Backup Document 06/28/2022 Item #16C 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP rr
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 v 9
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.
** 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.
R e to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office n,YA (0 130
122.
4. BCC Office Board of County
Commissioners / 61 3 c$9)-
5. Minutes and Records Clerk of Court's Office Div
4fre c- 1.'arP4
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 Matthew McLean Phone Number 239-252-2917
Contact/Department
Agenda Date Item was 28 June 2022 Agenda Item Number 16C9
Approved by the BCC
Type of Document(s) FDOT Change Order Work Order Number of Original 1
Attached Documents Attached
PO number or account N/A
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature(instead of stamp)? DAC
2. Does the document need to be sent to another agency for additional signatures? If yes, DAC
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legality. (All documents to be signed by DAC
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 DAC
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 DAC
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
leVg
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is uploaded to the i(474
agenda. Some documents are time sensitive and require forwarding to Tallahassee within a /I
certain time frame or the BCC's actions are nullified. aware of your deadlines!
8. The document was approved by the BCC on 6/ Tc ja and all changes made during N/A is not
the meeting have been incorporated in the attache document. The County Attorney {1Jl an option for
Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the CAI6/ N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the 0 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;2.24.05;11/30/12;4/22/16;9/10/21
16C 9
Collier County
Public Utilities Department
Engineering & Project Management Division
TO: Board Minutes and Records,Collier County Clerk of Courts
FROM: Matthew McLean, Public Utilities Engineering and Project Manager Director
DATE: June 30,2022
SUBJECT: FDOT Change Order Work Order Signature Return
To whom it may concern,
The signed version of the attached State of Florida Department of Transportation(FDOT)Utility Work
Order Change No. 1 needs to be returned promptly to FDOT. Please email a signed copy to me at
matthew.mcleanAcolliercountyfl.gov and Drew Cody at drew.cody@colliercountyfl.gov so that we can
meet the required timelines for the subject project to move forward.
Respectfully,
D 9indy signed by MdeenMaWwr
DN:E.Me9hew.Mdeen@rolleivounlyllgov,
M cLean Matthew o_ ensi b DC °-
Dale:2022.06.30 11 49:20-04.00.
Matthew McLean,P.E.
Engineering and Project Management Director
Collier County Public Utilities Department
nU y UN
Public Utilities Engineering&Project Management Division•3339 Tamiami Trail East,Suite 303•Naples,Florida 34112-5361 •239-252-4285•FAX 239-252-5378
14C 9
Martha S. Vergara
From: McLeanMatthew <Matthew.McLean@colliercountyfl.gov>
Sent: Friday,July 1, 2022 7:59 AM
To: Martha S. Vergara; CodyDrew
Cc: BullertBenjamin; CurryAmia
Subject: RE: FDOT Change Order Work Order
Attachments: Matthew McLean.pdf
Thanks so much for the extra help. We appreciate it.
Respectfully,
Matt McLean, P.E.
Division Director
CeOlireT C01411tY
Engineering&Project Management Division
"Continuous Improvement"
Matthew.McLean@colliercountyfl.gov
3339 Tamiami Trail East, Suite 303
Naples, FL 34112
239-252-6213 Office
239-571-2448 Cell
"HOW ARE WE DOING?" Please click here for our Customer Service Survey
From: Martha S. Vergara <Martha.Vergara@collierclerk.com>
Sent:Thursday,June 30, 2022 4:42 PM
To: McLeanMatthew<Matthew.McLean@colliercountyfl.gov>; CodyDrew<Drew.Cody@colliercountyfl.gov>
Subject: FDOT Change Order Work Order
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.
Hello Matt,
Attached is the FDOT Change Order.
Thanks,
1
Martha Vergara 1 6 C 9
BMR&VAB Senior Deputy Clerk
eG�c�}T(OURT� ' Office: 239-252-7240
(.6„.
G Fax: 239-252-8408
E-mail: martha.vergara@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tamiami Trail E, Suite #401
Naples, FL 34112
www.CollierClerk.com
This electronic communication contains information intended solely for the named addressee(s). If you have received
this communication in error, please forward the email in its entirety to the Clerk's Office at collierclerk@collierclerk.com
and delete the email.
