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Agenda 09/15/2009 Item #16E 4 Agenda Item No. 16E4 September 15, 2009 Page 1 of 64 ",-,., 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 July 8, 2009, through August 25,2009. FISCAL IMPACT: The total change to contracts is $230,778.76. The total change to work orders is $118.283.92. 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 - .1- Uts'"" .1- V.L .1. Agenda Item No. 16E4 September 15, 2009 Page 2 of 64 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: Item Summary: 16E4 Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board- Approved Contracts, 9/15/20099:00:00 AM Meeting Date: Prepared By Diana Deleon Administrative Assistant Date Administrative Services Purchasing 9/1/20092:35:29 PM Approved By Steve Carnell Purchasing/General Svcs Director Date Administrative Services Purchasing 912/2009 3:31 PM Approved By Len Golden Price Administrative Services Administrator Date Administrative Services Administrative Services Admin. 9/2/2009 4:00 PM Approved By Jeff Klatzkow County Attorney Date County Attorney County Attorney Office 9/2/20094:12 PM Approved By OMB Coordinator OMB Coordinator Date County Manager's Office Office of Management & Budget 9/3/2009 8 :18 AM Approved By Laura Davisson Management & Budget Analyst Date County Manager's Office Office of Management & Budget 913/20099:25 AM Approved By Leo E. 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'" 10 o - E 0 ~z >!1 o a 6 >!1 o a 6 a a 6 a a 6 '<T ... a a 6 ... a a 6 a a 6 '<T ... a a 6 a a 6 '<T ... a a 6 a a ei '<T ... (/) Ql oil ,~ g'~~ '(ij en ~ 5 ~ ...J J: E ::> J: U .!: "'" '" o (; ~ ~ Z Z (/) (/) (/) (/) Ql <l) ~ CD ~ < 0 <>: '0 a '0 .3 N .3 c ' c 'd ~ ~.~ 'Ci) cO ffi .~ ~~9..c:..c CLZCOUCL Ol a ;:;: N ex; a to z ::5 e:.. 'E ::J o E '" '0 Ql Q) C> '0 ::J .0 Iii ~ Iii c ';:;, .~ <l) :S o c :5 .0 ~ 'ai c <l) .0 '0 C '" c:- '" Iii (/) (j) ::J '0 '" B ei a N '" .... eO .... .... ei M N V> '" c:- '" ::J C '" -, B Ql E "" t5 ~ 'E o U Ql :S '0 C <l) >< Ql o f- f/j () ~ c o u .9 f/j '" ;2' ffi iJ Iii o f- c; C> C '" .c <.> "'" o ~ CI> .~ '" > o CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM RL~~~~~~~~ Page 7 of 64 ( PROJECTNAME: Blda."F" Generator & Electrical UDarade PROJECT#~5 PROJECT MANAGER: Robert Fuentes BID/RFP #: 08-5035 MOD #: 6 PO#: 45-00094198 WORK ORDER #: N/A DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: Southeastern Communications Serv.lnc. 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: $ 913,634.16 (Including All Changes Prior To This Modification) Change Amount: $ 35.896.19 Revised ContractIWork Order Amount: $ 949.530.35 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ ( 278.507.01) Date of Last BCC Approval 5/13/08 Agenda Item # 10G Percentage of the change over/under current contract amount l22.1) % .- 2.'2. _ '5 c( 'ill Formula: (Revised Amount I Last BCC approved amount)- CURRENT COMPLETION DATE (8): ORIGINAL: 7/19/09 CURRENT: 8/31/09 dlu./J ,~d k tL~7>-a.-P -j-r24-k. Describe the change(s): The generator pad was increase and to accommodate the future sound barrier wall that is not part of this contract it was determined that additional stabilization was needed thus avoiding undermining the generator pad once wall footers are constructed. Additional duct bank conduits are needed not to interfere with wall footers. ' Specify the reasons for the change(s) 0'('1. Planned or Elective r 2. Unfores~ Conditions n 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) K 5. Value Added ~ 5. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify aI/ negative impacts to the project if this change order were not processed: This change is needed to preserve the integrity of the generator pad and surrounding electrical conduits so it will not interfere with the instal/ation of sound barrier wall which a different contractor will install. This change was requested by: J><1ContractorlConsultant l?\ Owner rI Using Department r COES )2;6esign Professional DIRe rOther (Specify) ~es r No Date: Date: Revised 11.19.2007 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM II Ag~nda Item No. 16E4 g.. o ~dTIW~~ ~r~~ PROJECT NAME: NCRWTP Hioh TDS RO PROJECT #: 71002 PROJECT MANAGER: Tom Chmelik /J{~ lID/RFP #: 07-4144 MOD #: 1 PO#: 4500089656 /4500100726 WORK ORDER #: Rrr 97 1111 DEPARTMENT: PUPPMD CONTRACTOR/FIRM NAME: HDR Enoineerino. Inc. Original Contract Amount: $ 1.497.100.00 (Starting Point) Current BCC Approved Amount: $ ~ I / lfq1J (00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 1.497.100.00 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised ContractIWork Order Amount: $ 1,497.100.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 0 Date of Last BCC Approval 11/13/07 Agenda Item # 10E ./ Percentage of the change over/under current contract amount Formula: (Revised Amount / Last BCC approved amount)-1 NA % over _~CURRENT COMPLETION DATE (S): ORIGINAL: 12/12/08 CURRENT: ~ q/( (oct by $ , his change order will: 0 Add a new Task for $ o Increase Task Number Other Increase time Describe the change(s): Time extension only to allow for coordination with operational and budgetary constraints. Specify the reasons for the change(s}. 1. Planned or Elective n 2. Unforeseen Conditions C< 3. Quantity Adjustments 0 4. Correction ot'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: Time extension only. This change was requested by: r1Contractor/Consultant '" Owner rI Using Department C' CDES rDesign Professional r1Regulatory Agency (Specify) rOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes )( No This form is to be signed and dated. Date: 7hfoJ I 7{<Z/G1 7/;C;/tJ7' , ' APPROVED BY: APPROVED BY: Date: . ,cVIEWED BY: Date: Agenda Item No, 16E4 '3 :'-'tJ',...>lII~VI ~:. :JOS Page 9 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Bridge Repairs (Chokoloskee, Oilwell. Green Blvd) PROJECT MANAGER: Eddie Martin PROJECT # 66066 BIDIRFP #: 08-5135 MOD #: 1 POI: 450010668B WORK ORDER #: N/~ I DEPARTMENT: TECM CONTRACTOR/FIRM NAME: Kellv Brothers, 'nc Original Contract Amount: $ 771,546.00 (Starting Point) CUrrent BCC Approved Amount: $ 771,546.00 (Last Total Amount Approved by the BCC) $ 771,546.00 (Including All Changes Prior To This Modification) Current Contract Amount: Change Amount: $ 57,720.00 ./' V Revised ContractIWork Order Amount: $ B29,266.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWork Order: (add) $ 57,720.00 v Date 01 Last BCC Approval March 24111, 2009 Agenda Item # 16B5 Percentage of the change over/under current contract amount_7;t 18 % Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: August 19th, 2009 CURRENT: September 8th, 2009 Describe the change(s): ITEM it 401-72A The seawall cap had slipped down and major voids and cracks were found that were not there at the time of the Bridge Engineer's inspection a year earlier. ITEM # 536-1-1A Two vehicular accidents occurred after the bridge contract was let. One on the East and one on the West side of the bridge taking out large section of the bridge guardrail which is a critical safety concern and must be repaired. Specify the reasons for the change(s) n 1. Planned or Elective 6 2. Unforeseen Conditions 0 3. Quantity Adjustments [J 4. Correction of Errors (Plans, SpecifIcations or Scope of Work) 0 5. Value Added o 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: Loss of seawall. Critical safety concerns V This change was requested by: rlContractor/Consultant 171 Owner PI Using Department n CDES ~esign Professional r1Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: P Yes Q No This form is to be signed and dated. Revised 2-22-08 - Agenda Item No. 16E4 3c APPROVED BY: .~L~'_ /"')~ Eddie Martin, Project Manager < REVIEWED BY: Revised 2-22-08 Date: ~ -2 t, -0 'j Dale: ~ I I I"';, Page 10 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM 1t-~~d;;/~tJ~E(itJ September 15, 2009 4- Page 11 of 64 1 PROJECT NAME: Immokalee CRA Master Plan PROJECT #: PROJECT MANAGER: Penny Phillippi _ WORK ORDER #: ,tJ l f'<" CONTRACTOR/FIRM NAME: RWA. Inc. BID/RFP #: 08--5073 MOD #: 4 PO#: 4500101492 DEPARTMENT: Immokalee CRA Original Contract Amount: $ 386.175 (Starting Point) $ 573.675 (Last Total Amount Approved by the BCC) $ 573.675 (Including All Changes Prior To This Modification) Current BeC Approved Amount: Current Contract Amount: Change Amount: $ 50.000 ...."'- Revised Contract/Work Order Amount: $ 623.675 (Including This Change Order) Cumulative Dollar Value of Changes to /] r" this Contract/Work Order: $ ~ ~_3 "1. ::;)t 0 f) Date of Last BCC Approval 12/16/08 Agenda Item # 16.E13 & 16.G.1 /' Percentage of the change over/under current contract amount 8.7 ~ Fonnula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: L./)/7/01 CURRENT: \.~b 7//0 bif'( , I / This change order will: )?J Add a new Task for $~~ /)/)0 ~ Increase Task Number: 1 (subtask 1.1) 71(1) % by~S;<<a..OC - Other Describe the change(s): Collier County's process for reviewinn Compo Plan Amendments has chanaed from a checklist tyoe review to a more detailed sufficiency review since the execution of contract 08-5073. Therefore. an increase in compensation is required to produce all data & analvsis requested by Comprehensive Planninn staff. Specify the reasons for the change(s) C 1. Planned or Elective € 2. Unforeseen Conditions 0 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added C 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: The Immokalee Area Master Plan. which has been substantiallY completed and turned in to Collier County Plaoninn staff. would not be transmitted to the BCC. EAC. CCPC or DCA. This change was requested by: rlcontractor/Consultant PI Owner rI Using Department r COES rOesign Professional rlRegulatory Agency (Specify) r Other (Specify) AP~ED BY: REVIEWED BY: CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes Thisfonn istobe~ and . , "--, i. _/ _. APPROVED BY, (.I;:,,~ . Dale:", ~ roJec Da~ y Date: ?~/tJ9 P' No Revised 6 18 09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Freedom Park (Gordon River Water Quality Park) PROJECT MANAGER: Maraaret BishoD BID/RFP #: 07.4fff 41;1'\ MOD #: 7 PO#: 4500h,t~~_Q$' WORK ORDER #: NfA DEPARTMENT: Stormwater Manaaement CONTRACTOR/FIRM NAME: Kraft Construction Com Danv. Inc. Original Contract Amount: $ 9,852,655.04 (Starting Point) Current BCe Approved Amount: $9,852.655.04 (Last Total Amount Approved by the BCC) Current Contract Amount: $10.071 ,045.18 (Including All Changes Prior To This Modification) Change Amount: $5,824.96 Revised ContractfWork Order Amount: $10.076.870.14 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractfWork Order: $224.215.10 Date of Last BCC Approval 09/11/07 Agenda Item # 10K Percentage of the changeover/under current contract amount 2.28 Formula: (Revised Amount / Last BCC approved amount)-1 % CU~RENT COMPLETION DATE (5): ORIGINAL: 06/10/09 This change order will: [8J Add a new Task for $ 5.824.96 Other CURRENT: 07/24/09 o Increase Task Number by$ Describe the change{s): The purpose of this change order is to install fencing around the irriaation well. grind approximatelv 260 LF of edge of stone at the education building for safety purposes. and install FPL access off of Golden Gate Parkway as shown in the attached chanae orders. Funds to be applied to a new line item called additional services. Specify the reasons for the change{s) C 1. Planned or Elective JI'\ 2. Unforeseen Conditions 0 3. Quantity Adjustments (': 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: If the chanQe order is not approved. the proJect will not be completed with the best value and efficiency in mind. This change was requested by: r1Contractor/Consultant jxl Owner 01 Using Department C CDES UOesian Professional rlRpnlll~tnrv 6npnt'v lC::n..,.iF.