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Agenda 02/22/2022 Item #16E3 (Risk Management Administrative & Minor Claims)02/22/2022 EXECUTIVE SUMMARY OBJECTIVE: To settle routine, administrative and minor claims matters which promotes the efficient use of resources and the efficient administration of the program; and allows for a timely response to claimants and/or their representatives. CONSIDERATIONS: Resolution 04-15 grants limited authority to the Risk Management Division Director to settle certain damage claims against Collier County and to authorize the payment of investigation and adjustment expenses as presented to the County’s Risk Management Program. Authority is delegated as follows: • Bodily Injury Liability- Premises, Auto, Operations: Non-litigated claims less than $50,000 • Property Damage Liability Claims- Premises, Auto, Operations: Non-litigated claims less than $75,000 • Errors, Omissions, Professional Liability, Employment Practices Liability: Non-litigated claims less than $50,000 • Property Losses to County Owned Property: Full authority • Workers’ Compensation: Full authority subject to the provisions of F.S. 440 and subject to approval by the Judge of Compensation as needed • Employer’s Liability: Non-litigated claims less than $50,000 • Subrogation- Bodily Injury and Property Damage: Full authority to pursue non-litigated subrogation recoveries • Subrogation- Workers’ Compensation: Full authority to pursue non-litigated subrogation recoveries. Pursuant to the Resolution, claims are settled and paid according to the loss verification procedures contained in the Resolution which include the completion of claim forms, documentation of evidence, valuation, and the determination of a finding of liability where applicable. Closed claim files are also subject to review by the external auditor. A listing of claim files closed during the first quarter of FY 22 is attached. The report may include claims and/or settlements previously approved by the Board of Commissioners as well as litigated files with a final court determination. FISCAL IMPACT: Funds are budgeted and available in Fund 516-121650-645920 (Property and Casualty Self Insurance Fund) and 518-121630-645928 (Workers’ Compensation Fund) for the payment of claims and settlements. For the first quarter of FY 22, 50 files were closed with total expenditures of $172,047.06. Reinsurance recoveries for the first quarter of FY 22 were $5,924.94. During the same period, 10 subrogation files were closed, and the Risk Management Division recovered $16,428.03 in funds owed the County. GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this item. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues and requires majority vote for approval. -JAK RECOMMENDATION: That the Board of County Commissioners accepts the attached Settlement Report and ratifies the actions taken therein. PREPARED BY: Jeff Walker CPCU, ARM, Division Director, Risk Management Division. 16.E.2 Packet Pg. 1105 02/22/2022 ATTACHMENT(S) 1. All Lines Closed Claim Report 1st QTR FY 22 (PDF) 2. Subrogation Closed Claim Report 1st QTR FY 22 (PDF) 3. Resolution 2004-15 PDF0001 (PDF) 16.E.2 Packet Pg. 1106 02/22/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.2 Doc ID: 21137 Item Summary: Recommendation to ratify Property, Casualty, Workers’ Compensation and Subrogation claim files settled and/or closed by the Risk Management Division Director pursuant to Resolution # 2004-15 for the first quarter of FY 22. Meeting Date: 02/22/2022 Prepared by: Title: Operations Coordinator – Risk Management Name: Greily Gonzalez 01/21/2022 1:07 PM Submitted by: Title: Division Director - Risk Management – Risk Management Name: Jeff Walker 01/21/2022 1:07 PM Approved By: Review: Risk Management Jeff Walker Director Review Completed 01/21/2022 1:15 PM Agenda Clerk Preview Michael Cox Agenda Clerk Preview Completed 01/24/2022 12:37 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 01/24/2022 1:12 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 01/25/2022 4:46 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 01/26/2022 10:40 AM County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 02/15/2022 2:02 PM Board of County Commissioners Geoffrey Willig Meeting Pending 02/22/2022 9:00 AM 16.E.2 Packet Pg. 1107 Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal Other Total Inc Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Date of Loss Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Coverage Cause 355.25 26.90 0.00 0.00 0.00 0.00 0.00 382.15 10/6/2021 10/7/2021 10/20/2021 355.25 26.90 0.00 0.00 0.00 0.00 0.00 382.15 10 1500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8/16/2021 8/18/2021 10/1/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10 162.35 5.95 0.00 0.00 0.00 0.00 0.00 168.30 10/11/2021 10/11/2021 12/29/2021 162.35 5.95 0.00 0.00 0.00 0.00 0.00 168.30 10 1700 416.05 17.85 175.84 0.00 0.00 0.00 0.00 609.74 10/15/2021 10/16/2021 12/10/2021 416.05 17.85 175.84 0.00 0.00 0.00 0.00 609.74 10 1500 12,802.09 2,430.09 1,031.00 0.00 0.00 0.00 0.00 16,263.18 5/12/2021 5/14/2021 11/24/2021 12,802.09 2,430.09 1,031.00 0.00 0.00 0.00 0.00 16,263.18 10 1500 Division Carrier Accident Desc. Major Coverage: 10 - Workers' Compensation 1010062111904 Collier County Government Closed Claim Report- All Lines 1st QTR FY 2022 Valued as of:1/20/2022 Claim Number Claimant Name 1010112111913 EMSE Employee was lowering the head rest on the stretcher during a 911 call, and the monitor fell off and landed on her right foot just above the steel toe. 1010152111936 PELB Employee was using a hedge trimmer all day, and is complaining of left wrist pain & swollen left hand. 1008162111770 EMSE EMT was exposed to source's saliva while providing patient care. Source was Covid +, unk. other occupational diseases. Major Coverage: 10 - Workers' Compensation EMSE Employee injured left lower back while trying to manage a difficult patient. 1005122111425 EMSE Employee was picking up a medical bag when she felt a sharp pain in her right shoulder. 16.E.2.a Packet Pg. 1108 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 76.50 14.50 0.00 0.00 0.00 0.00 0.00 91.00 11/12/2021 11/12/2021 11/24/2021 76.50 14.50 0.00 0.00 0.00 0.00 0.00 91.00 10 1400 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50 12/4/2021 12/7/2021 12/28/2021 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50 10 1300 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50 12/4/2021 12/6/2021 12/22/2021 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50 10 1500 7,823.48 406.70 0.00 0.00 0.00 0.00 0.00 8,230.18 5/2/2021 5/12/2021 11/10/2021 7,823.48 406.70 0.00 0.00 0.00 0.00 0.00 8,230.18 10 1700 400.76 37.41 0.00 0.00 0.00 0.00 0.00 438.17 9/20/2021 9/20/2021 10/11/2021 400.76 37.41 0.00 0.00 0.00 0.00 0.00 438.17 10 1200 241.80 22.36 0.00 0.00 0.00 0.00 0.00 264.16 7/13/2021 7/13/2021 10/21/2021 241.80 22.36 0.00 0.00 0.00 0.00 0.00 264.16 10 1400 207.64 5.95 0.00 0.00 0.00 0.00 0.00 213.59 10/12/2021 10/13/2021 12/9/2021 207.64 5.95 0.00 0.00 0.00 0.00 0.00 213.59 10 1300 2,223.51 95.45 0.00 0.00 0.00 0.00 0.00 2,318.96 8/9/2021 8/10/2021 12/10/2021 2,223.51 95.45 0.00 0.00 0.00 0.00 0.00 2,318.96 10 1300 1011122112022 WATE Employee was involved in a motor vehicle accident, and is complaining of Neck Strain. 1012042112067 1005022111418 EMSE Employee was trying to enter station through bay door, and while walking through the doorway, the door closed striking employee in his left arm and shoulder. 1009202111845 SOEE Employee tripped and fell while unloading supplies, and fracture left wrist and laceration to head. 1012042112064 FMGE Employee was painting at East Naples Community Park, and pulled muscle in mid back. Major Coverage: 10 - Workers' Compensation 1010122111919 BPRI Employee tripped and fell on pipe stub that was sticking up from out of ground. 1008092111747 WATE Employee had laceration to head, when he bumped it on pipe while preparing to clean odor control system. 1007132111654 RMSE Employee was rear ended by another vehicle and is complaining of lower back pain. MHCP Employee tripped and fell on left hand and arm, over nails that were sticking up in the parking lot in front of community center. 16.E.2.a Packet Pg. 1109 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 14,031.49 592.80 1,989.47 0.00 0.00 0.00 0.00 16,613.76 7/29/2021 7/29/2021 10/28/2021 14,031.49 592.80 1,989.47 0.00 0.00 0.00 0.00 16,613.76 10 1300 579.17 60.54 0.00 0.00 0.00 0.00 0.00 639.71 9/1/2021 9/1/2021 10/11/2021 579.17 60.54 0.00 0.00 0.00 0.00 0.00 639.71 10 1300 375.38 26.40 0.00 0.00 0.00 0.00 0.00 401.78 10/1/2021 10/1/2021 10/15/2021 375.38 26.40 0.00 0.00 0.00 0.00 0.00 401.78 10 1200 181.05 20.45 0.00 0.00 0.00 0.00 0.00 201.50 10/19/2021 10/19/2021 11/30/2021 181.05 20.45 0.00 0.00 0.00 0.00 0.00 201.50 10 1300 311.34 48.64 0.00 0.00 0.00 0.00 0.00 359.98 10/26/2021 10/27/2021 10/31/2021 311.34 48.64 0.00 0.00 0.00 0.00 0.00 359.98 10 1300 466.20 17.85 0.00 0.00 0.00 0.00 0.00 484.05 10/8/2021 10/8/2021 12/9/2021 466.20 17.85 0.00 0.00 0.00 0.00 0.00 484.05 10 1300 626.71 54.59 0.00 0.00 0.00 0.00 0.00 681.30 9/16/2021 10/15/2021 10/29/2021 626.71 54.59 0.00 0.00 0.00 0.00 0.00 681.30 10 1500 41,280.77 3,913.43 3,196.31 0.00 0.00 0.00 0.00 48,390.51 41,280.77 3,913.43 3,196.31 0.00 0.00 0.00 0.00 48,390.51 1009012111806 BPRI Employee tripped and fell outside from property located at 7117 Pelican Bay Blvd, and injured left knee, wrist and laceration to left ear 1010012111878 1007292111704 TXCE Employee tripped over yellow textured domed ADA mat. Employee was leaving to go for lunch, and fell off the curb injuring her Left ankle and Right 2nd/3rd toes while getting into her vehicle. 