Backup Documents 03/14/2023 Item #16C2 16C
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 he forwarded to the County Attorney Office al
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' N/A
2• N/A
3. County Attorney Office County Attorney Office
3) /).
4. BCC Office Board of County
Commissioners OL ,/Je/S/ .3/2/F 3
5. Minutes and Records Clerk of Court's Office
WV- 3- _!-2-3 °
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 Peter Schalt Phone Number X5343
Contact/ Department
Agenda Date Item was Agenda Item Number
Approved by the BCC 3.14.2023 16C2
Type of Document Change Order Number of Original
Attached Documents Attached 1
PO number or account
number if document is 4500207278
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? PS
2. Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. N/A
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 PS
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board PS
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. PS
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required. PS
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 input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain N/A
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 3/14/23 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County PS 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 PS an option for
Chairman's signature. this line.
•
t
I6C ;2
CU Vir county Procurement Services
M; v„x Change Order Form
Contract Modification 0 Work Order Modification 0 Amendment
Contract#: 20-7764 Change#: 1 Purchase Order#: 4500207278 Project#: 70148.10,4
Contractor/Firm Name: U.S.Water Services Corporation Contract/Project: NCWRF Aeration Basin 5&6 Diffuser system Replacement
Project Manager Name: Peter Schalt Sub-Regional Utilities
Division Name:
Original Contract/Work Order Amount $ 610,915.05 9/6/2020;16C2 ;Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 610,915.05�9/8/2020; 16C2 'Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $ 610,915.05 N/A SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 16,302.96 2.67% Total Change from Original Amount
Revised Contract/Work Order Total $ 627,218.01 2.67% Change from Current BCC Approved Amount
Cumulative Changes $ 16,302.96 2.67% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 10/19/20 Original 11/13/21 Last Approved 3/24/2023 Revised Date TBD
Date Completion Date Date (Includes this change)
Ii #of Days Added 120 Select Tasks ®Add new task(s) ❑Delete task(s) 0 Change task(s) ®Other(see
below)
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. This project addresses rehabilitation work to the diffuser systems in Aeration Basin Nos.5 and 6 A through D zones.The first
zone was known to need rehab and replacement work to the aeration system. The aeration system in the second zone was
not Identified to need replacing until after the demolition of the first original zones.The original bid included replacement of
diffusers and piping in only the first zone because it was known to be in disrepair.Upon commencing construction,it was
found that an additional zone needed replacement and this change order addresses that work.
2. It would have been impossible to anticipate whether the second zones needed replacement due to them being full of sewage
at the time of design,bidding,and award.The need to replace the aeration systems in the second zone was determined
based on visual observations once the aeration basins were taken out of service,drained,and cleaned.Therefore,a change
order is necessary to complete the project.
3. If this change order is not processed,the project would not be able to be completed and would not function to properly achieve
compliant treatment capabilities.
The contractor is on a Stop Work Notice effective December 21,2022.There are three(3)days remaining to substantial completion
and ninety-three(93)days remaining to final completion.
The original Board-approved allowance for the contract is$65,000,00.The new piping and diffusers to be installed to complete this project is proposed
by the contractor to cost$61,302.96.We will apply the allowance amount of$65,000.00 and this change order adds the additional funds in the amount
of$16,302.96 and 120 days to the contract to complete the project to be utilized as permitted by the FDEP,
s c h a ti p-` Digitally signed by schait_p
Prepared by: Date:2023.01.3009:58:15-05'00' Date:
Peter Schalt,PMP,Project Manager Ill,Sub-Regional Utilities 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.
is
Revised:1/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
AAmtn _ RPM BCC ES
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16C2
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Acce `'
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pted by: 1. Date: vz 1/Z�z
Steven Stanton,US Water Services orporation
Cig'':, slpned by Dawn0.Barnard
DN,cn-Dawn 0.Oamard,o=Hole Mome,.
Approved by:Pawn R. Barnard Inc•uu,email=dnvnbarnard@hmeng.com,
Dawn B.Barnard,Project Mailagef of't4IISMOtJtes,Inc. Date:
KarlovichWayne Digitally signed by KarlovichWayne
Approved by: Date:2023.01.30 11:26;48-05'00' Date:
Wayne Karlovich,RE.,Sub-Regional Supervising Project Manager[Licensed)
e a rC ra i
J g Digitally signed by PajerCraig
Date:2023.01.31 17:05:36-05'00'
Approved by: Date:
Craig Pajer, P.E.,Sub-Regional Utilities Director
GaillardMegan Digitally signed by GaillardMegan
Approved by: Date:2023.02,01 12:20:36-05'00' Date
-Amia-tutty,PUD Finance Director Megan Gaillard,Interim
DoriaPriscilla Digitally signed by DoriaPriscilla
Approved by: Date:2023.02.06 09:21:46 05'00' Date:
Sara Schneeberger,Procurement Strategist
i
A!"!'hST BOARD OF COUNTY COMMISSIONERS
Crystal K.Kinzel,Cie'A(of Courts COLLIER COUNTY, FLORIDA
.197)
By: / By:
26'
Dated: ,/
3.- .f c�"."> Rick LoCastro, Chairman
(SEAL)
Attest as to Chairman's
signature only
Appro as to f n and e rty:
By: G
Y I
. 1.I County Attorney
Revised:1/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin Rpf BCC ES
16C2 4
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
Contractor's
Proposal to Install Could not be determined prior to
1 N/A Additional Piping& $16,302.96 0 120 510 contract award due to being full of
Diffusers in the sewage and is necessary to comply
second Aeration with permitting requirements.
Basin Zones
Revised:1/1412021 (Divisions who may require additional signatures may Include on separate sheet.) PROCUREMENT USE ONLY
Admin Rpte BCC ES
04,0
1
6C2
Estimate
4939 Cross Bayou Boulevard Project Number
New Port Richey,FL,34852
Services Corporation J01269 2029
Collier County Date Account#
3393 Tamlaml Trail East,Suite 303 Naples Florida 34112
1/25/2023 J01269
NCWRF Aeration Basin 5&6 Diffuser System Replacement
Contract No.20.7764 Project Contact
Steve Stanton 239-209-6120
Effective Term Project Description
30 Days NCWRF Aeration Basin 5&6 Diffuser System Replacement
Description Qty Unit Cost Total
This is for. Collier County
U,S,Water Services Corporation Is pleased to provide the following quote to:
NCWRF Aeration Basin 5&6 Diffuser System Replacement This includes:
Labor and construction materials necessary to complete the construction of a complete aeration system
In the second zone.
Fan rental 1 LS, $ 2,127.96 $ 2,127.96
Crane services 1 LS. $ 11,500.00 $ 11,500,00
Disposal of existing diffusers(Bays 6a,6b,8c,6d) 1 LS. $ 2,875.00 $ 2,875.00
Project Management 84 His. $ 120.00 $ 10,800.00
Labor 600 Hrs. $ 90.00 $ 54,000.00
This will add an additional 120 days to this project
Price listed represents the specific scope of service stated above.
• Proposal as quoted represents,labor,material and project management specific to the items listed.
With exception of emergency circumstances,should it become necessary to perform additional
services due to unforeseen circumstances,a change order will be required.
Change order shag be executed by the owner prior to continuation of work,
Payment is expected with in 30 days from receipt of invoices)related to work.
Effective term is 30 days from date of proposal
Thank You for allowing us to present this proposal. Total $ 81,302.96
Phone# Fax# Toll Free
727.848.8292 727449.8880 886.753.8292 Signature to begin work;