Backup Documents 04/26/2022 Item #16A14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP — -
TO ACCMPANY ALL ORIGINAL ENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OF ICE FOR SIGNATURE1 6 A 1 `i
**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. Tessie Sillery Public Transit&NHBH MTS
Enhancement Division(PINE) 04-26-22
2 County Attorney Office County Attorney Office
SS/22--
3. BCC Office Board of County Commissioners /16 IS
4. Minutes and Records Clerk of Court's Office �� f I 5I S f Z Z
*AZ--
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 Harry Sells,Project Mgr. Phone Number 239-252-4980 or 252-
Contact/ Department PINE Division -TMS 5840
Agenda Date Item was 04-26-22 Agenda Item Number 16A 14
Approved by the BCC (Doc. ID #21810)
Type of Document (Change Order#1 for Construction Number of Original (1) CO#1 Mastec -
Attached Agreement No.20-7791 (the"Agreement"), Documents Attached Vanderbilt
Vanderbilt Underground Utility Conversion
Phase 4—Mastec
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? S.fL, ok HS
2. Does the document need to be sent to another agency for additional signatures? If yes, HS
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 HS
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 HS
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 HS
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 HS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip HS
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 04-26-22_and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County ,Sjtrigi, 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 'f'//r, an option for
Chairman's signature. this line.
Please email a signed copy.
1: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
16A14 •
nrocuromeni Services
f,;�ci rrsr Coo frdi:'Y Change Order Form
❑Contract Modification 0 Work Order Mortification
Contract 11: 20 7/01 Change il; 1 Purchase Order II; 4500210004 project fh NA
Contractor/firm Name: MasTec North America,Inc. 1 Cantract/Projoet I Vanderbilt Drive Underground utility conversion
. ______...._..._..___.._._.__�- ... _....___.._.—.
Project Manager Name; Harry Sells
Divlofon Nemo; PTNL
Original Contract/Work Order Amount $ 1,766,069,40 2/23/2'1 ; 'I'I Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 1,785,069,40 2/23/21 ; 1'i Last 13CC Approval Date; Agenda Rem 1/
Current Contract/Wont Order Amount $ 1,766,869.40 _ 6/17/2022 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 124,919,60 7,07% Total Change from Original Amount
Revised Contract/Work Order Total $ 1,880,788.90 7.07% Change from Current DCC Approved Amount
Cumulative Changes _ $ 124919,50 7.07%_Change from Current Amount
Completion Date,Dseorlptlon of theTaslt(o)Change,and Rationale for the Change
Notice to Proceed' 05/17/2021 1 Original ( 5/17/2022 Last Approved 6/17/2022 Rovleed Date I
0/1/2022
Date 1 Completion Date l— Date (Includes 1111s change)
/I of Days Added '107 1 Select Tusks tg Add now task(s) n Delete toalt(s) ( 1 Change task(s) 0 other
Provide a roaponao to the following;1,)detailed and specific oxplanniton!ratlonalo of the requested change(s)to the task(s)and/or
tho additional clays 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(tie Design Professional and/or Contractor if needed,
1, This Change Order Request Include the addition of time by 107days end cost by$124,919.60 for Increases to 7 items and the addition
of 1 itern not previously on the contract.
2, Delays in acqulrng materiel and creating scheduling conflicts will push the completion date very close to the scheduled completion.The
change In completion will ensure that the contract does not expire before completion, The Increases of items are a result of required
modifications discovered in the field duo to physical right.ofway constraints.
3. II this change is not processed,It will prevent the energizing of the network and completion of the project.
Placing conduit,pasds,and VautIs.01010
item 110 boring with six 2"conduits-Increase by 200 feet at$16.44=$3,600.00
Item 1/9 Boring with one 0'and six 2"conduits sub Aqueous Crossing-Increase by 200 feel at$66.80=$13,360.00
item 1/10 Boring one 8"conduit sub aqueous crossing-Increase by 100 feel al$46.63=$4,663.00
Item 1111 A(New Item)direction bore one 0"end three 2"conduits Add 2,000 foot of$45.23 $90,460,00
item/121 Soft dig pit-Increase by 10 digs at$400,45 $4,004.60
FPL Network-01011
Item#20 100263004 Cable Alum 600V 4/0 3/c TPL HM/HD Poly-Increase by 300 feet at$10.00=$3000.00
Item#21 100201007 Cable Al 26 KV 2/o/1110 3 paralleled-Increase by 300 feel at$10.00=$3000,00
Item#23 100298008 Cable AL 25KV 2/o 1000 KCMIL-Increase by 000 feet al$2.98=$2,064,00
SellsHarry Digitally signed by SellsHarry
D a te:2022,03,14 13:27:2 7-04'00'
Prepared by; —_.__._.._._.. _ __—_— _--.-- ___ Date:.