1010262111968 LIBE Employee tripped walking around doing morning inspection, and stubbed right big toe on the sidewalk. 1010082111908 CMAO Employee was on an emergency call when he had a syncopal episode resulting in him striking his face on the asphalt. Major Coverage: 10 - Workers' Compensation 1010192111946 GMAO Total by Major Coverage 20 Claims PSVE Employee was on the boat ramp at Cocohatchee Park and slipped, landing on his right hand/arm, then ended up landing on his chin. 1009162111932 LIBE Employee was bending rotating audio books from one end to the other, and is complaining of left lower back and left lower leg pain below knee. 16.E.2.a Packet Pg. 1110 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3/18/2021 3/18/2021 11/12/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21 3000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8/26/2021 9/10/2021 10/27/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20 75,000.00 400.73 0.00 0.00 0.00 0.00 0.00 75,400.73 10/8/2019 10/8/2019 11/16/2021 75,000.00 400.73 0.00 0.00 0.00 0.00 0.00 75,400.73 21 2050 75,000.00 400.73 0.00 0.00 0.00 0.00 0.00 75,400.73 75,000.00 400.73 0.00 0.00 0.00 0.00 0.00 75,400.73 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7/29/2021 7/29/2021 10/31/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32 0.00 0.00 4,946.40 0.00 0.00 0.00 0.00 4,946.40 3/31/2021 3/31/2021 12/15/2021 0.00 0.00 4,946.40 0.00 0.00 0.00 0.00 4,946.40 Major Coverage: 20 - General Liability 2103182111265 KRAEMER, CLAUDIA MHCP Claimant was operating a 50CC scooter w/ 9 year old passenger on back and exiting Marco South Beach lot, behind several other vehicles, when auto exit arm came down and struck her in face, causing a mark to her right cheek and causing her head to LIBE Patron tripped and fell outside east side of library building. Staff member called 911 and Naples Fire and Rescue and the EMTs arrived. They took him for x-rays. Patron could not stand on his own, his left hip was giving him pain. Total by Major Coverage 3 Claims Major Coverage: 30 - Auto Liability 3207292111706 CHIRILLO, MICHELLE 2008262111825 PYOTT, ALAN WATE At 421 Bayside Ave customer is requesting re-imbursement for additional repairs by his landscaping company to take place. We were on site on August 26th to install a meter for his neighbor’s property and restored the property to original condition. 2110081909693 KENNEY, WILLIAM BPRI County vehicle CC2-2318 was parked next to a blue Hyundai, when turning to exit , made contact with other vehicle with no visible damage. 3203312111309 Payne, David RMSE 16.E.2.a Packet Pg. 1111 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 32 3000 0.00 0.00 4,946.40 0.00 0.00 0.00 0.00 4,946.40 0.00 0.00 4,946.40 0.00 0.00 0.00 0.00 4,946.40 0.00 0.00 985.69 0.00 0.00 0.00 0.00 985.69 10/25/2021 10/26/2021 12/31/2021 0.00 0.00 985.69 0.00 0.00 0.00 0.00 985.69 41 2450 0.00 0.00 1,041.17 0.00 0.00 0.00 0.00 1,041.17 7/19/2021 7/19/2021 12/31/2021 0.00 0.00 1,041.17 0.00 0.00 0.00 0.00 1,041.17 41 3400 570.58 0.00 0.00 0.00 0.00 0.00 0.00 570.58 7/20/2021 7/23/2021 10/8/2021 570.58 0.00 0.00 0.00 0.00 0.00 0.00 570.58 42 0.00 0.00 748.75 0.00 0.00 0.00 0.00 748.75 6/9/2021 6/9/2021 10/14/2021 0.00 0.00 748.75 0.00 0.00 0.00 0.00 748.75 41 3000 784.34 0.00 0.00 0.00 0.00 0.00 0.00 784.34 7/19/2019 7/31/2019 12/28/2021 784.34 0.00 0.00 0.00 0.00 0.00 0.00 784.34 42 5900 Total by Major Coverage 2 Claims Major Coverage: 40 - Auto Physical Damage 4110252111959 Solid Waste Division SOWE Employee was traveling southbound on Collier Blvd north of I-75 upon the light turning green, the car in front of our employee moved forward and then stopped abruptly causing our employee to hit into the back of their vehicle. Right front bumper of County Vehicle hit left rear bumper of third party vehicle. LDSD A trailer holding small landscaping rocks hit a bump while driving on I- 75S and release all the rocks onto the road. One hit the windshield of my county vehicle and left a crack on the driver's side. Major Coverage: 40 - Auto Physical Damage 4106092111517 Parks and Recreation MHCP 4107192111665 Water Division WATE Tractor is utilize to cut overgrown bushes in South Reverse Osmosis Well Field. After being utilized for this task Friday a pre- use inspection showed a dent in the rear left corner of the roof. 4207202111684 Development Review Inspection Lifting up fertilizer hopper control lever used to open and close hit the window when it was raised to high. 4207191909427 Traffic Operations TECM Stopped by Fleet for a windshield wiper replacement, the service technician pointed out a chip in the windshield, the thought was it might spread, so a stars report was completed. 16.E.2.a Packet Pg. 1112 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 0.00 0.00 7,584.79 0.00 0.00 0.00 0.00 7,584.79 2/16/2021 2/16/2021 10/8/2021 0.00 0.00 7,584.79 0.00 0.00 0.00 0.00 7,584.79 41 3000 0.00 0.00 203.10 0.00 0.00 0.00 0.00 203.10 6/2/2021 6/3/2021 10/8/2021 0.00 0.00 203.10 0.00 0.00 0.00 0.00 203.10 41 3000 0.00 0.00 3,433.26 0.00 0.00 0.00 0.00 3,433.26 8/2/2021 9/3/2021 10/8/2021 0.00 0.00 3,433.26 0.00 0.00 0.00 0.00 3,433.26 41 0.00 0.00 3,058.16 0.00 0.00 0.00 0.00 3,058.16 9/20/2021 9/20/2021 10/27/2021 0.00 0.00 3,058.16 0.00 0.00 0.00 0.00 3,058.16 41 0.00 0.00 959.57 0.00 0.00 0.00 0.00 959.57 9/24/2021 10/4/2021 10/8/2021 0.00 0.00 959.57 0.00 0.00 0.00 0.00 959.57 42 0.00 0.00 2,294.62 0.00 0.00 0.00 0.00 2,294.62 7/18/2021 7/18/2021 12/29/2021 0.00 0.00 2,294.62 0.00 0.00 0.00 0.00 2,294.62 41 2150 RMSE County vehicle CC2-1200 was traveling north bound on Pelican Bay Blvd when it struck Vehicle #2 down the passenger side. 4106022111493 Parks and Recreation MHCP Employee mowing in front of the shop and didn't see a fence cap in the grass. Blades hit the fence cap which in turn hit the work truck. Stopped by Fleet for a windshield wiper replacement, the service technician pointed out a chip in the windshield, the thought was it might spread, so a stars report was completed. 4102162111150 Road Maintenance Division WWTE When backing up to road, employee hit a tree / scraped door on passenger side and knocked off door handle. 4209242111889 Public Services PSVE Employee was driving CC2-985 to Ft. Lauderdale for training when something hit the windshield and it ended up cracking it. Major Coverage: 40 - Auto Physical Damage 4108022111807 Public Utilities PUAO Employee was driving North bound on Joseph Ln and he moved over to avoid a larger vehicle and scraped a road work sign that was very close to the roadway. No injuries/damage to employee or any other persons or vehicles. 4109202111848 Wastewater Division 4107182111664 Parks & Recreation MHCP Employee was riding on the John Deer when he drove over multiple tree roots sticking out of the ground causing the tires on the John Deer to turn directions into the tree. John Deer tire rods were damaged (Steering) and left side fender was broken. 16.E.2.a Packet Pg. 1113 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 0.00 0.00 1,258.42 0.00 0.00 0.00 0.00 1,258.42 9/14/2021 9/16/2021 12/15/2021 0.00 0.00 1,258.42 0.00 0.00 0.00 0.00 1,258.42 41 2450 1,354.92 0.00 21,567.53 0.00 0.00 0.00 0.00 22,922.45 1,354.92 0.00 21,567.53 0.00 0.00 0.00 0.00 22,922.45 0.00 0.00 0.00 5,722.90 0.00 0.00 0.00 0.00 11/15/2019 11/12/2021 12/20/2021 0.00 0.00 0.00 5,722.90 0.00 0.00 0.00 0.00 53 3000 669.00 0.00 0.00 0.00 0.00 0.00 0.00 669.00 11/6/2021 11/18/2021 12/20/2021 669.00 0.00 0.00 0.00 0.00 0.00 0.00 669.00 50 3000 1,370.00 0.00 0.00 0.00 0.00 0.00 0.00 1,370.00 1/28/2021 5/6/2021 11/18/2021 1,370.00 0.00 0.00 0.00 0.00 0.00 0.00 1,370.00 50 2900 746.40 0.00 0.00 0.00 0.00 0.00 0.00 746.40 8/20/2021 8/20/2021 12/30/2021 746.40 0.00 0.00 0.00 0.00 0.00 0.00 746.40 53 3000 5,342.94 0.00 0.00 0.00 0.00 0.00 0.00 5,342.94 5/20/2021 5/20/2021 12/20/2021 5,342.94 0.00 0.00 0.00 0.00 0.00 0.00 5,342.94 GMAO Driving East on Tamiami Trl E; pouring rain, wipers on high, low visibility, when a truck was just stopped, no lights or brake lights on at the intersection of 41 and Rattlesnake Hammock Rd. When I noticed the vehicle I immediately hit brakes Total by Major Coverage 12 Claims Major Coverage: 50 - Property 5011151912017 Public Transit & Neighborhood Enhancement Dept vs Rosanna C Pichardo Employee was riding on the John Deer when he drove over multiple tree roots sticking out of the ground causing the tires on the John Deer to turn directions into the tree. John Deer tire rods were damaged (Steering) and left side fender was broken. Major Coverage: 40 - Auto Physical Damage 4109142112015 Growth Management Division 5001282111404 Human Resources HURE A racoon got in to the HR Building over night and damaged the blinds. 