~\ rOth<:>r fC:n...,.iF.,\ Agenda Item No. 16D20 September 15, 2009 Page 11 of 12 Grant No.: S-09-UC-12-0024 Official Contact: Ms. Marcy Krumbine Telephone No: 239-252-2273 FAX: 239-252-2638 E-mail Address:MarcyKrumbine@colliergov.net Tax ID No: 59-6000558 Unit of Government No: 129021 FY 2009 LOCAL GOVERNMENT GRANT AGREEMENT EMERGENCY SHELTER GRANTS PROGRAM This Grant Agreement is made by and between the United States Department of Housing and Urban Development (RUD) and Collier County the Grantee, for FY 2009 of the Emergency Shelter Grants Program in the amount of $_95,288_. This grant was authorized by Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, 42 USC 11301 (1988), as amended (the "Act"). In addition, the grant operates through HUD's regulations at 24 CFR Part 576, as now in effect and as may be amended from time to time, which are incorporated as part of this Agreement. In reliance upon the Consolidated Plan and certifications. the Secretary agrees, upon CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM ;; PROJECT NAME: Freedom (Gordon River Water Quality) Park PROJECT #: 51018 PROJECT MANAGER: Maraaret Bishop BID/RFP #: 07-4173 MOD #: LPO#:45-100405 DEPARTMENT: Storm water Manaaement CONTRACTOR/FIRM NAME: Kraft Construction Original Contract Amount: $ 9,852,655.04 (Starting Point) Current BCC Approved Amount: $9,852,655.04 (Last Total Amount Approved by the BCC) Current Contract Amount: $10,076,870.14 (Including All Changes Prior To This Modification) Change Amount: $52,885.00 Revised ContractIWork Order Amount: $10,129,755.14 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $277,100.10 Date of Last BCC Approval 09/11/07 Agenda Item # 10 K Percentage of the change over/under current contract amount 2.81% Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: June 10, 2009 CURRENT: hiP\? 1Q 29g9 A;ut:(LLSf 81; 2.JX'f1 Describe the change(s): Continue construction of the Freedom Memorial foundation ~se II Specify the reasons for the change(s) 0 1. Planned or Elective Co 2. Unforeseen Conditions 0 3. Qu~ntity Adjustments () 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added Co 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 wall that will support the flag would not be built. This change was requested by: CIContractor/Consultant ~wner CI Using Department D COES LDesign Professional CIRegulatory Agency (Specify) COther Facilities ManaQement CONT.RACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes o No This form is to be signed and dated. REVIEWED BY: ~J'?I \ t9q Date: APPROVED BY: Cum Revised 11.19.2007 UNITED STATES OF AMERICA Secretary of Hous. g and Urban Development ... 8/6/2009 By: Signature and Date Maria R. Ortiz-Hill Name of Signatory Director of Community Planning and Development Title I CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No. 16E4 September 15, 2009 Page 14 of 64 "-,PROJECT NAME: SAP Grants Management PROJECT #: BID/RFP #: 09-5276 MOD #: 1 PO#:_ 45-107831 PROJECT MANAGER:_Tracey Payne WORK ORDER #:_N/A DEPARTMENT: IT CONTRACTOR/FIRM NAME: Penitus Original Contract Amount: $ _125,000.00 (Starting Point) $_125,000.00 (Last Total Amount Approved by the BCe) $ 125,000.00 (InCluding All Changes Prior To This Modification) Current BCC Approved Amount: Current Contract Amount: Change Amount: $ 5,000.00 Revised ContractIWork Order Amount: $_130,000.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ -0- Date of Last BCC Approval_6/23/09 Agenda Item # _16E 12 Percentage of the change over/under current contract amount Formula: (Revised Amount / Last BCC approved amount)-1 4 % ,....cURRENT COMPLETION DATE (8): ORIGINAL: 10/30/09 CURRENT: 1 0/30/09 . (lis change order will: 0 Add a new Task for $ x Increase Task _5_ by $5,000.00 Other Describe the change(s):_To provide additional project management tools for customer use that were not included in the original scope of work. , Specify the reasons for the change(s) x 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added o 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: SAP Grants Management would not be as user friendly as it will be with these enhancements. This change was requested by: OIContractor/Consultant x Owner 01 Using Department D CDES L'Design Professional OIRegulatory Agency (Specify) LOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes x No This form is to be signed and dated. APPROVED BY: d /[A Jl' P.Jfi fl(J~ Project Man r r!J - VIEWED BY -. 7rI CUJ tf'Td! C nt Specialist Date: 7-3/-09 7~/-cP Date: Revised 6 18 09 A .J It ~'~ ~~r047 ge, lua en I 'v, ,;:,~ September 15, 2009 ~ Page 15 of 64 I; ," EXHIBIT A~l Contract Amendment 1 Contract # 09-5276 "Implementation of SAP Grants Management/RPM" This amendment, dated "3 ~ C) 3 ' j, , 2009 to the referenced agreement shall be by and between the parties to the oiig'" Agreement, Penitus Solutions, LLC (to be referred to as "Consultant") and Collier County. Florida. (to be referred to as "Owner"). ' Statement of Understanding RE: Contract # 09-5276 - "Implementation of SAP Grants Management/RPM" In order to continue the services provided for in the origin~ Contract document referenced above, the Contractor agrees tei iunetll:l the Contract as fonows: ' The Consultant's name on the c()ntract, "Penjtu$ Solutions, LLC" shall be changed to read "Peniti.tS Glo,ba{ Sbl~1;i(lns, LtC". in a.ccordange with the certificate of authority issiled by the Florida Department, ofSfute, Division of Corporations. IteIli 3, Compensation, secOnd paragraph, shall be changed as follows: Provision has beert ma,de for en hancements to the software, if required, to be added in Writing as follows: Additional Services - time and materials ot lnmpsum based on ScOpe of Work and written NotiCe to Proceed Not to Exceed $~0;;5,6()O Wording deleted shall be showrtas struck throl:lgh~ wording added sball be shown as underlined. All other terms and conditjoD$ of the agreement shall remain in fdrce. IN WITNESS WHEREOF.:; the Consultant and the County have each, respectively> by an authoriZed person .or agent, hereunder set theit hands and seals on the date( s) indicated below. By: f~~ Accepted: SJ\i a3 OWNER: BOA.R6 OF COUNTY Co.MM:ISSIONERS OF COLLIER COUNTY, FLORIDA By: (~.Q~~ Tracey Payn. '. oject Manager , 2009 CONSULTANr: PENITUS GLOBAL SOLUTIONS, LLC _Freddy Guerrero ~:PAR~D~ Barry e od - . ~. 09-5276 Implementation of SAP Grants Management/RPM Amendment #1 1 (' , 09-5275 - Implementation of SAP Grants ManagementIRPM Amendment # 1 Agenda Item No. 16E'[I b September 15, 2009 Page 16 of 64 DMSION ADMINISTRATOR By: JZf..~ O~ p~ Len Price 1f CONTRACT SPECIALIST BY. Yn VtJon! L . Wood 2 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 fg September 15, 2009 Page 17 of 64 PROJECT NAME: COLLIER BOULEVARD CR951 6 Lane IMPROVEMENT US41 to DAVIS PROJECT MANAGER: TAD PLUC BID/RFP #: 07-4124 MOD #: ~PO#: 4500099955 WORK ORDER #: NA PROJ ECT #: -2QQQ1 DEPARTMENT: Transportation EnQineerinq and Construction Manaqement CONTRACTOR/FIRM NAME: Better Roads. Inc. Original Contract Amount: $ 24,955,329.69 if (Starting Point) $ 24.092,715.62'/ (Last Total Amount Approved by the BeG) $ 24.092.715.62"/ (Including All Changes Prior To This Modification) Current BCC Approved Amount: Current Contract Amount: Change Amount: $ (27,964.54) v Revised ContractIWork Order Amount: $ 24.064.751.08 ./ (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ / (890,578.61 ) Date of Last BCC Approval Agend~ Item # lOR ~12-1 (Q.l;)B1") % Tt'Tlp ?!>t}1, ?on? Percentage of the change over/under current contract amount Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: September 29, 2009 CURRENT: November 13. 2009. Describe the change(s): Addition of pay item for redesign of mast arm #18 and deletion of pay items for mast arm assemblies not used in the contract. The agreed upon addition of contract time for the redesign of Forest Glen's entrance and the additional time for the relocation of the Force Main north of Lely Cultural Parkway. Specify the reasons for the change(s) r 1. Planned or Elective r- 2. Unforeseen Conditions C 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) C 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 jf this change order were not processed: The project could not be completed, This change was requested by: Plcontractor/Consultant PI Owner C! Using Department n CDES rDesign Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes R: No This form is to be signed and dated. APPROVED BY: REVI EWED BY: Revised 3.17.09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No. 16E4 September 15, 2009 Page 18 of 64 ( I - PROJECT NAME: Old US 41 Storrtlwater Improvements PROJECT #: 51133.1 PROJECT MANAGER: Brandv Otero BID1RFP #: 09.5040R MOD #: LPO#: 4500105181 WORK ORDER #: DEPARTMENT: Road Maintenance/ Stormwater CONTRACTOR/FIRM NAME: Dave Foot Environmental Construction Inc. Original Contract Amount: $645,982.75 (Starting Point) $710,581.03 (Last Total Amount Approved by the BCC) ~:.. Current BCC Approved Amount: Revised ContractIWork Order Amount: $692,033.95 $10,~~:~:ing All Changes pnorTo This Modlficat~ ~, $702,404.10 - . U U (Including This Change Order) Current Contract Amount: Change Amount: Cumulative Dollar Value of Changes to this ContractlWork Order: $56,421.35 ' Date of Last acc Approval January 27. 2009 Agenda Item # ~ ) Percentage of the change over/under current contract amount~% E:-/.iS Formula: (Revised Amount! Last BCC approved amount)-1 ~ CURRENT COMPLETION DATE (S): ORIGINAL: 7/21/09 CURRENT: 8/6/09 This change order will: 0 Add a new Task for $ Other Describe the change(s): See attachment- Adiustmentsdue to field conditions have been approved bv the proiect's desiQn professional and the proiect manaQer. ' 181 Increase Task Number See Attachment by $ Specify the reasons for the change(s) 01. Planned or Elective X 2. Unforeseen Conditions (":, 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) C, 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 orderwere not processed: This change was requested by: X Contractor/Consultant X Owner rI Using Department 0 COES rOesign Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: C Yes X No APPROVED BY: .Date: ~ APPROVED BY: Date: 7 - ::z '1 .. 0 1 REVIEWED BY: CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM .L\genda Item No. 16E4 September 15, 2009 Page 19 of 64 /0 PROJECT NAME: Naples Depot Phase 3 BIDfRFP #: 08-5114 MOD #: 1 PROJECT #: _50401 PO#: 4500107294 PROJECT MANAGER: Gary Vincent WORK ORDER #: NIA DEPARTMENT: Museum CONTRACTOR/FIRM NAME:White General Construction Original Contract Amount: $ 440,000,00 (Starting Point) Current BCC Approved Amount: $ 440.00000 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 440,000.00 (Including All Changes Prior To This Modification) Change Amount: $ 33,172,00 Revised ContracUWork Order Amount: $ 473,172.