Backup Documents 06/11/2024 Item #16C 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO i 6 C 4
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.
** 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 Attomey Office.
Ro o Addressee(s) (List in routing order) Office _ Initials Date
1.
2.
3. County Attorney Office County Attorney Office ,R
4. BCC Office Board of County c,J
Commissioners t'C /S/ 68/al
5. Minutes and Records Clerk of Court's Office
L/VA( ))i STA
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 Diana Dueri -Public Utilities Phone Number 239-601-1290
Contact/Department Diana.Duerigcolliercountyfl.gov
Agenda Date Item was 06/11/2024 Agenda Item Number 16 C 4
Approved by the BCC
Type of Document(s) Change Order#1 —LPA0495 Number of Original
Attached Documents Attached
PO number or account Wbt
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)? N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, See- Way Far' pick up
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. �nSi(tlonS
3. Original document has been signed/initialed for legality. (All documents to be signed by DD
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 S
_ 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 SU.
signature and initials are required. 1�
7. In most cases(some contracts are an exception),the original document and this routing slip `II�
should be provided to the County Attorney Office at the time the item is uploaded to the I�
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_06/11/2024_and all changes made DD N/A is not
during/the meeting have been incorporated in the attached document. The County an option for
Attorney Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the Sty N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the g an option for
Chairman's signature. this line.
***contact Diana Dueri for pickup of original after processing***
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
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CHANGE ORDER NO. 1
TO AGREEMENT NO. LPA0495
BETWEEN
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
AND COLLIER COUNTY
This Change to Agreement No. LPA0495 (Agreement) is made by and between the Department
of Environmental Protection (Department), an agency of the State of Florida, and COLLIER COUNTY
(Grantee),on the date last signed below.
WHEREAS, the Department entered into the Agreement with the Grantee for Collier County -
Palm River Area 4 effective January 31,2024;and,
WHEREAS,the Grantee has requested a change in task timelines within the Agreement period;and,
NOW,THEREFORE,the parties agree as follows:
1. Attachment 3,Grant Work Plan,is hereby deleted in its entirety and replaced with Attachment 3-1,
Revised Grant Work Plan, as attached to this Change Order and hereby incorporated into the
Agreement.All references in the Agreement to Attachment 3 shall hereinafter refer to Attachment
3-1, Revised Grant Work Plan.
2. All other terms and conditions of the Agreement shall remain unchanged.
The parties agree to the terms and conditions of this Change Order and have duly authorized their respective
representatives to sign it on the dates indicated below.
COLLIER CO Y STATE OF FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
By: By:
Chris Hall, ChairmanAmanda Peck, Program Administrator
Date: 6 //1q Date:
ATTES'1
CRYSTAL K..KINZEL,CLERK
David M.Taylor,DEP Grant Manager
BY:` b c&tt4 est as to Chairman's
List of attachmenk9Alilbits included as part of this Amendment:
Specify Type Letter/Number Description
Attachment 3-1 Revised Grant Work Plan
•ppro e• o and l4y/1
DEP Agreement No. LPA0495,Change Order No. 1, Page 1 of 1 _‘
Cott R.T ach,Deputy County ttorney
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ATTACHMENT 3-1
REVISED GRANT WORK PLAN
PROJECT TITLE: Collier County-Palm River Area 4
PROJECT LOCATION: The Project will be located within Collier County; Lat/Long (26.2786, -
81.7892).See Figures 1 for a location map
PROJECT BACKGROUND: Collier County(Grantee)has identified one area within Palm River(Area
4) that currently uses onsite sewage treatment and disposal systems (OSTDS). In low coastal areas with
high groundwater,individual septic systems likely do not adequately treat human waste,including removal
of viruses,fecal matter,pharmaceuticals,and nutrients such as nitrogen and phosphorus,which can present
health risks and degradation of local water ways.The County has prioritized the design and construction of
a central sanitary sewer collection system to eliminate septic tanks within Area 4.The Project will eliminate
24 septic tanks and will mitigate nutrient loading impacts to the Cocohatchee River,an impaired waterbody
(WBID 3259A)that outfalls directly to Wiggins Pass in the Gulf of Mexico.
PROJECT DESCRIPTION: The Grantee will complete design and construct a central sanitary sewer
system to eliminate septic tanks on approximately 24 residential properties.The project will include 24 low
pressure grinder pump stations,sanitary sewer force main,power and communication for the grinder pump
stations,private property sewer connection,abandonment/removal of septic systems,and restoration of the
right-of-way. The Grantee will obtain utility easements as necessary from property owners. The Grantee
anticipates that the funding under this Agreement will cover the septic to sewer conversion portion of the
project.The Grantee will fund the remaining costs associated with the infrastructure replacement resulting
in a complete project.
TASKS: All documentation should be submitted electronically unless otherwise indicated.
Task 1: Preconstruction Activities
Deliverables:The Grantee will complete the design of the Palm River sanitary sewer system and obtain all
necessary permits for construction of the project. The Grantee will also perform hydraulic modeling and
provide surveying services.
Documentation: The Grantee will submit: I) a signed acceptance of the completed work to date, as
provided in the Grantee's Certification of Payment Request; and 2) a summary of activities to date,
indicating the percentage of design completion for the time period covered in the payment request. For the
final documentation,the Grantee will also submit a copy of the design completed with the funding provided
for this task, a list of all required permits identifying issue dates and issuing authorities, a completed
hydraulic analysis and surveying report.
