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Backup Documents 04/11/2023 Item #16C11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 C 1 I 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 L% P' /NO3 2. BCC Office Board of County R qq Commissioners Chairman by/4j/ y u/2? 3. Minutes and Records Clerk of Court's Office914- 4 0 73 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 Phone Number 239-252-8440 Contact/ Department Division Email Bendisa.Zela@acolliercountyfl.gov Agenda Date Item was April 11,2023 Agenda Item Approved by the BCC Number 16.C.I 1 Type of Document Change Order Number of Original Attached Documents 1 Attached PO number or account Facilities Division is requesting a number if document is to completed copy 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 BEZ 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 BEZ 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 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 April 11,2023 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 an option for Chairman's signature. this tine. 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 16C11 t Procurement Services Cowie- CO vinty Change Order Form Contract Modification ❑Work Order Modification ------] Contract#:[ 207753 Change#: 1 Purchase Order#: 4500217564 Protect#: 55213.1 Contractor/Firm Name:I SCHENKEL&SHULTZ INC Contract/Project:IDesign Services for CC EMS Stations(North Napl s) Project Manager NamealTOlivier Sureau —Divistomf�airte: Facilities Management Original Contract/Work Order Amount $ 258,911.00 03/23/21;16C7 Original BCC Approval Date; Agenda Item # Current BCC Approved Amount $ 258,911.0e 03/23/21;16C7 Last BCC Approval Date; Agenda Item# Current Contract/Work Order Amount $ 258,911.00 5/7/2024 SAP Contract Expiration Date(Master) Dollar Amount of this Change $ 9,320.00 3.60% Total Change from Original Amount Revised Contract/Work Order Total $ 268,231.00 3.60% Change from Current BCC Approved Amount Cumulative Changes $ 9,320.00 3.60% Chan e from Current Amount Y^^'•+..vxveuem...e.erwwYA'^.er .n....,e.+x�.a.........+..e.e 4RS9A�»'L P Completion Date,Description of the Task(s)Change,and Rationale for the Change Notice to Proceed 05/18/2022 Original F 03/14/2024 J Last Approve 05/7/2024 I Revised Date N/A Date - Completion Datel Date (Includes this chang , #of Days Added 0 1 Select Tasks ❑Add new task(s) ❑Delete task(s) ❑Change task(s) ®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. 1) This change order will add$9,320 to task 8.1 for additional level of effort required to investigate an alternative site and a shared agency building configuration requested by the project sponsors(EMS&North Collier Fire District) 2) The change being requested was not included in the original contract because the availability of the alternate site and the opportunity for a shared agency building were not known to the project sponsors at the time the original contract was awarded 3) If this modification is not processed,the design professional will not be able to advise the best site and building configuration to progress NOTE: EMS Chief has renumbered station from 412 to 410 W: 37,t,/::INCH`; Prepared by: SureauOlivier�.:���o,�, o,�,,a. Date: Olivier Sureau,Senior Project Manager,Facilities Management 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/ Design Professional e i out of or Jute to the change set forth herein,Including claims for impact and delay costs. Accepted by: ( �� 'ff�'�^� Date:_.2 J� 9©43_ �`O i4 anaging rtner,Schenkel&Shultz Inc. / r {` ( 7P-3 Accepted by: , i �/l _ l 1 `\ �`�ti / Date Tabatha BL�Ccher,Chief,E S Approved by:McCormkkJchn =i7ii= Date: John McCormick, Interim Director, Facilities Management DoriaPriseilla Digitally signed by DoriaPriscilla Approved by: Date:2023.03.07 11:17:45-05'00' Date: Procurement Professional Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) , PROCUREMENT USE ONLY Reviewed CD 1/30/23 Admtn el) BCC ES ° i I 16 C 1 1 ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal K.Kinzel, Clerk of Courts COLLIER , FLORIDA &C ptroller Rick LoCastro,Chairman Dated, , I,.� 27j — I � ' ' tof ` 4".��lairmmtans cti ; Appr �e as> rlfv* dl it County Attorney Revised:01/14/2021 (Divisions who may require additional signatures may Include on separate sheet.) PROCUREMENT USE ONLY Reviewed CD 1/30/23 Admin RocRI P C71=1 Jy CAO 16C11 Change Order/Amendment Summary COST TIME CO# AMD# Description pays New Justification Additive(+) Deductive(-) Added Amount 1 Task 8.1 additional 9 320 Alternative site&shared agency effort building investigation Revised:01/14/2021 ,Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Reviewed CD 1/30/23 cc A drnin RPt BCC ES CAD 16Cl1 SCHENKELSHULTZ O C(_ A R C H I T E C T U R E ❑fl Proposal for Additional Design Services January 25,2023 Mr. Olivier Sureay Senior Project Manager Collier County Public Utilities Department Facilities Management Division 3335 Tamiami Trail E., Suite 101 Naples,FL 34112 RE: Additional Services#01 Alternate Site Collier County EMS Station#410 COMMISSION NO.: 2021807 • Dear Olivier: SCHENKELSHULTZ is pleased to submit the following proposal for Additional Professional Design Services: I. Scope Description: Provide preliminary site designs and due diligence investigation for the above referenced EMS facility regarding an alternate site to the original property planned on Performance Way located at the Kaela Bay Development, Naples,FL. Preliminary analysis included consideration of utilizing the Station 474 building design on the alternate site,as well as a new two-story structure on the Performance Way site that would accommodate multiple agencies in consideration of the North Collier Fire District sharing the facility. The current professional services design contract is based upon utilizing the County EMS prototype facility occupied only by the EMS on the Performance Way site. Due diligence included investigation of site constraints and county and state agency permitting requirements relative to the development of the alternate site, as well as coordination of correspondence with the Kaela Ray property developer regarding financial responsibilities and obligations for development of the parcel and offsite • improvements. II. Design Disciplines included: A. Consulting services for the project include the following disciplines: 1. Architectural 2. Civil Engineering lit. Compensation for Professional Services: Fees will be billed on a lump-sum basis as follows: A. Architectural: $5,500.00 B. Civil: $3,820.00 • TOTAL $9,320.00 200E ROBINSON ST SUITE 300 ORLANDO.FL 32801 PH 407.872 3322 FAX 407-872.3303 O 16C11 Should there be any questions regarding this request,please contact me directly. Sincerely, SCHENKELSHULTZ ACCEPTED BY: Gary F. rueger,ALA NAME AND TITLE: Partner DATE: CC: Dan Laggan/SchenkelShultz • Iris Zayas/SchenkelShultz • • • 200 E ROBINSON ST SUITE 300 ORLANDO.FL 32801 PH 407.872.332.2 FM:407.872-3303 CAO