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContracUWork Order: $ 33,172,00 Date of Last BCC Approval 3/24/09 Agenda Item # 16.0,8 ",""-- Percentage of the change over/under current contract amount ' Formula: (Revised Amount 1 Last BCC approved amount)-1 7,54 % CURRENT COMPLETION DATE (S): ORIGINAL: 1/27/2010 CURRENT: 2/16/2010 This change order will: [SJ Add a new Task for $ 33.172,00 o Increase Task Number by $ Other Describe the change(s): Repair eleven (11) damaQed foundation columns. Specify the reasons for the change(s) 0 1. Planned or Elective)( 2. Unforeseen Conditions 0 3. Quantity Adjustments C 4. Correction of Err:ors (Plans, Specifications or Scope of Work) 0 5. Value Added o 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: down because it would result in unsafe buildinq condition, This change was requested by: CIContractor/Consultant ..-Xl Owner n Using Department r CDES It would close the proiect rDesign Professional rlRegulatory Agency (Specify) r Other (Specify) ryes ~o CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: APPROVED BY: Date: ~# ~ r; , APPROVED BY: REVIEWED BY: ~-----=- ~a Contr t Specialist Date: Date: 'f~ /0 C; 1 I f Revised 6 18 09 Agenda Item No. 16E4 I I September 15, 2009 Page 20 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM -OROJECT NAME: Maanolia Pond Dr Stormwater Improvements PROJECT #: 51007 PROJECT MANAGER: Brandy Otero BID/RFP #: 09-5200 MOD #: LPO#: 4500107930 WORK ORDER #: DEPARTMENT:Road Maintenancel Stormwater CONTRACTOR/FIRM NAME:DN Hiaains Inc. , Current Contract Amount: $ 78,900.00 (Starting Point) $86,790.00 (Last Total Amount Approved by the BCC) $78,900.00 (Including All Changes Prior To This Modification) Original Contract Amount: Current BeC Approved Amount: Change Amount: Revised ContractJWork Order Amount: $7,875.00 $86,775.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $7,875.90 Date of Last BCe Approval 5/26109 Agenda Item # 1687 Percentage of the change ~Iunder current contract amount ~' (- (). 02.. (,~) Formula: (Revised Amount / Last BCC approved amount)-1 ",", CURRENT COMPLETION DATE (8): ORIGINAL: AUQust 28,2009 CURRENT: October 3.2009 -his change order will: ~ Add a new Task for $7,875.00 0 Increase Task Number by $ Other Describe the change(s): Add a new task for unforeseen rock excavation. Specify the reasons for the change(s) C 1. Planned or Elective X 2. Unforeseen Conditions (': 3. Quantity Adjustments C. 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added o 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: Compensation to the contractor is required and will complicate/delav final payment to contractor for services provided. , "~ This change was requested by: X Contractor/Consultant n Owner CI Using Department r: COES LDeslgn Professional r1Regulatory Agency (Specify) COther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: C Yes x No ,_APPROVED BY: Date 1/ d.. q ID q APPROVED BY: Date: 7- 3 (,.1 -() 1 REVIEWED BY: Agenda Item No. 16E4 / P- September 15, 2009 Page 21 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME:Desian Services for Bavshore Drive bridae Liahtina and Landscapina PROJECT #: PO 4500083595 PROJECT MANAGER: Darryl Richard. RLA. Proiect Manaaer. A TM Department! Pam Lulich. RLA. Landscaoe Ooerations Manaaer. ATM Deoartment BID/RFP #: LAP: FM 412559-1/ Contract 07-4128 MOD #: 01 (one) PO#: 4500083595 _ WORK ORDER #: .J.RC" /IIi ~ DEPARTMENT: ATM Dept. CONTRACTOR/FIRM NAME: JRL Desinn Original Contract Amount: $ 45.880.00 (Starting Point) Current BCC Approved Amount: $ n/a (Last Total Amount Approved by the BCC) Current Contract Amount: $ 45.880 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised ContractIWork Order Amount: $ 45.880.00 (No Chanae) (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order: $ 0 Date of Last BCC Approval_N1A Agenda Item # _N/A Percentage of the change over/under current contract amount 0 % Formula:, (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (5): ORIGINAL: December 4. 2007 CURRENT:Auaust 11. 2009 This change order will: 0 Add a new Task for $ o Increase Task Number _ by L Other~Change is for time extension only Describe, the change(s):_Change is to add 616 days to Work Order as per staff request for extension of contract time in order to serve the interest of Bayshore MSTU and the Fixed Tenn Landscape Architectural Contract rates, tenns, and conditions apply. Revised Completion date is August 11, 2009. Specify the reasons for the change(s) e1. Planned or Elective (" 2. Unforeseen Conditions 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 change(s). Identify all negative impacts to the project if this change order were not processed: Neaative impact would be that the work would not be completed and the vendors completina the work would not be paid. This change was requested by: - Contractor/Consultant - Owner rI Using Department r CDES . Design Professional r1Regulatory Agency (Specify) r Other (Specify) r Yes -No 2J)~ APPROVED BY: C Revised 6 18 09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM /a=~~~wg 13 Page 22 of 64 PROJECT #: 52002 PROJECT MANAGER: Hank Jones DEPARTMENT: Facilities Manaaement CONTRACTOR/FIRM NAME: Victor J. Latavish Architect PA Original Contract Amount: $ 670,000.00 (Starting Point) Current BCC Approved Amount: $ 670.000.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 6.80~ 7 Js, t/ tj 3. '7S- (Including All Changes Prior To This Modification) Change Amount: $ 0.00 Revised ContractIWork Order Amount: $ 735.443.75 (Including This Change Order) Cumulative Dollar Value of Changes to .-/" this ContractIWork Order: $ 10.J.83:75 .", bS; LIt; 3,75' Date of Last BCC Approval 9/21/04 Agenda Item # 16 E 7 Percentage of the change over/under current contract amount ~ i .1 7 % Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: 4/17/2008 CURRENT: 12/3112009 Describe the change(s): Zero dollar chanae to extend the contract to December 31.2009. Specify the reasons for the, change(s): The construction schedule was increased. and this increase covers the extension of time for the Architect durinQ the 1 vear warranty period. Identify all negative impacts to the project ifthis change order were not processed: This change was requested by: r Contractor/Consultant r. Owner r Using Department (" COES Ci' Design Professional r Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes P' No REVI EWED BY: Date ~ Date: Yj; g/O 9' APPROVED 8 Revised 5.21.2007 CONTRACTfWORK ORDER MODIFICATION CHECKLIST FORM ;&c!ct m~J~r~c;.~~~ Page ~~ I 'f PROJECT NAME: CDES Division Software PROJECT #: PROJECT MANAGER: Cheryl Soter BIDfRFP #: 06-3962 MOD #: 8 PO#: 4500102444 WORK ORDER #: DEPARTMENT: CDES CONTRACTOR/FIRM NAME: Municipal Software Corporation Original Contract Amount: $ 1.996.272.00 (Starting Point) Current BCC Approved Amount: $ 1 ,996,272.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ G>,3 ,50 .// (Including All Changes is Modification) Change Amount: $ 0.00 Revised ContractIWork Order Amount: $ 2,384,803.50 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 388.531.50 Date of Last BCC Approval 7/28/09 Agenda Item # 16A21 Percentage of the change over/under current contract amount Formula: (Revised Amount / Last BCC approved amount)-1 ,,1.}.00 i cL 1./ 4.; % CURRENT COMPLETION DATE (S): ORIGINAL: 11/1/08 CURRENT: 12/15/09 Describe the change(s): To chanQe the current completion date to December 15.2009. This chanQe is needed to ensure that Phase 3 is completed on time per the new proiect schedule. Specify the reasons for the change(s) r: 1. Planned or Elective ro, 2. Unforeseen Conditions 0 3. Quantity Adjustments r 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: If this chanQe order is not processed, the proiect will have difficulties in achievinQ its Qoals and final completion of Phase 3. This change was requested by: r-Icontractor/Consultant CI Owner PI Using Department Pi CDES r Design Professional r1Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: eYeS P No REVIEWED BY: Date: I/o /~1 , ??/13/D9 Date: Revised 2-22-08 -............'- CONTRACTIWORK ORDER MODlFfCA TION CHECKLIST FORM ~~,ndaJ~~~~t 16Ef4 /o~~q,r Ott-2oo Page 24 of 6 16 PROJECT NAME: Youth Haven. Inc. PROJECT MANAGER: Rosa Munoz PROJECT #: CDOa.o8 BID/RFP #: B.oB-UC-12.o016 MOD #: 1 PO#: 4500)<<l02681 WORK ORDER #: N/A DEPARTMENT: HousinQ and Human Services CONTRACTOR/FIRM NAME: YOUTH HAVEN. INC. Original Contract Amount: $ 100.000 (starting Point) $ 100.000 (Last Total Amount Approved by the BCC) $ 100.000 (Including All Changes Prior To This Modification) Current BCC Approved Amount: Current Contract Amount: Change Amount $ 0 Revised ContractlWork Order Amount: $ 100,000 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWork Order: $ 0 Date of Last BCC Appro....al October 14. 2008 Agenda Item # 16D27 Percentage of the change over/under current contract amount Formula: (Revised Amount I Last Bce approved amount) o % CURRENT COMPLETION DATE (8): ORIGINAL: 09-30-2009 CURRENT: 09-30-2009 Describe the change{s): To provide a chanGe to the contract's Exhibit A, BudGet: to reflect line items chanGes as follows:. Adjust Salary and benefits line item to reflect new amount to $29.000 and FamilvFundinG line item to reflect new amount to $71.000., This revision will not chanae the oriainal total budaeted amount for this Community Development Block Grant (CDBG) project. Specify the reasons for the change{s) 0 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added [gJ 6. Sthedule 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: Subrecipient needs additional funds to assist Collier Coun~ Citizens with rental assistance durina these hard economic times. This change was requested by: ["IContractor/Consultant DOwner [J Using Department n CDES CDesign Professional LlRegulatory Agency (Specify) DOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYeS r No Date: 08-18-09 '(EVIEWED BY: Date: f - d !-tJY' CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agtf.lda J1elAlA1cX'iJft), il S~'m~r'15'( 10 I' . Page 25 ' I.P PROJECT NAME: Physician Led Access Network, Inc (PLAN) PROJECT #: CD08-07 PROJECT MANAGER: Rosa Munoz BID/RFP #: B-08-UC-12-0016 MOD #: PO#: 4500105320 WORK ORDER #: N/A DEPARTMENT:Housinq and Human Services CONTRACTOR/FIRM NAME: PHYSICIAN LED ACCESS NETWORK, INC (PLAN) Original Contract Amount: $ 40,000 (Starting Point) Current BCC Approved Amount: $ 40,000 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 40,000 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised ContractIWork Order Amount: $ 40,000 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 0 Date of Last BCC Approval December 16, 2008 Agenda Item # 16D34 Percentage of the change over/under current contract amount Formula: (Revised Amount I Last BCC approved amount)-1 o % CURRENT COMPLETION DATE (S): ORIGINAL: 09-30-2009 CURRENT: f)9..30-2009 1).J1! ;<010 This change order will: 0 Add a new Task for $ o Increase Task Number by $ Other Will adiust line item amounts and extend contract by four months. Describe the change(s): To provide a chanQe in Exhibit A. Scope of Services BudQet Section B. to allow for the followin~ line item chanQes: Adjust salary and benefits line items for Executive Director to $4,599.82. Patient Care Coordinator to $21,100.18. and Administrative Assistant chanQed to Office ManaQer with amount adjusted to $14.300. and Direct Prescription Fundin~ line item eliminated. This extension will run throuQh January 31.2010. To also provide a time extension of four months thereby allowin~ the contract's Work Schedule be adjusted to reflect a channe in the milestone deadline date for the 100% fundinq expended to January 31. 