Backup Documents 01/23/2024 Item #16C 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 C 3
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 he 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 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 JA** i/Z3
4. BCC Office Board of County
Commissioners (jci 6y/nj]Sr 1/23
5. Minutes and Records Clerk of Court's OfficeAtti
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 Benjamin N. Bullert/PUD- EPMD Phone Number 239-252-2583
Contact/Department
Agenda Date Item was 1/23/2024 Agenda Item Number 16.C.3
Approved by the BCC
Type of Document(s) Change Order Number of Original l
Attached 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) Applicable)
1. Does the document require the chairman's original signature(instead of stamp)? BNB
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 BNB
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 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
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 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 1/23/2024 and all changes made during BNB N/A is not
the meeting have been incorporated in the attached document. The County Attorney an option for
Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the BNB N/A is not
BCC, all changes directed by the BCC have been made,and the document is ready for the an option for
Chairman's signature. this line.
I: 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
16C 3
Procurement Services
Collier County Change Order Form
®Contract Modification ❑Work Order Modification ,
Contract#: 23-8058 Change#: 2 Purchase Order#: 4500224424 Project#: 70253.E
Contractor/Firm Name: Accurate Drilling Services, Inc. Contract/Project: Golden Gate City Transmission Water Main
Improvements—Phase 1A—Golf Course
Project Manager Name:
Benjamin N.Bullert Division Name: Engineering and Project Management
Original Contract/Work Order Amount $ 4,008,590.00 03/28/23, 11.A Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ 4,008,590.00' N/A Last BCC Approval Date; Agenda Item #
Current Contract/Work Order Amount $ 4,008,590.00 1/4/2024 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 4,008,590.00 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 08/07/2023 Original 01/04/2024 Last Approved 2/18/2024 Revised Date TBD
Date Completion Date Date (Includes this change
#of Days Added 30 Select Tasks ❑Add new task(s) ❑ Delete task(s) ❑Change task(s) ®Other
This Contract is currently under a stop work notice with 34 days remaining to substantial completion and 64 days to final completion.
This change order is to add contract time due to extensive challenges the contractor has encountered in the field including heavy
rock excavation, extensive dewatering operations, and coordination with local events and residents around the construction site.
This change order will add 30 days to the contract time after the resume work letter is issued. The substantial completion date will
also be extended another 30 days after the resume work letter is issued.
1. Detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or the additional days added(if
requested.
During construction,the contractor has encountered extensive challenges in the field including heavy rock excavation,
extensive dewatering operations,and coordination with local events and residents around the construction site.The contractor
has worked through the issues that have arisen during construction and worked diligently to try and meet project deadlines
and team expectations despite the complications encountered in the field.After considering the difficulties of the project and
assessing their progress,the contractor has requested additional time to complete the project.The project team has agreed to
add time to the project to allow the contractor to complete the project within the contract time.
2. Why this change was not included in the original contract.
The purpose of this change is to add additional days to the contract time to allow the contractor to finish the project due to the
challenges encountered in the field.The contractor was not aware of the extensive challenges associated with dewatering and
rock excavation and rock stockpiling.
3. Describe the impact if this change is not processed.
Contractor has encountered extensive difficulties in the construction of this project and worked hard to overcome them.Adding
the time will allow the contractor to be able to complete the project within the contract timeframe.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT_OF nN ,
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Prepared by: 0.,.2 23.I2201,/W01.0500 Date:
Benjamin N.Bullert, Supervisor,Engineering and Project Management Division for KLA 12/20/23
Liz Gosselin,Project Manager II,Engineering and Project 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.
n2
Accepted by: Date: 421 Z) I 2623
Mario vedo,President,Accurate Drilling Services,Inc.
Michael S Dickey c key Digitally signed by Michael S Dickey
f f� J Date:2023.12.20 12:42:34-05'00'
Accepted by: Date:
Michael S.Dickey, P.E.,Engineer of Record,Johnson Engineering,Inc.
O C.ecnna,r.,.J ,+emn
ON&Mneera U-POD 0.r.rar.,O Pm
BuIlertBenjamin�a yA nw�t�OV•PUI)OU�DvA ..Ih:•Mr
Approved by: O23 DC.rvn
PP _ 0010.mzoiz.7inns.oyco Date:
Benjamin N.Bullert, Supervisor,Engineering and Project Management Division
Digitally signed by McLeanMalthew
DN.E=Matthew.McLean@colliercounlyfl.gov,CN=McLeanMatthew.
M c L e a n M att h ew OU=General,OU=PPM User Accounts,oU=PUD Planning and
Project Management,OU=PUD.oU=Divisions,DC=bcc,
DC=c
Approved by: Date'2023.012:6 08 01 53-05'00'
PP Date:
Matthew McLean,Division Director,Engineering and Project Management Division
D
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Sandra Sr n ka Date:2l02.12.29 12:33:49 05 00a
Approved by: Date:
Procurement Services Division
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMEN NSF nN4r
Admfn ecc BCC"):
1 6 C 3
Change OrderlAmendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
— — The allowance is necessary to
Use of Allowance cover the cost of additional work,
funds—Pay Item and the additional days are
No.36. 0.00 $0.00 45 195 necessary to allow contractor to
1 Addition of 45 days $ finish the project.
to contract Total Remaining Allowance after
CO#1:=$229,248.25
=($300,00.00-$70,751.75)
The contractor has encountered
extensive difficulties in the
construction of this project and
Addition of 30 days worked hard to overcome them.
2 to contract. $0.00 $0.00 30 225 Adding the time will allow the
contractor to be able to complete
the project within the contract
timeframe.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin Pt BCC ES
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ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel,Clerk of Courts COLLIER C UNTY, FLORIDA
& Comptroller, - .
By: "w'��' �� ,/. By:—
. , Chi all, Chairman
Dated: .cam ; / ` ,
.(SEAL) `;t :.... 4
`it Ai to Chairman's
signature only
a
Approve as to'form and legality:
By:
It
it �.)?l4 �'eCounty Attorney
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT $E ONLY
Admin Rpf 8CC ES