Agenda 12/15/2009 Item #16E 8
Agenda Item No. 16E8
December 15, 2009
Pa'le 1 of 35
EXECUTIVE SUMMARY
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board-
Approved Contracts.
OBJECTIVE: To enable the Board to oversee the execution of administrative change orders
and changes to work orders, and promote accountability in the use of staff authority.
CONSIDERATIONS: On April 22, 2003, the Board approved a recommendation to implement a
plan to enable changes to BCC-approved contracts (Section XV.C, Collier County Purchasing
Policy) of not greater than 10 percent of the current Board approved amount or $10,000
(whichever is greater) to be authorized by staff. Also included in the report are changes to Work
Orders. These include work orders issued under CCNA Contracts which are less than or equal
to $200,000 (Section VII.C, Collier County Purchasing Policy), and changes to work orders for
all other contracts (Section XV.G, Collier County Purchasing Policy) which are not greater than
10 percent of the current Board Approved amount or $100,000 (whichever is greater). The
Administrative report identifies the percentage changes to contracts or work orders that have
occurred since the prior BCC approved amount which are below the threshold limits as
referenced above.
The plan calls for staff to submit a monthly report listing these change orders from the previous
reporting period. Enclosed is the monthly report of the Administrative Change Orders and
...- Administrative Changes to Work Orders. These reports cover period October 21, 2009, through
November 20, 2009.
FISCAL IMPACT: The total change to contracts is $81,010.48. The total change to work
orders is $44,967.71.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with
this action.
RECOMMENDATION: That the Board of County Commissioners accepts the enclosed
Administrative Change Orders Report and Administrative Changes to Work Orders Report and
ratifies the listed change orders and changes to work orders
PREPARED BY: Diana De Leon, Contract Technician, Purchasing Department
..-
Ilem Number:
Ilem Summary:
Meeling Dale:
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Agenda Item No. 16E8
December 15, 2009
Page 2 of 35
16EB
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board-
Approved Contracts.
12/15/20099:00:00 AM
Prepared By
Diana DeLeon
Administrative Services
Division
Contracts Technician
Purchasing & General Services
Date
Approved By
1211120094:21:41 PM
Steve Carnell
Administrative Services
Division
Director. Purchasing/General Services
Purchasing & General Services
Date
12121200911:51 AM
Approved By
Len Golden Price
Administrative Services
Division
Administrator. Administrative Services
Administrative Services Division
Date
12171200911:17 AM
Approved By
Laura Davisson
County Manager's Office
Management & Budget Analyst
Office of Management & Budget
Date
1217120091 :32 PM
Approved By
Jeff Klatzkow
County Attorney
Date
Approved By
1217120092:08 PM
John A. Y onkosky
Office of Management &
Budget
Director - Management and Budget
Office of Management & Budget
Date
1217/20092:11 PM
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E8
December 15. 2009
Page 5 of 35
I
,
PROJECT NAME: GGCP Water Slide PROJECT #: _80109.1_ PROJECT MAHAGER:_ Tony Ruberto
BIDIRFP #: 06-3971 MOD #:
1
PO#:_4500105747
WORK ORDER #:_4500105747
DEPARTMENT: Pari<s & Recreation
CONTRACTOR/FIRM NAME: PBS-Wall SYStem of SW Florida
Original Contract Amount:
$ _296,971.00
(Starting Point)
Curnent BCC Approved Amount:
$ N1A
(Last T olal Amount Approved by the BCC)
$ 298,971.00
-(Including All Changes Prior To This Modification)
Curnent Contracl Amount:
Change Amount:
Revised ContracllWori< Order Amount:
$_14.255."8
$ 311,226.16
(including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWori< Order:
$_'4,255.16
Date of Last BCC Approval_2124/09
Agenda Item # _16DB
Percentage of the change over/under current contract amount
Formula: (Revised Amounl/ Last BCC approved amounl)-1
4.B
%
CURRENT COMPLETION DATE (5): ORIGINAL:
Seotember 21 2009
CURRENT: November 20. 2009
This change order will: 0 Add a new Task for $
. Increase Task Number _ by L14.255.16_
Other
Desc;r1be the c;hange(s): Inc;rease amount of c;onc;rete. c;hanae concrele bearina c:ac;itv from 3000 Dsllo
4000 DBi. reloc:ate footer deDth due to water lines interference. reDalr water dlsc;ha _e IIne~ installed a new
fresh water line to toD of tower. Drovlde bahla sod in lieu of hvdroseedlnll and additional _rolect manaaement
Additional 80 calendar days haa been added to the contrac;t to comDlete the work:
Specify the reasons for Ihe change(s)r 1. Planned or Elec;tlve r.X 2. Unforeseen Conditions r X 3.
Quantity Adjustments r 4. Correct/on of Errors (Plans, Spec;llIcatlons or Scope of Work) r 5. Value Added
r 6. Sc;hedule Adjustments Note: One or more may be checked, depending on Ihe nature of Ihe change(s).
Identify all negative Impacts to the project If this change order were not processed: Watel'1lllde will be unsafe If
not DroPerlv constructed acc;ordlna to actual desian conditions.
This c;hange was requested by: X Contractor/Consultant X Owner rl Using Department r CDES
X Design Professional rlRegulatory Agency (Spec;lfy)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
r Olher (Specify)
17 No
Tis fonn is to be signed an
Date:
APPROVED BY:
REVIEWED BY:
Date:
~
Revised 7-14-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E8 0
December 15, 200S ""
Page 6 of 35
PROJECT NAME: exotic Removal
oq -52.2-!>
BIDIRFP #: 89<!1!ffP!M 1\ MOD #:
PROJECT #: _80600 & 80802_ PROJECT MANAGER:_Tony RUberto__
1 PO#:_4500109474_ WORK ORDER #:_4500109474
DEPARTMENT: Perks & Recreation
CONTRACTORIFIRM NAME: JOhMon's T_ Service & Slumo Grlndlna
OrIginal Contracl Amount:
$ _'7,625.00
(Starling Point)
$ NIA
(Last Total Amount Approved by the BCC)
$_'7,625.00
(Including All Changes Prior To This Modification)
Currenl BCC Approved Amount:
Current Contract Amount:
Change Amount:
$_',586.25
Revised ContracllWork Order Amount: $_'8,2".25
(Including This Change Order)
Cumulllliw Dollar Value of Chang.. to
thle ContraCl/Work Order: $_',588.25
Date of Lesl BCC Approval_NIA Agenda Item # _N/A
Percentage of the change over/under current contract amount
Formula: (Revised Amount / Lest BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: December 10.2009
9
%
CURRENT: December 10.2009
This change order will: 0 Add a new Task for $
. Increase Task Number _ by $_1.586.25_
Other
Describe the change(s): Removed additional Dine tre.. at North Collier Realonal Park and removed
additional exotica lit Veterans and Eallt NaDI.. Parks.
Specify the reasons for the change(s)r ,. Planned or E1.ctive CO' 2. Unfor....n Conditions r 3. Quantity
AdJusbnents r 4. Correction of Errors (Plans. Specifications or Scope of Work) r 5. Valu. Added
r 6. Schedule AdJuabn.nts Note: On. or more may be checked. depending on the nature of the chang.(s).
Id.ntify all n.gatlv. Impacts to the project if this chang. order were not proc....d: All exotic veaetatlon shall be
removed from the site as d.Rned In th. County Code.
This change was requested by: Contractor/Consultant CO' Owner rl Using Department C CDES
Design Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes 17 No
Tis fonn is to be signed an dated.
...-:-->
APPROVED B .