Under Florida Law, email addresses are public.
Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a
public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing.
2
1 6 C 9
710-010-04
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION UTILITIES
04110
UTILITY WORK ORDER CHANGE NO. 1
Financial Project ID: 425843-2-56-02 Federal Project ID: N/A
County: Collier State Road No.: 951
District Document No: 1
Utility Agency/Owner(UAO): Collier County Water-Sewer District
A.
1. The Agency is hereby authorized to observe the following changes in the plans and/or specifications to the subject Utility
Agreement,and to perform such work accordingly,further described as:
Water and Sewer relocation required by the FDOT Design Build reconstruction project FPID 425843-2-52-01
2, The items of work covered by this Work Order Change are referenced to an Agreement of record dated 12/17/2020,and no
Supplemental Agreement is required.
B.
1. The Utility Relocation Work is to conform to that shown by the utility adjustment plans as:
a. 0 ATTACHED.
b. ® INCLUDED IN THE HIGHWAY CONTRACT PLANS.
2. The cost of this Utility Work is:
a.® NONREIMBURSABLE
b.❑ REIMBURSABLE
(1) ❑ Force Account Method
(2) 0 Lump Sum Method
(3) ❑ Third Party Contract Method
C.
ESTIMATED COST OF WORK DUE TO THIS CHANGE:
ITEM NO. ITEM UNIT UNIT WORK ELIMINATED(-) ADDITIONAL WORK(+)
PRICE QUANTITY AMOUNT QUANTITY AMOUNT
56-02 Deposit $1,250,321,29
56-02 Bid Tabs $1,500,000.00
56-91 10%Contingency $150,000.00
62-01 5%CEA/CEI $75,000.00
Sub-Totals ($1,250,321.29) $1,725,000.00
Net Cost of Construction Changes,this order $474,678.71
Cost of Construction Changes,previously ordered $0.00
Net Total Cost Construction Changes to Date $474,678.71
Contract Amount $1,250,321,29
Estimated Cost of Work Authorized to Date $1,725,000.00
Recommended: Approved: Approved: N/A
Date Date Date
r
District Utility Coordinator Distract Utility Engineer/Administrator r Divisiont Highway dmint tr
Fedora! Administration
N/A
Typed Name Typed Name Typed Name
16C 9
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal 1f,1I1.rp i l itleAk-of Courts COLLIER CO • -
&ComOttollqr tiF,
By: 41. By: ' r __��►
William .McDanie ,Jr.,Chairman
DatedV M1'�i� _' 22-
Attest as to-COrman's
signature only.
Approve as to form and legality:
By:(J.0 1/1/1)/he
Alv Scott R.Teach
Deputy County Attorney
16C 9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 350-020-03
AGREEMENT SUMMARY SHEET COMPTROLLER
02116
Attach this completed form to the agreement and forward to the
LFA Section in the OOC, General Accounting Office, M.S.42B.
If you have have any questions, please call
850-414-4867 or 850-414-4889.
1, Participants Name: Collier County Water-Sewer District
Participants Address: 3339 Tamiami Trail East, Suite 303
City, State, Zip: Naples, FL 34112
Contact: Matthew McLean, Division Director Phone Number: 239-252-6213
E-Mail Address: matthew.mclean@colliercountyfl.gov Fax Number: NA
Federal Employer ID#and address sequence: 59-6000558-009
FEID#has a verified W-9 registered with the Department of Financial Services: ®Yes ❑No Elm Process
2. Refund Address: 3299 Tamiami Trail East, Suite 700
Naples, FL 34112
3. District Contact Person: Mike Clark Phone Number: (863)519-2729
District Number: 1 - Bartow Fax Number: (863) 519-2331
4. Agreement Date: 12/17/2020 5. Date Form Modified: 03/28/2022
6. Agreement Amount: $1,250,321.29 7. Escrow Deposit Due Date: 01/07/2022
Amount Due: $ $474,678.71 Additional Deposit Due Date: 07/08/2022
Amount Due: $ Additional Deposit Due Date:
Amount Due: $
8. County Name: COLLIER 9. FDOT County Number:
10. If fund type is LFR/LFRF(❑Yes ®No), what is the anticipated start date of the payback:
Is payback to be made in: ElScheduled Payments Quarterly ❑Lump Sum
11. Participant is responsible for(check one): ®100% ['Other Percentage( %)
❑ Bid Items ❑Lump Sum
If participant is responsible for bid items, please complete the attached spreadsheet.
