433.00
Date of Last CeM Approval 8/10/09
Agenda Item # .Jm.!.JL
Percentage of the change over/under current contract amount.84 %
F ormuta: (Revised Amount / Last CCAA approved amount)'1
CURRENT COMPLETION DATE (S); ORIGINAL:
6/1/10 CURRENT: 611/10
This change order will: x Add a new Task for $ 5,433.00
Other
o tnerease Task Number _ by $
Describe the change(s: Replace a Florida Power & Lioht hand hole not previouslv located and therefore not included on
the bid set of plans.
Specify the r~ons for the change(s) 'b 1. Planned or Elective 2. Unforese!'n Conditions ' 3. Quantity
Adjustments 4. Correction of Errors (Plans, Specfficatlons or Scope of Work). 6. Value Added
" 6. Schedu e 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: Contractor could not continue
workino on the proiect
This change was requested by: '-!contractor/Consultant i"l Owner r'l Using Department C COES
COesign Professional nRegulatory Agency (Specify)
"Other (Specify I
FP&L
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Yes
KNO
Date: ~ ,',', ) /"
Date:
3/3/f()
/ I
':\I1;,!di:< [)i:ull\,nJ\\1,,,1 1:1 \110;. Y "l1hlll&I':lr\.;mg E\pmhHIrI doc X
Agenda Item No. 16E6 _?
April 13, 2010 0
Page 14 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Physiclan Led Access Network PROJECT #: _N/A_ PROJECT MANAGER:_Marcy Krumbine_
BID/RFP #: 10-5428_MOD #: i--PO#:
WORK ORDER #:_N/A
DEPARTMENT: HousinQ & Human Services
CONTRACTORIFIRM NAME:
PLAN
Original Contract Amount: $ _50,000
(Starting Point)
Current BCC Approved Amount: $~ II / A
(Last Total Amount Approved by the BeG)
Current Contract Amount: $_50,000
(Including All Changes Prior To This Modification)
Change Amount: $_-0-
Revised ContractIWork Order Amount: $_50,000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $_-0-
Dale of Last BCC Approval
AI/A
J
Agenda Item #
Percentage of the change over/under current contract amount_O %
Formula: (Revised Amount/ Last BCC approved amount)-1
~ ';URRENT COMPLETION DATE (8): ORIGINAL: 1:</3.1 lit) CURRENT: I OZ/.?/ //0
This change order will: 0 Add a new Task for $ 0 Increase Task Number _ by $
Other
Describe the change(s):_Amendment to allow payment of $25,000 in January and equal monthly payment for
eleven months of the $25,000 due PLAN for 2010 instead of reimbursement
Specify the reasons for the change(s) x 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
o 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Ii
This change was requested by: CICo tractor/Consultant
LDesign Professional CIRegulatory Agency (Specify)
ot processed:
d/ ~ /11 /7AI <",M/
CI Using Department !J CDES
COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes x No
APPROVED BY:
----<
Date:
Jlyll CJ
3/ rlllJ
. I
EVIEWED BY:
Date:
Revised 6 18 09
Agenda Item No. 16E~ '7
April 13, 201~~
Page 15 of 53
EXHIBIT A-I Contract Amendment #1
Contract # 10-5428 "Physician Led Access Network (PLAN)"
This amendment, dated .fi :J... 2010 to the referenced agreement shall be by
and between the parties to the original greement, Physician Led Access Network of Collier County,
Inc. (PLAN) (to be referred to as "Contractor") and Collier County, Florida, (to be referred to as
"Owner").
Statement of Understanding
RE: Contract # 10-5428 - "Physician Led Access Network (PLAN)"
In order to continue the services provided for in the original Contract document referenced above, the
Contractor agrees to amend the Contract as follows:
The first paragraph ofItem 2, Compensation, shall be changed as follows:
The County shall pay the Contractor for the performance of this Agreement an estimated total
amount of fifty thousand dollars ($50,000) based on the reimbursement of allowable expenses
incurred. GtiaftefflPavrnent oftwentv-five thousand dollars ($25.000.00) will be made in January of
each vear of the Al!1"eement and the balance oftwentv-five thousand dollars ($25.000,00) will be oaid
in equal monthly installments of two thousand two hundred seventy-two dollars and seventy-three
cents ($2.272.73) for the months of February throul!h December of each vear of the Al!l"eement
pfayments will be made upon receipt of a proper invoice and in compliance with Section 218.70
Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." Collier County
reserves the right to withhold and/or reduce an appropriate amount of any payments for work not
performed or for unsatisfactory performance of Contractual requirements. The CeliR!)' shall ]lay the
Cc'IRtfacter fOr the ]lerformaRce of this i.groomeRt.
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Contractor and the County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date(s) indicated below.
CONTRACTOR:
Physician Led Access Network of
Collier County, INC.
Accepted: it.wd/t.t ,:;?:J ,2010
OWNER:
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
By: flI/(1fJl1.~cach''1JfO'VV
tlar~(eT Eacl/V/.ito~
Type N eofSignatory
By:
CTOR
~
~
IO-PRC.0146815
Approved as to form & legal sufficiency
(lJ!J&f~#rtJO.M 0
Col een Greene,
Assistant County Attorney
By:
CONTRACT SPECIALIST
~,,);1 l({ ) ;}-laC
Ly -. Wood
j'~c!Mend~~<016E6 9
, Apfll '13, 2010
~160f53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Review of Land Davelopmont Code PROJECT#: _~-'- PROJECT MANAGER:_Ken Kovenaky_
BIDlRFP #: 07-4105_MOD #: .1.--PO#:_ 4500102357
WORK ORDER #:
DEPARTMENT:
CDES
CDNTRACTORIFIRM NAME:Whlte & Smith
Current Contract Amount:
$ _147,972.00
(Starting Point)
$_147,972.00
(La$! Total Amount Approved by the BCC)
$--!).8C( /.../'1 t; 12. .00
(Induding Alt ChJnges Prior To This Modification)
$_0.00
$_147,972.00
(Including This Change Order)
Original Contract Amount:
Current BCC Approved Amount
Change Amount:
Revised ContractIWork Order Amount:
Cum ulalive Dollar Vallie of Changes to
thla ContractlWork Order:
$_0.00
Date of Last BCC Approvel_09l1112007
Agenda Item # _16A26_
Percentage of the change over/under current contract amount_O_Of.
Fonnula: (Revised Amount/Last BCC approved amounl).1
CURRENT COMPLETION DATE (5): ORIGINAL: 09/1012008 CURRENT: 12/3112010
This change order will: 0 Add a new Task for $
o Incre~e Task Number _ by $
Other
Describe the change(s):_To change the current completion date to December 31,2010
Specify the reasons for the change(s) (; 1. Planned or Elective 0 2. Unforeseen Conditions (; 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added
x 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negatjve impacts to, thlt project if thl
'l-
This change was requested by: Clcontractor/Consultant ['I Owner n Using Department x CDES
w.oesign Professional nRegulatory Agency (Specify) ['Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r:: Yes
IJ No
This fonn is to be !!anjd and dated.
APPROVED BY: ~~
Project Manager
A~DBY: >~
Date: J Is-/; c;
~ '
,..-
REViEWED BY:
y X
Date: y ~/; tJ
Agenda Item No. 16E6 10
April 13, 2010
Page 17 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: NaDles DeDot Phase 3 PROJECT #;
BIDIRFPtI: 0S-5114 MODtI:~PO#: 4500107294
50401 PROJECT MANAGER: Gary Vincent
WORK ORDER II: NlA
DEPARTMENT:
Museum
CONTRACTORIFIRM NAME:While General Constructors Ine
Original Contract Amount:
$ 440 000.00
(starting Point)
$ 613413.00
(lastT otaI Amount Approved by the BCC)
$ 613413.00
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount
Change Amount
$ 000
Revised ContractlWork Order Amount: $ 613.413.0d
(Including this Change Order)
Cumulative Dollar Value of Chal1ge4lto
this ContraclJWork Older: $
173413.00
Date of last BCC Approval
111212009
Agenda Item 1#
Percentage of the change over/under current contract amount
Formula: (Revised Amount/last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 112712010 CURRENT: 413012010
This change order will: 0 Add a new Task for $_ 0 Increase Task Number _ by $
16.D.8
0.0
%
Other: NlA
Describe the change(s): Extend the contract time by 53 days. The extension is needed due to the unforeseen
conditions encountered at the Depot, with both this contract and the PBS Fire Sprinkler installation contract.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjusbnents r 4. Correction of Errors (Plans, Specifications or Scope of Worll) 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: We would not be able to finish
the oroiect.
This change was requested by: x Contractor/Consultant 2J!m!! x Using Department C. COES
L.oesign Professional r1Regulatory Agency (Specify): City of Naples r other (Specify)
APPROVED BY:
ryes
r No
Date;
3/ l?"' /"""- N
APPROVED BY'
Date:
"3. l).'k>/o
REVIEWED BY:
Ron Ja ro, Department Director
, r~' ,,_ --cOP-
Diana eLeon. Contract Specialist
Date;
3/;~IrD
.
Agenda Item No. 16E6
April 13, 2010
P"Qe 1R nf ~~
( (
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: West Wind Mobile Home Park Water Distribution Improvements PROJECT II: 71010A
PROJECT MANAGER: Diana C. Due~
BID/RFP II: 09.5238 MOD II: 1_POtI:4S00107834 WORK ORDER #:4600107834
DEPARTMENT: Water CONTAACTOM'lRII NAME: Guymann Cona1rUlllIan 01 Florlda.lnc
current Contract ""'ount:
$845.328.01
($IlIrtlng Point)
/.
