Backup Documents 04/12-13/2011 Item #16D 1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16D 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
ROUTING SLIP
Complete routing lines /I I through #4 as appropriate for additional signatures, dates. and/or inl;)fJ1lation needed. Jfthe document is already complete with the
excention of the Chairman's si<~nature, draw a line through routino lines tit thrnu!!h #4, comnlctc the checklist, and fOf\vard to Sue Filson (line #5\.
Route to Addressee(s) Office Initials Date
(List in toutinp order)
I, Meghan Pox on, Grants Support Housing and Human Services ~lf 1/ i?J111
Specialist
2, Lyn Wood, Contract Specialist Purchasing , I 11fF/ltt
(ttD
3, Jennifer B, White, Assistant County Attorney ~ --e, \0 711Sl11
County Attorney
4, -;:c --;-;:;- --;- -;:;;- , 'r' "
5, S\1~ r;1~81i, Executive Manager Board of County Commissioners ~ 1-/(1) I I(
IAIII!}1, Te-Hc.L..-L.
6, Minutes and Records Clerk of Court's Oftice
PRIMARY CONTACT INFORMATION
(The primary contact is the holder ofthe original document pending Bee approval. Normally lht primal)! contact is the person who created/prepared the executive
summary. Primary contact information is nceded in the cvent olle nfthe addressees above, indudll1g Sue Filson, need 10 conlacl statTfor additional or missing
information. All original documents needing the fJCC Chairman's signalure arc I() h.... delivered to the He<' office only after the l3eC has acted 10 approve the
item I
Name of Primary Staff Frank Ramsey, Housing Manager Phone Number 252-23 36
Contact
Agenda Date Item was April 12, 2011 Agenda Item Number 1601
Aooroved bv the BCC
Type of Document Change Order Number of Original I
Attached Documents Attached
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes N/A(Not
a ro riate. (Initial) A licable)
1. Original document has been signedlinitialed for legal sufficiency, (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed ~-evJ
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 ossibl State Officials,)
2, All handwritten strike-through and revisions have been initialed by the County Attorney's nla
Office and all other arties cxce t the BCC Chairman and [,he Clerk to the Board
3, The Chairman's signature line date has been entered as the date of BCC approval of the f,t'P
document or the final ne otiated contract date whichever is a licable,
4, "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's fj('
si nature and initials are re uired,
5, In most cases (some contracts are an exception), the original document and this routing slip rdlpc
should be provided to Sue Filson in the BCC omee within 24 hours of BCC approvaL
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BeC's actions are nullified. Be aware of our deadlines!
6, The document was approved by the Bee on 04/12/2011 and all changes made during ~r
the meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the chan es, if a Iicable,
I: Forms! County Forms! Bee Forms! Original Documents Rnuling Slip WWS Original 9.03.04. Revised 1.26.05, Revised 2.24.05
16D 1
MEMORANDUM
Date: July 15, 2011
To: Frank Ramsey, Housing Manager
Housing & Human Services Department
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Change Order #3 to Contract #09-5248
Enclosed please find one (1) copy of the document, referenced above
(Agenda Item #16Dl), which were approved by the Board of County
Commissioners on Tuesday, April 12, 2011.
The Minutes & Records Department has retained the original
documents to be kept in the Board's Official Records.
If you should have any questions, please contact me at 252-8411.
Thank you
,~-..._.,
160 1
CHANGE ORDER
CHANGE ORDER NO, J CONTRACT NO, 09-5248
BCC Date: 09/15/2009
Agenda [tern: 16D3
TO: Heatherwood Construction Comoanv. [nc,
8880 Terrene Court
Bonita Springs. FL 34135
DATE: March 22. 2011
PROJECT NAME: 5031 32,d Ave SW, Naoles. FL 34120
PROJECT NO,: NSP 09-18
Under our AGREEMENT dated Januarv 12.2010,
You hereby are authorized and directed to make the following changers) in accordance with tenns and
conditions ofthe Agreement: Zero Dollar Change/Time Extension
FOR THE Sum of: Zero Dollars ($0,00),
Original Agreement Amount $47.096,00
Sum of Previous Changes $0,459,00)
This Change Order $0,00
Present Agreement Amount $45,637,00
Effective as of April 28, 2010 time for completion shall be increased by 187 calendar days due to this
Change Order, Accordingly, the Contract Time is now Two Hundred Ninety Three (293) calendar days, The
substantial completion date is November 1.2010 and the final completion date is November 1. 2010, Your
acceptance of this Change Order shall constitute a modification to our Agreement and will be perfonned suhject
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,
OWNER:
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
- ~
By: By: .-
alter Crawford Frank Rall)Sey,
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By: P
-Mllrcy Krumbine
B,1i~~m.
Marla Ramsey
B,CON~~''"Z'u'J
Lyn
Date: .:At n 1 i Z. 12..01\
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY FLORIDA
Y: "tLk BY: MW,~
'Attest ii. to'; Cltt.l Inll4ll I Fred W, Coyle, Chairman
Aj)RRt!l(~~"brw ..
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and,j:,egaJ Sufliore~OY:
Print Name: ~~~~
Assistant County A mey
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