5008202111776 Transportation & Engineering Division PTNE A Lumec light pole was hit on 23rd Avenue SW and Sunshine Blvd. 5011062112037 Parks & Recreation MHCP A vehicle "CRASH" at the Vanderbilt Beach Access, by unknown vehicle make or model, causing the destruction of one commemorative bench and damage to another located at the scene. Unknown if there were any injuries. CCSO did respond. TECM Ped pole down 5005202111442 Traffic Operations TECM 16.E.2.a Packet Pg. 1114 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 53 3000 381.99 0.00 0.00 0.00 0.00 0.00 0.00 381.99 6/14/2021 6/14/2021 11/18/2021 381.99 0.00 0.00 0.00 0.00 0.00 0.00 381.99 53 3000 644.36 0.00 0.00 0.00 0.00 0.00 0.00 644.36 7/4/2021 7/7/2021 10/31/2021 644.36 0.00 0.00 0.00 0.00 0.00 0.00 644.36 53 3000 691.92 0.00 0.00 0.00 0.00 0.00 0.00 691.92 8/24/2021 8/25/2021 10/31/2021 691.92 0.00 0.00 0.00 0.00 0.00 0.00 691.92 53 3000 322.91 0.00 0.00 0.00 0.00 0.00 0.00 322.91 8/6/2021 8/6/2021 10/31/2021 322.91 0.00 0.00 0.00 0.00 0.00 0.00 322.91 53 3000 2,779.30 95.00 0.00 0.00 0.00 0.00 0.00 2,874.30 7/20/2021 7/22/2021 10/14/2021 2,779.30 95.00 0.00 0.00 0.00 0.00 0.00 2,874.30 50 5400 6,870.65 0.00 0.00 0.00 0.00 0.00 0.00 6,870.65 2/22/2021 2/23/2021 11/29/2021 6,870.65 0.00 0.00 0.00 0.00 0.00 0.00 6,870.65 53 3000 Major Coverage: 50 - Property 5006142111525 Traffic Operations TECM VM from weekend at 3:52 am Ped signal not working at Davis Blvd. and Radio rd. Staff found ped pole down 5007042111622 Transportation & Engineering Division Street light on ground pole 3 5008062111734 Transportation & Engineering Division TECM School flasher down (call from CCSO LT Boyd say it down while driving by it) Major Coverage: 50 - Property 5007202111681 Museum TECM Received e-mail from Road Maint. on call weekend report about a ped sign down at Pine Ridge and Collier. Checked With our TMC and they saw a Pedestrian pole down. 5008242111792 Transportation & Engineering Division TECM Ped pole down New Market Rd @ Charlotte St MUSE A bad lightning storm came in on Tuesday roughly 2:00 pm - 5:00 pm and power went down several times throughout the storm. Many times, the power would go off for minutes, come back on, then go back off again. There is a fire panel problem now. 5002222111168 Traffic Operations TECM Employee on way home saw pole down and confirmed that the street light and fiber pull box was damaged. 16.E.2.a Packet Pg. 1115 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By 0.00 0.00 0.00 202.04 0.00 0.00 0.00 0.00 6/5/2021 9/28/2021 10/28/2021 0.00 0.00 0.00 202.04 0.00 0.00 0.00 0.00 53 3000 19,819.47 95.00 0.00 5,924.94 0.00 0.00 0.00 19,914.47 19,819.47 95.00 0.00 5,924.94 0.00 0.00 0.00 19,914.47 0.00 0.00 0.00 0.00 0.00 472.50 0.00 472.50 4/20/2020 5/20/2020 10/6/2021 0.00 0.00 0.00 0.00 0.00 472.50 0.00 472.50 67 0.00 0.00 0.00 0.00 0.00 472.50 0.00 472.50 0.00 0.00 0.00 0.00 0.00 472.50 0.00 472.50 137,455.16 4,409.16 29,710.24 5,924.94 0.00 472.50 0.00 172,047.06 137,455.16 4,409.16 29,710.24 5,924.94 0.00 472.50 0.00 172,047.06 5006052111865 Transportation & Engineering Division vs Hilario Santiago TECM Sign down due to car accident Total by Major Coverage 12 Claims Major Coverage: 60 - Public Officials Errors and Ommissions 6704202010347 Supervisor Of Elections SOEE Received complaint, plaintiffs alleged they will be unable to vote safely at their assigned polling places, unless vote by mail procedures are adjusted to address the current reality. They will be unable to vote by mail as well. Total by Major Coverage 1 Claim Grand Totals: 50 Claims 16.E.2.a Packet Pg. 1116 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By -15- 1/20/2022 2:06:35 PM 16.E.2.a Packet Pg. 1117 Attachment: All Lines Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed By Collier County Government Subrogation Closed Claim Report 1st QTR FY 2022 Valued as of:1/20/2022 Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Coverage Carrier Division Cause Date of Loss Accident Desc. Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Growth Management v. Progressive Insurance 4105212111446 10/29/20215/21/2021 5/21/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00BPRI 41 While in a building performing an inspection, a outside contractor vehicle backed into the parked county vehicle which was unoccupied at the time. Inspector immediately returned to the vehicle and called police. 3000 1,813.60 0.00 0.00 0.00 2,140.00 1,813.60 0.00 0.00Code Enforcement Division v. Allstate Insurance 4110222010776 10/11/202110/22/2020 10/23/2020 0.00 1,813.60 0.00 2,140.00 1,813.60 0.00 0.00 0.00CENE 41 County vehicle was rear ended by another vehicle. 3000 0.00 0.00 0.00 0.00 7,895.12 0.00 0.00 0.00Traffic Operations v. Geico5010282010793 10/7/202110/28/2020 10/28/2020 0.00 0.00 0.00 7,895.12 0.00 0.00 0.00 0.00TECM 50 Street light down due to car accident. 3000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Traffic Operations v. United Auto Insurance 5008302010582 10/7/20218/30/2020 8/31/2020 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM 50 Street Light pole down from accident. 3000 0.00 0.00 0.00 0.00 6,392.91 0.00 0.00 0.00Traffic Operations v. Amica5010302010801 10/7/202110/30/2020 10/30/2020 0.00 0.00 0.00 6,392.91 0.00 0.00 0.00 0.00TECM 50 Light pole hit due to car accident. 3000 1,547.96 0.00 0.00 0.00 0.00 0.00 0.00 1,547.96Road Maintenance Division v. Shanya Seda Parker 5009191911192 11/29/20219/19/2019 3/1/2021 1,547.96 0.00 0.00 0.00 1,547.96 0.00 0.00 0.00RMSE 50 Traffic accident damaged guardrail. 3000 -1- 2:03:48PM 1/20/2022 16.E.2.b Packet Pg. 1118 Attachment: Subrogation Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed Collier County Government Subrogation Closed Claim Report 1st QTR FY 2022 Valued as of:1/20/2022 Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Coverage Carrier Division Cause Date of Loss Accident Desc. Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Road Maintenance Division vs. Daneisha Laquisha Soto 5003222111291 10/19/20213/22/2021 3/25/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00RMSE 53 Traffic accident causing Guardrail damages. 3000 784.34 0.00 0.00 0.00 0.00 0.00 0.00 784.34Solid Waste Division4211012112003 12/15/202111/1/2021 11/5/2021 784.34 0.00 0.00 0.00 784.34 0.00 0.00 0.00SOWE 42 Cracked windshield5900 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Transportation & Engineering Division vs FPL Contractor Pike 5009212111850 12/15/20219/21/2021 9/22/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM 50 Ped pole damage from FPL Contractor PIKE Jake Lewis 336-964-1908 Main Foreman Kevin Davis 239-478-4529 2900 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Traffic Operations vs LLC EAN Holdings 5006162111543 11/16/20216/16/2021 6/17/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM 53 Upright for signal was damaged by car accident (not sure when) at Immokalee rd. and Collier Blvd. 3000 2,332.30 2,332.30 0.00 0.00 1,813.60 1,813.60 16,428.03 16,428.03 0.00 0.00 0.00 0.00 0.00 0.00 4,145.90 4,145.90Grand Totals: 10 Claims -2- 2:03:48PM 1/20/2022 16.E.2.b Packet Pg. 1119 Attachment: Subrogation Closed Claim Report 1st QTR FY 22 (21137 : Ratification of Claims Files Closed 02/22/2022 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 $11,339.08 and add 216 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 • Four (4) after the fact memos with a fiscal impact of $167.40 for additional services FISCAL IMPACT: The net total for the nine (9) items is $11,506.48. 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. 0222 Change Order Report - FY22 (PDF) 2. 0222 Change Order Backup - FY22 (PDF) 3. 0222 After the Fact Report - FY22 (PDF) 4. 