$845 328.01
/ (L8ol Toto! Amount Approved by !he BCC)
$845.328.01
(Including AI Change. P~or To Thi. Mcdificalion)
rSlIII674.731
5774 853.28
(Including ThI. Change Ordar)
Origl",,' Contract ,,",ount
Current sec A.pprowd ,,",ount:
ChlInge ,,",oun!:
Revlsed ConlrKllWork Ordor Amount
Cumulallw Dollar Value of ChlIngtlO to
thla Contnoo1lWorlc Orelar: S'R'4 liS"
('701"7l.(.T~)
Dale of Laal BeC A.pprovaLMay 26, 2009
Agonda ltamll_16C2_
Porcontago of tho chll"go o_/wtdor c......nt COlltract am~ (ll."'3 ~ 01 ~
Formula: (Revised Amount 1 La.! BCC approved .moun!f-1
CURRENT COMPLETION DATE (5): ORIGINAL: Fobruary 17. 2010
CURRENT:
Februorv 17 2010
This chango order will: 0 Add 0 MW Task for $_ 0 In....... 700k ,....ber _ by $
other Reduce the contrllct amount to $774.653.28 /
Describe the chan"e(s):_Reducinq material qu.anties to ~e.tl e.ct.. 1I!:11',t ""''''"
., _.,11.
::I("!t-11~11y inc::r~llQn
Specify the reasons for the chango(s) r 1. Plsnned or EJocllve i 2. Unto......n Conditions ~ Quantlly
Adjustments i 4. Conec:llon of Erronl (Pia.... Speclnc.lIona or Scope of Work) q 5. Value AtId8d
i 6. Schedule AdJustmonta Note: One or more may be checked. depending on the nalure of ths change(s).
identify all n8\Jalive Impacts to Ihe proJect If thll chan"e order were not processed: The $70.675.00 would
continuo to ba encumbered. but not be able 10 be used for anv other DroleC1S.
This chango was requaated by: rvfontractor/Consu,tant ~Owner Ll Using Department r: CDES
M6..1gn Prof8llaional nRegulatory A"ency (Specify) r Other (SlIeclfy)
CONTRACT SPECIALIST PARTrCIPATlON IN NEGOTIATIONS: ~~ I . r No,
APPROVED BY:
Date:
APPROVED BY:
REVIEWED BY:
Date:
:z/n/zC)/o
Yf71JJo
irector
Date:
Revised 7-14-09
Agenda Item No. 16E6
April 13, 2010
Page 19 of 53
(d.-
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
PROJECT NAME: q IS \ ~ \ZAM.p PROJECT #: e:.OO"7 J. I PROJECT MANAGER: c.1..D./T \'l!:p:JIt.~~
BIDlRFPtlO'7?--'51 7(0 MOO#:A-PO#: ~5 \Qt.l'l5.6woRK ORDER #: I.l/A
DEPARTMENT: C--'Z-M CONTRACTORIFIRM NAME: .'{ ...14 e...rr~1Ii.S
$ ~ -;9'3.,2.79. (P5
( rting Point)
$ I, .6(J~ 636. (;,S
(l..a~Totat Amount Approved by the iicq-
$ k 001. (", 7~. <pS
o udlng AJ(Chang$8 Prior To This MOdification)
$ ~ 9/'1 <=\ 5..-0'0
ftevfeed ContractlWori< Order Amount: $ k ~ "2.11 ~?of . C:. 6
(lne! no ThiS"Change Order)
Cum"tllellve DolI.~ Vel... of Chanll88 to $ '-''', a . '7 ~"', ..:>D
thI. ContractlWOrk Ordilr: ' v ~ -;>-/ ~
Original Contract Amount:
Cunent Bee Approved Amount:
Cunent contract Amount:
Change Amount:
,/'
0.'" of Laat Bee Approval l 1- I ;2-I~ Agende Item # / ~ p,.
Percen"'se of the chang. overlundet cu"""t contract amount--.L.d: 57_"
Formula: (Revised Amount / Lssl BeC.pproved smount)-1
- CURRENTCOMPLETtONDATE(S):ORlGlNAL: '1.I'2...~ CURRENT: 0-9.IL.j./-o
Thl. change otderwlll: ~anewT8Skfor$lq."I'l5.- 0 InCl1l8UT..k_by$
Other
IA u
Oescrlbethechenge(.):nJ~.J oF~+t'4'") ~ .<l.o..tr.l...l.r-.d":-"O'"'f .A"
M-'~/r;;:. M~........P -p..l5~~~.
Specify the reasons for the C;hanQe{s) (' 1. Planned or Elective ....-z.;jnfares..n Conditions (' 3. Quantity
AdJustments l' 4. .Correctlon 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 chahge{s).
Identify all negative Impacts to the project If this change order were not processed: -Po~ CcsrL'f
~j:::. n..l l2.u?T1)~ ~"CST-jq.Jl 1'10" 1,.e.J~L:oJlZ.. H~ ~J).
e was requested by: ' ntractor/Consultant rI Owner rI Using Department C. COES
ro~
r Yes No
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This fann Is to be signed and dated.
APPROVED BY: ~
Project Manager
REV1EWED BY: ~ lp Wtn-rJ
Contra: peciahst
Date:
'O.1Z-.tO
Date:
3- / s--/d
Revised 6-15-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTIWIIE: ~~ ~ROJECTtl:.0:::f.,/I.1 PROJECTMANAGER;~Rs/zIL~
B1D1RFPIJ: oS-3e42.MODt:~PO#:"5-I<<lUb WORK ORDER #l ..!M
DEPARTMENT: r -ZI1 COHTRAc:TORlFIRM NAME: .::n'DN:soJ 1!!tN6,goJe~Et
Agenda Item No. 16E6
April 13, 2010
Page 20 of 53
13
Current Contract Amount
$ .500, ooc>. 00
(Starting Point)
$ 500, 000. ot>
(Lsat Total Amoomt ApplllV8d by the BCC)
$ G :; 5, '2.-60. "''''
(Including All Changes Prior To This Modification)
$ 3 ~ {PI fa. "",",
$ 5"1 UoCDb. lJ:,'I
(Including Thia Change Order)
OrllIlnal Contract Amount
Current BeC Approved Amount:
Change Amount
RevIsed ContractlWorl< Order Amount:
CUmulatIVe Dollar VallJ4l of Changes tQ
IIlIs Con1i'actIWotI< ClnIer:
$ .., L alP'- ..ft::IL/
.
0.. of Lat BCC Approval
"-l.1...G.Ob
AIJ"nc!a Ibtm # I "'. D. h
14.0'1-
"
Pen:enlIlge of the change overlunder current contract amount
Fonnula: (Revised Amount , I.aat acc approved amount)-1
CURRENT COMPLETtON DATE (S): ORIGINAL: 1.2,Cj. I 0
This change order will:
o Add a .- Taak for $
CURRENT: ,.31.10
~reaaeTask 10 byS 3(" '-lh.l:A
Other
DelIcrlbethe changa(a): :eN ~ASs.p c.o.JS~ o~A-n:z:>,.M-L ~I.IZ..ES
[;De.. "'t'b u6J.f02F~...l-..li .~ RF.~ c.oND~<:"
Specify the reaaon8 for the change(8) (' 1. Planned or Elective ~foreeeen Condltlon8 (" 3. Quantity
Adju8tments (" 4. Correction of Errore (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 Impaclll to the project if this change order were not processed: U tJ~A
c...oO'R.t">OJ~ of ~s~,J RF-=~ ~~ .
This c~ was requested by: ~ntractorfConsultant rI Owner rI Using Oepartment C COES
~ Professional r1Regulatory Agency (Specify) rOl~
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: rYes .. No ... · .
This form Is to be 81gned and dated.
APPROVED BY: ~
Proje<;t Manager - I
.' ~ I I/~ '-
REVIEWED BY: ..-~. Y h.. .
Co S list
Date:
~- (7./0
Date:
1-/~-/()
Revised 6-15-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIsT FORM
ILl
PROJECT NAME: Gordon River Greenwav Park PROJECT #: 80065 PROJECT MANAGER: Maraaret Bl~hi>D
BIDiRFp #: 07-4131 MOD II:L~: 4500091867 WORK ORDER II:
DEPARTMENT: Road Maintenance
CONTRACTORIFIRM NAME: Kimlev-Hom and Associates Inc.
Original Contract Amount:
$1.240.041.00
(Starling Paint)
$1.240 041.00
(Last Totat Amount Approved by the BCC)
$1,167.195.00
~nduding All Changes Prior To This ModifJaltion)
Current BCC Approved Amount
Oate. of Last BeC Approval 12112101 Agenda l!em II 10G
percllntag~of the change overluncl~rpurTent c"mract amount ~ (5. n r.)
Formula: (Revised Amount I Last BCC approved amount)-1
CUrTent Contract Amount
Change Amount
Revised ContracllWork Order Amount
$!I.OO
$1.167.19500
(tncItJdlng This Change Order)
, C~",ulativt! Dollar Value of Changes to
tllla Contra<;liWork,OrdIJr:
$72.846.00
CURR;.NT COMPLETION DATE (8): ()RIGINAL: March 6 2010
CURRENT: March 6 2011
Oe~Crjbe the change(s): A tirneextension is being granted due to Dermitting issues.
SP.~~ify the reasons for the change(s) r: 1. p'lanned or Elective r. 2. Unforeseen Conditions r 3. Quant~, .
AdJu~tments r 4. Correction of En:ors (plans, Specifications or Scope of Work) r 5. Value A!lded ' .
r 6. Schedule AdJustments:, Nobi: ,~ne or' more may be checked, depending on the nature of the ~hange(s).
Identify all negative 1m
to continue with the .
epP! this cl)ange orderwere not processed: A timeextens
MD and ACOE ermltl'n for the ro ect
This9hang,! was reqllested by.:}(lcqntfaCtOrlConSUllant Ii Owner rl Using Departr",~nt C, CPES
!:Design professional' CIRegulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIALIST PAR'nCIPATION IN NEGOTIATIONS: P" Yes
n No
APPROVED BY:
- ,~/~!/~
Date ~ I
I
,
I
i
f
t
f
I.
