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Backup Documents 01/23/2024 Item #16C 1 1 8 C 1 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 Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office 1 / y a,6/� 4. BCC Office Board of County Commissioners i/z /zy 5. Minutes and Records 1 rk ' � � it r?41'I'�'L Clerk ofCourt's Office 040/a PRIMARY CONTACT INFORMATIO 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 r additional or missing information. Name of Primary Staff % Phone Number Contact/ Department 61411 A VI v el CI rad.o �3 Z§.Z s•5 77 Agenda Date Item was 1�3/2 Agenda Item Number Approved by the BCC [ Type of Document �k^ Number of Original Attached b r 0 tdt r 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. (Ini Applicable) 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. A!A" 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 MG/ /� Office and all other parties except the BCC Chairman and the Clerk to the Board 'Y! 4 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. 4/4 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. Al/A- 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. �n 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 s/73 aVand all changes made during N/A is not the meeting have been incorporated in the attache 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 an option for Chairman's signature. this line. ,1 6 C 1. WORK ORDER/PURCHASE ORDER Contract#20-7800 "UNDERGROUND CONTRACTOR SERVICES" Contract Expiration Date: June 21,2026 This Work Order is for professional services for work known as: Project Name: Glades IQ Pump Station and Tank Improvements Project No: 70166.12 The work is specified in the proposal dated November 10,2023 which is attached hereto and made a part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced above, this Work Order/Purchase Order is assigned to: HASKINS INC. Scope of Work: As detailed in the attached proposal and the following: * Task I Perform all tasks as described in the Request for Quote, and as listed in the attached quote * Task II Allowance Schedule of Work: Complete work within 395 days from the date of the Notice to Proceed which is accompanying this Work Order.The Vendor agrees that any Work Order that extends beyond the expiration date of Agreement#20-7800 will survive and remain subject to the terms and conditions of that Agreement until the completion or termination of this Work Order. Compensation: In accordance with the Agreement referenced above, the County will compensate the Firm in accordance with following method(s): lJ Negotiated Lump Sum(NLS)❑ Lump Sum Plus Reimbursable Costs (LS+RC) 0 Time & Material (T&M) ❑ Cost Plus Fixed Fee (CPFF), as provided in the attached proposal. Task I $630,145.56 (NLS) Task II $50,000.00 (T&M) TOTAL FEE $680,145.56 Diobny signed by CuatradoDaman DN:E=Damen.Cw°ra°o�e le ermunerel O. ry�Aw. CuadradoDamian a= panr,a ° Management, ;=PU'o:"� PREPARED BY: DD..2023na.DC=hrc,37-000erynv.DC=net Date:2023.12.04 15:37:37-05ro7 Damian Cuadrado, P.E., Project Manager III Date Engineering and Project Management Otgasey waned°Y FendnthShon DN.E=Shon.Fentrith®eIerwuntyf.aor,CN=FendnchSton, F .ri chS hon � � nt beer :ens. Planning end APPROVED BY: Delta 2023.120516,40.33-05W Shon Fandrich, P.E., Supervisor Date Engineering and Project Management DN.Wly sgned Oy MCLeaMlattnew DN.E=Matlhew.McLexndlenvunryfl.pow McLeanMatthewst= Rammtlgan°Poptl«Mwaanent,OD=Puo, APPROVED BY: DD=DHiro 12 DC=Dc.DC cotlle qw,DC De1e:2oz3.1z.o6 oe:zo.se-osroo Matthew McLean, P.E., Director Date Engineering and Project Management Digitally signed by Robert Robert Kaine DKaaitne.2023.12.04 APPROVED BY: 15:35:14-05'00' Robert Kaine, IQ Manager Date CAO 16C 1 Von Hol leRobert Digitally signed by VonRolleRobert' ' APPROVED BY: Date:2023.12.0608:47:48-0500 Robert Von Holle, Wastewater Director Date BelloneJoseph Digitally signed by BelloneJoseph APPROVED BY: Date:2023.12.06 08:57:46-05'00' Joseph Bellone, Director Date Utilities Finance YilmazGeorga Digite:ally2023.12.07 signed byYilmazGeoros:1o:42-05'00ge ' APPROVED BY: Dat Dr. George Yilmaz Date Public Utilities Department Head By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed. Additionally,the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning of any actual or potential conflict of interest that arises during the Work Order and/or project duration. ACCEPTED BY: HASKINS INC Ryan MacPhee Digign bhee Date:2023.12.11 itallysed y 10:22:06RyanMacP-0500' Ryan MacPhee,Vice President Date CAO 16C 1 IN WITNESS WHEREOF,the parties hereto,have each,respectively,by an authorized person or agent, have executed this Work Order on the date and year first written below. ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal IcXnzel,Into} Clerk COLLIER COUNTY,FLORIDA By F '' a . By: (1A,Avaalk Dated:% ,w,+ .I ii,, rman'S Chris Hall, Chairman (S:EAL)1= - '� Lure only Name of Firm: k s,Inc. Q ` I • By: First Witness I c Si tore Mabel Lego Ryan McPhee,Vice President TType/print witness namet TType/print signature and fillet 1 s 4041, Second Witness v Stephanie Hernandez TType/print witness namet v d a o f a Legality: Deputy County Attorney CS 4/4- R 7;47 e-i Print Name 1 6 C Co rie-r County r Y Public Utilities Department Engineering & Project Management Division Date: October 26,2023 From: Damian Cuadrado Project Manager Ill (Licensed) 239-252-5377 • . • ,,r1o(r)(oIliercountyt ov To: Potential Quoters Subject: Request for Quotes for Project under Contract#20-7800 "Underground Contractor Services" Project: Glades 10 Pump Station and Take Iinprovements RFQ Due Date: Friday November 10,2023, at 3:00 PM Pre-Quote Meeting (Non-Mandatory): Upon request Q&A Deadline: Friday, November 3,2023, at 3:00 PM Number of Days to Final Completion: Substantial Completion: 365 Days from N I Final Completion: 395 Days from NTP Documents Provided: 1. RFQ Cover Letter 2. Civil Plans/Specifications 3. Bid Schedule Li uidated Damages: $500.00 per clay Pa ment and Performance Bonds: Required if quote exceeds$200,000 Your quotation response for this project is due electronically to the Email address listed above no later than the date and time specified above. We will not accept any quotation responses later than the noted time and date. We look forward to your participation in this request for information/quotation process. Please return the following documents with your quote: • This RFQ Letter signed by an officer of the Firm. • Bid Schedule Form with quote costs. • Any and all Bid Addendums signed by an officer of the Firm. Haskins Inc. Firm's Complete Legal Name 239-947-1846 /239-947-3857 Telephone-N4 /Fax Number Y II Signature Vice President Title Ryan MacPhee 11/10/2023 Print Name Date • MOM El Jir &11110 t M4VEitillei IVI4I}%3:330 I.Nni.,na ttnit Gast,s;rdtn 303.Naryles,Firmirti 34112-S30i•2.:49-7a2.421i!5•FAX 239h2.52 5170 CAO 16C 1 BID SHEET COLLIER COUNTY ORANGE TREE WWTP WALKWAY IMPROVEMENT SERVICES Solicitation No: Solicitation Title: Glades RI Pump Station and Tank Improvements Bid Due Date: BID SCHEDULE BIDDER: Haskins Inc. EST. ITEM NO. DESCRIPTION QTY UNIT UNIT PRICE AMOUNT 1 General Requirements 1 LS $37,261.94 $37,261.94 2 Mobilization/Demobilization 1 LS $34,500.00 $34,500.00 3 Recirculation and Discharge Line Improvements 1 LS $150,822.83 $150,822.83 4 Miscellaneous Tank Improvements 1 LS $75,000.09 $75,000.09 5 Pump Station Improvements 1 LS $262,034.13 $262,034.13 6 Ground Storage Tank Bypass Piping 1 LS $70,526.57 $70,526.57 SUBTOTAL $630,145.56 7 Owner Directed Allowance* 1 T&M $50,000 $50,000.00, TOTAL.BASE BID , $680,145.56 (Owners Allowance-for Owners Use as Directed.This Allowance will be used only at the Owner's direction to accomplish work due to unforeseen conditions and/or as directed by the Owner.Inclusion of the Allowance as part of the Contract Price is nut a guarantee that the Contractor will be paid any portion or the full amount of the Allowance.Expenditures of Owners Allowance will be made through Change Order with proper documentation of Time and Materials supporting the CAO Bid Sheet 1 6 C 1 Exhibit C-1 this exhibit is not applicable PUBLIC PAYMENT BOND Bond No, 30167560 Contract No. 20-7800 KNOW ALL MEN BY THESE PRESENTS: That Haskins, Inc. , as Principal, and Western Surety Company , as Surety, located at 151 North Franklin St., Chicago, IL 60606 (Business Address) are held and firmly bound to Collier Co my as Oblige in the sum of Six Hundred Eighty Thousand One Hundred Forty-Five and 56/100 ($ 680,145.56 ) for the payment whereof we bind ourselves, our heirs, executors, personal representatives, successors and assigns, jointly and severally. WHEREAS, Principal has entered into a contract dated as of thJ Otliday ofNovember 2023 with Oblige for 70166.12 Glades IQ Pump Station and Tank Improvements In accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to as the Contract. THE CONDITION OF THIS BOND is that if Principal: Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes, supplying