Backup Documents 06/27/2023 Item #16B11 ORI
GINAL 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 '
tlitiV
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#I through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
2.
3. County Attorney Office County Attorney Office & 'O
4. BCC Office Board of County
Commissioners RL 4rls/ 7/16/25. Minutes and Records Clerk of Court's Office
1(1 iat*3 IQ
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 Julio Castro/Transportation Engineering Contact Information 239-348-1328
Contact/Department
Agenda Date Item was June 27,2023 Agenda Item Number 16.B.11.
Approved by the BCC
Type of Document Change Order#1 for adding additional days Number of Original 1
Attached to the contract time for CEI Services and Documents Attached
reallocate money from task 2 to task 3 and
from task 2 to task 1.
PO number or account 4500211037
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) Applicable)
1. Does the document require the chairman's original signature STAMP OK V JC
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 V JC
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 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 V JC
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 ✓ JC
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 06/27/2023 And all changes made during V JC N/A is not
the meeting have been incorporated in the attached document. The County 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 . . f Al) an option for
Chairman's signature. this line.
16B1
Procurement Services
Cotter County Change Order Form
x Contract Modification ❑Work Order Modification
Contract#: 19 763?. Change#: — — —i Purchase Order#; 4500211037 _ — Project#:['66066 12
Contractor/Firm Name: High Spans Engineering, Inc Contract/Project: CEI Services for the 11 Bridge Replacements
Project Manager Name:[ Julio Castro Division Name: Transportation Engineering m
Original Contract/Work Order Amount $ 3,184,809.50 07/14/20;11C Original BCC Approval Date; Agenda Item# 1
Current BCC Approved Amount $ 3,184,809.501 07/14/20;11C Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 3,184,809.50 2/12/2024 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 3,184,809.50 0 00% Change from Current BCC Approved Amount
Cumulative Changes $ 0 00 0 00% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 06/14/2021 Original 2/12/2024 Last Approved 2/12/2024 Revised Date 4/12/2024
Date .------ i Completion Date ------..._...__._...... Date �incirzres this change)
--------. -�
#of Days Added ; 60 Select Tasks ❑Add new task(s) 0 Delete task(s) ❑Change task(s)x 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 zero-dollar change order will add 60 days to the contract time for CEI Services for the 11 Bridges Replacement Project with
the new Final Completion date of 4/12/2024 due to the construction contract extending beyond the planned completion date due to
weather days, holidays and change orders added to the construction contract This Change order will reallocate$5,000 from Task I
2(Geotechnical Testing/Survey)to Task 3(Material Testing Lab)and reallocate an additional$10,000 from Task 2(Geotechnical I
Testing/Survey)to Task 1 (CEI Professional Services)to assist with the completion of the Project's inspection services.No more
work is foreseen for Task 2
2 The change being requested was not included on the original contract because the days and fees for each task were based on
estimates,
3 If this modification is not processed,the CEI contract time would expire before the construction is completed and the contract
amount will not be enough to maintain the construction inspection services for the completion of the project
CastroJulio 1).gllalirsi�mdcy Ce131-o
Prepared by ueu zo23.on7a >r.aoo Date
Julio Castro.Field Inspector II,Transportation Management Services
Acceptance of this Change Order shall constitute a modification to contract i 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
Michelle I.Buchholz
\.dy,-r)t..cliaitk HighSpans Englnoonng,inc
Accepted by._.__ �._._._ -- 2023 os01 15:48.01 Date:
Michelle L Buchholz. IiighSpans Engineering.Inc
ThornasMatthew Dp�inih:Shxedn rhn,naibisllhew
Accepted by UMiY;1 3042a Is�sea eeca Date-
Matthew Thomas PE,Supervisor Project Management Transportation Management Services
NaiAhmadJa ue,a "° eyNmnn""
oao�uea.a.aaoraura
Approved by n4dr Date
Jay Ahmad, PE, Division Director,Transportation Management Services
1
i
Revised:01/1412021 (Divisions who may require additional signatures may include on separate sheet) raocuReme vi*usr or i r
Admit' /1F'a F BCC ES 1
16B11
Digitally signed by
ScottTrinity Date 2iniry
Date, 023 OS 03
Approved by: 1308:36-04'00• Date:
Trinity Scott,Department Head,Transportation Management Services
YilmazHeather Digitally signed by YilmazHeather
Approved by: Date:2023.05.05 11:02:03-04'00' Date.
