Agenda 01/25/2022 Item #16E2 (Procurement Services Administrative Reports)01/25/2022
EXECUTIVE SUMMARY
Recommendation to approve the administrative reports prepared by the Procurement Services
Division for change orders and other contractual modifications requiring Board approval.
OBJECTIVE: To promote accountability and provide transpar ency to the public and gain the
Board’s approval/ratification for various procurement -related transactions.
CONSIDERATIONS: In accordance with the Board’s Procurement Ordinance 2017-08 and the
Procurement Manual, the Procurement Services Division produces a regular administrative report which
provides for Board approval of the following transactions:
• Change Orders that do not exceed ten (10%) of the current Board approved aggregate amount,
and/or require change in schedule (number of days);
• Amendments to contracts;
• After the fact memos from various County Divisions, as requested by the Clerk’s Finance staff
for the timely process of invoices.
• Other items as determined by the County Manager or designee that require Board approval.
This administrative report includes the following:
• Five (5) change orders that in aggregate modify contracts by -$2,381,287.34 and add 65 calendar
days to completion periods, see attached summary and backup for details; and
• Zero (0) amendments this period with a fiscal impact of $0.00; and
• Two (2) after the fact memos with a fiscal impact of $26,000 for additional services
FISCAL IMPACT: The net total for the seven (7) items is -$2,355,287.34.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority
vote for Board action. -JAK
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this
action.
RECOMMENDATION: To ratify/approve change orders and/or contract amendments and other items
as determined by the County Manager or designee in accordance with Procurement Ordinance 2017-08.
Prepared By: Sara Schneeberger, Procurement Strategist, Procurement Services
ATTACHMENT(S)
1. 0125 Change Order Report - FY22 (PDF)
2. 0125 Change Order Backup - FY22 (PDF)
3. 0125 After the Fact Report - FY22 (PDF)
4. 0125 After the Fact Backup - FY22 (PDF)
16.E.2
Packet Pg. 1554
01/25/2022
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 20975
Item Summary: Recommendation to approve the administrative reports prepared by the
Procurement Services Division for change orders and other contractual modifications requiring Board
approval.
Meeting Date: 01/25/2022
Prepared by:
Title: Business Technology Analyst, Senior – Procurement Services
Name: Sara Schneeberger
01/06/2022 8:30 AM
Submitted by:
Title: Manager - Procurement – Procurement Services
Name: Sandra Herrera
01/06/2022 8:30 AM
Approved By:
Review:
Procurement Services Ana Reynoso Level 1 Purchasing Gatekeeper Completed 01/06/2022 10:02 AM
Procurement Services Catherine Bigelow Additional Reviewer Completed 01/06/2022 10:05 AM
Procurement Services Sandra Herrera Additional Reviewer Completed 01/06/2022 11:15 AM
Agenda Clerk Preview Michael Cox Agenda Clerk Preview Completed 01/10/2022 3:48 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 01/10/2022 4:00 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 01/12/2022 9:25 AM
Office of Management and Budget Laura Wells Additional Reviewer Completed 01/18/2022 8:31 AM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 01/19/2022 4:12 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 01/25/2022 9:00 AM
16.E.2
Packet Pg. 1555
Item page #Contract/ Grant No.Change #DateProject Name Vendor Name Division - Project Manager Original Contract
Amount
Current Contract
Amount
Current Change
Order Amount
Revised Contract
Amount
% Over
Board
Approved
Amount
Contract
Length
Change in
length
(Days)
Updated
contract
length
Change in
length
(%)
1 1 17-7198 3 12/21/2021 Collier County Sports Complex
Phase 2.1 Manhattan Construction Florida, Inc.Facilities Management -
Ayoub Al-bahou $32,998,449.00 $32,851,646.00 $0.00 $32,851,646.00 0.00%456 0 456 0.00%
2 6 17-7198 4 12/30/2021 Collier County Sports Complex
Phase 2.1 Manhattan Construction Florida, Inc.Facilities Management -
Ayoub Al-bahou $32,998,449.00 $32,851,646.00 ($753,385.80)$32,098,260.20 -2.29%456 0 456 0.00%
3 18 21-7833 2 12/28/2021 GGCP Activity Pool
Reconstruction & Restroom Compass Construction Parks and Recreation -
Dayne Atkinson $958,060.00 $958,060.00 $0.00 $958,060.00 0.00%210 35 245 16.67%
4 20 20-7763 2 1/4/2022 NCWRF Effluent Filters No. 2 &
3 Equipment Replacement R2T, Inc.PUEPMD - Wayne Karlovich $2,752,629.00 $2,752,629.00 $0.00 $2,752,629.00 0.00%365 30 395 8.22%
5 22 17-7198 5 1/14/2022 Collier County Sports Complex
Phase 2.1 Manhattan Construction Florida, Inc.Facilities Management -