Performance Standard: The Department's Grant Manager will review the documentation to verify that
the deliverables have been completed as described above. Upon review and written acceptance by the
Department's Grant Manager,the Grantee may proceed with payment request submittal.
Payment Request Schedule: The Grantee may submit a payment request for cost reimbursement no more
frequently than monthly.
DEP Agreement No. LPA0495,Attachment 3-I,Page 1 of 4
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Task 2: Biddine and Contractor Selection
Deliverables:The Grantee will prepare a bid package,publish a public notice,solicit bids,conduct pre-bid
meetings,and respond to bid questions in accordance with the Grantee's procurement process,to select one
or more qualified and licensed contractors to complete construction of the central sanitary sewer system.
Documentation: The Grantee will submit: 1) the public notice of advertisement for the bid; 2) the bid
package;and 3)a written notice of selected contractor(s).
Performance Standard: The Department's Grant Manager will review the documentation to verify that
the deliverables have been completed as described above. Upon review and written acceptance by the
Department's Grant Manager,the Grantee may proceed with payment request submittal.
Payment Request Schedule:The Grantee may submit a payment request for cost reimbursement following
the conclusion of the task.
Task 3: Project Management
Deliverables: The Grantee will perform project management, to include field engineering services,
construction observation, site meetings with construction contractor(s) and design professionals, and
overall project coordination and supervision.
Documentation: The Grantee will submit interim progress status summaries including summary of
inspection(s),meeting minutes and field notes,as applicable.
Performance Standard: The Department's Grant Manager will review the documentation to verify that
the deliverables have been completed as described above. Upon review and written acceptance by the
Department's Grant Manager,the Grantee may proceed with payment request submittal.
Payment Request Schedule: The Grantee may submit a payment request for cost reimbursement no more
frequently than monthly.
Task 4: Construction
Deliverables:The Grantee will construct the Palm River central sanitary sewer system in accordance with
the construction contract documents.The Grantee will submit through the Department's GIS web-interface
data collection tool, parcel-level data identifying collection system extensions; lift stations and other
infrastructure associated with the grant; and both the parcels connected to sewer and the parcels where
sewer has been made available for connection but not yet connected along with associated grant
information. Pursuant to section 381.00655, Florida Statutes, for any parcels for which sewer was made
available, but for which connection has not yet been made, the Grantee will notify in writing owners of
such parcels that the system is available for connection and that they must connect to the installed sewer
system within 365 days of such written notification.
Documentation: The Grantee will submit: 1) a copy of the final design; 2) a signed acceptance of the
completed work to date, as provided in the Grantee's Certification of Payment Request; 3) a signed
Engineer's Certification of Payment Request;4)an email from the Department's GIS web-interface data
collection tool, confirming that data for the project has been submitted; and 5)One copy of a notification
letter and a signed statement by the grant manager that notifications to all parcels for which sewer is
available, but not yet connected,was sent.
DEP Agreement No. LPA0495,Attachment 3-1,Page 2 of 4
CACTI
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Performance Standard: The Department's Grant Manager will review the documentation to verify that
the deliverables have been completed as described above. Upon review and written acceptance by the
Department's Grant Manager,the Grantee may proceed with payment request submittal.
Payment Request Schedule: The Grantee may submit a payment request for cost reimbursement no more
frequently than monthly.
Task 5: Connection to Central Sewer
Deliverables: The Grantee will properly abandon the septic systems and connect approximately 24 single
family residences to a central sanitary sewer system for wastewater treatment by the North County Water
Reclamation facility.
Documentation: The Grantee will submit: 1) a signed acceptance of the completed work to date, as
provided in the Grantee's Certification of Payment Request;2)a list of addresses and types of the properties
connected; and 3)proof of septic abandonment and connection for each property,as evidenced by copies
of invoices for the abandonments and connections by a licensed plumber, utility contractor, or building
contractor.
Performance Standard: The Department's Grant Manager will review the documentation to verify that
the deliverables have been completed as described above. Upon review and written acceptance by the
Department's Grant Manager,the Grantee may proceed with payment request submittal.
Payment Request Schedule: The Grantee may submit a payment request for cost reimbursement no more
frequently than monthly.
PROJECT TIMELINE& BUDGET DETAIL: The tasks must be completed by,and all documentation
received by,the corresponding task end date.Cost reimbursable grant funding must not exceed the budget
amounts as indicated below.
Task Task Title Budget Category Grant Task Task
No. Amount Start Date End Date
Preconstruction
1 Activities Contractual Services $160,000 07/01/2023 09/30/2024
2 Bidding and Contractual Services $40,000 07/01/2023 01/31/2025
Contractor Selection
3 Project Management Contractual Services $600,000 07/01/2023 10/31/2025
4 Construction Contractual Services $1,700,000 07/01/2023 10/31/2025
Connection to Central 5 Contractual Services $500,000 07/01/2023 10/31/2025
Sewer
Total: $3,000,000
DEP Agreement No. LPA0495,Attachment 3-1, Page 3 of 4
(cAtt�
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DEP Agreement No.LPA0495,Attachment 3-1,Page 4 of 4 (C
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