The URL can be used to link to this page

Agenda 10/14/2008 Item #16E 3Agenda Item No. 15113 October 14, 2008 Page 1 of 51 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 XIV. C, Collier County Purchasing Policy) of not greater than 10 percent of the current Board approved amount or $10,000 (whichever is greater) to be authorized by staff. Also included in the report are changes to Work Orders. These include work orders issued under CCNA Contracts which are less than or equal to $200,000 (Section VII.C, Collier County Purchasing Policy), and changes to work orders for all other contracts (Section XIV. G, Collier County Purchasing Policy) which are not greater than 10 percent of the current Board Approved amount or $100,000 (whichever is greater). The Administrative report identifies the percentage changes to contracts or work orders that have occurred since the prior BCC approved amount which are below the threshold limits as referenced above. The plan calls for staff to submit a monthly report listing these change orders from the previous reporting period. Enclosed is the monthly report of the Administrative Change Orders and Administrative Changes to Work Orders. These reports cover period August 20, 2008 through September 22, 2008. FISCAL IMPACT: The total change to contracts is a deduction of $250,605.27. The total change to work orders is $74.962.00. 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 Pa-e I or I 'Acc!ndla �)M Wo. I'= I SL3 r 4. -20,) 3 2 of 51 COLLIER COUNTY DOARD OF COUNTY C0104ISSIONERS Item Number: 16E3 Item Summary: Report and Ratify Staff - Approved Change Orders and Changes to Work Orders to Board- Approved Cortracts, Meeting Date: 10/14/2006 9'00:00 AIA Prepared By f of -P E'ocigpt 8 1s"4 r! A Diana DeLeon Administrative Assistant Date Administrative Services Purchasing 10/1/2008 8 31:43 AM Approved By Offic,:c , Steve Carnell Pur,:hasing'General Svcs Direc�or Date Administrative Services Purchasing ITI12008 9:36 AM Approved By Len Golden. Price Administrative Services Administrator Date A cirrinistrative Services Adm;nist,ativeSarvices ',Jmin. 1011;2008 1ct:51 AM Approved By ON', oc iina! � r County Wartaac;-'s Oirice f of -P E'ocigpt 8 1s"4 r! A Approved By Co L, n * y Mara r's 0;,,..,, Offic,:c , Approved By James V. file://C:'kAL,eiidaTest\EXDOI't\I 14-0ct0hcr%2014.0/o202008\1 6.0//f)'-)O('ONSI-,'N-1'0/'020A(,FND... 10/19/2009 CO o n CD M0 cL E cS E i0 Q � oD J J O d C m cm ti C c y L � V a O e t V N O CD : U a W ID C d O t 0 E � Q m > c G d Q. 0 O ¢ E U ro Q � U w O U a 00 c W C 5 � v 3 C Q V U � U LLI Q c Z O Q c U > > Fn u O 0 E Om ¢Q Q w C N t C m U O' O (t) 0 0 z z d m m m OC7� m z z a O z O y O U d O t 2O > ¢ U U ¢ m d z N _o L_ 3 N E c E CD 7 ro to N O y O C M � co > co > EA � C O N U ro � N O N c .O O O C ro m E :3 M O O y� N E m N a m EA d C T w E o c o O N ` -° U L O 01 � M W r a� = N V N N o o � � � = T rn ro m O Z) N _ N � C � 0 m � ro ro O E cr c 0 `p a 0_ > � � O � L m a w aoi E m G U V C 7 N � _ U c m r 3 ° Y N � L a � � Y O C O tp O U N O U ro N 0 O i N_ p a E G U m n N U � ir>oUg H 3 ci 3 o� a o c c � ro N U p O 3 N U m > N Or 0 O N 3 L 3 o j N 'co m o c N _N M d N U O m O C (O N � X N N U O N M N -O O m M O E O O c o ro MN p C rvi a N U 69 U N o a o E O) O M O. _T M p co 0 N E 69 O 0 o 0 0 0 `o M cD C N N3 O a� m Q E w a 6 a o 0 N N m C N c �c o O ro U N C N ° E a U C O` N O U N uc 3 Y O C E N � 3 m E N N � N O N m ro U O .- L d a F- o oo CM c C � c m m o N�L. oo U L o 0 .3 N O 0 O .G CC C co ro o U N ro O N N L U N Y V c If C co N M m i T X � O � N N C 4 O m p U N co o N 0 N O � C ,n o � E m U N V U N � N rn `� ui N EA Y N E o � o m ri Y, � O L7 � Y E c o � o N C C LL o o � N N > N N C 0 L C m ro U 2 N O N c ° U m O J N V E m _ E N O E N N t0 N a' N ¢ p N a O Uu) c a� n r o o c o 0 m M �i V 0 O 0 U S o '� m M N c > ro O v M O N UA J °o co rn O Oa 0 CD m co (f3 °o to LO LO r 69 0 CL d CL a O G N U) O C U � c N O E ° T � c � o o C O 0 — m c U N N _ N a cu > O O w O C L URoU� ei C CD c O L � U 0 0 3 Z �7 d O CD to N L� N O El El y n O O O r_ r ca O o y O M ° M � � O N C ErJ T f�? N M O M iT O) L o s co 'a v N E9 LU o - o - 0 p _ M 69 °a D O IL U G 3 0 N m N O O E o N O = T a) n C N O ro N N O. 0 c j U u p co m co c ro m m ¢ ro a ~ZOULf) W F°- o Q c � m O '- � V 0 0 3 d t0 N O Q \JE| +6 E� «_ \/ Im ƒ/ , 2;- f0 0 \ { \ / r/( > E R && 7 33� \ & 22 §oe2 co \�\ _ \ z / lo \/k j \ uj 3/ \ \ lo \\ z ) _ \/ j Lo } ID \ \]k} j /_ e -E j \�cL � f) e.)2; }\0 > 0L) 3 /z 4 5 \ � ) \ { \ \ / r/( } R && 7 \ / < »z j« & 22 §oe2 co o _ z / = s j \ � CO co CD ) \ � / \ 5P / \ < » \ \ \r \\ \ \ / 0 z _ / s / CO co CD � \ I / ) \ \ \ _\ » \ \ \ \ / 0 _ \} 3/ � \ I / Agen�a item Nirc). 16E3 Oclober 44. _1008 Paae 5 of 51 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: LASIP Royal Wood Lake Interconnect PROJECT# 51101 PROJECT MANAGER: Shane Cox BID /RFP #: 08 -5008 MOD #:.2 PO#: 4500090668 WORK ORDER M NIA DEPARTMENT: Road Maintenance / Stormwater CONTRACTOR/FIRM NAME:Mltchell and Stark Construction Company, Inc. Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised Contract[Work Order Amount: Cumulative Dollar Value of Changes to this ContractfWork Order. $ 1,697,387.00 (Starting Point) $ 1,697,387.00 (Last Total Amount Approved by the BCC) $ 1,732,559.00 (including All Changes Prior To This Modification) $ (59.358.50) $ 1,673,200.50 (Including This Change Order) $ (24186.50.00) Date of Last BCC Approval 12/1112007 Agenda Item # 10C Percentage of the change overlunder current contract amount -1.42 Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: 8/3112008 CURRENT: 8/31/2008 <This CO covers some line items that were reduced and some that were increased, and some new line items.> Describe the change(s): 1) Remove an existincl headwall control structure and pipe from Rat -Ham Rd ROW which connected to lake within Royal Wood and was no longer needed with newly constructed facility. Specify the reasons for the change(s) x 1. Planned or Elective 2. Unforeseen Conditions r3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) tr 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: these structures were no longer needed and an eyesore and Stormwater Principle Project Manager desired they be removed.. This change was requested by: r-tontractor /Consultant r' Owner W Using Department 1: CDES . C Design Professional rlRegulatory Agency (Specify) rOther (Specify)_Royal Wood GC Staff Pay Items: - Removal of headwall, structure and pipe (NOT PREVIOUSLY A LINE ITEM) Revised 11. 19.2007 LS, 1 @ $5500 $5500 n _3 � `3 October 14, 0r��3 �q Page -, f r1 2) Installed 24" HDPE stormdrain pipe to facilitate access into weir at Royal Wood Specify the reasons for the change(s) x 1. Planned or Elective 2. Unforeseen Conditions T 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) C' 5. Value Added r3 S. 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: maintenance crews would have to get to weir by going through Royal Wood subdivision and golf course which are private This change was requested by: f—bontractor /Consultant r Owner Using Department r CDES C.Design Professional FIRegulatory Agency (Specify) FOther (Specify) Pay Items: - install pipe LF, 40 @ $54 NOT PREVIOUSLY A LINE ITEM) Revised 11.192007 $2160 AgendaAtem No. I SE3 Octeher 14, 9008 �• Page 7 of 51 3) Installed aluminum gate at same location Specify the reasons for the change(s) x 1. Planned or Elective 2. Unforeseen Conditions �' 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 S. Value Added r` 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). identify all negative impacts to the project if this change order were not processed: Access to weir would have no s= This change was requested by: 0 Contractor /Consultant Q Owner M Using Department r CDES rDesign Professional nRegulatory Agency (Specify) COther (Specify) Pay Items: - Install aluminum gate LS,1 a@ $2200 $2200 (NOT PREVIOUSLY A LINE ITEM) - Remove & reinstall aluminum fence LF, 270 @ $15 $4050 (WAS PREVIOUSLY A LINE ITEM) Revised 11.19.2007 i``age 8 ofi 51 4) Added D curb and concrete to path over new bridge Specify the reasons for the change(s) I. Planned or Elective 2. Unforeseen Conditions (` 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 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: S_ afety issues because Paths with no protective barriers to keep carts on --hover bridge of cart This change was requested by: O Contractor /Consultant 570 Owner rl Using Department r CDES design Professional r(Regulatory Agency (Specify) _ rOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes 7 No -Type D curb LF, 210 @ $5 $1050 (NOT PREVIOUSLY A LINE ITEM) - Concrete cart path over bridge SY, 29 @ $41.50 $1203.50 (NOT PREVIOUSLY A LINE ITEM) 5) The remaining items were line item quantities not used - Flowable Fill CY, -386 @ $167 ($64,462) - Watermain deflection EA, -1 @ $6080 ($6080) -Solid sod (St Augustine) SY, -830 @ $6 ($4980) ITo summarize: PREVIOUSLY CONTRACT LINE ITEMS 4 49 1 - Remove ill reinstall aluminum fence LF, 270 @ $15 $4050 16� - Flowable Fill CY, -386 @ $167 ($64,462) { "I - Watermain deflection EA, -1 @ $6080 ($6080} -Solid sod (St Augustine) SY, -830 @ $6 ($4980) ( PREVIOUSLY NOT CONCTRACT LINE ITEMS j - Removal of headwall, structure and pipe LS, 1 $5500 I - Install pipe LF, 40 @ $54 @ 55500 $5500 - Install aluminum gate LS, 1 @ $2200 $2160 Type D curb LF, 210 @ $5 $2200 - Concrete cart nath over brid a SY 29 $41.50 $1050 TOTAL 150 _, ($59,358.50) This forth is to be si nd P Pd. APPROVED BY: Date: S O Prr, '„ct Nlana Ar REVIEWED BY: Wti(1 v iltlyo Date: �i d Contract Specialist i Revised 11. 19.2007 naerida item No. 10,113 Z October 14, 2008 CONTRACTfWORK ORDER MODIFICATION Page 0 of 51 CHECKLIST FORM PROJECT NAME: Wells 34137 Const & Pipeline Replacement PROJECT #: 701582 PROJECT MGR: Oscar P. Martinez, P.E. BID/RFP #: 07 -4130 MOD M 1 PO#: 4500089495 WORK ORDER #: NA DEPARTMENT: PLIED CONTRACTOR/FIRM NAME: Mitchell 5% StarK Original Contract Amount: $ 2,634.639.00 (Starting Point) Current BCC Approved Amount: $ 2,634,639.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 2,634,639.00 (Including All Changes Prior To This Modification) Change Amount: $ 161 370.23 Revised ContractlWork Order Amount: $ 2,796,009.23 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order. $ 161.370.23 Date of Last BCC Approval 10/9/07 Agenda Item # 10D Percentage of the change over /under current contract amount: 6.12% over Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 12/10/06 CURRENT: 1/29/09 Specify the reasons for the change(s) r] 1. Planned or Elective X2. Unforeseen Conditions 1 3. Quantity Adjustments X►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: Please refer to business case. This change was requested by: XContractor /Consultant XOwner CI Using Department r CDES CI Design Professional ClRegulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: X►Yes r No This form is to be signed a7dddated. RECOMMENDED BY: �� 6&08- APPROVED BY: g Consultant Date Project'mgr Date e�r8a8 APPROVED BY: APPROVE 8 0�;— Prin pahl Project M�gr!i Dat° irect Date APPROVED B �^ 0��0� REVIEWED BY p s Adminis rator Date Contract Specials Date Re-vied 2 -22 -08 RECElYED I'.--n 'a 0. 1 3 V - -tour 1A, CONTRACTIWORK ORDER MODIFICATION a 3e 1 of 13 CHECKLIST FORM PROJECT NAME: South Regional Library PROJECT #: 54003 PROJECT MANAGER: Hank Jones -es- BID /RFP #: 07.4176 MOD #:9 P0#: !4!L500087770 WORK ORDER #: NIA DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: DeAnaelis Diamond Construction Inc Original Contract Amount: $651981300 (Starting Point) Current BCC Approved Amount: $ 6,519.813.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 5,922.182.42 (Including All Changes Prior To This Modification) Change Amount: $ 16.357.00 Revised Contract/Work Order Amount: $ 5,938,539.42 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order: $:.581 273.58 Date of Last BCC Approval: September 11. 