Ayoub Al-bahou $32,998,449.00 $32,098,260.20 ($1,627,901.54)$30,470,358.66 -5.07%456 0 456 0.00%
Meeting Date Total number of Change Orders Total Dollar
Change
Total
Change in
Days
1/25/2022 5 -$2,381,287.34 65
16.E.2.a
Packet Pg. 1556 Attachment: 0125 Change Order Report - FY22 (20975 : Procurement Services administrative reports)
1116.E.2.b
Packet Pg. 1557 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
2 16.E.2.b
Packet Pg. 1558 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
3 16.E.2.b
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4 16.E.2.b
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5 16.E.2.b
Packet Pg. 1561 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
this exhibit is not applicable
EXHIBIT F
CHANGE ORDER
Contract Modification Work Order Modification
Contract #: Change #: Purchase Order #: Project #:
Contractor/Firm Name: Project Name:
Project Manager Name: r: Department:
Original Contract/Work Order Amount $ 32,998,449.00 11.B 12/8/20 Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $ 32,851,646.00 11.B 12/8/20 Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 32,851,646.00 6/8/2022 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ (753,385.80) -2.73% Total Change from Original Amount
Revised Contract/Work Order Total $ 32,098,260.20 -2.29% Change from Current BCC Approved Amount
Cumulative Changes $ (900,188.80) -2.29% Change from Current Amount
Completion Date, Description of the Task(s) Change, and Rationale for the Change
Notice to Proceed Original Last Approved Revised Date
Date Completion Date Date ( Includes this change)
# of Days Added Select Tasks Add new task(s) Delete task(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.
Prepared by: ________________________________________________________________________ Date: ________________
(Ayoub Al-bahou, P.E., Principal Project Manager, Facilities Management Division)
Acceptance of this Change Order shall constitute a modification to the 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.
50156 17-7198 4 4500209838
Manhattan Construction Florida Inc. Phase 2.1 Collier County Sports Complex
Facilities Management Ayoub Al-bahou
3/9/21
0
1) This is a deductive change order for Direct Materials Purchases for the following
Authorization Request: 7675.007- Daktronics Scoreboards
Authorization Request for acknowledgement and Owner concurrence for the Direct Material Purchase of scoreboards material
cost $22,196.00 and sales tax savings $1,033.00. Please note that $1,033.00 is the estimated tax on the GMP.
Authorization Request: 7675.008- Musco Sports Lighting
Authorization Request for acknowledgement and Owner concurrence for the Direct Material Purchase of sports lighting material
cost $688,780.00 and sales tax savings $41,376.80.
.
2) Pursuant to Florida Statutes, Section 212.08(6), and Florida Administrative Code Number12A-1.094, Collier County is exempt from
Florida Sales Tax for the purchase of construction materials, supplies and/or equipment incorporated into any construction project and
Collier County includes participation in the direct material purchase effort in the construction for this project.
3) If this change order is not processed, the County will not be able to take advantage of the sales tax exemption at a cost savings of
6/8/22 6/8/22
2616.E.2.b
Packet Pg. 1562 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
Accepted by: ________________________________________________________________________ Date: ________________
(Manhattan Construction Florida, Inc.)
Approved by: _________________________________________________________________________ Date: ________________
(Davidson Engineering)
Approved by: _________________________________________________________________________ Date: ________________
(Ed Finn, Division Director)
Approved by: _________________________________________________________________________ Date: ________________
(Procurement Professional)
7 16.E.2.b
Packet Pg. 1563 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
Change Order/Amendment Summary
CO# AMD# Description
COST TIME
Justification Additive (+) Deductive (-) Days
Added New Amount
1
To deduct
builders risk
insurance and
approve the use
of owners survey
allowance
($146,803.00)
The use of the owner's
allowance and deduction for the
builder's risk insurance would
not be recognized.
2
To approve the
use of the
subcontractor's
allowance
The use of the subcontractor's
allowance would not be
recognized
3
To approve the
use of owners
testing allowance
The use of the owner's
allowance would not be
recognized.
4
To deduct and
approve Direct
Material
Purchases
($753,385.80) To take advantage of sales tax
saviongs.
