Backup Documents 06/25/2024 Item #16B 4 1 6 B 4
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.County Attorney Office CAO S/ [ �) 4 )_
`(y
2.Board of County Commissioners Office BOCC (/
Aiti5)._,ISI 6/26/tY
3. Minutes and Records Clerk of Court's Office ..91.P4.4)??"'
4. Send to for signature:
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 Dennis McCoy 252-5726 TMSD
Contact/Department
Agenda Date Item was June 25,2024 Agenda Item Number , 6,
V ,
Approved by the BCC
Type of Document Attached Change Order No.1 Agreement No 22-7944 with KCA Number of Original 1
for Design Services for 16'Street Ne Bridge project 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 appropriate. Yes N/A(Not
(Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK Stamp OK
2. Does the document need to be sent to another agency for additional signatures? If yes,provide the N/A
Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the DM
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 Office and N/A
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 DM
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 DM
initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip should be N/A
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 —10281262A' and all changes made during DM
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 (ito (/Z`
is ready for the Chairman's signature. t l
1 6 B 4
Cotr County
Procurement Services Change Order Form
Contract# 22-7944 co# 1 PO# 4500218691 Project#: 60212.1
Project Name: 16th Street NE Bridge
Contractor/Consultant Name: Kissinger Campo&Associates, Corp.
Select One: ✓❑Contract Modification(Construction or Project Specific) ❑Work Order Modification
Project Manager Name: Dennis F. McCoy Division Name: Transportation Engineering
Original Contract/Work Order Amount $1,374,255.68 7/12/22,11L Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $1,374,255.68 7112/22,11L Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $1,374,255.68 12/19/2025 SAP Contract Expiration Date(MASTER)
Dollar Amount of this Change $o.00 o.00% Total%Change from Original Amount
Revised Contract/Work Order Total $1,374,255.68 0.00% %Change from Current BCC Approved Amount
Total Cumulative Changes $o.00 o.00% %Change from Current Amount
Notice to Proceed 7/28/2022 1240 Original NTP Original Final Last Final 12/19/2025
Date #of Days Completion Date 12/19/2025 Approved p Date
#of Days Added 365 Revised Final Date 12/19/2026 Current Substantial Completion Date NA
(includes this change) (if applicable)
Provide responses after each question in box below (Responses should be brief and specific). Attach additional information and/or
documentation from the Design Professional and/or Contractor, if needed, with your submission of this Change Order and complete
summary on next page. Check all that apply to this Change Order request: 0 Add Time; 0 Add funds; ❑Use of Allowance;
0 Modify/Delete existing Task(s);❑Add new Task(s); ❑✓ Reallocate funds; 0 Other(must be explained in detail below)
This Change Order will add 365 days to the contract and reallocate $41, 558 from unused optional
services under Task 6 and 8 to Task 4 'Final Design'.
The Consultant previously prepared permitting documents and applied for a Florida Department of
Environmental Protection (FDEP) Section 404 Permit required for the project as identified in the
contract scope of services. Prior to final approval and issuance of the FDEP 404 permit, a federal court
order was passed on 2/15/2024, divesting FDEP of its authority to issue State 404 Program permits in
Florida. As a result, the consultant has to prepare and submit a permit application to the United States
Army Corps of Engineers (USACE) to obtain Federal 404 permit authorization. In addition, a Natural
Resource Evaluation (NRE Addendum) is required for approval of the National Environmental Policy
Act (NEPA) Re-evaluation as a result of the State 404 Program status.
The change in agency ownership of the 404 permit occurred after the design consultant's contract was
approved and after the permit was applied for.
The 404 Permit is required to proceed with construction. The Local Agency Program (LAP) Grant could
be jeopardized if the permit is not approved within grant timeline constraints.
Page 1 of 4
Change Order Form(2023_ver.1) f PC
1 6 B 4
Co�.-v County
Procurement Services Change Order Form
Contract# 22-7944 CO# 1 PO# 4500218691 Project#: 60212.1
Project Name: 16th Street NE Bridge
Contractor/Consultant Name: Kissinger Campo&Associates, Corp.