2010. This revision will not chan e the ori inal total bud eted amount fo this Communit Develo ment Block Grant CDBG ro'ect. Specify the reasons for the change(s) } 1. Planned or Elective C 2. Unforeseen Conditions C 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added [gJ 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 numerous staff turnovers. This change was requested by: r/Contractor/Consultant [gJ Owner r/ Using Department 0 CDES rDesign Professional r1Regulatory Agency (Specify) DOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rJ Yes ~NO This form is to be signed and dated. APPROVED BY: REVIEWED BY: Date: 08-18-09 Date: r-/i? tfltf7' ! Jgg5~ ~o 0> '" .. <.0 C~..nN Q) OJ ..uro ~Eo.. roiB <:l c.. CQ) ~rJ) <( f- 0:: o 0- W 0:: 0:: W o a:: o l<: 0:: ~ Q. "'- <( I () w > 1= <( 0:: f- ef) Z ~ o <( c: ~ Q)~"C ~ g>:; 0 o ~ (.,) ..lI:: ~ E .... u 0 0 ,:::i: OJ e: Q) Ol .- 'tl Ole: .~ 0 fi!.nsO.a:: ~ E .... U!:! ~ ... .... Ole -o"E:;, 5: 0 0 'S; "" E Ol 5 < ll:::i:'" .... .s~c ~o 5 1ii~~ ~ 0 U:i:'" .... 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(j Q) -< Q)O=: S:Dg>~~ ~6~ ~~ IIl",UZo. ::> .n U, ro Q) (j :J '0 o Q. o I- a; Cl C ~ tl ... o := III ';; Q; > o '" o U1 N 03 o '" N <Ii c: o III I1l ~ >- ]1 ro III .E -0 c: ro Q) Ol I1l E I1l -0 ro C Q) E c: e ;; e Q) .8 Q) " -0 'tl ~ co a. ~ Q) .c .9 -0 Q) 'tl Q) Q) c: ro :5 III e E :J o (j ~ x (i; c: Ol (i; CD '0 .9 Ii; '0 o 6 o N <D ~ ro ::> ..Q Q) u.. .8 CD ~ Ii; '0 o "" o := Q) :5 'tl c: Q) X Q) o I- a; Cl c: '" J:: u ... o := Q) ';; Q; > o >f!. o o o ~ o o o o o o o o 6 '" "" o o o ... o o o o o 6 '" ... ~ Z o o o o o 6 '" ... o Ol ~O :2 g> ~ .~?= 0.!'1:2 00.....J N o ch o a] '" .... ,.:."" u..'" :i;;! <(0 Ol .~~ ~g ::>"" (/)0, oilg; Ol.... e"" c'" ~~ S~ Ol"" tlJ"" Ech ;::(N '" o U1 N co o o "" Ol c: :2 ::> ell c: o U Ol c: C c: ro 0::: ~~ e Q) '" c: J:: Q) UCJ 0, c: :a; Q) E o 0. :2 x Q) c: Q) :5 N '" M 00 "!. 00 .- .- v> S III Q) > "fJ ~ '6 ell '0 ro o III o 0. ~ c: o ~ N .c I1l Ol o Ol e c c: ro 0::: c: .g) o 0. e OJ :2 Q) :5 III III Q) -0 -0 I1l .8 Ii; 'tl o !: Q) E ... Ii; '2 o "" o ;: Q) ,s -0 c: Q) X Cll o I- :; g ~ ~ Cll '0 (; "" o S .8 '" Cll ~ ~ U Oi '0 I- a; Cl c: '" .c o '0 ~ Ol '~ III > o Agenrl,q ItAm No 1 RF4 September 15, 2009 Page 32 of 64 I CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Starcher Pettv Tenni. Court Area PROJECT #: 80047.1 PROJECT MANAGER: Tony Ruberto PO#: 4500094112 WORK ORDER #: Q{-;-M.- Pr - 3q~'t-08-1.3 BID/RFP #: 06-3969 MOD #: 1 DEPARTMENT: Parks & Recreation De CONTRACTOR/FIRM NAME: Original Contract Amount: $ _29,050.00 (Starting Point) $ (La~ ital Amount Approved by the BCC) $_29.050.00 (Including All Changes Prior To This Modification) Current sec Approved Amount: Cummt Contract Amount: Change Amount: $ 0,00 Revised ContractlWork Order Amount: $_29,050.00 (Including This Change Order) Cumulative Dollar Value of Changes to $ Dr 0 0 this ContrllctlWork Order: Date of Last ace Approval ~/ It Agenda Item # JVft Percentage of the change over/under cumtnt contract amount _ O. OC % Fonnula: (Revised Amount I Last BeC approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: Mav 11. 2009 CURRENT: November 9. 2009 This change order will: 0 Add a new Task for $ o Increase Task Number by$ Other Add more calendar dava to the work order. Describe the change(s): Add more calendar days to the work order to allow the blddina and construction contract administration DroeesS" to be comDleted due to School Board Review. 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 X 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: Need more time to com~lete the Drolect. This change was requested by: X Contractor/Consultant rI Owner rI Using Deparbnent r COES r Design Professional r1Regulatory Agency (Specify) r Other (Specify) 6f!#";" CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes XNo This form Is to be signed and dated. Date: 7jJ'I'1 / ~h APPROVED BY: REVIEWED BY: Revised 6 18 09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 'J September 15, 2009 Page 33 of 64 PROJECT NAME: Forest Lakes Bond Issue Proiect F-43 PROJECT #: 4500098561 PROJECT MANAGER: Darryl Richard. RLA BID/RFP #: 08-5011 MOD #: 01 (one) POt: 4500098561 WORK ORDER #:QE-FT-5011-OS-05 DEPARTMENT: ATM DeDartment CONTRACTOR/FIRM NAME: Qualitv Enternrises USA Inc. RECEIVED JUL 0 7 2009 Transport n1' It.;~ ATM Depi, Original Contract Amount: $ 196.047.50 (Starting Point) Current BCC Approved Amount: $ n/a (proiect is under $200.000 threshold) (Last Total Amount Approved by the BCC) Current Contract Amount: $ 196.047.50 (Including All Changes Prior To This Modification) Change Amount: (deduct) $ (-30.331.60) Revised ContractIWork Order Amount: $ 165.715.90 (Including This Change Order) Cumulative Dollar Value of Changes to ' this ContractlWorkOrder: $ -30.331.60 (delete) Date of Last BCC Approval nla (proiect is under $200.000 threshold) Agenda Item # nJa Percentage of the change over/under current contract amount -15.47 (deductive) % Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: September 20,2008 CURRENT: April 30. 2009 This change order will: $ D Add a new Task for $ fno new taskl D Increase Task Number fno increase to task(s)l by Other: DELETES TO FOLLOWING LINE ITEMS: LINE ITEM #2 Excavation & Backfill; reduce unit qty. -300 @ $6.25 = net deduction of LINE ITEM #3 Grading & Sodding; reduce unit qty. -39,335 @ $0.56 =net deduction of LINE ITEM #6 Disposal; reduce unit qty.-300 @ $4.38 = net deduction of LINE ITEM #7 Irrigation pipe adjust; reduce unit qty. -720 @ $4.50 = net deduction of LINE ITEM #8 Tree Relocation; reduce unit qty. -3 @ $625.00 = net deduction of TOTAL DEDUCTION (Deletes): -$1,875.00 -$22,027.60 -$1,314,00 -$3,240,00 -$1.875.00 -$30,331.60 Describe the change(s): ChanQe is for reduction in Quantities in contract for final payment processinQ/accountinQ. Also. for time extension necessary to complete project Specify the reasons for the change(s). 1. Planned or Elective r 2. Unforeseen Conditions . 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: Necessary Time Extension would not be processed thereby affectina Contractor's Final Payment. Contract Quantities would not be adiusted which may affect contractor's accurate accountina/Final Pay Application for proiect This change was requested by: - Contractor/Consultant n Owner - Using Department C COES - Design Professional nRegulatory Agency (Specify) rOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Revised 6 18 09 ryes -No APPROVED BY: This form is to baslgned and da ,~ APPROVED BY: Rh Revised 6 18 09 Date: Agenda Item No. 16E4 Jq September 15, 2009 , Page 34 of 64 RECEIVED JUL 0 7 2009 tranfiPonat1.J. ATM D~p L CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM ~e . ~epter!) , g m 7/ 3 DEPARTMENT: Parks & Recreation CONTRACTORIFIRM NAME: Camp Dle..er & McKee. Inc. Change Amount: $ _30,600.00 (Starting Point) $ fJ!~ (Last Total Amount Approved by the BCC) $_30,600.00 (Including All Changes Prior To This Modification) $ 0..00 $ 30 Goo. 60 (Includingl[his Change Order) Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Revised ContractJWork Order Amount: Cumulative Dollar Value of Changes to this ContractlWork Order: $ f) pO Date of Last BCC Approval_NJA Agenda Item # _N1A Percentage of the change over/under current completion date _ o. DO Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: Februarv 11. 2009 CURRENT: Novemberf009 Describe the change(s): Consultant has reauested additional calendar days to complete the work due to the delav in acauirina permit for the well for field iniaation. % 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. Value Added X 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: Proiect will not be completed. This change was requested by: X Contractor/Consultant owner n Using Department r CDES Coesign Professional r1Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes j;I No This fonn is to be signed and dated. Date: APPROVED BY: Ton Ruberto Senior Project Mana e REVIEWED BY: Rhonda Cummin sf Contract Specialist Date: CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 September 15, 2009 Page 36 of 64 'f PROJECT NAME: Utility Relocations for Davis Blvd. from Radio Road to CR 951 PROJECT #: 70045 & 73045 MOD #: .1 PO#: 4500098529 ROJECT MANAGER: Ronald F. Dillard BID/RFP #: 05-3785 WORK ORDER #: TBE-FT-3785-08-02 DEPARTMENT:PUP&PM CONTRACTOR/FIRM NAME: TBE Group. Inc. Revised ContractIWork Order Amount: $ 94.720 (Starting Point) $ 94.n0 tJ I A /' (Last Total Amount Approved by the BCC) $ 104.471 (Including All Changes Prior To This Modification) $ 12.200 $116.671 (Including This Change Order) Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Cumulative Dollar Value of Changes to this ContractIWork Order: $ 21.951 Date of Last BCC Approval N/A Agenda Item # N/A Percentage of the change over/under current contract amount ~ I { - \, ~ % Formula: (Revised Amount / Last BCC approved amount)-1 -CURRENT COMPLETION DATE (8): ORIGINAL: 1-25-10 CURRENT: 1-25-10 uescribe the change(s): Add task D to provide additional enaineerina services. Specify the reasons for the change(s) 0 1. Planned or Elective €' 2. Unforeseen Conditions 0 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) l!l 5. Value Added o 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: Conflicts with FDOT construction would remain. A water main break would possiblv shut down a maior intersection. This change was requested by: Clcontractor/Consultant DI Owner l'?I Using Department 0 CDES 8Design Professional CIRegulatory Agency (Specify) COther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Vi IY.! Yes [J No This form is to be signed and dated. APPROVED BY: Date: ~-;23rOCl APPROVED BY, Date: '/YJ!Cf1 7/t 107 , - '::VI EWED BY: Date: Revised 2-22-08 CONTRACT/WORK ORDER MODIFICATION MYC:ilUd '[""'Ii l\lv. 10'="+ S September 15, 2009 Page 37 of 64 PROJECT NAME: Bayshore South Concept PROJECT MANAGER: Jean Jourdan BID/RFP.: 06-3969 MOD #: #1 .PC>#: 4500099686 WORK ORDER #: #ABB-FT-3969-0S-19 DEPARTMENT: Bayshore Gateway Triangle CRA! CONTRACTOR/FIRM NAME: Agnoll Barber & Brundage Inc. Bawhore Beautiflcatlon MSTU Original Contract Amount: $ _54,970 (Starting Point) ) Current BCC Approved Amount: $_54~ tJ f k "'{Last Total Amount Approved by the BCC) Current Contract Amount: $_54.970 (Including All Changes Prior To This Modification) Change Amount: $_0 Revised ContractJWork Order Amount: $_54,970 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWorlt Order: $_0 Date of Last BCC Approva'_NA Agenda Item # _NA Perc:entage of the change over/under current contract amount_O% Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (5): ORIGINAL: Aori111.2009 CURRENT: May 13, 2009 Describe the change(s): Original Work Order was modified to include an additional MSTU Advisory Board workshop moving out the completion time of Task 3 and 4. Specify the reasons for the change(s) r 1. Planned or Elective r XX 2. Unforeseen Conditions 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) 5. Value Added ,:;" XX 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: To complete the required report, public information gathering is needed, and accurate maps are needed to do this. The time to complete the mapping analysis was not extended during Change Order #1 as It was not determined at that time that more analysis would be needed. Added time allows adequate public input and follow-on contractor analysis for the report. This change was requested by: rlContractor/Consultant XX Owner rJ Using Department r COES Coesign Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes xx No REVIEWED BY: Date: 7 / /{,/ 0/ / I APPROVED BY: APPROVED BY: Date: (J 7., f&- J 1 'I Date: 7//J/07 / I Revised 11.19.2007 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No. 16E4 September 15. 