,
L
REVIEWED BY:
Revised 11.19.2007
15
tige
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BlDlRFP #:
10-5366
PROJECT NAME: Gatewav Trianal.. Phas.. 2 construction PROJ ECT #:51 803 PROJECT MANAGER: Shsne ox
DEPARTMENT:
Ro..d Ma n tonnwatar
MOD #: ~PO#: 4500115655 WORK ORDER #: N/A
CONTRACTORIFIRM NAME:
Staven
$ 2.694 473.35
(Starting Point)
$ 2.694 473 35
(Last Total Amount Approved by the BCC)
$ 2 694.473.35
(including All Changes Prior To This Modification)
$ 9.116.60
Original Contract Amount:
Currant BCC Approved Amount:
CUlTllnt Contract Amount:
Chang.. Amount:
R..vl....d ContractIWori< Order Amount: $ 2.703 589.95
(Including This Change Order)
Cumulative Dollar Value of Changes to
thi.. ContractlWori< Ord..r: $
911660
Data of La..t BCC Approval Dee 15 2009 Agenda Item # 10 E
Percentage of the chang.. ov..r/under curranl contract amount~%
Formuta: (Revised Amount J Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: December 15 2010
This change order will: 0 Add a new Task for $
Other
CURRENT:
December 15 201 0
o Increase Task Number _ by $
D.I.P. and ductile a ro nate fitlin 5
Describe the change(s): Contractor is to substitute ductile iron
instead of HDPE i e and fltlin s.
Specify the reasons for the change(s)'" 1. Planned or Elective C": 2. Unforeseen Conditions ('" 3. Quantity
Adjustments 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 c nge(s).
Identify all negative Impacts to the project if this change order were not processed: more onstruction
disru tlon of the business vicln' because or' inall s ec'd i material re uires lacement w one Ion
trench instead of manv slnale small excavationa I DOrtions of pipe at a time
This change was requested by: mcontractor/Consultsnt rI Owner rJ Using Department C CD S
Coesign Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYeS
r No
APPROVED BY:
REVIEWED BY:
Revised 61809
Date: :J /1 II &>
I I
Date:~'
Date:~
Agenda Item No. 16E6/1_
April 13, 2010 p
Page 23 of 53
CONTRACTIWORK OROI:R MODIFICATION
CHECKLIST FORM
PROJECT NAME: Purchll.. and Deliver Chomlcollor Public UtIl1ti.. PROJECT II: ~
PROJECT MANAGER:_ Pete 8chlllta
BIDlRFPjj,01-5170 MOO#:.1...-PO#: WORK OROER #,
OEPARTMENT:_ Public Utlllti.. Olvlalon
CONTRACTOR/FIRM NAME:
Chemical Um. CamDlnv
OrIginal Contract Amount:
. Current BCC Approved Amount:
NA
(Starting Point)
NA
(Last Total Amount ApProV8d by the BCC)
$ NA
(Including All Change. Prior To Thl. Modification)
Chan". Amount: NA
Current Contract Amount:
ReYleed ContrectIWOlk OnIer Amount' $ NA
(Including this Change Order)
Cumuletlve Dollar Velue 0' Chang.. to
lhle ContractJWork Order: NA
Data 0' LIIot Bee Approve. 7128/2009
percen"ge of the change over/under current cantrlict Imount
Formule: (RevJaed Amount I La.t BCC approvad amount)-!
CURRENT COMPLETION DATE (S): ORIGINAL:
Agenda Item" 16C5
NA
%
CURRENT:
Thlachllngaorderwlll: 0 Add a new Task ror$_D Inc",a.aTa.kNumber_by$
other Inc...... Dltrcentaae caat for Ume Der atl8ched exhibit A 1.A
Describe the change(s): Adlustlna Drlce Der exhibit A1-A based on neaotiatlons review m.etlna
Specify the renon. for th. ch.ng.(., r 1. Planned or Electlv. r 2. Untor.seen Conditlona r 3. Quantity
AdJu.tm.nts r 4. Corractlon of Errora (Plan., Specification. or Scope of Work) ~ 5. Valu. Addad
r I. Schadul. AdJuetm.nts Note: On. or mora may be check.d, d.pendlng on tha natura of the chang.(a).
Id.ntlfy .11 n811atlv. Impacta to the proj.ctllthl. chang. ord.r wera not proc....d: Th. County would have to
purcha..th. product from a dl"arant v.ndor but at a hlgh.r prlc..
Thla ch.ng. wa. reque.ted by: rlContractor/Conaultant rJ Own.r /71 Ualng Dapartm.nt C COES
CO..lgn Professional rJRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
r No
Date:
~(7A-(Ii)
dl..?1//o
REVIEWED BY:
Date:
Revised 6 18 09
I <
. \
.~
I
Agenda Item No. 16E6 (q
EXHIBITt" - 'Vtemorandum of Understanding Amell' .~t # 1 April 13, 2010 ( '\
''Pure _~ and Deliver Chemicals for Public utili._.." Page 24 of 53
This amendment, dated February 1,2010 to the referenced Memorandum of Understanding shall be by
and between the parties to the original Memorandum of Understanding "MOU", Chemical Lime
Company, (to be referred to as ''Vendor'') and Collier County, Florida, (to be referred to as "County").
Statement of Understanding
RE: MOU # 09-5170 "Purchase and Deliver Chemicals for Public Utilities"
In order to continue the services provided for in the original MOU document referenced above, the
Vendor agrees to amend the above referenced MOU as per Exhibit "AI-A", Attachment A- Price
Schedule and Exhibit A2-A", Chemical Lime Company, e-mail attached to this Amendment and
incorporated herein by reference. This Amendment shall increase pricing as follows:
The additions to the existing Attachment A - Price Schedule are shown herein by underlining; deletions
are shown by stril(ethreagfts.
Change: Attachment A, Price Schedule,
Item ten (10) Lime - $4.-H4 increase to $ 0.115
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Vendor and the County have each, respectively, by an authorized person
or agent, hereunder set their hands and seals on the date(s) indicated below.
Accepted:
.;tl ,
,2010
VENDOR:
Chemical Lime Company
OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLrnRCOUNTY, FLORIDA
By: f11e:1 s ~ {-
Pete SchaIt, Senior Project Manager, PMP
By: ~> /~
Dr. George Yilmaz, PhD, Director
CONTRACT SPECIALIST
By: ~~tarJ
Dianna Perryman
, ~ \,
-age ~" 01 ,,~ I
First Qtr Second Qtr
Unit of New Negotiated New Negotiated
Company Name Product Description Measure Prices Prices
Nov 1 2009- February 1 2010-
Jan 312010 May 31 2010
25% Sodium GALS
Brenntag Mid South Hydroxide WW-3 $ 1.343 $ 1.343
1 25% Sodium
Thatcher Chemical Hvdroxide WW.3 GALS $ 1.480 $ 1.480
50% Sodium LBS
Allied Universal Corporation Hydroxide W-ll $ 0.119 $ 0.119
2 50% Sodium
Key Chemical Hydroxide W-ll LBS $ 0.135 $ 0.135
3 Alrgas Specialty Products, Inc. Ammonia W-l L8S $ 0.600 $ 0.600
Calcium LBS
4 Allied Universal Corporation Hypochlorite W/WW-l $ 1.225 $ 1.225
Calcium LBS
Brenntag Mid South Hypochlorite W/WW-l $ 1.352 $ 1.352
5 Airgas Carbonic Carbon Dioxide W-2 LBS $ 0.100 $ 0.100
6 Allied Universal Corporation Chlorine W-3 LBS $ 0.229 $ 0,229
Brenntag Mid South Chlorine W-3 LBS $ 0.241 $ 0.241
7 American Water Chemicals Corrosion Inhibitor W-4 LBS $ 0.598 $ 0,598
Carus Corporation Corrosion Inhibitor W-4 LBS $ 0.608 $ 0.608
8 Polydyne Emulsion Polymer WW-1 L8S $ 0.960 $ 0.9r
Carus Corporation Emulsion Polvmer WW-l LBS $ 1.441 $ 1.4-
9 The Dumont Company Inc. Ftuoride W-5 LBS $ 0.412 $ 0.412
10 Chemical Lime Company Lime W-6 LBS $ 0.114 $ 0.115
11 Carus Corporation Uquid P04 W-7 LBS $ 0.696 $ 0.696
The Dumont Company Inc. Liauid P04 W-7 LBS $ 0.745 $ 0.630
12 Brenntag Mid South Muriatic Acid W-8 LBS $ 0.151 $ 0.151
The Dumont Company Inc. Muriatic Acid W-8 LBS $ 0.034 $ 0.034
13 Thatcher Chemical Phosphoric Acid WW-2 GALS $ 15.630 $ 15.630
Brenntag Mid South Phosohoric Acid WW-2 GALS $ 13.642 $ 13.642
14 Polydyne Polymer W-13 LBS $ 1.303 $ 1.303
15 American Water Chemicals Scale Inhibitor W-9 LBS $ 0.676 $ 0.676
King Lee Tech Scale Inhibitor W-9 LBS $ 0.695 $ 0.695
16 Polydyne Sludge Polymer W-l0 LBS $ 1.303 $ 1.303
Odyssey Manufacturing Sodium Hypochlorite GALS $ $
17 WW-3 0.690 0.690
Allied Universal Corp. Sodium Hypochlorite W/WW-2 GALS $ 0.699 $ 0.680
18 Sulfuric Add Trading Co Sulfuric Acid W-12 LBS $ 0.047 $ 0.062
Transammonia, Inc. Sulfuric Acid W-12 LBS $ 0.049 $ 0.049
Exhibit A 1-A
Agenda Item No. 16E6
Key Code Color: Red = Increase, Green = Decrease In Pri6eriI13, 2010
Agenda Item No. 16E6
April 13, 2010
Page 26 of 53
'1
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Purchae .nd DelIwr ChemlCIII for Public UtlIlU. PROJECT #: ....!!!...
