Backup Documents 01/12/2021 Item #16A31 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 31
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The 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 County Attorney 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 routinglines#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 1-14-21
4. BCC Office Board of County PT : ` 1-14-21
Commissioners
5. Minutes and Records Clerk of Court's Office 0% 1 17. i
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 Robert Wiley/Stormwater Improvement Contact Information 239-252-2322
Contact/Department
Agenda Date Item was January 12,2021 Agenda Item Number 16A31
Approved by the BCC
Type of Document Change Order 3R.3 to Agreement No. 18-7322, Number of Original 1
Attached "West Goodlette Frank Road Area Joint Documents Attached
Stormwater-Sewer Project"with WPM-
Southern,LLC in the amount of$374,149.77
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 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 RW
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 N/A
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 RW
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 RW
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 1/12/2021 and all changes made during RW
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 forth;
Chairman's signature.
f`ectS02 SQA Rt*nC S Birth 0 eopw
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16A31
MEMORANDUM
Date: January 20, 2021
To: Robert Wiley, Stormwater Improvements
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Change Order #3R.3 to Agreement #18-7322 w/WPN-
Southern, LLC
Attached is a copy of the agreement referenced above, (Agenda Item #16A31) approved
by the Board of County Commissioners on Tuesday, January 12, 2021.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
Attachment
16A31
MEMORANDUM
Date: January 20, 2021
To: Gino Santabarbara, Principal Planner
Impact Fees & Program Management Division
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Change Order #3R.3 to Agreement #18-7322 w/WPN-Southern,
LLC
Attached are is a copy of the document as referenced above, (Agenda Item #16A31)
approved by the Board of County Commissioners on Tuesday, January 12, 2021.
If you have any questions, please feel free to call me at 252-8411.
Thank you.
Attachment
16 A3 �
Procurement Services
7e1' Change Order Form
®Contract Modification ❑Work Order Modification ❑Amendment r
Contract#:l II
111 18-7322 Change#:13R.3 ]Purchase
Order#:l4500192501 Project#:1601423
WPM-Southern, LLC West Goodlette-Frank Road Area Joint Stormwater-
Contractor/Firm Name: Contract/Project: Sewer Project
Name:Manager Project
Robert Wiley Capital Project Planning,Impact Fees and Program
9 Division Name: Management
Original Contract/Work Order Amount $ 6,715,239.00 7-10-18; 11.G Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 6,715,239.00 ' Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $ 6,715,239.00 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 6,715,239.00 0.00% Change from Current BCC Approved Amount
Cumulative Changes j $ 0.00 0.00% Change from Current Amount
Completion Date,Description of the Task(s)Change,and(Rationale for the Change
Notice to Proceed[ 11-26-18 1 Original I 11-25-20 Last Approved 102-09-21 Revised Date f
3-3-21 I
Date I Completion Date Date I(Includes this change)
#of Days Added [22 Select Tasks 0 Add new task(s) 0 Delete task(s) 0 s Change task(s)( ) Other(see
below)
Provide a response to the following:1.)detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested);2.)why this change was not included in the original contract;and,3.) describe the impact
if this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1. This Change Order#3R.3 addresses changes incurred during construction for: [see the attached spreadsheet from the engineering
design firm,Q.Grady Minor]
• increases the quantity of concrete,asphalt,and brick paver driveway restorations,
• decreases the quantity of decorative concrete driveway restorations,
• increases the quantity of road restoration stabilized subgrade, limerock base,and asphalt,
• increases the quantity of 15"perforated high density polyethylene pipe(HOPE),
• returns the quantity of 24"perforated HDPE back to the original amount,
• increases the quantity of 18"HDPE pipe,
• decreases the quantity of 24"and 36"HDPE pipe,
• decreases the quantity of 18",24",30"and 36°reinforced concrete pipe(RCP),
• decreases the quantity of Type C and Type E ditch bottom inlets,
• increases the quantity of Inline Yard Drains and Type X Yard Drains,
• decreases the quantity of J-Bottom inlet structures,
• decreases the number of connections to existing stormwater structures, and
• decreases the number of connections of existing storm pipe to new stormwater structures.
• Adds twenty-two(22)days to the contract time
This Change Order#3R.3 is to authorize the use of existing Contingencies funding in the amount of$374,149.77 that is available within
the contract for this work. Change Order#3R.3 also adds 22 days to the contract time to account for weather delays and additional
unanticipated conditions and infrastructure conflicts discovered during construction.
2. This Change Order#3R.3 is necessitated by changed conditions encountered by the Contractor that were not reflected in the
construction plans available at the time of the original contract, and by discrepancies discovered between the plans and the bid form.
3. If this Change Order#3R.3 is not processed the increases to quantities will not be available for the contractor to bill against as
construction work progresses,and the work will not be completed within the allotted contract time.
0-2
Pre ared b : /
P Y !! Date: 12-15-20
Robert Wiley,Principal,project Manager,Stormwater Mgmt.Section
Capital Project Planning, Impact Fees and Program Management Division
Revised:10/28/2014 (Divisions who may require additional signatures may include on separate sheet.) I PROCUREMENT USE ONLY I
Admin BCC
I BCC ES
16A31
Approved by: /Pit a/ 0°2 0
Date:
Amy Patterson, sion Director
Capital Project Planning, Impact Fees and Program Management Division
114 N
(04
Approved by: Date: 01,A9
Thaddeus Cohen,Department Head
04\j
Growth Management Department
Acceptance of this Change Order shall constitute a modification to contract/work order identified above and will be subject to all the same
terms and conditions as contained in the contract/work order indicated above,as fully as if the same were stated in this acceptance. The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/
Design Professional arising out of or related to the change set forth herein,including claims for impact and delay costs.
Accepted by: Date:
William Leoni, -F'resident
WPM-Sou LC
Approved by: Date:
Justin'Frederiksen,Vice President
Q.Grady Minor and Associates, P.A.
Sc h n ee be rge rSa ra Digitally signed by SchneebergerSara
Approved by: Date:2020.12.23 12:02:31 -05'00' Date:
(Procurement Professional)
0'.: Board of ' our ommissioners
ATTEST Collier " 4.1. lorida
CRY- AL K.KINZE LERKLa3/4
/ ' / ' L By.
Penny Tay10 , hairperson
t
A est as to Chaim' ari"s
signature only.
pprovcd as to f legality
co .Teach, Deputy County Attorney
Revised:10/28/2014 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY j
i lice
Admin 1 1 BCC ES