2009 Page 38 of 64 ~ PROJECT NAME: NCRWTP Clearwell Separation ,.-<~_. )/RFP #: 0 5~ J' B 5tMOD #: 1 DEPARTMENT: PUPPMD PO#: 4500106380 HDR Enqineerinq. Inc. PROJECT #: 71066 PROJECT MANAGER: Tom Chmelik WORK ORDER #: .~ 4S"OClOCQ3~O CON]RACTORlFIRM NAME: - """':., Original Contract Amount: $ 8.450.00 (Starting Point) Current BCC Approved Amount: $ NA (Last Total Amount Approved by the BCC) Current Contract Amount: $ 8.450.00 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised ContractIWork Order Amount: $ 8.450.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 0 Date of Last BCC Approval NA Percentage of the change over/under current contract amount Formula: (Revised Amount 1 Last BCC approved amount)-1 ):.URRENT COMPLETION DATE (S): ORIGINAL: 4/20/09 , ,.IS change order will: 0 Add a new Task for $ Other Increase time Agenda Item # NA () ~% over CURRENT: 7/30109 o Increase Task Number by $ Describe the change(s): Time extension only to allow for coordination with operational and budgetary constraints. Specify the reasons for the change(s) 0 1. Planned or Elective 0 2. Unforeseen Conditions n 3. Quantity Adjustments 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 negativ~ impacts to the project if this change order were not processed: Time extension only. This change was requested by:)d.Contractor/Consultant n Owner rI Using Department C CDES rDesign Professional rlRegulatory Agency (Specify) ,- rOther (Specify) ryes l>( No This form is to be si ned and dated. CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: APPROVED BY: APPROVED BY: ~,..:VIEWED BY: Date: ~ Date:~ Date: 7!,)J/tJ'j A~..nndd.aa.."ttee.mm.NO, 16E.4 · ~., ~1iOO ..'. .REP,'..< 64 " -' '. -" .- . - -,- - -- ',"" '+.:i<" , " ...-" ,- -. - . )... ":'. - ,- -. . ....., . ,., . ., ~ , '. 7 ~~~K~~~:~ff'C" , - , . cotitRAdORIFIRM N~E; w. Kirk :_:,h. . _3Ii.OOo.oo.. "~:~Jt~~;~~G) .. :. =:r.N~~.;~~ $~30,OCXI.oO ." ': {f~~~~r},' . -- . '" . '.. , .' ,....' 'c." ri ~,/ &1' list" . "," , .J: r .< Yes' Data: 1~!'J-~9 7-~5-()9 / Date: P..~OJECT NAME: Water Main Replacement Trail Blvd. PROJECT MANAGER:_Diana C. Duerl PROJECT #: Agenda Item No, 16E~ September 15, 2009 Page 40 of 64 71050.1 CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM - BIDfRFP #: 08.5011 MOD #: \ PO#:_ 4500106156 WORK ORDER #: 4500 (oG;.c ~G:, DEPARTMENT:_Public Utilities Planning and Project Management Department CONTRACTOR/FIRM NAME:Kyle Construction Inc. Original Contract Amount: $ _68,413.00 (Starting Point) $_6~0 AI I A (Last Total Amount Approved by the BCG) Current BCC Approved Amount: Current Contract Amount: $ 68,413.00 -(Including All Changes Prior To This Modification) Change Amount: $_4,200.00 $_72,613.00 (Including This Change Order) Revised ContractfWork Order Amount: Cumulative Dollar Value of Changes to this ContractfWork Order: $_4,200.00 Date of Last BeC Approval 'IJ fA Agenda Item # piA Percentage of the change over/under current contract amount Formula: (Revised Amount I Last BCC approved amount)-1 6.14 % _CURRENT COMPLETION DATE (S): ORIGINAL: Julv 19.2009 CURRENT: July 19,2009 (his change order will: 0 Add a new Task for $ 1)6 Increase Task Number by $_4,200 Other Describe the change(s):_Per FOOT issued Permit incrase quantity of milling and overlay in US 41 turn lane where existing valve is to be removed. Specify the reasons for the change(s) r 1. Planned or Elective X 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: - _FOOT met Permit conditions could not be This change was requested by: r1Contractor/Consultant ~ Owner rI Using Department r CDES rDesign Professional xRegulatory Agency (Specify)_FDOT r Other (Specify) ONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes ~NO This form is to be signed and dated. Revised 7-14-09 APPROVED BY: ~ ~.:.. . Projecf Manager AI?PROVED BY: REVIEWED BY: Revised 7-14-09 Date: Date: Date: i ~O /::P( 7/d-Y lOt Agenda Item No, 16E4 <t f') September 15, 2009 "'\ Page 41 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 G September 15, 2009 . ( Page 42 of 64 PROJECT NAME: Utility Relocation for Davis Blvd. from Radio Road to CR 951 PROJECT #: 70045 & 73045 ~EROJECT MANAGER: Ronald F. Dillard BID/RFP #: 05-3785 MOD #: ~ PO#: 4500098529 JRK ORDER #: TBE-FT-3785-08-02 DEPARTMENT:PUP&PM CONTRACTOR/FIRM NAME: TBE Group, Inc. Of Origin~ntract Amount: $ 94,720 (Starting Point) Current BCC Approved Amount: $ N/A (Last Total Amount Approved by the BCC) '~urrent Contract Amount: $116.671 (Including All Changes Prior To This Modification) --~', Change Amount: $ (831.25) Revised ContractIWork Order Amount: $115.839.75 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 21.119.75 ,- Date of Last BCC Approval N/A Agenda Item # N/A Percentage of the change overlunder current contract amount ~ -Dv 1 { % Formula: (Revised Amount I Last BCC approved amount}-1 CURRENT COMPLETION DATE (S): ORIGINAL: 2-4-10 CURRENT: 2-4-10 ~. ',; change order will: , [gl. Add a neVaSk{~ $2.730.00 [gl pecrease Task Number ~ by $3.561.25 Other , DesGrtbethe change(s): 1. Deduct the remaininq balance of Task C, 2, Add Task E for additional engineerinq services. 3, Correct the completion date, Specify the reasons for the change(s) r. 1. Planned or Elective n 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: A break in the 48" water main durinq theupcominq wideninq of CR 951 would shut down water service to the customers on Bedzel Circle. . This change was requested by: n Contractor/Consultant rI Owner 171 Using Department (""i CDES r Design Professional CI Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: eYes Vi I~ No This form is to be signed and dated. APPROVED BY: Date: 1- /6 - 0 cr Date: 7/Z3/C1\ Date: 7/~1/09 APPROVED BY: I, IIEWED BY: Revised 7-14-09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 September 15, 2009 Page 43 of 64 to PROJECT NAME: NCWRF Relocate Biowav OS,~1~5" BID/RFP #:~ MOD #: 1 DEPARTMENT: PUPPMD PROJECT #: 73968 PROJECT MANAGER: Tom Chmelik PO#: 4500103422 WORK ORDER #: ..H1l:" Lf500 I o3t(2. 2- CONTRACTOR/FIRM NAME: Hole-Montes --, Original Contract Amount: $ 125,430.00 (Starting Point) Current BCC Approved Amount: $ NA (Last Total Amount Approved by the BCC) Current Contract Amount: $ 125,430.00 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised ContractJWork Order Amount: $ 125.430.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 0 Date of Last BCC Approval NA Agenda Item # NA Percentage of the change over/under current contract amou nt O. 00 ~ % over ~ Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 6/18/09 CURRENT: 9/18/09 This change order will: 0 Add a new Task for $ o Increase Task Number by $ Other Increase time Describe the change(s): Time extension only to allow for coordination with operational and budgetary constraints. Specify the reasons for the change(s) C 1. Planned or Elective n 2. Unforeseen Conditions ('; 3. Quantity Adjustments r 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: Time extension only. This change was requested by: CIContractorfConsultant ~wner rI Using Department ("j CDES rDesign Professional ["IRegulatory Agency (Specify) LOther (Specify) r( No CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: n Yes APPROVED BY: Date: 1/ wi&) 7/ulo, 1/~'1/01 APPROVED BY, Date: REVIEWED BY: LCVrl Date: PROJECT NAME: SCRWTP Wellfield. Well30S Leak PROJECT#: 70892.1.7 Agenda Item No, 16E4 r l September 15. 2009 Page 44 of 64 PROJECT MANAGER: Ronald F. Dillard CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM ~ID1RFP #: 06-3887 MOD #: .1. PO#: 4500106735 WORK ORDER #: 4500106735 .A:PARTMENT: Public Utilities PlanninQ &Proiect ManaQement CONTRACTOR/FIRM NAME: All Webb's Enterprises. Inc. Original Contract Amount: $ 22.500 (Starting Point) Current BCC Approved Amount: $ N/A (Last Total Amount Approved by the BCG) Current Contract Amount: $ 22.500 (Including All Changes Prior To This Modification) Change Amount: $ 21.280 Revised ContractIWork Order Amount: $ 43.780 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 21.280 Date of Last BCC Approval N/A Agenda Item # N/A Percentage of the change over/under current contract amount Formula: (Revised Amount I Last BCC approved amount)-1 ~ 'ttf.Sl % CURRENT COMPLETION DATE (S): ORIGINAL: 6-11-09 CURRENT: 7 -11-09 is change order will: t8J Add a new Task for $21.280 o Increase Task Number by $ Other Add 30 days to make the repairs. Describe the change(s): Repair the leak found in Well 308. Specify the reasons for the change(s) C;:, 1. Planned or Elective (' 2. Unforeseen Conditions (' 3. Quantity Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work) (:' 5. Value Added (0" 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify al~ negative impacts to the project if this change order were not processed: The leak would remain. This change was requested by: rI Contractor/Consultant PI Owner rI Using Department r CDES r Design Professional rI Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: W Yes r No This form is to be signed and dated. PROVED BY Date: 7... 15 -ocr 7rz.g/O~ 1/1.i101 APPROVED BY: Date: REVIEWED BY: Date: Revised 7-14-09 f!~e da Item No. 16~~ ellllJel 15, :2.ou .. ' , CONTRACTIWORK ORDER MODIFICATION .~ RE~I CHECKLIST FORM ,~ PROJECT NAME: Radio Road MSTU Annual LandSC8De Architect Services PROJECT #: PO 4500105332 7 :9..1 ~. ~ROJECT MANAGER:, Darryl Richard. RLA. Proiect Manaaer. A TM Department ( B.DIRFP #: 08-5060 MOD #: 01 (one) pO#: 4500105332 WORK ORDER #: 4500105332 ' f~ DEPARTMENT: A TM Depl CONTRACTORIF.RM NAME: McGee & Associates Original Contract Amount: $ 14.170.00 (Starting Point) $ nJa (last Total Amount Approved by the BCC) $ 14.170.00 (Including All Changes Prior To This Modification) $ 4.796.00 $ 18.966.00 (Including This Change Order) RECEIVED JUL 2 7 2009 Cunent BCC Approved Amount: Cunent Contract Amount: Change Amount Revised ContractlWofk Order Amount: Transportatlon ATM Dept. Cumulative Dollar Value, of Changes to this ContractlWoi'k Order: $ 4.796.00 .>. Data of Last BCC Approva'_NJA Agenda Item # _N/A Pe.rcentage of the change overlunder cunent contract amount~ n 1 _ Formula: (Revised Amount I Last BCC approved amount)-1 5~,~6~ rv-- CURRENT COMPLETION DATE (S): ORIGINAL: January 4.2010 CURRENT: January 4.2010 This change order will: 0 Add a new Task for $ r8I Increase Task Number ~ by $ 4.796.00 Other Describe the change(s):_ADD: Task 2.0 Limited Refurbishment Services During ConstruC?tion Phase I-A Proiect ADD: Professional Unit Rate Cost Principal/SeniorLA 28, $128,00 $3,584,00 .. . AutoCAD Technician 16 $62,00 $992,00 Administrative 4 $55,00 $220,00 TOTAL ADD -TASK ITEM 2.0 $4,796.00 Specify the reasons for the change(s) e1. Planned or Elective C 2. Unforeseen Conditions e 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) es. 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: Neaative impact would be that the proiect (Radio Road MSTU Landscapino - Phase I-A) would not benefit from consultant services that are necessary in order to ensure successful installation of plant materials and irriaation. This change was requested by: - Contractor/Consultant - Owner n Using Department C. CDES - Design Professional r1Regulatory Agency (Specify) rOther (Specify) -, CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes - No This form is to be signed and dated. APPROVED BY: Date: 1.~1-01 7/;;c;for r,;F' .......