2007 Agenda Item #: 10E Percentage of the change overlunder current contract amount - 8.92% Formula: (Revised Amount / Last BCC approved amount) l CURRENT COMPLETION DATE (S): ORIGINAL: 11/1/2008 CURRENT: 111112008 9 /v!' Describe the change(s): All additional time and costs associated with th e changes as outline in: 1 Deleting Light Lifts & Ballast er PR #010 Architect's revised RE #91rPCO#.23 rev l • 2 Del eting Oxygen Tanks RegWators, and Masks per Architect's PR #14 (PCO #31 rev 0• 3) Monitoring of all Fire Extinguishers and Cabinets(PCO #32 rev 1), 4) Chan innE Microwave Oven Model # per ASI #12 dated 7/24/08 CO #34): 5 Adding Interior Vision Light at Room 156 per PR #I7 dated 8/15/08 (PCO #35) _Specify the reasons for the change(s) f' 1. Planned or Elective t' 2. Unforeseen Conditions (' 3. Quantity Adjustments ' 4. Correction of Errors (Plans, Specifications or Scope of Work) t 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: Noncompliance with Vertical Standards, loss of functionality, This change was requested by: R[Contractor /Consultant rl Owner FI Using Department C CDES rlDesign Professional l— IRegulatory Agency (Specify) f—Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes F✓ No This form is to APPROVED BY Date: oject Manager REVIEWED BY: Date:ct Spcialist Revised I I.19,2007 agenda Item No. 13E3 41 cto56r T4; 2008 T CONTRACTIWORK ORDER MODIFICATION Page 11 of 51 CHECKLIST FORM PROJECT NAME: Landfill Facility & Material Collection PROJECT #: 59010 PROJECT MANAGER: Teresa Riesen BID /RFP #: 07.4081 MOD #: 2 PO #: 4500082956 WORK ORDER #: NIA DEPARTMENT: UBCS CONTRACTORIFIRM NAME: Creative Information Systems_ Original Contract Amount: $ 170 956.00 (Starting Point) Current BCC Approved Amount: $ 170 956.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 158,940.16 (Including All Changes Prior To This Modification) Change Amount: $_,,,_(R 344 00) Revised Contract/Work Order Amount: $ 150 626.16 (Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWork Order: $ _(20,329.84) Date of Last BCC Approval 7/24/07 Agenda Item # 16C22 Percentage of the change overlunder current contract amount- % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: 12/31/07 CURRENT: 4130/08 Describe the change(s): While doing modifications to CIS software there were additional changes causing additional credit to original contract These additional changes created a credit of 8.314.00 to Collier County. Specify the reasons for the change(s) (7 1. Planned or Elective %--) 2. Unforeseen Conditions (t 3. Quantity Adjustments C` 4. Correction of Errors (Plans, Specifications or Scope of Work) t`' 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: There would be monies encumbered for a project that could be used for something else that may be needed This change was requested by: rIContractor /Consultant I_ :I Owner r) Using Department 1: CDES rDesign Professional rlRegulatory Agency (Specify) rOther (Specify) Proiect Manager This form is to be APPROVED BY: REVIEWED BY: Ine nd dat e� ect Manager Contract Specia Revised 11.19.2007 Date: 2411 Date: enda item No. iR 'ST3 CHANGE ORDER TO: The Poole and Kent Company FROM: Collier County Government 3853 City Gale Boulevard 3301Tamiami 'Dail East, Bldg, D Naples, Florida, 34117 Naples, Florida 34112 Project Name: South County Regional Water Treatment Plant 12 -MOD Reverse Osmosis Expansion Consinxtion AgreemerSt Dated. 10/112005 Bid No.: 05 -3879 Change Order No.: 6 (& AJ4L) Date: Amie 16, 2008 -uungc vmcr Lmscnpuon: -1 -he Board of Cannty Commissioners awarded Bid No. 05 -3879, for $23,373,000.00 with The Poole and Kent Company on October 11, 2005. The following docamentation is attached to this Change Order. (1) Written suamnary (description, reason and justification) for each item; (2) Table of cost/credit amounts: Sum of pre�c change orders annamt ......................................................... .........I .... $ 24,373,000.00 - ..•..S 2,036,133.2! This Change Order Amount [ deduct] ........................ .............. ............................... S ( -1 402,367-00 Revised A greennentAmowd ..................................................... ............................... S 26,006,76621 Refcr to Attachment A for am-at contract times for substantial and final completion, Your acceptance of this change order shall constitute a modification, to our Agreement and will be performed subject to all the same terms and conditions ae contained in our Agreement indicated above, as fully as if the same were repeated in this acceptance. The a3jusmrent, if any, to this Agreement shall constitute a full and final settlement of any and all claims of the Contractor arising out of, or related to, the change set forth herein, including claiany for impact and delay costa. Prepared by i�t` -- ----- Date: Kurt A. Pfeffer, P.E., Project Manager Hazen nd r5l Reviewed by. (,�. �: ? '7 Q P/ H. Peter Schalt, PMP, Seni Project Manager Co ' li Engineering Department Reviewed b Date: Collie County Pu c Engineering Departrwnt Reviewed by: Date: J , Delony 110., A 'strator Co 'er Coua#y is c8 Division Amcpte-d b y' pate: Mrc B. Bro color 'act Manager oole and t Co y Reviewed by. Dane: 0 Dianna Pe Ca ist Collier County Purchasing vi on (For Use by Owner: Fund: 411 Cost Center. 2735( ( Object Code: 763100 Project No.: 7n, 0 F7) G:1ForrnslChange astpndoc Revisal X03/98 A UL AJ7)I,-u rc, 4 D i k. (1 r� CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12 MGD Reverse Osmosis Exaenslon PROJECT #: 05 -3879 PROJECT MANAGER: H Petar SchalL_PN�P sID/RPP #: 05-3879 MOD is 0"I Pot:,3'i00054770 WORK ORDER il:�►!A DEPARTMENT: Public U1011041 CONTRACTOR/FIRM NAME: The Poole and Kent Camn_a_nY Original Contract Amount: Current BCC Approved Amount: Curieait Contract Amount: Change Amount: Revised ContractlWork Order Amount: Cumulative Dollar Value of Changes to this Contract/Work Order: S 24.373-0-00M (Stardrig Point) $ .'R , a�(�373, 000.� (Last Total Amount Approved by the BCC) $ 26,409,133.21 (Including AN Changes Prior To This Modification) s 420.410.00 $ 25.988.72321 (including This Change Order) $ 1.615.723.21 Date of Last BCC Approval 10111/2005 Agenda Item # 10G Percentage of the change overfunder current contract amount 6.63 % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE SUBSTANTIAL COMPLETION NO. IA: ORIGINAL: SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL: SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: FINAL COMPLETION: ORIGINAL: Agenda item No. 16E3 5'q Describe the change(s): Credit for unused portion of Contract Allowance from Bid Item No. 2 for 'Furnishing and Installing Membrane Elements'. The Allowance amount was $1,500,000.00. The amount spent on elements and service connections under this item was $1,079,590.00, leaving an unused amount of $420,410.00. Specify the reasons for the change(s) ZI 1. Planned or Elective C 2. Unforeseen Conditions X 3. Quantity Adjustments E: 4. Correction of Errors (Plans, Specifications or Scope of Work) 1: 5. Value Added Cr G. 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 change order were not processed, the County would not realize the credit for the unused portion of the allowance amount. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR Value AddedtUnavoldable C'] Value Added/Avoidabie rJNo Value Adde=navoidabie No Value Added/Avoidable This change was requested by: r3 Contractor /Consultant X Owner 0 Using Department C CDES Design Professional rl Regulatory Agency (Specify) i Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: i Yes a No This form is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST F0 fS ASSOCIATED WITH THIS CHANGE ORDER. CHECKLIST FORM PROJECT NAME: SCRWTP 12 -MGD Reverse Osmosis Emersion PROJECT M PROJECT MANAGER: H. Peter Schaff. PMP 81D/RFP d: 05 -3879 MOD it: 06 -02 POik 4500054770 WORK ORDER C N!A DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME. _The Poole and Kent Comoarry Original Contract Amount: Current SCC Approved Amount: Current Contract Amount: Change Amount: Revised ContraWWork Order Amount: $ 24.373.000.00 (Starting Point) s - eee -err .V4137-3,0000 (Last Total Amount Approved by the BCC) $ 25.988.732.21 (Including AN Changes Prior To This Moditic:ation) $ - 6.404.00 $ 25.980319.21 (Including This Change order). Cumulative Dollar Value of Changes to this Contract/Work Order. S _ - 1.607.319.21 Date of Last BCC Approval 10/11/2005 Agenda ttem # 1 QG Penarntage of the change over /under current contract amount 8.59 gL Formula: (Revised Amount/ Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL 01/2412007 CURRENT: ORIGINAL: 01/24=7 CURRENT: 01!3161007 0 00T SUBSTANTIAL COMPLETION NO. 1C: SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 01!2412007 CURRENT: ORIGINAL: 07/1362007 CURRENT: 051Q7r2007 0 ?12008 FINAL COMPLETION: ORIGINAL: 08/12M7 CURRENT: 0 13 008 Describe the change(s): Credit for unused portion of Contract Allowance from Bid Item No. 4 for 'Landscape, irrigation and Slteworic required for Site Development Plan'. The Allowance amount was $175,000.00. The amount spent on elements and service amneclions under this item was $ 166. 596.00, leaving an unused amount of $8.404.00. Specify the reasons for the changes) r] 1. Planned or Elective 1: 2. UnfOmseen Conditions X 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added C fi. 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 change order were not processed, the County would not realize the credit for the unused portion of the allowance amount. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR W Value Ad6wUnavoidable 111 Value Added/Avoidloble Mo Value Added/Unevoidable 1"3 No Value Added/Avoidable This change was requested by: i Contractor /Consultant N Owner Using Department C CDES r Design Professional i't] Regulatory Agency (Specify) Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: '� Yes No This form is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS A SSOCIA TED WITH THIS CHANGE ORDER. da Item Ada. 16E3 G. CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME. SCRWTP 12 -MGD Reverse Osmosis Expansion PROJECT #: 2L-1 x79 PROJECT MANAGER: H Pater Schalt. PMP BIDIRFP #: 05 -3879 MOD #: 06-03 PO#: 4500054770 WORK ORDER # :,W9 DEPARTMENT: Public Utility CONTRACTORIFiRM NAME: The Poole and Kent Comam Original Contract Amount: Can" 8CC Appromeed Arn0unt Current Contract Amotmt: Change Amount Revised ContractlWork Order Amount: Ctmrulathve Dollar Value of Changes to this ContractlWork Order. $ 24.373.000.00 (Starting Point) $ ;i�- +e9-tsszr ? 4, 3`73 • vv 4 HL (Last Total Amount Approved by the BCC) $ 25980.319.21 (Including All Changes Prior To This Modificaton) - 50.000.00 $ 25.930.319.21 (Including This Change Order) 1.557 319.21 Date of Last BCC Approval 101112005 Agenda Item # 10G Percentage of the change overfundar current contract amount 6.39 % Formula: (Revised Amount I Last BCC approved amount) -1 CURRENT COMPLE710N DATE (S): n� n rnrn� 11oc•fAN;Q4I r Mo1 9PON 0910uwv • �.» U7nn7 !+t [G�CAIT• SUBSTANTIAL COMPLETION NO. IA: ORIGINAL: 01/24/2007 CURRENT: 011912007 SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL-• 0111412007 CURRENT: 02aw �0 SUBSTANTIAL COMPLETION NO. 1 C: ORIGINAL: 01/24/2001 CURRENT: D5J02=7 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 01312007 CURRENT: 02112A=8 FINAL COMPLETION: ORIGINAL' 0$11212007 _ CURRENT: Describe the change(s): Credit for unused portion of Contract Ailmance from Bid Item No. 5 tor'Upgrades to Membrane Cleaning System'. The Allowance amount was $50.000.00. The amount spent on elements and service connections under this item was $O. DO, leaving an unused amount of $50.000.00. Specify the reasons for the change(s) €"3 1. Planned or Elective E; 2. Unforeseen Conditions 0 3. Quantity Adjustments U 4. Correction of Errors (Plans, Specifications or Scope of Work) 15 S. 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 this change order were not processed, the County would not realize the credit for the unused portion of the allowance amount. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR Value Added/Unavoidable rl Value AddeNAvoidabie rINo Value Added/Unavoidable No Value AddedlAvoidable This change was requested by: rl Contractor/Consultant 11 Owner i i Using Department C CDES : Design Professional M Regulatory Agency (Specify) Other (Spey) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes No This form is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS ASSOCIATED WITH THIS CHANGE ORDER. -fl CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12 -WD Reverse Osmosis mar ion PROJECT t 05-387 PROJECT MANAGER: H. Peter Schalt PMP W DIRFP #: 05 -3879 MOD d: 06 POW: 45000$54770 WORK ORDER *: A DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME: The Poole and Kent Company Original Contract Amount: Current BCC Approved Amount: Current Owdrad Amount: Change Amount: Revised ConbvctlWork Order Amount: Cumulative Dollar Value of Changes to this ContractANork order. S 24.373,000.00 (Starting Point) $ .