Date:
Date:
--
I
Revised 7- I 4-09
.I\genda Item No. 16E8 .3
December 15, 2009
Page? of 35
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Gateway Trianale Stonnwater Imorovements PROJECT #: 51803
PROJECT MANAGER:_Shane Cox
BID/RFP #: 06-3969 MOD #:
2
PO#:_/ WORK ORDER #:
4500105064
DEPARTMENT:
Slonnwaler M I
CONTRACTOR/FIRM NAME:
Slanle Consultants
Original Contracl Amount: $ 91.885
(Starting Point)
Currenl BCC Approved Amounl: $ NIA
(Last Total Amount Approved by the BCC) no BCC approvals
Current Contract Amount: $ 98.665
(Including All Changes Prior To This Modification)
Change Amounl: $ 0
Revised ConlracllWork Order Amount: $ 98.665
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $ 6.780
Date of Last BCC Approval
NIA
Agenda Item #
N/A
Percentage of the change over/under current contract amount
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (8): DRIGINAL: June 12 2009
..hl1Same) 0.00 %
CURRENT:
Dec 31. 2009
This change order will: 0 Add a new Task for $
Other
o Increase Task Number
by $
ribe ~ change
Im/I!J . #?1 ~
Specify the reasons for the change(s) r 1, Planned or Eleclive X 2. Unforeseen Conditions r J. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of Ihe change(s).
Identify all negative impacts to the project if this change order were not processed: f' ~ael--t<JtJJcI
~/tV/1 . . .
This change was requested by: Clcontractor/Consultant r! Owner X Using Department C CDES
as s
e items
e e c
m r
anned work er~
rDesign Professional rlRegulatory Agency (Specify)
rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
x No
APPROVED BY:
Date:
/19 h (' /c7'1
/ I
APPROVED BY:
Date
Dae Ie / j- ~~r
REVIEWED BY:
C
Revised 6 18 09
Agenda Item No. 16E8 d
Uecemoel 15, 2565 r
Page 8 of 35
~....,..""..,~-,- ..
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BIDfRFP #: 06-39S9
PROJECT NAME: pun Immokalee Reaional Airoort PROJECT #: 50002 PROJECT MANAGER: Theresa Cook
MOD #: 4
PO#: 4500088890
WORK ORDER #: QGM-FT-3969-08-02
DEPARTMENT: Airoort Authoritv
CONTRACTORfFIRM NAME: Q. Grady Minor & Associates. P.A.
Original Conlracl Amounl:
$ 19 985
(Starting Point)
$ 37 730
(Lasl Total Amount Approved by the CCAA)
$ 37730
(Including All Changes Prior To This Modification)
$ 20015
$ 57.745
(Including This Chan9a Order)
Current CCAA Approved Amounl:
Current Contract Amount:
Change Amount:
Revised ConlractlWork Order Amount:
Cumulative Dollar Value of Changes to
this ContracllWork Drder:
$ 37.760
""""".'_"'F_.
Dale of Lasl CCAA Approval. 11/1 0108
Agenda Item # XI. D.
53. O~ %
parcentage of the change over/under currenl contracl amounl
Formuia: (Revised Amount/ Last CCM approyed amount)-l
CURRENT COMPLETION DATE (8): ORIGINAL: 9/30108
This change order will: 0 Add a new Tasks for
o Add a new Tasks for
CURRENT:
08/30/10
181 Increase Task Number 1
181 Increase Task Number 3
by $ 10.005
by $ 10,010
Other Extend schedule by 270 days
Describe the change(s): Chanoe scooe to add additional research, revisions, coordination and meetinos & adi!!g
schedule accordinolv.
Specify the reasons for the change(s) 0 1. Planned or Elective c; 2. Unforeseen ConditJons 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) c; . Value Added
(0", 6. Schedule Adjustments Note: One or more may be cheeked, depending on the nalure of the change(s).
Identify all negative Impacts 10 the project If this change order were not processed: Airport Authoritv would be
unable to comolete PUD rezonina oroiect.
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: R1 Ves
[' No
"'r<..."",~_
This change was requested by: IJlc0ntractor/ConSullant r>I
!:Design Professional Q Regulalory Agency (Specify)
Owner
CI USing Department [J CDES
COther (Specify)
Date: loa '7/09
Date:
/tJ/ tX 0'/0 9
I
Revised 11.19.2007
li:H~nrl31 It@m t\1'). i6ES-_
~ December 15, 2009
Page 9 of 35 S--
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Public Communications Manaaemenl Svslem PROJECT#: TBE 00026.()30.()1
PROJECT MANAGER: Tamika Seaton
BIDIRFP #: 03.3465 MOD #:K?' PO#:4500100197 WORK ORDER #: TBE-FT-3465'()6'()2
DEPARTMENT: COLLIER METROPDLlTAN PLANNING DRGANIZATION CONTRACTOR/FIRM NAME: Cardo TBE
Original Contract Amount:
$ 41,184
(Starting Point)
$4~ f.llf'(
(Last Total..lmount Approved by the BCC)
$ 41.184
(Including All Changes Prior To This Modification)
Current BCC Approved Amounl:
Current Contract Amount:
Change Amounl:
$ 0
$'y L{(,(i'f
(Including This Change Order)
Revised ConlracllWork Order Amounl:
Cumulative Dollar Value of Changes to
Ihls ConlracllWork Order: $ _4~ - 0-
Dale of Lasl BCC Approval
rJl[)..
Agenda Item #
Percentage of the change over/undor current contract amount_O
Fonmula: (Revised Amount 1 Lasl BCC approved amount)-1
%
CURRENT COMPLETION DATE (S): ORIGINAL: 111012010 CURRENT (Revised): 05110/2010
Describe the change(s):_ This change order Is 10 exlend our conlracl with TBE
Engineering Services (Contract
for professional Traffic
#03-3465).
Specify the reasons for the change(s) C 1. Planned or Elective C 2. Unforeseen Conditions C 3. Quantity
Adjustments r: 4. Correction of Errors (Plans, Specifications or Scope of Work) r: 5. Value Added
X 6. Schedule Adjustments Nole: One or more may be checked, depending on the nalure of the change(s).
Identify all negative impacts to the project if this change order were not processed: The MPO would not have a
web site. We request that our contract be extended for a period of one (1) year or 360 days from the date the Work Order
Modification is approved to allow MPO staff to continue maintenance of the MPO's web site while preparlna Reauest for
Proposal materials.
This change was requested by: r1ContractorlConsultanl rI Owner xLI Using Department r CDES
LDeslgn Professional LIRegulatory Agency (Specify) LOther (Specify)
CONTRACT SPECIALIS PARTICIPATION IN NEGOTIATIONS: [J Ves [J No
APPROVED BY:
Date:
/o!g./I!or
APPROVED BY:
Date:
Date:~
REViEWED BY:
Revised 2-22-08
Agenda Item No. 16E8
December 15. 2009 {7
PagEl 10 of 35
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: QSI ~ ?AAAaJr., C-.;r PROJECT#:- -~t .1 ~OJECT MANAGER:c1.f'fJI'{F..u~
BID/RFP#: 01-t..(.53 MOD#: j pO#d!5-lot.{t:l5(), WORKORDER#: Q ~H-Fr"":r-<-f153
OEPARTMENT: C7....Nf CONTRACTOR/FIRM NAME: I'(r,RAO.f t'1P1~
Original Contract Amount:
$ <:/;l '01, '100.00
~/;;rting Point)
SI 0.00 tJ
(Last T ota ount Appnoved by th BCC)
$ bl/1DO.OO
$ (Including All C7ges Prior To This Modification)
$ GI,/oo.oo
(including This Change Order)
Currenl BCC Approved Amount:
$
CurrenlContraclAmounc
Change Amount:
Revised ContracllWork Order Amounl:
Cumulative Dollar Value of Changes 10 <ri
Ihis ContracllWork Order: $ T
Data or losl BCC Approval ~/A- . Agenda Item # ~
Percentage of the change aver/under current contract amount ff %
Formula: (Revised Amount / Last BCC appnoved amount)-1 .
CURRENT COMPLETION DATE (S); ORIGINAL: 02.7-1. C'1 CURRENT: 0:;.0/.10
This change order will: 0 Add a new Task for $
o Increase Task _ by $
Olher N/A-
,
Describe the change(s): 1"'J "11.(;: M rrJ /' A',..l~ "{"t;Hf'_ f't\.All.Jlrn:-oJ -ro t"'OM9L....:iT.