Principal with labor, materials or supplies, used directly or Indirectly by Principal in the prosecution of the work provided for in the contract, then this bond is void; otherwise it remains in full force. Any changes in or under the Contract and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect sureties' obligation under this Bond. The provisions of this bond are subject to the time limitations of Section 255.0592. In no event will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment Bond, regardless of the number of suits that may be filed by claimants. IN WITNESS WHEREOF, the above parties have executed this instrument this 30th day of November , 20 23 the name of under-signed representative, pursuant to authority of its governing body. Page 19 of 3 Multi-Contractor Award Agreement 12021_ver,1t CAC) 3ond No. 30167560 1 6 C 1 Signed, sealed and delivered in the presence of: PRINCIPAL: , ( ,,,,te"-rvii4. --"> Haskins, Inc. a By: ..- WI' Witnesses :. o'y" incipal Nam 1 f' "'Its: ..� v ,t ., re 1, .✓t/- . STATE OF '1"` COUNTY OF L. .,. f`- The foregoing instrurjlpt was ack owledged before me- y means of physical presence or 05 online I9tar zFtion L this 'U 1 fu - 'G� Gf1 20 2 ,,,b,Y Q v� i�.,LQ.Q. , as \`,CC ,... \Y ti C;to of \1 -artS =ram. a -i-t. corpora‘tip9, on behalf of the corporation. He/she is p rsonjl known to me OR has produced k2/ J as identification and dddid notj tatake an oath. My Commission Expires: O24i3 )Zvz.� )-kna,1/-te � W (Signature of N tary Put -Slate of Florida) _,:ii6ueG,. MABEL LAGO 'n`i I ,- i 5 �: Notary Public-State of Florida ! , " '' L €l. Name: gyp. Co Feb353346,2 (Legibly Printed) '.•.,, '•.ice n.°�` My Comm.m .Expires F 13,2027 Bonded through National Notary Assn. Notary Public, State of Commission No.: 014' 3 ' ATTEST: SURETY: Western Surety Company (Printed Name) (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) OR Page 20 of 33 Multi-Contractor Award Agreement(2021_ver.t) 1 6 C 1 3ond No. 30167560 V1-0," foul Istc40;,;() Rebekah Sharp As Attorney in Fact & FL Resident Agent P (Attach Power of Attorney) Witnesses 151 North Franklin St. Chicago, IL 60606 �,• (Business Address) Paul A. Locascio (Printed Name) ., 312-822-5000 (Telephone Number) STATE OF Florida COUNTY OF Alachua The foregoing instrument was acknowledged before me by means of fl physical presence or 0 online notarization, this 30thof November 2023 , by Paul A. Locascio , as attorney- in-fact of Western Surety Company a IL corporation, on behalf of the corporation. He/she is personally known to me OR has produced personally known as identification and did (did not) take an oath. MyUtet Commission Expires: 12/17/26 p (Signature of Notary Public-State of Florida) Name: Trava Ridlon (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State ofIRMA FL oL©NNOTARY Commission No.: HH305106 „TA-reIA"3t ,OF t-C)F A MY COMMISSION PIPES OEC.17,202,6 Page 21 or 33 Multl-Contractor Award Agreement(202 Lye(.1) ►i 6 C ,1 ❑ this exhibit is not applicable EXHIBIT C-2 PUBLIC PERFORMANCE BOND Bond No. 30167560 Contract No. 20-7800 KNOW ALL MEN BY THESE PRESENTS: That Haskins, Inc. , as Principal, and Western Surety Company as Surety, located at 151 North Franklin St.. Chicago, IL 60606 (Business Address) are held and firmly bound to Collier County as Oblige in the sum of Six Hundred Eighty Thousand One Hundred Early-Five and 55/100 (s680,145.56 )for the payment whereof we bond ourselves,our heirs, executors, personal representatives, successors and assigns,Jointly and severally. WHEREAS, Principal has entered into a contract dated as of the 0tcfay of November 2023 , with Oblige for 70166.12 Glades IQPump Station and Tank Improvements In accordance with drawings and specifications, which contractor Is incorporated by reference and made a pat hereof, and is referred to as the Contract. THE CONDITION OF THIS BOND is that if Principal: 1. Performs the Contract at the times and in the manner prescribed in the Contract, and 2. Pays Oblige any and all losses, damages, costs and attorneys' fees that Oblige sustains because of any default by Principal under the Contract, including, but not limited to, all delay damages, whether liquidated or actual, incurred by Oblige; and 3. Performs the guarantee of all work and materials furnished under the Contract for the time specified in the Contract, then this bond is void; otherwise it remains in full force. Any changes in or under the Contract and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect