Backup Documents 06/27/2023 Item #16B12 ORIGINAL 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.
**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.
2.
3. County Attorney Office County Attorney Office
1 10 9
4. BCC Office Board of County
Commissioners (4._ 4ni /s/ V/aA3
5. Minutes and Records Clerk of Court's Office �.','it�.,�ll,
?'to
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 John Conti/Transportation Engineering Contact Information 239-348-1328
Contact/Department
Agenda Date Item was June 27,2023 Agenda Item Number 16.B.12
Approved by the BCC
Type of Document Change Order#2 for adding time to QE on Number of Original 1
Attached Veterans Road Project 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
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 ✓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 ✓ 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 V 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 6/27/2023 and all changes made during ✓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 cage an option for
Chairman's signature. this line,
16B12
Procurement Services
CAT er COurit„y Change Order Form
x Contract Modification ❑Work Order Modification
Contract#: 20-7708 Change#: 2 Purchase Order#: 4500208117 _ Project#: 60198
Contractor/Firm Name: Quality Enterprises USA, Inc. Contract/Project: Design Build of Veterans Memorial Blvd Extension
Phase I
Project Manager Name: John Conti&Bee Thao Division Name: Transportation Engineering Services
Original Contract/Work Order Amount $ 10,065,000.00 10-27 20;11A Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ 10,849,998.50 4-11-23 16A17 Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 10,849,998.50 7/13/2023 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 7.80% Total Change from Original Amount
Revised Contract/Work Order Total $ 10,849,998.50 0.00% Change from Current BCC Approved Amount
Cumulative Changes $ 784,998.50 0.00% Change from Current Amount ,
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 11/20/2020 Original 6/08/2023 Last Approved 7/13/23 Revised Date 7/30/23
Date Completion Date Date (Includes this change)
#of Days Added 17 Select Tasks ❑Add new task(s) ❑ 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.
Additional Contract Days:
1. This change order will add 17 days to the contract time due to the Collier County Public School District not having
the driveway area completed in time for Quality Enterprises to install the traffic signal loops for the new traffic signal
at the new high school. The traffic signal loops are to be located past the right of way on the school's property.
The new Substantial Completion date would be May 31, 2023, and the new Final Completion date would be July
30, 2023.
2. The change being requested was not included in the original contract because the asphalt driveway for the High
School has not been completed as required for the traffic signal loops installation.
3. If this modification is not processed the contractor would not be able to complete the project within the contract
time.
Digitally signed by John Conti
John Conti Date:2023.05.11 07:56:46
Prepared by: -04'00' Date:
John Conti,Project Manager,Transportation Engineering
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. • r1)-23
Louis J.Gaudio,Vice President,Quality Enterprises, Inc
Norm.wn.d by sa....M Now
Steven M Nappi O-N.,d.tl .i CN y11.my .Lr U p.r.n N.
Approved by: 010.0
0 23.21.lW1001001 t•A014 i00000W1.M.AL.EM04W'.
M.202300I I W 11.]I{N'13,/ Date.
Steve Nappi, P.E.,Senior Project Engineer, Hardesty& Hanover
Thomas Matthew Digitally signed byThomasMatthew
Approved by Date:2023.05.1109:20:04-04'oo' Date
Matthew Thomas, P.E., Principal Project Manager,Transportation Engineering
AhmadJay Date:2023.05.neid by 11
D ata:2023.Os.71 09 27.44
atUay
Approved by: a00' Date.
Jay Ahmad, P.E., Division Director,Transportation Engineering
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Atlmin (—)BCC
BCC ES
Zak
16 12
Trinity L. Scott ®"zo°'o5.11102 2z�oo
Approved by: Date: -
Trinity Scott, Department Head,Transportation Management Services
YilmazHeather Digitally signed by YilmazHeather
Approved by: Date:2023.05.11 10:44:37-04'00' Date:
Procurement Professional
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
1 Add 35 days 35 965 Needed days to complete project.
2 Add 17 days 17 982 Needed days due to School District
delay.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin BCC ES
WY a
16612
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K.kinzel, ClerJ ', •Courts COLLIER COUNTY, FLORIDA
& Comptroller-
(--720::?
By: By.
.r,t Rick LoCastro, Chairman
Dated: JASIW,:t9j; Z(SEAAttest s to Chairm 's
signature only
Approv to form an. legality:
y ili Id 0 '
Scott R. Teach
poi
Deputy County Attorney
16812
From: J tatria
To: Conti]ohp
Subject: Veterans-Substantial Completion
Date: Wednesday,May 10,2023 10:48:53 AM
EXTERNAL EMAIL: This email is from an external source. Confirm this isa trusted sender and
ttse_.extren e caution when opening attachments or clicking links.
John,
Due to the installation of the paving occurring next week at the high school,AIS will schedule loop
installation for the Monday May 22nd. Based on this date,all signalization work will be substantially
completed by Wednesday May 31.
Please let me know if you have any questions.
Thanks
Louis J. Gaudio
Vice President
c:239 202,08E0
o:239 43S 7 iii1
et tfi,ditlL.4.t9?Af'.LLSd..t9Rl
349=1 Shearwater St'e2i,Maine;.IL 341!?
NOT IOE:
This email contains information that is legally privileged and confidential. rt you have received this
message in error, please notify me immediately and delete this message. Any unauthorized d.i.,cloauee,
copying, distribution or other use of this proprietary information ;a strictly prohibited.
