The URL can be used to link to this page

Agenda 03/10/2009 Item #16E 4 ,iJ.,genda l~s:1l ~~o. 16E4 f'v"iarch i O. 2009 Page 1 of 27 EXECUTIVE SUMMARY Report al'ld 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 XIV. 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 XIV. 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 January 19,2009 through February 17, 2009. FISCAL IMPACT: The total change to contracts is $404.098.69. The total change to work orders is $32.495.62. 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 .- Page] of ] item 1\Jo. 16E4 Ma!'ch 10, 2009 Page 2 Dr 27 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: 16::4 Item Summary: Report and Ratify StaffApproveJ Ulange Orders and Changes to V-Jork Orders to Board- Approved Contracts 3/10/20099:00:00 A[.,,1 Meeting Date: Prepared By Diana Deleon A elm in is: rativeA S5 ist21 nt Date Administrative Services Purchasing 2!20/2009 3:08:43 PM Approved B)-' Steve Carnell Purchasing.iSeneral S"cs Director Date Administrative Services Purdwsing 2/23/20092:23 PM Apprond By Lon Golden Price Administrative Servi;:;es Administrator Date Administrative Services Administrative Services Admin. 2124/20Q9 10:56 AM Approved B)-' Scott R. Teach Assistant County Attorney Date County Attorney Ceunty Attornpy Office 2/2&.'2009 1:17 PM Approved B.y Of.iS Coordinator OM8 Coordinator Date County Manager's Office Office of Mallaqem~nt & Budget 2/27/20(>3 9:~O AM Approved By Laura Davisson Management & Budget Analyst Date County Manager's Office Office of Management & Budget 2/27/200911:48 AM Approved By James V. Mudd County Manager Date Board of County Commissioners County Manager's Office 3/3/20099 19 AM F.l",.llr.\ ^ ,-.co,;/j"T",,,t\ CV-nA..t\ ,'), I\A......,...hO/_ ')n I n 0/. '1n'1nno\ 1? 0/_ '''If\r'{-,1>..1 C Cl\. I T'O/_ "'l() A rCl\.Tr\ A \ 1 ') fA l')Il()() ~~~ '20- ">,N 0...."0 _~ ,-;riJ).l ~ ~ 1: ~;: g! l: e ::I ~ .c 2:-"8 2: oE ~"" . iii"-:;tEu< :::'~o e u W m.2: -1Il ~ '" '" <( . . m ~ c: Ci ~~"E ()~O ~:.s "'Otis ~ ~ 0 ":; c E . 0", o:U~ E ~ >-:::::1 c' Cll 0 III 'E E ~o'" u ~ e " o Q ~ " " w o " o w " z < 6 w > ~ e if> Z , o < ~ . c: E ~ ~ c.. 0 :::I ft ~ u8w al 1: u c: ~ ~ 5 - 0 E , 0'" uu~ -;; ou 'o,u ';:: m o ~- . 0 > ' o 0 " E ~'" "'~ E Eo'!!! ~~~ ~ 0 . . 0 ~ cu"' ci ci Zz E ~ ~ E ell cieJ'" <tl z z <:> 0 zl o ti ~ ~u "E ,!!!, % ~.!!!" Q) e 0 J:: e >a..UUll.. J!l . c E 0 ~z 0:) ,0 0' o "' :co "' " M "' ~ ~ '" M ~ M ~ ~ a ...; ~ ~ ~ " N ~. ~ ~ m M ~ N ~ N N '" ~ m '" M ~ a a "' a ~ cD ~ ~ "' N ~ " . -~u 150::: " c. o E TI u <( ~ <; u; c . > x ,12 J5 ~ u c ~ z,o:t: :; C05ID 6 <n'w 8 ~ ~~~ ~.~-'= ~~g688 g N C; o " c 2 ro > o c ~ ~ o .. " ~ " . ~ u "- 1; >Q. c E " C ;; " " u c " 0: Q '" g> >. o C o " oR 0:, a a ~ ~ ;;; ::' m '" M ~ ~ N ~ ~ ...; ;;; ~ ~ N N " " o o o . . g ro " 6 c o o ~ g " " ~ o '5. o W D ~ 0; ~ m M ~ ~ a N M o D ~ '" M ~ a a "' a ~ '" ~ D o N ~ ~ c " " u " <5 D . ~ ii W * " " ~ E i" " 5 u 2 ;;; . m " c " ii u ~ o ~ " . 2() GO::: " ~ c E TI u <( ~ <; u; c c '1; >< o J5 ~ t5 .2:'~ ~ 'T 5 w c ('") 0 ~ o o ~ e N CO' o N oR ~ a a '" ~ a ~ ~ Jo ~ '" ~ 0' a N ~ Jo ~ o "'- " w ~ i5 . " " ~ o 5 ~ " 6 " , .0 " c. '" ~ u: l1 o ~ " c. ~~ ii: " o ~ ~ -i ~ m ~ ~ '" M ~ :; M ~ D ~; ;;; ~ ~ N N ~ ~ m M ~ ~ ~ ::: ~ '" M ~ a a "' a ~ '" ~ w o N ~ . " . ~ o 5 "- ill ill ro " " ~ o '0 C o o E " u & E > 05 u ~ c o o 3 ~ o . D " . ~ii " c. c E TI u '" ~ 05 u; c c ~ ~ ~ U) c 2 ~~ Cil l{) S W C "') 0 ~ o 0 Q.l U 0 ~ q [Q ~~-: ~1J:.JE'36 'LlfJOOOU u . o f- 0; ~ o " ~ o o . . o . ~ m a '1 N o M c~ " ~ "' ;~ N ~ a ~ " ~ ;:; a ~ ~ ~ ~ ~ " '" a ~ ~ cO ~ a ~ m Jo ~ '" N a M ~ ~ ~ a a " '" '" N ~ ~, m ~ a a " ~ ~, " '" ~ m ~ ," o "- m " " , 15 . c. '" ~ c. c o " o ~ " c. a a cO ~ ~. " ~ ~ m ~ " "- " c '0 ill " '" Eo: o u; 5 o E . u & o c > " :l ~ <; o -" ~ o . D " > <i' c o u 0:2" C (9 Co Q -a.. Il -c >, ::J CIJ-"'::: O? Cl..m 5 (")~Eo Ua;Jr'-DlO,- c -g <ll ~or-:.21~m ':Ll.OoUI.J...5: ~ o 0; ~ c . ~ o a . 'E . > o m o M ''': a ~ " m m '" 0' m m M o o cO ~ w '" ~ ~ ~ o a "' o o N N ~ m c :Q 5 D C o ~ o o ~ . . E J5 o o ~ ~ "' ;; ~ ~ o o cO ~ o. ;; ~ ~ E '" ~ m o :Q 5 D W . " . z a ~ " . E f; . o . " " o ~ " " ill ~ U ro ~ " ~ c o o " ~ ~ o f- o o cO ~ '" W M ~ ~;< 0" E~ E ~ o W > . -g ~ ~a: ~* E " E" o ~ ,,~ J N:t:O E i2 ~3 ~ o m o ?l C; a ~ w c 2 ro " . o J5 ~ ro -" " w . o o " " ~ " :0 fl . -" w . o ~ . "' '0 . ~ o o "' . E B C ill E u c . E . U o 0'. . u o " C . E ~ o ;;; > . o " '" ~ E ~ .--g " ~ ~ o f- 0; ~ o ~ u a . . E . > o ~g;~ ''''O~ .,-'t;:N 0 '0 O.~?:C ",""'" B3 l:: 2 ~ .~ ~" c. 0 ~ TI 'U g. E (\) ~, Eo < ...... r.:; 0 0 ().,. ~~ -=m " a; 0) l: E .0", O:u.. c . . , '" . 0 lij 'E E BO~ ~ " o ~ w " " w o " o '0 . c e ~ e c. 0 ~ g. ~ (.)8.... m _~IJ 'E uC e ~ 5 ~ c E u8~ u w > ~ " ~ ~ z , o <( iij "g"E .= 8 ~ 5 '~1Xl c. E o ~:. c . . E (J:: t:: ~ .!!! . - u c. 0 . . 0 c. au", ci . ~~ 1lI ;;; 1lI E . '-"CI E ~~go~ 15 ti ~ ~ tl "C QI _ l: d> ;"e 2i ~ 'e >c..uoc.. . ;; a E 0 ~z 0" "J o " '" o ~ o N N .. '" ,.: ~ ,.; M .. m M ,.: ~ M ;t N .. ~ 00 o ~ oj N M ;t .. M 00 '" m oj i'l ,.; M .. o o oj o m ,.; M ~ ,,; M .. m . 20 DO:: . ~ 2 o . u . o u o ;; "t5 w 2 "' Vi co >, o g o en Q) W ~ i6 ~ ~ ~ ~ N..J. 1: E :::S::.c.>ouw m e ~ 0' D ~ o ';1 " ~ 'C o ~ '" ...-; o ~ oj o m .. ~ M " o "'. ;;; o o cO M ~ ,,; N N ;;; ,,; b a. o .Q 'i3 2 '" o o U '" . . ~ '5 o "' .2 a. " o a c o o E . u . . , o , ;? ,.; o '" o m .. o o cO M ~ "" N N. ;;; . ~~ '=:::?; ~~ ~ .9 u ~ C o u .9 ~ u . D . e m o u 1ii ;:: u 'i3 C . , UJ E o<l ~ 0 u ;; e "' "' c til I.r)"<tc3 QI :il C'J g,u. ~ %<(5S~Olo, gzgg6~5 ~ u ~ o ~ 0; '" o . ~ u '0 . . 'E . > o m o 23 '" o ~ '" N N '" N N 00 N .. m ~ m oj .. o o o o o '" M .. 00 o " c , g 0: . .. t; c o u ~ . u < . . > m ~ .9 u o , .Q . m . c u E . ~ e " .. .2 . " a . "' o ~ " u e . . > o E ~ 00 N .. m N '" ~ 00 oj .. 00 N .. m N '" ~ 00 oj .. o o :;; co ,.: :;; of .. "::0 u" i'!~ ~ ~ m " o >- u m o 0: ~ u o E E m I ~ 1) ~ M~~ 6 m ~ g> ~ ,~tO M tll E ~g2t5~ 0; '" e m ~ u '0 . . E . > o m ~ N o ~ '" N '" '" ~ N o ,,; . u ;; . . c o il 2 '" c o u '" o c. .2 m e "' o o cO ~ ~ "' ~ 00 oj .. o o o o o "' .. o o .. 00 00 "" M 00 of .. ~ S . j'; . " u c 2 < . .9 u e m 'i3 ~ c 8 . " .9 . . u , 0; . o o "' ~ ~ o ~ m of .. o o o o o o 00 ;;; w S e o 'i3 . c. . <; u e m ~ 0; . e i> " cii ~ , . c o u u u m o >- . J5s: '=::2 ~~ ~ " ~ ~ x o ill ~ m 00 e C) ffi<c u ~ . ~ 0 ~ o f2N~ ~~;:;~s ~~g~8 0; 00 c m ~ u - o . . 