0222 After the Fact Backup - FY22 (PDF) 16.E.3 Packet Pg. 1126 02/22/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.3 Doc ID: 21275 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: 02/22/2022 Prepared by: Title: Business Technology Analyst, Senior – Procurement Services Name: Sara Schneeberger 02/08/2022 9:58 AM Submitted by: Title: Manager - Procurement – Procurement Services Name: Sandra Herrera 02/08/2022 9:58 AM Approved By: Review: Procurement Services Ana Reynoso Level 1 Purchasing Gatekeeper Completed 02/08/2022 10:41 AM Procurement Services Sandra Herrera Additional Reviewer Completed 02/08/2022 10:58 AM Procurement Services Catherine Bigelow Additional Reviewer Completed 02/09/2022 8:35 AM Agenda Clerk Preview Michael Cox Agenda Clerk Preview Completed 02/09/2022 11:25 AM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 02/09/2022 12:19 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 02/10/2022 9:32 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/10/2022 10:34 AM County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 02/15/2022 2:02 PM Board of County Commissioners Geoffrey Willig Meeting Pending 02/22/2022 9:00 AM 16.E.3 Packet Pg. 1127 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 18-7474 10 1/24/2022 Design-Build of NESA Interim WWTP Mitchell & Stark Construction Co., Inc. PUEPMD - Craig Pajer $77,653,700.00 $65,294,913.22 ($20,626.57)$65,274,286.65 -0.03% 1065 120 1185 11.27% 2 7 20-7769 5 1/20/2022 SCRWTP Reactor Tank #4 Mitchell & Stark Construction Co., Inc. PUEPMD - Alicia Abbott $3,843,000.00 $3,843,000.00 $0.00 $3,843,000.00 0.00% 474 32 506 6.75% 3 18 21-7869 3 2/2/2022 Pelican Bay Sidewalk Improvements Phase I Coastal Concrete Products, Inc.Pelican Bay Services - Lisa Jacob $649,263.75 $676,145.31 $15,622.40 $691,767.71 2.31% 259 0 259 0.00% 4 24 19-7671 3 1/26/2022 SCWRF Reclaimed Water Storage Tank Improvements PWC Joint Venture, LLC PUEPMD - Peter Schalt $1,294,000.00 $1,294,000.00 $0.00 $1,294,000.00 0.00% 500 64 564 12.80% 5 30 21-7828 1 1/31/2022 Collier Beach Renourishment 2021-2022 Coastal Protection Engineering Capital Project Planning, Impact Fees & Program Management - Andrew Miller $524,595.50 $524,595.50 $16,343.25 $540,938.75 3.12% 365 0 365 0.00% Meeting Date Total number of Change Orders Total Dollar Change Total Change in Days 2/22/2022 5 $11,339.08 216 16.E.3.a Packet Pg. 1128 Attachment: 0222 Change Order Report - FY22 (21275 : Procurement Services administrative reports) 01212022 1 116.E.3.b Packet Pg. 1129 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Approved by: ________________________________________ Beth Johnssen, Wastewater Director Approved by: ________________________________________ Craig Pajer, Interim EPMD Director Approved by: ________________________________________ Joseph Bellone, Operations Support Director Approved by: ________________________________________ Dr. George Yilmaz, Public Utilities Administrator 2 16.E.3.b Packet Pg. 1130 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Revised: 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Admin BCC Rpt BCC ES Contract # 18-7474 Change Order/Amendment Summary CO# AMD# Description COST TIME Justification Additive (+) Deductive (-) Days Added New Amount 1 DMP of Segment 1 Pipe $ (712,038.98) 0 975 Sales Tax Savings 2 DMP of Segment 3 Pipe $ (3,560,265.85) 0 975 Sales Tax Savings 3 DMP of Segment 4A Pipe $ (1,769,881.61) 0 975 Sales Tax Savings 4 DMP of Evoqua WWTP $ (2,569,881.14) 0 975 Sales Tax Savings 5 DMP of Segment 4B Pipe $ (566,934.52) 0 975 Sales Tax Savings 6 DMP of Effluent Filters $ (413,373.68) 0 975 Sales Tax Savings 7 DMP of Pump Skids & Blowers $ (1,211,448.49) 0 975 Sales Tax Savings 8 Cancel Blower DMP $ 137,942.49 0 975 Required fast delivery 9 Change to IQ WWTP $ (1,692,905) 90 1,065 Value Engineering 10 Change to PLCs $ (20,626.57) 120 1,185 Value Engineering 3 16.E.3.b Packet Pg. 1131 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Date:11/18/2021 C2062-005C.O.R. # Change Order Request Project #:Project Name:C2062C2062 NESA Segment 3 Interim WWTP G.C. # We hereby propose to make the following changes: PLC and Control Upgrades Mitchell and Starke Construction Company Inc Michael P. Westhafer 6001 Shirley Street Naples, FL 34109 Fax:(239) 597-2165 (239) 566-7865 From:Cogburn Bros., Inc. Raymond Smith Phone:Fax: 3300 Faye Road Jacksonville, FL 32226 To: Attn: Phone:(904) 358-7344 (904) 358-2805 Per request of Collier County, the RIO panels were changed to individual PLC's This resulted in a reduction of the overall quantity of control panels and a slight reduction in cost. Please also note the required increase in schedule time partly as a result of these requested changes, and also due to worldwide material shortages. All standard Covid and Force Majure Conditions Apply. It may take up to 3 months to obtain all the required materials for this project Change Order Price ($20,626.57) Authorized Signature Date of Acceptance Raymond Smith Author Date Sent 11/18/2021 Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 90 days in conjunction with this change. Page 1 of 2 4 16.E.3.b Packet Pg. 1132 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Date:11/18/2021 C2062-005C.O.R. # Change Order Request Project #:Project Name:C2062C2062 NESA Segment 3 Interim WWTP G.C. # Labor Labor Type Man Hrs $/Hr Burden Fringe TotalTax Total Labor Electrician Working Foreman 5.00 $125.00 $0.00 $0.00 $0.00 $625.00 Journeyman Electrician 0.00 $95.00 $0.00 $0.00 $0.00 $0.00 Apprentice Electrician 0.00 $45.00 $0.00 $0.00 $0.00 $0.00 Administrative 6.00 $25.00 $0.00 $0.00 $0.00 $150.00 $775.00 Sub Total $0.00 Grand Total $775.00 $0.00 Subcontracts Total Company Description ($21,313.60)Revere PLC Changes ($21,313.60)Sub Total Grand Total ($21,313.60) $775.00 Total $116.25 Overhead Subcontract ($19,376.00) Markup Subcontract ($1,937.60) ($204.22)Bond ($20,626.57)Total Page 2 of 2 5 16.E.3.b Packet Pg. 1133 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Revere Control Systems, Inc. // 3810 Drane Field Road, Suite 7 // Lakeland, FL 33811 // 836.226.0219 // www.reverecontrol.com Birmingham, AL // Lakeland, FL // Charlotte, NC // Texarkana, TX // Houston, TX November 18, 2021 Mr. Raymond Smith Cogburn Bros Inc Jacksonville, Florida 32226 Reference: Collier Co NESA Interim WWTP 100% Design Cost – PLC Change Dear Mr. Smith: Revere is pleased to offer this proposal for change in cost on the 100% design of the Collier County NESA Interim WWTP project due to the change in PLC selection. •Change to Overall Design – CREDIT of $19,376 o Reduced total amount of enclosures by one from initial design, but increased enclosure sizes for five of the six panels still in scope (Plant panel remained the same size as when it was bid) o Changed PLC from ControlLogix to CompactLogix o Update PLC enclosure internal designs based on 100% drawings, including changing all the RIO panels to PLC panels Regarding schedule impact, the change of the system based on the modification from RIO panels to individual PLC panels resulted in delays due to the redesign, submittal, and approval process. In addition, with recent labor and material shortages world-wide, the industry is experiencing ever-increasing lead times on a variety of components including enclosures, PLC cards, and even surge suppression. For example, enclosure lead times last year were around 8-10 weeks, but are now 16-18 weeks. Lead times on PLC cards were 4 weeks but have increased to 16-17 weeks. The current plan is to deliver the control panels on-site mid February, but this could change if material delays get worse. Current Project Schedule: •Delivery of all PLC panel parts by January 20th (PLC cards are severely delayed) •Complete build of panels by February 3rd •Load programming and factory test by February 14th •Deliver panels to site by February 18th •Site installation by March 23rd •Revere calibration and field panel testing by April 18th Thank you for your consideration of our proposal. If you have any questions, please contact me. Regards, Shawn Poole, PMP Project Manager Revere Control Systems, Inc. (586)5 24-5606 6 16.E.3.b Packet Pg. 1134 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 7 216.E.3.b Packet Pg. 1135 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 8 16.E.3.b Packet Pg. 1136 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 9 16.E.3.b Packet Pg. 1137 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Collier County Planning & Project Management Department WORK DIRECTIVE CHANGE CHANGE #13 DATE OF ISSUANCE: June 8, 2021 Work Order/Purchase Order #: 4500204556 Contract No. 20-7769 PROJECT#: 70135.2 OWNER: Collier County Board of County Commissioners PROJECT: SCRWTP Reactor Tank 4 CONTRACTOR: Mitchell & Stark Construction, Inc. You are directed to proceed promptly with the following change(s): DESCRIPTION: Provide 1-inch polymer feed piping between the chemical building and feed point at Reactor 4. PURPOSE OF WORK DIRECTIVE CHANGE: Polymer is added in the reaction zone of the lime softening reactors as a flocculant aide to control effluent turbidity. There exists a combination of ¾-inch and 1-inch piping feeding polymer to the existing reactors. For commonality, the County desires the new piping to be increased to 1-inch diameter. The Contractor will be installing the new polymer line in an existing chemical trench to serve reactor 4. Having the Contractor provide the new increased diameter piping will allow for the work to be installed in the location identified in the Contract drawings. There is no cost effective alternative because if the ¾-inch piping is installed, it would need to be removed and replaced to achieve the desired 1-inch pipe size. If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Contract Price: Method of determining change in Contract Times: Unit Prices Contractor’s records Lump Sum Engineer’s record Other: TIME & MATERIALS Other County Inspector observations and Contractor field records Use of Allowance Funds: estimated $3,000 Estimated increase in Contract Price: $0.00 Estimated change in Work Order Time: 0 Increase or decrease by 0 calendar days. RECOMMENDED BY (Engineer of Record): _____________________________Date: _06/08/21_________ REVIEWED BY (Owner’s Representative): _________________________________Date: ________ Alicia Abbott, EI., PMP, Project Manager AUTHORIZED BY (Owner’s Representative): _________________________________Date: ________ Benjamin Bullert, P.E. – Principal Project Manager 10 16.E.3.b Packet Pg. 1138 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Collier County SCRWTP Reactor Tank #4 Work Directive #13 Cost Estimate - Polymer Line Cost Summary Direct Labor 7% Other Direct and Material and Activity Unit Quantity Materials Equipment w/ Tax Subcontract Markup Unit Price Total Materials 0.00 0.00 0.00 Ferguson - 1" materials ls 1.00 462.86 495.26 46.29 541.55 541.55 Ferguson - credit 3/4" materials ls -1.00 337.24 360.85 33.72 394.57 -394.