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Backup documents 07/11/2023 Item #16C 3ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 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. ** 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 touring lines #t through 92 � m lete tha t—,rq. n 4 r ..... A U- • - --- ---------- �----- Route to Addressees (List in routing order) - ••••�-•- •• ••.-, .�.. •.. ...w ....., v..�..n.. �., u..0 tUl Office rvalu LV u1G I.VUIII Initials HLLUIIIG Vlllee. Date 1. N/A 2. N/A 3. County Attorney Office County Attorney Office 4. BCC Office Board of County Commissioners 9C Z 5. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION I I t 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 missinn information Name of Primary Staff Shon Fandrich, P.E., Supervison of Project Phone Number 239-315-2181 Contact / Department Management for Collections and I Agenda Date Item was 7/11/2023 Agenda Item Number 16.C.3 Approved by the BCC Type of Document(s) Change Order Number of Original One Attached 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 aDDroDriate. Initial Applicable) l . Does the document require the chairman's signature? (stamped unless otherwise stated) Yes SF 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 legality. (All documents to be signed by Yes SF 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 Yes SF 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 Yes SF 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 Please si nature and initials are required. do PS 7. In most cases (some contracts are an exception), the original document and this routing slip Yes SF should be provided to the County Attorney Office at the time the item is uploaded to the agenda. 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 _7/11/2023 and all changes made Yes SF during the meeting have been incorporated in the attached document. The Countyis AttorneyOffice has reviewed the changes, if applicable. "" s 9. Initials of attorney verifying that the attached document is the version approved by thebt BCC, all changes directed by the BCC have been made, and the document is ready for the for Chairman's signature. MAO 1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04; Revised 1.26.05; 2.24.05; 11/30/12; 4/22/16; 9/10/21 I 6C 3 Go ter County ❑ Contract Modification Z Work Order Modification Procurement Services Change Order Form Contract #: 20-7800 Change #: Purchase Order #: [_4!1216158� Project #: ' 1067.24,6 lonzraciorlFirrn Name PWC Joint Venture LLC �— -- i �ortracUProject: Carica HVAC Improvements Project Manager Name; Shon Fandrich, P.E.Division Name: I Engineering and Project Management Original Contract/Work Order Amount $ 452,000.00 6/22/21, 11B Original BCC Approval Date; Agenda Item # Current BCC Approved Amount $ 452,000.00 6/22/21, 11B Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount $ 452,000000 6/21/2026 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 $ 452,000.001 0.00% Change from Current BCC Approved Amount Cumulative Changes I $ 0.001 0.00% Change from Current Amount Completion Date, Description of the Task(s) Change, and Rationale for the Change Notice to Proceed 1/1$l2022 Original 9i30/22 Last Approved 02/23/23 Revised Date 02/23l23 Date Completion Date Date (includes this change) # of Days Added 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 andr'or Contractor if needed. 1. This change is to authorize the use of allowance funds for the following items: Work Directive #2 — Revise conduit layout Item Description Amount ennaining Allowance Balance 1 Work Directive #2 — Conduit Layout Changes $4,224,00 $34,747.08 2, This item was an additional item that was added to the contract. Additional conduits were required due to the orientation of the HVAC units that were provided. These conduits were added to ensure that the proper operation of the exterior HVAC units were achieved. 3. if these changes are not processed, the HVAC units would not have been able to operate as intended. Final approval of this Change Order is contingent upon approval by the Board. If Board approval not issued, this Change Order shall be null and void.1 FandrichShon Prepared by: Date: Shon Fandrich, P.E., Senior Project Manager 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 arising out of or related to the change set forth herein, including claims for impact and delay costs Accepted by: _ ,� _ ,�--�-- Date: Michael Bridgeman, PWC Joint Venture LLC��� _� l Digitally signed �byT�y-er 9C��inright Accepted by:T�nr�aTO nTyannghtP.E., era Tech Accepted by: BullertBenjamin Date' Benjamin N. Bullert, P.E., Principal Project Manager McLeanMatthew Approved by: Date:__ (Division Director or Designee) Revised'. 