'E . > o m e N o m e o 'i3 . a 5. ~ ~ .2 .. . ~ ro ~ ,. E ~ ro < . e e m . " .9 . e o 1i u '" u o E . > " . ~ .9 ~ o 'i3 " o e m E E . '" ~ . . " " " e o ro e " o 8 <; c . E 00 u ,"- 00 e ~ . c 0> c . c m .9 . . u " ~ m e o " u u m . u , o 5. o >- 0; 00 c m ~ u '0 . ,,; . . .~ ~ . m > . o E .0 0" ~ '" ~ o o "' N ~ ,.,: ~ ;;; o o ,.; 00 of .. o o ,.; '" '" '" 00 ;;; o o ,.; '" '" '" ~ ;;; o o ,.; '" '" c" 00 ;;; "::0 u" i'!~ . ~ 00 ro c . -B OJ ~ u C (fj o . U ~ . .......-(Q.v(;j ro 'OJ CJl..>l: ~~ ~ ~ ~ 8i:6gsG.E 00 e N o ;? ,,; u ro u e " . <: o ~ 'i3 <( . ~ :B m . is " " . e m u .~ E <( u e m >=' o o ~ c ,0 .. " o c. . ~2 ~ ai o ~ C u . m EO. " ~ ~2 . m 00, rou 0; e u m . . ~ . . 5 -5;g ~~ ~ :; ~,,; j~ m 0 ~~ ~'5 e oi . u .9 ~ 00- e ~ ,::'iij ~o e .~ c o " 0 . E u m ~~ ro- c . g g "u u ~ ~.9 uu ";;: c ~~ o {l"[ii e . inc "'. e > . . 't 0.. '0.9 ~g .~ "0 .u > m 0.9 ~..,"'r-- , ON 0_ .,.......N 0 -0 g6~~~~ "1!1"'- CJ.....:l _ ll1j.:l C. 0 ~ .c "=;'t) Q, E w2fLE~<( =~;;;::eu""" .2: ~<ll '" ;2 ill Ol <( . . ~ ~ i ; ..c~ .c <.) " <.) .0 ~ .- o = -gtlg 1II ~ 0 '> l: E . 0 "" "'<.)~ " ~... :l C 1Il 0 I'll 'E E .cO"" <.) ~ ~ " o ~ w " " w o " o w " z $ u w > ~ << " ~ ~ z , o < ~ . 1: e 5 ~ Q, 0 :; g. ~ u8~ <ll i:: 0 g e ~ 0 ~ I: E u8~ ;; 0<.) "5U ';::[1) o o E 1).!!! t: ~ "iij l'Il _'0 0. 0 . .00. 0<,)'" ci ci Zz " , Ql l'Il Ql CD I: '- -0 E ;~go~ o tl16 &tl ~ oIl'::: I: CIl ~!B!I ~ I I I , E 0 ~z ~- . 0 > 0 o 0 , E ~"" ""~ ,0 <'; o o '" o o o o o " '" cO ~ N ~ o o o ~ o o '" ~ v cO ~ N ~ o o '" ~ ~ cO '" N ~ o o '" '" m 05 o N ~ q " L "" """ t~ o '" 4' . . ~ ~ fL o 0 ;; 0 c ~ ~ ...~~ g i!5 ~ ~ 8 E ~;! E (ij llJ'<toO::2: q m o " N o #- o ~ o '" ~ o . u o . 0. E o u " . n g W ~ o " c Q " '" E . " 0. E o u g o " N co ~ N ai N 'e N m ai ~ ~ o ~ '" o 05 ;;; ~ o "' ~ m oj ~ ~ ai ~ '" N ~ ~ cO o m ai ~ ~ :;; o c . , "' . ~ . u :;; u o . " u 0' M '" € E u . '" c o L . > ~ ~ n . " '" o '0 ~ m oj ~ ~ ai ~ w " .u E'" " iii o Q '" 0. E o u '0 ~ E o u ~ . . u c o f- w > C2 o o TI a? 6 ('J [ij "B :t';.. ~ ~% 5 M~Ed ~ ~ S; s~ ~ ~~~6J:s: " 0> C . L U '0 . . E . > o g N o N m m oj m o '" a v <. . . 0. . z '0 q u . " ~ n u ~ S o ~ . . " jj S n o Q " u o TI . . " ill " '0 . " TI E . '" ~ . . . '" c o f- ill U . 'J " '" ~ '0 o . . E . '" ;3 '" ~, :.:: " 3 L CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM ~. '"'\'''"1'';0'' :';::,t~r,.i.'"l ~,.'-=;1 I ,.......~'-flJ' ,'-., "LJ, luL--;- ..,,:,'~ !r'~,,-, ~ n '~..;j 'CR~ 2~~E~ 52533 PROJ~d~ilER:Han~ PROJECT NAME: Collier County Seven Story Addition Courthouse Annex PROJECT #: Jones ,~ BID/RFP #: 04-3576MOD #:.~ PO#:4500025867/4500100675 WORK ORDER #: DEPARTMENT:Facilites CONTRACTOR/FIRM NAME: Kraft Construction Original Contract Amount: $ 20,646,800.00 (Starting Point) I Current Bee Approved Amount: $39,491,122.74 (Last Tcts.! ,11.mount l\pproved by the BCe) Current Contract Amount: $37.957,212.72 (Including All Changes Prior To This Modification) Change Amount: $3,107.43 Revised ContractIWork Order Amount: $37.960.320.15 (Including This Change Order) _I Cumulative Dollar Value of Changes to this ContractIWork Order: $17,313,520.15 Date of Last BCC Approval 10/123/2007 Agenda Item # 10 E '- Percentage of the change over/under current contract amount -3.88% Formula: (Revised Amount I Last Bee approved amount)-l CURRENT COMPLETION DATE (S): ORIGINAL: Not establishedCURRENT: Not established Describe the change(s): Reconcile Allowances for Surveying, GPR and Site Furnishings for Judges Parking Renovations. Specify the reasons for the change(s) 1-- 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 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 110 LJ f11'~~ W~ /?Jor iq,UJ n<!-;/~ This change was requested by: l'i11sontractor/Consultant IfkJwner II Using Department C CDES COesign Professional IiRegulatory Agency (Specify) I Other (Specify) CONTRACT SPECIALIST PARTICIPATiON IN NEGOTIATIONS: r- Yes I No APPROVED BY: Date: ~~__ REVIEWED BY: /1 . Date: ~ _../{,I\;!/'AL{~<i~e I It' 09 I'\" I r \ \ ) ,,; APPROVED BY: Revised 2-22-08 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM {'r'e-"":a I-Ih..,.. 1'0 1r'-4 7A "Sfli~ ,. '"" '~!M^~~ir PROJECT NAME: Collier County Seven Story Addition Courthouse Annex PROJECT #; Jones BIDIRFP #: 04-3576MOD #: "PO#:450002586714500100675 WORK ORDER #: DEPARTMENT:Facilites CONTRACTOR/FIRM NAME: Kraft Construction Original Contract Amount: $ 20,646,800.00 (Starting Point) Current BCe Approved Amount: $39,491,122.74 (Last Tot.:J.! Amount ApPi"Oved by the Gee) Current Contract Amount: $37,960,320.15 (Including All Changes Prior To This Modification) Change Amount: $13,491,29 Revised ContractlW"ork Order Amount: $37,973,811.44 (Jncluding This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $17,327,011.44 Date of Last BCC Approval 10112312007 Agenda Item # 10 E Percentage of the change over/under current contract amount ~3.84% Formula: (Revised Amount I Last BCe approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: Not establishedCURRENT: Not established Describe the change(s): Reverse of unused amount of DMP for Ferguson Fire & Fabrications PO # 4500092097/4500099046 c 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: Lfi-;. pf' n2U~ This change was requested by: rtContractor/Consultant II Owner II Using Department C. CDES Coesign Professional IIRegulatory Agency (Specify) r Other (SpecifyL CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r- Yes r- No This form is to be sig Date J ! I, ", , 0 '1 APPROVED BY: APPROVED BY: Data: REVIEWED GY: Date~ Revised 2-22-08 [ CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM 1?f}jlda Ilsim}!(1. 16E4 '3 a ~..~ctuetZEia;r~ ~ Rmr"u. 52533 PROJ:L :A:G~2Hank PROJECT NAME: Collier County Seven Story Addition Courthouse Annex PROJECT #: Jones ~ pS BID/RFP #: 04.3576MOD #:Jf PO#:4500025867/4500100675 WORK DRDER #: DEPARTMENT: Faci/ites CONTRACTOR/FIRM NAME: Kraft Construction Original Contract Amount: $ 20,646,800.00 (Starting Point) Current Bee Approved Amount: $39,491,122.74 (L()st Total Amount Approved by'the BCe) Current Contract Amount: $37.973.811.44 (lncJuding All Changes Prior To This ModIfication) Change Amount: $15,673.01 Revised ContractJWork Order Amount: $37,989,484.45 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $17,342,684.45 Date of Last BCC Approval 10/12312007 Agenda Item # 10 E Percentage of the change over/under current contract amount -3,80% Formula: (Revised Amount I Last BCe approved amount)-1 CURRENT COMPLETION DATE (5): ORIGINAL: Not estabiishedCURRENT: Not establ:shed Describe the change(s): Reverse of unused amount of OMP for Ferguson Fire & Fabrications PO 4500078302/45000999045 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 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: This change was requested by: IIContractor/Consultant rl Owner rl Using Department C COES COesign Professional IIRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes r No APPROVED B . Date: I ,( II "Z-I! 0 7 APPROVED BY: REVIEWED BY: Date: {L lfkHin-tu~Date ontract Specialist liz-YO; Revised 2-22-08 ii21n !