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subcontracts 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 M&S Labor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 146.98 146.98 For estimating purposes only. Actual time and materials may vary based on conditions encountered 11 16.E.3.b Packet Pg. 1139 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Collier County Planning & Project Management Department WORK DIRECTIVE CHANGE CHANGE #14 (Revision 1) DATE OF ISSUANCE: Revised October 4, 2021 Work Order/Purchase Order #: 4500204556 Contract No. 20-7769 PROJECT#: 70135.2 OWNER: Collier County Board of County Commissioners PROJECT: SCRWTP Reactor Tank 4 CONTRACTOR: Mitchell & Stark Construction, Inc. You are directed to proceed promptly with the following change(s): DESCRIPTION: Reactor 4 overflow piping connection to thickener overflow. PURPOSE OF WORK DIRECTIVE CHANGE: The Contractor submitted request for information (RFI) No. 28 which identified duct banks that were determined to be in conflict with the routing of the reactor 4 overflow piping connection to the existing piping. An option proposed by the Contractor was to install the piping aboveground in lieu of buried. This option would inhibit access for crane and other vehicles in between reactors 3 and 4, therefore, the County preferred a buried option be considered. It was identified that the reactor 4 overflow could be buried and connected to the thickener overflow. This work directive requests the Contractor to locate existing utilities to confirm the revised routing and provide the following modifications. 1. Provide pressure class 350 ductile iron restrained joint piping for the buried portion in lieu of PVC (with cement mortar lining – this change is necessary due to the limited depth of bury of the existing piping). 2. Provide a tapping sleeve and performing tapping for a 12-inch connection to the 16-inch thickener drain line. (Sleeve shall be per Collier County Standard Specification 31 12 00, Paragraph 2.3.F). 3. Routing shall be as described in the attached sketch, subject to field review/confirmation with the inspector. The Contractor is currently installing new reactor overflow piping as part of the construction of reactor 4. Having the Contractor change the connection point of the reactor overflow will allow for the work to be installed concurrent with the existing project, allow for startup of the new reactor 4, and minimize future crane and other vehicle interferences. The alternative is to install the piping below the duct bank conflicts in the current alignment or install the piping aboveground resulting in interferences with either option. Revising the alignment and connecting the reactor 4 overflow piping to the thickener overflow piping in the current project minimizes the potential interferences as well as minimizes operational challenges associated with a deep pipeline (with respect to solids accumulation and complicated future maintenance). If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Contract Price: Method of determining change in Contract Times: Unit Prices Contractor’s records Lump Sum Engineer’s record Other: TIME & MATERIALS Other County Inspector observations and Contractor field records 12 16.E.3.b Packet Pg. 1140 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Use of Allowance Funds: estimated $20,000 Estimated change in Work Order Time: 0 Estimated increase in Contract Price: $0.00 Increase or decrease by 0 calendar days. RECOMMENDED BY (Engineer of Record): _____________________________Date: __________ REVIEWED BY (Owner’s Representative): _________________________________Date: ________ Alicia Abbott, EI., PMP, Project Manager AUTHORIZED BY (Owner’s Representative): _________________________________Date: ________ Benjamin Bullert, P.E. – Principal Project Manager 13 16.E.3.b Packet Pg. 1141 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Collier County SCRWTP Reactor Tank #4 Work Directive #14 - Overflow Cost Summary Direct Labor 7% Other Direct $17,173.44 and Material and Activity Unit Quantity Materials Equipment w/ Tax Subcontract Markup Unit Price Total Materials 0.00 0.00 0.00 Ferguson - Additional Materials ls 1.00 8000.00 8560.00 800.00 9360.00 9360.00 Ferguson - Credit Materials ls 1.00 2396.10 2563.83 239.61 2803.44 2803.44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subcontracts 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 M&S Labor 0.00 0.00 0.00 Project Manager hr 2.00 90.00 0.00 90.00 180.00 Field Supervisor hr 8.00 55.00 0.00 55.00 440.00 Operator hr 8.00 50.00 0.00 50.00 400.00 Pipe Layer hr 16.00 40.00 0.00 40.00 640.00 Laborer hr 16.00 30.00 0.00 30.00 480.00 Pickup & Tools hr 16.00 60.00 0.00 60.00 960.00 544 Loader hr 8.00 95.00 0.00 95.00 760.00 JD 50 Excavator hr 0.00 65.00 0.00 65.00 0.00 JD 120 Excavator hr 8.00 130.00 0.00 130.00 1040.00 3 Inch Pump day 1.00 40.00 0.00 40.00 40.00 Plate Compactor day 1.00 70.00 0.00 70.00 70.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17173.44 17,173.44 For estimating purposes only. Actual time and materials may vary based on conditions encountered 14 16.E.3.b Packet Pg. 1142 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Collier County Planning & Project Management Department WORK DIRECTIVE CHANGE CHANGE #15 DATE OF ISSUANCE: June 18, 2021 Work Order/Purchase Order #: 4500204556 Contract No. 20-7769 PROJECT#: 70135.2 OWNER: Collier County Board of County Commissioners PROJECT: SCRWTP Reactor Tank 4 CONTRACTOR: Mitchell & Stark Construction, Inc. You are directed to proceed promptly with the following change(s): DESCRIPTION: Relocate existing carbon dioxide (CO2) feed diffuser assembly. PURPOSE OF WORK DIRECTIVE CHANGE: The effluent piping from reactors 2, 3, and 4 is being replaced with new above ground piping. The above ground piping will connect in three new locations to the recarbonation basin wall. As a result, the existing CO2 gas feed assembly needs to be relocated north to provide uniform feed regardless of which of the four reactors are in service. Contractor is requested to perform the following: 1. Remove existing gas feed assembly and clean by pressure washing and using small chipping hammers to remove existing buildup on the diffuser assembly. County will inspect and advise when cleaning effort is complete. Cut existing anchors flush to concrete. 2. Reinstall gas feed diffuser assembly over the new reactor 4 piping inlet, approximately 10’-6” north of the current location. Anchorage to be installed in the top of wall to match existing size and materials. 3. Extend existing 1-inch CO2 gas feed piping and connect to diffuser in new location. Piping shall be threaded stainless steel to match existing. Support to recarbonation basin wall per Typical Detail P660. The Contractor is currently installing new reactor effluent piping and supports to connect to the recarbonation basin. Having the Contractor relocate the CO2 diffuser assembly will allow for the work to be installed concurrent with the existing project, allow for startup of the new reactor 4, and minimize future interferences. The alternative is to wait to install the CO2 piping and supports in a separate project in which there would be interferences with the reactor effluent piping complicating its construction and provide operational limitations for which reactors can be operated. Providing the CO2 piping in the current project minimizes the potential interferences as well as allows operators the flexibility to operate any reactor at any time. If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Contract Price: Method of determining change in Contract Times: Unit Prices Contractor’s records Lump Sum Engineer’s record Other: TIME & MATERIALS Other County Inspector observations and Contractor field records Use of Allowance Funds: estimated $5,000 Estimated change in Work Order Time: 0 Estimated increase in Contract Price: $0.00 Increase or decrease by 0 calendar days. 15 16.E.3.b Packet Pg. 1143 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) RECOMMENDED