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Backup Documents 03/12/2024 Item #16B2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 B 2 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#I through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Dat 1. County Attorney Office CAO 31 ig adi2. Board of County Commissioners Office BOCC CH4, s� /is/2 y 3. Minutes and Records Clerk of Court's Office 3d/ /J/��/� /•R 4. Send via email to: Tara.Castlllo(c�colllercountyfl.gov 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 Contact/Department Tara Castillo TMSD 239-252-7265 Agenda Date Item was March 12 2024 Agenda Item Number 16 B.2 Approved by the BCC Type of Document Quality Enterprises CO#1 — TIGER XI Number of Original 1 Attached Documents Attached PO number or account number if document is Do Not Send to Grantor 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 TO 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 TC 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 TC 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 TC signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip TC 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 and all changes made during N/A 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. L Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16B2 Procurement Services Co �� Change Order Form ►2 Contract Modification ❑Work Order Modification Contract#: 20-7811 Change#: 01 Purchase Order#: 4500216796 Project#: 33563 Contractor/Firm Name: Quality Enterprises USA Inc(DE) Contract/Project: DO immokalee Area Improvements Tiger Grant Project Manager Name: Jamie Khawaja Division Name: Transportation Engineering Services Original Contract/Work Order Amount $ 22,869,280.20 2/8/2022; 11 B Original BCC Approval Date; Agenda Item# Current BCC Approved Amount $ 22,869,280.20' 2/8/2022; 11 B Last BCC Approval Date; Agenda Item# Current Contract/Work Order Amount $ 22,869,280.20 5/24/2024 SAP Contract Expiration Date(Master) Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount Revised Contract/Work Order Total $ 22,869,280.20 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 03/16/2022 Original ( 05/24/2024 1 Last Approved[ 05/24/2024 Revised Date 01/16/2025 Date Completion Date t_.,. Date (. _ (Includes this change) #of Days Added 237 Select Tasks ❑Add new task(s) Q Delete task(s) ❑Change task(s) 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. Add 237 days to account for the following; Hurricane Ian(30 days),drainage coordination&direction(60 days), & lengthy review of design submissions from 03/16/2022 to 05/18/2023(147 days).The County agrees to additional time(237 days)to complete the obligations of the construction contract for the Tiger Grant Immokalee Area Improvements. 2. The change being requested was not included in the original contract because those issues were not foreseeable at the time of contract negotiations. 3. If this modification is not approved,the grant agreement can be terminated by the Federal Highway Administration (FHWA)for not achieving Substantial Completion. GN.E•J$e.Rl,.wq.®w6eneweA w•.CH•rwn.i.✓nlo.,OV T wP.'vun,ggrw mapa,4,W,*UU.w.,GU•GA1G CM Tr EngMereq,Gtl•Cwu�dnn ono Y Prepared by: M "'Kt% ware "-. Date:02/21/2024 Jamie Khawaja,Project Manager It,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:02/21/2024 Louis J,Gaudio,Vice President,Quality Enterprises,Inc. ThomasMatthew Digitally signed byThomasMatthew Accepted by: Date:2024.02.21 10:36:20-05'00' Date0.2/21/2024 Matthew Thomas,P.E.,Supervisor of Project Management,Transportation Engineering Anthony Khawaja P.E. Digitally signed by Anthony Khawaja P.E. 02)21/2024 Approved by: 1 Date:2024.02.21 12:00:15-05'00' Date. Jay Ahmed,P.E.,Division Director,Transportation Engineering ScottTrinity " Mulled uAy Oxk:2oae.Gas+1415:0 0 Approved by: Gs'ar • _ Date.- TC Trinity Scott,Department Head,Transportation Management Services Department McNeaiLindsey,," a"A;',7o," "„'; Approved by: Date: (Procurement Professional) Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY APR*, ® � DOC Es 16B2 ATTEST:_ _ BOARD OF COUNTY COMMISSIONERS Crystal:K iz; , ,e ' of ourts COLLIER C U TY, FLORIDA &Corneal!- ems,, k WV y By 4 ® `" ` By: ris Hall, Chairman Dated: fr a 21- (S:A'L}, + :.'. -st as to Chairman's signature only Ap oved as f legality: B colt R Teach Deputy County Attorney 16B2 Change Order/Amendment Summary COST TIME CO# AMD# Description —" Days New Justification Additive(+) Deductive(-) Added Amount 1 Add 237 days $0.00 $0.00 237 1037 Days needed to complete project Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY Anrnln RPC BCC ES 16B2 .04 QUALITY ENTERPRISES VIA Email February 2, 2024 Matthew Fell Project Administrator/Senior Inspector Kisinger Campo&Associates RE: Immokalee Tiger Grant Project Collier County Project No.33563 Immokalee Tiger Grant Time Extension Dear Mr. Fell, Quality Enterprises USA, Inc agrees with the County's time extension offer for two hundred and thirty-seven (237) for the following delay claim(s): • Drainage Coordination/Direction-60 Days • Hurricane Ian-30 Days • Timeliness Review of Design Submissions through 5/18/2023-147 Days Respectfully submitted, Matthew Murphy OYdIIt I•N .t��,` •U&" as A t Matthew Murphy Project Manager Quality Enterprises USA, Inc CC: Michael Tisch, Collier County Jamie Khawaja, Collier County Julio Castro, Collier County Paul Wingard, KCA L. Gaudio, Quality Enterprises USA, Inc G.Stasiak, Quality Enterprises USA, Inc Justin Frederiksen,GradyMinor Daniel Flynn, GradyMinor G +