}I,~ APPROVED BY: Date: Revised 6 18 09 Agenda Item No, 16E4 I J September 15, 2009 Page 46 of 64 CONTRACTIWORK ORDER MODIF,ICA TiON CHECKLIST FORM PROJECT NAME: Lelv MSTU Annual LandscaDe Architect Services PROJECT #: PO 4500103849 PROJECT MANAGER: Darrvl Richard. RLA. Proiect Manaaer. A TM DeDartment BID/RFP #: 08.5060 MOD #: 01 (one) POI: 4500103849 WORK ORDER #: 4500103649 DEPARTMENT: A TM Dept. CONTRACTORIFIRM NAME: McGee & Associates Original Contract Amount: ' $ 9.499.00 (Starting Point) $ "(a (Last Total Amount Approved by the BCC) $ 9.499.00 (Including All Changes Prior To This Modification) Change Amount: $ 1.608.00 RECEIVED JUL 2 7 2009 Current BCe Approved Amount: Current Contract Amount: l'ransponauon ATM Dept. Revised ContractIWork Order Amount $ 11.107.00 (Including This Change Order) Cumulative Dollar Value of Changes to thiS ContractlWork Order: $ 1.608.00 Date of Last Bee Approval_N1A Agenda Item # _N1A pe~ntage of the change over/under current contract amount~ III .1:3 % k-- Fonnula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: January 7.2010 CURRENT: January 7.2010 This change order will: 0 Add a new Task for $ [8J Increase Task Number -11L- by $ 1.608.00 other Describe the change(s):_ADD: Task 2.0 limited Refurbishment Services Durina Construction - Rattlesnake Hammock in the amount of $490.00;.,ADD: Task 2.0 limited Refurbishment Services Durina Construction - Median #3 in the amount of $1.118.0'0 for a TOTAL ADD To Task Item 2.0 in the amount of $1.608.00 Specify the reasons for the change(s) e1. Planned or Elective (" 2. Unforeseen Conditions . 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) es. 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: Neaative impact would be that the proiect (Lelv MSTU Landscaoina) would not benefit from consultant services that are necessary in order to ensure implementation and successful maintenance of plant materials. This change was requested by: . Contractor/Consultant - Owner n Using Department C' COES · Design Professional r1Regulatory Agency (Specify) [" Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes - No This form is to be signed and date APPROVED BY: Revised 6 18 09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM 1'1" Agenda Item No, 16E4 September 15, 2009 Page 47 of 64 CLAM. p^"Ss ec)~t>W~ PROJECT NAME: .4.1b PAYr1 ~ PROJECT #: C\Ooq \ . , PROJECT MANAGER:rl"n...1r ~to'\"'" BID/RFP#: t1l::1J53MoD#: L PO#: "~-IC)~Lf~q WORKORDER#: #:>CCiO'l-"Iqq OEPARTMENT: C. "Z-"'" CONTRACTOR/FIRM NAME: ~ e..J'rr""...1~~ C.tlTICI~~ Original Contract Amount: s t3:t.. ';50.00 (Starting Point) $ ~oo tJ/A (Last otal mount Approved by the 'BCC) $ 5~ ~5&>. 00 (Including II Changes Prior To This Modification) $ ~e..~.CO . Current BCC Approved Amount: Current Contract Amount Change Amount: Revised ContractIWork Order Amount: $ l-:; ~/ l i o. 4X) (Including This Change Order) CumulativEl Dollar Value of Changes to this ContractIWork Order: $ ~ a f3z.c. 00 Date of Last Bee Approval_ ~/A Agenda Item # ~ Percentage of thEl changE! over/under current contract amount ~,g;. aq % Formula: (Revised Amount I Last BCe approvedamount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: c,. lO.~ CURRENT: B. ~\. \ 0 This change order will: ~dd a new Task for s.1t!$8Za 0::> 0 Increase Task _ by $ Other Describe the change(s): .~~E.; 5GoPe.. of S ~~S 1"0 :cN~aE- ~eau~ ?~~~ ...tc~.c"'h::'(-~.h~L- c::; e..~~ ~ 1:>esowJ . 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). 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: ..qJ~e.)t.1 PL.€-t~ t::>e:::..~-C~N c.o~c.e..f"T: AbID -pJC-c:>H~ .r~I::frpj9 ~s'Se.S. This change was requested by: ~ractor/consultant rI Owner ~ing Department r COES Loesign Professional rlRegulatory Agency (Specify) r Other (Specify) ~ CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes This form is to be signed and dated. APPROVED BY: ~~ ct Manager REVIEWED BY: ~^' 111 i[iJ ~ C n t Specialist Revised 6-15-09 Date: 7. ":SJ_q 7__31-t/l Date: CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM I;:) Agenda Item No, 16E4 September 15, 2009 Page 48 of 64 PROJECT NAME: Forest lakes MSTU - land Surveyina PROJECT #: PO 4500099679 PROJECT MANAGER: Darrvl Richard. RLA. Prolect Manaaer. A TM DeDartment BIDIRFP #: 06-3944 MOO #: 01 {one} POI: 4500099679 WORK ORDER #: RWA-FT-3944-08-02 DEPARTMENT: ATM Depl CONTRACTOR/FIRM NAME: RWA Consultlna Original Contract Amount: $ 58.305.50 (Starting Point) $ nla (Last Total Amount Approved by the BeC) $ 58.305.50 (Including All Changes Prior To This Modification) Curnmt BCC Approved Amount: Current Contract Amount: Change Amount: $ 0 Cumulative Dollar Value of Changes to this ContractlWork Order: $ 0 RECEIVED }t!l 2 7 2009 ", l'r'lnspOl'iaClOn ArM na~.j. Revised Contract/Work Order Amount: $ 58.305.50 {No Chanae} (Including This Change Order) Date of Last BCC Approval_N/A Agenda Item # _NlA Percentage of the change over/under current contract amount 0 % Formula: (Revised Amount I Last BCe approved amount)-1 CURRENT COMPLETION DATE (5): ORIGINAL: Januarv 19.2008 CURRENT: December 31. 2009 This change order will: 0 ~dd a new Task for $ o Increase Task Number _ by $_ Other_Change Is for time extension only Describe the change(s):_ Change is to add 712 days to Work Order as per staff request for extension of contract time In order to serve the interest of County/Forest Lakes MSTU; Contract 06-3944 rates, tenns, and conditions apply. Revised Completion date Is Thursday, December 31, 2009 Specify the reasons for the change(s) e1. Planned or Elective 0 2. Unforeseen Conditions 3. Quantity Adjustments (" 4.' Correction of Errors (Plans, Specifications or Scope of Work) 5. Value Added o 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: Neaative impact would be that the necessary survey services per Work Order would not be completed. This change was requested by: . Contractor/Consultant . Owner DI Using Department r; CDES · Design ProfesSional IJIRegulatory Agency (Specify) COther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes . No APPROVED BY: Revised 6 18 09 .. CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM tW Agenda Item No, 16E4 September 15, 2009 Page 49 of 64 .: PROJECT NAME: FV 2009 DeveloDment of a Memorandum of Understandina PROJECT It: 128-134338-634999-35084.1 PROJECT MANAGER: Lorraine M. Lantz BID/RFP It: 07-4198 MOD ~ I POI: 4500104493 DEPARTMENT: Collier MPO WORK ORDER It: 4500104493 Inc Original Contract Amount: $ 27 .335.00 (Starting Point) A ast Total Amoun Approved by the BCC) Current BeC Approved Amount: Current Contract Amount: $ 27.335.00 (Including All Changes Prior To This Modification) Change Amount: $ o Revised ContractlWork Order Amount: $ 27.335.00 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order: $ 0 Date of Last Bec Approval N f+- Agenda Item # Percentage of the change over/under current contract amount 0. () 0 % Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (8): ORIGINAL: Mav 8.2009 CURRENT: October 31.2009 This change order will: 0 Add a new Task for $ o Increase Task Number by$ Other Describe the change(s): Increase the time to complete the work under contract. Specify the reasons for the change(s) [j 1. Planned or Elective C 2. Unforeseen Conditions C 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added , E: 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: not be able to complete the work. ~ The consultant would This change was requested by: PIContractor/Consultant n Owner PI Using Department r CD'ES r Design Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes ~ No This form is to be signed and dated. Preparedby:~~~~LLj Date:~ Lorraine M. Lantz, Project Manager -=0 A . !J Colli~ Metropolitan Planning Organization j ~ I I ffrprlu.hl/:~t~ Dttr1["4/~1 lPr Approved by: I Date: I Phil Tindall, Director, Collier Metropolitan Planning Organization .~ , . Revised 6 18 09 l ~ . . ( Agenda Item No, 16E4 7 September 15, 2009 . Page 50 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: 3BA-R.e.Fbc5r- ~,pROJECT #: '1.0041. r PROJECT MANAGER: ic.t..:oJrP~MAtll\ ~- ~'7J 1 BID/RFP #: I i!.r~.. 'MOO #: .1- pO#:4S"'10872.8 WORK ORDER #:ies....fT~-f'lllS Lis 00(0 '872. DEPARTMENT: ' r.., ?..-M CONTRACTOR/FIRM NAME:_.pB S c.o"-IS~'t"'Z::Of.J Original Contract Amount: $ \5 q 50.<10 (Starting ~oint) $ rJ/A (Last Total Amount Approved by the BCC) $ ~'5,qSo.OD (Including All Changes Prior To This Modification) $ f!J~J::; . ~O gtJ/J., ()tJ $ [tp,7B5. "I') It, 75?? ~ i (Including This Change Order) , Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised ContractIWork Order Amount: Cumulative Dollar Value of Changes to this ContractIWork Order: $ 8-3,:;;:. ~ 0 ~t1{J. ~o Date of Last sec Approval t.lIA % Specify the reasons for the change(s) r 1. Planned or Elective. 2. Unforeseen Conditior,ts 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 ch~cked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: D"CLA/j ..r::r..1 BX ~('"' .A.A \'CO/....) 0 F 1( a....O.:J ~ This change was requested by: ~ractor/Consultant ~r rl Using Department r CDES Loesign Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes ~ No This form is to be signed and dated. APPROVED BY: ~, _ Projee ' nager -............ ;j REVIEWED BY; rhJ-t( Contr pecialist Date: t3. '3*09 t -t/-tJc; Date: Revised 6-15-09 Agenda Item No, 16E ~.... 0c.:f-.JlCi IIUCi I J, L'0<.:J::J Page 51 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Emergency Bridge Management Program PROJECT #: _66066_ PROJECT MANAGER:_Marlene Messam, P.E._ BID/RFP #: 06.3969 MOD #: 1 PO#:_ 45-101566_ WORK ORDER #: TBE-FT -3969-08.02 DEPARTMENT: TECM CONTRACTOR/FIRM NAME: TBE Grou Inc. Original Contract Amount: $ _168,389.00 (Starting Point) N (~ $----,1.6s,.a69':t)0 (Last Total Amount Approved by the BCC) Current BCC Approved Amount: Current Contract Amount: $_168,389,00 (Including All Changes Prior To This Modification) Change Amount: $ 0.00 Revised ContractIWork Order Amount: $_168,389.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $_0.00 Date of Last BCC Approval ~L- Agenda ftem # f?-L--- Percentage of the change over current contract amount Formula: (Revised Amount I Last BCC approved amount)-1 0_% CURRENT COMPLETION DATE (S): ORIGINAL: February 26.2009 CURRENT: December 23. 