BY (Engineer of Record): _____________________________Date: _06/18/21_________ REVIEWED BY (Owner’s Representative): _________________________________Date: ________ Alicia Abbott, EI., PMP, Project Manager AUTHORIZED BY (Owner’s Representative): _________________________________Date: ________ Benjamin Bullert, P.E. – Principal Project Manager 16 16.E.3.b Packet Pg. 1144 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Collier County SCRWTP Reactor Tank #4 Work Directive #15 Cost Estimate - CO2 Sparger Cost Summary Direct Labor 7% Other Direct and Material and Activity Unit Quantity Materials Equipment w/ Tax Subcontract Markup Unit Price Total Materials 0.00 0.00 0.00 Motto Corporation ls 1.00 2004.00 2144.28 200.00 200.40 2544.68 2544.68 Ferguson Stainless Material ls 1.00 10000.00 10700.00 1000.00 11700.00 11700.00 Ferguson PVC Material ls 1.00 3000.00 3210.00 300.00 3510.00 3510.00 0.00 0.00 0.00 0.00 0.00 0.00 Subcontracts 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 M&S Labor 0.00 0.00 0.00 Project Manager hr 8.00 90.00 0.00 90.00 720.00 Field Supervisor hr 16.00 55.00 0.00 55.00 880.00 Operator hr 32.00 50.00 0.00 50.00 1600.00 Pipe Layer hr 48.00 40.00 0.00 40.00 1920.00 Pickup & Tools hr 48.00 60.00 0.00 60.00 2880.00 544 Loader hr 16.00 95.00 0.00 95.00 1520.00 3 Inch Pump day 1.00 40.00 0.00 40.00 40.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27314.68 27,314.68 For estimating purposes only. Actual time and materials may vary based on conditions encountered 17 16.E.3.b Packet Pg. 1145 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 18 316.E.3.b Packet Pg. 1146 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 19 16.E.3.b Packet Pg. 1147 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 20 16.E.3.b Packet Pg. 1148 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 21 16.E.3.b Packet Pg. 1149 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 22 16.E.3.b Packet Pg. 1150 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 23 16.E.3.b Packet Pg. 1151 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 24 416.E.3.b Packet Pg. 1152 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 25 16.E.3.b Packet Pg. 1153 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Revised: 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Admin BCC Rpt BCC ES Change Order/Amendment Summary CO# AMD# Description COST TIME Justification Additive (+) Deductive (-) Days Added New Amount 3 - Time request due to WD#9 and delays in procurement of Materials $0.00 $0.00 62 564 Time extension due to unforeseen conditions regarding procurement and delivery of materials, and changes associated to WD#9. 1 2 - - 64 500 73 $0.00 $0.00 $0.00 $0.00 Time request due to changes described in WD#2 Time request due to changes described in WD#1 Allow Contractor to use Allowance for costs related to WD #1 and time extension associated to unforeseen conditions related to WD #2. 438 Time extension associated with WD #1 due to unforeseen conditions related to existing PCCP pipes. 26 16.E.3.b Packet Pg. 1154 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 01/26/22 10:49 AM Collier County Engineering & Project Management Division WORK DIRECTIVE CHANGE CONTRACT # /PROJECT NAME: WORK DIRECTIVE # 09 SCWRF Reclaimed Water Storage Tank Improvements PURCHASE ORDER #: 4500195019 DATE OF ISSUANCE: 07/06/21 – Original 01/20/22 - Revised OWNER: Collier County Board of Commissioners PROJECT#: 19-7671 CONTRACTOR: Public Works Constructors (PWC) ENGINEER/DESIGN PROFESSIONAL: Stantec Consulting Services, Inc. You are directed to proceed promptly with the following change(s): Description: Contractor shall relocate proposed 36-inch butterfly valve (Valve V/5) and valve vault as shown in the attached plans. Furthermore, Contractor shall restrain the existing 36-inch ductile iron pipe as shown in the attached plans. This work will be measured for payment as Time and Materials. Purpose of Work Directive Change: The project was designed and bid with a proposed 36-inch diameter isolation valve to be installed on what was understood to be an existing 36-inch diameter DIP. This understanding was based on existing utility information provided to Stantec. During construction, it was determined that the existing pipeline material is Prestressed Concrete Cylinder Pipe (PCCP). Installing a cut-in valve or connection on PCCP requires special adapters and typically longer shutdown durations because of the additional time it takes to demolish and remove PCCP, as well as the curing time needed for the concrete mortar around the new PCCP transition adaptors (these allow the pipe to transition from PCCP to Ductile Iron or Polyvinylchloride (PVC) pipe). Recently, the Contractor performed an exploratory excavation of the existing 36-inch diameter main that conveys water from the existing Reclaimed Water Storage tank and was able to determine the existing pipe material is ductile iron pipe (DIP) and the existing condition is suitable for cutting in a proposed isolation valve. Reason/Justification: If the proposed 36-inch diameter isolation valve is installed on the DIP instead of the PCCP, it will reduce duration needed for a shutdown and contractor to complete their work. Furthermore, this change will have significant savings in construction costs since no special adapters will be needed to install the valve. Reducing the duration of the shutdown and contractor’s work will benefit the County in two different ways as follows: 1) Because there are several different projects currently on-going at the SCWRF, the plant is limited in how long of a duration they can keep the existing 36-inch effluent Reclaimed Water Storage tank pipeline out of service for installation of the proposed isolation valve. The shorter the shutdown, the less chance there is for an overflow event at the plant; and 2) Because installation of the proposed valve on the PCCP would be measured for payment on time and material basis since the actual pipe material is different than what was shown on the bid plans (see above for reason in discrepancy of existing pipe material), the County would save money on the additional time it would take the Contractor to cut- in a 36-inch valve on the existing PCCP. Attachments: 36-INCH-VALVE_RELOCATION-SD1-2021 06 29 27 16.E.3.b Packet Pg. 1155 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 01/26/22 10:49 AM WD#9 was revised on January 20, 2022 to add 64 additional days to the Substantial Completion date due to delays in procurement of materials for WD#9 and not being able to finish the remaining project activities. A timeline summary of events is described below:  July 6, 2021 – Signed Work Directive #9 issued to Contractor. On this date, Contractor only had 34 days remaining to achieve Substantial Completion and 79 days achieve Final Completion.  July 23, 2021 – Contractor discussed with EOR the challenges for obtaining the materials for Work Directive #9 due to supply shortages.  July 30, 2021 – The Owner issued a Stop Work Order due to material supply shortages. On this date, the Contractor only had 10 days remaining to achieve Substantial Completion date and 55 days remaining to achieve Final Completion Date.  August 3, 2021 – Contractor obtained a quote from a vendor and the Corrugated Metal Pipe (CMP) submittal was issued to the EOR for review and approval.  August 5, 2021 – EOR returned CMP submittal with Approved status.  August 31, 2021 – Contractor received quote for grating from Dixie Metal Products, with an anticipated delivery date of 6-8 weeks after submittal approval.  September 24, 2021 – Contractor notified EOR and Owner that additional material procurement delays were experienced beyond the Contractor’s control.  October 6, 2021 – Contractor provided grating submittal to EOR for review. EOR returned grating submittal on same date with comments to be addressed by Contractor.  October 6, 2021 – CMP material delivered to Contractor.  October 14, 2021 – Contractor submitted second grating submittal.  October 18, 2021 – EOR returned grating submittal with Approved status.  October 18, 2021 – Contractor issued purchase order to Dixie Metal Products for grating material.  December 1, 2021 – Grating material delivered to Contractor.  December 9, 2021 –Contractor provided an updated schedule to perform the work described in Work Directive #9 and to finish the project. The schedule showed Contractor needing 64 additional days to achieve Substantial Completion due to the time associated with waiting for the CMP and grating materials to be delivered, as well as the actual time needed to complete the work described in Work Directive #9. If a claim is made that the above change(s) have affected Contract/Allowance Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Method of determining change in Contract Times: Contract/Allowance Price: Unit Prices Contractor’s records Lump Sum Engineer’s record Time & Material Other Contractor’s Proposal Other Estimated decrease in Allowance: Estimated change in Contract Time: $TBD Increase by 64 calendar days. RECOMMENDED: AUTHORIZED: By: By: Engineer Owner’s Representative Miguel Perez, PE 28 16.E.3.b Packet Pg. 1156 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) 01/26/22 10:49 AM Approved Original Allowance Amount $150,000.00 Remaining Allowance After WD #8 $0.00 This Allowance Decrease $TBD* Remaining Allowance Balance $0.00 *A change order is necessary to fund this from a viable WBS source. 