17A&d'tl:7lJ of- ;...<lJ~:r.;;A-L- TI'U-Hs MD c.o...,)D~~~ .
i
,
Specify the reasons for the change(s) r 1. Planned or Electiva r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errc~rs (Plans, Specifications or Scope of Work) r 5. Value Added
.' 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
i
Identify all negative impacts 10 the project if this change order were not processed:
c... 'S ArJC Co~ ~01i'0>.-I
This c~e was requested by: IIContractor/ConsUltant
~gn Professional IIRegulatoryAgency (Specify)
~
:c-..J &oM~;t~ _
~~1V1 ~~'in:>j.
Owner
II Using Department r CDeS
r07ify)
No
CONTRACT SPECIALIST PARTICIPATiON IN NEGOTIATIONS:
r-
Yes
This form Is to be signed and dated.
APPROVED BY; ~ - ~
Project Manager . > f)
,r"'EViEWEDBY: ~-~~
Contra I Specialist
Date:
1-1. cn.-. O"j
Date:
it Is /01
,
Revised 6-] 5-09
Agenda Item No. 16E8
December 15"_ 200~ I
Page 11 of 35 (
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME:gSI B~-E::N..,.-::v,s:. PROJECT#: r5:0, I.t PROJECTMANAGER:~ ~~~
BID/RFP #: 01- 3'Z!'fO MDD #: q POII::lS-IOO'1..rz.. WDRK ORDER #rQ''''M-Fr-04::9:r
DEPARTMENT: C--z.."1 CONTRACTOR/FIRM NAME: Q_ 9~ M:;:..tae
Original Contract Amount:
ZPL I CO. au
(Starting Point)
$ 7-q ~, 00 filA
(Last Total ~t Approved by the BCG) I
--z>1, I 00.00
$ (Indudlng All ehan~riOr To This Modification)
$ -VI, 00.00
(Including This Change Order)
$
$
Currenl BCC Approved Amounl:
Current Contract Amount
Change Amount:
Revised ContractlWork. Order Amount
Cumulative Dollar Value of Changes to
this ContracllWork Order: $
rf
Date of Lasl BCC Approval
~k
Agenda Item #- ~
Percentage of the change over/under current contract amount
Fonmula: (Revised Amount 1 Last Bee approved amount)-1
eURRENTCOMPLETION DATE (S): ORIGINAL: "'I. z.o. oS; CURRENT: 0 '2-. 2. e,. (0
%
This change order wiJI: 0 Add a new Task for $ 0 Increase Task _ by $
Other XNC~~E-.. CO.,p.z.......... ~1"-.+n:vrJ
Oescribethechange(s): rn~~G C-<D~::r I1=t-1E.. Du~~
DL\,E.. Tn ~~9 R'Ev.'7""8>IJ ?iz.~SS'.
Specify the reasons for the change(s) r 1. Planned or Elective. 2. Unforeseen Condilions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negalive impacts to Ihe project if this change onder were not processed: I,.J d.L C-A-us E...
J:::::r..V~~.::n;;. C--o~Tt.\A-L ~s Me:> ('..n,.Ji)-Uu:NS.
This ~ge was requested by: r1Contractor/Consultant rI Owner rl Using DJpartment r CDES
~gn Professional r1Reguiatory Agency (Specify) r Olher (SPbCify)
I
~
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r-
Yes
This form is 10 be signed and dated.
APPROVED BY:~. ~('
PrOje~'
REViEWED BY: -.. "\.. 2-'"d!,-
pecialist
Date: 10 .?o .oq
Date: f()-"c-~J -(/1'
Revised 6-15-09
l
Agenda Item No. 16E8 .'7
December 15, 2089 '6
Page 12'of 35
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: FY 2009 Develoomenl of e Memorandum of Underalandlna PROJECT #: 128.134338-634999.35084.1
PROJECT MANAGER: Lorraine M. Lantz .
BIDlR.FP #: 07-4198 MOD ~PO" 4500104493 WORK ORDER #: 4500104493
DEPARTMENT: C III r M 0 CONTRACTOR/FIRM NAME: Aim E Inearfn.lL& Survevlno. Inc
Orlglnel Contract Amounl:
$ 27.335.00
(Starling Point)
$ 27..-1iQ ,J / A
(Lest Total Amounl Approved by the BCC)
$ 27.335.00
(Including All Chenges Prior To This Modification)
Current BCC Approved Amounl:
Current Contract Amount:
Chenge Amounl:
$
o
Revised COntractlWork Order Amounl: $ 27.335.00
(Including This Change Order)
Cumuletlve Dollar Value of Changes 10
Ihla ConlracllWork Order: $ 0
Dale of Laal BCC Approval
rJ II><
,
Agende Item #
rJ (~
Percentage of the change over/under current contract amount
Formula: (Revised Amounl/ Last BeC approved amount}-1
- 0 -
%
CURRENT COMPLETION DATE (S): ORIGINAL: October 31 2009
CURRENT:
Februarv 28. 2010
This change order will: 0 Add a new Task for $
Other
o Increase Task Number
by$
Describe the change(s):
Increase Ihe time to comDlete the work under contract.
Specify the reasons for the change(s) n 1. Planned or Elective (\ 2. Unforeaeen Conditions ('. 3. Quantity
Adjllstments r 4. Correction of Errors (Plans, Specificalions or SCDpe of Wor1<) r 5. Value Added
R 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts 10 the project If Ihls change order were nol processad: The consultant would nol be
able to comolele the work.
This change was requested by: Plcontraclor/Consultanl n Owner PI Using Department C CDES
CDeslgn Professional rJRegulatory Agency (Specify)
r Other (Specify)
.
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATiONS: r Ves
~.'
. No
Approved by'
Date:~
Approved by:
r
Date:
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenqa Item f~o. 16E8
9'Ci'r]/b# is" 79P>>' 010
?ct~9 1 J e(f'J1('
6tV
1
PROJECT NAME: Building F Security lobby PROJECT #: 52525-1 PR'OJECT MANAGER: Bob Pierce
BIDIRFP #: 06.3929 MOD #:2 _PO#: 4500078895 WORK ORDER #: VJL.FT-3929-07-04
DEPARTMENT: Facilities CONTRACTOR/FIRM NAME: Viclor J Lalavish Architect
Original Conlracl Amount: $ 34,160.00
(Starting Point)
Currenl BCC Approved Amount: $nla
(Last Total Amount Approved by the BCC)
Currenl Contracl Amount $37,360.00
(Including All Changes Prior To This Modification)
Change Amount: $-0.
Revised ContractIWork Order Amount: $37,360.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
Ihis ContracllWork Order: $3,200.00
Date of Last Bee Approval_n/a Agenda Item # _o/a
Percentage of the change over/under current contract amount_O ~O%
Formula: (Revised Amount J Last BCe approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 4/1212008 CURRENT: 4112/2010_
This change order will: D Add a new Task for $
o Increase Task Number
by $
Other
Describe the change(s):_fncrease in time.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3, Quantity
Adjustments r 4. Correclion of Errors (Pians, Specifications or Scope of Work) r 5. Value Added
r' 6. Schedule Adjustmenls Note: One or more may be checked, depending on the nature of the change(s).
Identify all negalive impacts to the projecl if Ihis change order were not processed: _It we lee vQ""ul b..
p.~"." fer .(er~ol\"': . / ,;J . ,/ / -4 -.L do
....(::..;Uf"c.i.. '{,&~N(f/r.. /1.../<1 JrfitLll (l/LD~,;bj/lvL at /f.(J/lT'..J (i/tC-1(T..<E(,Y.
This change was requested by: rrContractor/Consultant x Owner x Using Department C CDES
LDesign Professional rlRegulalory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
x No
APPROVED BY:
B
Date:
II ;:2/07
,
REVIEWEO BY:
Date: 1/ II;., / (Je;-
t I
Revised 6 18 09
Agenda Item No. 16E8 /0
December 15, 2009
Pagel 14 of 35
CONTRACTIWORK OROER MODIFICATION
CHECKLIST FORM
PROJECT NAME: DavIS Boulevard IntersectIon Imnrovements at Shadow/awn Drive PROJECT #; 60016
PROJECT MANAGER: A Nvankadau Kartl
B1DIRFP#, ~ MOD#'-L-- PO#, 4500]100]6 WORKORDER#, 4500110016
DEPARTMENT: TEe
Original Contract Amount:
CONTRACTORJFIRM NAME: nness
578989.14
Current Bee Approved Amount:
5~.-:"] 4 N (fc.