Sureties obligation under this bond. The Surety, for value received, hereby stipulates and agrees that no changes, extensions of time, alterations or additions to the terms of the Contract or other work to be performed hereunder,or the specifications referred to therein shall in anywise affect its obligations under this bond, and it does hereby waive notice of any such changes, extensions of time, alternations or additions to the terms of the Contract or to work or to the specifications. Page 22 of 33 Multi-Contraclor Award Agreemanl(2021,_ver.1 j Bond No. 30167560 I 6 C Ii This instrument shall be construed in all respects as a common law bond. It is expressly understood that the time provisions and statute of limitations under Section 255.05, Florida Statutes, shall not apply to this bond. In no event will the Surety be liable in the aggregate to Oblige for more than the penal sum of this Performance bond regardless of the number of suits that may be filed by Oblige. IN WITNESS WHEREOF, the above parties have executed this Instrument this 30th day of November , 20 23, the name of each party being affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. Signed, sealed and delivered in the presence of : PRINCIPAL: ,- ,- v 'LA ., .., Haskins, In i R By: E/�ifi... r Witnesses a ncipal Name: ! ► _ STATE OF COUNTY OF 1 � The foregoin M trument was acknowledsed before by mefins 9fI Q physical presence or 0 online notarizatior?, thts. c` 20 , by Y-t(ct,,,, t---/t _ , as (itt 4 , a \-ti-- [ coy oration, on .ttehalf of the corporation. lietshe is personally known to me OR has produced t� r' `as idenfifiice tan dfirdid(did not)take an oath. My Commission Expires: 0.? I )�1' r�� (Signature of Notary Public':Mate of Florida) Name: i' (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of - /4i/ P o'•., MABEL LAGO t .? ✓ r 1� :` �. Notary Public-State of Florida Commission No.: 1• Commission#NH 353346 '?or r°'A My Comm.Expires Feb 13,2027 P 4 Bonded through National Notary Assn. Pogo 23 of 33 Multi-Contractor Award Agreement 12021 ver.tl 3ond No. 30167560 1 6 C ATTEST: SURETY: Western Surety Company (Printed Name) (Business Address) (Authorized Signature) Witness as to Surety (Printed Name) OR Paa n Rebekah Sharp As Attorney in Fact& FL Resident Agent (Attach Power of Attorney) Witnesses 151 North Franklin St. Chicago, IL 60606 (Business Address) Paul A. Locascio (Printed Name) 312-822-5000 (Telephone Number) STATE OF Florida COUNTY OF Alachua The foregoing instrument was acknowledged before me by means of (Fil physical presence or Elonline notarization,this 30thof November 20-2�3— by Paul A. Locascio , as attorney- in-fact of Western Surety Company a I L corporation, on behalf of the corporation. He/she is personally known to me OR has produced personally known as identification and did (did not) take an oath. My Commission Expires. 12/17/26 (Signature of Notary Public-State of Florida) Name: Trava Ridlon (Legibly Printed) (AFFIX OFFICIAL SEAL) FL Notary Public, State of '__TRAVA RIDLON NOTARY PUBLIC Commission No.. HH305106 STATE OF FLORIDA NO.HH 305106 MY COMMISSION EXPIRES DEC,17,2026 Page 24 of 33 Mufti-Contractor Aword Agreement I2021_vcr ii 1 6 C 1 3ond No. 30167560 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint L Dale Waldorf, Benjamin H French, Pamela L Jarman, Paul A Locascio, K Wayne Waller, Ronald J IIays, Rebekah F Sharp, Trava Ridlon, Individually of Fort Walton Beach,FL,its true and lawful Attorneys)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds,undertakings and other obligatory instruments of similar nature -Li Unlimited Amounts — and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof,WES tERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 15th day of July,2022. ,„�,�.. WESTERN SURETY COMPANY lir"oc q;tia:a." .71.1-?/?714 ant T.Bruflat,Vice President State of South Dakota ss County of Minnehaha On this 15th day of July,2022,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that lie knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires ' ""`""` """' teclwaM.BENT { March 2,2026 , soon+DAKorA ` /221)7 gej..M.Bent,Notary Public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and finther certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this30th day of November, 2023. soE' WESTERN SURETY COMPANY oft.Z.,%) p. �J' fA "b% -,µhp L.Nelson,Assistant Secretary Form Fa280-a-21t2., 4 , Go to www.criasurety.com>.Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. CAO