29 16.E.3.b Packet Pg. 1157 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Revised: 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.)PROCUREMENT USE ONLY Admin BCC Rpt BCC ES Contract Modification Work Order Modification Contract #: Change #: Purchase Order #: Project #: Contractor/Firm Name: Contract/Project: Project Manager Name: r: Division Name: Original Contract/Work Order Amount $ 524,595.50 5/11/2021; 11G Original BCC Approval Date; Agenda Item # Current BCC Approved Amount $ 524,595.50 5/11/2021; 11G Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount $ 524,595.50 5/17/2022 SAP Contract Expiration Date (Master) Dollar Amount of this Change $ 16,343.25 3.12% Total Change from Original Amount Revised Contract/Work Order Total $ 540,938.75 3.12% Change from Current BCC Approved Amount Cumulative Changes $ 16,343.25 3.12% 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 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: ________________ (Project Manager Name and Division) 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: ________________ (Contractor / Vendor / Consultant / Design Professional and Name of Firm, if project applicable) Accepted by: ___________________________________________________________________________ Date: ________________ (Design Professional and Name of Firm, if project applicable) Approved by: ___________________________________________________________________________ Date:________________ (Division Director or Designee) Approved by: ___________________________________________________________________________ Date: ________________ (Procurement Professional) Procurement Services Change Order Form 90066, 90068, 50126 Coastal Protection Engineering 450021090321-7828 1 Collier Beach Renourishment 2021-2022 CPP, IF & PMAndrew Miller 5/17/20225/17/20225/17/2022 0 5/17/2021 1. FDEP Permit requirements call for Sediment Compliance Testing at each R-Monument within the Renourishment Project limits. This Change Order will allow the Consultant (CPE) to perform the required compliance testing, as testing and permitting is part of existing tasks located within Schedule A – Statement of Work – (Task 5 – Naples – Construction Observations and Project Certifications – Paragraphs 1 and 4; Task 10 – Vanderbilt – Construction Observations and Project Certifications – Paragraphs 1 and 4; Task 15 – Pelican Bay – Construction Observations and Project Certifications – Paragraphs 1 and 4). 2. Permitting efforts were included within the original contract. The task for permitting is needed to be expanded to cover sediment analysis required for permit compliance. 3. DEP permit requirements for geotechnical testing of beach sand will not be met within the time frame required (90 days after final stand placement date). BCC Rpt 30 516.E.3.b Packet Pg. 1158 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Revised: 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Admin BCC Rpt BCC ES Change Order/Amendment Summary CO# AMD# Description COST TIME JustificationAdditive (+) Deductive (-) Days Added New Amount 1 - Adding Sediment Testing Tasks $16,343.25 0 0 365 Per DEP Requirements 31 16.E.3.b Packet Pg. 1159 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) From:Tara Brenner To:BevardFarron Subject:Revised sand analysis proposal Date:Friday, January 21, 2022 5:38:49 PM Attachments:image001.png image002.png 21-278Rev.01 Coastal Protection Engineering - Sediment Compliance Criteria Testing.pdf EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Hi Farron, As discussed, we now have the proposal for analyses to cover the “during” and “post” construction sediment samples that the County will collect and deliver to Ardaman. If you are able to apply the 5% contract mark-up to this task it results in a total of $16,343.25. Details/breakdown by reach are in the attached Ardaman proposal. When you’re coordinating next week, don’t hesitate to reach out if you need anything from me. Have a GREAT weekend, Tara Brenner, PG, PE Senior Coastal Engineer Mobile: 631-896-9137 tbrenner@coastalprotectioneng.com Coastal Protection Engineering 5301 N. Federal Hwy, Suite 335 Boca Raton, FL 33487 32 16.E.3.b Packet Pg. 1160 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Ardaman & Associates, Inc. Geotechnical, Environmental and Materials Consultants 9970 Bavaria Road, Fort Myers, Florida 33913 Phone: (239) 768-6600 Fax: (239) 768-0409 Louisiana: Baton Rouge, New Orleans, Shreveport Florida: Bartow, Cocoa, Fort Myers, Miami, Orlando, Port St. Lucie, Sarasota, Tallahassee, Tampa, W. Palm Beach Revised January 22, 2022 Ardaman Proposal No. 21-278Rev.01 Coastal Protection Engineering 5301 N. Federal Hwy, Suite 335 Boca Raton, FL 33487 Attention: Ms. Tara Brenner, PG, PE Operations Analyst Subject: Quote for Sediment Compliance Criteria Testing Services Collier County Beach Renourishment Project Dear Ms. Brenner: As requested, Ardaman & Associates, Inc. (Ardaman) is pleased to submit this quote to perform the laboratory testing on the sand materials sampled by your site representative. The samples will be delivered to our lab. Samples will be evaluated for Munsell color (Value (Chroma = 1) of 7 or lighter), silt (minus #230 sieve, maximum 3%) and shell content (plus #4 sieve, maximum 1%) and screened using the following U.S. Standard Sieve Numbers: 3/4", 5/8", 7/16", 5/16", 3.5, 4, 5, 7, 10, 14, 18, 25, 35, 45, 60, 80, 120, 170, 200 and 230. Each sample will be tested for carbonate content. In addition, mean grain-size (compliance range 0.30mm - 0.50mm) will be calculated by moment method and sorting value will be calculated. Our laboratory results will be summarized on a grain-size distribution report that will include the Sample Number, Mean Grain-Size (mm), Sorting Value (phi), Silt Content (%), Carbonate Content (%) and Munsell Color. Costs for these tests will be as follows: Construction Location Naples Vanderbilt Pelican Bay Total Unit Rate Cost Number of Required Sieve Samples (no Carbonates testing) 24 25 7 56 $245.00 $13,720.00 Number of Required Carbonate Samples (no Sieves analysis) 5 3 1 9 $205.00 $1,845.00 Total $15,565.00 33 16.E.3.b Packet Pg. 1161 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Coastal Protection Engineering Ardaman Proposal No. 21-278Rev.01 Page No. 2 Ardaman & Associates, Inc. This proposal is offered for an acceptance period of 45 days following its submittal to you. After this time, the proposed costs may be subject to change. At your request, after the acceptance period has elapsed, we will re-evaluate our proposal, and reissue it reflecting changes in work scope and cost, if necessary. If this quote meets with your approval, please authorize us to proceed by issuing us a Work Order or Purchase Order. We appreciate the opportunity to offer our services to your project and look forward to working with you. If you agree with this proposal, please sign and return the attached Proposal/Project Acceptance Agreement or provide us with the appropriate Notice to Proceed. Should you have any questions regarding this proposal, please do not hesitate to contact this office. Very truly yours, ARDAMAN & ASSOCIATES, INC. Florida Registry No. 00005950 A. Jamie Peters Ivan Sokolic, P.E. CMT Coordinator Branch Manager Distribution: 1 - Addressee + electronic pdf Attachment(s): Proposal/Project Acceptance Agreement Ivan Sokolic Digitally signed by Ivan Sokolic Date: 2022.01.21 17:27:19 -05'00' 34 16.E.3.b Packet Pg. 1162 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Ardaman & Associates, Inc. Geotechnical, Environmental and Materials Consultants PROPERTY OWNER IDENTIFICATION: Name: Property Identification Number: Address: City/State:Zip Code:Phone: Attention:Title: SPECIAL INSTRUCTIONS: Report(s) Recipient's E-mail Address: PAYMENT TERMS: PROPOSAL ACCEPTANCE: Accepted this ___ day of _____________ , 2022. (Print or type individual, firm or corporate body name) (Signature of authorized representative) (Print or type name of authorized representative and title) BILLING ADDRESS OF SIGNEE (include phone and fax number): Phone: Fax/Email: REVISION 8.2017 - FL By accepting this Proposal, the Terms and Conditions of this Proposal, including the Terms on this page, and Ardaman & Associates,Inc.’s General Conditions appearing on the following page of this Proposal, are incorporated herein by reference. In the event this Proposal Acceptance was received by facsimile, Client hereby confirms that the above-described Proposal, the Terms and Conditions of this Proposal, including the Terms on this page, and Ardaman & Associates,Inc.’s General Conditions have been made available and are incorporated in this agreement. PROPOSAL/PROJECT ACCEPTANCE AND AGREEMENT PROJECT INFORMATION: Client Name: Project Name:Proposed Project: Laboratory Testing Services Project Location:Sediment Compliance Criteria Testing Services, Collier County, Florida Proposal Number and Date:21-2785HY - January , 2022 Description of Services:Construction Materials Testing Suggested Fees:$,; To be invoiced in accordance with attached unit rates for actual services rendered Payment shall be due within 30 days after date of each periodic invoice. Interest at the rate of 18% per annum (or the highest rate allowable by law) shall accrue on all amounts not paid within 30 days after date of invoice. All attorney fees and expenses associated with collection of past due invoices will be paid by Client. Failure to timely pay any invoice shall constitute a waiver of any and all claims arising from or related to Ardaman & Associates, Inc.’s services, including but not limited to the services described in this Proposal. 