-2&4Qa4aa1 r (Last TOW Amount Approved by the BCC) $ 25.930.319.21 (Inducting All Changes Prior To This Modification) $ 722.00 S 25,931.041.21 (Induding This Change Order) $ 1,558.04121 Date of Last BCC Approval 10/11120 Agenda Item 910E Percentage of the change overfundrrr Current contract amount 6,39 % Formula: (Revised Amount / Last BCC aWroved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL, 0112412007 CURRENT: 01131/2007 SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL: 01/24/2007 CURRENT: 02123/2007 SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL- 01/24/2007 CURRENT; 020222 7 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 07/132007 CURRENT: 0 12! 212408 FINAL COMPLETION: ORIGINAL: 08!12/2407 CURRENT: 03/13/1408 Describe the change(s): Materials and labor to Instal steel corner guards at the High Service Pump Station No. 2 roof-mounted exhaust fans. Specify the reasons for the change(s) r] 1. Planned or Elective u 2. Unforeseen Conditions 1: 3. Quantity Adjustments N 4. Correction of Errors (Plans, Specifications or Scope of Work) ri 5. Value Added 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change($). Identify all negative impacts to the project If this change order were not processed: The steel comer guards were required to protect the fan housings from damage caused by the hurricane cable straps. The guards were not called for by the contract specifications or details. This item resulted In no re -work. If this change order were not processed, the fan housings would be dented by the tension of the hurricane cable straps. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUL r3 Value Added/Unsvoidable IN Value Addod/Avoiciabie i 3No Value Adde"navoidable M No Value AddedfAvoidable This change was requested by; N Contractor /Consultant 0 Owner Using Department C CDES 0 Design Professional El Regulatory Agency (Specify) C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes 0 No This form Is to be signed, and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS M CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRATP 12 MGD Reverse Osmosis Exoansion PROJECT #: 05 -387; PROJECT MANAGER: H. Peter Schalt. PMP BIDMFP is 135-3879 MOD #: 064) PO#: 4500054770 WORK ORDER #: N/A DEPARTMENT: Public Utiltdes CONTRACTORIFIRM NAME: The Poole and Kent Comoanv Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised ContractlWork Order Amount: 24.371000.00 (Starting Point) $ t #j y13 000 * (Last Total Amount Approved by the BCC) $ 25.931,041.21 (Including AN Changes Prior To This Modification) 4.667.0D $ 25.935.706.21 (Including This Change Order) Cumulative Dollar Value of Changes to this ContracNWork Order. $ 1362.70821 Date of Last BCC Approval 10/11/2005 Agenda Item # 100 Percentage of the change ovedunder current contract amount x.41 % Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL: 01/24/2007 CURRENT: 01131 007 SUBSTANTIAL COMPLETION NO. 10- ORIGINAL: 01/24/2007 CURRENT: 9212007 SUBSTANTIAL COMPLETION NO.1 C. ORIGINAL 01242007 CURRENT: 05!0212007 SUBSTANTIAL COMPLETION NO. 2. ORIGINAL: 07/132007 CURRENT: 02/12/2008 FINAL COMPLETION: ORIGINAL: OEV1 =007 CURRENT: 0311 Describe the change(s): Materials and labor to repair the Pre - existing lightning protection system near the existing Lime Softening Plant Degasillem Specify the reasons for the change(s) 11 1. Planned or Elective 19 2. Unforeseen Conditions 1; 3. Quantity Adjustments E; 4. Correction of Errors (Plans, Specifications or Scope of Work) IN 5. Value Added u 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 contract Includes replacement of the LSP degasifiers and extension of the existing lightning protection system to serve the replacement degasillers. The existing lightning protection system was discovered to be damaged by unknown causes/events. The existing system had to be repaired in order for the expended system to function properly. it was recommended that the specialty lightning protection subcontractor far contract work perform the repairs to ensure complete system responsibility by one subcontractor. Had these repairs not been made, the LSP Degasilier area would not have functioning lightning protection and its electrical and Instrumentation components would be subject to damage from lightning. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR r] Value AddeWUnavoidable N Value Added/Avoklable r]No Value Added/Unarvoklabie ri No Value AddedtAvoldable This change was requested by: r] ContractodConsultant C Owner X Using Department C CDES C Design Professional C9 Regulatory agency (Specify) C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: lw Yes Of No This form is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CkiErCKLIST FORMS nda ;iem ko. 15E3 J! CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12 -MGD Reverse Osmosis Expansion PROJECT 0. 05 -3879 PROJECT MANAGER: H. Peter SchaR, PMP BiDIRFP fl: 05 -3879 MOD #: 06-06 POO. 4WW54770 WORK ORDER X.- NSA DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME: The Poole and Kent Company Original Contract Amount: Current OCC Approved Amount: Current Contract Amount: Change Amount Revised ContraclilWork Order Amourrtr Cumulative Dollar Value of Changes to this ConbvcUWortc Order, S 24.373.000.00 (Smrting Point) .?s{r373 -o00 a� (Last Total Amount Approved by the 5CC) $ 25.935.708.21 (including All Changes Prior To This Modification) S 16.545.00 $ _ 25.952.253.21 (including This Change Order) S 1.579.253.21 Date of Last BCC Approval-10/1 1/200 Agenda Item # j OG Percentage of the change over /under current contract amount 6.48 % Formuia. (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): aSUBSTANXIAI_COMF2 ETION No 4. noln_! !w! . ! 24QW7 Gt+lRR&W SUBSTANTIAL COMPLETION NO. IN ORIGINAL: 01/24t20007 CURRENT: 01131/2007 SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL: 01/24/2007 CURRENT: 02123/2007 SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 0124f2007 CURRENT: 057 SUBSTANTIAL COMPLETiON NO. 2: ORIGINAL• ()7113/2007 GURRENT: 02/122DDB FINAL COMPLETION: ORIGINAL 08/1212007 CURRENT: 03 /13,2008 Describe the change(a): Materials and labor to complete an emergency repair to permeate dump and concentrate piping associated with the reverse osmosis treatment units. Specify the reasons for the change(s) r] 1. Planned or Elective 16 2. Unforeseen Conditions "" 3. Quantity Adjustments 1; 4. Correction of Errors (Plans, Specifications or Scope of Work) 19 5. Value Added U 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 H this change order were not processed: The RO permeate dump and concentrate piping was apparently damaged by a surge In operating pressure in the common RO concentrate disposal pipeline to the deep injection wells. The high pressure condition was apparently caused by a malfunction in pre - wdsting control interlocks between the concentrate disposal well valves and the RO treatment unit feed pumps. Both concentrate disposal valves were dosed while RO skid feed pumps continued to operate. The Increasing pressure apparently caused a failure in the permeate dump and concentrate piping near RO treatment unit no. 10. The damaged piping is common to concentrate disposal from all 10 reverse osmosis treatment units. Had the piping not been repaired through an emergency change order, the entire reverse osmosis treatment process would have remained out of operation; and the resulting outage would have reduced plant production and ability to supply adequate volume and pressure to d6nidng water customers. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR Value AddedtUnavoidable Value Added/Avoidable [INo Value AddediUnavoidabie No Value Added /Avoidable This change was requested by: n Contractor/Consultant u Owner N Using Department CDES C Design Professional El Regulatory Agency (Specify) 1: Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: F Yes W. No This form is to be signed and dated. SEE SiGiVATURE PAGE AT THE ,ENO OF ALL .CHECKLIST FORMS age 51 CONTRACTiWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: _ RWTP t2-MGD Reverse Osmosis Eman 'on PROJECT #: 9 PROJECT MANAGER: Li Peter Schatt, PMP BIDIRFp #: 3879 MOD #: 06 -07 POsµ: 45000x4770 WORK ORDER M NIA DEPARTMENT: Pubric Utilities CONTRACTOR/FIRM NAME: The Poole and Kent Company Original Contract Amount (S�� 00 Current OCC Approved Amount: $ .2s: OR f3a3 a�f r 313. ado a 0-ag Total Amount Approved by the 130C) Current Corsi Amount $ 25.952.25321 (Indudiing AN Changes PrtoxTo This Modification) Change Amount $ 12.5K.00 Revised Contract Work Order Amount. $ 25.964.813.21 (Including This Change Order) Cumutative Do9ar Value of Changes to this Contract/iNak Order: $ _ 1.591.813.21 Date of Last BCC ApprovaIjA 1/20 5 Agenda Item # 1_QS Percentage of the change overlunder current contract armount 6.5 % Formula: (Revised Amount I Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION N0. IA: ORIGINAL: 412412007 CURRENT: o1/31 7 SUBSTANTIAL COMPLETION NO. IS: ORIGINAL: 0124!2007 CURRENT: 02123/2007_ SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 0124007 CURRENT: 05/0212W7 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 07/13/2007 CURRENT: 02/121200,j3 FINAL COMPLETION: ORIGINAL: 08112/2007 _CURRENT: 0 t Describe the change(s): Materials and labor to Install protective electricallinstrumentation control Interlocks between (a) the RO treatment units and the two pre -existing concentrate disposal well discharge valves; and (b) between the RO treatment units and the Influent degasifier permeate Isolation valves. Interlocks in "a' consist of modifications to motorized valve operator configuration, anew concentrate header pressure switch, and interlock programming at PLC -1. Interlocks in "b" required programming from existing permeate pressure transmffw PIT400 and interlock programming at PLC -1. Detailed scope Is included In Work Directive No. 52 Specify the reasons for the change($) r] 1. Planned or Elective U 2. Unforeseen Conditions t i 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) N 5. Value Added Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(*). Identify all negative impacts to the project If this change order were not processed: The proposed wank will provide interlocks between discharge isolation valves on permeate and concentrate discharge headers from the R.O. Skids 1 through 10. These interbcks will prevent over - pressure condition in both piping headers and prevent inadvertent damage to piping and skid components caused by those potential high pressure conditions. As such, this item is a value - added bettem -ent to a condition for thms that could result of damage piping and/or equipment that oouki require RO treatment prprocess to be out of operatiom OPS TRACK CATEGORIES: MUST PICK ONLY ONE QF FOUR r3 Value Ad,ded/llnavoidable N Value Added/Avoidable rINo Value AddedAkwvoldable r] No Value Added/Avoidable This change was requested by: Contractor/Consultant Owner Using Department C ^.DES C Design Professkmml n Regulatory Agency (Specify) 13 Other (Spec fy) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: F— Yes IN No This form Is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS ge 20 OI n 4 CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12-MGD ReVerse Osmosis Expansion PROJECT # U5 -3879 PROJECT MANAGER: H. Peter Schap, PMP BIDIRFP 0: 05-879 MOD #: 08-08 PON, 4500054770 WORK ORDER x- .M DEPARTMENT: PuW Utilities CONTRACTORIFIRM NAME: The Poole and Kent Comslanv Original Contract Amount Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised ContractlWork order Amount: Cumulative Dollar Value of Changes to this ContractfWork Order: 24.373.000.00 (Starting Point) $ y 0""3-73,000* (t.ast Total Amount Approved by the BCC) $ 25.964.81321 (Including All Changes Prior To This Modification) S 21,781.00 $ 25.988.594.21 (including This Change Order) $ 1.613.55421 Date of Last BCC Approval 10/1112005 Agenda Item # 10G Percentage of the change over /under current contract amount 8.82 % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL: 01/24/2007 CURRENT: 01/3112007 SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL: 01/24/2007 CURRENT: 0212362007 SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 01124/2007 CURRENT: 051021'2007 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL-* 07/13 0 0� 7 CURRENT: 02/12/2008 FINAL COMPLETION: ORIGINAL: 48/12/2007 CURRENT: 0311312008 Describe the change(s): Materials for upgraded self- priming sump pumps in the RO process building drainage trench Specify the reasons for the changes) P 3 1. Planned or Elective C 2. Unforeseen Conditions 0 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) N 5. Value Added 13 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify ali negative Impacts to the project if this change order were not processed: County plant staff determined that the sump pumps initially installed in the RO building drainage trend were not robust enough for the application. Therefbre, heavy duty Industrial sump pumps were selected. This change order item compensates the Contracbr for the cost of the upgraded pumps, if this change order were not processed, plant staff concluded that they would be required to perform frequent maintenance out the previous sump pumps. As such, this item is a value -added Improvement to Increase reliability and reduce equipment down -time for maintenance. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR i3 Value AddedlUnavoldabie M Value Added/Avoidable Milo Value Added/Unavoldable r] No Value AddedlAvoidable This change was requested by: [I Contractor /Consultant C Owner C Agency 9 Using Departme nt nt C CDES D z-1gr, ProS"s oai V 3 n°evAla`oT 7 le ecif A Fier /V -S&A 1 ' J! vu CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: � Yes 1A No This farm Is to be signed and dated. SEE S1GNAWRE PAGE AT THE END OF ALL CHECKLIST FORMS A 00^eW rcn 1nrrru 7u10 run nanaa enda Item No. 16E3 1 VI J, 6I CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME SCRWTP 12-MGD Reverse sis E oanslon PROJECT #: 38 PROJECT MANAGER: H Peter Scltalt PMP BlD1RFP d: 3879 MOD #: POd: 4500054770 WORK ORDER d: IAA DEPARTMENT: Public 01150 t:ONTRACTORIFIRM NAME: The Poole and Kent Court nr Original Contract Amount: S 24,373.000.00 (Sim Pom 73.00a I� Current BCC Approved Amount: $ w.'..OW ° q13 (Last Total MxxM Approved by the BCC) Current Contract Amount: $ 25,986.594.21 (Including All Changes Prior To This Modification) Change Amount: $ 3.37200 Revised ContractlWork Order Amount: f 25.989.966.21 (Including This Change Order) Cumulative Dollar Value of Changes to this CattractlWark Order: >E 1.616.966 21 Date of Last BCC App,rov&11W11= Agenda item #I aG Percentage of the change overfunder currant contract amount QS % Formula: (Revised Amount I Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL: 01124/2007 CURRENT: SUBSTANTIAL COMPLETION NO. 18: ORIGINAL: 0124/2007 CURRENT: SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL 0112462007--- CURRENT: SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 071 7 CURRENT: FINAL COMPLETION: ORIGINAL: 08x1212007 CURRENT: Describe the change(s): Materials and labor to replace I to P converters for Lime Softening Plant frltsr valve controls with new units. This item was parfi y compensated under a contract allowance account for electro-mechanical upgrades required to Implement SCADA control integration for existing lime softening plant facilities. However, the allowance account of $50,000.00 was partially exceeded by this item. Of the total cost for this Item of $12,741.00, $9,369.o0 will be compensated through the contract allowance and the remaining $3,372.00 will be compensated by this change order. Specify the reasons for the changes) Z 1. Planned or Elective is 2. Unforeseen Conditions 13 3. Quantity Adjustments u 4. Correction of Errors (Plates, Specifications or Scope of Work) S 5. Value Added 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 I to P converters are 20+ years old and have reached the end of their useful service 19e. This was recognized during design and aommted far In the development of the $50,000 SCADA allowance account referenced above. The cost of other items compensated by the allowance account (position switches and solenoid valves associated with the LSP filter controls upgrade) was higher than protected and caused that account to be exceeded by this item. If this change order were not processed, I to P converters would continue to degrade and the LSP filter backwash controls would not function property. FOPS-TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR 0 Value AddediUnavokiable N Value AddedlAvoldable Mo Value AddediUnavoidable r7 No Value Added/Avoklable This change was requested by: r3 CoMractodConsuitant Owner I* Using Department U CDeS C Design Professional r3 Regulatory Agency (Specify) % Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r- Yes i` No This form is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS ;aer da rem rio, i Le" CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12-MGD Reverse Osmosis gWzg m PROJECT #- 79 PROJECT MANAGER: H. Peter Sdrd. PMP BIDIRFP #: D5-3879 MOD #: Q6 -10 PO#: WORK ORDER #: IA DEPARTMENT: Public Utilities CONTRACTORIMRM NAME: The Poole and Kent Comaarry Original Contract Amount: Curren BCC Approved Amount: Currant Contract Amount: Charge Amount: Revowd ContracuWork ordw Amount: Ctrmufathre Dollar Value of Changes to Oft ContracUftrk Order: $ 24.373.000.00 (Starting Point) $ .�.Q2��7j•O�O (Last Total Amount Approved by the BCC) $ 25.969.966.21 (Including AU Changes Prior To This Modification) $ 0.00 s 25.9139.96621 (including This Change Order) $ 1.616.96521 Date of Last BCC Approval 1 0/11/2005 Agenda Item # 1M Percentage of the change overlunder current contract amount 6.63 % Formula: (Revised Amount/ Last BCC approved amount)-1 CURRENT COMPLETION DATE (3): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL Q1242007 CURRENT: 01131/2007 SUBSTANTIAL COMPLETION NO. 1 B: ORIGINAL 0124/2007 CURRENT: 0=312007 SUBSTANTIAL. COMPLETION NO.1 C: ORIGINAL* 01242007 CURRENT: 05=40T SUBSTANTIAL COMPLETION NO. 2: ORIGINAL• 071132007 CURRENT: 02JIZ2008 FINAL COMPLETION: ORIGINAL: 08!122007 CURRENT: .0311312008 Describe the change(e): Materials and labor to replace valve position switches for Lime Softening Plant filter valve controls with new units. This item was compensated under a contract allowance account for electro- mechanical upgrades required to implement SCADA control integration for existing lime softening plant facilities. Therefore, the total oast for this Item of $40,631.00 will be compensated through the contract alowance and this will be a'-zero -cost" change order item. Specify the reasons for the change(s) * 1. Planned or Elective 0 2. unforeseen Condition C 3. Quarstity Adjushmnts C 4, Correction of Errors (Plans, SpecMcardons or Scope of Work) 9 S. Value Added i 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative Impacix to the project if this change order were not processed: The valve posffion switches and adenoid valves are 20+ years old and have reached the end of their useful seMce fife. This was recognized during design and accounted for In the development of the $50,000 SCADA allowance account referenced above. If Vila zero -cost" change order were root processed, the poor condition of the existing switches and solenoid valves would not Morn the LSP filter backwash controls to fixation at all. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR fl Value Added/UnevoidaMe M Value AddedlAvoldabie r]No Value AddedtUnavoldable Ll No Value Added/Avoidable Tim v.,o,e woo —.q we'aaw vj: vv'iw an.tVr�C�nt v�r;,cr :iaiiy vvFry,1v, Ca�rw C Design Professional r3 Regulatory Agency (Specify) C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r, Yes is No This form Is to be alered and daind. SEE SIGNATURE PAGE AT THE F_htD OF ALI. Ct=1FC.Kin:z -r FARMS age 2J et k CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SQB -YUE 12-MGD Reverse Osmosis Fxnanslon PROJECT M 05 -3679 PROJECT MANAGER: H Peter Sdm PMP BIDlRFP #: 05-38 9 MOD # DLIA POO: 4500054770 WORK ORDER #: NIA DEPARTMENT: E,ublc lltliittes CONTRACTOR/FIRM NAME: The and Kent Comparnc Original Cor*vd Amount: Current OCC Approved Amount: Currant Contract Amount: Change Amount Revised ContraetlWork Order Amount: Cumulative Dollar Value of Charges to this ContracbWork Order: $ 24.3 (Starting Point) �s air o2�1, 3�3, 0 0 00m (Last Total Amount Approved by the BCC) ?5.989.96621 (including All Changes Prior To This Modrlcation) $ 13,236.00 s 2 .003.202.21 (Including This Change Order) ; J. 63020221 Date of Last BCC Approval 90/11/2008 Agenda Item # I OG Percentage of the change ovedunder current contract amount 8 8 % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): _ LL SUBSTANTIAL COMPLETION NO. IA.' ORIGINAL' 01124(�Q07 CURRENT: 01/3'121)(27 SUBSTANTIAL COMPLETION NO. 1 B: ORIGINAL: 09/2421)07 CURRENT: 0212 SUBSTANTIAL COMPLETION NO. 1 C: ORIGINAL: 0112412NI CURRENT: 05& 7 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL 07/13MM7 CURRENT: 002J1 FINAL COMPLETION: -.-. -1 Describe the change(s): Materials and labor to instal a new motorized actuator set for an existing CO2 feed system valve so that It can be automatically oorrtrolled from the plant's SCADA system. Specify the rwoons for the change(s) N f. Planned or Elective 0 2. Unforeseen Conditions U 3. Quantity Adjustments "" 4. Correction of Errors (Plants, Specifications or Scope of Work) 0 5. Value Added Schedule Adjustments Note: One or more maybe checked, depending on the nature of the change(s). Identify all negative impacts to the project If this change order were not processed: The motorized valve actuator allows automatic feed of 002 to the LSP rsearbonaUon basin. Automation of this feed system is designed to match feed rate to demand more eflidently and reduce CO2 consumption. Originally this item was to be compensated through a contract alowance account for electro- mechanical items associated with Lime Softening Plant SCADA upgrades. However, that account was expended by replacement of valve position switches and I to P signal converters required for automation of the LSP filter backwash controls. As a result compensation for thls Item is included in this change order. If this change order were not processed, there would be no automatic controls for feeding CO2 to the recarbonatlon basins. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR D Value AddedfU a voidable 38 Value AddedlAvotdable r3No Value AddedRlnavoidable r] No Value AddedlAvoldable This charoe was requested bIr: MA ContractodConsul ant E; Owner N using Department r CDES C Design Professional t 7 Regulatory Agency (Spec") C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes 0 No This foam Is to be sianad and dated. SEE SIGNATURE PIKE di THE END OF Al I f:HF[ -KI LqT PORMR Age;'sda !Lem No. 16E3 S-1- CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORTY: PROJECT NAME: SCRWTP 12-MGD Reverse Osmosis Expansion PROJECT i 79 PROJECT MANAGER: H. PeterSchalt. PMP BIDIRFP #: 05-3879 MOD #: 06-12 POO: 4-50W54770 WORK ORDER is NL DEPARTMENT: Public Utliltles CONTRACTOR/FIRM NAME: The Poole and Kent Comoanv Original Contract Amount: CuneW BCC Approved Amount: Current Contract Amount: Change Amount: Revised Ca tractfWark Order Amount. Cumulative Dollar Value of Changes to this ContractlWork Order: 24.373.000.00 (Starting ) z .2,A,013, ooa (Last Total Amount Approved by the BCC) s _ 26,00320221 (including All Changes Prior To This Modiftcatlon) $ 17.055.00 S 26.020257.21 (including This Change Order) Date of Last BCC Approval 10111/200 Agenda Item # 10G Percentage of the change over /under current contract amount 6.76 °d, Formula: (Revised Amount! Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. IA: ORIGINAL: 01/24/2007 CURRENT: 01/31/200 SUBSTANTIAL COMPLETION NO. 113: ORIGINAL: 41/24/2007 CURRENT: 02/23/2007 SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 01/2412007 CURRENT: 05/0212007 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 07113=7 CURRENT: 0211�f2008 FINAL COMPLETION: ORIGINAL: 0$/1212007 CURRENT: 0311312008 Describe the change(a): Materials and labor to install a new pH analyzer for Lime Reactor No. 1. Specify the reasons for the change(s) X 1. Planned or Elective u 2. Unforeseen Conditions 1; 3. Quantity Adjustments U 4. Correction of Errors (Plans, Specifications or Scope of Work) 9 5. Value Added 13 B. 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: PH analyzers are being installed at each of the County's three lime reactors so that monitoring of ph and control of line dosage to maintain the desired ph can be controlled through the plant SCADA system. Analyzers for Lime Reactors Nos. 2 and 3 were included in this base contract. The analyzer for Lime Reactor No. 1 was included in a separate contract that was scheduled for Year 2009 dwA would demolish and replace Lime Reactor No. 1. That project has now been deferred for at least 8-10 years due to revenue oonstrairrts. Since Lime Reactor No. 1 will remain for at least 8-10 years, the analyzer will be installed now for automated control benefits described above. If this change order were not processed, plant staff would not be able to automatically control ph and lime dosing for Line Reactor No. 1 through the SCADA system. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR r3 Value Added/Unavoldable W Value Added/Avoldable Mo value AddecW navoidat>,le L7 No Value Added/AvoMable e his awange was neq utesied by. i .mot Contractors` onsuitanl u Owner � Using Departrrrent u ODES Design Professional! r] Regulatory Agency (Specffy) C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: [- Yes W No This form is to be sinned and dated. SEE SIGNATURE PAGE 4 T THE END OF ALL CHFCKI IS FOR41.14 enda Item No. 16E3 5rn CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12_PRGO Reverse Osmosis E=nsion PROJECT #: 05 -3879 PROJECT MANAGER: H, Peter Schap PMP BID/RFP #: 05.3879 MOD #: 06-13 P0111: 45000.`i4770 WORK ORDER #:.�i DEPARTMENT: PWAIC Utilities CONTRACTORIFIRM NAME: The Poole and Kent COMDEX Original Contract Amount: Current BCC Approved Amount: Current Contract Amount Change Amount: Revised Cont actWork Order Amount: Cumulative Dollar Value of Changes to this Contract/Work Order: 24.373.000.00 Parting Point) (Last Total Amount Approved by the BCC) $ 28.020257.21 (Including All Changes Prior To This Modification) 2.443.04 S 26.21 (Irrciuding This Change +Order) $ 1.649.700.21 .-- Date of last BCC Approval 10111IR—W Agenda Item # 1 QG Percentage of the change ovedundw current contract amount s.77 % Formula: (Revised Amount 1 Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. IA: ORIGINAL: 0112412007 CURRENT: 01/31/200 SUBSTANTIAL COMPLETION NO. 1 B: ORIGINAL 01/2412007 CURRENT: 0 ` SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 01/2412007 CURRENT: 05j02=07 SUBSTANTIAL COMPLETION NO, 2: ORIGINAL: 07/13/2007 CURRENT: 0211217008 FINAL COMPLETION: ORIGINAL: 08/120007 CURRENT: 03/1312008 Describe the change(s): Materials and labor W install new manual backdraft dampers for the RO Building Switchgear Room HVAC system. Specify the reasons for the change(s) r7 1. Planned or Elective U 2. Unfores®en Conditions 1: 3. Quantity Adjustments " 4. Correction of Errors (Plans, Specifications or Scope of Work) 16 5. Value Added : B. 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: Back-draft dampers are required to allow the air handling portion of the new HVAC system to function without reverse air flow. The back -draft dampers were Inadvertently omitted from the original HVAC system drawings. No re work is required for this Item. If this charge order wens not processed, the HVAC system would not function property due to the potential for reverse air flow. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR Value AddedKInevoidable E Value AddediAvoldable r]No Value Added/UnavoidabMa fl No Value AddedlAvoidable This change was requested by: X ContractodConsultant U Owner Using Department C CDES !` 190asign Professional c J Regulatory Agency (Specify) r. Other (Specify) CONTRACT SPECIALIST PARTICIPATIQN IN NEGOTIATIONS: Yes 40 No This form Is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS w � t+� � r w Tr-r . asiri • rr a e..+ r w • e.+r ....� e. rr� enca l'taM N, o. 1 a 3 5� CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12-MGD Reverse Osmosis EansTQr1 PROJECT P 05 -3879 PROJECT MANAGER: H. Peter Schalt, PMP BIDIRFP #: 05-3QZ9 MOD #: 06-14 PO#: 4500054770 WORK ORDER #: NIA DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME: The Poole and Kent Comoanv Original Contract Amount: Current BCC Approved Amount: Cunwd Contract Amount: Change Account: Revised Contract/Work Order Amount Cumulative 000W Value of Changes to this ContractlWork Order. $ 24.373.000.00 (Starting Point) $ a�, 3y3,o 0OpI- (Last Total Amount Approved by the BCC) $ 25A22.70021 (including All Changes Prior To This Modification) s 5,097-OD $ 26,027.79721 (Including This Change Order) $ 1.654.797.21 Date of Last BCC Approval 10/11/2085 Agenda Item # 1D Percwdage of the change overlunder current contract arnount 6.79 % Formula, (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL: ¢1/242007 CURRENT: 01131r2N7 SUBSTANTIAL COMPLE'T'ION NO. 1B: ORIGINAL: 011241 07 CURRENT: QZ=007 SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 01242007 CURRENT: 05/0212007 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 0711320D7 CURRENT: 021122008 FINAL COMPLETION: ORIGINAL: 08/122007 CURRENT: 03113,2008 Describe the change(s): Materials and labor to add controls and related PLC programming to Implement Florida Power and Light Load Management Control for the SCRWTP Reverse Osmosis electrical power service in accordance with the following revised contract drawings and specifications [attached]: • New and revised Control Strategies and I/O signals shown on Specification Pages 17920 -16, 17920-37 and 17940 -49, all marked "CONSTRUCTION REVISION 09-05-W. • AN additions and changes marked 'Revision 3' dated 8 -31-06 on attached Contract Drawing 216. Specify the reasons for the change(s) r] 1. Planned or Elective C 2. unforeseen Conditions U 3. Quantity Adjustments C 4. Correction of Errors (Piano, Specifications or Scope of Work) 11 S. Value Added V 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 County has negotiated with FPL to switch their most cost - effective electrical power rate, known as "CILC', from the Lime Softening Plant eiectrirat service to the Reverse Osmosis electrical service. Since the Reverse Osmosis service Is projected to consume si9r>&andy more power than the LSP service, the lower CILC rate will save the County approximately $10,000 per month in energy costs based on currant consumption. Therefore, this change results In a large annual cost savings over the life of the facittttes and is a value added Item. If this change were not processed the County would not realize these monthly energy cost savings. _ OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR r3 Value Added/Unavoidable 36 Value Added/Avoldabie Mo Value AddedlUnavoldable rl No value AddeWAvoidable is change was requested by: r3 ContractodConsutiant N Owner Using Department CDES C Design Professional r] Regulatory Agency (Specify) iu Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: is Yes r No This form is to be signed and dated. SEE SIGNATURE PAGE AT THE END OF ALL CHECKLIST FORMS enda Item No. 16E3 570 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12 -MG-0 Reverse Osmosis Expansion PROJECT #: o5-3 s PROJECT MANAGER: H. Peter Scdnalt. PMP SIDiR" #: 05 -3879 MOD#: OB -15 PO#: 45000547/0 WORK ORDER #: NIA DEPARTMENT: Public Utilities CONTRACTORrRRM NAME: The Poole and Kent Company original Contract Amount: i 24,373,00D.00 rting ) Current 13CC Approved Amount- _ 2&4@W-"32r- tq, 31.5 , 600ah (Last Total Amount Approved by the BCC) Current Coot Amount; S 26.027,79721 (Including AN Changes Prior To This Modlfm*m) Change Amounts $ .85-W-00 Revised CorrtracfiWork Order Amount $ 25.942.350.21 (including This Change Order) Curnulative Dollar Value, of Changes to lhfs ContradAVork Order: $ 1.569.35021 Date of Last BCC Approval 1011 1120(25 Agenda Item # jOG Percentage of the change cwedunder current contract amount 6.44 % Formula: (R(vised Amount! Last BCC approved amount) -1 CURRENT COMPLETION DATE (8): SUBSTANTIAL COMPLETION NO. IA: ORIGINAL: 0124!2007 CURRENT: 01131/200 SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL: 012420177 CURRENT: =3.299 SUBSTANTIAL COMPLETION NO. 1 C: ORIGINAL: Q1_242007 CURRENT: 05/0212007 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 07/1312007 CURRENT: 0?1122008 FINAL COMPLETION: ORIGINAL: 08/122007 CURRENT: 03 Describe the change(s): This item is for a credit to the contract for the unused portion of the not40- exceed amount from Change Order Item No. 3 -02 for "E)d3onsion of 36' Finished Weber Fong Main'. The nowo- exceed amount was $814,420.00. The amount actuaily spent on this work was $728,973.00, leaving an unused amount of $85,447.00. The 364nch finished water main conveys treated water from High Service Pump Station No. 2 to the water distribution system. During project bidding, the County was negotiating easements through the CltyGate PUD for the finished water piping from the SCRWTP boundary to the point -of- connection near County Road 951. Specify the Masons for the change(s) 17 1. Planned or Elective 1: 2. Unforeseen Conditions LN 3. Quantity Adjustments E; 4. Correction of Errors (Plans, Specifications or Scope of Work) 5. Value Added ► 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative Impacts to the project if this change order were not processed: This item reconciles the final amount paid to the value of actual work performed. if the credit were not taken to balance the alkmance account, the County would be paying $85, 447.00 of additional costs without receiving any corresponding value. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR C3 Value AddeMmavoidable W Vaias Added /Avoidabls r No Value AddedlUnavoidable r3 No Value AddedlAvoidable This change was requested by: N ContractortConsultant 0 Owner C Using Department 1u CDES N.. Design Professional rl Regulatory Agency (Specify) 0 Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r— Yes Is No Thie fi-1 It M ha ainnaA and eta #aA CFF C11'ZMAT11179 PA(-'I= 8 r V41Z FNr? !nF Al , f'IJFF`K, tCT grIPWIZ Page 28 of P CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: -WRWTP 12-MGD Reverse Osmosis NWsion PROJECT # 79 PROJECT MANAGER: H. Peter Schalt. PMP BIDIRFP tf: 05 -3879 MOD tf: 06-16 POd: 4500054770 WORK ORDER #: N A DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME: The Poole and Kent Company Original Contract Mount: Cunwrt BCC Approved Amount: Currant Contract Amount: Change Anrount: Revised CorrtracVNork Order Amount: Cumulative Dollar Value of Changes to this ContractfWork Order. S 24.373.000.00 (Starting Point) S � 6_9Weles21 IL 37-3 .0"b- (Last Total Amount Approved by the BCC) $ 25.942.350.21 (including All Charges Prior To This Modification) 0.00 $ 25.942.35021 (fncluding This Change Osier) $ 1.589.35021 Date of last BCC Approval 10!1112005 Agenda Item # =,1 Percentage of the change overlunder current contract amount 6.44 o% Formula: (Revised Amount / Last 6CC approved amount) -1 CURRENT COMPL nON DATE (S): No 1 • GRIGI tr � . nI 7 CURRENT. - SUBSTANTIAL COMPLETION NO. Ilk ORIGINAL: 0112412007 CURRENT: SUBSTANTIAL COMPLETION NO. 1B: ORIGINAL: 01/24/2007 CURRENT: SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 01/24QM URRENT: SUBSTANTIAL COMPLETION NO, 2: ORIGINAL: 07/1312007 CURRENT: FINAL COMPLETION: ORIGINAL 08112/2007 CURRENT: Describe the change(s): Additional contract time for Substantial Completion and No. 2 and Final Completion deadlines per the revised dates shown above In 'Current Completion Date(s):'. Specify the reasons for the change(s) M 1. Planned or Elective 1: 2. Unforeseen Conditions C 3. Quantity Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) 1: 5. Value Added L0 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the projer-t if this change order were not processed: The additional time was requested by the Contractor In order to complete the folowiN additional work items requested by the County. • HVAC Upgrades to the RO Building Electrical Swhchgear Room • Protective Interlocks between the RO Feed Pumps, concentrate disposal valves and degasifier inlet (permeate) valves ■ Addition of pH analyzer at Lime Reactor No. 1 The Engineer has reviewed the Contractor's change order impact schedule that reflects these items and agrees that the requested time extensions are due to impacts to the schedule's critical path for reasons beyond the Contractor's control (e)tra work), and that the requested time Is fair and reasonable. If this change order were not processed, the Contractor would not be fairly compensated for additional time required to complete County-rsquested additional work. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR Value Added/Unavoidable € Value Added/Avoidable Mo Value Added/i.inavoidable No Value Added/Avoldal" This change was requested by: N ContractorlConsultant U Owner U Usina Department E1 CDES as weargn momssional i ] Regulatory Agency (Specify) C Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes 0 No This form is to be sianed and dated. SEE SIGNATURE PAGE AT THE ENO OF ALL CHECKLIST FORMS ge a CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12-MGD Reverse Osmosis Expansion PROJECT #: 05_-IM PROJECT MANAGER: H. Peter SchalL PMP BID/RFP #: 05 -3879 MOD #: 0647 PO#: 45000547TO WORK ORDER #--M DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME: The Poole and Kent Comnarn Original Contract Amount: $ 24,373,000.00 (Starling Point) Current BCC Approved Amount: S - ZGA99: =1 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 25,350.21 (Including All Changes Prior To This Modification) Change Amount: $ 5235.00 Revised ContracdWork Order Amount: $ 25M7.585.21 (Including This Change Order) Cumulative Dollar Value of Changes to Oils Contract Work Order; $ 1.574.58521 .