-~O ; Gt::4 f::a:-ch 10. 2003 ~8;k: 9 of 27 1 CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Freedom Park (Gordon River Water Quality Park) PROJECT#:51018 PROJECT MANAGER: Maraaret Bishoo BID/RFP #: 07-4173 MOD #: 2 PO#: 4500089080 WORK ORDER #: N/A DiiPARTMENT: Stormwater Manaqement CONTRACTOR/FIRM NAME: Kraft Construction Company. Inc. Original Contract Amount: I Current BCC Approved Amount: I $ 9.852,655.00 (Starting Point) ~ $9.BS2.655.00 (Last Toli'll Amount Approved by the BCe) CUrrent Contract Amount: S~~g65500 (Including All Changes Prior To This Modifj::-alion) Change Amount: S50.827.14 S9,903.482.1~ (Including i'hIS Cnange Order) I I j I Revised Contract/Work Order Amount: II Cumulative Dollar Value of Changes to this ContractIWork Order: $50.827.14 Date of Last BCC Approval 9/11/07 Agenda Item # 10K Percentage of the change over/under current contract amount Formula: (Revised Amount/ Last Bee approved amount)-1 O'-? % CURRENT COMPLETION DATE (5) ORIGINAL: 6/10109 CURRENT: 6/10109 Describe the change,s): The purpose of this chance_.order is to Day County imoact fees associated with the City of Naoles buildinq :Jermit for the education buildino. Specify the reasons for the change(s) (' 1. Planned or Elective" 2. Unforeseen Conditions (. 3. Quantity Adjustments ("' 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 change(s). Identify all negative impacts to the project if this change order were not processed: If the chanqe order is not approved. the City of Naples wiU not issue the build/nQ oermit for the education buildinq. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OFFOUR --r-rValue Added/Unavoidable ~ .c. Value Added/Avoidable 9" No Value Added/Unavoidable r...- No Value Added/Avoidable This change was requested by: IIContractor/Consultant "'I Owner 'I Using Department r CDES C.Design Professional IIRegulatory Agency (Specify) r- Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ~ Yes r~ 1;0 This form IS to be signed and dated. APPROVED BY: , <'jJ1.tv<""J;~a~:-:J:iL Date BlOje:! Ma,~r / ',EViE'NED BY C/~ c/1Prc,,(c (l((/)Yrh11~/ Date Contract Specialist ,J I - / '1-0 'I ,in!j/dl ~!U I Revised 10 30 2007 /\genda Item ~~o. "16E4 5 r\'~arch 10,2009 Page 10 of 27 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Immokalee CRA Master Plan PROJECT #: PROJECT MANAGER: Pennv Phillippi BID/RFP #: 08-5073 MOD #: 2 PO#: 4500101492 WORK ORDER #: DEPARTMENT: Immokalee CRA CONTRACTOR/FIRM NAME: RWA. Inc. I r Original contractAmo~':-- I I Current BCC Approved Amount: I $ 386,175.00 (Starting Point) 465.,9000 j,-" II,., 7.<; r..'O (Last Total Amount Approved by the BCC) $ Current Contract Amount: $ 551.675.00 (Including Ail Changes Prior To This Modification) ! Change Amount: , i I Revised ContractIWork Order Amount: Cumulative Dollar Value of Changes to this ContractIWork Order: $ 22.000.00 $ 573.675.00 (Including This Change Order) $ 187.500.00 J Date of Last BCC Approval 12/16/08 Agenda Item # 16.E.13 & 16.G.1 4' :,.q,\ % Percentage of the change over/under current contract amount Formula: (Revised Amount I Last Bee approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: __..!i/l1LLCL____.____ CURRENT: 5/17/10 Describe the change(s): To add an Interim Land Development Code Amendment to the Scope of Services Specify the reasons for the change(s) x 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 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: All Land Development Code related issues pertaininq to Immokalee would need to wait for final approval of the Immokalee Area Master Plan, which would continue to delay development proqress in certain instances pertaininq to these prohibitive LDC requlations. This change was requested by: CIContractor/Consultant x Owner CI Using Department C COES CDesign Professional LlRegulatory Agency (Specify) C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No This form is to be s' 1 Da('t /~ ;4:01 Date I -,;?3- (/1 APPROVED BY: .-.- REV1EVv'ED BY: Revised 11.19.2007 PROJECT NAME: Emeroencv Service Center PROJECT # r:7~endlj,te1g/!9",~_it,,~h"""E~4 rf r--'1,(1--.''i':wr~'(f:'t'.r?/f /) I ~ R~n_'tV/~' T' I' V I ).'1,:- 52160 PROJECT MANAGER: Hank Jones CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM BID/RFP #: 04-3609 MOD #: 18 PO#: 4500030516 WORK ORDER #: N/A DEPARTMENT: Facilities Manaoement CONTRACTORJFIRM NAME: Kraft Construction Comoanv, Inc. Original Contract Amount: $ 38.533.902.00 (Starting Point) Current Bec Approved Amount: $ 34.322.150.87 (Last Total Amount Approved by the BCC) I Current Contract Amount: $ 33.382.946.83 (Including All Changes Prior To This Modification) Change Amount: $ 234.367.39 I Revised ContractIWork Order Amount: I Cumulative Dollar Value of Changes to l~~_:._~ontractIWOrk Order: $ 33.617.314.22 (Including This Change Order) $14.916.587.78l Date of Last BCe Approval: Seotember 25.2007 Agenda Item # 16E7 Percentage of the change over/under current contract amount -2.05% Formula: (Revised Amount I Last Bee approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 12/2008 CURRENT: 03/2009 Describe the change(s): RCO,#136. Southwest Construction DMP orders- unused balances. Specify the reasons for the change(s)'" 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 checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: This change was requested by: r1contractor/Consuttant PI Owner rj Using Department C CDES CDesign Professional r1Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: I Yes I No Date: /,' .i ""I,' ',I i~~1 Date: L/ Revised 11.1 9.2007 Agenda Item t'-Ja. 16E4 '7 1v18rch~ 10. 