Backup Documents 06/08/2021 Item #16A13 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 A 1 3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. :\ttach to original document. I he completed routing slip and original documents are to be liirssarded to the County:Attorne) 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 routingtines#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 6/8/21
4. BCC Office Board of County b (Ott.'a1
Commissioners %.)k:A)S,/
5. Minutes and Records Clerk of Court's Office ,pc( -'z_t ,: ,,4$1
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 Laurie Beard/GMD Contact Information 239-252-5782
Contact/Department
Agenda Date Item was June 8,2021 Agenda Item Number 16-A-13
Approved by the BCC
Type of Document Work Order under Agreement No. 16-6663 to Number of Original 1
Attached Ajax Paving Industries of Florida,LLC.,for Documents Attached
construction of the"Goodlette Road Paved
Shoulder Improvements"project in the amount
of$279,066.52
PO number or account
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 LB
signed by the Chairman,with the exception of most letters,must be reviewed and signed by
the Office of the County Attorney.
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 LB
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 LB
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 06/8/2021 and all changes made during LB t/A is not
the meeting have been incorporated in the attached document. The County Attorney's ption for
Office has reviewed the changes,if applicable. line.
9. Initials of attorney verifying that the attached document is the version approved by the BC is not
all changes directed by the BCC have been made,and the document is ready for the � 1�`_ ption for
Chairman's signature. fine.
1 6 A 1 3
WORK ORDER/PURCHASE ORDER
Contract 16-6663"Roadway Contractors"
Contract Expiration Date: September 23,2021
This Work Order is for roadway construction services for work known as:
Project Name:Goodlette Road Paved Shoulder Improvements
Project No:60118.12
The work is specified in the proposal dated March 18/2021,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:
Ajax Paving Industries of FL,LLC
Scope of Work: As detailed in the attached proposal and the following:
* Task I Paved Shoulder Construction
Schedule of Work: Complete work within 100 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# 16-6663 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) as
provided in the attached proposal.
Task I $ 279,066.52
TOTAL FEE $279,066.52
PREPARED BY:
Laurie Beard, Project M:xhager Date
Development Review Division,GMD
Dig4aUy signed by
Patterson a
PatterSon_a Date:2021.04 09
APPROVED BY: —,,, ,Y S•Jv,71' —_--
Amy Patterson, Division Director Date
Cap?t 1 'r 'ect Planning, impac 'ccs and Program Manageyment
/ /7
APPROVED BY: Jfr) ( ; ///
,� T dens L.Cohen, Department lead Gate
(�- Growth Management Department
16 A 13
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. ,�t I,w,i,,
l,,,,,,,
ACCEPTED BY: Ajax Paving industries of FL, l,l 1�' ...c*;v,t'OA;I•.9`
'
• 2UOf1 ;.i;7 April 1, 2021
Christie Alvaro,Director of listimii.t4 �,' •�O{1la1'';, Date
16A 13
ATTEST: BOARD O COUNTY COMMISSIONERS
Crystal K.Kinzel,Clerk of Courts COLLIE 0 Y,FLORIDA
&Comptroller
4-)(\ Utt)By. �� 1-� ' �� B
�l� y•
Penny Tayl ,Chairperson
Dated: J UV t f 1 l7`IJ
(SEAL) ±,
Ap ve as to fort at d 1 ality:
By:
Scott R.Tea
Deputy County Attorney
S
c M"
1 6 A 1 3
. .
. .
GOODLETTE ROAD PAVED SHOULDERS '
Colter County Project No.80118.12
BID SCHEDULE
Contractor. Alex Paying Industries of FL.LLC
Oats: 3/181202
DESCRIPTION UNIT QUANTITY UNIT PRICE AMOUNT
. _,.... <
' 101-1 MOBILIZATION LS 1 $26,683.09 $35,013.00
, .
• 102-1 MAINTENANCE OF TRAFFIC LS I $313,018.70 $38,018.70
i .
104-10.3 Sediment Barrier LF 2,446 $0.90 $2,203.20
110-1-1 Clearing&Grubbing AC 0.84 $12,814.13 $10,630.56
1 120-1 Regular Excavation CY 444 $17.88 $7,037.26 I
• 120-6 Embankment CY 187 $31.73 $5,298.91
180-4 Type B Stabilization SY 2,477 $12.48 $30,863.09
286-701 Optional Base,Base Group 01 SY 2,133 $10.64 $22,481.28
327-70-1 Milling Exledrig Asphalt,1"Avg.Depth SY 4,749 $3.48 $16,431.84
•
. 334-1-13 Superpave Asphalt Concrete(Traffic C) TN 170.3 $160.74 $27,372.72
.•
• 337-7-82 Asphalt Concrete Friction Course,FC-9.5,Traffic C,PG 76-22 TN 281.1 $208.80. $64,004.68
426-5-1 Manhole,Adjust,Utilities EA 6 $1,204.10 $7,224.60
570-1-2 Performance Turf,Sod SY 1,380 $4.49 $8,104.78
700-1-11 Single Post Sign,F&I,Less than 12SF _ AS 2 $802.05 $1,204.10 •
_ .
710-11-101 Painted Pavement Markings,Standard,White,Solid,6" GM 0.977 $1,629.16 $1,493.52
710-11-125 Painted Pavement Markings,Standard,White,Solid for Stop Une or Crosswalk LF 65 $1.14 $62,70
710-11-141 Painted Pavement Markings,Standard White,2-4 Dotted Guideline,6" GM 0.087 $540.15 $38.38
710-11-180 Painted Pavement Markings,Standard White,Message or Symbol EA 6 $80.88 $385.16
710-11-170 Painted Pavement Markings,Standard,White,Arrows EA 17 $45.86 $778.05
710-11-201 Painted Pavement Markings,Standard,Yellow,6" GM 0.08e $1,529.15 $151.83 •
•
1080-21-500. Utility Fixture,Valve/Meter Box,Adjust EA 3 $240.82 $722.48
SUB-TOTAL: $269,088.62
I 10000 'ROADWAY ALLOWANCE: !FIXED - 1 I $10,000.00 $10,000.00
: • , PROJECT TatAL: $279,088.62
. .
: .
[ •
S
P
i
i
[
e
I Prepared by Colder County Treble Operations 4/112021