—. Date of Last BCC Approval 1011112005 Agenda Item # M Percentage of the change over/under current contract amount 6.46 % Formula: (Revised Amount ! Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: ORIGINAL 01/2412007 CURRENT: 01/312007 SUBSTANTIAL COMPLETION NO. 113: ORIGINAL: 01124/2007 CURRENT: 0_212312007 SUBSTANTIAL COMPLETION NO. 1C: ORIGINAL: 01124/2007 CURRENT: Q,I2/2007 SUBSTANTIAL COMPLETION NO. 2: ORIGINAL: 07/132007 CURRENT: 02A—ZQ A83d2T/24o8 FINAL COMPLETION: ORIGINAL: 08112/2047 CURRENT: 03 2M 613412408 Describe the change(s): Replacement of local "Panel Yew" human - machine- Interface touch screen control panel for Reverse Osmosis Treatment Skid No. 10. Specify the reasons for the change(s) & 3 1. Planned or Elective N 2. Unforeseen Conditions 1; 3. Quantity Adjustments tom". 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added U 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 local touch screen panel installed under the original contract was exposed to water due to a failure of the common reverse osmosis concentrate pipeline installed on a previous oor*acL The pipeline failure was due to events not related to the Contractors' worts. Had the access door to the local panel been completely closed and latched, it is Ilkely that the touch screen would not have been exposed to water from the pipeline failure. It is unclear whether the local control panel door was left unlatched by Contractor or County personnel. The County and Contractor have agreed to split the total Panel View replacement cost of $10,470.00. As a result, the Contractor will replace the touch screen and the County will reimburse the Contractor for the County`s share by processing this change order for $5,235.00. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR Value Added/Unavoidable N Value Added /Avoidable LINo Value Add&&Unavoldable No Value Adde&Avaldable This chance was requested bv: N Contractor/Consultant C Owner N Using Department CDES ® Design Professkmal r] Regulatory Agency (Specify) u Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes No ccc eir_a1wrrn3c on�--c AT rus can nX7 All nucrut ler cr a"C' age r_ CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: SCRWTP 12-MGD Reverse Osmosis Expansion PROJECT #. 05 -3879 PROJECT MANAGER: H. Peter Schalt PMP B4DIRFP rf: X.8 MOD #: 06-18 P09:450005477 WORK ORDER 9: to DEPARTMENT: Public Utilities CONTRACTOR/FIRM NAME: The Poole and Kent Comoanv Original Contract Amount: Cuon.nt BCC Approved Amount: Currant Contact Amount: Change Amount: Revised ContracLWork Order Amount: Cumulative Dollar Value of Changes to this ContracbWork Order: 24.373.000.00 (Starting Point) $ 2q,3 >3- 6 d4) 4> (Last Total Amount Approved by the BCC) $ 25.947.585.21 ( Including All Changes Prior To This Modification) S 11.321.00 i 25.958,906.21 (Including This Change Order) $ 1.585.906.21 Daft of Last BCC Approval 10111/2005 Agenda Item # 10G Percentage of the change over /under current contract amount 6.51 % Formula: (Revised Amount / Last BCC approved amountyl CURRENT COMPLETION DATE (S): SUBSTANTIAL COMPLETION NO. 1A: SUBSTANTIAL COMPLETION NO. 1 B: SUBSTANTIAL COMPLETION NO. 1C: SUBSTANTIAL COMPLETION NO. 2: FINAL COMPLETION: ORIGfNIAL:01124=7 CURRENT: ORIGINAL: 01124/2007 CURRENT: ORIGINAL: 011242007 CURRENT: ORIGINAL: 07,113/2007 CURRENT: ORIGINAL: 08/1212007 CURRENT: Describe the change(s): Materials and labor for additional roadway paving at miscellaneous areas throughout the SCRWTP Specify the reasons for the change(s) ri 1. Planned or Elective H 2. Unforeseen Conditions L 3. Quantity Adjusbnents 1; 4. Correction of Errors (Plans. Specifications or Scope of Work) "" S. Value Added � i 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the project If this change order were not processed: The additional roadway paving was perrormed by the Contractor as a form of compensation to the County for expenses incurred by the County to address an uncontrolled release of caustic (sodium hydro)dde) Into the wastewater collection system due to the Contractor's Personnel accidentally opening a chemical drain valve at the now SCRWTP RO Odor Control chemical pumping system. The total anwunt of Counter expenses related to the caustic release was $22,209.00. The total value of roadway paving was $33,530.00. Therefore, this change order compensates the Contractor for the value of paving in excess of the caustic release compensation, i.e., $33,530.00 — 22,209.00 = $11,321.00. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR r] Value AddedAlnavoldable N Value AddedlAvoldable r]No Value AddedNnavoidabie r] No Value Added/Avoidable This change was requested by: 0 Contractor /Consultant K Owner Using Department U CDES C Design Professional t7 Regulatory Agency (Specify) Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes W No Ttir. s ^..,. re +^ k� --A A.d.-A Ere Crl'rA(ArrtDC nnr-e er ruc can nc At r cnra"e age r- S. CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT MANAGER: 11. Peter Schap PMP BIDIRFP #: 05 -3679 MOD #: Wig tom: 4500054770 WORK ORDER #-_M DEPARTMENT: Public Utilities CONTRACTORIFIRM NAME: The Poole and Kent Comoarn Original Contract Amount: Current IBCC Approved Amount: Current Contract Amount: Change Amount: Revised ConbacUWork Order Amocart: Cumula&m Dollar Value of Changes to this ControctlWork order. $ 24.37.000.00 (Starting Wit) $ _m. a�e,- Aq, 373.W ;� Total Amount Approved by the BCC) $ 25.958.906.21 (Inc Wing All Changes Prior To This Modirrcalion) $ 47.860.40 x 26.006.7666.21 (Including This Change Order) :CK Date of Last BCC Approval 10/112005 Agenda Item # 10G Percentage of the change overlunder cur ent contract amount 6.70 % Formula: (Revised Amount I Last BCC approved amount)- 1 CURRENT COMPLETION DATE SUBSTANTIAL COMPLETION NO. 1A: SUBSTANTIAL COMPLETION NO. 1 B: SUBSTANTIAL COMPLETION NO. 1 C: SUBSTANTIAL COMPLETION NO. 2: FINAL COMPLETION: ORIGINAL 011242007 CURRENT: ORIGINAL: 01242007 CURRENT: ORIGINAL: 012412007 CURRENT: ORIGINAL: 07 /13/2007 CURRENT: ORIGINAL: 06/122007 CURRENT: Describe the change(s): Supply, install and wire valve position switches on manual valves for RO Skid Nos. 5 through 10. Specify the reasons for the change(s) rl 1. Planned or Elective E; 2. Unforeseen Conditions 12 3. Quantity Adjustments 11 4. Correction of Errors (Plans, Specifications or Scope of Work) 19 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: The position switches for RO skid manual valves are required to report whether critical manual valves at each RO skid are opened or closed. Open and/or dosed valve position indication Is monitored by the skid SCADA controls and serves as safety interlocking to prevent skids from operating if these valves are not all in the proper position. The requirement for the position switches was noted on Contract Instrumentation Drawing No. 213, but was not included in the contract specifications in either the RO skid equipment section or the valve sections. As a resurt, the Contractor did not Include these costs In his original bit. This work was performed under Work Directive No. 15 at no additional cost and the Contractor submitted a claim for compensation. During project closeout, 4 claim requests were reviewed. Under negotiations between the Contractor. County and Engineer, it was mutually agreed that the Contractor would withdraw 3 of the claims and that the County would pay this claim Itern in full due to the fact that the position switch requirement was not Included in the contract specifications. OPS TRACK CATEGORIES: MUST PICK ONLY ONE OF FOUR 0 Value AddedlUnmmidsbio N Value AddedlAvoidabie %3No Value Added/Unavoidable rl No Value AddedlAvotdable This change was requested by: 22 Contractor/Consultant U Owner g i Using Department C CDES Cf Design Professional In Regulatory Agency (Specify) Other (Specify) Ag&- ri-Ja item No. 6 3 NOTE THIS SIGNATURE PAGEAPPLIES TO ALL 49 CHECKLIST FORMS INCLUDED IN THIS CHAJVGE ORDER. This Imt is to be signed and dated. L RECOMMENDED BY: �'""�' o P.; ` - _ APPROVED REVIEWED Date: b— t 6' °S Date: 0 Dais: a 6�- oenda item No. 16E3 CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Tourism Website Design and Maintenance PROJECT M PROJECT MANAGER: Jack Wert BIDIRFP #: 05 -3772 MOD #: 5 PO#: 4500085775 WORK ORDER #: DEPARTMENT: Tourism CONTRACTOR/FIRM NAME: Miles Media Group, Inc. Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount Revised Contract/Work Order Amount: Cumulative Dollar Value of Changes to this Contract/Work Order: $ 92 220.00 (Starting Point) $ 240 526.00 (Last Total Amount Approved by the BCC) $_ 240 526.00 (Including All Changes Prior To This Modification) $18,000.00 $_258,526.00 (Including This Change Order) $ 166.306.00 Date of Last BCC Approval 1/29/08 Agenda Item # 101 - Percentage of the change over /under current contract amount -8'� T % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: CURRENT: ongoing Describe the change(s): Implementation of two new International micro website that target the UK and German - speaking markets as approved by BCC on July 22, 2008 Specify the reasons for the change(s) (` 1. Planned or Elective r* 2. Unforeseen Conditions !` 3. Quantity Adjustments i^ 4. Correction of Errors (Plans, Specifications or Scope of Work) r 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 ability to target European visitors during this busy travel planning period would be missed This change was requested by: rlContractor /Consultant rl Owner rl Using Department 11 CDES rDesign Professional rlRegulatory Agency (Spec CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: This form is to be signed and dated. APPROVED BY: `l�T rOther (Specify) r Yes No Date: 8/15/08 :rProj ect anager l �j REVIEWED BY: s (�/ a_4�_rr Date: o - Sp cialist- Revised 11. 19.2007 2 3 rt .er 4 ? 1ii3 CONTRACTIWORK ORDER MODIFICATION a -^ "�, Df 51 CHECKLIST FORM it RteilvrA 4 PROJECT NAME: Courthouse Annex PROJECT #: 52533 PROJECT MANAGER: Henry Jones. P.E. BIDlRFP #: 00 -3173 MOD #: 18 PO #:45- 02601 WORK ORDER #: NA I DEPARTMENT: FACILITIES MANAGEMENT CONTRACTOR/FIRM NAME: Spillis Candela DMJM Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised Contract/Work Order Amount: Cumulative Dollar Value of Changes to this Contract/Work Order: $ 190,000.00 (Starting Point) $2,936,994.00 (Last Total Amount Approved by the BCC) $2,943,244.00 (Including All Changes Prior To This Modification) $12,243.00 $2,955,487.00 (Including This Change Order) $2,765,487.00 Date of Last BCC Approval 05/09/2007 Agenda Item # 16 E 2 Percentage of the change over /under current contract amount 0.63 % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: Multi phases CURRENT: Multi phases Describe the change(s):Additional professional services to revise permitted plans Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforesee Conditions P"'3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work)a 5. Value Added r S. 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: Telephone and Data, changes to the plans must be submitted for permit review. The changes must be detailed by the Engineer of Record This change was requested by: r {Contractor /Consultant / Owner /I Using Department 17 CDES rDesign Professional rlRegulatory Agency (Specify) rOther (Specify CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes r No This form is to APPROVED B REVIEWED BY: *ign Y Date: � l � Date: Revised 11.19.2007 ri.ce:�oa Item No. 15`3 Oc r 14. 2003 b CONTRACT/WORK ORDER MODIFICATION ° 35 of 51 CHECKLIST FORM PROJECT NAME: Courthouse Annex PROJECT #: 52533 PROJECT MANAGER: Henry Jones. P.E. BIDIRFP #: 00 -3173 MOD #: 19 PO #:45 -02601 WORK ORDER #: NA DEPARTMENT: FACILITIES MANAGEMENT CONTRACTORIFIRM NAME: Spillis Candela DMJM Original Contract Amount: $ 190,000.00 (Starting Point) Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised Contract/Work Order Amount: Cumulative Dollar Value of Changes to this Contract/Work Order. $2,936,994.00 (Last Total Amount Approved by the BCC) $2,955,487.00 (Including All Changes Prior To This Modification) $11,464.00 $2,966,951.00 (including This Change Order) $2,776,951.00 Date of Last BCC Approval 05/09/2007 Agenda Item # 16 E 2 Percentage of the change over /under current contract amount 1.02 % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: Multi chases CURRENT: Multi phases Describe the change(s): Additional professional services to revise permitted plans Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions %90"3. Quantity Adjustments r' 4. Correction of Errors (Plans, Specifications or Scope of Work) t/ 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: Power, Fire, Security and Data changes to the plans must be submitted for permit review. The changes must be detailed by the Engineer of Record and incorporated into the Record Drawings. This change was requested by: rlContractor /Consultant FrOwner Using Department r CDES rDesign Professional rlRegulatory Agency (Specify) r-Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: F/Yes r No This form is to APPROVED BY REVIEWED BY: be signe d ated. Date: roj t g Date: Ga Revised 11.19.2007 C��^� CO L:. � 0 'O��., O = 0 o O :o mac- toUY r U o c � o 00 O d e N O O) Q/ Q M co ❑ a _ v U -0O f° c m �,wa 9 cm 00 o y U O O O Q O w p 0 J o p o c m 0 N O O 00 O d > Y E Q/ Q M ❑ `w v 9 LL 0 O C U O) O o °o N Y E p ❑ L Q 69 U?