Current Contract Amount:
578 989.]4
Chang& Amount: (Add)
51.864.20
580853.34
Revised ContractlWork Order Amount
Cumulative Dollar Value of Changes to
th]s Cont,.ctiWork O,der. ~ ~ 'rJ~tf, C)..{)
~/
Date of last Approval Septe~ 4,2009 If"" Agenda Item # ~
OJ
Percentage of the change under current contract amount (:1 .,t:.(I~) __._ ..". 3~ {b
Formula: (Revised Amount I Last BCe approved amount)-1
This change orderwlJl: 0 Add a new Task for $1.864.20 0 Increase Task Number __by $
CURRENT COMPLETION DATE ($): ORIGINAL: December 5 2009 CURRENT: December:'i 2009
Other Added nay looms and adiusted auantities
Describe 'he chsoge(s): The contract called for installation of one (1) new puH and junctIon box, forty (40) linear foot of
2" .0ndUlIs( 2-PVC pipe). 3 Lonp assembly (F&J) (Type A), 50d 1 Loop assembly (F&I) (Type F) along Davis
Boulevard. During a field meeting. it was discovered that if the project was to be constructed per plans, the loop
connections wiIl be spliced. In order to avoid splicmg the loop, It was decided that new conduits be lJ1stalled by way of
directional bore under Shadowlawn Drive to be used faT eastbound left turn lane loop detector mto Shac10wJawn Drive
North. As a result. the following pay items were added or deducted:
Added pay nem, 2" condUIts (l ~ PVC pipe) (hand dig), fifty (50) linear foot. Added new pay item, 2" Directional Bore.
sixty (60) linear foot Deducted 2" conduits (2 ~ PVC pipe) forty (40) linear foot.
The changers) () 1. Planned or Elective ~. Unforeseen CQRditlons ~QuantJty Adjustments (':. 4.
Correction of Errors (Plans, Specifications or Scope of Work) r.,........-S. Value Added
n 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change{s).
Identify all negative Impacts to the project 11 this change order were not processed. The traffic ~gnal will not
function effectively.
This change was requested by: ~ntractor/Consultant ~ner L~lng Department D coes
Doesign Professional OIRegUlatory Agency (Specify)
COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOT]ATlONS: 0 Yes
~
This form is to be signed and dated.
APPROVED BY; #~
A Nyankadau Kartl, Project Manager TEeM
Date: 1/ kr 10,,/
,
REVIEWED BY:
::::: I ~/; 0ft q
t Purchasmg Department j
r
Revised 6 ]8 09
Agenda Item No. 16E8
December 15, 2009
Page 15 of 35
III
~ONTRACTIWORK ORDER MODIFICA TrON
CHECKLIST FORM
PROJECTNAME: Courthouse Paintina & Waterproofina PROJECT#:52004
Oftr3'i7/ S
BIDIRFP #:-NI/lr MOD #:
PROJECT MANAGER: Robert Fuenles
1
PO#: 4500109964 WORK ORDER #:
JlIH('
<-fS'Ouloq,qc..<./
DEPARTMENT: Facilil'es Management CONTRACTOR/FIRM NAME: Wright Conslruclion Group
Original Contract Amount
$ 95.835.00
(Starting Point)
$ 95..ll3s:"00 r-t Ir>r
(Last Total Amount Approved by the BeC)
Current Bee Approved Amount:
Current Contract Amount:
$ 95 835.00
(Including All Changes Prior To This Modification)
Change Amount:
$ 7.247.10
$ 103,082.10
(Including This Change Order)
Revised Contract'Work Order Amount:
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 7,247.10
Date of Last BCC Approval NIA
Agenda Ilem # NIA
Percentage of the change over/under current contract amount.B 1_ ~(pC( 0
Formula: (Revised Amount 1 Last BCC approved amount)-1 .
CURRENT COMPLETION DATE (S): ORIGINAL:
12117109
CURRENT:
12/17/09
Describe Ihe change(s): Handrails were not specified on the original scope of work and the conlrol joints were
not included on the original proposal.
Specify the reasons for the change(s). 1. Planned or Elective r 2. Unforeseen Conditions C 3. Quantity
Adjustments. 4. Correction of Errors (Plans, Specifications or Scope of Work) (' 5. Value Added .
r 6, Schedule Adjustments Note: One or more may be checked, depending on the nature of the changers).
Identify all negative impacts to the project if this change order were not processed: ~
P'4' ,i.e' I- ?().~t " eei /lU r /,., /' (7~7H.A).&22. ~/ .
J /
This change was requested by: rlContractor/Consullant ~ Owner n Using Department C CDES
rDesign Professional nRegulatory Agency (Specify) rOther(Specify)
APPROVED B
· Yes r No
Date:
REVIEWED BY:
Date:
Revised 11.192007
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
A~~e~l~.,~ 1t~~~~ ;O? I
Page 1~
PROJECT NAME: Phvsiclan Led Access Network. Inc (PLAN) PROJECT" Cooa-07 PROJECT MANAGER: Rosa Munoz
BIDIRFP II:
B-OS-UC-12.oo16 MOD iI:
2
POiI: 4500105320 WORK ORDER II: N1A
CONTRACTORIFIRM NAME: PHYSICIAN LED ACCESS NETWORK. INC (PLANI
DEPARTMENT: Houslna and Human Servfces
Original Contract Amount;
$ 40.000
(Slalting Point)
$ 40.000
(last T oIaI Amoullt Appro\Ied by the acC)
$ 40.000
(Including All Changes Prior To This Modification)
Current BCC Approved Amount;
Cunent Contract Amount
Change Amount;
$ 0
Reviaed ContractlWork Order Amount; $ 40.000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this Contrac:tJWork ~ $' 0
Date of Last BCC Approv.1
December 16. 2008
Agenda Item # 16D34
Percentage of the change over/under current contract amount
Formula: (ReviSed Amount 1 Last BCC approved amounl)-1
o
%
CURRENT COMPLETION DATE (S): ORIGINAL: DS-3()..2oo9
CURRENT:
D:;'f~2D10
This change order will: 0 Add. newT..k for $
o Incre.... Task Number
by$
Other Will adlust line Item amounts .nd extend contract bv two additional montha.
Describe the change(s): To Drovide a chanae in Exhibit A. SCODe of Services Budael Seclion B. to allow for the
foUowina line item chanaes: 81minate Executive Director line item. Replace Administrative Assistant line item with
Operations Manager to reflect 55.000 In this line item. Adlust Patient Care Coordinator salarv to 520.291.50. This
wiU also provide a time extension of an additional one and half months therebv allowina the contract's wo~
Schedule be adiusled to reflect a chanae in the milestone deadline date forUle 100% fundlna eXll9nded to March 15
2010. This revision will not change the original totaJ budoeted amount for this Community DevelOPment Block Grant
ICDBGI proiect.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quanllly
Adjustments r. 4. Correction of Errors (Plans, Specifications or Scope of Worle) r. 6. Value Added
[8J 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: The delav in the project Is a
result of continuous numerous staff turnovers.
This change was requested by: r1Contractor/Consultant
rDesign Professional r1Regulatory Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
[8J Owner
rI Using Department C. CDES
This fonn is 10 be signed and dat~~
APPROVED BY: Rosa Munoz / -.
, Project Manager
APPR~ BY:
REVIEWED BY:
OOther (Specify)
rYes r No
. Date:
10-19-09
Dale:
~:
~ C:;)
/D-;!v..-{J 7
Date:
...-::r';"...'t......-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E8
15t:lL.t::lllbt::1 l.J, zooS
Paga 20 of 35 ~
PROJECT NAME: Phase I Lake Construction at IMM PROJECT #: 46014: 46015: 46041 PROJECT MANAGER: Theresa Cook
BIDIRFP II: 074129
MOD II: ~ POll: 4500084079
WORK ORDER II:
N/A
DEPARTMENT: Airoort Authoritv
CONTRACTORIFIRM NAME:
Qualitv Enterorises USA. Inc~
Original Contract Amount:
$ 588.683 75
(Starting Point)
$ 917880.63
(Lasl Tolal Amounl Approved by Ihe CCM)
$ 917 880 63
(Including All Changes Prior To This Modification)
Currenl CCAA Approved Amount:
Current Contract Amount:
Change Amounl:
$ ;,grUB
rr 1q 1.$0
I
Revised ConlracllWork Order Amounl: $ 925678.13
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContraclIWorl< Order: $ 336 994.38
I
..,-"',"'"' ".>...
