Backup Documents 12/12/2023 Item #16C 4 1 6C 4
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 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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office a//J9/a3
4. BCC Office Board of County
Commissioners �( 'v� / i 2/2U(2
5. Minutes and Records Clerk of Court's Office / : QU�/
frep_3
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Su ary. 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 Z ,, ; `Ue\-to r ) Phone Number za•,„-orot.a•e-lv.ro
Contact/ Department 7 b l:c., ti Wes tkA Contacto04-‘6.0. �•
Agenda Date Item was Agenda Item Number
Approved by the BCC 1 2-/1 2413 (6 C.44
Type of Document I^,, '�rnae Number of Original 5 or n V.
Attached C""'" 0 r c�-.e.(' '` - Documents Attached
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) Applica•le)
1. Does the document require the chairman's original signature?
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.
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 _
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 `/
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.
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
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 12,1 (Z and all changes made during
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature. ) ,
16C4
Procurement Services
CO#1er CO .t ty Change Order Form
❑Contract Modification ® Purchase Order/Work Order Modification
Contract#: 19-7622 Change#: 1 Purchase Order#: 4500215169 Project#: 70240.4.2
Contractor/Firm Name: U.S.Water Services Corporation Contract/Project: Pump Station 121.02 Repair and Renovations
Project Manager Name: Zamira Deltoro,CSM Division Name: Public Utilities EPMD
[Original Contract/Work Order Amount $ 561,270.71 10/26/2021;16C4 Original BCC Approval Date;Agenda Item#
11Current BCC Approved Amount $ 561,270.7110/26/2021;16C4 Last BCC Approval Date;Agenda Item#
'Current Contract/Work Order Amount $ 561,270.71 4/27/2024 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 115,336.42 20.55%; Total Change from Original Amount
Revised Contract/Work Order Total $ 676,607.13 20.55%' Change from Current BCC Approved Amount
Cumulative Changes I $ 115,336.42 20.55% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 9/13/2023 Original 3/11/2024 Last Approved 3/11/2024 Revised Date TBD
Date Completion Date Date (Includes this change)
#of Days Added 120 Select Tasks ®Add new task(s) ❑Delete task(s) ❑ Change task(s) ®Other
Provide a response to the following:Attach additional information from the Design Professional and/or Contractor if needed.
1. Detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or the additional days added(if
requested).
A. The purpose of this Change Order is to authorize a change to the Purchase Order that adds stormwater improvements to the scope
of work.The additional work to be complete includes demolishing,removing and disposing of existing stormwater system
components in the vicinity of the Pump Station 121.02 site,furnishing and installing new stormwater system components per the
plans,grading the site to allow proper drainage of the site,and restoration to impacted areas.
Collier County Road Maintenance Division Staff discovered that an existing 18"stormwater culvert crossing beneath West Avenue
directly adjacent to the Pump Station 121.02 site had failed and has caused the West Avenue roadway to settle.They have
requested the contractor replace the stormwater culvert that has failed and replace other stormwater components in the area to
prevent future settling of the roadway and washouts underneath the existing sidewalk.
The new PO total amount will be$676,607.13.
Item Description Order Qty Unit Price Per Net Value Project
Unit Number
00010 Task 1 PS Rehabilitation(NLS) 496,270.71 EA 1 496,270.71 70240.4.2
00020 Task 2 Allowance FPL Electrical 5,000.00 EA 1 5,000.00 70240.4.2
Services(T&M)
00030 Task 3 Allowance Unforeseen(T&M) 60,000.00 EA 1 60,000.00 70240.4.2
00040 NEW Task 4 Stormwater 115,336.42 EA 1 115,336.42
Improvements(NLS)
TOTAL 676,607.13
B. To extend the project time for an additional 120 days.Therefore,the contractor can perform the additional work.There is a stop of
work letter issued for the project.
• New substantial completion date will be:TBD when the resume work letter is issued.
• New final completion date will be:TBD when the resume work letter is issued.
2. Why this change was not included in the original contract.
The existing 18"stormwater culvert failed after the contractor was awarded the original contract.
3. Describe the impact if this change is not processed.
If the stormwater system in the vicinity of the Pump Station 121.02 site is not replaced there will be continuing drainage issues in the
area.West Avenue will continue to settle,washouts under the sidewalk will cause the sidewalk to crack and become unsafe,and
ponding or undesired surface runoff may occur in the area.This change is necessary to restore the area and ensure that proper
stormwater drainage occurs to protect the existing Pump Station infrastructure and to be able to perform the planned improvements to
pump station 121.02.
Up,aNY wee by
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Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin Rpt VC ES
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Digi,ally signed by Dewbrolamaa
D e I/O roZ a rn'ra ON:Accounts 01.1=PUld lann ng„n Prc GN=Dapaannall ,U=PUD ems.C J=ma
I user cc,OCa.OU=PUD%ann:ng and Prgecl ManagamMl OU=PUD.OU=Divisona.
DC=bcc,DG=<dl:ergov.DG=ne1
Prepared by: Dale 2023.10.2514 d203-042A' Date:
Zamira Deltoro,Project Manager, EPMD
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.