CAO
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP B g
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 41 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
1 Io9:3
4. BCC Office Board of County
Commissioners 4, / / 7/io/Z3
5. Minutes and Records Clerk of Court's Office /NUJ 121°5"AL
?'to
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 John Conti/Transportation Engineering Contact Information 239-348-1328
Contact/Department
Agenda Date Item was June 27,2023 Agenda Item Number 16.B.12
Approved by the BCC
Type of Document Change Order#2 for adding time to QE on Number of Original 1
Attached Veterans Road Project 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
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK ✓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 V 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 6/27/2023 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 cage an option for
Chairman's signature. this line.
1 6 B 1 2
Procurement Services
CO 7(3T Change Order Form
x Contract Modification ❑Work Order Modification
Contract#: 20-7708 Change#: 2 Purchase Order#: 4500208117 Project#: 60198
Contractor/Firm Name: Quality Enterprises USA,Inc. Contract/Project: Design Build of Veterans Memorial Blvd Extension
Phase I
Project Manager Name: John Conti&Bee Thao Division Name: Transportation Engineering Services
Original Contract/Work Order Amount $ 10,065,000.00 10-27 20;11A Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $ 10,849,998.500 4-11-23 16A17 Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 10,849,998.50 7/13/2023 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 7.80% Total Change from Original Amount
Revised Contract/Work Order Total $ 10,849,998.50 0.00% Change from Current BCC Approved Amount
Cumulative Changes $ 784,998.50 0.00% Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 11/20/2020 Original 6/08/2023 Last Approved 7/13/23 Revised Date 7/30/23
Date Completion Date Date (includes this change)
#of Days Added 17 Select Tasks ❑Add new task(s) ❑ 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.
Additional Contract Days:
'1. This change order will add 17 days to the contract time due to the Collier County Public School District not having
the driveway area completed in time for Quality Enterprises to install the traffic signal loops for the new traffic signal
at the new high school. The traffic signal loops are to be located past the right of way on the school's property.
The new Substantial Completion date would be May 31, 2023,and the new Final Completion date would be July
30, 2023.
2. The change being requested was not included in the original contract because the asphalt driveway for the High
School has not been completed as required for the traffic signal loops installation.
3. If this modification is not processed the contractor would not be able to complete the project within the contract
time.
Digitally signed by John Conti
John Conti Date:2023.05.11 07:56:46
Prepared by: -04'00' Date:
John Conti, Project Manager,Transportation Engineering
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:
Louis J.Gaudio,Vice President,Quality Enterprises, Inc.
)09 2 4,94.E Ey Sbv0r.M 0400'
Steven M Nappi 0•uao-02001=1Hortleity0M.. 014,0CEEwe$73 Date:
aac•oo, .H:Eoxa ino i•no,.81er.n oo11.0".I..c�.aooacx:
Approved by: D.2)43)0,,00„•0.o
Steve Nappi, P.E., Senior Project Engineer, Hardesty&Hanover
Thomas Matthew Digitally signed by ThomasMatt hew
Approved by. Date:2023.05.1109:20:04-04.00' Date _
Matthew Thomas, P.E., Principal Project Manager,Transportation Engineering
AhmadJay Digitally 2023. 5.by Ahmad9:2244 ay
Dale 2023.05.11 09:27 W
Approved by atoo Date.
Jay Ahmad, P.E., Division Director,Transportation Engineering
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin \Rp) BCC ES yK
16812
Trinity L. Scott a 'zoz,OS!1y102922-W'00'
Approved by: Date:
Trinity Scott, Department Head, Transportation Management Services
YilmazHeather Digitally signed by YilmazHeather
Approved by: Date:2023.05.11 10:44:37-04'00' Date:
Procurement Professional
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Additive(+) Deductive(-) Days New Justification
Added Amount
1 Add 35 days 35 965 Needed days to complete project.
2 Add 17 days 17 982 Needed days due to School District
delay.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin el BCC ES
CC1
1i812
ATTEST: '1'19 0 BOARD OF COUNTY COMMISSIONERS
Crystal I .''Kinze.l,C'I'er'rgf Courts COLLIER COUNTY, FLORIDA
& Comptroller °'`> ';
By. By: (7/241i --...
Rick LoCastro, Chairman
Dated: jii o,'. Z
(SEA Attest s to Chalrms
signature only
Approv•. . o form an. legality:
By(ti,ili/I/14r1 i e
poyScott R. Teach
Deputy County Attorney
16912
From: Jai Gaul()
To: C4rrtiiohn
Subject: Veterans-Substantial Completion
Date: Wednesday,May 10,2023 10 48:53 AM
EXTERNAL EMAIL: This cmail is from an external source.Confirm this is a trusted sender and
use extreme caution when opening uttachtnentS Or clicking(inks.
John,
Due to the installation of the paving occurring next week at the high school,AIS will schedule loop
installation for the Monday May 22nd. Based on this date,all signalization work will be substantially
completed by Wednesday May 31.
Please let me know if you have any questions.
Thanks
Louis J. Gaudio
Vice President
c:239 207,06600
o:234 43ti 7%tiu
e JRdiedl4.�!..BE.LLSd..G9II1
349.1 hearwaier 51 e2•M s.:r .rL 341 7
NOTICE:
This email contains information that is legally privileged and confidential. rr you have received this
message in error, please notify me immediately and delete this message. Any unauthorized disclosure,
copying, distribution or other use of this proprietary information is strictly prohibited.
CAC)