Backup Documents 07/25/2023 Item #16F 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 F 2
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 C/) ( Vo), )
2. BCC Office Board of County
Commissioners Chairman KC , 4 / 7/27/03
3. Minutes and Records Clerk of Court's Office 11243 /0:0
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@colliercountyfl.gov
Agenda Date Item was July 25,2023 Agenda Item
Approved by the BCC Number 16.F.2.
Type of Document CO#9_Q. Grady for a 90-day Number of Original
Attached extension under agreement No. 16- Documents 1
6622 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)
I. 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 ne:otiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
si:nature 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 July,25 202304s not
and all changes made during the meeting have been incorporated in the attached ag option for
document. The County Attorney's Office has reviewed the changes, if applicable. tars tame'
9. Initials of attorney verifying that the attached document is the version approved by the ILIA is-rkit
BCC,all changes directed by the BCC have been made,and the document is ready for the an option
Chairman's signature. t isrl e
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
1 6 F 2
Procurement Services
Co 70yOT�t3tt Change Order Form
® Contract Modification ❑Work Order Modification
Contract#: 16-6622 Change#: 09 Purchase Order#: 4500176296 Project#: 80039
Contractor/Firm Name: Q Grady Minor&Associates,P.A Contract/Project: Big Corkscrew Island Regional Park Phase 1
Project Manager Name: Tony Barone, PMP Division Name: Facilities Management
Original Contract/Work Order Amount $ 3,630,062.00 02/14/17 11C Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $ 3,823,226.00 09/27/22 1605 Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 3,823,226.00 7/1/2023 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 5.32% Total Change from Original Amount
Revised Contract/Work Order Total $ 3,823,226.00 0.00% Change from Current BCC Approved Amount
,Cumulative Changes $ 193,164.00 _ 0.00% Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 3/01/2017 Original 4/26/2022 Last Approved 7/1/2023 Revised Date 9/29/2023
Date Completion Date Date (Includes this change)
#of Days Added 90 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. Due to construction setbacks and challenges with the Big Corkscrew Island Regional Park Phase 1,the project schedule has
been extended. Services and involvement of the Engineer and Architect of Record is required to oversee the
completion/closeout of the project and the complex systems related to the aquatic facility; therefore, an additional 90 days for
all tasks is required for the completion/closeout of the project.
2. The construction setbacks by the general contractor have impacted the project schedule and would not have been known at
the time of the award of the original contract.
3. If not approved, our project will not have the appropriate post-design services from the Engineer and Architect of Record to
facilitate acceptance of the work, required inspections and close out of the project.
BaroneTony Digitally signed by BaroneTony
Prepared by: Date: 2023.06.23 14:13:56 -04'00' Date:
Tony Barone, PMP, Senior Project Manager and Facilities Management Division
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.
Michael J. Delate P.E, Digitally signed by Michael J. Delate, P.E.
Accepted by:
Date: 2023.06.23 15:46:30-04'00' Date:
0 Grady Minor&Associates, P.A.
NA cCormickJohn Digitally signed by McCormickJohn
Approved by: Date: 2023.06.27 08:16:50 -04'00' Date:
John McCormick, P.E. Division Director, Facilities Management)
Digitally signed by YilmazHeather
Yi I mazes Bather
Approved by: Date:2023.06.2817:15:21 -04'00' Date:
(Procurement Professional)
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.)
PROCUREMENT USE ONLY
Admin RP° BCC ES
co
16 ' 2
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinz " of Courts COLLIER COUNTY, FLORIDA
& Cornptrq� 4?�*
r" r i; • R f
By: y ' By:
* Rick LoCastro, Chairman
•
Dated: 13
(S ;._, -) tiau -t a `io t tiairmans
iivosi§nature only
Ap ved as to or a d egality:
By:
Scott R. Teach
Deputy County Attorney
16F2
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Additive Days New Justification
(+) Deductive(-) Added Amount
Utilizes Task 9
Allowance for Additional Drainage Design to tie
1 $5,983 and reduced into the sewer/utility lines with
the Allowance to North East Service Area
$479,017
Incorrect Rates were
used in Change
Order 1. CO 2
administratively CO 2 administratively corrects
2 corrects the rates to incorrect rates in CO 1 from
from $5,983 to $5,983 to$5,905
$5,905. Credits Task
9 Allowance($78)to
$479,095
Utilizes Task 9 Adds additional
Allowance for meeting/coordination and
3 $190,412 and engineering support to review
reducedd the Qualite Lights Vs Musco Lighting
Allowance to Design
$288,682.71
CO 4
administratively
corrects incorrect CO 4 administratively corrects
4 rates in CO 3 from incorrect rates in CO 3 from
$190,412.29 $190,412.29 to$185,025
$185,025. Change
reduces allowance
to$294,070
Utilizes Task 9 A change order was not approved
Allowance for and a ATF was submitted in lieu of
ATF $14,310 that CO#5. Requires design work to
reduced the add a dog park and National
allowance to Fitness Campaign d Design
$279,760
Utilizes Task 9
Allowance for Adds additional Post Design
5 $180,672 that Services to support the remaining
reduced the of the project due to delays in the
allowance to construction schedule
$99,088
Adds 65 days,
utilizes$99,088 of
Task 9 Allowance
and reallocates Adds additional Post Design
$13,000 of Task 11 Services and time to support the
6 Reimbursables to 65 1947 remaining of the project due to
Task 8 Post Design delays in the construction schedule
Services.The
Allowance is
reduced to$0
Adds additional 180 Adds additional Post Design
days and adds 180 2127 Services and time to support the
7 $193,164 to the $193,164 remaining of the project due to
contract post design delays in the construction schedule
services
Adds additional time to support the
8 Adds additional 99 days 99 2226 remaining of the project due to
to the contract delays in the construction schedule
(Divisions who mayrequire additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Revised:01/14/2021 Admin I*DI BCC ES
16F2
Adds additional time to support the
9 Adds additional 90 days 90 2316 remaining of the project due to
to the contract delays in the construction schedule
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) /' \
PROCUREMENT USE ONLY
Admin PZ/ BCC ES
A.tie