Date of Lasl CCAA Approval 8/10/09
Agenda Item # VIILC
Percentage of the change over/under current contract amount
Formula: (Revised Amounl / Last CCM approved amount)-1
.85 %
,-
CURRENT COMPLETION DATE (S): ORIGINAl: 3/18/08
This change order will: 181 Add. new Task for $ 7 979.50
CURRENT:
11/30/09
o Increase Task Number
by $.
Other Adiust schedule accordinalv.
Describe the changees): Chanae scooe to add Davino for SFWMD reouired storm water structures. and to perfonm
FAA reaulred testina.
Specify the reasons for the change(s) 0 1. Planned or Elective 0 2. Unforeseen Conditione 0 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) @ 5. Value Added
€' 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the changeesl.
Identify all negative Impacts to the project if this change order were not processed: The expansion of the aircraft
apron at IMM will not be in compliance with FAA or South Florida Water Manaaement Permit reouirements.
This change was requested by: OlconlractorlConsultant I?'I Owner rJl Using Department D. CDES
.,.....c_._ L:Oesign Professional EiIRegulatory Agency (Specify}
SFWMD & FAA
OOther (Speclfy)_
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: lJ Yes
C No
Date: /0- 2.2.'0 r
REVIEWED BY:
Date:
/0 '-23-tJ1
r
Revised 7-14-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
K19~e~~~ 16E~ 3
'/W/~~
PROJECT NAME: Emergency Service Center PROJECT#: 52160 PROJECT MANAGER: Hank Jones
BID/RFP II: 04-3609MOD II: 21 POII:4S00100672 WORK ORDER It. NJA
DEPARTMENT:Facilities CONTRACTORIFIRM NAME:Kra1l Construction Comoanv. Inc
OrigInal Contract Amount:
~
$ 38,533,902.00
(starting Point)
$34,322, 150.87 ./
(Last Total Amount Approved by 100 BCe)
$33,667,165.83 v
(Including"" Changes Prior To This Modification)
$ 11,012_93
$33,678,778.76 ;/
(Indudng This Change Dnl...)
CUmlnt Bee Approved Amount:
CUmlnt Contract Amount:
Change Amount:
Revleed ConlrllCt/Work Order Amount:
Cumulatlve Dollar Value of Changes 10
this ContractMlorl< Order.
$(4,855,123.24) /
Dale of Last BCC Approval September 25,2007
Agenda Item #16 E 17
(I, rib
%
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (8): ORIGINAL: 1212008 CURRENT: 31209
This chang&order wltl: ~d a new Task for $11,012,93 0 Increase Task _ by $
Other
Describe the change(s):For additional work perfonned as directed by the County per attached fist
Specify the reasons for the change(s)" I, Planned or Elective r. 2. Unforeseen Conditions r. 3. Quantity
Adjustments r 4, Correction of Errors (Plans, Specifications or Scope of Work. r 5. Value Added .
r 6. Schedule Adjustments Note: Olll! or mom may be checked, depending on the natule of the change(s).
Iden' all negati,Vl! impacts to the project ifthi~ chan~e order were not processed: 5d11~ l<u.-T r(
. H/, _ ~ .
This change was requested by: ~ontractor/Consultant xrc;wner r CDES
!:Design Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes <0
APPROVED B .
Dale:
/0 / ?~I J or
1 t
Id17/d 9
I .
REVIEWED BY:
Date:
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
,^.E]srqsb It,,::,"'"' r-..lr'\ 1t=:J::A
December 15, 2009 LI
Page 22 of 35 7
- PROJECTNAME: Blda."F" Generator & Electrical UDarade PROJECT#:08.5035 PROJECT MANAGER: Robert Fuentes
BID/RFP #: 08-5035
MOO #: 8
PO#: 45-00094798 WORK ORDER #: N/A
OEPARTMENT: Facilities Management CONTRACTORiFIRM NAME: SDutheaslem Communications Sorv. Inc.
Original Conlracl Amount:
$ 1.228.835.00
(Starting Point)
$ 1,228.635,00
(Last Tolal Amount Approved by Ihe BCC)
$ 957.529.43
(Including All Changes Prior To This Modification)
$ (5.273.101
Current BCC Approved Amount:
Currenl Contract Amount:
Chenge Amount:
Revised ConlracllWork Onder Amount: $ 952.256.33
(Including This Change Order)
.
Cumulative DoUar Value of Changes to
this ConlracllWork Onder: $
,...... --- ^")
(J.1~ 1'?1.03)
Date of Las1 BCC Approval 5/13/08 Agenda 118m # lOG
Percentage of tI)e change over/under currenl conlracl amounll26.11 % (:J. J, 33)
Fonnula: (Revised Amount 1 Last BCC approved amounl)-
CURRENT COMPLETION DATE (5): ORIGINAL: 9/15109
CURRENT:
10/30/o9
Describe the change(s): Old electrical feeders from Bldg. "F"to Sub....latlon "A" were not removed by contractor
due to current condition of the wire made it Impossible to pull out.
Specify the reasons for the change(s) r: 1. Planned or Elective ("'. 2. Unforeseen Conditions ~ 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) ~ 5. Value Added
r 6. Schedule Adjustments Note: One or more may be cheeked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: due that the feeders where
not removed s credit Is Issued.
This change was requested by: J:5;l(:ontractor/Consultant ~ Owner r/ Using Department r CDeS
plbesign Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST P
1>? Yes
r No
",. lihii7
Date: /~/X f'/1J9
I ,
..-
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E8
December 15, 2009
Page 23 of 35
5
PROJECT NAME: Building F Security Lobby PROJECT #: _52525
PROJECT MANAGER: Bob Pierce
BIDIRFP #: 09-5213 MOD #: 1 PO#:4500107593
WORK ORDER #:_n/a
DEPARTMENT:Facilities Managemenl CONTRACTOR/FIRM NAME: Boran Crai Barber Engel
Original Conlract Amount: $ _453,042.00
(Starting Point)
Currenl BCC Approved Amount: $_453,042.00
(Last Total Amount Approved by the BCC)
Currenl Conlract Amount: $_453,04200
(Including All Changes Prior To This Modification)
Change Amount: $_4,131.15
Revised ContracUWork Order Amount: $_457,173.15
<Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracUWork Order: $_4,131.15
Date of Lasl BCC Approval_5/12/09_
Agenda Item # _16E5 Moved to 10D_
Percentage of the change over/under current contract amount_.91 %
Formula: (Revised Amount I Last Bee approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 5/1110_CURRENT:
5/1/10
This change order will: 0 Add a new Task for _ 0 Increase Task Number
by $
Other: This CO is to correct unforeseen underground field conditions.
Describe the change(s):_Please see attached summary sheet. Net total for all 7 PCO's is $4,131.15.
Specify the reasons for the changers) r 1. Planned or Elective " 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: _While work was in progress
in the field, the Contractor was directed by Ihe Project Manager to complete these tasks in order to not to delay
the project. Work was completed using unit prices and T&M rates as predetermined in the BCC approved
contract.
This change was requested by: nContractor/Consultant PI Owner rj Using Department i"" CDES
~Design Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
p-
Yes
r No
APPRO~Y
This form is to be s~~
APPROVED BY: .C...P
. ,
proje7er )(
~,
Date:
/c7/'S"~ ')
~ I' '
REVIEWED BY:
DaleY ~/
I ~/ :s c;/ (15
Date:
c
Revised 6 18 09
Agenda Item No. 16E8 60...
December 15, 2009
Page 24 of 35
-"
SUMMARY SHEET
CO#l
Pending CO # Description Cost
1 Additional concrete for grade beams $694.60
2 Additional excavation labor to expose sewer, $472.72
3 Additional concrete to relocate footer due to conflicts. $285.00
4 Move existing sewer lines to accommodate new entrances. $5,679.56
5 Turn existing 2 1/2" lire hose valve,~_ $424.35
6 $251.28
7 Credit for balance of temporary sidewalk not furnished. ($3,676.30)
,
, h ~---~._-~-
Net CO#l Amount. $4,131.15
-.