20U~ Page .12 of 27 ,- CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECTNAME: BldQ."F" Generator & Electrical UOQrade PROJECT#:08-5035 PROJECT MANAGER: Robert Fuentes BID/RFP #: 08-5035 MOD #: 4-PO#: 45--lJ0094798 WORK ORDER #: NIA DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: Southeastern Communications Servo inc. Original Contract Amount: $ 1.226.635.00 (Starting Point) Current BCC Approved Amount: $ 1.226.635.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 901303.10 (Including All Changes Prior To This Modification) Change Amount: $ 1.402.36 Revised ContractIWork Order Amount: $ 902.705.46 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ r 323.929.54 I Date of Last BCC Approval 5/13108 Agenda Item # 10G Percentage of the change over/under current contract amount ~ _ :H~. Y.l o( {.; Fonnula: (Revised Amount I La.st BCC approved amount)-2 ' CURRENT COMPLETION DATE (S): ORIGINAL: TBD CURRENT: TBD Describe the change(s): The original proposal for the Fuel Tank removal, sludge and fuel removal was not included until the actual pump out was determined. During excavation an excess of concrete was discover surrounding the tank this was not anticipated. Specify the reasons for the change(s) C 1. Planned or Elective (Ii(' 2. Unforeseen Conditions C 3. Quantity Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work) (' S, 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: This chanqe Is needed for the safe removal of the fuel tank and disposal. This change was requested by: DaContraclorlConsultant I5(f Owner n Using Department C COES COesign Professional nRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIP ON IN NEGOTIATIONS: ll< Yes r No REVIEWED BY: Date: , - 2 f - 07 / - J 0-0 7' ~-- APP Date: Revised 11.19.2007 :~em No. ~ '3E4 j} [,1~rc? 1D.:}JO~/ 0 ;U {!~e ''4,/;0:; 0 ( CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM a!2J -r PROJECT NAME: Rattlesnake Hammock Road PROJECT #: 60169 PROJECT MANAGER: James Zuver BID/RFP #: 05-3583 MOD #: 6 Isix\ PO#: 4500101437 WORK ORDER #: DEPARTMENT: TECM CONTRACTORlFIRM NAME: WilsonMiller Original Contract Amount: $ 2.517.581.00 (Starting Point) Current BCe Approved Amount: $ 2.875294.28 (Last I otai Amount Approved by the Bee) Current Contract Amount: $ 2.875.294.28 _ (Including All Changes Prior To This Modification) Change Amount: $_$35.000.00 Revised ContractlWork Order Amount: $_$2.910.294.28 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $_$392.713.28 ./ Date of last Bee Approval 9/14/2005 Agenda Item # lOB Percentage of the change over/under current contract amount~~L_ ~ % Formula: (Revised Amount f Last Bee approved arnount)w1 CURRENT COMPLETION DATE (S): ORIGINAL: 02/12/08 CURRENT: 3/1/09 Describe the change{s): To add $35,000.00 to the CEI Support Services contract. This additional money will serve for post construction activity. This money C3l1 only be spent by WilsonMiller by means of an approved Task Work Order by Collier County. The time for the eEl services will be extended 152 days for post construction services as needed. $35,000.00 is an estimated amount nccdcd to provide post construction eEl Services for 475 days, from the original CEI completion date of 02/12/08, through a projected completion date of 6/1/09. Specify the reasons for the change(s) r 1. ptanned 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 \0 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: Post Construction eEl Services would not be provided on Ihis proiect due to lack of fundi no. This change was requested by: riContractor/Consultant Pi Owner rl Using Department C. GOES C:Design Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Py es r No This form is to be signed and dated. ,~ APPROVED BY~c't~~C~~~e# '""_:./~:~ , , ,/' <- ( , / REViEWED BY /) I /L-t--;: / C ntra Specialist Date: I j, "ft1 I / /- / ~ / / ..l /;1 /1) CZ I ' . RVf1<::'i. 4- , Cvkv: ft, "j} FER [ 5 ~~:3 I, ", j~lJortatlon 1!l~...r'",'W D8perlmoni Dale. Revised 11.19.2007 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM ,Aqerica Item No, 16E4 " March 10. 2009 (I Page 14 of 27 PROJECT NAME: Courthouse Annex PROJECT #: 52533 PROJECT MANAGER: Henry Jones. P.E. BIDIRFP #: 00-3173 MOD #: 22, CO# 18 PO#:45-100619 DEPARTMENT: Facilities Manaoement CONTRACTOR/FIRM NAME: Soillis Candela DMJM Original Contract Amount: $ 190,000.00 (Starting Point) Current BCC Approved Amount: $2,936,994.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $2,970.656.00 (Including All Changes Prior To This Modification) Change Amount: $8,000.00 Revised ContractIWork Order Amount: $2,978,656.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContracllWork Order: $2,788,656.00 Date of Last BCC Approval05/0BI2007 Agenda Item # 16 E 3 Percentage of the change over/under current contract amount 1.42% Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (5): ORIGINAL: Multi-ohase CURRENT: Multi-ohase Describe the change(s): Additional services to provide an Engineering Judgment in coordination with the systems manufactures to resolve modifications to the Annex Atrium east 'shaft' wall fire protection measures. Specify the reasons for the change(s) C 1. Planned or Elective/ 2, Unfores~ Conditions () 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work)~ 5. Value Added C 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: The AHJ will not accept the modified, UL certified, fire protection measures in place without an Engineering Judgment from the Design group. / This change was requested by:YIContractor/Consultant rI Owner rI Using Department r CDES r Design Professional ~egUlatOry Agency East Naples Fire r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes r No REVIEWED BY: Date: ,-,1/ ,,/ Of. 2/ /(l/c// J J I , ' . APPROVED Date: Revised 11.l9.2007 PROJECT NAME: CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM hOos1. I Immokalee Sidewalks PROJECT # G01Z61 'PROJECT MANAGER: JO',-/OS- MOD #: 1 PO#: 4500837:;43 WORK ORDER #: 2,qenca item ~J:J, 16E4 - ~f,~,<::-h ''} 'l0'~9 .) 'c! clag72 , 7/$'f LJ 9 /L.L I' JdeJ Dan Hall BID/RFP #: 08.5086 DEPARTMENT: TECM CONTRACTOR/FIRM NAME: Couaar Contractina. Inc. Original Contract Amount: $ 185.443,00 (Starting Poinl) Current BCC Approved Amount: $ 185.443.00 (Last Total Amount Approved by the BGC) Current Contract Amount: $ 185.443.00 (Including All Changes Prior To This Modification) Change Amount: $ 2.183.00 Revised ContractlWork Order Amount: $ 187.626.00 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract'Work Order: $ 2,183;00 Date of Last Bee Approval 7/22/08 Agenda Item # 16B13 Percentage of the change overlunder current contract amount Formula: {Revised Amount I Last Bee approved amount)-1 >c2 (<l'i' % CURRENT COMPLETION DATE (S): ORIGINAL: .J;:mlJrlrv 12 2009 CURRENT: December 23. 