1,' /J-'
//`' /'' 10/25/23
Accepted by: Date:
Steve Stanton,Manager Region 3, U.S.Water Services Corporation
Accepted by. Date: 10/25/2023
William H.Saum, PTE.,Johnson Engineering, Inc.
MontalvoErik Digitally signed by MontalvoErik
Approved by: Date:2023.10.27 16:18:33-04'00' Date:
Erik Montalvo, Project Manager, Road Maintenance
FandrichShon
Approved by: -a=;, ",...- Date:
Shon Fandrich,Supervisor of Project Management, EPMD
BelloneJose h Digitally signed by BelloneJoseph
Approved by: Date:2023.10.30 14:55:24-04'00' Date:
Joseph Bellone,Division Director,Utilities Finance
NU.,.gnea ay McleanMannew
M c L e a n M a tt h ew ON E=Manlww Mdaen.01./aPial Fa/gang CN=MGeanMaa ew.OU=On 110
ON E.M Ilsyy C ayba.OUePUD%y*ye.a N Piajec5 M;n.;Jemant,Gene,O
Approved by: Dale. 23n030 occ.e-oa00'-cobe.ga..DG
Dale.}GJ3,0 J0,.58 ga.gagg� Date:
Matthew McLean, Division Director,EPMD
HerreraSandra Digitally signed by HerreraSandra
Date:2023.11.14 15:56:44-05'00'
Approved by: Date:
Heather Yilmaz, Procurement Services Division
ATTEST: ,11 c.,n` BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinel;Cie, .,•ousts COLLIER COUNTY, FLORIDA
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Comptroilh7 c.
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� By:
' Rick LoCastro, Chairman
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Dated j ' - _m,r, .
(SEA -;,'ti ,aa� 'z ti an's
s;gna+ur.:; w,inIy
Appr ved as to f)rtt an Y '-Y:
By'
Scot R. 'each
Deputy County Attorney
a,,.;,',rob, ter-.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin
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1)
1 6C 4
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
The existing stormwater facilities
Additional surrounding the pump station site
1 Stormwater $115,336.42 0 120 300 are failing and require
Improvements improvements.More time is
required to perform this
additional work.-WD#1
CAO
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin BCC
Ba 4'S
� 6C4
JOHNS %E SINCE 1946
ENGINEERING
October 10, 2023
Via Email Only: Zamira.Deltoro@colliercountyfl.gov
Zamira Deltoro, CSM
Project Manager
Collier County Public Utilities Department
Engineering and Project Management Division
3339 Tamiami Trail East, Suite 303
Naples, Florida 34112
RE: Change Order#1 Cost Reasonableness
Stormwater Improvements
Wastewater Pump Station 121.02 Rehabilitation Project.
Dear Ms. Deltoro,
Please accept this letter in response to your request to provide a third-party review of US
Water Services Corporation's cost for Change Order#1. Change Order#1 was requested by
Collier County to remove and replace the existing stormwater facilities at the wastewater Pump
Station 121.02 site. This change order includes improvements to 106 linear feet of stormwater
pipe ranging from 15" to 18" diameter, 3 inlet structures, and associated restoration,
maintenance of traffic, and mobilization.
Based upon the enclosed details provided to us, our research, and recent similar projects, we
support the request for Change Order#1 and believe the cost to be reasonable and appropriate.
Should you have any questions, comments, or concerns, please contact us at (239) 334-0046.
Sincerely,
JOHNSON ENGINEERING, INC.
\\\,\\,)
1t
William H. Saum, P.E.
Senior Project Manager
Enclosure: Change Order#1 Cost
20 1 49700-1 98
2350 Stanford Court.Naples,Florida 34112 CAO
(239)434-0333 .Fax(239)434-9320
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•
Pump Station 121.02 Rehabilitation
Stormwater Improvements CO#1 8/21/2023
SECTION 5:STORMWATER IMPROVEMENTS •
Bid Item No. Description 'Unit of Measure Bid Quantity Unit Price Total Amount '.....
GENERAL
1 Additional mobilization and demobilization LS 1 $4.867.20 $ 4,867.20
2 Additional survey and as-built drawings LS 1 $4,560.00 $ 4,560.00
3 Additional maintenance of pedestrian and vehicular traffic LS 1 $3,048.00 $ 3,048.00
DEMOLITION,REMOVAL,AND DISPOSAL OF EXISTING CONDITIONS
4 Demolish.remove,and dispose of catch basin EA 2 $2,755.20 $ 5.510.40
5 Demolish.remove,and dispose of 18"RCP LF 42 $ 130.48 $ 5,480.16
6 Demolish,remove,and dispose of 12"xt8"ERCP LF 32 $ 117.75 $ 3,768.00
7 Demolish,remove,and dispose of 12"CMP LF 8 $ 471.00 $ 3,768.00
FURNISH AND INSTALL STORMWATER COMPONENTS
8 Furnish and install 18"RCP LF 42 $ 600.74 $ 25,231.08
9 Furnish and install 15"RCP LF 64 $ 294.79 $ 18,866.56
10 Furnish and install concrete collar EA 1 $3,753.60 $ 3,753.60
11 Furnish and install Type C Inlets EA 3 $12.161.14 $ 36,483.42
Section 5 Total $ 115.336.42