Backup Documents 03/12/2013 Item #16A12ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIq I A ^
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO }� G
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.
* *NEW ** ROUTING SLIP
Complete routing lines #1 through #2 as appropriate for additional signatures, dates, and/or information needed. Ifthe 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 Addressee(s) (List in routing order)
Office
Initials
Date
1.
appropriate.
(Initial)
Applicable)
2.
March 12, 2013
Agenda Item Number
16.A.12
3. County Attorney Office
County Attorney Office
Z4
4. BCC Office
Board of County
Commissioners
Number of Original
3
5. Minutes and Records
Clerk of Court's Office
Tty\
3(2w(3
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 additiorlal or missing information.
Name of Primary Staff
Marlene Messam
Phone Number
252 -5773
Contact / Department
appropriate.
(Initial)
Applicable)
Agenda Date Item was
March 12, 2013
Agenda Item Number
16.A.12
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
Type of Document
Change Order Contract No. 5
Number of Original
8 pages
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
signed by the Chairman, with the exception of most letters, must be reviewed and signed
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
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?
2.
Does the document need to be sent to another agency for additional signatures? If yes,
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
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
Office and all other parties except the BCC Chairman and the Clerk to the Board
Ak
11
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
C p�
N/A
document or the final negotiated contract date whichever is applicable.
^ 1
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding jo Tallahassee within a certain
I
time frame or the BCC's actions are nullified. Be aware o1your deadlines!
8.
The document was approved by the BCC on 3/12/2013 -(enter date) and all changes
made during the meeting have been incorporated in the attached document. The
County Attorne 's Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made, and the document is ready for the
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
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MEMORANDUM
Date: March 22, 2013
To: Marlene Messam, Sr. Project Manager
Trans /ECM
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Change Order #5 — Contract #09 -5278
Stanley Consultants, Inc.
Attached please find one (1) copy original change order as only one original
was sent to our department (Agenda Item #16Al2), as referenced above and
approved by the Board of County Commissioners on Tuesday, March 12,
2013.
The original is being kept by the Minutes & Records Department as a part
of the Board's Official Records.
If you should have any questions, please call me at 252 -7240.
Thank you.
Attachment (1)
CHANGE ORDER
CHANGE NO. 5
TO: Jon Ahlschwede, Operations Manager
Stanley Consultants, Inc.
27300 Riverview Center Blvd., STE 101
Bonita Springs, FL 34134
DATE: January 29, 2013
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CONTRACT NO. 09-5278
BCC Date: 1/26/2010
Agenda Item: 10B
PROJECT NAME: Design & Related Services for the Intersection Capacity Improvements to US41 &
SR/CR951 and 3R Roadway Improvements to SR951
PROJECT NO.: 60116
Under our AGREEMENT dated January 26, 2010
You hereby are authorized and directed to make the following change(s) in accordance with
terms and conditions of the Agreement: See Exhibit A - Supplemental Agreement #5
FOR THE (Additive) Sum of. $326,199.00 (Three Hundred and Twenty -Six Thousand, One Hundred
and Ninetynine Dollars)
Original Agreement Amount $1,700,000.00
Sum of Previous Changes $278,200.00
This Change Order add $326,199.00
Present Agreement Amount $2,304,399.00
The time for completion shall be increased by 413 (Phase I) calendar days due to this Change
Order. Accordingly, the Contract Time is now 1,915 days calendar days. The substantial completion
date is April 9, 2015 and the final completion date is May 9, 2015. Your acceptance of this Change
Order shall constitute a modification to our Agreement and will be performed subject to all the same
terms and conditions as contained in our Agreement indicated above, as fully as if the same were
repeated in this acceptance. The adjustment, if any, to the Agreement shall constitute a full and final
settlement of any and all claims of the Contractor arising out of or related to the change set forth
herein, including claims for impact and delay costs.
IN WITNESS WHEREOF, the Contractor and the County have each, respectively, by an authorized person or
agent, hereunder set their hands and seals on the date(s) indicated below.
Accepted: , 20L3
ATTEST: OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Dwight E. Brock, Clerk. _=
Attest a06 Chairman's
sigl?atury 0-,,Y.
CONTRACTOR:
Stanley Consultants, Inc.
AIAAJ
By:
Jon Ahl Nchwedve,'OperaTilo'n's anager
pr ed as t and
egal s ci c . L,
Deputy County Attorney
St-'61- r2 -.a . L--
Name
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W is UW1ff/
Marlene Me3m, P.E., Project Manager
1 DEPARTMVNT DIRECTOR
By:
Jay Ahm d; .E., 3S 3
DIVISION ADMINISTRAT
ick Casalanguida
16A 1ZA
Purchasing Department
Change Modification Form
❑ Work Order Modification
Contract #:09-
Change #: 5
PO/Work Order #: 45-
Project Name:US41 & SR /CR 951
5278
$ 1,978,200.00
00115819
Intersection and SR951 3R Im rov.
Project #: 60116
Project Manager:
Department: Transportation
Contractor /Firm Name: Stanley
Dollar Amount of this Change
Marlene Messam
En ineering
Consultants, Inc.
Original Contract/Work Order Amount
$ 1,700,000.00
1/26/2010
original BUU Approval uate; Agenaa item WIL
Current BCC Approved Amount
$ 1,978,200.00
9/13/2011
Last BCC Approval Date; Agenda Item #16.A.