2008 Describe the change(s): Additional pedestrian railinc, was added to ensure the sidewalk met the FOOT and ADA criteria. Additional sod was necessarY to orevent erosion. There was also a deduction in the amount of silt fence. utilitv locates. utilitv fixtures. and arate replacements. J' S;5'" r-e loco t> . 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) 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: Without the additional pedestrian railina. the FDOT and ADA criteria would not have been met. If the criteria were not met, the County would not be reimbursed for this lAP project. The additional sod will prevent soil erosion alona the sidewalk edaes. This change was requested by: P{ontractorlconsultant r71' Owner 1/ Using Department C COES COesign Professional I/Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes VNO This form is to be signed and dated. APPROVED BY h~.({ /lJ J Project Manager Date: " /0/" a '-I ,IV I REVIEWED BY: Date: ,,2 -II-v? Revised 11.19.2007 ,';qenda Item r~o, 16E4 (( ~ March 10,2009 PaQ9 16 Df 27 CONTRACTfWORK ORDER MODIFICATION IVlo.l (c. . CHECKLIST FORM PROJECT NAME: ",,1,Tlj<(rCt1 ?h",(Olf PROJECT#: L.j.~'03G PROJECT MANAGER: /: vi. BIDIRFP#:CT.ifr2i MOD#: 1.-- po#:'-i5-,'OijLj'?i:. WORKORDER#: ^.7- " f '1 II .J. I ! DEPARTMENT:nlr,por HurYicr"1 GONTRAGTOR/FIRMNAME:t:.r:vlrcll!VlfrlTc't' (~.~. ,rC~';-'::-'<'//G l j '. ,/ , . f Original Contract Amount: $ 2(.,)'. '(L/L( C (', (Starting Point) 2c.dlll/i.{ C6 (Last Total Amount Approved by the BeG) )~3, 4i/L{. c)C (Including All Changes Prior To This Modification) ---------l ! Current Bee Approv~d Amount: $ I Current Contract Amount: $ Change Amount: $ ,0 Revised ContractlWork Order Amount: $ 203 !.pi:;' "' C (lncluding This Change Order) Cumulative Dollar Value of Changes to this ContractfVVork Order; $ 'fiI, 5c,n. GO Date of Last Bee Approval , I I O' "2 I III ~ '2 Agenda Item #vrTT C Percentage ofthe chango over/under current contract amount Formula: (Revised Amount I Last Bee approved amount}-1 2 /1 c Ie X % CURRENT COMPLETION DATE (S): ORIGINAL: CURRENT: . ;,c / I il~! Ie Describe the change(s): ~ ( I ('- r t (('5 1:-- (,{..; r f- (;C C 'r -f ( n 7 E. /), ~:;?z: ('e :'~- ~ i (1 (<. d C~,-( S Specify the reasons for the change(s) (' 1. Planned or Elective (' 2. Unforeseen Conditions [' 3. Quantity Adjustments r 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 change(s). Identif~ all negative impacts to the proiect ifthis,chan5le o~derwe~e not process~d: '1J ( I ~.J" (/.<i.4~ pH if '11,;-..d di?- t~'1)-yJt?,J/tc-'/l 1..11../ tf..nlyJi(t1*~ . This change was requested by: IIContractor/Consultant ~. Owner II Using Department C CDES COesign Professional riRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: III Yes This form is to b:~d dat:;V. ! APPROVED BY: ,,: k..;I"(~t: reject Manager (I REVIEWED BY: , )"ttZ. r No Date: 02 /17 ,d:4- Dale: 4/11/09 , . Revised 1].1 '1.2007 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM D /) :\97'la :t201 !'Jo 16E4 I' ~~tNa~larCh 1.,0, 2929 d Page 17 01 ~7 ~ RECEIVED PROJECT NAME: Freedom Park (Gordon River Water Quality Park) PROJECT #: PROJECT MANAGER: MarQaret Bishop 51018 BID/RFP #: 07-4173 MOD #: 3 PO#: 4500089080 WORK ORDER #: NIA DEPARTMENT; Stormwater Manaoement CONTRACTOR/FIRM NAME:Kraft Construction Comoanv Inc, I Original Contract Amount: CLJrrent Bee Approved Amount: $ 9.852.655.04 (Starting Pcin:) $ 9.852.655.04 (Last Total Amount Approved by the Bee) Current Contract Amount: $ 990348218 (Including All Changes Prior To This Modification) Change Amount: $ 18.047.07 Revised ContractlWork Order Amount: $_9.921.529.25 (Including This Change Order) I ~ Cumulative Dollar Value of Changes to this ContracUWork Order: $ 68.874.21 Date of Last BCe Approval 09/11/07 Agenda Item # ~__ Percentage of the change over/under current contract amoun(n _~Q.:.ZL_~% Formula: (Revised Amount f Last Bee approved arnount)-1 CURRENT COMPLETION DATE (5): ORiGINAL: _05110/09 CURRENT: 06/10/09 Describe the change{s): The purpose of this chanqe order is to install an B" & 6" fire system detectors required by the City of Naples buildinCl permit. Specify the reasons for the change(s) r 1. Planned or Elective ,O' 2. Unforeseen Conditions C 3. Quantity Adjustments (- 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: If the chanqe order is not approved. the City of Naples will not issue the buildinCl oermit for the education buiJdinCl. This change was requested by: nContractor/Consultant :71 Owner '-I Using Department I CDES CDesign Professional nRegulatory Agency (Specify)~__~_~.~__ r.' Other (SpecifYJ__ CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r-;.. Yes No This fonn is to be signed and dated" APPROVED BY' 7J(/r/c.v./.c.:f(/~{1 Project M,ana r (f ,/ RE'IHVED BY ~t'v,..J L Lit 1. Date: ~~.JO 1_ 1<(("" ~/t1I{1J Revised I I J 9 2007 ~~ ~'" b~ .=<- ~.c Q) CuQ) ijj>-t'U .....roo... -~ 11 " ill OJ <( ~ o " w ~ ~ w o " o < ~ o .-5: , w o z ~ " " z , o < c . Q> E "E ~50 ~IllO~ c3 g 0 "s: .. . " . ~:~5 ~1ll0x ~ E . U,g~ . . c ]55 '~t: ~ e::~..,. 2{:'E . " , ~O 0 ;t;~ ~ 0 "S:~ _ ~ c " . , EO 0 5~~ u~.... " ~" "" 8"' ]~~ :~ E ~ " 0 " o,,~ c E '0 ,; 1:: l;!m III .... 'u " " . .0" a"", o Z . 0 .Z "Eti o . ~" o 5 s:" o Z E ~ E ~~o:i ..... Ql.... o U ell U ~ 01 C Q) c B III 0 ~:::t3:t C' 0; a E ~~ ~ 1'- ~ ~ 1'- ~ m ~ ;; o m v ;;; " v N ~ ...: ~ v m ~ m m ; ;;; .,,- . " > , o 0 ~.i ,,~ v m " ~ m. ; ;;; v m ~ m m. ; ;;; 1"" <'" o '" o ~ v o 'Q~ e-v ~o .~ ". ,,~ " . o ~ .g <ll ~ .~ " 0 8 <I) " 11 ~ ~~ '" !2','l ~ ~ 2 ~ (9ZUu. m o '" " ;; " m m ~ " c; m ~ o ~ N o m " ~ ~ o ~ N v V. ;;; o o o m v '" ~ ~ o o 6 m o " N ~ " . "2 ~ " . o o o m o " N ~ o '" " o o , . ~ ~ m " ~ < . g . o u " g u c o o u " ~ ~ ro ;; ~ . ~ . o o "" "'" "- 9 v :0 ~ " Zv ,,~ .m O,? ~v e-o . o o . . " u ~,-.~~ * to :? 03 Cl2m:: ~gQ8 . ~ " o e- ;; ~ " . ~ o '0 . . e . > o m o ~ ;; N ~ ~ o '" " a o ~ N " o m ~ N o v oj ~ '" m ~ o o ai N v '" ;;; ;; c . o u " ro jj 0; . c o o o v rn m o. ;;; ~ o v ai m '" ~ ~ 13 ~ > ~ . . > ~ 15 c Q " ;; e. ~ . " ., o e . g . o u . . o " & .. 5 " 2 E ~ ro . ~ ~ u " " , g u u ro . u > o a o e- o v m m o ;;; ~ 1"" <'" v 9 o 9 ;; ~ ~~ ~o ,~ U'" <0 t . > (j O~ c e- ~ Q ~ ~ g '" ~ (]j ~ ii; c: ,.... till.!.. o Q) ...J Q.