8 16.E.2.b
Packet Pg. 1564 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
9 16.E.2.b
Packet Pg. 1565 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
10 16.E.2.b
Packet Pg. 1566 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
11 16.E.2.b
Packet Pg. 1567 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
12 16.E.2.b
Packet Pg. 1568 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
13 16.E.2.b
Packet Pg. 1569 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
14 16.E.2.b
Packet Pg. 1570 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
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17 16.E.2.b
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31816.E.2.b
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19 16.E.2.b
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1 3 2022
42016.E.2.b
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21 16.E.2.b
Packet Pg. 1577 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
this exhibit is not applicable
EXHIBIT F
CHANGE ORDER
Contract Modification Work Order Modification
Contract #: Change #: Purchase Order #: Project #:
Contractor/Firm Name: Project Name:
Project Manager Name: r: Department:
Original Contract/Work Order Amount $ 32,998,449.00 11.B 12/8/20 Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $ 32,098,260.20 11.B 12/8/20 Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 32,098,260.20 6/8/2022 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ (1,627,901.54) -7.66% Total Change from Original Amount
Revised Contract/Work Order Total $ 30,470,358.66 -5.07% Change from Current BCC Approved Amount
Cumulative Changes $ (2,528,090.34) -5.07% Change from Current Amount
Completion Date, Description of the Task(s) Change, and Rationale for the Change
Notice to Proceed Original Last Approved Revised Date
Date Completion Date Date ( Includes this change)
# of Days Added Select Tasks Add new task(s) Delete task(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.
50156 17-7198 5 4500209838
Manhattan Construction Florida Inc. Phase 2.1 Collier County Sports Complex
Facilities Management Ayoub Al-bahou
3/9/21
0
The below is related to the Collier County Sports Complex project. All cost breakdowns, fee breakouts, and detailed backup are
included with the AR documents within this change order package. Notwithstanding anything to the contrary above, Construction
Manager does not release and expressly reserves the right to pursue claims for time extensions and additional compensation that
arise out of or result from the COVID-19 outbreak and the responses to this outbreak, including implementation of any instructions,
restrictions, and/or requirements by any federal, state, or local governmental or public health entity resulting from this outbreak and
which claims may include, but are not limited to, additional time and costs due to labor or material shortages, quarantines, and
implantation of other safety and health protocols.”
1) This change order is requesting the following:
Authorization Request: 7675.009- Synthetic Turf Price Escalation
Escalation of costs for synthetic turf and field equipment to be funded from Owner Contingency in the amount
($544,908.43) for a zero-dollar change.
Authorization Request: 7675.011 – SCG Fields Synthetic Turf
Authorization Request for acknowledgement and Owner concurrence for the Direct Material Purchase of artificial; turf cost
$1,535,709.00 and sales tax savings $92,192.54.
2) Pursuant to Florida Statutes, Section 212.08(6), and Florida Administrative Code Number12A-1.094, Collier County is exempt from
Florida Sales Tax for the purchase of construction materials, supplies and/or equipment incorporated into any construction project and
Collier County includes participation in the direct material purchase effort in the construction for this project. County was unaware of the
cost escalation at the time the contract was awarded.
3) If this change order is not processed, payment will be delayed, the cost escalation will not be recognized, and the County will not be
able to take advantage of the sales tax exemption at a cost savings.
6/8/22 6/8/22
22 16.E.2.b
Packet Pg. 1578 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
Prepared by: ________________________________________________________________________ Date: ________________
(Ayoub Al-bahou, Facilities Management Division)
Acceptance of this Change Order shall constitute a modification to the 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: ________________
(Manhattan Construction Florida, Inc.)
Approved by: _________________________________________________________________________ Date: ________________
(Davidson Engineering)
Approved by: _________________________________________________________________________ Date: ________________
(Ed Finn, Division Director)
Approved by: _________________________________________________________________________ Date: ________________
(Procurement Professional)
Al-bahouAyoub Digitally signed by Al-bahouAyoub
Date: 2022.01.07 11:51:40 -05'00'
Matthew Jones Digitally signed by Matthew Jones
DN: C=US, E=mjones@manhattanconstruction.com,
O=Manhattan Construction, CN=Matthew Jones
Date: 2022.01.07 15:32:56-05'00'
cn=Jeff Davidson, o=Davidson
Engineering, ou=Engineering,
email=jeff@davidsonengineering.com,
c=US
'00'05- 15:04:53 2022.01.07
Digitally signed by Josh Fruth
DN: C=US, E=jfruth@pen-eng.com,
O=Peninsula Engineering, CN=Josh Fruth
Date: 2022.01.07 14:30:17-05'00'
FinnEd Digitally signed by FinnEd
Date: 2022.01.14 08:09:50 -05'00'
BigelowCatherine Digitally signed by BigelowCatherine
Date: 2022.01.14 08:53:35 -05'00'
23 16.E.2.b
Packet Pg. 1579 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
Change Order/Amendment Summary
CO# AMD# Description
COST TIME
Justification Additive (+) Deductive (-) Days
Added New Amount
1
To deduct
builders risk
insurance and
approve the use
of owners survey
allowance.