(Project Manage,Harry Salts, PINE)
Acceptance of this Change Order shall constitute a modification to contract i work order Identified above and will be subject to all line same
terms and conditions as contained in the contract/work order indicated above,as fully as If the same wore stated In this acceptance.The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and ail 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:• D V O Date:, 2-11 V' '"
(MasTec North America),
{�11//eyal4,AD+ole�n
Ill If1416[Ulh
/ 1�Ixocoollrootdtatcd000tict.
pi'/ ��' J o1 I Iihl'ail,(Unrd'Mgdmur<nt 1c„C=cY ()3/2'f/2()22
Accepted by: d u,l.;oal.ontInaoler+v Date:—_
(Mare Lean,CEI,Slanloc)
Revised:a t/141202i (Divisions who nay require additional signatures may Include on separate sheet.) rnoounsaanr use ONl,v,
Adnlin I "°Ilpi 040 r 8,'<
16A14
a rn o l d m DlgltallysIOnedhynmold.,ns
Dale:2072.03.22 VI:59:40.04'00'
Approved by: Rate:
(Michelle Arnold,PINE Director)
CS cottT rI n`t r Digitally signed by ScoitTrinily
' �/ Dale:2022,03.24 17:33:31 -04'00'
Approved by:.
.._•---- __._..._....__� __,_______ ____�..M._.._..--- Dale:
(7rinity)coil,Department Mead,'transportation Menogemont Sorvicos)
SchneebergerSara Digitally signed by SchneebergerSara
Date:2022,03.30 11:44:12-04'00'
Approved by:
(Procurement Professional)
•
novisee:01/1412021 (Divisions Mornay require Rddtllonal signatures may Include on aaparute sheet.) PnOcu RUN ENT USE ONLY
16A14
ATTEST: BOARD OF COU TY COMMISSIONERS
Crystal K. Kinzel,Clerk of Courts COLLIER COU , A
&Camptrop r (2
BY: q&C/11.t40At C- By '' '
r / Willia . McDaniel,Jr., Chairman
Dated: 6 ;,` 2-
(SEA )
Attest as to ChairChainn44
si ature only*
A rove as t or nd egg y:
a .
tt . eac 1
Deputy County Attorney
pia:
,..e.")
=-- -- - - 6- A 1
Change Order/Amendment Summary
COST _.--- TIME
COft AMD# Description —"`^— ^' pays New — Justification
Additive(+) Deductive O Added Amount
1 Add days and $12Ag1g,50 107 472 Required changes discovered in
modify costs construction
•
e
Revised:01/14/2021 (Divisions who may require additional signatures may Include on separate sheet,) PROCUREMENT USE ONLY
Adman ��� 000 EE
16 A14
From: [trlc At)kia
Tot 5211s11lc[x
cc: NLcj1S2to she(Aer•; lose then; IaCltClianth,tohu;chort4l.jl.oble n!:
Subject; CHANGE ORDER VANDERBILT DR,
Date: Monday,March 14,2022 12:47:01 PM
I'.-VI I'.ItNAI - kIVIA II This cmiiil is from an external source. Confirm this is a trusted sender
and use extreme Caution when opening attachments or clicking links.
Good Afternoon, Mr, Sells
I am requesting a change order on the following items.
Placing Conduit, Pads, and vaults 01010
Item #8 Six 2"conduits 200 Feet Additional @ $18.44 for a total of$3,688.00
Item II 9 One 6" plus six 2"Conduits, Sub Aqueous Crossing. Charge for actual length Pt to Pt
300' wire line or equivalent. 200 FEET ADDITIONAL @$66.80 for a total of$13,360.00
Item # 10 One 6" Conduit Sub Aqueous Crossing. Charge for actual length Pt to Pt 800' wire
line or equivalent. 100 FEET ADDITIONAL @ $46.63 for a total of$4,663,00
Item 4 11A Directional Bore one 6" and three 2" in one bore 2000 FEET at $45.23 per foot
for a total of$90,460.00
Item II 20 Soft Dig Pit Need to add 10 at$408,49 for a total of$4,084.90
FPL Network 01011
Item #52 100253004- Cable,ALUM,, 600 V, 4/0 3/cTPLX HM/HD POLY, 300 FEET
ADDITIONAL at$10.00 for a total of$3000.00
Item # 53 100261007- Cable,AL, 25 KV, 2/c 41./0, 3 Paralleled. 300 FEET ADDITIONAL. @
$10.00 fora total of$3,000.00
Item 4 55 100298008- Cable,AL, 25KV,2/C 1000KCMIL, 900 FEET ADDITIONAL @ $2.96 for a
total of$2,664,00
Thank You,
Eric Adkins
Supervisor
239-689-991.1
Eric Adkins
Supervisor
239-689-9911
CA(?