Procurement Strategist
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
Add 60 days,
reallocate$5,000
from Task 2
(Geotechnical
Testing/Survey)to
Task 3(Material Needed to maintain material testing
1 Testing Lab). 60 1,033 and inspections until end of
$10I000 from Task locate construction project.
2(Geotechnical
Testing/Survey)to
Task 1 (CEI
Professional
Services)
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) 1_ PROCUREMENT USE ONLY
Admin 1 en
=_: 1 BCC ES
hO
1 6 B 1 1
A EST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel,Clerk of Courts COLLIER COUNTY,FLORIDA
&Comptroller,. •- .Nr;
/
•• •• •
41k 13‘. (---; •
By:, - ;Iv
Rick LoCastro, Chairman
t
Dated1U, _ _Li zs r,
(SEAL') Attesfas •,.Chatlii4fl'3
eiritture only
Ap r\ov d o form and egality:
BV
dyScott R. Teach
Deputy County Attorney
C:41f://1
CAO
16B11
O O O :=
� oocA
o; o o co.
co (A EA O
00 co
A U [LL1C Q n o c000 oo
cA ✓ pt,• p 00 0 0 o ,- rl
> F- O a cn N o 0 0 6`' �'
04 v Q r- oN
N
2O O O O l "'L U
Lz] O O O f ..
W
U U O o ` u U OW
a) o 0 0 0 ', U w E- A
N o kn o o Q i . c R. kJ vWs
N F - a ONo
F , N CB W >>
U¢ = = z O Z o t- z2a
N o raN o w ¢ W o w o
y o Q
s r EA ds esi 0 W
C w U
d
E a z
m r.
0:• # ar Q m U A
CC 0• Q 4
a� F- V)
Cr'0 00
.3 w =
m Z U wX
e- Q
T. _
a)
a>
u
N O
,D 3
4- o
to z
m o
ce
a
Go a
v.) }
IIIU a.)U - r
W o. On ai
a.) c
Vi 1 ^, N
a
c F w.
O w y
1.. u F U
O s = O
Z 0. •J y -o
W W v vc
C9 U 1. :..
a
z
x
2 — N M v
C_
CA .
16611
From: Castra]uliQ
To: Prandesxlmberly
Subject: FW:Schelle from HighSpans calling:)Collier 11 Contract Issues-Zero Dollar Change Order
Date: Wednesday,April 12,2023 2:59:12 PM
From:Schelle Buchholz<SBuchholz@highspans.com>
Sent:Tuesday,April 4, 2023 2:13 PM
To:CastroJulio<Julio.Castro@colliercountyfl.gov>; MatthewThomas
<Matthew.Thomas@colliercountyfl.gov>
Cc:Vince Zaliauskas<VinceZ@highspans.com>;Gindrutis Zaliauskas<GinZ@highspans.com>; Dustin
Spears<DSpears@highspans.com>
Subject: RE:Schelle from HighSpans calling:) Collier 11 Contract Issues-Zero Dollar Change Order
EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender
and use extreme caution when opening attachments or clicking links.
Good afternoon Julio!
Sorry for the delay on this. I wanted to make sure to get the numbers right so we don't need to
address any of this again.
The zero dollar change order we are requesting is as follows:
Task 2: Geotechnical Testing/Survey is substantially complete and should only require$10,000 of
the current$25,000 to complete. Therefore we are requesting$5,000 be moved from Task 2 to
Task 3: Materials Testing Lab and$10,000 be moved from Task 2 to Task 1: CEI Professional
services.
Task 3 is running out of budget, but we anticipate approximately$5,000 of additional Materials
Testing Lab services remaining to finish out the project.
The additional$10,000 is better moved to Task 1 to cover unforeseen tasks that may occur which
are out of our control.
Let me know if you need anything further.
Thank youl
Michelle("Schelle") L. Buchholz, SVP &CFO
HighSpans Engineering, Inc.
2121 McGregor Blvd.—Suite 200
Fort Myers, FL 33901
Phone appointment by email request, thank you!
888-449-2462—fax
AO