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY\�, 03092023 Admire RPC CC EG i I 6C 3 ATTESTV-.�'�'� Cryst l : I $ IV el ttt Courts & Co� tr er C"4/Dated: (SEAL) Attest as to Chairman's t signature only A oved as to fo and e ality By: Scott R. Teach Deputy County Attorney BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: Rick LoCastro, Chairman 1 6C 3 Approved )by, DoriaPriscilla Digitally signed byDoriaPriscilla Date: , `" (Procurement Professional) Change Order/Amendment Summary CO# AMD# Description COST TIME Justification Additive (+) Deductive (-) Days Added New Amount 1 Utilized $1,028.92 of allowance with $38,971.08 remaining for an additional concrete um I Items were necessary to prevent damade to other parts of the pump station. 2 Utilized $4,224.00 of the allowance with $34,747.08 remaining for additional electrical conduits. Items were necessary to ensure HVAC operation. I Revised: 01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) fPROCUREMENT USE ONLY RL 8CC ES �� 03092023 `t6C3 Collier County EngineerinE & Project Management Division WORK DIRECTIVE CHANGE CONTRACT # /PROJECT NAME: 71067.24.6 / 20-7800 / Carica HVAC Improvements WORK DIRECTIVE # 002 PURCHASE ORDER #: 4500216158 DATE OF ISSUANCE: 12/8/22 CONTRACTOR: PWC Joint Venture LLC OWNER: Collier County Board of Commissioners ENGINEER/DESIGN PROFESSIONAL: Tetra Tech Inc. You are directed to proceed promptly with the following change(s): Description: Provide conduits for low voltage wires from the air handlers and actuators to the DDC controller. Purpose of Work Directive Change: The purpose of this work directive is to clarify the intent of supplying conduits from the actuators and air handlers to the DDC controller located inside the electrical room. These conduits are necessary to complete the installation of the HVAC units. Reason/lustification: The conduits are necessary for the installation of the 11VAC units and the units cannot function without them. Attachments: Drawing Sheet E-101 If a claim is made that the above change(s) have affected Contract/Allowance Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Contract/Allowance Price: ❑ Unit Prices ❑ Lump Sum ® Time & Material ❑ Other Estimated increase (decrease) in Allowance S TBD RECOMMENIYED: By: Tyler WApr�ght, P.F. En4 er Method of determining change in Contract Times: ® Contractor's records ❑ Engineer's record ❑ Other Estimated change in Contract Time: Increase or decrease by 0 calendar days. AUTHORIZED: PndrichShon Owner's Representative 12/09/22 11:38 AM mm 1 6C 7 N -ld lVDl?Ji33l3 - - ----- ------ * --- -------- H031V'd.L31 P'N 1 51 1 6C 3 itPWC Joint Venture, LIX. 5256 Summerlin Cornrnons Way Suite 203 Bldg H2 Fort Myers, YL, 33907 (239) 270-5907 Office (239)'270-5943 Fax PROJECT NAME: Carica PS HVAC Improvements CONTRACT 21-7800 PROJECT NO: Purchase Order/Work Order NO:4500216158 PWC JOB NO. 2021-05.02 GENERAL CONTRACTOR: PWC Joint Venture DATE: 211612023 DESCRIPTION OF CHANGE: Provide conduits fro low voltage wires from theair handlers actuators to the DDC controller PWC Direct Costs Additive Costs A LaSor 0.00 B Material $0.00 C Equipment $0.00 D Subtotal of Additive Cost Deductive Costs {use minus sign to denote negative figures) E Labor F Material 0.00 G Equipment H Subtotal of Deductive Cost $0.00 I Contractor's Total Direct Cost (D+H) 0.00 i General Contractor's Mark-up 0.00 10% markup K Total PWC Direct Costs + Mark-up (Line I +J) $0.00 L Total Subcontractor Direct Costs $4,22a.00 M General Contractor's Mark-up on Subcontractor Direct Costs so.00 0% Markup N Subtotal $4,224.00 Tax/Fees O Total PWC Change Request (Line K + L + M + N) $4,224.00 To the best of my knowledge and belief I certify that all costs listed above are correct. L&64t C� 2/16/2023 Dale Contractor Signature 1 6C 3 ".3.k i �%Aa Technical Management Associates March I, 2023 INVOICE #2528 PWC JOINT VENTURE, LLC mbridgeman((Dpw,- Ilc.com 5256 SUMMERLIN COMMONS WAY STE 203 BLDG 2 FORT MYERS FL 33907 Project: TMA 1182-7 CARICA PUMP STATION HVAC IMPROVEMENTS 10251 Metro Parkway Suite 118 Ft, Myers, FL 33966 Phone: 239.437.9582 Fax: 239.437.9576 Additional controls per Work Directive #02 issued 1218/22 $4,224,00 - Work Performed from 12!8/22 through 12/15/22 — Qz 1n:) On Additional controls per urawing issuea iz1"zN1 _ - TOTAL $7,366.00 TOTAL AMOUNT DUE THIS INVOICE BY .. $7,366.00 #VALUE!