2009 This change order will: 0 Add a new Task for $ o Increase Task Number by $ Other Describe the change(s):_Due to permitting delays the project time has to be extended. Specify the reasons for the change(s) C' 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: rJContractor/Consultant 171 Owner r/ Using Department r CDES r Design Professional rJRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes P" No APPROVED BY: Date: 7-~7-t/1 1~5r{)9' / REVIEWED BY: C Revised 6 18 09 Date: CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM 1-'1 PROJECT NAME: Immokalee Road Cocohatchee Canal Boat RamDs PROJECT#: 66042.1 PROJECT MANAGER: Dan Hall BIDIRFP #: 08.5045 MOD #: TECM 'fo~ 4500107554 DEPARTMENT: CONTRACTOR/FIRM NAME: Quality Enterorises USA. Inc. Original Contract Amount: $ Current BCC Approved Amount: $ 98.851.10 (Starting Point) N/A (Last Total Amount Approved by the BCC) Current Contract Amount: $ 98.851 10 (Including All Changes Prior To This Modification) ,/ 9.305.00 Change Amount: $ Revised ContractlWork Order Amount: $ 108.156,10 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractJWork Order: $ 9.305,00 Date of Last BCC Approval N/A Agenda Item # N/A Percentage of the change over/under current contract amount Formula: (Revised Amount/last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: Auoust13 2009 This change order will: 0 Add a n_ Task for $ 9.305.00 9}fl ..flb:% CURRENT: Auaust31 2009 o Increase Task Number by$ Other Describe the change(s): It was found to be economically unfeasible to construct a boat ramp at one of the two original locations due to preViously unknown utility conflicts. To relocate the conflicting utilities would be significantly more expensive than to relocate the boat ramp. We worked closely with SFWMD (Big Cypress Basin) to find a new location that was acceptable to them. This change order is necessary to relocate the boat ramp to a new location in order to meet SFWMD permit conditions for the Immokalee Road (US 41 to 1-75) project # 66042.1. The majority of cost associated with this change order is due to the fact that the contractor had already mobilized on the original site and now has to move the materials to the new site. Specify the reasons for the change(s) G 1. Planned or Elective ~. Unforeseen Conditions 0 3. Quantity Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work) e, 5. Value Added or 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: We would not meet the permit conditions for the Immokalee Road IUS 41 to 1-751 Proiect #66042.1 This change was requested by: Dlcontractor/Consultant P( Owner rI Using Department Q COES DDesign Professional CIRegulatory Agency (Specify) IZ6ther (Specify) SFWMD (Bia CVDress Baslnl ~o CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: J:i Yes APPROVED BY: ~ _ Date i!J:fg,/3 0 7qate: , REVIEWED BY: Revised 6 18 09 ,.- ,_. ~_~'._,_.~_ _~_W"_"_n...~_.~__.._.~.._._, CONTRACTJWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 010 September 15, 2009 Page 53 of 64 PROJECT NAME: Site Improvements for MPS 306. 308. 309. 310 PROJECT#:73970 PROJECT MANAGER: Sandy Sridhar BID/RFP #: DG. -:3 q ~C\ MOD #: 1 PO#: 4500082974 WORK ORDER #: WM-FT-3969-07-0S 4-S- !(I.'H,Zi" DEPARTMENT: P & PM CONTRACTOR/FIRM NAME: Wilson Mifler Original Contract Amount: $ Current Contract Amount: $ 44.971.00 (Starting Point) 44.~O 1.1 /A (LastTotal Amount Approved by the BCC) ~ 1-fL{,C(7(.oO (Including All Changes Prior To This Modification) Current BCC Approved Amount: $ Change Amount: $ 0.00 Revised ContractlWork Order Amount: $ 44,971.00 (Including This Change Order) Cumul.ative Dollar Value of Changes to this ContractIWork Order: $ 0.00 Date of Last BCC Approval N/A Agenda Item # Percentage of the change over/under current.contract amount Formula: (Revised Amount f last BCC approved amount}-1 o % CURRENT COMPLETION DATE (S): ORIGINAL: August 17. 2007 CURRENT: Auoust 17. 2010 This change order will: 0 Add a new Task for $ 0.00 o (ncrease Task Number by$ Other Describe the change(s): Add time to the contract. Specify the reasons for the change{s) r 1. Planned or Elective q<, 2. Unforeseen Conditions r 3, Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) 0( 5. Value Added ('". G. Schedule Adjustments Note:One or more may be checked, depending on the nature ofthe change{s). Identify all negative impacts to the project if this change order were not processed: We could not complete the design for this project. This change was requested by: nContractor/Consultant .WI Owner n Using Department r COES rOesign Professional rlRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes r No This form is to be sign !) APPROVED BY: Date: ~ l/&/o'l APPROVED BY: Pr'6 anager ~2/~IJ ;0 ~~7t&).cc) I .[)~ (L~ r.Q..1.r,v,^ Contract Specialist Date: REVIEWED BY: Date: 8/~/01 Revised 6 18 09 CONTRACTIWORK ORDER MODIFICATION CHECK~IST FORM Agenda Item No. 16E4c;;(/ ,,~EJojll:-etnber 15. 2009 '011..1 0..)' lpage 54 of 64 PROJECT NAMe: City County Sewer sWap PROJECT#:52005 PROJECT MANAGER: Sandy Sridhar BID/RFP#: O~-5bl( MOD#: 1 PO#: 4500106313 WORKORDER#: o&.ie11 ofScc\o'-'3t3 DEPARTMENT: P & PM CONTRACTOR/FIRM NAME: Origina.l Contract Amount: $ 119.784.84 (Starting Point) . $ 119 za.t:tr4 N t^ (Lasr1otal Amount Approved by the BCC) $ 119.784.84 (Including All Changes Prior To This Modification) CurRi!nt ~CC Approved Amount: CUrTeotContract Amount: Ch~h~Arl'lOunt~ $ 13.009.42 ,Re"lse(jContractiWorl< Order Amount: $ ,. 132.794.26 (InclUding This Change Order) "~llltJl.atiY~Po.llafValue of Changes fo' " thiiCqplhlcttWorkOrCter: . , $ CURRENT cOMPLETION DATE (S):ORlGINAL: September 9. 2009 CURRENT: September 14,2009 13.009.42 Pa~of l.~st BCG ApproVal NJA Agenda Item # E'erc:~'-'~9l!9ftfl~, chal1geoverJlJnd~r, current contract amount F orriliJla~ {Revised Amount JLast'BCqapprovedamt;)Unt)~ 1 1<M'J2 'O.~~ % . Thischang~ order will: 0 Add a flew TaSk tOr $ Other 13.009.42 o Increase Task Number by$ g~~~rib~thEJ~~all~e,(sHc:~mtractpr had to use two line stops because the valve could not hold al1dth~fpressur~ illtl1eforcemain could ,not be released. ' Se~~ifytt'aereasons for thechange(s) C. 1. Planned or Ele~tive)?<' 2. Unfor,eseen Con~Htiolls, .. 0 3. Quantity Adj~~.tm~~~C'4. ,Correction of Errors (Plans,Specifications'or Scope of Work)l,J 5~Value Ad.ded o 6.i Schedt.deAdjustments Note: One or more may be checked, depending on the nature of thechange(sJ. Ic(entify all negative impactsto the project if this change order V\iere not processed: We could not complete the design for this project ' Thi$ch~ngewas requested by: OICohtractorfConsultant y<l Owner rI Using Department r; COES f"'Design Professional rlReg~latory Agency (S'pecify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes n No This form is to be Si9y and d fe . APPROVED BY: . ' Proia nager ;J 117 \ APPROVED BY: K?-~P !l<.<__lJtb1M..-./ I (f) ~ REVIEWED BY: k~ J--:Jk7J'N'j Contract Specialist I Revised 6 18 09 Date: Rlb/o'! g/~ /09 ~/fe(OI Date: Date: CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: NCRP Drains PROJECT #: 80100.1 O~-3q1 ( BID/RFP #: .)JIIC MOD #: 1 PO#:_ 4500105581 WORK ORDER #: ~ if ~ 00 ( O~S" t \ DEPARTMENT: Parks & Recreation CONTRACTORIFIRM NAME: Professional Buildina SYStem Original Contract Amount: $ _20,322.00 (Starting Point) $ N/~ (LasiTotal Amount Approved by the BCe) $_20,322.00 (Including All Changes Prior To This Modification) Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised ContractIWorK Order Amount: $ 00.00 $_20,322.00 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/WOrK Order: ' $_00.00 Date of Last BCC Approval_N/A Agenda Item # _N/A Percentage of the change overlunder current completion date_O Fonnula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: March 17. 2009 % CURRENT: SeDt. 13. 2009 Describe the change(s): Additional dava reauested due to delav In fabricatina material from manufacture. 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 W~rk) r 5. Value Added r. 6. Schedule Adjusbnents 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: Work order will be closed prior to completion of work. This change was requested by: 'KIcontractor/Consultant r:1 Owner n Using Department r CDES Coesign Professional r1Regulatory Agency (Specify) r Other (Specify) .....;..,,".:.,.. CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes J;' No This form is to be signed and dated. Date: ~!/ 0 "(t?i <6'/1/0; APPROVED BY: REVIEWED BY; Revised 11.19.2007 .~~'" .~r.;~";-f~..:.- '~::,-, _ . >_~ ',. -_'_ ::_'j.-~ "_ c<-:"::~ " .--;. _-,~~~f~.:;;::-"'!'----:'~ ""~:_... ~ . ~.; ...' . .. ~ . - _. " ~_ ~.~ CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM ;rb9l!$1e=flrl2sg1' , Page 56 of ~ ;)3 PROJECT NAME: L1DAR and Cha"nnel Cross Section Verification Survey PROJECT #: N/A ' PROJECT MANAGER: Robert Wilev BID/RFP #: 06-3944 . MOD #: 1 PO#: 4500106541 WORK ORDER #: 4500106541 DEPARTMENT: EnclineerinQ and Environmental Services CONTRACTOR/FIRM NAME: AIM Enaineerina and Survevina. Inc. Original Contract Amount: $ 30.976.00 (Starting Point) Current Bce Approved Amount: $ 30.976.00 (approved administratlveM (Last Total Amount Approved by the BCC) Current Contract Amount: $ 30.976.00 (Including All Changes Prior To This Modification) Chang~ Amount: $ 19.022.00 Revised ContractIWork Order Amount: $ 49.998.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContracUWork Order: $ 19.022.00 Date of Last Bce Approval N/A Agenda Item # ~ '-'t.1.( ( Percentage of the change over/under current contract amount M % Increase Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 6-26-09 CURRENT: ~ 9-2/-09 This change order will: 18I Add a new Task for $_19,022.00_ 0 Increase Task Number Other by$ Describe the change(s): Additional elevation surveyinQ for selected Qroundwater monitorina wells and establishment of some benchmarks as reauested by the BIQ Cypress Basin. Specify the reasons for the change(s) [8'J 1. Planned or Elective 0 2. Unforeseen Conditions 0 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added o 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: Elevation information desired to support ~roundwater elevation database documentation would not be obtained. This change was requested by: Of Contractor/Consultant DI Owner DI Using Department D CDES ODesign Professional OIRegulatory Agency (Specify) ~Other (Specify) BiQ Cypress Basin CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: [] Yes ~No This form is to be signed and dated. APPROVED BY: Date: FM, Principal Project Manager -g-J3-t) 'T . REVIEWED BY: Date: rt//C)/07 Ly Revised 6 18 09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agotldi:1 Item 1'10 1 SC"! IJ elepW/3~ ~~~J ~l BID/RFP #: 07-4168 MOD#: PO#: 4500101817 PROJECT MANAGER: Theresa Cook 4(~ WORK ORDER #: PAS.FT.~-08-02 PROJECT NAME: IMM - EIS for Runway Extension PROJECT #: 46030 DEPARTMENT: Airoort Authoritv CONTRACTOR/FIRM NAME: Passarella & Associates Inc. $ 26.000 (Starting Point) Current CCAA Approved Amount: $ 26.000 (Last Total Amount Approved by the CCM) Original Contract Amount: Current Contract Amount: $ 26.000 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised ContractJWork Order Amount: $ 26.000 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractJWork Order: $ N/A Date of Last CCAA Approval 08/11/08 Agenda Item # X,I. Percentage of the change over/under current contract amount Formula: (Revised Amount / Last CCM approved amount)-1 ~ 0-0 % CURRENT COMPLETION DATE (5): ORIGINAL: 5/3112009 CURRENT: 8/3112009 Percentage of the change over/under current contract time Formula: (Revised Amount / Last CCM approved amount)-1 44 % This change order will: 0 Add a new Task for $ D Increase Task Number by$ Other Extend the schedule by 120 calendar days Describe the change(s): Chanqe schedule to extend contract time by 120 calendar days, 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: Airport Authority will not be able to obtain required permit(s) for Runway Extension at lmmokalee Reqional Airport. This change was requested by: nContractor/Consultant P Owner n Us'ing Department r CDES rOesign Professional r Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: P Yes r No This form is to b~te:. APPROVED BY: " ~ Project Manager Date: 8 - Il ~ 01 REVIEWED BY: Date: x;/ /<=-3,/09 Revised 7-14-09 Agenda Item No, 16E4 ~ 5 September 15, 2009 Page 58 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Wellfield ProQram PROJECT #: 75005 PROJECT MANAGER: Alicia Abbott ,: .BIDlRFP #: 04-3593 MOD #: 2 pO#: 4.500102100(FY08 45-82599) WORK ORDER#: CDM-FT-3593-07-04 REVISED DEPARTMENT:PUPPMD CONTRACTORlARM NAME: Camp Dresser & McKee Inc. Original Contract Amount $ _748,000.00 (starting Point) $_748,000.00 (Last Total Amount Approved by the BeC) $_748,000.00 (Including All Changes Prior To This Modification) Current BCCApproved Amount: CUn:9.Qt c.pntract Amount: Change Amount: $ o Revised Contract/Work Order Amount: $_748,000.00 (Including This Change Orde~ Cumulative Dollar Value of Changes to this ConltaetIWorX Order. $ 0 Date of Last ecc Approval fJ7124107 Agenda Item #_16 e 12 Percentage of the change over/under current contrat:t amount FormUla~ (Revised Amount I Last BCe approved 'amOUnl}-1 CURRENTCOMPLETlON OAT!:: (S): ORIGINAL:. Auqust 06. 