Backup Documents 10/11/2022 Item #16A11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 1 1
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 Date
1.
2.
3. County Attorney Office County Attorney Office 57e1
$4 T
4. BCC Office Board of County
Commissioners (jP(J opt 10�1�1 Zti
5. Minutes and Records Clerk of Court's Office NA) CCIA2tit
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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 John Conti/Transportation Engineering Contact Information 239-348-1328
Contact/Department
Agenda Date Item was October 11,2022 Agenda Item Number 16A11
Approved by the BCC
Type of Document Change Order#1 for adding time to the Number of Original 1
Attached Whippoorwill Road Project 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 ✓JC
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be ✓ JC
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 N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the ✓ JC
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 ✓ JC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 10/11/2022 and all changes made during V JC N/A is not
the meeting have been incorporated in the attached document. The County 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 an option for
Chairman's signature. this line
I6AII
Procurement Services
C.f). 'fE�y'' COVII1LV Change Order Form
`] Contract Modification ❑ Work Order Modification
Contract#: 20-7735 Change#: 1 Purchase Order#: 4500210603 Project#: 60219
Contractor/Firm Name: Quality Enterprises Contract/Project: Whippoorwill Ln Marbella Lakes Dr Connection
Project Manager Name: John Conti Division Name: Transportation Engineering Services
Original Contract/Work Order Amount $ 4,720,450.00 4-1 21;11A Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $ 4,720,450.00 4-13--21;11A Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 4,720,450.00 11/18/2022 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 0.00°/0 Total Change from Original Amount
Revised Contract/Work Order Total $ 4,720,450.00 0.00% Change from Current BCC Approved Amount
Cumulative Changes $ 0.00 0.00% Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 7/12/21 Original 11/18/22 Last Approved 11/18/22 Revised Date 5/25/23
Date Completion Date Date (includes this change)
#of Days Added 188 Select Tasks ❑Add new task(s) ❑ Delete task(s) Li Change task(s) x 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.
Additional Contract Days:
1. This change order will add 188 days to the contract time to complete this Design-Build project.
2. The change being requested was not included in the original contract because the time required for permit approval
far exceeded the original time estimate.Also,the time required to obtain materials to start the construction phase of
the project exceeded the originally proposed time due to labor and material shortages. Since the start date was
shifted, this resulted in starting construction in the rainy season, which significantly impacted production due to
heavy rains and a high water table.
3. If this modification is not processed the contractor would not be able to complete the project.
Digitally signed by John
onti
John On}l( C Date:2022.0912
Prepared by: 08:1E:55-04'00' Date.
John Conti, Project Manager,Transportation Engineering
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 I
Design Professional arising out of or related to the change set forth herein, including claims for impact and delay costs.
Accepted by �—_..__.... _ .___ _r Date: ) " )2 2' Z
Louis J. Gaudio,Vice President, Quality Enterprises, Inc.
ThomasMatthe Th omasms heewy
Cate.2 022.0 9.12 11.14:13
Approved by: W 04'00' Date:
Matthew Thomas, P.E., Principal Project Manager, Transportation Engineering
Digitally signed by
Ahura Ahm
ay Datea 202dJay2.09.1213:17:23
Approved by: -04'00' Date:
Jay Ahmad, P.E., Division Director, Transportation Engineering
Digitally signed by
; ' ScottTrinityDateeTrin2
Date:2022.09.13
Approved by: I3:49:19-04W' Date:
Trinity Scott, department Head
Schneeberger Digilallysignedby
9 SchnoaborgcrSore
Date:2022.09.26 10:21:43 Date:
Approved by: Sara n ng
Sara Schneeberger, Procurement Professional _
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Adman BCC
BCC ES.
1OAII
ATTEST: BOARD OF COU Y COMMISSIONERS
Crystal;K`Kinzel;"Cle>?c of Courts COLLIER COt , FL
&CoMptroller Ce J` '
y: By:
�y� Willia L. McDaniel, Jr., Chairman
Dated:O4obex- .k 1 CTW�
(SEALY' '
Appro to form ega 'ty:
By:
County Attorney
-C42
1
16A11
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive (+) Deductive O Added Amount
1 Add 188 days 0 0 188 582 Needed days to complete project.
Revised.01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Atlrnin RVC BCC ES
16411
ams QU— ILITY
...„ ENTERPRISES
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August 11, 2022
Collier County Growth Management
Transportation Engineering Division
2885 South Horseshoe Dr.
Naples, FL 34104
John,
In accordance with the notification provided on March 30, 2022 and subsequent revised schedules,
the following is a summary of the delays and associated times:
• Permitting Delays SWFMD/FDEP—92 Days
• Delays due to material acquisition— 75 days
• Delays due to shift in scheduled start date resulting in slower production due to
heavy rains and higher water table.—21 days
Total additional time requested is 188 days.
Please let me know if additional information is required or if you have any questions.
Sincerely,
�
.ack Hooper-Project Manager
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