Backup Documents 05/25/2021 Item #16A15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 15
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 routing lines#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 CM& 6 4/
4. BCC Office Board of County S a6'/�
a1
Commissioners
5. Minutes and Records Clerk of Court's OfficearQ 4114 1a.Jf
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 Jessica Arencibia/GMD 239-252-8345
Contact/ Department
Agenda Date Item was 05/25/21 Agenda Item Number 16A15
Approved by the BCC
Type of Document Work Order CSA(Hardbottom 2021) Number of Original 1
Attached Documents Attached
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 JA
2. Does the document need to be sent to another agency for additional signatures? If yes, JA
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 JA
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 JA
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
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
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JA
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 5/25/2021 and all changes made during JA N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the an option for
Chairman's signature. this line.
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16A15
MEMORANDUM
Date: May 27, 2021
To: Jessica Arencibia — Operations Analyst
Capital Projects Planning
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Work Order for Contract #17-7188 w/CSA Ocean Sciences,
Inc.
Attached for your records is an scanned copy of the document as referenced above,
(Item #16A15) adopted by the Board of County Commissioners on Tuesday,
May 25, 2021.
The original is being held in the Minutes & Records Department for the Board's
Official Records.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
Attachment
16A15
DocuSign Envelope ID:1614546C-3681.4A2C-B558-FCBF5E49C699
f WORK ORDER/PURCHASE ORDER
Contract 17-7188 "Professional Services for Nearshore Hardbottom Monitoring"
Contract Expiration Date: May 07, 2023
This Work Order is for professional Nearshore Hardbottom Monitoring services for work known as:
Hardbottom Monitoring
Project Name: Nearshore Hardbottom Monitoring
Project No: 195-90033.1 I
The work is specified in the proposal datedMarch 3, 2021 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:CSA Ocean Sciences, Inc.
Scope of Work: As detailed in the attached proposal and the following:
* Task I Administration, Travel, Mobilization and Demobilization
* Task 11 Field Monitoring Survey
* Task III Analysis, Reporting and Deliverables
* Task IV CSA Diver and Vessel Support
Schedule of Work: Complete work within 270 days from 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 No.17-7188 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
Reimb usable Costs(L$$+RC) ®Tiip� �c Material (T&M) (established hourly rate—Schedule A) ❑
Cost Plus FixedFee(L FF), as provided in the attached proposal.
Task I $16,419.50 (T&M)
Task lI $77,353.20 (T&M)
Task III $43,478.09 (T&M)
Task IV $32,708.42 (T&M)
$169,959.21 (T&M)
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CAC
16 A15
DocuSign Envelope ID:1614546C-3681-4A2C-8558-FCBF5E49C899
Digitally signed by
MiilerAndrew"'i"e 2118.0
Date:2021.Od.06
PREPARED BY: 15:11:49-04'00'
Andrew Miller,CZM Manager Date
Patterson a Digitally siyned by Patterson a
APPROVED BY: _ Date:2o2gnedb 1 •aott8e on aoa
erso , pt. irector Date
APPROVED BY:
•
,� Thaddeus L. Cohen, Dept. Head GMD
WORK ORDER/PURCHASE ORDER(Page 2)
Contract 17-7188 "Professional Services for Nearshore Hardbottom Monitoring"
Contract Expiration Date: May 07, 2023
Project Name: Nearshore Hardbottom Monitoring
Project No: 195-90033
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby
discloses, that,to the best of their knowledge and belief, all relevant facts concerning past, present, or
currently planned interest or activity (financial, contractual, organizational,or otherwise) which relates
to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally,the Firm agrees to notify the Procurement Director,in writing within 48 hours of learning
of any actual or potential conflict of interest that arises during the Work Order and/or project duration.
ACCEPTED BY: CSA Ocean Sciences, Inc.
—noeu:wewby: fit,
FratridC. f alu, II Apr 12, 2021
`Fe$aei cc' 'Ayer 11 Date
Executive Vice president
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S
I 6 A 1 5
DocuSign Envelope ID:1614546C-3681-4A2C-B558-FCBF5E49C699
IN WITNESS WHEREOF the parties hereto,have each, respectively, by an authorized person or
agent,have executed this Work Order on the date and year first written below.
ATTEST: BOARD OF COUNTY COMMISSIONERS
, Clerk of Courts COLLIER 0 Y, FLORIDA
' cC.,'
By:
e
cs Nor , Chair an
Dated:
.. t t tairman's
^e�:, r• ,.j GSA ocean
nai 0 Name of Firm sci ences inc.
...tr • tw• OoouIIgned by:
'�� .:....•`sto Byt Fmktaitt 6. Qv, If
Executive vice President
TType/print signature and titlel
”PittsWitstess
Susan Tudor
TType/print witness namet
Approv as to Form and Legality:
V •
ssistant County Att •ney
Print Name
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