2008 o 0/. CURRENT: August 06. 2010 This change order will: 0 Add a neW Task for $__ 0 Increase Task Number _ by $_Ol:her_ Descnoethe chanlJefs): Add time to the contract to address SFWMD water use permit limiting conditions, modifications to thewelrfi'elddesign standards and long-term water supply p lann1.ng.: . . . Specify tti~ reasons for the, ~nange(s} (". 1. Planned or Elective (" 2. Unforeseen Conditions (" 3. Quantlty Adjustments (".4. Correction of Erro.l"S (Plans,Speciflcations or Scope of Work) r: 5. Valu~ Added . r. 5. 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 orderwere not processed: Potential to fall behind the demand curve and nDl have enough water to meet system demaods. Work currently being performed relates to the SFWMD Water Use permit, Wellfteld design standards, and long term water sup pry planning. , This change was request~d by: FdContractorfConsultant n Owner iii Using Department !: CDES REVIEWED BY: Agency (Specify) ATION IN NEGOTIATIONS: ~Other (SP'i'cify) P: Yes r No Date: 2(' z/CF1 Dale: 9/1z/CR. 8/'C//O? .J'.5/;1-// .3 / / Date: REVIEWED BY: Dale: /' Revised 7- I 4-09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 ;;ll.Q September 15, 2009 - Page 59 of 64 NCRWTP IW-2 Tubing Replacement 70008 1 PROJECT NAME: PROJECT #: . BIDfRFP #: o(.,~3<6 ~l MOD #: ~PO#: 4500107446 WORK ORDER #: i..{'!>OO '()7c.[~ PROJECT MANAGER: Pete Schal t DEPARTMENT: CCPUD CONTRACTOR/FIRM NAME: Youngquist Brothers, Inc. Current BCC Approved Amount: $ 980,000 (Starting Point) 980,000 (Last Total Amount Approved by the BCC) 980,000 Original Contract Amount: $ Current Contract Amount: $ Change Amount: Deovz:.:::t (Including All Changes Prior To This Modification) $ (4,500) Revised ContractfWork Order Amount: $ 975,500 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractfWork Order: $ (4,500) Date of Last BCC Approval 5 / ~& I ~OD L Agenda Item # -' Ii c"t1 Percentage of the change over/under current contract amount -- D, 4 <e ~% Formula: (Revised Amount f Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: C\ \). \ J-DOq CURRENT: <1 \ 'J. \ aO 0'1 This change order will: D Add a new Task for $ D Increase Task Number by $ Other Decrease Item No 00010 by $4,500 Describe the change(s): Delete one killing of the deep injection well IW-2 at the North County Regional Water Treatment Plant (NCRWTP) for a credit of $4,500.00 and no change in Contract time, Specify the reasons for the change(s) n 1. Planned or Elective C 2. Unforeseen Conditions K 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) D 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: N/A This change was requested by: rlcontractor/Consultant ~ Owner n Using Department r CDES rDesign Professional nRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes IX' No REVIEWED BY: Date: ?I(~(o ~ t?6)3/.?A?Y 8/:l0/0( << , APPROVED BY: APPROVED BY: Date: Date: Revised 7-14-09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Ag~n a I~e NO~16 J " pt ~ '/L'J {!~( ~at 6 of 6~ ,~L I (~ ;)1 PROJECT NAME: Golden Gate Community Park Fiber Insallation PROJECT MANAGER: Mike Berrios BlDIR~P#: ~121 MOO.:!. ~07604 DEPARTMENT: Information Technology, CONTRACTOR/FIRM NAME: Aztek Communications Technology Change Amount $ _33,196.89 (Starting PoInt) Nf~ $ (last T~ Amount.Approved by the acC) $_33.198.8' (Incluclng All Changes Prior To This Modification) '_17.406.35 $_50.603.24 (Including This Change Order) Cumulative Dollar Va.... of Changes 10 '7 / j ~ this ContractlWork Order: $ .1, I LJ/) {pi . ~ Original. Contract Amo\mt: Cummt Bce Apprvved Amount Current Contract Amount: RevIsed ContractlWork Order Amount: Date of Last Bce Approval ,..,t'\ ~ Agenda Item # 16s{ \ ./ Percentage of Ihe change over/under eul'l"M'lt contnIct emount 6~~ '-l~ % FomUa: (Revised Amooot I Last acc approved amount)-1 _'_--..'..c,. ClIlRENT COMJ'lEIlON DATE ("l' DRlGtNAL: """""',. /009 cu~.- . ........;;~ Describe the change(s):Addftlonal work required to complete project. ' Specify tile reasons for the change(s) 0 1. Planned or Elective X 2. Unforeseen Conditions n 3. Quantity ~ustrnents C 4. Correction of Errors (Plane, Spectflcatlons or Scope of Work) C 5. V8Iue Added C 8. 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: Project cannot be completed ~ut the additional work. This change was requested by: Ocontractor/Consultant n Owner X Using Department Q CDES , ' U>esign Professional ORegulatory Agency (Specify) rOther (Specify) CONTRACT SPECtAUST PARTICIPATION IN NEGOTIATIONS: 0 Yes t:J No APPROVED BY: Date: tJ-rr!JCj/oq , REVIEWED BY: ,(' Dale: 0/ d ~J () 9 - Revised 11.19.2007 , ~... ~~ :'~~.::~~:--'.'11;~-~~{2!f~"~';"~~~'"-;&~"", ~_ -.: .t.=~. . ,,' ~ ;L- - .,:- . ." '<..,:""..; '~~ ! <.:-~.~:~...;:"..: ~ ']~f:.,):);:~~~d~}~v~.::~t~~' \:~':i~~~ ';;'.J?;fJ;;:~:."~:'" ~4::~~.~:~~~~-i"1-:'~~ Agenda Item No, 16E4 :lg September 15, 2009 Page 61 of 64 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAM~ - 'Immokalee Road Cocohatchee Canal Boat Ramps PROJECT MANAGER: Dan Hall PROJECT#: 66042.1 BID/RFP #: 08-5045 MOD #: 2 ;,.;r.l PO#: 4500107554 DEPARTMENT: TECM CONTRACTOR/FIRM NAME: Quality Entemrises USA. Inc. Original Contract Amount: $ 98.851,10 (Starting Point) $ N/A {Last Total Amount Approved by the BCG} $ 108156,10 (Including All Changes Prior To This Modification) '" Current BCC Approved Amount: Current Contract Amount: Change Amount: $ 1.500.00 Revised ContractJWork Order Amount $ 109.656.10 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractIWork Order: $ 10.805.00 Date of last BCC Approval N/A Agenda Item # N/A ~ j.'3CI% ~ Percentage of the change over/under current contract amount Formula: (Revised Amount I Last BCC approved amount}-1 CURRENT COMPLETION DATE (5): ORIGINAL: Aucust 13. 2009 CURRENT: This change order will: 0 Add a new Task for $_ ~Increase Task Number Other Auaust31.2009 5 by $ 1.500.00 Describe the change(s): This change order is necessary to produce the As-built survey for the project. The As- built survey will cost more than in the original scope since the location of one of the boat ramps was changed. With the new location, new control points need to be established. The As-built survey is required in order to meet SFWMD permit conditions for the lmmokalee Road (US 41 to 1-75) project # 66042.1. Specify the reasons for the change{s) ('; 1. Planned or Elective 10>"'2. Unforeseen Conditions 0 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) C 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: We would not meet the pennit conditions for the Immokalee Road (US 41 to 1-75) Proiect #66042.1 This change was requested by: ~ontractor/consultant rI Owner n Using Department C. coes CiOesign Professional r1Regulatory Agency (Specify) COther (Specify)_ CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes I?"NO APPROVED BY: Revised 6 13 09 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 ;La September 15, 2009 , Page 62 of 64 PROJECT NAME: Naples DePOt Restoration Phase II PROJECT #: 50401_ PROJECT MANAGER: Gary Vincent BIDIRFP #: 06-3929 DEPARTMENT: MOD #: LPO#: 45-108848 WORK ORDER #: BSSW-FT 3929-08-03 NaDles DeDot Museum CONTRACTOR/FIRM NAME: BSSW Architect Original Contract Amount: $ 87.700.00 (starting Point) $ N1A (Last Total Amount Approved by the BCG) $ 87.700.00 (Including All Changes Prior To This Modification) Current BCC Approved Amount: Current Contract Amount: Change Amount: $ -0- Revised ContractlWork Order Amount: $ 87.700.00 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWork Order: $-0- Date of Last BCC Approval_N1A Agenda Item # N1A_ Percentage ofthe change over/under current contract amount Formula: (Revised Amount / Last BCC approvedamount)-1 -0- % CURRENT COMPLETION DATE (S): ORIGINAL: 8/18/08 CURRENT: 2/16/10 ihis change order will: 0 Add a new Task for $ o Increase Task Number by$ Other Describe the change(s): To extend the work order time for reDair of the damaaed columns Specify the reasons for the change(s} r 1. Planned or ElectiveJ(,2. Unforeseen Conditions C 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added (" 6. Schedule Adiustments 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: safe if the columns were not reDaired This change was requested by~ontractor/consultant r\ OWner rI Using Department r CDES /(oesign Professional r1Regulatory Agency (Specify) r Other (Specify) Buildina would not be CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No -APPROVED B Date: ?/J'--/O 7 , . Ron Jamro. Museum Director REVIEWED BY: ,r/ia-- ~Q Diana.Del:;;;,~. con;ract Specialist Date: a . ~. 09 Date: ?- :J-S-:- 61 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM Agenda Item No, 16E4 3 September 15, 2009 0 Page 63 of 64 PROJECT NAME: General PlanninQ consultinQ PROJECT #: 128-138334.634999-350061 PROJECT MANAGER: Sue Faulkner BIDIRFP #: 07-4198 MOD #: L POI: 4500100202 WORK ORDER #: AIM-FT-419B-OB-D2 DEPARTMENT: Colier Metro olitan Plannin Or anization CONTRACTOR/FIRM NAME:AIM En Original Contract Amount: $ Current Contract Amount: $ 50,000 (Starting Point) ~ IJJA- ' (Last Total Am6unt Approved by the BCC) 50.000 (Including All Changes Prior To This Modification) 0.00 Current BCC Approved Amount: $ Change Amount: $ Revised Contract/Work Order Amount: $ 50.000 (Including This Change Order) / Cumulative Dollar Value of Changes to this Contract/Work Order: $ 0.00 Date of Last BCC Approval NI A Agenda Item # N1A Percentage of the change over/under current contmct amount 0.00 Formula: (Revised Amount I Last BCC approved amount)-1 % CURRENT COMPLETION DATE (S): ORIGINAL: June 30. 2009 CURRENT: June 30. 2010 This change order will: 0 Add a new Task for $ o Increase Task Number by$ Other Time is extended to allow the MPO to utilize AIM to do plannina work Describe the change(s): Extendina the work order time is vital to a smooth operation of the Collier MPO. From time to time. the MPO needs planning consultant work done in short order to address the MPO Boards' directives for the next MPO meeting. Havina a consultant available alleviates the need to solicit consultant work. which is a timelv process - therefore prohibitina MPO staff from completina work for the MPO Board in a short time frame. Specify the reasons for the change(s) X 1. Planned or Elective C 2. Unforeseen Conditions C 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added X 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: There is no sianificant neoative impactfrom extendino the time that AIM Enaineerina can provide planninQ assistance to the MPO. This change was requested by: r1Contractor/Consultant n Owner X Using Department r CDES Coesign Professional r1Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No Date: t/g 1/1i/9 APPROVED BY: p Revised 6 I 8 09 Date: tlr:)/11 APPROVED BY: Date: ~\ a.s\Pi NicK salangu a, Director, Transportation Planning Department \ \ ACCEPTED BY1AA<.~ ~ Date: ~ Michael Adams, Vice-President, AIM Engineering & Surveying, nc. REVIEWED BY:~~tVVl'U,v<~e: t;)'4> , Rh nda Cummings, Contract Specialist U Revised 6 18 09 Agenda Item No, 16E4 September 15, 200~ 0 e. Page 64 of 64-" . ,