�40+ ac C Ol d C 3 6 la C m :2 O E O o m Y In - U O C V3 O IL m LL o � a o LL ID U > c CD 5 U o E 0 0 0 3 a m CL ¢ o m m T > 0 m F- C/J R U C O O w C O O O z E °o N O � O ly � n m i m m � 2 C O O O U Q O U N Q) C O O Z N O O O O C O a Z U O R o _ Y L N O C D7 M U ¢ o m a 0 C O' cm I � O O U O m O Z pj N O ;o E ' E 5 LL m E m O tC O m Z Z o -p u LO y ¢ O Z m '- m E c m C 0 m m _0 ¢ y U a d 0 p 0 0 > d V d ¢Lc) ai 4: a _ O c m � U O A CD ID O p m E > a Z > O N m L 3 �a C L N � a cD C m � � J O m O C V C � y � O C N m U t` � G Z m � U1 w O m L U O o n a o a m N m N Ln � C O` O O. U o m � O �`p O N O mu m O Y U 0 o c M E m te E m L ° 0 O o o `m c 00 m o Q O U ❑ Z � _O m Oy � O O O O m O 7 M Q ¢ EA U p !C a C m �6 ❑ L � T 3 Z) O > O a5> �O ¢¢� ='❑ LL a �- C cn _ C O � � O � � O O b m a LL W N d .� U = L > O � j LLL p � m L C - O O O m ¢ U o ti ci - m n C C m .O ¢ L m LL U O D Z U 9 p � o �LL m W ID I O b � p m ¢ > ` o m a O ¢ a O p 0 0 o p o c m O Cl O O j a O m O Q' O O M (U ro m � C EA O) W L 3 Y O O bp9 � O m O I U O c O p M � 3 69 � m m Z � _O U 2 C O O O CZ) M - cc 7 r9 Eft C7 U O C � 2+ M o o U N O ti � o O m y LL � L_ L7 � n M p O a E 0 N � ID U _O m T U1 a1 m � o 7 � T 7 N .`J C � Q :DZ UC7 rn c m � L U O O M O O M O O M Z O N Efl N Y m ti a. C C6 M� F- O a E a o n O � � � cu N LL m � •- o a m Co 6 U m co mw ti UO m @ a .,UCJ O 0 a ID O O O O 69 O O O m 69 Z O O O: (9 N � m m a- m J ct 2 v � O � o R a y c U N E N > FU o CL U N N C rn a m ¢ c c a m N O N U o = E a :E oq U a J (D c m m c m m v `w v rl; co = a M U c a � O � m �s O or rn r m O O E c Q �3 d � T 7 O O E m Q 0' o w 0 d C a 7 00 o Y E t O d C c � 7 d O 0 Y E U 0 O CL w Lu w d s - U p E e Y U 4 d O V C w c m 3 O O �2) c E O = O U w U w ¢ m r E m � m Z @ " O CL C N `z N O Q O O U N Q O Z 0 m Z O� O C 'S 00 0 Z F d r a m O t Z Z d n d m C > a o .0. 0 Z a 0 O O po M 0 O 0 w Z O O u: 3 a U 0 O Ln rn M Lo w n 07 n M CL o of °o C N m a O E O 3 m c L r- st !2 m c E N E - N r M N > V C N O O @ a N � N E W m 0 m I v M m E E 'o a m L N 2 O CL rrn U d U) h rn � a c U O N W N O .� d ID O o jn U � r M O O C? Z > @ a N � o c � 0 0 m I M o `? m O � � u7 V w � O C m O N N O C m m O rn O M O r r2 O O 0 0 0 Cl O O 0 V 6 Cl 0 v o 0 0 ¢ o Z C o N e m a m C m C O O _O rn O O O U c* C 3 O m w y � m C N CL C _ � N m Cc W N G d � m o Ov rn _ o N 0 O N O W O O N o N 'c o j � rn L7 Lm o U LL M w J M M N 3 m 0 m o U N >` O � N N N T N N @ @ m m Cl) m > @ rn J LL Q m - C '7 y 01 N N N m e m CD O N C U L7 L C =¢ C N CU m N 7 > o U m p r- V- Z L U U O F - ui m ui rn ca m in O �n O O 2D O > r- > O caw O 0 0 Cl O O 0 rn O ko N LO O N bq O O u9 O W d O N O O M l! J LL w M 2 O 0 0 0 O CQ O 0 O CQ 0 OGo� O 0 LO 0 0 LQ N O otf N Y in Q. J O rn H O) LL ca U O o N O N 0 U O N -o O CL E 0 U 3 c N L H i Y O @ Q. T T m F r' E ° o ° S N @ m 0 m m > m � O> Z O p m 6 a O°aDUW F m c �a � V N o > O jn U � m N O � � ° Z > @ a N � c � N m o N 0, m � oa u7 V w � O C m O N N C m m rn O o 0 0 0 O CQ O 0 O CQ 0 OGo� O 0 LO 0 0 LQ N O otf N Y in Q. J O rn H O) LL ca U O o N O N 0 U O N -o O CL E 0 U 3 c N L H i Y O @ Q. T T m F r' E ° o ° S N @ m 0 m m > m � O> Z O p m 6 a O°aDUW F m c �a � V N o > O H�R 3 a (\ \ p / GE] cc - \/ / -00 -] \ ®(0 < �0z .m )� &\§ ) \� 0 0 w } / ) \ > M 70: 5 /2[ \ « 0 lz / &kk / A3/ LU } 2 ) cc \ \\\ k )k )� k\ z ! )| } \ \\ «ƒGƒ 2 20 .z / 2 z J EK \\ 0 j\ \ I � � \ \ \ \ 2\ \ / </} - LLJ 2 \ \ = 3 \§ \/ /\ \ \ \ ) \ \ \ `\ - / </u ® zeo= 2 \ \ » / LO / 2 z J EK \\ 0 j\ \ I � � \ \ \ \ 2\ \ / </} - LLJ 2 \ \ = 3 \§ \/ /\ \ \ \ ) \ \ \ `\ - / </u ® zeo= 2 \ \ » / & ® \ � / 2 z J EK \\ 0 j\ \ I � � \ \ \ \ 2\ \ / </} - LLJ 2 \ \ = 3 \§ \/ /\ \ \ \ ) \ \ \ `\ - / </u ® zeo= 2 \ \ » / J EK \\ 0 j\ \ I � � \ \ \ \ 2\ \ / </} - LLJ 2 \ \ = 3 \§ \/ /\ \ \ \ ) \ \ \ `\ - / </u ® zeo= 2 \ \ » / \§ \/ /\ \ \ \ ) \ \ \ `\ - / </u ® zeo= 2 \ \ » / Agenda Item No. 16, Paae 39 of 51 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: LASIP Mitigation Area PROJECT* 51101 PROJECT MANAGER: Margaret Bishop 3utb BIDIRFP ?RO MOD M i PO#: 4500061082 WORK ORDER M. ABB- FT- a49D -06 -02 DEPARTMENT: Road Maintenance CONTRACTORIFIRM NAME: Agnoll. Barber & Brundage, Inc. Original Contract Amount: $ 73 D00.00 (Starting Point) Current BCC Approved Amount: $73,000.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $73,000.00 (Including All Changes Prior To This Modification) Change Amount: $0.0 Revised Contract/Work Order Amount: $73 OOD.00 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order: $0.0 Date of Last BCC Approval /NIA Agenda Item # Percentage of the change overlunder current contract amount 0.0 Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: January 21, 2007 CURRENT: December 31 2012 Describe the change(s): Increase the time of completion date to include monitoring for a 5 year period as required by the SFWMD permit conditions. Specify the reasons for the change(s) ( 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity Ajustments r. 4. Correcticn of Errors (Plans, Specifications or Scope of Work) f- 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: This change was requested by: 1-Contractor /Consultant f-11 Owner ri Using Department I_ CDES E Design Professional r- IRegulatory Agency (Specify) r-Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: I- Yes r- No This form is to be signed and dated. APPROVED REVIEWED Revised 11. 19.2007 Date: is -U Date: Y�/a I k CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: General Consulting Services PROJECT*: NIA PROJECT MANAGER: Theresa Cook BIDIRFP #: 05 -2889 MOD #: 1 PO #: 4500088889 WORK ORDER #: URS -FT- 3889 -08 -01 DEPARTMENT: Airport Authority CONTRACTORIFIRM NAME: URS Corp. Original Contract Amount: $ 31000 _ (Starting Point) Current CCAA Approved Amount: $ 30,000 (Last Total Amount Approved by the CCAA) Current Contract Amount: $ 30.000 (Including A;l Changes Prior To This ivlodification) Change Amount: 5 55.872 Revised ContractlWork Order Amount: $ 85.872 ,Including This Change Order) Cumulative Dollar Value of Changes to this ContractlWork Order: $ 55.872 Date of Last CCAA Approval 11/05/07 Agenda Item # X. E. Percentage of the change over /under current contract amount r !o Formuia: (Revised Amount 1 Last CCAA approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: 9/30108 CURRENT: 9130 /np Describe the change(s): C;,arae score to a_;d additiwzai enaineerinq cons,.i tinq services as required Specify the reasons for the change(s) X 1. Planned or Elective 2. Unforeseen Conditions 3. Quantity Adjustments ` -4 4. Correction of Errors (Plans, Specifications or Scope of Work) X 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: CCAA will be unable to proceed with land accluisitfons arant applications and capital projects and other projects that reouire enaineerinq and clannfna. This change was requested by: i - IContractor /Consultant X Owner 3— ( Using Department '— CDES E.)esign Professional ? Regulatory Agency (Specify) + Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: X Yes No This form is to be g R an—ddated. APPROVED BY: Project Manager REVIEWED BY: Con a Specialist Revtseu 11. 19.2007 Date: L9 - /..Y - a Date: �7" ;)/ "cla r - ,genau item hio. 15L3 October 14, 2008 Pa(;e -11 C)1 51 CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Gateway Triangle Q- PROJECT #: _51803, PROJECT MANAGER: S. Cox BIDIRFP M 05 -3657 MOD #: 1 POM doo `WORK ORDER M URS -FT- 3657 -08 -0i DEPARTMENT: Road Maint I Stormwater CONTRACTORIFIRM NAME: URS Corporation Inc Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised ContractlWork Order Amount: Cumulative Dollar Value of Changes to this ContractlWork Order: $ 78,360 (Starting Point) $ NIA (Last Total Amount Approved by the BCC) $ 78,360 (Including All Changes Prior To This Modification) $ 0 $ 78,360 (Including This Change Order) $ 0 Date of Last BCC Approval NIA Agenda Item # Percentage of the change overfunder current contract amount —0 % Formula: (Revised Amount I Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: June 15, 08 CURRENT: Sept 13,108 Describe the change(s Add 90 days to time to completion due to late start at onset of construction (contractor's request) and additional close -out work with Engineer -of- Record Specify the reasons for the change(s) r 1. Planned or Elective �_* 2. Unforeseen Conditions !_ 3. Quantity Adjustments (` 4. Correction of Errors (Plans, Specifications or Scope of Work) 1` 5. Value Added f 6. Schedule Adjustments Note: One or more maybe checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: Project oversight consultant needed for project closeo This change was requested by: rl-IContractor /Consultant rl Owner F-1 Using Department f_ CDES I Desian Professional rlRegulatory Agency (Specify) 17-0ther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: )^ Yes No This form is to be signed and dated. APPROVED BY: !•' v` Date, lo je Manag REVIEWED BYDate: tract Specialist Revised 11. 19.2007 31 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Rita Eaton Park PROJECT #: 800821 PROJECT MANAGER: Vicky Ahmad BIDJRFP #: -Nhk '{ MOD #: 1 PO#: 4500092250 WORK ORDER # TLO- MA,3614-08 -08 DEPARTMENT: Parks & Recreation CONTRACTOR/FIRM NAME: McGee & Associates Original Contract Amount: Current BCC Approved Amount Current Contract Amount Change Amount Revised Contract/Work Order Amount: $ _2,130.00 (Starting Point) $ WA (Last Total Amount Approved by the BCC) $_2,130.00 (including All Changes Prior To This Modification) $_0 $_2,130.00 . (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order. $_p Date of Last BCC Approval NIA Agenda Item # N/A Percentage of the change over /under current completion date -0 % Formula: (Revised Amount 1 Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: May 15, 2008 CURRENT: August 30, 2008 Describe the change(s): Add more days to the work order. The completion time is being extended until August 30, 2008. 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) (-, S. 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: Work order will be closed prior to completion of work. This change was requested by: rGContractor /Consultant F- f Owner rl Using Department r CDES EDesign Professional rlRegulatory Agency (Specify) 70ther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: F Yes W No Thls tnrm is to ho einnaA anrd rdstarl APPROVED REVIEWED Revised 11.19.2007 r, Date: lS Date:�� 1 SOPcfDh , >r 14; P,.,r)e 43 of 51 CONTRACTlWORK ORDER MODIFICATION CHECKLIST FORM ,�% PROJECT NAME: Palm S rin Park PROJECT #: 60077 PROJECT MANAGER: Vic Ahmad `� PRO p � � 6Lf -It( BtD /RFP #: -N:+� MOD #: 1 PO# _4500092251 WORK ORDER #: TLO -MA- 3614 -08 -09 DEPARTMENT: Parks & Recreation CONTRACTOR/FIRM NAME: McGee & Associates Original Contract Amount: $ _1,900.00 (Starting Point) Current BCC Approved Amount: $ NA (Last Total Amount Approved by the BCC) Current Contract Amount: $_1,900.00 (Including All Changes Prior To This Modification) Change Amount: $ 0 Revised Contract/Work Order Amount: $ 1,900,00 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order: $ 0 Date of Last BCC Approval WA Agenda Item # NIA Percentage of the change overlunder current contract amount 0 % Formula: (Revised Date / Last BCC approved date )-1 CURRENT COMPLETION DATE (S): ORIGINAL: May 16, 2008 CURRENT: August 30, 2008 Describe the change(s): Add more days to the work order. Completion date on the existing Work Order was a typo and it is corrected to May 16. 2008; the completion time is also being extended until Auqust 30, 2008. Specify the reasons for the change(s) f-' 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative Impacts to the project if this change order were not processed: Work order will be closed prior to completion of work. This change was requested by: r-fContractor /Consultant F'I Owner r-1 Using Department 1: CDES [Design Professional rlRegutatory Agency (Specify) [Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes F No This form is to be signed and dated. �/ APPROVED BY: Vick Ahmad `� 161 Date: Project M4&ger REVIEWED BY Date: Revised 11. 