Backup Documents 02/09/2010 Item #16B1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 8 1
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 Omce. 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 SUP
Complete routing lines #1 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) Office Initials Date
(List in rouling order)
1.
2.
3.
4.
.
5. o ~,,~ Filwn, Executive Manager Board of County Commissioners ~ Z-h/lO
,,,'" 1l-t1-rc.Hc"'Z-L.-
6. Minutes and Records Clerk of Courts Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder afthe original document pending Bee approval. Normally the primal)' contact is the person who created/prepared the executive
summary. Primary contact information is nceded in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing
information. All original documents nceding the Bee Chairman's signature are to be delivered to the Bee office only after the Bee has acted to approve the
item.l
Name of Primary Staff Margaret Bishop Phone Number (239) 252-5857
Contact
Agenda Date Item was 2/9/10 Agenda Item Number 16BI
Aooroved bv the BCC
Type of Document Change Order to Work Order Number of Original I
Attached Documents Attached
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes N/A(Not
aoorooriate. (Initial) Applicable)
I. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chainnan, with the exception of most letters. must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances, /J'.~ti
resolutions. etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all patties except the BCC
Chairman and Clerk to the Board and nossiblv State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's /rid tl
Office and all other oarties exceot the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date ofBCC approval of the ?';tdf;
document or the final negotiated contract date whichever is aoplicable.
4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's /J.d'tj
signature and initials are reauired.
5. In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval. '?/!<< B
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware ofvour deadlines!
6. The document was approved by the BCC on 2/911 0 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's Omce ')'J\~ 'D.
has reviewed the changes, if anplicable.
INSTRUCTIONS & CHECKLIST
1: Forms! County Forms! Bee Forms! Original Documents Routing Slip
WWS Original 9.03.04
1681
MEMORANDUM
Date:
February 10, 2010
To:
Margaret A. Bishop, Sr. Project Manager
Stormwater Management
From:
Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re:
Change Order No.2 to Work Order #4500103688
LASIP Project #51101 (Whitaker Road)
Attached is a copy of the document referenced above, (Item #16Bl) approved
by the Board of County Commissioners on Tuesday, February 9, 2010.
The Minutes and Record's Department has held the original which will be kept
as part of the Board's Official Record.
If you should have any questions, please call me at 252-8406.
Thank you.
Attachments (1)
TO: PBS&J, Inc.
1514 Broadway, Suite 203
Fort Myers, FL 33901
CHANGE ORDER TO WORKORDER
FROM: Road Maintenance Department
2885 S Horseshoe Drive
Naples, FL 34104
1681
LASIP Whitaker Road
Project Number 51101
Work Order date: December 23,2008
Change Order Number 2
Change Order Description:
This change order is to add additional services to the work order to include design
modification and permit modifications to reduce the construction cost of the project by more
than $600,000. The scope is attached to this change order.
Work Order No. 4500103688
Date: January 11,2010
Original agreement amount ...............................................................$197,950.00
Sum of Previous Changes...... ...... ......... ....... ....... .......... ......$ 43,950.00
This Change Order No.2 Amount (add)............................................$ 55.260.00
Revised Agreement Amount .............................................................$297,160.00
Original contract time in calendar days..................... ....................... .455 days
Adjusted number of calendar days due to previous change orders............... 60 days
This change order adjusted time is..................................... ........... ....120 days
Revised Contract Time in working days...... ...... ................ ...... .......... 635 days
Original Notice to Proceed date .................................................. January 5, 2009
Completion date based on original contract time......................... April 4, 2010
Revised completion date due to change order(s) ......................... October 2, 2010
Gf\J (L
1-14~ID
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 said
Agreement indicated above, as fully as if the same were repeated in this acceptance. The
adjustment, to this Agreement shall constitute a full and final settlement of any and all claims
arising out of, or related to, the change set forth herein, including claims for impact and delay
costs.
Prepared by:7;rd.A-<-i.~4 0 ~
Margaret . Bishop, P.E., Sr. Projec Manager
s~anage~ction
Accepted by: ~~
"
Nathan L. West, P.E., Group Manager
PBS&J
Date:
/-/'1-/0
D'''~
u:;;rt
Date: 1//+//0
I I
Vliet, Director
Road Maintenance Department
Change Order No.
Page 2
1681
Date:
Approved by:
Norman Feder, AICP, Administrator
T orta n S ices Division
Approved by:
Rhonda Cummings, CPPB, C ntr ct Specialist
Purchasing Department
Date: -'l / '1 / / 0
I /
ATTEST: .u:;
.........../11/,\
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Approved As T6'p6fin
and Legal Sufficiency:
Print Name: ~fI-(2,{~L
,\33i3t8llt County Attorney
bt,,+
Date: / h ~ J) tofU
f
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY FLORIDA
BY: ~C~~'~
Item# ~
Agenda d-'1 ~l 'D
Date