Backup Document 06/14/2022 Item #16G1 CUMENTS CHECKLIST &
UTING
ORIGINAL
AC OMPANY ALL ORIGINAL DOCU ENT O S SE T TOLIP 1 6
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Dale
1. County Attorney Office Sic CAO { Z2.—
2. Board of County Commissioners Office BOCC
1t,f 1/ 0/z'4/z;z
3. Minutes and Records Clerk of Court s Office pd to h-
4. ,�i t
arSjal
Send signed copy to Heather Meyer Airport Authority �C
Heather.meyer@colliercountyfl.gov
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Heather Meyer/Airport Authority 239-252-5765
Contact/ Department
Agenda Date Item was June 14,2022 ✓ Agenda Item Number 16G.1 ✓
Approved by the BCC
Type of Document Change Order 01- QE, Everglades Airpark Number of Original 1 ✓
Attached Runway Rehab ✓ Documents Attached
PO number or account N/A
number if document is
to be recorded •
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK HM
2. Does the document need to be sent to another agency for additional signatures? If yes, HM
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be HM
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's HM
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the HM
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip HM
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on May 10,2022 and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County so fin, an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the serial, an option for
Chairman's signature. this line.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16G1
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Wednesday, June 22, 2022 11:14 AM
To: MeyerHeather
Subject: Item #16G1 (6-14-22 BCC Meeting)
Attachments: #21-7897 Change Order#1 (Quality Enterprises, USA).pdf
Good Morvtivtg Heather,
Please see attached for your records.
Thavtk you!
Ann ✓enneJotin
13MR Senior Deputy Clerk II
icn,,� Clerk to the Value Adjustwtevtt Board
rr,j Office: 23 9-252-8406
Fax: 239-252-8408 (if applicable)
•
Anvt.JetainejohK@CollierClerk.com
Office of the Clerk of the Circuit Court
•cots. & Comptroller of Collier County
3299 Tawtiawti Trail, Suite #4O1
Naples, FL 34112-5324
www.CollierClerk.com
i
1G
Procurement Services
Colt; County Change Order Farm
®Contract Modification ❑Work Order Modification
Contract#: 21-7897 Change#: 01 Purchase Order#; 4500215015 Project#: 33709
Contractor/Firm Name: Quality Enterprises USA, Inc Contract/Project: Everglades Airpark(X01)Rehab Runway 15/33
Project Manager Name: Andrew Bennett Division Name: Airport Autority
Original Contract/Work Order Amount $ 1,748,853.75 9/28/21 #14A.1 Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ 1,748,853,75 9/28/21 #14A.1 Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 1,748,853.75 6/24/2022 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 209,861.73 12.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 1,958,715.48 12.00% Change from Current BCC Approved Amount
Cumulative Changes $ 209,861.73 12.00% Change from Current Amount
Completion Date, Description of the Task(s)Change, and Rationale for the Change
Notice to Proceed 01/10/2022 Original 06/24/22 Last Approved 08/03/22 Revised Date 08/03/22
Date Completion Date Date (Includes this change)
#of Days Added 0 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.
1. Due to observed settlement of the designated six inches of limerock base placed on the widened runway areas, an additional
18,654.376 SY of limerock was necessary to maintain the integrity of the proposed pavement section.This change will
increase Line 11 by$209,861.73.
2. The Everglades Runway Rehabilitation project used a greater quantity of limerock than was stipulated in the plans. The original
plans specified a 6"section of limerock base, however, the additional limerock was placed due to settlement. Settlement was
anticipated based on the findings of the geotechnical investigation which indicated that soils were high In organic content and
clay content and therefore actions were taken to help mitigate the amount of settlement.A layer of geotextile reinforcement
was placed between the stabilized subgrade and the limerock base of the pavement section throughout the entire surface area
of the runway. However, during the placement of the limerock base, contractors encountered higher than anticipated
settlement due to the high ground water table in the project area which is tidally influenced,
3. If this change order is not processed the runway project will not be completed.
Prepared by: � � — Date: 4/20/2022
(Andrew Bennett, Executive Airport Manager, Airport Authority)
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: Z f Z-" '"
(Louis Gaudio,VP,Quality Enterprises USA, Inc)
Accepted by: Date: y'Z/*u'CZ2.
(Kevin McCauley, P , Atkins Project Manager)
Approved by: ShueGene Digitally signed by ShueGene
Date'2022.04.22 15 39:22-04'00' Date:
(Gene Shue, Division Director, Operations Support)
ScottTri n it Digitally signed by ScottTrinity
Approved by: ] Date:2022.04.29 05:49:20-04'00' Date:
H M (Trinity Scott, Department Head)
Sehneeber erSara Digitally signed by Schneebergersara
Approved by: g Date:2022.05.09 11 50:41-04'00' Date:
(Procurement Professional)
TT)
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet,) PROCUREMENT USE ONLY
Admin C BOG ES
1 6 G 1
AiTTEST: BOARD OF COU COMMISSIONERS
Crystal K.Kinzel,Clerk of Courts COLLIER COU , .I.,
&Cpmptroller
IP. '•
)4tsykL___febiaa______ By: (_..."..). c.•
•
$ <,
'' Willia . McDaniel, Jr., Chairman
- Attest as to'Chairman's
,l-
sigdature Only.
Appr tof-17 al le ality:
By: L6 ..-----
sc.R.'tete
Deputy County Attorney
i;14/2
Change Order/Amendment Summary 1 6 G 1
COST TIME
CO# AMD# Description Days New Justification
Additive (+) Deductive (-) Added Amount
1 Additional $209,861.73 0 165 Due to settlement, additional
Limerock Base limerock is needed
a)
C.1
Revised: 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin Rpe BCC ES
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