12. Description of work: UWHCA 425843-2-56-02 with the Collier County Water-Sewer relocation required for
roadway reconstruction on FPID 425843-2-52-01.
13. Financial Project# 15.Work 16. Federal Part or
Including 6x Phases 14.Amount Program Fund Non-Federal Part. 17.Contract# 18.%to Bill
Code
56-02 Bid Total $1,500,000.00 LF 1 E1U79 100
56-91 10% Cont. $150,000.00 LF 1 E1U79 100
62-01 CEI/CEA $75,000.00 LF 1 E1U79 100
19. Has WP been updated to reflect the changes on this form? ®Yes ❑No
20. Comments: Final Bid Tabs = 56-01 Construction $1,500,000, + 56-91 10% Contingency $150,000, + 5%
CEA/CEI $75,000 equals final bid amount of$1,725,000. Collier County deposit $1,250,321.29
received on 01/07/22 requires Collier County deposit an addtional deposit of$474,678.71 by
07/08/22,
CA(�
16C 9
Florida Department of Transportation
RON DESANTIS 801 N. Broadway Avenue JARED W.PERDUE,P.E.
GOVERNOR Bartow,Fl. 33830-3809 SECRETARY
June 23, 2022
Matthew McLean, P.E., Division Director
Collier County Public Utilities Department
Engineering and Project Management Division
3339 Tamiami Trail East, Suite 303
Naples, FL 34112-5361
RE: FPID : 425843-2-52-01
UWHCA FPN : 425843-2-56-02 Collier County Non-Reimbursable
County : Collier
SR : 951
Description : 1-75 (SR 93)At RS 951 Interchange Improvements Design Build
Dear Mr. McLean:
We have received the final bid amount as outlined below for your review and acceptance. The low bid amount for
your Agency's UWHCA is $1,500,000.00. This low bid amount plus 10% Contingency $150,000.00, plus 5%
CEA/CEI $75,000.00 equals your final bid amount of$1,725,000.00.
Per the terms of the agreement your Agency has five(5) working days to notify this office of your acceptance or
rejection of this final bid amount. Our records indicate your Agency placed a total of$1,250,321.29 in escrow,
this minus the final bid amount of$1,725,000.00 will require your Agency place an additional $474,678.71 on
deposit in escrow.
Should your Agency choose to except this final bid amount your Agency has fourteen(14)calendar days to
deposit the additional funds. Please keep in mind these funds reside in an interest-bearing account. All unspent
funds remaining including interest earned will be refunded after the roadway project is complete and contractor
billing has been finalized by District Construction.
Should your Agency choose to reject the final bid amount the contingency or back-out Utility Work Schedule
goes into effect and all relocation work shown in the UWHCA plans shall be constructed by your Agency using
your own forces during construction. Please provide this office with your decision by COB, June 30, 2022.
Improve Safety, Enhance Mobility, Inspire Innovation
www.fdot.gov
16C 9
Tom Chemelik
June 27,2022
Page 2 0f 2
If I can be of further assistance, please contact me at 863.519.2729 or mike.clark@dot.state.fl.us .
Sincerely, District One
Utilities Office
For M. Wayne Shelton District Utility Administrator
By: Mike Clark
Utility Coordinator
Enclosure(s)
425843-2-56-01 Agreement Summary
425843-2-56-01 Change Order# 1
cc: Kati Sherard, P.E., FDOT Interstate Program Manager
Marlena Gore, FDOT Interstate Construction Project Manager
Doug Burkhart, P. E., FDOT Consultant Design Project Manager
Joseph Glorioso, FDOT Utility Project Manager
Kevin Heldorfer, P.E., Jacobs Civil Engineer Designer
Jennifer Rainey, Collier County Public Utilities
File
MWS/mjc UWHCA bid tabs to UAO
Revised:6/22/22
Improve Safety, Enhance Mobility, Inspire Innovation
www.fdot.gov