PROJECT MANAGER:_ Pm ScM'"
B1D1RFP t: 01-8170 MOO t: L..-POlI: WORK ORDER II:
~';"ARTMENT:_ PubUc Utllllln Dlvtelon
CONTRACTORIFIRM NAME:
SUIDhurlc Acid Tradlna CClmDII"V
Ortglrllll Contrllct Amount:
$ NA
(SIIlrting Point)
$ NA
(lul TotlIl Amount Approved by the BCC)
$ NA
Qncludlng All ChllRgu Priot To this Modmc.tIon)
ClIllnge Amount: NA
Cu...nt sec Approved Amount:
Cu...nt ContrIIct Amount:
RnIHd ContrIIctIWork Ordtlr Amount: S NA
(Including Thl. CMnge Orderl
Cum....1IW DolI.r Val... or CMn_ to
Chi. ContrllatlWork Ord.... NA
Dala of !.at BCC Approv.1 7/28/2009
Pe......tall* of Iha CMnll* over/under cunwnl contract amount
Fonnula: (R_ Amount I Leal Bee approved .mount)-l
CURRENT COMPLETION DATE (S): ORIGINAL:
Agenda ltam II '6C5
NA
%
CURRENT:
Thl. CMnll" o....rwlll: 0 Add. new Teak for'_ 0 In...... T..k Number _ by .
Other Inc,.... ~ntaaa coat far Sulfuric Acid Mr attached exhibit A1.A
D..crtbe the ch.ngel.): Adluatlno Drlce Der exhibit A1.A b..ed on neoatl.tlona ..view .....llno
Specify the r...on. for the ch.nllele) r 1. Planned or Elective r Z. Unto.....n Condition. r 3. Qu.ntlty
AdJuatmenta r 4. Co,..cUon of Errolll (PI.na, SpeclflcaUone or Scope of Work) cr S. Value Added
(" .. Schedule Adjuatmenlll Nota: One or more may be checked, depending on the netu.. of the ch.nllele).
Identify .11 neg.tivelmp.ete to the project If thl. change ord.r _re not pro........: The County would heve to
purch.e the product Irom . dlffe..nt vendor but .t . hlgh.r prlc..
Thla ch.ng. w.. requested by: rlconlractorlConaultent rI Owner PI Using D.partment C CDES
CD_un Pro....,on.1 r1Regul.tory Agency (Specify) r Oth.r (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes r No
Thle fonn I. to be .1f.J$ d.~.
APPROVED BY: f <j;u.. p.. lrr-
gee! Manager 11
REVIEWED BY:, {;( ~ AI ~t'f#
ontracl allsl
Dale:
3 (l-4/,.fj
"g/ &.3 / IV
Date;
Revised 6 18 09
.1
')
EXHIBIT A-I Memq- 'urn ofUnderstJmding Arnendrnent# 1
uPurchase and L_.....er.ChemkaJs for Public Utilities"
( I
Agenda Item No. 16E6 { 7'1 i
ro.l\ruiL;l,:j"JQ109,," "
Tc~Pifir~~.. Different
l'iIstpage
This amendment. dated February 1.2010 to the referenced Memorandum of Understanding shall be by
and between the parties to the original Memorandum ofUnders--lBIlding uMOlr~ Sulphuric Acid Trading
Company, Iuc.. (to be referred to as "Vendor") and Collier County, Florida. (to be referred to as
"County".
Statement of Understanding
RE: MOV # 09-5170 "Purchase and Deliver Chemicals for Public Utilities"
In order to continue the services provided for in the onginal MOV document referenced above, the
Vendor agrees to amend the above referenced MOU as per "Exhibit "AJ-A", Attachment A- Price
Schedule and Exhibit A2-A". Sulphuric Acid Trading Company. Inc.. e-mail attached to this Amendment
and incorporated herein by reference. This Amendment shall increase pricing as follows:
The additions to the existing Attachment A - Price Schedule are shown herein by underIinine:- deletions
~ shown by strikethrSlig.m.
Change: Attachment A. Price Schedule.
Item eighteen (J 8) Sulfuric Acid - $ ~ increase to $ 0.062
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Vendor and the County have each. respectively, by an authorized person
or agent" hereunder set their hands and seals on the date(s) indicated below.
&) )
Accepted:
,20lO
By:
OWNER:
BOARD OF COUNTY
COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: p.~ j c0.di
Pete Schal~ Senior Project Manager, PMP
By:~---? .~
Dr. George Yilm~ PhD, Direcror
KO~TRAGT SPEClt-YF
By: -1Y\..~.. I~fy;u)./V\
Dianna Perryman 1/
Agenda Item No. 16E6 11 b
Exhibit A1-A Key Code Color: Red = Increase, Green = Decrease In Prill.Orii 13,2010
l age L~ 0 :06
First Qtr Second Qtr
Unit of New Negotiated New Negotiated
Company Name Product Description Prices Prices
Measure Nov 1 2009- February 1 2010.
Jan 31 2010 May 312010
2S% Sodium GALS
Brenntag Mid Soutlt Hydroxide WW-3 $ 1.343 $ 1.343
1 2S% Sodium
Thatcher Cltemical Hvdroxide WW-3 GALS $ 1.480 $ 1.480
50% Sodium LBS
Allied Universal Corporation Hydroxide W-11 $ 0.119 $ 0.119
2 50% Sodium
Key Chemical Hvdroxide W.11 LBS $ 0.135 $ 0.135
3 Alrgas Specialty Products, Inc. Ammonia W-1 LBS $ 0.600 $ 0.600
Calcium LBS
Allied Universal Corporation Hypochlorite W/WW-l $ 1.225 $ 1.225
4
Calcium LBS
Brenntag Mid Soutlt HVDochlorite W/WW-l $ 1.352 $ 1.352
S Alrgas Carbonic Carbon Dioxide W-2 LBS $ 0.100 $ 0.100
6 Allied Universal Corporation Cltlorlne W-3 LBS $ 0.229 $ 0.229
Brenntag Mid Soutlt Cltlorine W-3 LBS $ 0.241 $ 0.241
7 American Water Chemicats Corrosion Inltibltor W-4 LBS $ 0.598 $ 0.598
Carus Corporation Corrosion Inltibitor W-4 LBS $ 0.608 $ 0.608
- polydyne Emulsion Polymer WW-l LBS $ 0.960 $ 0.960
~
Carus Corporation Emulsion Polymer WW-1 LBS $ 1.441 $ 1.441
9 Tlte Dumont Company Inc. Fluoride W-S LBS $ 0.412 $ 0.412
10 Chemical Lime Company Lime W-6 LBS $ 0.114 $ 0.115
11 Carus Corporation Liquid P04 W-7 LBS $ 0.696 $ 0.696
The Dumont Company Inc. Liauid P04 W-7 LBS $ 0.745 $ 0.630
12 Brenntag Mid Soutlt Muriatic Acid W-8 LBS $ 0.151 $ 0,151
Tlte Dumont Company Inc. Murlatlc Acid W-8 LBS $ 0.034 $ 0.034
13 Tltalcher Chemical Phosphoric Acid WW-2 GALS $ 15.630 $ 15.630
Brenntag Mid Soutlt Pltosphoric Acid WW-2 GALS $ 13.642 $ 13.642
14 polydyne Polymer W-13 LBS $ 1.303 $ 1.303
15 American Water Cltemicals Scale Inhibitor W-9 LBS $ 0.676 $ 0.676
King Lee Teclt Scale Inltibitor W-9 LBS $ 0.695 $ 0.695
16 Polydyne Sludge Polymer W-I0 LBS $ 1.303 $ 1.303
Odyssey Manufacturing Sodium Hypocltlorite GALS $ $
17 WW-3 0.690 0.690
Allied Universal Corp. Sodium Hypocltlorite W/WW-2 GALS $ 0.699 $ 0.680
18 !It.II ph......;" Trading Co Sulfuric Acid W-1Z LBS $ 0.047 $ 0.062
Transammonia, Inc. Sulfuric Acid W-12 LBS $ 0.049 $ 0.049
Agenda Item No. 16E6 10
-----.. April 13, 20tOf<'J
Page 29 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Purcha.. .nd Dlllvar Ch....lc.llor Public UtilItl.. PROJECT #:
PROJECT MANAGER: P.te Seh.1ts
BIDlRFP': 09.S170_MOD': L-POlI:
DEPARTMENT: Public UlIllti..
WORK ORDER':
CONTRACTORIFIRM NAME: Th. Dumont ComDlnv Inc.
OrIginal Centraet Amount:
$ NA
(Stlrtl"ll Point)
$ NA
(LIst Tet.' Amount Approv.d by tha BCC)
NA
(InclUdIng All Chang.. Prior To Thl. McdltIcItIon)
NA
$
Cu...nt BCC Approvad Amount:
CUrNnt Contract Amount:
Chlnge Amount:
RIYIMd ConlrlctlWor1c Order Amount: $ NA
(Including Thio Ch.ng. Ord'r)
Cumul.tfva DoII.r Vllul 01 Chlngll to
_ ContractlWork Ordlr: $ NA
CIte 01 Ult acc Approval
7128J2OOQ
Aglndl Item"
16CS
percent.ge of the change over/under current contnlct amount NA
Formul.: (RovIood Amount I Llot BCC Ipproved omeunt)-l
'10
CURRENT COMPLETION DATE (S): ORIGINAL:
CURRENT:
Thl. chang. ordlr will: 0 Add. now TlSk lor $_ 0 Incl'lo.o Took Number _ by S
Other Dec.....lna Mrc::.ntaa. coat for L1auld PlW Per att.ched exhibit A 1-A
Dncrlbe th. chlnge(.): Adlu.tlna orlc. o.r Il<hlblt A1-A b.s.d on n.aoll.tlo... I'Ivlow m..tlna
Specify the rel,on. lor th. ch.ng.lsl r 1. Plann.d or EI.cllv. r 2. Unlor....n Conditions r 3. Qu.nllly
Adjustments r 4. COfroctlon of Errors (Plans, Sp.clflcallons or Scope of Work) ~ 5. V.lu. Added
r 8. Sch.dul. AdJultm.nts Not.: Onl or more m.y b. checked, depending on th. n.turo of the changelll.