\ U g'1iJ aJ ~~2!~~ ~ZUlLn::: ;; m c . ~ o o . . e . > o m o '" o '" o " a o o " a o o o o o ~ o 6 ;;; o o o ~ o o o ~ o :'! ;;; o o 6 ~ o 6 ;;; o o " ~ o 6 ;;; i<- t'c e.~ ~ <i;~5 ^ . ~ '5 rn c ~ ~ " . . " '" c o o g . o u ^ ~ ~ o " . . u > o " I' ~ o : '" e.a:- t~ 0< ~- :,;:C . ~ii -5'S o 0 e- ,.... ~ 1; o Q) 1lJ...J U"'l" OJ t:: 2 (/) N c: u 0 ro ~~B~~g ;; m " . ~ o '0 . . .e . > o m o '> e N o ~ " o o 6 " . e ~ ~ o & o u u c . . 0; u ~ " " . u: * . " . " . > . o . " . o " o ~ ~ o o o ;:: ~ ~ ~ o o " ~ o o o ;:: ~ ~ ~ ~ u " > " o ~ ~ " t o e. <' i? o o u 11 " " . " " " o . ;; E o ~ " . 5 B . > . u 0- ;;. o o 6 ;:: ~ ~ ~ o o o o ~ '" w ~ > tl' e.2s: ._ 'S:2 ""~ ~ o 11. (/)'" 1::)- ~~6~ u U . B . 0; u ~ ^ ,. "- ~ o e- . m c ~ u '0 . . ~ . > o m o " o '" o ~ ~ o " o o B " . E > . ~ m " ~ . E u c . " . is " ~ o . ^ o U c . o :l o u . " g o . ;; E o ~ " . . " B ^ > . u ;n m " . > ~ > w c E u . u " o ~ . ~ u u ro B . ~ . ~ . o '3' . o e- ;; ;1' " ~ o '0 . .. < . o 7CDr'- ~~ ~O hm ~-- ~..c<J.J Eo'" Q.J l.....lt\ _roD.. -;;;2 '0 c (j) '" <( ,.. " o " w " " w o " o ~ " o " o c ~ w o z < 5 w " ~ ", z " ~ 1: W <II ~ "'C g':iCi ~",u..>c: ~ E " u~~ "' " c 0 <Il ,- "0 :,!! g'.g'o .o~ ~ E " Ug~ o C ~ ~ , 3: 0 g .~ 0 ~ "'~~ .8~'E o " , mO 0 c ~ E ~ 0 <{ o~~ c-Eg ~ 0 ~ 51!: <{ U~Ul- c 00 eo 'w o ftitlc .5 ~ 5 .21 C E 08:; c E tl .1'! t::",ftj III .... '0 ~ c 0 o 0 ~ cU"' o Z _ 0 oz "Eti o . ~ " " c ~8 E ~ ~ ~~o~ - 0_ H~~l' <Il.....c .... >Il.uc... I I I I . , o ~ 0 ~z ~ i': ~ N ~ " N ~ N o o <0 o "" N ~ o o o ~ ~ '" ~ o o o ~ ~ oi ;;; ~ - o c > , o 0 ~~ "'~ o o o ~ ~ oi ;;; o o ~ oi ;;; z. o2~ .t'5::;E 'H:~ ~ ~ ~ o 0, ~ o ~ ,:.~ "~ ~~ g~ o z '" ~ ;:!' &~ <>6 E ~ ~2~ -0 <ll a. ~ ftl <X:I Q><:( ~ (')o2~~ O~Ll::;ECl:: Q ~ o N N o ~ ~ " o o . . " . c o t , :l: . , E -c ~ . ~ c . . c Q '0 o o jl > o U . . o ~ o " 5 15 ~ e ~ o . " . ~ S " . ~ o ~ " 15 ~ o . ;; ~ " o o o o o ~ ~ ;0 ;;; o o o ~ o o o ~ ~. ;0 ;;; '" z o o os ~. ;0 ~ . , ;@~ ~~ , o " -c 5 o o ~ o i . ~ > 5 o o . , ] " . o ~ ~ z, ~ o ,.. ~ o ~ o do N ~ ~ ,:.~ "N "'~ ~ ~ I' 0:5 " . ~ '" o " > I ~ g ">' Cl Q>LL ~g2~ U",uu.. .; ~ c . ~ o '0 , . c o > o ~ o N N o o "5 u , "5i c o 1) ~ 6 o o ;; c " ~ ~ -D . . ;; B o o u u o 1: ~ . ~ e ~ o o <0 '0 N '" ~ ~ o o o '0 N '0 ~ ~ i ~ c , ~ 5 o ]5 ai o o N <0 ~ . D E o 15. o if< " , -8 ~o ~O o N o~ ~~ "'~ "'~ mo 6 " . ~ w C . Ul .is o " * ;;> -:;; ~~ <l: QJ ~ ?.". 01 n ill ~ ~ ~ llJcnu::2: . '" o 2 OJ g 8 ~; " Ji 6 o ~ .; ~ c U o ~ C o > 8 ~ ~ N o ~ N o ~ ~ o ~ o o <0 ~ oi ~ ~ o o o ~ ~ M ~ o o o ~ N '" ~ ~ . " u Q .. 0. E 8 ,5 . . > . B u c . !? -g B '0 ~ o " g ~ U U .. ~ o o > ;;; o o > . 5. ~ . N ;; . . n u . ~ . ;; " . 6' " ~ " o . o ~ ~ '" 5 " ~ ~ U -g o ,.. ~ ~ ~ 5 .; o , U -g . . '? ~ , . c ~ o " I I I I I 1- Agenda 119m 1"0.16:=4 March 10. 2009 Page 20 of 27 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Gustafson Construction Com. - Bond Proiect F-41 Improve roadside drainaqe in the forest lakes villas and condo area and in portions of forest lakes blvd. fcul-de-sacs. etcl PROJECT #: 4500098555 PROJECT MANAGER:_Darryl Richard, RLA BfD/RFP #: Contract 08-5045' Annual Contract For Roadways' 0& MOD #: 01 (onel PO#: 4500098555 (old PO 45000957551: WORK ORDER #: GC.FT.5045-ll'5..Ql DEPARTMENT:_ATM Depl._ CONTRACTOR/FIRM NAME: Gustafson Construction Corp. Original Contract Amount: $ 141.697.64 (Starting Point) $ 141.697.64 (last Total Amount Approved by the BCC) $ 141.697.64 (Including All Changes Prior To This Modification) Current BCe Approved Amount: Current Contract Amount: Change Amount: $ 7,324.12 Revised ContractlWork Order Amount: $ $149,021.76 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWork Order: $ 7.324.12 Date of lasl BCC Approval 5/13/08 Agenda Item # ':;.1'1 Percentage of the change over/under current contract amount . ~ % FOImula: (Revised Amount I Last Bce approved amount}-1 16.8.2 c~ CURRENT:~31-~ CURRENT COMPLETION DATE (S): ORIGINAL: 10-19-08 Describe the change(s):_Change is an adjustment of quantities per actual field conditions in variance with original quantities identified in project scope. Existing utilities in conflict with project require adjustment for successful completion of project. Specify the reasons for the change(s) C 1. Planned or Elective C 2. Unforeseen Conditions ,';< 3. 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 the changers). Identify all negative impacts to the project if this change order were not processed: ExistinQ utilities in conflict with proiect would remain 'dissconnected' and/or not in service due to conflict with oroiect scope. Chana9 is necessary to address utilitv conflicts. This change was requested by: Plcontractor/Consultant Pi Owner rI Using Department [" COES EDesign Professional r1Regulatory Agency (Specify) P Other (Specify) MSTU Committee CONTRACT SPECIALIST PARtiCIPATION IN NEGOTIATIONS: rYes V ,"'. No This form is to be signed and dated. Date: ,/nldj_ /Mq Date:~ APPROVED BY: '"' REVIEWED BY: h nda Cummings, Contract Speciali Revised 11.19.2007 i\g';';IIJa lien', ~~o. 1 fAar~h 1J. 2JD9 Fage 21 of 27 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Collier Blvd. South ISR 9511 PROJECT #: iF ,PROJECT MANAGER: Pam lulich .I 1.1 l/Q"dt'6d BID/RFP #: (J't- :?,("f -, MOD #: -2L PO#: 4500102198 WORK ORDER #: TlO-MA-3614-07-17 DEPARTMENT: TransDortation. ATM DeDt. LandscaDe CONTRACTOR/FIRM NAME: McGee & Associates Original Contract Amount: $ 27.090.00 (Starting Point) CUrrent BCe Approved Amount: $ 27.090.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 36.460.00 (Including All Changes Prior To This Modification) Change Amount: Revised ContractJWork Order Amount: $ 1.442.50 $ 37.902.50 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order: $ 9370.00+1.442.50= 10.812.50 Date of Last BCe Approval Agenda Item # 3q~. Percentage of the change over/under current contract amount ~ % Formula: (Revised Amount / Last BCe approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: ----11l3Q12009 CURRENT: 11/30/2009 Describe the change{s): Additional Drofessionallandscane architectural services. Collier Blvd, South (SR 951) ad9itionalllz +/- Mile arterial roadway desjl!Jl, for SR95 I from (MclJYj!n~,J3ay Bridl!e to__Mcllvane Creek Bridge). . Principal 17.5 Hrs 1aI110.001HF 1.925.0Q . LandscaDe ilrchitect 0 Hr' rcp 75.00/Hr ~ O..QQ . CADlTech 12 Hr' rcp 60.00/Hr ~ 720.00 . ildministrative 0 Hr, @ 45.001Hr ~ 0.00 . Clerical 6 Hr' 1aI40.00/l::lL~.210.0Q . Re-imbersabJes LS = 0.00 Total Estimated Cost of Service to be Increase to this Work order $1,442.50 .