($146,803.00)
The use of the owner's
allowance and deduction for the
builder's risk insurance would
not be recognized.
2
To approve the
use of the
subcontractor's
allowance.
The use of the subcontractor's
allowance would not be
recognized
3
To approve the
use of owners
testing allowance.
The use of the owner's
allowance would not be
recognized.
4
To deduct and
approve Direct
Material
Purchases.
($753,385.80) To take advantage of sales tax
saviongs.
5
To approve the
use of Owner
Contingency for
price escalation.
DMP Turf
($1,627,901.54)
The use of the owner's
contingency would not be
recognized. To take advantage
of sales tax savings.
24 16.E.2.b
Packet Pg. 1580 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
Description Contract
Amount
Owner Contingency $833,593.00 $833,593.00 $288,684.57
7675.009 544,908.43$
Summary of Allowance
Remaining after Previous Change
Orders Remaining after this Change
Order
25
16.E.2.b
Packet Pg. 1581 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
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Packet Pg. 1582 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
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Packet Pg. 1627 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
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Contractor:SCG Fields, LLC Request Date:1/6/2022
Address:10303 Brecksville Rd.Project Name:Collier County Phase 2.1
Brecksville, OH 44141 GC Job Number:210210-ST
SubContractor Material Amount 1,535,709.00$
Address:Plus: Shipping/Freight
TOTAL MATERIAL PO 1,535,709.00$
Phone:Plus: Sales Tax (6%)92,142.54$
Plus: Discret. Tax (1%)50.00$
GC CO Credit $ 1,627,901.54$
GC CO #:
Division to modify:*Existing PO # to adjust
Name:AstroTurf LLC Phone:813-777-7677
Address:2680 Abutment Rd.Fax:NA
Dalton, GA 30721 Contact Name:Steve Coleman
Contact email:scoleman@astroturf.com
Delivery Date:Coordinate with SCG Fields, LLC
Delivery Address:3940 City Gate Blvd,
Naples, FL 34117
Special Instruction:
Complete entire form
Attach detailed material vendor proposal
Include all material shipping and freight
SCG Fields, LLC is respopnsible for verifying invoices
OWNER PURCHASE ORDER REQUEST
MATERIAL VENDOR
80 16.E.2.b
Packet Pg. 1636 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
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81 16.E.2.b
Packet Pg. 1637 Attachment: 0125 Change Order Backup - FY22 (20975 : Procurement Services administrative reports)
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85
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89 16.E.2.b
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Item Page #Contract or
Purchase Order Date Description of Project Vendor Name Division - Director
Fiscal Impact for
Additional Services Outstanding Invoices Description
1 1
19-7525
4500214671 12/22/2021 Eagle Lakes Fitness Center
Condensation Capital Contractors, LLC Facilities Management -
Ed Finn $0.00 $55,000.00 Division staff did not provide the contractor a written Notice to Proceed as
required by contract.
2 4 4500211130 11/24/2021 Chiller Rentals Carrier Rental Systems
Facilities Management -
Ed Finn $26,000.00 $26,000.00 Division staff did not obtain the proper Board approval prior to exceeding
the $50,000 threshold.
Meeting Date Total number of After the
Fact Memos
Fiscal Impact for Additional
Services Outstanding Invoices
1/25/2022 2 $26,000.00 $81,000.00
16.E.2.c
Packet Pg. 1646 Attachment: 0125 After the Fact Report - FY22 (20975 : Procurement Services administrative reports)
y Qottta xy
lnstructions
The requestor aftirms that lo the best of their knowledgg the intormation provided in lhis document is truG
As per section 21 of the Procurement Manual, all purchases shall be consistent and in compliance with the Procurement
Ordinance (2017-08). Should wotk be authoized or purchases made that is inconsistent with County policy, procedure, or
contract terms, an After-the-Fact Procurement Form is requircd. This includes purchases made in advance of a Purchase Order,
when a Purchase Order is required to authoize such activity, and purchases made under an expircd contract, or for goods and
seNices not covered by the current contract or purchase order. All such "After the Fact Procurements" will be repotled to the
County Manager.