Id.ntlfy .11 neg.tlv. Impacts to th. proJ.ct If thl. ch.nge order w.ro not proclSsed: The County would not
rec.lv. the coat .avlnas ...oclated with the new reduced orlce
Thl. chanll" we. request.d by: rk:;ontroctor/Consult.nl PI Owner rl Ualng Osparlment C CDES
CD"'gn Profe..lonsl rlRegul.tory Agency (Speclly) r Oth.r (Speclly)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATtONS: rYes
r No
This form I. to byd "nd d~d. ...L--
APPROVED BY: ~I ~ t-"-~l..l
~(/2
APPROVED BY: ;-:tu.':1JIl.U?1.
C . . (/
on tract SpecIalIst
Date:
3(24-((0
J-J ~v,/ /0
Date:
Revised 6 18 09
(
Agenda Item No. 16E6 '::J
April 13, 2010 &'l
Page 30 of 53
P. 003/005
FEB-16-2010 11:lB
Dumont Chlilmicals
EXHIBIT A-I MemorlllldullI of '(JnderstaDdinl: Amendment III
''Pnrchase and Deliver Chemicals for Public Utlllties"
This lIlIIendment, dnmd February 1,2010 to the referenced Memol'lllldum of Understanding shall be by
and between the parti"" to the original Memorandum ofUnderstancllng "MOO", The Dumont Company.
Ino. (to be referred to lIS '"Vendor") and Collier County. Florida, (to be ",ferred to lIS "County'').
Statelllellt ofUnd....tandills
RE: MOV II 09.5170 "Purchase and Deliver Chemicals for Public Utilltios"
In ardor to continue the services provided for in th.. original MOU document referenced above, the
Vendor agrees to amend th.. above referenced MOU as per Eldlleil "AI-A", Attachment A- Price
Schedule and Exhibit A2.A", The Dumont Company Inc, e-mail attached to this Amendment and
mcorpollltJod h=in by reference. This Amencbnent shall decrease pricing as follows:
The additions to the existing Attachment A - Price Schedule are shown herein by underlinlOll: deletions
are shown by llli'iIEetIIl'Euglm.
Change.: Attachment A, Price Schedule,
. Item ..Iev..n (11) Liquid P04 - 0,+# decrease to U!&!2
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHJl:REOF, the Vendor and the County have each, respectively, by lIll authorized person
or agent, hereunder set their hands and seals on the dato(s) indicated below.
Accepted: elL / I
,2010
OWNER:
BOARD OF COUN1Y COMMISSIONERS
COLLIER COUNTY, FLOIUDA
By: P.dlt ~J.rLff-
Pete Schalt, Senior Project Manager, PMP
Dated:
..2--1 j- II,)
I
CONTRACT SPEC~T
B~~~
Dianna Perryman
a>Ja ~ 0 JJ I
First Qtr Second Qtr
Unit of New Negotiated New Negotiated
Company Name Product Description Measure Prices Prices
Nov 1 2009- February 1 2010-
Jan 31 2010 May 31 2010
2S% Sodium GALS
1 Brenntag Mid South Hydroxide WW-3 $ 1.343 $ 1.343
25% Sodium GALS
Thatcher Chemical Hyd roxide WW-3 $ 1.480 $ 1.4BO
50% Sodium LBS
2 Allied Universal Corporation Hydroxide W-ll $ 0.119 $ 0.119
50% Sodium LBS
Key Chemical Hvdroxide W-ll $ 0.135 $ 0.135
3 Airgas Specialty Products, Inc. Ammonia W-l LBS $ 0.600 $ 0.600
Calcium LBS
4 Allied Universal Corporation Hypochlorite W/WW-l $ 1,225 $ 1.225
Calcium LBS
Brenntag Mid South HVDochlorite W/WW-l $ 1.352 $ 1.352
5 Airgas Carbonic Carbon Dioxide W-2 LBS $ 0.100 $ 0.100
6 Allied Universal Corporation Chlorine W-3 LBS $ 0.229 $ 0.229
Brenntag Mid South Chlorine W-3 LBS $ 0.241 $ 0.241
7 American Water Chemicats Corrosion Inhibitor W-4 LBS $ 0.598 $ 0.598
Carus Corporation Corrosion Inhibitor W-4 L8S $ 0.608 $ 0.608
8 Polydyne Emulsion Polymer WW-l L8S $ 0.960 $ 0.9E"
Carus Corporation Emulsion Polymer WW-l LBS $ 1.441 $ 1.44
9 The Dumont Company inc. Fluoride W-S LBS $ 0.412 $ 0.412
10 Chemical lime Company lime W-6 LBS $ 0.114 $ 0.115
11 Carus Corporation Liquid P04 W-7 LBS $ 0.696 $ 0.696
The Dumont Company Inc. Liauid P04 W-7 LBS $ 0.745 $ 0.630
12 Brenntag Mid South Muriatic Acid W-8 LBS $ 0.151 $ 0.151
The Dumont Company Inc. Muriatic Acid W-8 LBS $ 0.034 $ 0.034
13 Thatcher Chemical Phosphoric Acid WW-2 GALS $ 15.630 $ 15.630
Brenntag Mid South Phosphoric Acid WW-2 GALS $ 13.642 $ 13.642
14 Polydyne Polymer W-13 LBS $ 1.303 $ 1.303
lS American Water Chemicals Scale Inhibitor W-9 LBS $ 0.676 $ 0.676
King Lee Tech Scale Inhibitor W-9 LBS $ 0.695 $ 0.695
16 Polydyne Sludge Polymer W-l0 L8S $ 1.303 $ 1.303
Odyssey Manufacturing Sodium Hypochlorite GALS $ $
17 WW-3 0.690 0.690
Ailied Universal Corp. Sodium Hypochlorite W/WW-2 GALS $ 0.699 $ 0.680
18 Sulfuric Acid Trading Co Sulfuric Acid W-12 LBS $ 0.047 $ 0.062
Transammonia, Inc. Sulfuric Acid W-12 LBS $ 0.049 $ 0.049
ExhibitA1-A
Agenda Item No. 16E6 lib
Key Code Color: Red = Increase, Green = Decrease In Pri~riI13, 2010
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Agenda Item NO.1 liE6
. April 13, 2010
Page 36 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME: Pollution Control Lab Renovations PROJECT#:762200 PROJECT MANAGER: Robert Fuentes
BIDIRFP#: 06-3971 MOD#: POtI:4500110299 WORKORDER#:~ 'f5"60\ (~'L,\,\
DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: Surety Construction Co.
Original Contract Amount:
$ 205.096.00
(Starting Point)
Currant BeC Approved Amount:
$--!l!A
(Last Total Amount Approved by the BCC)
$ 205.096.00
(Including All Changes Prior To This Modification)
Change Amount: ~
Revi_ ContractlWork Order.Ali.ount: $ 205 096.00
(Including This Change Orela"
Cumont Contract Amount:
Cumulatlva Dollar Value of Changes to
Otis ContractlWork Order: $ 0.00
Data of Last BCC Approval NlA
Agenda Item # N/A
Percentage of the change over/under currant contract amount Jl!.
Formula: (Revised Amount I Last BCC approved amount)-
CURRENT COMPLETION DATE (S): ORIGINAL: 10116/09 CURRENT~
Descrtbe the change(s): Additional time is needed in the Project due to additional purchase of cabinets and a
sample dishwasheljthes~ms were not in the ortginal scope of work.
tL~ adcUc;L
Specify the reasons for the change(s) (' 1. Planned or Elective r 2. Unforeseen Conditions ., 3. Quantity
Adjustments C 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: additional time is needed for
the installation of vtII'ieYe- items. j
VtW.<<- C~C{
This change was requested by: rlcontractor/Consultant IFf Owner . Using Department !:. CDES
!:.oesign Professional rJRegulatory Agency (Specify) r Other (Specify)
APPROVED
~es
r No
Date:
Z --/tr/O
cl-/(. - /0
Date:
Revised 11.l9.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E6 ;2
Aprii 13, 2010
Page 37 of 53
PROJECT NAME: POI Firehouse_ PROJECT #: nla PROJECT MANAGER: _Bob Pierce
BIDIRFP #: ~3929 MOD #: PO#:4500105929_ WORK ORDER #:_4500105929
DEPARTMENT: Facilities
CONTRACTOR/FIRM NAME: Victor Latavish Archilect
Original Contract Amount:
$ 28,860.00
(Starting Point)
Current BCC Approved Amount:
NIA
(Last Total Amount Approved by the BCC)
Current Contract Amount:
$ 28,860.00
(Including All Changes Prior To This Modification)
Change Amount:
$2,800.00
$31,660.00
(Including This Change Order)
Revised ContractIWork Order Amount:
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 2,800.00_
Dale of Last BCC Approval
,;/A-
. ,
Agenda Item #
Percentage of the change over/under current contract amount 9.7%
Fonmula: (Revised Amount/ Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 12/22/09
CURRENT: 12/22/10_
o Increase Task Number _5_ by $ 2,800.00_
This change order will: 0 Add a new Task for $
Other
Describe the change(s): Additional architectural services.
Specify the reasons for the change(s) 0 1. Planned or Elective X 2. Unforeseen Conditions 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 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: No firehouse
This change was requested by: Contractor/Consultant x Owner ["I Using Department C CDES
xDesign Professional rlRegulatory Agency (Specify) [" Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No
This form is to be signed an~d.
APPROVED BY: Bob Pierce ~ ,...-
Project Man er
REVIEWED BY: ~ ~;........::~ r-oA.........
Contract pecialist
Date: 2/16/10
Date:
.:d( (, If 0
I .