~ - .... . ,. .....-. ." "'-',". ... . . . . - - . - . - .- . ,.
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM , (
PROJECT NAME: Gr P::,\2- PA-II" y- PROJECT#: BObr,.' PROJECT MANAGER: c:ln.1'IP~MJ
BID/RFP #:0q hV 6j MOD #: PO#:~ WORK ORDER #: N.;,4
DEPARTMENT: . {';"2:~ CONTRACTOR/FIRM NAME: i3ce:E.C-o..J~
Agenda Item No. 16E8 te
December 15, 20Q~1
pagr~~2S ~V\
Original Contract Amount:
$ --.J e:,q V, 0 2--0, vB
(starting Point)
$ J ~qO, 02-0. ?-S
~t otal Amount Approved by the BCC)
$ I , 78 r;;, b55. ~+
(Inc(uding All Changes Prior To This Modification)
,/1 ~,I - '77
$ ~, 9 ~ lb' ( ~ t:-.(.s:cX
$ I, 'l Cj I. 700, 0t../ (b;Z.<::>.5 '-"_''''1 _u ~__,_ )
(Including This Change Order) 11 ~ ~ / ' ,... jI fa?-
Current Bee Approved Amount:
Current Contract Amount:
Change Amount:
Revised ContractlWork Order Amount:
Cumulalive Dollar Value of Changes to $ \ 0 I . -, ,,..-,, 2J-~
this ConlractIWork Order: ,-L~ -/10=
Date of Last Bee Approval
""2-. , o. <9'1
Agenda Item # (0. E
<p.Oz.. %
Percentage of the change over/under current contract amount
Formula: (Revised Amount 1 last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: ~CURRENT: OS .ora . I O.
This change order will: ~d a new Task for $ 5?dl5.:('{ 10 Increase Task_by $
Other Cg, ~~. - --- (7 ~ ~ ~ f-b,~ 1:1 3CIS@,P>2:..
Describe the changers): nlQZ..e..A<F,"'\ ~~1ZJf A..t.tRJ ~4<J09./p.1~..ll
jvfA-\lO-iZE:(+L Gc>~ c::.o~:;r c..-R--r=;;;; D~ -RDt2- V~17'- .=;;:::"JGr'
Specify the reasons for the changers) r 1. Planned or Elective r 2. Unforeseen Conditions ~ 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) II 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature ot the changers).
Identify all negative impacts 10 the projecl it Ihis change order were nol processed: rr-..\ Me.t?\ 1A-TF"
C-<-:> Dc.
bES::):::(-,f'.I/ LN <; u.ffT-rX'l='J-JI ~T\'..\~ Pf2-0()ctP::f/ \~s;:.
This cha e was requesled by: ~ctor/COnSultant II Owner II Using Department C. CDES
esign Professional rlRegulatory Agency (Specify)
r Other (Specify)
~
Yes r No
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This form is to be signed and dated.
APPROVED BY: F~ I
projeci1\fa~ ~
Date:
10.?:>o.oq
)()'5(J.G7
REVIEWED BY:
Date:
Revised 6-] 5-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM {
PROJECT NAME: ~.q.+-< p,~ &,:,,g.::rt>..d<PROJECT #: ~ I_I PROJECT MANAGER:C-' 011 f4~
BIDIRFP iI: O~ -'51 34.MOD iI: z.. POll: 4s" -IOC00Z-E WORK ORDER r~:
DEPARTMENT: r' .7.J....i CONTRACTOR/FIRM NAME: ,J.__ l':.iU&".
,
Agenda Item No. 16E8 1
December 15, 2009- ~
PagEl ~~3t W
Original Contract Amount:
1"2-, \ 40. t>'O
(Starting Point)
( 2, 2-, 140. 0<>
(Last Tota' Amount Approved by the BCG) / b 0; 5" 3~. C;'O
J.cpo, o'fL,:,;3>20 (bC5s ~..t._-\, <-jlt.cf!&t:+~~
(Including All Changes Prior To This Modification)
4,cJC'~."'e J'55?' 32
$ 1G,.~,oCf"2...""'z...
(Including This' Change Order)
$
Current BCC Approved Amount:
$
Current Contract Amount:
$
Change Amounl:
Revised ConlracllWork Order Amount:
$
Cumulative Dollar Value of Changes to "'-I . cu::"2. . :; 2-
this ContracllWork Order: $ -/ < l -....
Date of Last BCC Approval I ~. t <0 . rf) ~ Agenda Item iI I b D '?5
Percentage of the change over/under currenl contract amounl ~ dlf. t<l. %
Fonnula: (Revised Amount 1 Last BCC approved amount)-!
CURRENT COMPLETION DATE (S):ORIGINAL: 1'2-. \ <... 0'C> CURRENT: I L '3-0.0<1
This change order will: 0 Add a new Task for $ ~ease Task _ by $~ c::t;C). oD
Olher
Describethechange{s): M4l<E:. c.o~E""1""'i=V6- MoO~~.,-,:::o~S T'=> 11tF.!- ~
e,O^"", /i)D~ t:=l-\ p(Z.oJ\~ T"D a-o~L;r" ~~ De!-s Ft'otr-J ~ I
Specify the reasons for the change{s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments. 4. Correction of Errors (Plans, Specifications or Scope of Work) II 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: J:;--t AC>eQ-J ME-
DaS~H( .P4F'tA-'Z: P~~u.c:r:;; ANC> ?o~ 1.4::'JAr8.ti.cry Tn ?,",,~la:;....
This change was requested by: ontractor/Consullant rI Owner rI Using Department r CDES
~ Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ~ r No
This form is 10 be signed and dated.
APPROVED BY: ~~~-
Project Manager - (j
~EVIEWED BY: ~,Yn tv ~
C r ,C pecialisl
Revised 6-15-09
Date: ID.~. de;
Dale: I ~.. Jo 'iJ9
Agenda Item No. 16E8
December 15, 2009 ''is-
Page 27 of 35
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: ~'S \ W-"l1I2AMP ~ PROJECT #: (:l,ocn, I PROJECT MANAGER: r ,."r,- p~'-I~
.
BIDIRFP #: of). '5'3GMOD #: '?.- po#:<'lS-lo4'iSb WORK ORDER #: oPr- 5\ ~'"
DEPARTMENT: C'7-l-1 CONTRACTOR/FIRM NAME: CrY' I A I r1'f E.-rreaJ'r<:L>E.
Current BCe Approved Amount:
$
f .~Cj 3, '1..19. (p:::;
(Sta~ing POint)
\, ?(l3/ 2.-'1 q. <oS
(Las! Total Amount Approved by the BCG)
$ I,Lf,;:;>(,.oSLf.coS
(InclUding All Changes Prior To This Modification)
<1-3,7&>2-..00
/
L ?O~. 6\6. (oS
(Including This CK'ange Order)
Original Contract Amount:
$
Current Contract Amount:
Change Amount:
$
Revised Contract/Work Order Amount
$
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 'I 2.., c; ~-=t-: 0 C>
.
Dale of Lasl BCCApproval 1'Z...lb.c:)?, Agendallem# lO'M
Percentage of the change over/under current contract amount 6. o=r- %
Fonnula: (Revised Amount / Last Bee approved amount)-1
CURRENTCOMPLETlONDATE(S):DRIGINAL: oq.I2..oq CURRENT: 01. ,,?o. 10
This change order will: !!?'Add a new Task for $ 49.1&2.- 0 Increase Task_by $
,
Other
Describe the change(s): r.1sm-u.- "5fE.l;:..L- CASD-lGt (NfS{<?. E>t-CS-ro-l1 r?!' 1<J~ MA-I')..\/
:p.1Sl1\-\L.. ~1fi ?cLc.<;. 'R~A-~ 5,ct:'STt:J....H" S'tlE- c..c,..-.l()ClPo~ .
