Backup Documents 01/08-09/2013 Item #16C 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP �-
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO IC 2
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
Complete routing lines #I through #2 as appropriate for additional signatures; dates, and/or information needed. If the document is already complete with the
exception of the Chairman's signature, draw a line through routing lines #1 through #2, complete the checklist, and forward to the County Attorney Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1.
appropriate.
Initial
Applicable)
2.
Ill O .
Agenda Item Number
16 -C -2
3. County Attorney Office
County Attorney Office
SRT
1
4. BCC Office
Board of County
Commissioners
Number of Original
r
5. Minutes and Records
Clerk of Court's Office
-VM
, j29 /l3
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above. may need to contact staff for additional or missing information.
Name of Primary Staff
Diana DeLef Purchasing Department
Phone Number
252 -8375
Contact / Department
appropriate.
Initial
Applicable)
Agenda Date Item was
Ill O .
Agenda Item Number
16 -C -2
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
SRT
Type of Document
Work Order — RFQ 08- 5011 -75
Number of Original
One
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
N/A
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
SRT
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
Initial
Applicable)
1.
Does the document require the chairman's original signature?
SRT
2.
Does the document need to be sent to another agency for additional signatures? If yes,
SRT
provide the Contact Information (Name; Agency; Address; Phone ) on an attached sheet.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
SRT
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
SRT
Office and all other parties except the BCC Chairman and the Clerk to the Board
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
SRT
document or the fmal negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
SRT
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
SRT
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forward' g to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be awa of your deadlines!
8.
The document was approved by the BCC on 1 /1 and all changes made during the
SRT
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by
rthe BCC, all changes directed by the BCC have been made, and the document is ready
Chairman's signature.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
16 CZ '
MEMORANDUM
Date: January 28, 2013
To: Diana De Leon, Contract Technician
Purchasing Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Work Order — RFQ 08- 5011 -75
Attached, is a copy of the contract referenced above (Item #16C2),
approved by the Board of County Commissioners on Tuesday, January 8, 2013.
The original will be held on file with the Minutes and Record's Department in the
Board's Official Records.
If you have any questions, please contact me at 252 -8411.
Thank you.
Attachment
16 CZ I
WORK ORDER/PURCHASE ORDER
Agreement for Fixed Term Underground Utility Contract #08 -5011
Contract Date: March 11, 2008
Fixed Term Contract Expires March 10, 2014
(RFQ #08- 5011 -75)
BCC Approval Date: 1/8/2013 Item #16.C.2
This Work Order is for Underground Utility Construction Services for work known as:
Project Name: 70062.3.2 Upgrades to IQ Water Sites Priority Group #3
Project No: 70062.3.2 Upgrades to IQ Water Sites Priority Group #3
The work is specified in the Proposal page, dated December 11. 2012, which is attached hereto and made a
part of this Work Order. In accordance with the Terms and Conditions of the Agreement referenced above and
Request for Quotation #08- 5011 -75 dated November 30, 2012, as modified by Addendum 1 thru 3, attached
hereto as a part of this Work Order # (please fill in once received) is assigned to: Haskins.
Inc.
Scope of Work: Per the Quote Tabulation form attached and the following: Contractor will add underground,
actuated valves at the following four sites as detailed in the attached proposal and the following:
• Task I All Work Described in the Request for Quotation Scope of Work
• Task II Allowance
Schedule of Work: Complete work within 365 days from the date of the Notice to Proceed which is
accompanying this Work Order.
Compensation: In accordance with Section 2 — Statement of Work for Agreement #08- 5011 -75, the County
will compensate the Firm in accordance with following method(s): ®Negotiated Lump Sum and ® Time and
Material (non - guaranteed, owner directed work), as provided in the attached proposal.
Task I $360,000.00 (LS)
Task II $45,000.00 (TM)
TOTAL COSTS FOR TASKS I & II $405,000.00
PREPARED BY:
Aaron mer, PPMD Principal Project Manager
APPROVED BY:
Danette Kinaszcz ana — rilg Mn Quality
APPROVED BY: 1M
Tm Chmelik, PPMD Director
I U,
Date
/ —leo
Date
Date
APPROVED BY: )1JW1 10'2 K)L—� 11101171
STKe—M c rs ner, W W irector Date
APPROVED BY: s -4 A � 3
Georrggee,Y�ilmaz, Administrator Date 2
APPROVED BY: !� C� 4''�
Nicole Parker, Procurement Strategist NP 1 • t 0.13 Date
WORK ORDER/PURCHASE ORDER
Agreement for Fixed Term Underground Utility Contract #08 -5011
Contract Date: March 11, 2008
Fixed Term Contract Expires March 10, 2014
(RFQ #08- 5011 -75)
BCC Approval Date: 1/8/2013 Item #16.C.2
Clerk
Aeauit�t,l� 11'r� �i.
Approved form'and legal sufficiency
By ; {1` i ,/
�
�S 1`5 tall 1 1.` n
AtDm(.i
rFff
COMMISSIONERS,
FLORIDA .
By:
rgta A. iller, Esq., Chairwoman
ACCEPTED BY: HASKINS INC.
0
Ben D. Elwell, Manager
2
0[13
Date
16 C2
col ker County
Administrative Services Division
Purchasing
t6 C2 I
REQUEST FOR QUOTATIONS UNDER CONTRACT #08-5011
"Annual Contract for Underground Utilities"
Date: November 30, 2012
From: Nicole Parker, Contract Specialist
239-252-4270, Telephone Number
239-252-6549, Fax Number
nicoleparker(cDcolliergov.net
To: Prospective Vendors
Subject: REQ #08-5011-75
Upgrades to 10 Water Sites Priority Group #3
As provided in the referenced contract, the Collier County Purchasing Department is soliciting
quotes for the referenced project.
LRF Date:
7Q Due ate:
December
December 11, 2012 at 3:00 P.M.
Pre-Quote Meetly rr
November 29, 2012 at 2:00 P.M.
Pre-Quote Meeting Dcation:
L
Location:
PU D Conference
PUD Conference Room In Bldg H — Conf Rm B
Number of Days to Final COMDletion:
days 1,
365 days to Final Completion
Liquidated Damages:
$401.50 per day
Plans and Specs:
By Hole Montes dated August 20
-Description
Quantity
Price
U0M
0
Total
BASE BID: All work required In accordance
with the Plans and specifications
1
360,0
0 LS
360, 00il
ALLOWANCE: Ownet's use as directed for
unforeseen work and costs associated with
the existing underground piping and electrical
utilities.
1
_$45,000
TIVI
_$45.000
TOTAL
405,0
RM
Your quotation response for this project is due no later than the date and time specified above.
We will not accept any quotation responses later than the noted time and date. If your firm is
unable to respond electronically, your quotation must be received in the office of the Purchasing
Department at the above referenced address no later than the time and date specified. We look
forward to your participation in this request for information/quotation process. Performance and
payment bonds shall be required If the lowest responsive quote exceeds $200,000.
HASKINS, INC.
Firm's Complete Legal Name
239-947-1846 / 2 9— 47 -385.7
Telephone Numbff / Fax Number----,
Signature 4-2�
TIMATOR
Title I
MaCPH VU
Print Name Date
RFO_Conlrac[Driven—RevisedSeptember2oog
1