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
C1~
P-/I'~dVtUJ
PROJECT NAME: Contract 1109-5244 Radio Road MSTU - Landscape & Irrigation Project Phase nB & 1A
PROJECT It. P. O. 1/4500113132 (dated 10/2612009)
PROJECT MANAGER: Derryl Richard. RLA. Project Manager. A TM Department r--- ",
j
BID/RFP It. 09-5244 MOD .: ~
PO#: P. O. 1/4500113132 WORK ORDER':.P. O. tl4500113132
DEPARTMENT: A D CONTRACTDRlFIRM NAME: H
Original Contract Amount:
$ 172.81070
(Starting Point)
$J!iI
(Last Total Amount Approved by the BCe)
$...J...12/~1()..1{)
Qncludlng All Changes Prior To Thts Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
RavlMd ContractlWork Order Amount
$~
$ 174534 70
(Including This Change Order)
Cum uletlve Dollar Value of Changea to
this ContractlWork Order:
$
. Dale of Last BCC Approval~
Agenda Item' ~
Percentage of the change over/under cummt contract amount~ I {)() ([)
Fonnule: (Revised Amount I Last BCC approved emount).1 . /0
CURRENT COMPLETION DATE (S): ORIGINAL: March 13.2010 CURRENT: March 13.2010
This chsnge order will: Address Iime-rock material found In median nsar Devonshire Blvd. (on Radio Rd.
between Devonshire Blvd. and Santa Barbara) by (1) Rock Removal. and (2) Mechenlcal Mixing. aleo 2 vatve
boxes are added to project to enclose the ballarl.s for 2 sotar panela.
Describe the change!s):
ADD THE FOLLOWING TO BID: (Note: Current Bid has 72 Items; added items are numbered 73, 74, and
75)
,
ITEM QTY UNIT COST TOTAL
(#73) Remove rocks and asphalt 1 LS $615.00 $615.00
(#74) Mix soil mechanically LS $925.00 $925.00
(#75) Provide 2 valve hoxes 2 EA $92.00 $184.00
TOTAL ADD TO CONTRACT: $1,724.00
THERE IS 'NO CONTRACT TIME CHANGE' PER THIS CHANGE ORDER
Specify the reasons for the change!s) e1. Planned or Elective e2. Unforeseen Conditions e3. Quantity
Adjusbnents 0 4. Correction of Errors (Plans, Specifications or Scope of Work) es. 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: Neoative impact would be
that soil in median on Radio Road between Devonshire Blvd. and Santa Barbara Blvd. would remain with rock
Revised 61809
Agenda Item No. 16E6 3q,
. April 13, 2010
materi;' thus neaativelv imDactina Dlant survivability and health. Also, 2 batteries for solar Danels ~cilllJf,815~
enclosed.
This change was requested by: · Contractor/Consultant · Owner
· Design Professional C1ReguJalory Agency (Specify)
CI Using Department !: CDES
['Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: [' Yes . No
This form is to be signed and dated.
Date:~
Date:~
APPROVED BY:
APPROVED B
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Radio Road MSTU Annual Landscaoe Architect Services PROJECT #: PD 4500105332
PROJECT MANAGER: Parrvl Richard RLA Prolect Manaaer A TM Peoartment
BIP/RFP II: 08-5060 MOP II: 02 (twol PD#: 4500105332 WORK ORDER II: 4500105332
DEPARTMENT: A TM Peol CONTRACTOR/FIRM NAME: McGee & Associates
Original Contract Amount: $ 14.170.00
(Starting Point)
Current BCC Approved Amount: $ nfa
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 18.966.00
(Induding All Changes Prior To This Modification)
Change Amount: $ 2142.00
Revised ContractlWorl< Order Amount: $ 21 108.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracliWorl< Order: $ 6 938.00
Date of Last BCC Approval_N/A Agends Item II _N/A
pe""'nlageoftheChangeoV8r/undercurrentcontractamount1~ J:a'cf1 ~ 11.2..~ 010
Formula: (Revised Amount / Last BCC approved amount)-!
CURRENT COMPLETION DATE (5): ORIGINAL: Januarv 4. 2010 CURRENT: March 31. 2010
This change order will: 0 Add a n_ Task for $ 1:81 Increa.. Task Number ..k!l..- by $ 2.142.00
Other
Describe the changeCs):_ADD: Task 2.0 Limited Refurbishment Services Durina Construction Phase I-A Proiect
ADD: Professional Unit
PrincipaUSenior LA 12
AutoCAD Technician 8
Administrative 2
TOTALADD-TASK ITEM 2.0
Rate
$128.00
$62.00
$55.00
Cost
$1,536.00
$496.00
$110.00
$2,142.00
ADD TIME: 86 days to contract due to delay In Phase 1/ Project Construction Completion (due to ROW Permit
review; sight line adjustments)
Specify the reasons for the changeCs) e1. Planned or Elective r 2. Unforeseen Conditions . 3. Quantity
Adjustments 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).
Identify all negative Impacts to the project if this change order were not processed: Neaative impact would be
that the proiect (Radio Road MSTU landscaoina - Phase II) would not benefit from consultant services that
are necessarv in order to ensure successful installation of plant materials and irrieation.
This change was requested by: - Contractor/Consultant - Owner n Using Department C CDES
- Design Professional nRegulatory Agency (Specify) r Other CSpecity)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes - No
Revised 6 18 09
Revised 6 18 09
ate:~
Date:~
Agenda Item No. 16E6 If
April 13, 2010'fq
Page 41 of 53 '
PROJECT NAME: Coc_ Park
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BIDlRFP t: 06-3944 MOD #:
2
PO#: 4500082665
WORK ORDER fI: 4500082665
DEPARTMENT: Parlcll & Recreation
CONTRACTORIFIRM NAME: Johnson Enoineerina. Inc.
Original Contract Amount:
$ 14.520 00
~Starling Point)
$ NIA
(last Total Amount Approved by the seC)
$ 14.520.00
Oncfuding All Changes Prior To This Modification)
$ 0.00
$ ~ /4,:5"2.0
(Incruding Thla Change Order)
Current sec Appro\l1ld Amount:
Current Contract Amount:
Change Amount:
Revised ContractIWork Order Amount:
Cumulative Dollar Value of Changes to
this ConlractlWork Order: $ Q.OO
DaI8 of Last sec ApPl"9val_ N1A
Agenda Item .. _ N1A_
Percentage of the change over/under cunent contract amount
Fonnuia: (Revised Amount I Last BCC approved amount)-1
o
%
CURRENT COMPLETION DATE (S): ORIGINAL: Auaust 9. 2007 CURRENT: SeDlember 30. 2010
Thill change order will: 0 Add a new Task for $
o Increase Task Number _ by $ 0.00
Other
Describe the change(s): This chane:e order is to allow more time to nel!Otiate with the State to acauire
permit and to cover lesser area for the Submenze Land Lease.
Specify the reasons for the change(s) r 1. Planned or Elective 2. Unforeseen Conditions 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) 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 time to comDlete
the Droiect.
This change was requested by: Contractor/Consultant X Owner
COesign Professional rlRegulatory Agency (Specify)
n Using Department C COES
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Ves X No
~.~,
~:~
REVIEWED BV:
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E6
April 13, 2010
Page 43 of 53
.~
PROJECT NAME: General legal Services PROJECT #: 70015 PROJECT MANAGER: Phil Gramatges
BID/RFP #: 05-3792
MOD #: L--PO#: 4500109136
WORK ORDER #:PG-FT -3792-08-01
DEPARTMENT: Plan nino & Proiect Manaoement
CONTRACTOR/FIRM NAME: de la Parle & Gilbert, P.A.
Original Contract Amount: $ 100.000.00
(Starting Point)
Current BCC Approved Amount: $290000.00
(Last Total Amount Approved by the BCC)
Current Contract Amount: $290.000.00
(Including All Changes Prior To This Modification>
Change Amount: $28,000.00
Revised ContractIWork Order Amount: $318,000
(Including This Change Order)
cumulative Dollar Value of Changes to
this ContractIWork Order: $218.000
Date of Last BCC Approval: 1/27/09 Agenda Item # 1.Q!.
Percentage of the change over/under current contract amount 9.6(, ~
Formula, (Revised Amount / Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:-
9/17/07
CURRENT: 8/15/10
This change order will: 0 Add a new Task for $
o Increase Task Number _ by $
IilOther - provide the following services
Describe the change(s): This chanqe is to add addilionai funds to cover services required for miscellaneous utility
proiects. and includes consulting and legal services. advice and other tasks related to Utilities and regulatory
matters. This change also adds additional time to the work order.
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) r 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: If this change order is not
authorized, there will not be in place the legal representation provided by De La Parte & Gilbert, to assist us in
the specialized area of Florida Water Law.
This change was requested by: rlcontractorfConsultant PI Owner rI Using Department C CDES
COesign Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: J;; Yes
This form is to be s' ned and da
r No
Prepared by:
Date:
L-'-\t>
APPROVED BY:
Date:
~Y~tJ
REViEWED BY:
Date:
Revised 7-14-09
Agenda Item No. 16E6 7
April 13, 2b10
Page 44 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME: David La';""'nce Center Dralnaae Re".Ir. PROJECT#:~ PROJECT MANAGER: Robert Fuentea
BIDlRFPtl:06-3971 MOD II: PO#:4500109359 WORKORDERt#:-!!t!- "f500Ic'l!5'1
DEPARTMENT: Filcllitl.. Management
CONTRACTORIFIRM NAME: Surety Construction Co.
Original Contract Amount:
$ 21.009.00
(Starting Point)
$ J11lOl1:1l0 /ilIA
1C8st Total Amount Approved by the BCC)
$ 21.009.00
(Including All Changes Poor To This Modific:a1ion)
S 1.482.97
CUlTllnt BCC Approved Amount
CUlTllnt Contract Amount
Change Amount
Revi..d Contract/Wori< Order Amount $ 22.491.97
(Including This Change Order)
Cumulative Dollar Val... of Chang.. to
thla ContractIWori< Order: $
1 482.97
Date of Laat BCC Approval N1A Agenda Item II N1A
Percentage of the change overlunder cUlTllnt contract amountJ![' '1.010 ~o
Fonnula: (Revised Amount 1 Last BCC approved amounl)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 3/17/10 CURRENT: 3/17110
APPROVED
Describe the change(s): Installation of landscaping, Irrigation and concrete pads at end of the drainage pipes
instead of rip rap, not in the original scope of work.