~cify the reasons for the change(s) r i. Planned or Elective r 2, Unforeseen Conditions r 3. Quantity Adjustments ~4, Correction of Errors (Plans, Specifications or Scope of Work) r 5. Valur Added r 6. Schedule Adjustjnents Note: One or more may be checked, depending on the nature of the changers). m (,L~tf 7"l1/5t:'ffYYI"W1/~h f-rv" Identify all negative impacts to the project if this change order were not processed: Miscommunication and understandinq of proiect obiectives bv staff and Collier Countv Consultant sh..red responsibilitv in error in the interpretation of review. Standards review process belnq implemented with siqnature required prior to future chanqes. This change was requested by: rlContractor/Consultant )<JOwner II Using Department C CDES CDesign Professional rlRegulatory Agency (Specify} r Other (Specify} Total Estimated Cost of Service to be $2.885.00 Negotiated 11 to be paid. CONTRACT SPECIALIST PARTiCIPATION IN NEGOTIATIONS: This form is to be signed and d~ _ APPROVED BY: ~~~~ am Lulich. La dscape Operations Manager f)/I /) /1. REVIEWED BY IfI..: i1.[))~,- LAU1 fYtU'\LI. 'Rhonda Cummings, Contract Specialist/ Revised II.] 9.2007 l )(Yes I No Date :/2-;/0 7 Date' _~ I I I I I I I I I , L t~~~4~~,,/.-<,. ~ ' ~eE1VED B /'30I'~1 J CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Forest Lakes MSTU - Bond Proiect F-54 - Replacement of fairway No.5 Culvert PROJECT #: 4500098560 laid PO 4500095874\ PROJECT MANAGER:_Darryl Richard, RLA BJD/RFP #: Contract #08-5011 "Underground Utility Contracting Services" MOD #: 01 lone) PO#: 4500098560 laid PO 4500095874) WORK ORDER #: KC-FT-5011-Q8-04 DEPARTMENT:_A TM Dept _ CONTRACTOR/FIRM NAME: Kvle Construction. Inc. I Original Contract Amount: $ 51.899.40 (Starting Point) Current BCe Approved Amount $ 51.899.40 (last Total Amount Approved by the Bee) Current Contract Amount: $ 51.899.40 (Including All Changes Prior To This Modification) Change Amount: $ 14.429.00 Revised ContractIWork Order Amount $ 66.328.40 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 14.429.00 Date of Last BCC Approval 3/11/08 Agenda Item # 10.H Percentage of the change over/under current contract amount 27.80 % Formula: (Revised Amount I Last Bee approved amount)~ 1 CURRENT COMPLETION DATE (S): ORIGINAL: 9-27-08 CURRENT: 1-31-08 Describe the change(s):_Change is an adjustment of quantities per actual field conditions in variance with original quantities identified in project scope. Existing utilities in conflict with project require adjustment for successful completion of project. 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. Yalue 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: Existina utilities In conflict with proiect would remain 'dissconnected' and/or not in service due to conflict with proiect scope. Chanae is necessary to address utility conflicts. This change was requested by: PIcontractor/Consultant Pl Owner n Using Department r::: CDES EDesign Professional nRegulatory Agency (Specify) P' Other (Specify) MSTU Committee CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes P' No Date: ~ J I / ;),J~/o7 , / I / Date: Revised 11.19.2007 Aoencla item hlo. ! 6E4 .~ -,., M~rch f?:20~9 ~L.l--- ,- age 0 of .7. CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: I,,'KY ALP Update PROJECT #. 46024 PROJECT MANAGER: Theresa Cook BIDIRFP #: j).5.3B89 MOD #: ~ PO#: ~5000G77887 WORK ORDER #: URS.FT-3389-06-07 DEPARTMENT: Airport Authoritv CONTRACTORIFiRM NAME: URS Corp. '-1 I Original Contract Amount: $ 110,850 (Starting Point) Current CCAA Approved Amount: Ll1Q&50 u_ _._~____..._.,._.,_,._., (Last Total Amount Approved by the CCAA) Current Contract Amount: S 110850 (i;;'C!Ud;ng All Changes Prior To This Modification) Change Amount: Revised ContracliWork Order Amount: $ NIA $__lm850 (Including This Change Order) j I Cumulative Dollar Value of Changes to I this ContractIWork Order: , , $ N/A Date of Last CCAA Approval 08/11/08 Agenda Item # VIII Percentage of the change over/under current contract amount Formula: (Revised Amount / Last CCAA approved amount)-1 N/A "' .. COMPLETION DATE (S): ORIGINAL: 6/30/07 CURRENT:__3f01!09_ Percentage of the change over/under current contract time Formula: (Revised ,'-\moun! I Last CCAA ::::.pp~oved amoun!)-1 32 % Describe the change(s): Chanoe schedule to extend contract time bv 210 calendar days, $pe~jfyJ~,~~ea~.9"n~"fQr;:ih~_~ta'~n-g~(sl ('1. Planned or Elective ,-~ 2. Unforeseen Conditions r' 3. Quantity Adjustments ,'~ 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: The CeM will not receive the Master Pian Update and/or proiect cannot be closed out. This change was requested by: PIContractor/Consultant ;;1 Owner r-j Using Department j- GDES CDesign Professional C Regulatory Agency (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTiATIONS: ;-'1 Yes Other (Specify) '71 No This form is to be (~ated. APPROVED BY: Q Project Manager - ) / N )11 II "ll REVIEWloU nY: ~~& ,I fl I/f. / t.rrlX on r, t Specialist Date: ,1-3-L'7 Date: "1 t/- /,0> (7<'- -vI P.cvi,.ed 11. J 0.2007 , Aqenda Item NO.1 GE4 < -' ~'----r;;rarcn 1u.200g'.-' Page 24 af 27 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: MKY ParkinCl Aoron Desiqn BiDIRFP #: 05-3889 MOD #:~ PO#: DEPARTMENT: Airport Auihorilv PROJECT #: 46031 PROJECT MANAGER: Theresa Cook 4500065769 WORK ORDER #: URS.FT.3889.05-05 CONTRACTOR/FIRM NAME: URS Com. Original Contract Amount: $ 64.500 (Starting Point) Current CCAA Approved Amount: $ 75.710 (Last Total Amount Approv<:1d by the CeM) Current Contract Amount: $ 75710 (Including All Changes Prior To This Modification) Change Amount: $ N/A Revised ContractNVork Order Amount: $ 75710 (Including This Change Order) Cumulative Dollar Value of Changes to this ContracUWork Order: $ 11210 Date of Last CeAA Approval 10/08/07 Agenda Item # VII. Percentage of the change over/under current contract amount Formula: (Revised Amount I Last GeM approved amount)+ 1 N/A % COMPLETION DATE (S): ORIGINAL: 5/17/07 CURRENT: 2/28/09 Percentage of the change over/under current contract time Fomlula: (Revised Amount Ilast GGAA approved amount)-1 K 0.0 % Describe the change(s): Chanae schedule to extend contract time bv 395 c31endar davs ;>p~cifYih~:r~a~ons"f"rit1~ chang~{~) '~1. Planned or Elective ;- 2. Unforeseen Conditions ' 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) {"" 5. Value Added i" 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: GGM will not be able 10 close proiect and make final payment to contractor, This change was requested by: PIContractorlConsultant PI Owner n Using Department r CDES CDesign Professional C Regulatory Agency (Specify) i- Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: n Yes j~1 No This form is to b~.ll."ed.and dated. APPROVED BY (\~ Q projecJjanager ,. hl REViEIJVED BY: / nt Dale: ;)',)'09 ~ II ~,Q7 ""- -, -u Dale: Revisl"d 11 19.2n07 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM 16E4 0 i) . I"]crch J::J; .