Backup Documents 06/08/2021 Item #16A20 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 2 0
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(Lusty 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 CMG 6/8/21
4. BCC Office Board of County
Commissioners (o'—
• �1t
CY'fl
5. Minutes and Records Clerk of Court's Office
:23411111
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 06/08/2021 Agenda Item Number 16A20
Approved by the BCC
Type of Document Work Order APTIM LGFR 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 Attomey'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 06/08/2021 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 forth A, an option for
Chairman's signature. this line.
I: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
1 6 A a U
MEMORANDUM
Date: June 11, 2021
To: Jessica Arencibia, Operations Analyst
Deputy County Manager's Office
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Work Order/Purchase Order for Contract #18-7432-CZ
"Professional Services Library Coastal Engineering
Category" Project: FDEP LGFR Analysis
Contractor: APTIM Environmental & Infrastructure, LLC
Attached for your records are one (1) scanned copy of the document as referenced
above, (Item #16A20) adopted by the Board of County Commissioners on Tuesday,
June 8, 2021.
The Boards Minutes and Records Department has kept the original as part of the
Board's Official Records.
If you have any questions, please feel free to contact me at 252-7240.
Thank you.
Attachment
16A2I1
,WORK ORDER/PURCHASE ORDER
Contract 18-7432-CZ"Professional Services Library Coastal Engineering Category"
Contract Expiration Date: March 9,2025,J
This Work Order is for professional Engineering Services for work known as:
Project Name:FDEP LGFR Analysis
Project No: 90065.1
The work is specified in the proposal dated March 30,2021 which is attached hereto and made a part
of this Work Order. In accordance with Terms and Conditions of the Agreement referenced above,
Work Order/Purchase Order# is assigned to: APTIM Environmental &Infrastructure,
LLC.
Scope of Work:As detailed in the attached proposal and the following:
* Task 1 South Marco Beach LGFR Application
* Task 2 North County Beaches &Doctors Pass LGFR Application
* Task 3 Wiggins Pass LGFR Application
* Schedule of Work: Complete work within 180 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 # 18-7432-CZ 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)ZTime &Material(T&M)(established hourly rate— Schedule B)
Cost Plus Fixed Fee (CPFF), (define which method will be used for which tasks) as provided in the
attached proposal.
Task 1—South Marco Beach LGFR Application $6,528.00 T&M
Task 2—North County Beaches &Doctors Pass LGFR Application $9,476.00 T&M
Task 3—Wiggins Pass LGFR Application $6,528.00 T&M
Total Project Fees: $22,532.00
D44tvAty signori by
PREPARED BY:
MillerAndrew o:=,,,9
10:4025-04'00'
Andy Miller, Principal Project Manager
CAO
16A20
Date
APPROVED BY: Digitally signed by Patterson_a
Patterson a Date:2021.04.2310:29:31
— -04'00'
Amy Patterson,Department Director Date
APPROVED BY:
„,„ Thaddeus Cohen,Department Head to
By the signature below,the Firm(including employees, officers and/or agents)certifies, and hereby discloses,
to the best of their knowledge and belief, all relevant facts concerning past, present,or currently planned inter(
activity(financial,contractual,organizational,or otherwise)which relates to the proposed work;and bear on why
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 a
or potential conflict of interest that arises during the Work Order and/or project duration.
UL
ACCEPTED B :APTIM Environmental &Infrastructure, hie. ll
/I /21
Nicole Sharp Date
.I A„
16A20
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 COLLIE O Y,FLORIDA
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