35 16.E.3.b Packet Pg. 1163 Attachment: 0222 Change Order Backup - FY22 (21275 : Procurement Services administrative reports) Item Page #Contract or Purchase Order Date Description of Project Vendor Name Division - Director Fiscal Impact for Additional Services Outstanding Invoices Description 1 1 4500212407 1/26/2022 SAP EMS Step Compensation Plan Phoenix Business, Inc.Human Resources - Amy Lyberg $0.00 $24,360.00 Division staff utilized a Clerk's contract that expired due to a renewal of the contract not occurring. 2 3 19-7525 4500208074 1/28/2022 IFAS Wind Retrofit Capital Contractors, LLC Facilities Management - Ed Finn $0.00 $19,925.00 Division staff did not submit a change order to extend time as required by contract, allowing the project to expire. 3 6 4500214477 2/4/2022 FY22 International Campaigns Paradise Advertising & Marketing, Inc. Tourism - Paul Beirnes $0.00 $4,740.00 The proposal, required by contract, was not signed until after the work was completed. 4 9 NA 2/7/2022 Title VI Documents Palm Printing GMD/CAT - Michelle Arnold $167.40 $167.40 Division staff intended to pay for these services via p-card immediately after they were performed, but never received the invoice. Meeting Date Total number of After the Fact Memos Fiscal Impact for Additional Services Outstanding Invoices 2/22/2022 4 $167.40 $49,192.40 16.E.3.c Packet Pg. 1164 Attachment: 0222 After the Fact Report - FY22 (21275 : 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: 1 116.E.3.d Packet Pg. 1165 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) PHOENIX BUSINESS, INC. 6021 Midnight Pass Rd. Unit 3 Sarasota, FL 34242 US 3107799132 vineeta@phoenixteam.com www.phoenixteam.com BILL TO Collier County Board of County Commissioners Attn: Accounts Payable 3299 Tamiami Trl E Ste 700 Naples FL 34112-5749 INVOICE 6906 DATE 12/03/2021 TERMS Net 30 P.O. NUMBER 4500212407 DESCRIPTION QTY RATE AMOUNT SAP EMS Step Compensation Plan - Consulting hours for Prem Juvvadi - 08/2021 42 140.00 5,880.00 SAP EMS Step Compensation Plan - Consulting hours for Prem Juvvadi - 09/2021 120 140.00 16,800.00 SAP EMS Step Compensation Plan - Consulting hours for Prem Juvvadi - 10/2021 12 140.00 1,680.00 Thank you for your business! Payment details: Please see below details for EFT and confirmation information to be sent to invoices@phoenixteam.com Account Name: Phoenix Business Inc. Bank Name: Wells Fargo Account Number:5104180004 Routing Number (Wire transfer): 121000248 Routing Number (Direct Deposit): 111900659 Swift Code: WFBIUS6S TOTAL DUE $24,360.00 2 16.E.3.d Packet Pg. 1166 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) 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. 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: Collier County After the Fact Form James K. Morton Facilities Management Ed Finn Capital Contractors, LLC $19,925.00 19-7525 4500208074 The subject construction contract involves retrofitting windows and doors at IFAS (University Extension Building) to improve hurricane impact resistance. RFQ 2020-200 required that the work be completed within 90 days after receipt of the Notice to Proceed (“NTP”). A 90-day NTP was issued on 6/16/2020 with a final completion date of February 14, 2021. A Work Suspension revised the Final Date to 5/16/2021. Covid-19 related supply issues created delays in production and delivery of the windows and doors. As a result, project completion was delayed beyond 5/16/2021. In order to make payment for work performed beyond the contract date approval of an After-The-Fact Procurement Form is required. Work was satisfactorily completed on October 27, 2021. The final payment invoice is dated 11/4/2021 To obtain approval to pay invoice “Inv_175_cc100338_PO4500208074_PA2 - FINAL Date: November 4, 2021” in the amount of $19,925.00 to Capital Contractors, LLC who has satisfactorily performed the work assignment. 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-The-Fact procurement corrections. James K. Morton MortonJames Digitally signed by MortonJames Date: 2022.01.24 11:42:22 -05'00' Ed Finn FinnEd Digitally signed by FinnEd Date: 2022.01.28 16:03:53 -05'00' 3 2 16.E.3.d Packet Pg. 1167 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) 4 16.E.3.d Packet Pg. 1168 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) 5 16.E.3.d Packet Pg. 1169 Attachment: 0222 After the Fact Backup - FY22 (21275 : 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: 6 316.E.3.d Packet Pg. 1170 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) 7 16.E.3.d Packet Pg. 1171 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) Media Estimate Naples, Marco Island, the Everglades CVB Paul Beirnes 2660 Horseshoe Dr. N. #105 Naples, FL 34104 150 Second Avenue North Suite #800 St. Petersburg, FL 33701 invoices@paradiseadv.com Date: 12/3/2021 Division Name: Naples, Marco Island and the Everglades Tourism Project Name: Project Number: Estimate Name: Estimate Number: FY22 International Campaign UK_Orlandoattractions.com Graft_Media Buy 2021-CCT-1458 FY22 International Campaign UK_Orlandoattractions.com Graft_Media Estimate 21-01569 Rev: 0 Job Type: FY22 Media Media Type: Digital Media Approved By: Cyndy Murrieta Client Project Number: 4500214477 Estimate Description: The following is a negotiated digital media buy for they FY22 International Campaign. Expenses Blog Posts and Video Feature $4,740.00 Vendor: Orlandoattrations.com- Graft Flight Dates: 10/1/21-9/30/22 Markets: International (UK) Tactics: Blog Posts and Video Feature Description: Renewal of Annual Contract on OrlandoAttractions.com. Has already been live with no interruption to presence on site. - Destination Blog Post Every Month on OrlandoAttractions.com Home Page: Monthly feature story on OrlandoAttractions.com remains on the homepage for 7 days. (Client supplies copy and images) - Destination Blog Post On 40 Additional Information Pages: For those same 7 days your blog post featured on approx. 40 additional theme park pages including those in the Disney, Universal and SeaWorld sections. - Permanent Video Feature Page: Permanent content in the ‘Explore’ Florida destination guide. Your page features a video player with the destination video of your choice, editorial, stills, Google directions to your location and social media links. Your LIVE Facebook and Twitter feeds are also displayed along with your three most recent blog posts. Deliverables: Refreshed Copy, images, links, etc. (as needed) Materials Due: Vendor has materials from last year and is working with Jennifer/Amber for new materials as needed $4,740.00 Total $4,740.00 Please sign and return upon receipt. Failure to return to Agency in a timely manner may result in altered job cost estimates and new estimates may need to be generated by the Agency for Client approval. Client signature authorizes Agency to proceed with media planning, negotiation, buying and fulfillment on their behalf as stipulated above and as per overall contract terms between the Parties. Client signature denotes approval to commence with the assignment(s), approval of costs noted above, and agreement to pay the above amount within 30 days of receipt of invoice. Agency policy is to pay all vendor costs within 48 hours after payment is received from the Client unless otherwise determined at the sole discretion of Agency. If and when applicable, Agency shall assess monthly late fees of 1.5% on all unpaid, past due balances or as stipulated within contract terms between the Parties. **WE'VE MOVED! NOTE OUR NEW OFFICE ADDRESS EFFECTIVE 12/15/2021** 8 16.E.3.d Packet Pg. 1172 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) 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. 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: Collier County After the Fact Form 9 416.E.3.d Packet Pg. 1173 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports) 10 16.E.3.d Packet Pg. 1174 Attachment: 0222 After the Fact Backup - FY22 (21275 : Procurement Services administrative reports)