Specify the reasons for the Change(S)~. Planned or Elective ("., 2. Unfores~ Conditions (' 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope ofWork).IlI\ 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 ohange order were not processed:..!!ttf
YlM-i.u.:f !o-/J-uh/ /JUir- ft.p &nr1./\jJ/)Ze- l{/~~,4 ~, t/aJ~
a.~-:;.~..w f"'"-'
This change was ~ueSted by: nconlractor/Consultant )(;'Owner rI Using Department r: CDeS
Wlesign Professional rlRegulatory Agency (Specify) rother (Specify)
~es r No
-#
Dale: ..3/ .y/tJ
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
/~/~;ra ~k~g
pa~3 of 53
g
PROJECT NAME: Recreatlonel Boat Traffic Study_ PROJECT #: N1A_ PROJECT MANAGER:_Leura Gibson_
BIDIRFP ,: 07-4168_MOD ,: --1--POI:_ 4500096924_ WORK ORDER ,:_ JEI-FT-4168-08-07_
DEPARTMENT: Environmental Services Section
CONTRACTORJFIRM NAME: Johns"n Ennineerlno
Original Contract Amount: $ _91,455.00
(Starting Point)
Current BCC Approved Amount: $_""""(under BCC approvalthrasholdl_
(Laal Total Amount Approved by the BCC)
Current Contract Amount: $_91,455.00
(Including All Chenges Prior To This Modification)
Change Amount: $_0
Revised ContractJWork Order Amount: $_91,455.00
(Including This Change Orderl
Cumulative Dollar Value of Changes to
this ContractJWork Order: $_91,455.00
Dale of Last BCC Approval_N1A Agenda Item # _NIA_
Percentage of the change over/under current contract amount
Formula: (Revised Amount / Laal BCC approved amount}-1
CURRENT COMPLETION DATE (S): ORIGINAl.: 11/30109
0_%
CURRENT: .'tfS1tm'
4130110
.
This change order will: 0 Add a new Task for $
[gI Increaa. Task Number _IV_ by $_400.00_
Other_Decrease Task Number VII by $400.00, Extend completion date to April 30, 2010
Describe the change{s):_Contractor will finalize report and prepare the report for presentation via powerpolnt
format.
Specify the reasons for the change(s) ~ 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Pians, Specifications or Scope of Work) r 5. Value Added
fA' 8. 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: Staff would have to spend
time preparing a presentation which may not as accurately reflect the conclusIons of the study as those who
entered and analyzed the data.
This change was reques1ed by: rlContractor/Consuitant n Owner rl Using Department !! COES
COeslgn Professional rJRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Ves
,.,. No
This fonn is to b;& and dated. _
APPROVED BY: A /Ul ~~
Prp Mana~
APPROVED BY: '1#.,,' . L
t7. -
REVIEWED BY: ~ jy1 'UJt~
eta Speciahst
Revised 6 18 09
Date: 3/:S II 0
Date: 03 -04-'2010
Date: :3 -ff-/o
Agenda Item No. 16E6 1
April 1 ::l, 2010
Page 46 of 53
CONTRACTIWORK ORDER MODIFICATION
CI-lECKLlST FORM
[~;;tAYV~d ove:~l=Lco.,)
PROJECT NAME:, r~l'a-J~ Re~ e. '>ROJECT#: 0t>ObO. ( PROJECTM.6.NAG~: c.t.vJr ~W
B1D1RFP #: 0'1-41?.3MOD': -#-PO#:t/5. "",,:Z.Z WORKORDER.,.5e.--f'\":-4 J'7?~~
DEPARTMENT: C '7 ..M' CONTRACTOR/FIRM NAME:;:1~ s;,..lGj
0~_~ CO. oD
(Starting Point)
$ ~?~ "'/A-
(lasi'fotal Amount Approved by the BCC)
$ q 1'-/-/ b'T. (gO
Oncluding All Changes Prior To this Modification>
l~... \&.-1.':?O
Revised ContraetlWOrl( Order AmoUnt: $ I to I 5'lf. 1 0
(InclUding Thi$ Change Ord."
g,'i:'d::r~::;.V6~:;'f Changes to $' '~ Yl1-./ 0
Original, Contract Amount:
$
CUlTl>nt BeC Approved Amount:
ba", of I..aat SC:C Approval (Q. <;l '-, D'tf--,AI r-
Agenda 118m 1/ "/;4-
~ I. Bz... %
Current Contract Amount:
Change Amount:
$
Pe~rIt8Qlt. of the change OVItrllJnd8r ,current contract amount
Formula: (RevIse<l Amount I Lalit acc approved amount).1
CURRENT COMPLETION DATE (S): ORlGINAl.: 1. 'U7.01
.,.. ../""" ..... l:Z-
Thischangeonlerwlll: ~danewTaskfor$I~"lut.5"
CURRENT:
q.q./O
o Increaae Task ~ by $
Other
DesCribe th. chan~e(.): ApQ 'TM\t? Ai>.Pct1::b~AL..(~t<\ee.."Tn-1~s...'"""t"n I:t..l..t I <;~~
R~~ ~.$~A-l- "5'Cl\2. ~ .ro~ <;;-m-I::e I-\tol-O~ AWriovAL-
SpeCify the,reasons for the ChIUJ91l(sj'..,.(Planned or Elective (' 2. Unforeseen e<>nctitlons .', . (' 3. Quantity
AdjuSbnents (' 4. Correction <;If Errors (Plans, Specifications or Scope ofWorkl(' 5. Value Add!;4
('\ 6; Schedule Adjusbnents Note: One or more may be checked, depending on the nature ofthachllnge(S).
Identify aU negative Impacts to the project If this changa order were not processad: NON--~fZ.DVAt.....
Or R.etrS~ ~~S~~B'f l??~..~
This chawas requested by: llilcontractOrfConsu,tant Owner n Using Department C COES
r Othar (Spaclfy)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes ~
This form is to be signed and dated.
~---
Project Manager
- REVIEWED BY: wr~ fYt W HI
Co c. Specialist
APPROVED BY:
Date:
-:S./7.IO
Date:
.}-If-/tJ
Revised 6-15-09
Agenda Item No. 16E6 (0
April 13, 2010
Page 47 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Old US 41 Stann_tar ImDroYementa PROJECT II: 511331 PROJECT MANAGER: Brandv Otero
DEPARTMENT: Ro d Malntananc Asso ta a P.A.
Original Contract Amount: $16.750
(Starting Point)
Current BCC Approved Amount: $ NIA
(Last Total Amount Approved by the BCC)
Cu....nt Contract Amount: $104 276.80
(Including All Changes Prior To This Modification)
Change Amount: $ 0
Revlaed ContracllWort< Order Amount: $104.278.80
(Including This Change Order)
Cumulative Dollar Value of Chango ta
thl. ContracllWort< Order: $87 626 80
Date of Laet BCC Approval ~ Agenda Item # N/A
Percentage of the change over/under current contract amoun~
Fonnula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 12/31/09 CURRENT:
This change order will: 0 Add a new Task for $
10::>
X Other Extend comoletion data bv i8f' d....
0.0'10
1//5/lb
, I
o Incno.ae Taak Number _ by $
Identify all negative Impacts to the project If thie change order were not processed: The desiGn professional will
not be able to InsDect Guardrail construction and approve Pavment aDDlicatlons.
This change was requested by: C!contractor/Consultant X Owner n Using Department C. COES
X Design Professional nRegulatory Agency (Specify) rOlher (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: C Yes X No
Date:~
Date:~
fJl/Cf!ID
I I
Date:
. Agenda Item No. 16E6 /1
April 13, 2010
Page 48 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Golden Gate City Storm_tar Svslem Inv. PROJECT #: 51029 PROJECT MANAGER: Brandv Otero
BIDlRFP #: ~MOD #: LP0#:45001 08934 WORK ORDER #: 4500108934
DEPARTMENT: Roa Molnta ncelStormwaler Mano e CONTRACTORIFIRM NAME: Grad MI or & Asooclotas P.A.
$ 48.850.00
(Starting Point)
$ N/A
(Last Total Amount Approved by the BCC)
$48.850 00
(including All Chonges Prior To This Modification)
Orlglnol Contract Amount
Current sec Approved Amount:
Current Contract Amount:
Chsnge Amount:
Revised ContractlWork Order Amount:
$ 0
$48.850.00
(including This Chsnge Order)
Cumulative Dollar Value of Changes to.
this ConlractiWork Order:
$L-
Dale of Laat BCC Approval1:llA-
Agenda Item # ~
Perconlage of the change over/under CUlTSnt contract amount ~
Fonnula: (Revised Amount! Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 1/31/10
This change order will: 0 Add a n_ Task for $
CURRENT: 4/15/10
o Increase Task Number _ by $
X Other Extend completion dste bv 74 davs.
Describe the change(s): This chanae order Is necessary to allow time to review an~ finalize report.
Specify the reasons for the change(s) x 1. Planned or Elective 0 2. Unforeseen. Conditions C' 3. Quantity
Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 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 I' this change order were not processed: The desiGn Drofesslonal will
not be able to finalize the draft reDort.
Thia change was requested by: Cleontractor/Consultant X Owner OJ Using Department C CDES
X Design Professional OIRegulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes X No
REVIEWED BY:
Revised 6 18 09
Date:~I'DI ft)
, ,
Dale: 3/1 ( 110
Date:~
Agenda Item No. .16E
April 13, 2010
Page 49 of 53
{-r
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME: Pollution Control Lab Renovations PROJECT#:762200 PROJECT MANAGER: Robert Fuenlell
BIDIRFP #: 06-3971 MOD #:~POtI: 45--00110299 WORK ORDER #: '*"" 4~-1I02...~'l
DEPARTMENT: Pollution Control
CONTRACTORIFIRM NAME: Surety Construction Co.