Change Order/Amendment Summary
(If additional spaces needed, attached a separate Summary page to this amendment request)
COST TIME
CO# AMD# Description Additive Deductive Days Total New Justification
(+) (-) Added Time
Submitting New 404 Needed to complete
1 Permit Application Q 365 1605 permitting requirement for
to ASACE this project
❑Check here if additional summary page/s are attached to this Change Order
Page 2 of 4 ✓
Change Order Form(2023_ver.1) CAO
16B 4
Cotter County Procurement Services Change Order Form
Contract# 22-7944 CO# 1 PO# 4500218691 Project#: 60212.1
Project Name: 16th Street NE Bridge
Contractor/Consultant Name: Kissinger Campo&Associates, Corp.
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.
Contractor/Consultant/Design Professional signature below must be from an authorized person/officer/director of
the Company or listed as the qualified licensed Professional"Project Coordinator"or Design/Engineer Professional
under the agreement. Signature authority of person signing will be verified through the contract OR through the
Florida Department of State, Division of Corporations(Sunbiz) website(https://dos.mvflorida.com/sunbiz/search/).
If the person signing is not listed, we will require signature authority by one of the listed officers/directors of the
company giving that person signature authority.
McCoyDennis Digitally signed by McCoyDennis
Prepared by: Date:2024.04.25 06:27:14-04'00' Date:
Signature-Division Project Manager
Dennis F McCoy, Project Manager Ill,Transportation Engineering Division
Printed Name
Accepted by: Date:
Signature-Design/Engineer Professional(if applicable)
Printed Name/Title/Company Name
Accepted by: / Date: 4/25/2024
Signature-Contractor/Co tantNendor
Paul G. Foley CEO/President, KCA
Printed Name/Title/Company Name
Approved by: Date:
Signature-Division Manager or Designee(Optional)
Printed Name
AnthonyKhawaja a P.E. Digitally signed by Anthony Khawaja P.E.
Approved by: Y Date:2024.04.25 09:00:57-04'00' Date: 4/25/2024
Signature-Division Director or Designee(Optional)
Jay Ahmad, P.E., Director,Transportation Engineering Division
Printed Name
Digitally signed by
ScottTrinity Date:T2024.04.25
Approved by: 13
49070
0 Date:
Signature-Division Administrator or Designee(Optional)
Trinity Scott, Department Head,TMSD Department
Printed Name
Page 3 of 4
Change Order Form(2023_ver.1) AO
16B 4
Cower County
.. --, „----, Procurement Services Change Order Form
Contract# 22-7944 CO# 1 PO# 4500218691 Project#: 60212.1
Project Name: 16th Street NE Bridge
Contractor/Consultant Name: Kissinger Campo& Associates, Corp.
FOR PROCURMENT USE ONLY
FY 24 CHO Request# 378
ZimmermanBecca Digitally signed byZimmermanBecca
Approved by: Date: 2024.05.14 12:06:01 -04'00'
Signature-Procurement Professional Signature/Date
Approved by:
Signature-Procurement Manager/Director(OPTIONAL)
APPROVAL TYPE:
❑ Administrative ❑ Administrative-BCC Report ✓ BCC Stand-Alone ES (BCC Approval Required)
BCC APPROVAL
ATTEST:
Crystal K. Kinzel, Clerk of the Circuit Court BOARD OF COUNTY COMMISSIONERS
and Comptrolle . , COLLIER CO FLORID
By:
1Il., ' .ry By:
kWDated: &,- r `'.... Chris Hall, Chairman
Attest as td,Chairman's,
signature'a�ly ;`;'4 , _;` '* Date: g/25/ZY
(SEAL) Agenda# 16, B. y
proved to a d Legality:
Deputy Co my Attorney
/?7 A.c L
Print fume
\
Page4of4 ° .
