Backup Documents 06/11/2024 Item #16B 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO , 6 B 1
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 57—
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4. BCC Office Board of County
Commissioners C; Z z 1
5. Minutes and Records Clerk of Court's Office
(0 P-P VY•6aa.w
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 Robert White/Transportation Engineering Contact Information 239-252-5762
Contact/Department
Agenda Date Item was June 11,2024 Agenda Item Number 16.B.1
Approved by the BCC
Type of Document Change Order Number of Original 1
Attached 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 N/A Stamp
ok
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 RW
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 RW
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 RW
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 R W
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip RW
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 6/11/2024 and all changes made during RW 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 I N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the 92,11A an option for
Chairman's signature. this line.
i BI
Procurement Services
copier
i® 1e1" County Change Order Form
®Contract Modification ❑Work Order Modification
Contract#: 16-6699 Change#: 6 Purchase Order#: 4500180087 Project#: 66066.12
Contractor/Firm Name: HNTB Corporation Contract/Project: Eleven Bridges Replacements
Project Manager Name: Robert White, P.E. Division Name: Transportation Engineering
Original Contract/Work Order Amount $ 2,459,845.80 7/11/17 11 E Original BCC Approval Date; Agenda Item#
Current BCC Approved Amount $ 2,717,041.80 6/27/23 16B9 Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 2,717,041.80 6/28/2024 SAP Contract Expiration Date (Master)
Dollar Amount of this Change $ 0.00 10.46% Total Change from Original Amount
Revised Contract/Work Order Total $ 2,717,041.80 0.00% Change from Current BCC Approved Amount
Cumulative Changes $ 257,196.00 0.00% Change from Current Amount
Completion Date, Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 8/28/2017 Original 8/28/2019 Last Approved 6/28/2024 Revised Date 8/27/2024
Date Completion Date Date (Includes this change)
#of Days Added 60 Select Tasks ❑Add new task(s) ❑ 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. This change order will add 60 days to the Professional Services Agreement, Section 3.8 Post Design Services,to
accommodate extended time for professional services of the Design Consultant.
2. The change is being requested due to unforeseen project delays due to weather, holidays and work stoppages,which have
extended the construction completion date necessitating a time extension to the Professional Services Agreement.
The construction contract(11 Bridges Package D) is a Local Agency Program(LAP)project which includes federal funds.
Post-design services are required between the County,the Design Consultant,the CEI, SFWMD, and FOOT through project
close-out. Staff has determined that the remaining effort to complete the post-design services requires an additional 60 days.
3. If this modification is not processed,the Engineer of Record cannot perform the remaining work required by scope, including
final construction completion to accommodate as-built plan certification, permit close-out, and FOOT bridge load rating
acceptance.
h iteRobert Digitally signed by VVhiteRobert
Prepared by: lAI Date:2024.03.25 15:15:16-04'00' Date:
(Robert White, P.E., Sr. 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 I
Design Professional arising out of or related to the change set forth herein, including claims for impact and delay costs.
Accepted by: (,.. C Date: 4/1/2024
(Leonard Becker, Senior Vice President, HNTB Corporation)
AhmadJay Digitally signed by AhmadJay
Accepted by: Y Date:2024,03,28 07:34:15-04'00' Date:
(Jay Ahmed, P.E., Director, Transportation Engineering)
Digitally signed by
Scoff rirtity SDale: 024.04.02
Approved by: 17:30:38-04'00' Date:
(Trinity Scott, Department Head,Transportation Management Services)
Z,i n errnanB DigitallyZlmmenn signednnBecce by
ecca Date:2024.04.23
Approved by: 09:54:49-04'00' Date:
(Procurement Professional)
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
BC• Adman t CBCCES-
P
16B1
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel, Clerk of Courts COLLIER COUNTY, FLORIDA
& Comptroller
By: By:
Attest as to Chairman's ei,,,aakall, Chairman
signature only
Dated: 1` 0'
(S T)
« • y
6'21 i M'ovv-
Approved as to form and le ality:
L_________-
By: A'.
Scott R. Teach
Deputy County Attorney
f14:1://::).)
.
Revised:01/1412021 (Divisions who may require additional signatures may include on separate sheet,) PROCUREMENT USE ONLY
Adman BCC �c—
Rpt
16g1
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
1 Additional Design $150,793.00 91 1734 Design modifications
Services
1 Extend Contract 164 1898 Design modifications and
Time Permitting delays
2 Extend Contract 197 2095 Permitting delays
Time
3 Extend Contract 236 2331 Unforeseen tasks, permitting delays
Time
4 Additional Design $32,669.00 0 Added to scope assist with
Services construction bidding phase
5 Additional Post $73,734.00 354 2685 Construction schedule delays
Design Services extended project duration
6 Extend Contract 60 2745 Project completion and close-out
Time delays
Revised:01/14/2021 (Divisions who may require additional signatures may Include on separate sheet.) PROCUREMENT USE ONLY
BCC
Admin
Rpt
HNTB CorporalIon 201 N.Franklin St. Telephone(813)402-4150 i b B 1
The HNTB Companies Suite 1200 hntb.com
Infrastructure Sofutlons Tampa,FL 33602
Mr.Robert White,P.E. HNTB
Project Manager
Collier County GMD Transportation Engineering Division
2885 S.Horseshoe Drive
Naples,FL 34104
March 22,2024
Dear Mr.White:
Pursuant to the terms of Contract 16-6699 and our ongoing coordination with the County on the"Eleven
Bridge Replacements Project,Project Number 66066.12",we respectfully request a supplement to the
contract in the amount of$0.00 and 60 days for the completion of services as outlined in Scope Section
3.8 Post Design Services to accommodate ongoing construction activities at the last remaining bridge site.
This additional time for the completion of the Project General Tasks to assist the County during the
construction phase of the project is warranted based on the following circumstances:
• The design consultant is required to provide construction assistance in the form of Post Design
Services as called for in the original scope of services.
• Construction of Package D is ongoing with final completion estimated in June 2024.
The current Post Design Services contract expires on June 28,2024. Additional time is required following
final construction completion to accommodate as-built plan certification,permit close-out and FDOT
load rating acceptance,which are all included in the current scope of work.
Therefore,we respectfully request a total of$0,00 and 60 days for this contract supplement to facilitate
the completion of the Project General Tasks which fall under the Post Design Services portion of the
contract.
If you have any questions or concerns regarding this request,please do not hesitate to contact me.
Best regards,
20cLe
Sadie Dalton,P.E.
Project Manager