Backup Documents 04/28/2020 Item #16A33 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 3 3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. '[he completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the Count) .lttorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routinLlines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office SRT 04/28/20
4. BCC Office Board of County e I�
Commissioners k V"
5. Minutes and Records Clerk of Court's Office Nyid-o :SV
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Gino Santabarbara Contact Information 239-252-2925
Contact/Department
Agenda Date Item was April 28,2020 Agenda Item Number 16A33
Approved by the BCC
12G3Type of Work Order to Kyle Construction,Inc., Number of Original 1
Document Attached under Agreement No. 14-6213,for Lely Documents Attached
Golf Estates Stormwater Improvement
Project,in the amount of$103,670(Project
6022)
PO number or account N/A
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be GS
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's GS
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the GS
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's GS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip GS
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 4/28/2020 and all changes made during GS
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
t6A33
MEMORANDUM
Date: May 5, 2020
To: Gino Santabarbara, Principal Planner
Impact Fees & Program Management Division
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Work Order to Agreement #14-6213 w/Kyle Construction, Inc. for
Lely Golf Estates Stormwater Improvement Project
Attached are is a copy of the document as referenced above, (Agenda Item #16A33)
approved by the Board of County Commissioners on Tuesday, April 28, 2020.
If you have any questions, please feel free to call me at 252-8411.
Thank you.
Attachment
16A33
WORK ORDER/PURCHASE ORDER
Contract 14-6213 Underground Utility Contractors
Contract Expiration Date: July 7th, 2020 if
This Work Order is for stormwater underground utility installation work known as:
Project Name: Lely Golf Estates Stormwater Improvements
Project No: 60224.1
The work consists of replacing 251 feet of collapsing ECMP with 251 feet of 30-inch HDPE stormwater
pipe plus associated structures specified in BidSync proposal 1910-007 dated November 7th, 2019
which is attached hereto and made a part of this Work Order. In accordance with Terms and Conditions
of the Agreement referenced above, this Work Order/Purchase Order is assigned to: Kyle
Construction,Inc.
Scope of Work: The work consists of coordination with Collier County PUD contractor for asbestos
water line pipe deflection, removal of existing landscaping and stormwater infrastructure, installation
of approximately 251 feet of 30-inch HDPE pipe along withthe associated curb inlet box and mitered
end outfall into golf course lake and work site landscape restoration as shown in bid plans.
Schedule of Work: Complete work within 90 days from the date of the Notice to Proceed which is
accompanying this Work Order. The Consultant agrees that any Work Order that extends beyond the
expiration date of Agreement# 14-6213 will survive and remain subject to the terms and conditions of
that Agreement until the completion or termination of this Work Order.
Compensation: In accordance with the Agreement referenced above, the County will compensate the
Firm in accordance with following method(s): ®Negotiated Lump Sum (NLS) ❑Lump Sum Plus
Reimbursable Costs (LS+RC) ❑Time & Material (T&M) (established hourly rate—Schedule A) ❑
Cost Plus Fixed Fee(CPFF),as provided in the attached proposal.
TOTAL FEE $103, 70.00 (Lump Sum)
PREPARED BY: �ZZ�N 3A) ko?,
Richard P. Orth,P.G.; Sr. Environmental Specialist Dat
REVIEWED BY: ?Lid /VI' 3/16/20
1
Gerald Kurtz,P.E., Principal Project Manager Date
APPROVED BY: 0/1/14/6 � 3/lOl a0
Amy Patten, Director Date
Capi;, 'roy- t Planning, Impact Fe: &Program Management
APPROVED:Y: /1411.04. 6.0 b
T a.deus L. Cohen,Department Head P .to
Growth Management Department
Page l of 3
16A33
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby
discloses,that,to the best of their knowledge and belief, all relevant facts concerning past,present, or
currently planned interest or activity (financial, contractual, organizational, or otherwise) which
relates to the proposed work; and bear on whether the Firm has a potential conflict have been fully
disclosed.
Additionally, the Finn agrees to notify the Procurement Director, in writing within 48 hours of
learning of any actual or potential conflict of interest that arises during the Work Order and/or project
duration.
ACCEPTED BY: Kyle C• s i" ction, Inc.
, 31 I zo za
I
ai am, 'Prceckna Date
•
Page 2 of 3
! 6A33
ATTg,,S'T: ".'• „..:;,?.." ,"` BOARD OF COUNTY COMMISSIONERS
Cryt� wtm. . Collier Co ,Florida
...
By:
.Kh J.
�' '� Burt L. Saunders, Chairman
Wiest as tct Ct4lrman's
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