Current Contract/Work Order Amount
1,978,200.00
SAP Contract Expiration Date (Master)
Dollar Amount of this Change
V $326,199.00
35.55%
Total Change from Original Amount
Revised Contract/Work Order Total
$2,304,399.00
16.49%
Change from Current BCC Approved Amount
Cumulative Changes
$604,399.00
16.49%
Change from Current Amount
Completion Date, Description of the Task(s) Change, and Rationale for the Change
Original completion date: 2/8/2014
(Phase 1)
Last approved completion date:
March 22, 2014 (PH 1) ✓
Revised completion date (includes this
I change): May 9, 2015 (PH 1)
Number of days added : 413
Each step on the contract modification checklist form has been reviewed prior to me
submitting for approval M.M. (this box must be initialed by Project Manager)
® Add new task(s)
® Change task(s)
❑ Delete task(s)
❑ Other (specify):
Revised: 5/16/12
1
1. Provide a detailed and specific explanation of the requested crange(c) to Ae as ) a d /or the
additional days I added:
a. Task 4.4A, 4.5A,4.10A, 4.11A, 4.14A to 4.18A;5.2A to 5.10A to 5.14A, 5.22A- 5.26;6.9A,6.13A to
6.22A;,20.1A to 20.15A — Roadway Analysis & Plans, Drainage & Signing& marking (Bus stop
enhancements) - $53,018.00 (Lump Sum) ✓
During the 60% and 90% design review phase the Alternative Transportation Mode (ATM) Department
requested additional bus stops and enhancements to be included in the design in response to the
community's needs, and as identified in ATM's long -range transportation plan study. These enhancements
included new bus stop concrete pads, bus pull out locations on US41 eastbound and westbound and on CR
951 northbound and south bound for safety, and closed bus shelters. These design services meet the intent
of the project and are consistent with the additional services clause (article two) of the contract.
b. Task 4.4 to 4.18 ;5.2 - 5.26;6.7- 6.22;10.5 - 10.15;18.12 to 18.18; 27,30 & 32 — Roadway Analysis, Plans,
Structures, Geotechnical, Survey & Noise Study Report (update) — Eagle Creek Noise Wall -
$59,620.00 (Lump Sum) `J
The Eagle Creek Community qualified for a 21 -ft sound barrier to the north and south of their entrance on
SR951; however, this height of was unacceptable to the community. In attempting to provide a noise
barrier that met the FHWA criteria, it was discovered that only to the south of their entrance could a
shorter wall be constructed. The community has agreed to a shorter wall to the south of their entrance
provided that the aesthetics met the community's desires. These aesthetic enhancements will require the
design construction of a gravity wall and earth embankment in front of the noise wall. To provide the same
aesthetic continuity to the north of their entrance, the Community Eagle Creek asked that the County
design and construct a shorter wall on their property.
c. Task 10.1 to 10.4,10.7A to 10.15A & 18.19 -18.22 — Structures (Light Pole Foundations) - $15,320.00
(Lump Sum)
The FDOT issued a new design memorandum for light pole foundations that will require the redesign of
the entire lighting system for the project. The FDOT District One, who has final design oversight for this
project, made the request during the 90% design phase. This request could not have been anticipated by
Staff and resulted in 8 additional detail sheets that need to be produced for the project.
d. Task 10.813 to 10.15B;18.6;19.5 tol9.17;20.1B to 20.15B;30A — Structures (Cantilever Sign
Structures) - $50,994.00 (Lump Sum) ✓
At the 90% design review phase the FDOT requested that five (5) new cantilever signs structures be added
to the project.
e. Task 29.1 to 29.3 Mapping (Right of Way) - $47,247.00 (Lump Sum) ✓
Additional right of way documents are needed due to changes in the proposed project footprint. These right
of way documents include 57 additional sketched and legal descriptions; and, additional map sheets.
f. Post Design Services - $100,000.00 (Time and material not to Exceed)
Post design services have been negotiated in accordance with section 3.8 of the contract. This project is
being done as a Joint Participation Agreement with the FDOT, and the level of effort required to execute
this task could not be reasonably quantified at an earlier time in the project. Now that the project has
reached a more substantial level of design, the effort for this task was more properly estimated.
2. Provide detailed rationale for the requested change:
These changes are necessary design enhancements that were as a result of the County and FDOT staff review and
evaluation of the project.
3. Provide explanation why change was not anticipated in original scope of work:
Kevisea: of i bi i z
2
The nature of these scope changes make it impossible for these changed to have been capture at t e time o the
original scope of services development. Changes in state policies could not have been anticipated. The FDOT
provided original criteria for the design and they have final design oversight for this project. Also, some of the
changes were as a result of community public involvement.
4. Describe the impact if this change is not processed:
The Project needs Federal and State approval or risk losing funding. Also, by DCA the County has a commitment to
develop this project and not approving these changes would violate this commitment.
Type of Change / Modification
❑ 1. Planned / Elective
® 2. Unforeseen conditions /circumstance
❑ 3. Quantity or price adjustment
❑ 4. Correction of errors
® 5. Value added
I ❑ 6. Schedule adjustment
Change Requested By ;
❑ Contractor /Consultant
® Owner _
❑ Usin Department
❑ Design Professional
® Regulatory Agency (specify):
❑ Other (specify):
Purchasing Professional Participated in Negotiation of Change / Modification: ❑ Yes ❑ No
n
Approved by:
Date: 1
J
Name and Tit e: rlene Mes m, Sr. Project Manager
Reviewed by
Date: L,
Procurement tr egist's Name: Rhonda Cummings
Revised: 5/16/12
3
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