~Ojl9 0 IV- t'- t'(r'a;f.?cj2f::?d)'v 7 oJ;J PROJECT NAME: MKY Aoron & Parkina Relocate Permittin'l PROJECT #: 46018 PROJECT MANAGER: Theresa Cook '/'300010((,115 BID/RFP #: 06-3969 MOD #: PO#:(4500094174) WORK ORDER #: QGM-FT-3969-08-17 DEPARTMENT: Airport Authority CONTRACTOR/FIRM NAME; Q. Gradv Minor & Associates. P.A, rri9inal Contract Amount: I I Current CCAA Approved Amount: I' Current Contract Amount: Change Amount: S 19 730 (Starting Point) $ 19 730 (Last TOllal Amount A.pproved by the CC,llA) $~730 (Including All Changes Prior To This Modification) $ 5.370 Revised ContractfWork Order Amount: $ 25,100 (Including This Change Order) i , J Cumulative Dollar Value of Changes to I this cont~ct!Work Order: S 5370 Date of Last CCAA Approval 5/12/08 Agenda Item # ViiI. D. Percentage of the change over/under current contract amount Formula: (Revised Amount / Last GeM approved amount)" 1 27,2 ',}", " " CURRENT COMPLETION DATE (8): ORIGINAL: 9/15/08 CURRENT: 3/15109 Describe the change(s): Chanae scope to add finallzlnO county oerr.nittinQ. Specify the reasons for the change(s) f;' 1. Planned or Elective t- 2. Unforeseen Conditions ' 3. Quantity Adjustments i.... 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 changers). Identify all negative impacts to the project if this change order were not processed: CCM will not be able to beqin construction, tr./-G/-I_f9-ur fJ-Lkfi'V:.<_i:<:J This Change was requested by: iiContractorfconsultant.X Owner r.1 Using Department C COES C.Dcsign Professional r:: Regulatory Agency (Specify) j- Other (Specify) 1- Yes KND CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: REVIEWED BY: Date: SI/fe/toe; APPROVED BY: Project Manager 1/ Date: ~ 17' ~ eX / / 0<./0'1 i , Revised 1] 10.2007 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM )\aenca Item No. i6E4 7 - March 10,2009 Page 26 of 27 PROJECT NAME: Fleet Facilitv Fuel Island PROJECT #: 52009 PROJECT MANAGER: Claude Nesbitt I - 3'll~-bl-03 BID/RFP #: 06.3929 MOD #:~PO#:45-100626 WORK ORDER #: CHM-FT-3969 916-3 DEPARTMENT: Facilities Manaoement CONTRACTOR/FIRM NAME:CH2M Hill Original Contfa:ct Amount: $ 101,850.00 (Startin9 Point) Current BCC Approved Amount: $0 (last Total Amount Approved by the BCC) Current Contract Amount: $101.850.00 (Including All Changes Prior To This Modification) Change Amount: $0 Revised ContractIWork Order Amount: $101,850.00 (Induding This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $0 Date of last BCC Approval 04/11/2006 Agenda Item # 16 E 4 Percentage of the change over/under current contract amount 0% Formula: (Revised Amount / Last Bee approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 03/06/2007 CURRENT: 09/30/2009 Describe the change(s): Extension of time as described in the attached change order form Specify the reasons for the change(s) C 1. Planned or Elective C 2. Unforeseen Conditions C 3. Quantity ~justments C 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added ~' 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s), Identify all negative impacts to the project if this change order were not processed: The Engineer of Record would not be able to confirm that work performed by the contractor was to his design This change was requested by:FlContractor/consultant ~ Owner rI Using Department n CDES l""Design Professional r1Regulatory Agency (Specify) rOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: n Yes r No This form is to be signed and dated. APPROVED BY ~\Lv\...2-i\r.:. * Project Manager . /) . REVIEWED BY: ~~ /; 7 Con a' pecialist , Date: D1..- \'2.-00'1 WNd Date: d. -I c1 -09 Revised 11.19.2()(J7 ,';cenc.a :~em i'~o. "16':::4(( --10 rrryarfb 20. :'0:,9- .L - '-+-"f~11"'27 of 27 CONTRACTiWORK ORDER MODIFICATION ~ ~(E(,Cl (EO!1VED CHECKLIST FORM PROJECT NAME:mi1RCb~~ US. EX1'AV~""'ROJECT #: 5<{-CO'f7PROJECT MANAGER: &.E FGl!<:l< BID/RFP #: ol-:;:;'3~ MOD #: I PO#:.f500 10'1-6+$ WORK ORDER #: !5S5i<.J ...02. -j 0 DEPARTMENT: HCIL-I77t:S CONTRACTOR/FIRM NAME: 8S5,tU I)R~ IrEerS OrIginal Contract Amount: $ r:,S; 250_ 00 (Starting Point) ?5, 2-50.00 (Last Total Amount Approved by the BCe) Current BCe Approved Amount: s Current Contract Amount: $ r:.s, 2.5'0.00 (Indudlng Ail Changes Prior To This Modification) 3,73tJ.oo . 0'J, /80.00 (:ncluding This Change Order) Change Amount: $ $ Revised ContractIWork Order Amount: Cumulative Dollar Value of Changes to this ContractIWork Order: $ 3<]30,00 / Date of Last Bee Approval Agenda Item # ~ ~ OJ. % Percentage of the change overtunder current contract amount Formula: (Revised Amount / Last Bee approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: AI/fl CURRENT: v- :;-/;2/;0 Describe the change(s): rKo T=r to,A-<:. cl9-v/'H'/~7) ftF-TZ'C.- /;t:"'Ie:VI"'~ 810.<;. /Ra..T6"'-T 15 A/cw 6'e/N'.?- RE-f.?fL) '>llVe" rvtl'OIN(_ IS ,oOuJ 19-i/.4IU7i>.l.C_ Specify the reasons for the change(s) " 1. Planned or Elective. 2. Unforeseen Conditions r 3. Quantity Adjustments r 4. Correction of Errors (Plans, SpeCIfications or Scope of Work) (. 5. Vaiue Added r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). "'li I Identify all negative impacts to the project if this change order were not processed: ~C!r8f Wtl.-L.- Rb {'as/FoAlCD ,4(:;,A-lV This change was requested by: IIContractor/Consultant )i;,:1 Owner II Using Department C CDES CDesign Professional r!Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPA TION IN NEGOTIATIONS: r- Yes RNO This form is to be signed and dated. /? i7 APPROVED BY: I5c:8 !/EJ:;eE: p'ojec~/}ger /Y;~ REViEWED BY, ~ . '~<,'~_~?--c~~- Contract Specialist Date' / '2/// /~;J D3tC: 2. ;; rei /0 ; J I . Revised 11.19.2007 II