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Backup Documents 01/10/2023 Item #16C 3
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 r 3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 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. County Attorney Office County Attorney Office //6/013 2. BCC Office Board of County Commissioners Chairman kL �y nz/q //17/73 3. Minutes and Records Clerk of Court's Office ( irk 110,120Z3 (O'•Zl alb 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 Bendisa E.Zela,Facilities Division Phone Number 239-252-8440 Contact/ Department Agenda Date Item was January 10,2023 Agenda Item Number Approved by the BCC 16.C.3 Type of Document Approving administrative Change Order Number of Original Attached No. 1 for time extension and utilization of Documents Attached 1 $125,659.20 of the Design Contingency under the Professional Services Agreement 21-7884 with Matern Professional Engineering, Inc) PO number or account 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? N/A 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 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 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 BEZ_. 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 November 8,2022 BEZ N/A is not and all changes made during the meeting have been incorporated in the attached an option for document. The County 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 T(✓12 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 I6C 3 Martha S. Vergara From: Martha S. Vergara Sent: Friday, January 13, 2023 1:50 PM To: MarkuBendisa Subject: Chane Order for Contract#21-7884 w/Matern Professional Engineering, Inc. Attachments: Bendisa Marku.pdf Hi Bendisa, Attached is a scanned copy of the Change Order referenced above. If you need anything else from our office please let us know. Thanks, Martha Vergara BMR&VAB Senior Deputy Clerk ,scv%T co/mi. Office: 239-252-7240 °sue Fax: 239-252-8408 73 E-mail: martha.vergara@CollierClerk.com Office of the Clerk of the Circuit Court * * & Comptroller of Collier County f�J l�q ° 3299 Tamiami Trail E, Suite #401 o� n.'ti Naples, FL 34112 www.CollierClerk.com - 16C 3 Procurement Services ,O :ICI' C ,0 .P21Y' Change Order Form El Contract Modification ❑Work Order Modification Contract#:I I21_7884 Change#: 01 Purchase Order#: 4500216578 Project#: 50214.1 Matem Professional Engineering, Inc. New Chiller Plant Building K ContractorlFlrm Name: g g. Contract/Project: Project Manager Name: John McCormick, PE Division Name: Facilities Management Original Contract/Work Order Amount $ 1,406,974.00 1t7 i/22,16.C.5 Original BCC Approval Date; Agenda Item# Current BCC Approved Amount $ 1,406,974.00 1/2b/22,1G.C.5 Last BCC Approval Date; Agenda Item# Current Contract/Work Order Amount $ 1,406,974.00 2/1/2024 SAP Contract Expiration Date(Master) Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount Revised Contract/Work Order Total $ 1,406,974.00 0.00% Change from Current BCC Approved Amount Cumulative Changes $ 0.00 0.00% Change from Current Amount ,m Completion Date,Description of the Task(s)Change,and Rationale for the Change Notice to Proceed 2/11/2022 Original 2/01/2024 Last Approved 2/01/2024 Revised Date 5/31/2024 Date Completion Date Date (Includes this change) #of Days Added 120 Select Tasks Odd new task(s) 0 Delete task(s) ®Change task(s) ❑Other Provide a response to the following:1.)detailed and specific explanationlrationale 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. This change order will utilize$125,659.20 of the approved Owner's Design Contingency,leaving a balance of$1203.80 to amend the design direction,and add 120 days to the contract time.Upon obtaining construction cost estimates at the 60%design phase,it was determined that the original direction of design given to Matem would result in a construction project that would substantially exceed the available budget for this project.An amended design was discussed and agreed upon.Matern and their subconsuitants will produce a 90%set of documents utilizing the amended design direction in order to reduce estimated construction costs.An additional 120 days has been added to the contract time to account for the additional work necessary. 2. The potential for this change was included in the original contract and accounted for with the design contingency as part of our cost estimating and value engineering process. 3. If this change order is not processed,the design for this project will not be completed. It is estimated that the use of the design contingency will result in a$1.5 million reduction of the 60%construction cost estimate. RygielTimothy Digitally signed by RygielTimathy Date: 2022.11.04 10:49:08-04'00' Date: , Prepared by: (Tim Rygiel,CFM, Project Manager,Facilities Management Division) Acceptance of this Change Order shall constitute a modification to contract I 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. Digitally signed by K.Todd Griffith,PE K. Todd Griffith, PE DN:cn=K.Todd Griffith,PE,o=Matem Professional Engineering,Inc, otr,emalktgriffithittnaternner,c,US Accepted by: Date:2022.11.080913:10.05'00' Date: (K.Todd Griffith,PE,SVP-Director of SWFL Division,Matern Professional Engineering,Inc.) M cCo rm i ckJ oh n Digitally signed by McCormickJohn Date: 2022.11.10 04:28:24 -05'00' Date: Approved by: (John McCormick,PE,Interim Director,Facilities Management Division) SchneebergerSara Digitally signed by SchneebergerSara Date: 2022.11.17 09:14:42-05'00' Approved by: Date: (Procurement Professional) Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Reviewed 10/27/22 CD Admtni BCC ES i 6 C 3 ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal K. Kinzel,Clerk of Courts COLLIER COUNTY,FLORIDA &ComptrollQx /By: I -- .�D �{,�.� _ By: Rick LoCastro,Chairman Dated:- C l C Vt., ' a Aft as .Chai signature on►y.' Approv s to fornnd I ality: By. Scott R. each Deputy County Attorney 410 16 C '3 Change Order/Amendment Summary COST TIME CO# AMD# Description Days New Justification Additive(+) Deductive(-) Added Amount This change order will utilize $125,659.20 of the approved Owner's Design 1 Contingency, 120 840 Estimated construction costs leaving a balance dictated amended design direction. of$1203.80 to amend the design direction,and add 120 days to the contract time • Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Reviewed 10/27/22 CD Admin Rpt ©cc Es