Division: f g6ililigs Management
Division Director: Ed Finn vendor Name: Capital COntraCtOrS LLC
rmount:$55,000 Contract #: 19-7 525
Why is this deemed a non-compliant purchase? Choose one
Contract Ordinance Manual
Details of Purchasei Explain the circumstances behind this purchase.
Purchase order 4500214671 in the amount of $55,000 was issued to Capital Contractors LLC under ceneral Contractor
Services contract 19-7525 to perform building envelope repairs and renovation work at the Eagle Lakes Park fitness center
General Contractor SeNices contract 19-7525 requires thal a Notice to Proceed be issued prior to commencement of work.
Work began and was completed without a written Notice to Proceed being issued. Work began on 1011412021 upon
notification of the Purchase Order by email communication with the vendor. Work was completed on 1111612021.
No work was performed that was not authorized expressly in writing via the Purchase Order and email communication. Work
began on 1Oh4l2O21 upon notification of the Purchase Order by email communication with the vendor. Work was
completed on'l ll1612021within the time-frame established by the Request for Quote.
Action Required: Vvhat are you asking to be done to remedy the situaion, include list of invoices if applicable?
To obtain approval to pay invoice 1152161.1 FINAL in the amount of $55,000.00 to Capital
Contractors LLC who has satisfactorily performed the work assignment.
Corrective/Preventive Action: Wat action is being taken to prevent this violation from re-occuting?
Additional training on contract Notice to Proceed requirements has been provided to staff and
workflow/procedures have been modified to include a quality assurance review by qualified staff
to minimize after{he-fact procurement corrections.
Requested by: tVafk Bakef Signature Date
-9cleA-.-.,-.Division Director: Ed Finn Signature
Rev sed 06/17l2021
After the Fact Form
Requester Name: fvlafk Bakef
Purchase order: 450021 467 1
a T !lo,n*P-Card
1 116.E.2.d
Packet Pg. 1647 Attachment: 0125 After the Fact Backup - FY22 (20975 : Procurement Services administrative reports)
2 16.E.2.d
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Project Name:Application #: 1 - FINALProject #: 52161.1Application Date: 11/16/2021 Contractor: Capital Contractors LLC Period from to: 10/14/2021 thru 11/16/2021Previous ApplicationThis Period$55,000.00 $0.00 $55,000.00 $0.00$55,000.00 100% $0.00TOTAL$55,000.00 $0.00 $55,000.00 $0.00 $55,000.00 100% $0.00CC Eagle Lakes Fitness Center - CondensationSchedule of Values ‐ Inv_195_cc100486_PO4500214671_PA1_FINAL% CompleteBalance to FinishWORK COMPLETEDScheduled ValueStored Materials (not in D or E)Total Completed Stored to DateDescription of WorkInsulation & Ceiling Tiles (Lump Sum)1316.E.2.dPacket Pg. 1649Attachment: 0125 After the Fact Backup - FY22 (20975 : Procurement Services administrative reports)
After the Fact Form
Revised 06/17/2021
Instructions
As per section 21 of the Procurement Manual, all purchases shall be consistent and in compliance with the Procurement
Ordinance (2017-08). Should work be authorized or purchases made that is inconsistent with County policy, procedure, or
contract terms, an After-the-Fact Procurement Form is required. This includes purchases made in advance of a Purchase Order,
when a Purchase Order is required to authorize such activity, and purchases made under an expired contract, or for goods and
services not covered by the current contract or purchase order. All such “After the Fact Procurements” will be reported to the
County Manager.
Requester Name: Division:
Division Director: Vendor Name:
Amount:Contract #:Purchase Order:
Why is this deemed a non-compliant purchase?Choose one.
Contract Ordinance Manual P-Card Other
Details of Purchase: Explain the circumstances behind this purchase.
Action Required: What are you asking to be done to remedy the situation, include list of invoices if applicable?
Corrective/Preventive Action: What action is being taken to prevent this violation from re-occurring?
The requestor affirms that to the best of their knowledge the information provided in this document is true.
Requested by: Signature: Date:
Division Director: Signature: Date:
4 216.E.2.d
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5 16.E.2.d
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6 16.E.2.d
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