Original Contract Amount:
$ 205.096.00
(51arting Point)
$ 20UH:dfl N ..)pA
(Last Total Amount proved by the BCC)
$ 205.096.00
Oncluding All Changes Prior To This Modification)
$ 940.58
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:.
Revised Contract/Work Order Amount: $ 206 036.58
(Including This Change Order)
Cumulative Dol/ar Value of Changes 10
lhlsContract/Work Order: $ 940.58
Dale of Last BCC Approval N/A Agenda Item # N/A
-1./"-
Percentage of the change over/under current contract amount oM' %
Fonnula: (Revised Amount/Last BCC approved amount)-l .
CURRENT COMPLETION DATE (S): ORIGINAL: 2/12/10
CURRENT:
3/29/10
Describe the change(s): Installation of sample dishwasher including plumbing and electrical connections.
SP8Ci.fy the reasons for the change(s) b( 1. Planned or. Elective c: 2. Unfo~ Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of wo~ 5. Value Added
r. 6. Schedule Adjustments Nota: One or more may be checked, depending on tile nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: This chanae order is value
added for the Lab in the past personnel were phvsicallv washina alass receptacles bv hand this will reduce cross
contamination.
This change was requested by: rJcontractor/Consultant )i<("Owner n Using Department C CDES
CDeslgn Professional r Other (Specify)
lATIONS: ~es r No
--:M
Date: ~i1ry 0
REVIEWED BY:
Revis.ed 11.19.2007
13
AgoRae iteR, ~J6. 1C[S
April 13, 2010
Page 50 of 53
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: ISC Production W.II PROJECT #: ...!!!!l!ill- PROJECT MANAGER: Murdo Smith
BIDlRFP II: ~MOD II:
DEPARTMENT: Pa_ & Rec
POI: 4500108787 WORK ORDER #: 4500108787
.rtm....t CONTRACTORIFIRM NAME: Camn 0.-... & McKee Ine.
Original Contrect Amount:
S~1.300.00
(Starting Point)
S N1A
~al Total Amount Approve~ by the Bee)
$_21,300.00
(Including All Changes Prior To Thia Modtficetlon)
$~__ 0.00
S N/A ?o! 300
(Including this Change O~
Current BeC Approved Amount:
Current Contract Amount:
Change Amount
R8YIseci ContrectlWork Order Amount
Cumulallw DoUar V"ue of Ch.ng_ to
thla ContractlWork Order: S_~ 6 00
Date of Laet sec ApproV81~NlA Ag.nda Itam # _N1^,---
~ge of the change over1under current contract amount~ 0.0 %
Fonnula: (Reviaed Amount / Last BCC approved .mount)-1 .
CURRENT COMPlETION DATE (S): ORIGINAL: J.nuary 25 2009 CURRENT:
December 31 2010
this cheng. ord.r will: 0 Add e new Teak for S
o Inc...... Te.k Number _ by $_ N1A_
Oth.r
Describe the change(s): -
Reauest Ume extension to re-bld and ask for Board aooroval on new oroductlon well.
Specify the reasons for the chllinge(s) (' 1. Planned or elective (' 2. Unforeseen Conditions (' 3. Quantity
Adjustments (' 4. CorrecUon of Errors (Plans, Specifications or Scope of Work) (' 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 Impecls to the project If this change order were not processed: The last bid was too hloh
and was reJected.
This change was reqUll8ted by: Contractor/Consultant X Owner n Using Department CDES
Coesign Professional rlRegulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
REVIEWED BY:
Date:
cS-/'f;,--/Zl
: $f1/lo
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E6 lit
April 13, 2010 (
Page 51 of 53
PROJECT NAME: Bulldino F Renovations PROJECT #: 50063 PROJECT MANAGER: Claude Nesbit!
BID/RFP #: 06-3971 MOD #; Qg,L,PO#: 45-107725 Wo if 4:>_10.112-....
DEPARTMENT: FacililieaCONTRACTORlFIRM NAME: Professional Sulldin" Svslems d/b/a Walt Svstems
Original Contract Amount $ 239,556
(Starting Point)
Current BCC Approved Amount .~ N fA
(Last T atal Amount Approved by the BCe)
Current Contract Amount: $239,556
(Induding All Changes Prior To This Modification)
Change Amount: $22,207.15
Revised ContractIWork Order Amount $261,763.15
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $22,207.15
Date of Last BCC Approval N / A Agenda Item # N / A
I I
Percentage of the change over/under current contract amount 9.27%
Formula: (Revised Amount / Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: Januarv 26 2010 CURRENT: March 26 2010
This change order will: l1':I Add a new Task For $22,207.00 D Increase Task Number _ by $
Other
Describe the change(s): Correction of exposed pre-existina fire wall conditions. addition of user reauested
electrical uparades. adiusted repair of wall due to floor covering chanaes
Specify the reasons for the change(s) 0 1. Planned or Elective p!'2. Unforeseen Conditions ,er'" 3. Quantity
~~stments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) c;/ 5. Value Added
j,Pr 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: Fire safety would not pass
inspections; insufficient electrical outlets/devises would exist for user needs, an unfinished condition exists at
the base board.
This change was requested by: C1Contractor/Consultant rI Owner r/ Using Department C. CDES
CDesign Professional ('IRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: IJ Yes
r No
This form is to be signed and dated.. \^
APPROVED BY: ~ ^"\Y\.P-7 ~ ~
Project M<lnager
APPi;D BY: X
REVIEWED BY:
Date:
~a'd-\ \0
'XX
,j /DI. J/; 0..
I (
)!:R
Date:
Date:
Revised 6 18 09
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
h-~~d~~t&'q~~g
vftjge 52 of 53
15
PROJECT NAME: Starnes Gooher Tortoise ReciDient Site Permittinc
PROJECT #: N/A
PROJECT MANAGER: Melissa Hennic
BIDlRFP#: QH.1!ll! MOD#: PO#:4500107279 WORKORDER#:4500107279
DEPARTMENT: Facilities MonanemAnl CONTRACTOR/FIRM NAME: Johnson Enoineerino. Inc.
Original Contract Amount
$ 15900
(Starting Point)
$ N/A
(Last Total Amount Approved by the BCC)
$ 15900
(Including All Changes Prior To This Modification)
Current sec Approved Amount:
Current Contract Amount
Change Amount:
Revised ContractlWork Order Amount:
$ 12700
$ 28 600
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order:
$ 12700
Date of Last sec Approval N1A Agenda Item # N1A
Percenlllge of the chenge over/under current contract amount~ '7'1. -l7 ;.
Formula: (Revised Amount/Last BCC epproved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: Seotember 30 2010
CURRENT: December 30 2010
This change order will: IZI Add a new Task for $6 700
IZI Increase Task Number ----L- by ~
Other Add a new Task for 53.500
Describe the chenge(sl: the chance onder is reauired so that the consultant can resoond to the FWC Reeuest for
Additionat Information (RAil reaandinc the GT rectDient site oermit install and moni1or one addilil/nal oiezometer as
recuested bv the Dermittine aeencY (FWCI and coondinate with FWC to obtain the GT reclDlenl site oermit.
Specify the reasons for the change(sl r X 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errol'll (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of tile change(s).
Identify all negative impacts to the project if this change order were not processed: A GaDher Tortoise Recioient
Site Permit would not be received for the Caracara Prairie Preserve. Collier Countv would not be able to re-Iocate
tortoises to the site from areas within the Countv where development is occurrina.
This change was requested by: r1XContractor/Consultant n Owner rI Using Department C CDES
CDesign Professional r1Regulatory Agency (SpecifYI r Other (Specifyl
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
Xr No
Date:
}//s)o
I I
3/~ ~/I ()
Date:
Revised 6 18 09
/J ,Agegda Item No. 16E6 I~
~ .J~.2v~01O
CONTRACTIWORK ORDER MODIFICATION .~f 53
PROJECT NAME: Underground Storage Tank Removal: 4315 Bayshore Drive PROJECT MANAGER: D8Yld L Jackson
BIDlRFP., 01-3970 MOD t: 13 POlf: 4500111875 WORK ORDER ,: POlf 4500111875
DEPARTMENT: Bayahore G_ay Triangie CRA CONTRACTORIFIRM NAME: HSA Engln-.o & ScIentists
Original Contract Amount:
$ 411,200
- (Starting Point)
$ ~/A.
(Las\ Talal Amount Approved by the BCC)
$ 73,950
-(Including AD Changes Prior To This Modification)
$_32,525
$_108,475
(including This Change Order)
Current BCC Approved Amount:
Current Contr.-t Amount:
Change Amount:
Revl_ ContractJWork Order Amount:
Cumulallve Dollar Value of Ch....... to
11I1. ContnclJWoril Order:
$_57,275
Daw of Last BCC Approval_NA Agendaltam Ii _NA_
Percentage of the change over/under curnnt contract amount~ <{ 3. Cfi? %,
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: .abruarv 1 2010
CURRE : SeplMlber 30, 2010
'-
Describe the change(s): Orillinal Work Order Task 2 is modified to include an I cr... unt of contaminated
soil removed from the project site - above and beyond the original estimate of soil to be removed.
Specify the re,!lSons for the change(s) .. 1. Planned or Elective XX 2. Unforeseen Conditions XX 3. Quantity
Adjustments.. 4. Conection of Errors (Plans, Specifications or Scope of Woril) 5. Value Added
XX II. Schedule Adjustments Nots: 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 _re not processed: To complets the required
environmentsl cleanup, IIround water must be _pled and tested. This cleanup proce.s, once begun, is
progressive until all impacted soli Is removed, and the ground water is found to be clean.
This change was requested by: ,. Icontractor/Consultant XX Owner
~sign Professional XX Regulatory Agency (Specify)_FDEP
I Using Department L coes
Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Yes
XX No
APPROVED BY:
Dale: tJ 3/ zzl/ 0
Date: ~/:J 3/rO
REVIEWED BY: