Backup Documents 03/13/2012 Item #11BORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 118
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #I through #4 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 #4, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
(List in routing order
Office
Initials
Date
1.
(Initial)
Applicable)
2.
March 13, 2012
Agenda Item Number
1113
3.
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
4. Scott Teach, Deputy County Attorney
County Attorney's Office
x
3 5 /�-
5. Ian Mitchell, Supervisor
Board of County Commissioners
Documents Attached
6. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.
Name of Primary Staff
Brandy Otero
Phone Number
(239) 252 -5886
Contact
(Initial)
Applicable)
Agenda Date Item was
March 13, 2012
Agenda Item Number
1113
Approved by the BCC
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
Type of Document
Change Order
Number of Original
2
Attached
I
Documents Attached
INSTRUCTIONS & CHECKLIST
L Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
«matter number» /<< document number»
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate.
Yes
N/A (Not
(Initial)
Applicable)
1.
Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the
BO
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the
County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's Office and
N/A
all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the document or
BO
the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and
BO
initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip should be
BO
provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. Some documents are
time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions
are nullified. Be aware of your deadlines!
6.
The document was approved by the BCC on March 13. 2012 and all changes made during the
BO
meeting have been incorporated in the attached document. The County Attorney's Office has
reviewed the changes, if applicable.
L Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
«matter number» /<< document number»
11B
MEMORANDUM
Date: March 19, 2012
To: Brandy Otero, Operations Analyst
Trans /Stormwater Management
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Change Order #6 to Contract #10 -5206
Attached please find one (1) coriginal of the document referenced above,
(Agenda Item #11B), which was approved by the Board of County
Commissioners on Tuesday, March 13, 2012.
If you have any questions, please call me at 252 -8411.
Thank you.
Enclosure
CHANGE ORDER NO. 6
TO: Gary T. Wingo, R.A. LEED AP
DATE: 2/10/12
CHANGE ORDER 11 B
CONTRACT NO. 10 -5206
BCC Date: 2/23/12
Agenda Item: 16136
PROJECT NAME: Design Services for Collier Area Transit Transfer Station
PROJECT NO.: 33037.1
Under our AGREEMENT dated February 23, 2010
You hereby are authorized and directed to make the following change(s) in accordance with
terms and conditions of the Agreement: Add funding and time to Task IV. See attached scope.
FOR THE (Additive) Sum of: Seventy Nine Thousand Cline Hundred ($79,900)
Original Agreement Amount $305,495
Sum of Previous Changes $46,200
This Change Order add $79,900
Present Agreement Amount $431,595
The time for completion shall be increased by 597 calendar days due to this Change Order.
Accordingly, the Contract Time is 1,394 calendar days. The final completion date is December 31,
2013. 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 t an et forth herein, including claims for impact and delay costs.
Prepared by Date'J S
rand Otero, Associate Project Manager
Alternative Transportation Modes
Accepted by: Date: 02, 13 1z
DALd E. tong, P261, Senior Program Manager, Assoc. Vice Presiders
Atkins North America, Inc.
Approved by: //& Date: dz - Q4, . 12-
Michelle Arnold, Director, Alternative Transportation Modes
Approved by:
7 NArman . Feder,
Approved by:
Cummings,
Date: 20 `.
ATTEST:
and Legal Sufficiency:
Print Name: C'
Allista` Trcounty Attorney
n
� Date;
inistrator, Growth Management Division
Date: ha--
I remen Stra egist
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY FLORIDA
BY: W.
Fred W. Coyle, Chairman
116