. ,
Specify the reasons for the changers) r 1. Planned or Elective. 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans. Specifications or Scope of Work)" 5. Value Added
r S. Schedule Adjustments Note: One or more may be checked. depending on the nature of the changers).
Identify all negative impacts 10 the project if this change order were nol processed: ~ ~eNc.s
uJLTJ+- l?~1 ~~ IJ/0'F....I2-l1~, 'J:NJTCEr?JA-TE... ~+11=- DE-SJ:Z9N, thO~C~D5. .
This c"ge was requested by: ~actorlconsultant II Owner II Using Department C CDES
~gn Professional IIRegulatory Agency (Specify) IOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
~
This form is to be signed and dated.
APPROVEO BY: ~ ~........:9---:.
prOjeC\,Manager
Date:
10. '3>0.01
It) . '30' 07
,
REVIEWED BY:
Date:
Revised 6-! 5-09
Agenda Item No. 16E8 ~
December 15, 2009
PagEl 28 of 35
-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Golden Gate Groundwater Baseline Monitoring PROJECT #: PROJECT MANAGER: Ray Smith
BIO/RFP #: 08-5044R MOD #: PO#:4500095703 WORK ORDER #: '" / A
OEPARTMENT: Pollution Control
CONTRACTOR/FIRM NAME: Professional Services Industries, Inc (PSI)
Original Contract Amount:
$ 75,193.20
(Starling Point)
Current BCC Approved Amount:
Current Contract Amount:
$ 76,193.20
(Last Total Amount Approved by Ihe BCC)
$ ,;JY- 7'5,1 C(3. 2.0
(Including All Changes Prior To This Modification)
Change Amount: $ -0-
Revised ContracUWork Order Amount: $ :fjC 75, (Q3.2.0
(Including This Change Order?
Cumulative Dollar Value of Changes 10
this ContracUWork Order: $ 0-
Date of Lasl BCC ApprClval_6/10/0B
Agenda Item # _C2
Percentageo~ the changeover/under current contract amount_~()..
Fonnula: (Revised Amounll Last BCe approved amount)-1
'/0
CURRENT COMPLETION DATE (8): ORIGINAL: 7120/09 CURRENT: 7120/10
This change order will: 0 Add a neW Task for $ nla 0 Increase Task Number n/a by $ -0
Other_To extend contract time
Describe the change(s): Extending contract to allow for continued baseline groundwater monitoring within the
Golden Gate area.
Specify the reasons for the change(s) r 1. Planned or Elective C;; 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work)" 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negatiVe impacts to the project if this change order were not processed:
Water trend data will be not received from contractor.
This change was requested by: rlContractor/Consultant rI Owner 171 Using Department r COES
J
Coesign Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: P' Yes
r No
r
Dale:
/tJ-/P-D ~
"/2/01
. ,
REVIEWED BY:
Date:
Revised 7-14-09
P,aenda Item No. 16E8 (()
'-' I""\-.~ "fr.:; ')n
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Santa Barbara Boulevard from Davis Boulevard 10 Copper Leaf Lane PROJECT #: 62081
BIDIRFP #: 06-4042 MOD #: ....Q2 00#: 4500100465 WORK ORDER #: f) I A
DEPARTMENT: TECM
CONTRACTOR/FIRM NAME: Astaldi Construction Corooration
Original Contract Amount:
$ 62.051.879.48
(Starting Point)
$ 62 051.879.48 ,/
(Last Total Amount Approved by the BCC)
$ 62 620248.02 v'
(Induding All Changes Prior To This Modification)
CUrrenl BCC Approved Amounl:
Current Contract Amount:
Change Amount:
$ 4.89641
Revised ContractIWork Order Amount $
62625,144.43 ./
573.264.95 v""
Cumulative Dollar Value of Changes to
this ContractJV.Jork Order: $
Dale of Last'BCC Approval November 14. 2006 Agenda Item # 10E
Percentage of the change over/under current contract amount ~~.~_ % tL---
Formula: (Revised Amount I Last BCe approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 08/24/09 CURRENT: 10/30109
Describe the change(s): Additional work to adjusl the existing valves on 20" Force Main Line. (See attached
backup for this CO)
Specify the reasons for the change(s) r 1. Planned or Elective r- 2. Unforeseen Conditions r- 3. Quantity
Adjustments r 4. Correclion of Errors (Plans, Specifications or Scope of Work) r- 5. Value Added
[' 6. Schedule Adjuslments Nole: One or more may be checked, depending on Ihe nalure of the change(s}.
Identify all negative impacls to the project if this change order were not processed:
Unable 10 access to Plug Valve and ARV.
This change was requesled by: f7IContractor/Consultant II Owner II Using Department C CDES
CDesign Professional IIRegulatory Agency (Specify)
I Olher (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
. Yes
P" No
This form is 10 be signed and dated.
APPROVED BY:
Date:
REVIEWED BY:
~..
cY:
Revised] 1.19.2007
CONTRACTIWORK ORDER MOOIFICATION
CHECKLIST FORM
Agenda Item No. 16~ \
December 15, 200ii
Page 30 of 35
PROJECT NAME: Rita Eaton & ::Jm Sorina LandacaDtl PROJECT #: 80077.' & 80082. , PROJECT MANr/R: VickY Ahmad
BIDlRFP #: 08-5'09 MOD #: PO#:_ 4500105483_ WORK ORDER 1#:_ 4~3
DEPARTMENT: Parks & Rec....Uon CONTRACTORIFIRM NAME: Hannula Landacaolna. Inc.
Origlna. Conlrilcl Amount: $ _146, 786.16
(Starting Point)
Cumtnt acc Approvecl Amaunt: $_'46,786.16
(Last Total Amount Approved by the BCC)
CumtntContractAmount: $_146, 786.16
(Including All Changes Prior To This Modification)
Change Amount: $_0.00
RevlaedConlnlctlWorkOrderAmount $_.P<Gd: 1L/',/'84>.I("
(Including This Change Order)
Cumulative Dollar Value of Changea to
this ContractlWork Order: $_0.00
Dais of Laat BCC Approval_January 13, 2009 Agenda Item # _16.0.4
Percentage of the change over/under CUmtnt contract amount_ O. CC %
Fonnula: (Revised Amount / Lasl BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: Mav 12 2009
CURRENT: Februarv 26. 201 0
This change order will: 0 Add a new Tssk for $
Other
o Increase Task Number _ by $
Describe the change(s): Contractor to continue to water trees and shrube and fill ooze baas with water once Der
week 88 noted on the DroDOS8Cl schedule aDProved bv owner.
Specify the reasons for the change(s)r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plana, Speclftcatlona or Scope of Work) r 5. Value Added
r 6. Schedule Adjuabnents Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: New plantlnaa need more
water In order to survive especlallv when drY season is aDoroachlna.
This change was requested by: Contractor/Consultant .. Owner n Using Department C COES
Design Professional nRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes P" No
APPROVED BY:
REVIEWED BY:
Date:
Date:
Revised 7-14-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E8
December 15, 2009{ ~
Page 31 0135' Q>
PROJECT NAME: Facilitv Manaaer. INPH PROJECT #: CD 08-09
PROJECT MANAGER: S. Marrero
BIDIRF P #:
.11 ;-C~.~ ,-:,: ',i3
B08-UC-12-0016 MOD #: --1-PO#: 4500102670 WORK ORDER #: NIA
DEPARTMENT:
Inc
Housino and Human Services
CDNTRACTORlFIRM NAME: Immokalee Non-Profit Housing, Inc.
Original Contract Amount: $ 30,000.00
(Starting Point)
Currenl BCC Approved Amounl: $ 30.000.00
(Last Total Amount Approved by the BCC)
Current Conlracl Amount: $ 30.000.00
(Including All Changes Prior To This Modification)
Change Amount: $ 0
Revised ContracllWork Order Amounl: $ 30.000.00
(Including This Change Order)
Cumulalive Dollar Value of Changes 10
this ConlracllWork Order: $ 0
Date of Last BCC Approval
10-14-08
Agenda Ilem # 16018
Percentage of the change over/under current contract amount
Formula: (Revised Amounll Last BCC approved emount)-1
o
%
CURRENT COMPLETION OA TE (S): ORIGINAL: 6-15-2009
CURRENT:
9-152009
Describe the change(s): To reimburse ImmokaJee Non-Profit Housinl! for the Faeilitv Manal!er position
at 100% of salarv and benefits. No other lan!1:llal!e in the above referenced al!reement will ehanl!e with
this chanl!e order.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
[S] 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: The proiect would not be
able to be completed.