19.2007 ;8! "tea .tern �1o. 1U =3 { of 5,1 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM 11/19107 PROJECT NAME: Palm River Estates Unit #8 Stormwater imorovements PROJECT #: 511361 PROJECT MANAGER: Val Prince BIDlRFP #: 05 -3975 MOD#: t PO#: 4500084288 WORK ORDER #: PBS -Ff'- 3975- 07 -01, DEPARTMENT: Stormwater Management Section CONTRACTOR/FIRM NAME: PBS &J Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised Contract/Work Order Amount: Cunmutative Value of Changes to This ContractlWork Order. $ 135,110.00 (Starting Point) S N.A: (Last Total Amount Approved by the BCC) $ 135.110.00 (Including All Changes Prior To This Modification) $ 0.00 $135,110.00 (Including this Change Order) S 0.00 Date of Last BCC Approval: N.A. . Agenda Item # : N_A. Percentage of the change overfunder current contract amount: 0.00 Formula: (Revised Amount I Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 12 /3007 CURRENT: 01 /31/09 Describe the change(s): No Cost Tiime Fztension - To add additional time to current Work Order. Extension will be from Sunday, December 30, 2.0.07 by four hundred twentv -seven (427) calendar days. The new Completion Dale shalt be on or before Sunday January 31 2009 Based on the findings of the design orofessioral, this extension of time will allow the vendor to complete the adjusted scope of work as indicated in Exhibit "A" and enable them to be Daid under their current P.O. Also see Exhibit "A" for the Original Scope of Work and Adiusted Scope of Work under W PBS-FT-3975-07-01, Agenda Item No. 15F7 - Octcber 14, '1 r=age 45 of 51 Specify the reasons for the change(s): 1. Planned or Elective 2. Unforeseen Conditions 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) 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: will create non - payment of the vendors invoice. This change was requested by: r- (Contractor /Consultant P'I Owner r-1 Using Department _ CDES PDesign Professional rlRegulatory Agency (Specify) rOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes F No This form is to be signed and dated. APPROVED BY: i 7z+' C;;+ Date: _ ," Pro c Manager REVIEWED BY: te: Contract Specialist «.. ,., 14, 2riD3 age _ i CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Building F Security Lobby PROJECT* 52525 PROJECT MANAGER: Bob Pierce BID /RFP #: 0 �-_33S-JMOD #: 9 PO #:4500078895 WORK ORDER #:VJL -FT -3929 -07 -04 DEPARTMENT :Facilities CONTRACTORIFIRM NAME:Victor J Latavish Architects, PA Original Contract Amount: $ 34,960.00 (Starting Point) Current BCC Approved Amount: $_WA (Last Total Amount Approved by the BCC) Current Contract Amount: $ 34,160.00 (including All Changes Prior To This Modification) Change Amount; $ 3,200.00 Revised Contras Miork Order Amount: $ 37,360.00 (Including This Change Order) Cumulative Dollar Value of Changes to this Contract/Work Order. $ 3,200.00 Date of Last BCC Approval NIA Agenda item # NIA Percentage of the change over /under current contract amount 9.37 % Formula: (Revised Amount / Last BCC approved amount) -1 CURRENT COMPLETION DATE (S): ORIGINAL: 411212008CURRENT: 4112/2009 Describe the change(s):Increase reimbursables to cover the cost to investigate utilities within the building footprint. Specify the reasons for the change(s) 1. Planned or Elective 2. Unforeseen Conditions 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) 5. Value Added 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of� the 7change(s). Identify all negative impacts to the project if this change order were not processed: This change was requested by: rlContractor /Consultant ` I Owner I Using Department L CDES - Design Professional iRegulatory Agency (Specify) Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes XN0 This form is to b APPROVED BY: REVIEWED BY: Date: X142,415 Date: >` f N Octob =: r 14,2008'-1 47 if 5 CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Crash Data Management System PROJECT M NIA PROJECT MANAGER: Eugene Calvert BID/RFP M DS -3975 MOD #: 1 PO#:4500090280 WORK ORDER M TO- FT- 3975-08 -01 DEPARTMENT: Traffic Operations CONTRACTOR/FIRM NAME: Tindale Oliver & Associates Original Contract Amount: Current BCC Approved Amount: Current Contract Amount: Change Amount: Revised Contract/Work Order Amount: Cumulative Dollar Value of Changes to this Contract/Work Order. $ 10,000.00 (Starting Point) $10,000.00 (Last Total Amount Approved by the BCC) $10,000.00 (Including AN Changes Prior To This Modification) $3,000.00 wome— 6, (including This Change Order) S10 a" Wv _�t e©r 0 Date of Last BCC Approval—NIA Agenda Item # /� Percentage of the change overlunder current contract amount Formula: (Revised Amount / Last BCC approved amour )}l CURRENT COMPLETION DATE (S): ORIGINAL: �� O CURRENT: Describe the change(s): Reconfiguration of database system due to Microsoft 2007 not integrating with current database Specify the reasons for the change(s) M 1. Planned or Elective ,c?. Unforeseen Conditlone A C 3. Quantity Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) G 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: / fL� GA�DUfGi This change was requested by: r7fContractor /Consultant s Owner 1771 Using Departmen ` C ODES , . _. design Professional C1Regulatory, Agency (Specify) rOther (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: (- Yes r No This form is to be sin ed and dated.. "I i APPROVED BY: . C Data: P Mana REVIEWED BY: Date: t Specialist Revised 11.19.2007 Page 48 �,f 51 Change Order No. I Page 2 CONTRACT/WORK ORDER MODIFICATION PROJECT NAME; Wyndemere Rehab -NEP PROJECT #:73972 PROJECT MANAGER: James Salnvilus BID /RFP #: 05 -3785 MOD #: i #; 4500090952 WORKORDER #: HM- FT- 3785 -08 -02 UtF'AK I MtN I: NUtU GUN I KAG 1 UK1hIKM NAMt: dole Montes Inc. Original Contract Amount: $ 52,615.00 (Starting Point) Current BCC Approved Amount: $_52,61S.00 (Last Total Amount Approved by the BCC) Current Contract Amount: $ 52,615.00 (Including All Changes Prior To This Modification Change Amount: $— 8,950.00 Revised Contract/Work Order Amount: $_61,565.00 (Including This Change Order) Cumulative Dollar Value of Chances to this Contract / Work Order: $ _8,950.00 Date of Last BCC Approval_09 /27/05 Agenda Item # _16.C.14 Percentage of the change over /under current contract amount 17.01% Formula: (Revised Amount / Last BCC approved amount)-1 CURRENT COMPLETION DATE (S): ORIGINAL: 10/25/2008 CURRENT: 10/25/2008 Describe the change(s Additional support services included field survey, right- of -wav staking and locate pump station for record purposes. Specify the reasons for the change(s) r 1. Planned or Elective (- 2. Unforeseen Conditions C' 3. Quantity Adjustments r' 4. Correction of Errors (Plans, Specifications or Scope of Work) r? 5. Value Added ( 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: Without the survey and the right -of -way staking we may install the new electrical panels outside the County easements. This change was requested by: r�Contractor /Consultant I✓I Owner 1-1 Using Department f= CDES [:Design Professional f—IRegulatory Agency (Specify) rOther (Specify) CONTRACT SPE IALIST PARTICIPATION IN NEGOTIATIONS: F7 Yes r No Prepared by: Q _ Date: Qh James Sain vilus, Projec�I Gager �tP of - Utilities Engin mg Approved 5y: Date: f �S (& Dianna Perryman, Contract Speci s Age,nda item No. 16E3 //-�� October 14, ?003 1V Paae 49 of 51 CONTRACT/WORK ORDER.MODIFICATION RECEIV`�D CHECKLIST FORM "� [] PROJECT NAME: F.NCP PROJECT #. 1 $0015 PROJECT MANAGER: Tony Rube to J d� BID/RFP OG►- 316 MOD # 1 PO#_l500091M0i WORK ORDER $: g(3M4T3M4609 DEPARTMENT: Parks & Recreation CONTRACTORMIRM NAME: 4 Grady Minor 3 Assodates. P.A. thereat 9C C Apwaved Am ou t~ fbVlfsd Cc"treotliAfork Oradw Amouot. Care Dollar Vab" of chmiges to 'this ConftadlWork Larder: s �a,�000 i8tartin9 ) i (Last ToW AmKint Approved by the BCC) s_26I 95° (irrduc8ntig AN Charagm Prior To TMs M Mc e ion) S :�Z6.9110;00 {ixtuding This Change order) S' O n of Loot t3CC Appraval RYA Agenda Um # WA Pw,cm of the claugo over AOXW aislrerit -comp kftm daft C % Vomm"- (RWeed Amount ! Last 8CC eppr*Yed ampunt) -t CURRENT COMPLETION DATE (S); ORICi MAL; Fehr XY & 2ii08 CURRENT: October 6.2008 0esCdb0thWxb 09e(V 1 rkled :October S. 2085. . far .tom Gds} r 1. P.larntetl Ar 3ectivb ' , 2 Unfere3em Conditions { & QUarift d. >rorrattion *f En=3 jP! nts, Specificat ions or Scope of iWork) ~ S. Vakm Added & Schedule Ad;admente hoft: One or mare may be checke4 depending on the nahm of the charge.(s� Mentify all negative hnpacts to the project if this Change order were not prod: iNork ort w%j bps cioaeA lr to <3omfliet� of #c. This change was requested try: + [CantractodConsultant "I Owner Using Department ! CDES !-Design Professional I [Regulatory Agency (Specify) Other (Specify) CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS. Yes No This form is to be signed and dated. APPROVE D REVIEWED BY. Ton v R(Ldo, Date: 7 &�p _je anage i B Date: a dalist _._. d / 3 CONTRACT/WORK ORDER MODIFICATION p CHECKLIST FORM PROJECT NAME: On Call Project Management PROJECT #: EAG -FT- 4135 -08.01 PROJECT MANAGER: Jeff Bolen j BIDlRFP P. OT -4135 MOD#: PO#-.46OW96504 WORK ORDER #: EAG -FT- 4135-08-08 ` DEPARTMENT: Information Technology CONTRACTORTIRM NAME: Executive Alliance Group Original Contract Amount: $ _12000.00 (Starting Point) Current BCC Approved Amount: $ � 1 (Last Total Amount Approved by the BCC) Current Contract Amount, $ 12,000.00 (Including All Changes Prior To This Modification) Change Amount: S_3,750.00 Revised Contrad Work Order Amount: Sr15,T50.00 -- (including This Change Order) Cumulative Dollar Value of Changes to this Contracl/Work Order. S 3,760.00 Date of Last BCC Approval Agenda Item # 16FIY Percentage of-the change oder/under curnent'oontract amount Formula: (Revised Amount / Last BCC approved amountrl CURRENT COMPLETION DATE (S): ORIGINAL: September 30 2008 CURRENT: September 30. 2008 Describe the change(s): Additional hours needed to complete the system upgrade and documentation needed to stabilize the system as well as to bring it to a supportable condition. Specify the reasons for the change(s) r 1. Planned or Elective X 2. Unforeseen Conditions f' 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r` 5. Value Added r S. 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 without the additional work. This change was requested by: r-bontractor /Consultant FI Owner X Using Department C CDES r-Design Professional FIRegulatory Agency (Specify) rO her (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No This form is to be signe -O a d ated,,� APPROVED BY;-. roj a A REVIEWED BY: '- � l cor6t4CT eaalist Date: 9 -i "7 •�l k Date: / 7 / . �0� A ry N / .^'.=nU-a item o. 4 64E3 ! Z October 14 2003 t Pace �71 of 51 r CONTRACTIWORK ORDER MODIFI ATION CHECKLIST FORM i PROJECT NAME: Electrical Corm {onent Testing PROJECT M ROJ ECT MANAGER:_Pamela Libby BIDIRFP #: 07 -4168 MOD Ik ( POM4, 50009M88 WORK ORDER #:IET -FT- 4166 -08 -01 DEPARTMENT: Water Distributioi CONTRACTOPlFIRM NAME: industrlll Electric Testino Original Contract Amount Cunent BCC Approved Amount Current Contract Amount: Change Amount Revised ContractfWoric Order Ar Cumulative Dollar Value of Chan) this CorftctlWork Order. Date of Last BCC Approval 12.11 Percentage of the change ovary Formula: (Revised Amount I Last E CURRENT COMPLETION DATE Describe the change(c):Adah Specify the reasons for tho I Adjustments r 4. Correc o* r 6. Schedule Adjustmenis Identify all negative impa Plant would be unable to k This change was requested 4 rDesign Professional rl i CONTRACT SPI This form Is to k APPROVED BY: APPROVED BY: REVIEWED BY: $ 1,000.00 (Starting Point) 1,000.00 (Last Total Amount Approved by $:1,000.00 ( Including All Changes Prior To l S 190.00 int: $ 1,190.00 (Including This Change Order) to $190.00 f007 Agenda. Item *16C3 IC current contract atnount� (�D)O C approved amountyl LU ): ORIGINAL: 09130120018 CURRENT: dons[ Work needed to troubleshoot circ i �hange(s) C— 1. Planned or Elective C' lof Errors (Plana, Specifications or Sco Ndte:_One or more May be checked, d Ito the project if this change order w< f producing water. f: Contractor /Consultant 171 Owner Agency (S ATION IN NEGOTIATIONS: I— �i i cevised 2 -22 -08 .i I 'i ,i Date: Date: Date: BCC) Modification) breakers, Unforeseen Conditions r`. 3. Quantity of Work) (" S. Value Added ending on the nature of the change(s). not processed: Repairs not done Water 171 using Department C CDES rOther (Specify) P-1 No isle