This change was requested by: PIContractor/Consultant 0 Owner PI Using Department C CDES
CDesign Professional rlRegulatory Agency (Specify) DOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
P' No
This form is to be signed and dated. ~
APPROVED BY: Sandra Marrero 2 ~)e:
Project Manager
11-18-09
REVIEWED BY:
}r:d
Date:
II-Jti-(l1
Revised 11.19.2007
Agenda Item No. 16E8/3
CONTRACTIWORK ORDER MODIFICATION December 15, 2009
CHECKLIST FORM PagE! 32 of 35
PROJECT NAME: Esoeranza Place: Florida Non-Profit PROJECT #: ~ PROJECT MANAGER: Pennv Phillilf \ PJp
BID/RFP #: ~ \ K MOD #: 1 PO#: N \ I'< WORK ORDER #:
\~ \
DEPARTMENT: Immokalee CRA CONTRACTOR/FIRM NAME: Florida Non-Profit Services. Inc.
Original Contract Amount: $ 300.000
(Stariing Point)
Current BCC Approved Amount: $ 300.000
(Lasl Tolal Amount Approved by the BCG)
Current Contract Amounl: $ 300.000
(Including All Changes Prior To This Modification)
Change Amounl: $ 0.00
Revised ConlracllWork Order Amounl: $ 300.000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $ 0.00
Date of Lasl BCC Approval: Aoril14. 2009 Agenda Item #: 16G-3
Percentage of the change over/under current contract amount 0 %
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: CURRENT:
This change order will: D Add a new Task for $
D Increase Task Number
by$
other
Describe the change(s):
Section 4.03 CRA Responsibilities is hereby deleted in its entirety.
~;:e~.~~ ~~':..~,:,:e~~eRt se~ee~le far t~e gEVElOPMENT, ane ~re\'ises tRat t~e gE~~O=;: = ~f f~I~:::,~:o~
=~::,~~:.~, t~~ :~ 2?,O9 Immel;ale" eRA Trust FURS (F~RS 1 Be) e~sget Will Inc U t F
commitmools to th~ projest iR t~e ameuRt al $100,0.00.00; aAs, suese~~eRtly, the FY 2~;~ a;::~~;1 :~= ;;:~~go
be ~rogFammes ta !'lr-ovlee a $100,000.00 paymeRt I~ eac~ fiscal year, Aet te exc.e": ~ .-;; -;'i";~~~;:~ vI .';"='~
~;~~~~ ::n:~..!2~0,000.00 !'laymen!!; Will ee !'lals aR a relmeUFEemeAt eacls ny, d I s ar y I
fuMe ,^~II 00 aooempanied ey !'lFGaf af paymeRt ey O,"VElOP,"R-to its caAtr-acters aAeior c~bcontFacteFE as the cace may
be, as e~tliRes her-eiR.
Section 4.03 CRA ResDonsibilities is hereby amended as follows:
Based upon the development schedule for the DEVELOPMENT. and provided that the DEVELOPER is in full compliance
with this Aareement. the Immokalee eRA Trust Fund (Fund 186) bUdaet will include a $100,000 commitment to the
DEVELOPER lor each of three Years. FY 2009, FY 2010, and FY 2011. Once funds are committed. the DEVELOPER
may submit reimbursement reauests throuahout the term of the contract UP to the amount committed at the time of the
pavment reauest. but no more often than once every thirty (30) davs. This commitment will not exceed $300.000 for three
years.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3, Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
-~ 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: Developer would be
constrained bv fiscal vear deadlines with respect to invoicina and therefore unable to collect on each of the three
$100.000 eRA fiscal vear commitments if not invoiced in the sDecified vear.
Revised 7-14-09
This change was requested by: rrContractor/Consultant rr Owner
CDesign Professional rrRegulatory Agency (Specify)
Agenda Item No. 16E8
December 15, 2009
rr Using Department Cp~ of 35
r Other (Specify)
1311
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes ~o
AP~BY:
REVIEWED BY:
Revised 7-14-09
Date /;(/..<n h '?
I ,
Date: '> ~~
Date 1/ 12CJ /(J 9'
I '
Agenda Item No. 16Ee/ "
CONTRACTIWORK ORDER MODIFICATION December 15, 2009 7
CHECKLIST FORM Page 34 of 35, P.5P
PROJECT NAME: Esoeranza Place: Emoowerment Alliance PROJECT #: --J..th-- PROJECT MANAGER: Pennv Phill~
BID/RFP #: ~ \ k MOD #: 1 PO#: N \ k WORK ORDER #:
\ \
f
DEPARTMENT: Immokalee CRA CONTRACTORlFIRM NAME: Empowermenl Alliance of Southwest Florida Community
Development Corporation
Original Contract Amount: $ 300.000
(Starting Point)
Current BCC Approved Amount: $ 300.000
(Last Total Amount Approved by the BCC)
Current Conlract Amount: $ 300.000
(Including All Changes Prior To This Modification)
Change Amount: $ 0.00
Revised ContractIWork Order Amount: $ 300.000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 0.00
Dale of Lasl BCC Approval: April 14. 2009 Agenda Ilem #: 16G-4
Percentage of Ihe change over/under currenl contract amounl 0
Formula: (Revised Amount 1 Last BCC approved amount)-l
%
CURRENT COMPLETION DATE (S): ORIGINAL:
r--
rhis change order will: 0 Add a new Task for $
CURRENT:
o Increase Task Number
by$
Other
Describe the change(s):
Section 4.03 CRA ResDonsibilities is hereby deleted in its entirety.
!lased upon IRe development sohed",le far tRe DEVELOPMENT, ,md pFa',<idsd that tRe DEVELOPER is in filII samplianGa
'....itR this Agreement, tRe FY 2009 Immakalee eRA Trust FUAd (FuAd 1 Be) bUdget will incl"'de tRe ~mt of tRFaB payment
sammitments ta this prajest in tRe ama",nt of $199,999.09; and, suesequently, tRe FY 2919 and FY 2911 e",dgets will aleo
se programmed to pr.Q'Jide ;] $109,999.99 paymeAt in eash ~ssal yoar, not to el<seed a tetal sammilmeAt af $399,099.99.
The tRree aAA",al $100,099.90 paymeAts '11i11 se paid an a reimsHrsemsnt basis aAly, and all requosts far parment of
funds willee aooompaAied ey praaf af payment sy DEVELOPER to ils seAtraslers andier SHt:mORtFastor-s as IRe sase m3Y
se, as outlined Remin.
Section 4.03 CRA ResDonsibilities is hereby amended as follows:
Based UDon the develoDment schedule for the DEVELOPMENT. and provided that the DEVELOPER is in full comoliance
with this Aoreement the Immokaiee eRA Trust Fund (Fund 186) bud~et will include a $100.000 commitment to the
DEVELOPER for each of three Years, FY 2009, FY 2010, and FY 2011. Once funds are committed. the DEVELOPER
mav submit reimbursement reouests throuohout the term of the contract uo to the amount committed at the time of the
payment reouest. but no more often than once every thirty (30) davs. This commitment will not exceed $300.000 for three
years.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
,r . djustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Revised 7-14-09
-I
Aoenda Item No. 16E8 J tf q
Identify all negative impacts to the project if this change order were not processed: ~ 6eveloDe/'1wcmldQbe
constrained by fiscal year deadlines with respect to invoicinQ and therefore unable to collect on e3l;h,<I1lflthefOOee
5100.000 CRA fiscal year commitments if not invoiced in the specified vear.
This change was requested by: rContractor/Consultant rl Owner II Using Department C. CDES
r Design Professional IIRegulatory Agency (Specify) r Other (Specify)
APPROVED BY:
APPRO~~Y:
REVIEWED BY:
r
Yes
r No
Date: l~bS!o'1
ok"
Date: / I /'7 0 10 9
I ' I
Revised 7-14-09