Change Order Form(2023_ver.1
16B 4
KISINGER CAMPO
ATTACHMENT A
SCOPE OF SERVICES
For
CHANGE ORDER NO. 1—ADDITIONAL PERMITTING SERVICES
To
PROFESSIONAL SERVICES AGREEMENT
For
DESIGN SERVICES FOR 16TH STREET NE BRIDGE(CONTRACT 22-7944)
(Golden Gate Boulevard West to Randall Boulevard)
County Project No. 60212.1
FPID 451283-1-58-01
Purchase Order No. 4500218691
April 10,2024
PART 1: OVERVIEW
Kisinger Campo&Associates,Inc. (CONSULTANT)has been requested and retained to
provide additional permitting services associated with Collier County Project No. 60212.1
(FPID 451283-1-58-01) 16th Street NE Bridge(Golden Gate Boulevard West to Randall
Boulevard) (PROJECT).
On behalf of the COUNTY,the CONSULTANT previously prepared permitting documents
and applied for a Florida Department of Environmental Protection(FDEP) Section 404
Permit required for the PROJECT as identified in the contract scope of services. Prior to
final approval and issuance of the FDEP 404 permit, a federal court order was passed on
2/15/2024,divesting FDEP of its authority to issue State 404 Program permits in Florida.As
a result,Collier County Transportation Management Services Department, Transportation
Engineering Division has requested the CONSULTANT prepare and submit a permit
application to the United States Army Corps of Engineers(USACE)to obtain Federal 404
permit authorization. In addition, a Natural Resource Evaluation(NRE)Addendum is
required for approval of the National Environmental Policy Act(NEPA)Re-evaluation as a
result of the State 404 Program status.
1
13461 Parker Commons Blvd.,Suite 104 I Ft.Myers 33912 I 239.278.5999 I 239.278.1776 Icam p�f�1
16B 4
KISINGER CAMPO
a ASSOCIATES
The below Scope of services addresses the following:
• Task 4: Final Design
o Prime Consultant Project Manager Meetings (Scope Activity 3.6)
o Other Project General Tasks(Scope Activities 3.4,3.6 and 3.14)
o Environmental Permits and Environmental Clearances(Scope Activity 8)
This Change Order provides for the CONSULTANT'S services to add the following Scope
of Services to Collier County Project No. 60212.1. The following CONSULTANT Services
are an addition to the work listed in the original contract.
PART 2: SCOPE OF WORK
Task 4.0 Final Design
• Contract Maintenance and Project Documentation(Scope Activity 3.4)
o Includes project management effort for maintenance of files, electronic
folders, and documents,developing technical monthly progress reports and
schedule updates for an additional twelve(12)months.
o Includes Prime CONSULTANT Project Manager's time and attendance of
monthly virtual progress meetings with the COUNTY for an additional twelve
(12)months.
• Prime Consultant Project Manager Meetings(Scope Activity 3.6)
o Includes Prime CONSULTANT Project Manager's time and attendance of
two(2)virtual meetings with USACE and two (2)virtual meetings with
COUNTY Staff to facilitate USACE Federal 404 permit authorization.
• Other Project General Tasks (Scope Activity 3.14)
o Includes Prime CONSULTANT technical support and coordination by design
staff during USACE Permit Application Process associated with Request for
Additional Information(RAI)responses.
• Environmental Permits and Environmental Clearances(Scope Activity 8)
o Scope Activity 8.4.1: Complete and Submit All Required Permit
Applications
• The CONSULTANT shall coordinate with the United States Army
Corps of Engineers (USACE) to obtain the Federal 404 Permit
Authorization.
• The CONSULTANT has already completed all required field work and
2 ICAO
13461 Parker Commons Blvd.,Suite 104 I Ft.Myers 33912 I 239.278.5999 I 239.278.1776 I aay.w ki;inge;campo.com
1 6B 4
r ," KISINGER CAMPO
f
species surveys to obtain the required permits. The CONSULTANT
shall revise the existing permit documents to be submitted to the
USACE to obtain federal 404 permits for the project. The
CONSULTANT is responsible for permit coordination and revisions
necessary to obtain the required permit. The CONSULTANT shall
obtain COUNTY review of the application before submitting to the
permitting agencies and assist the COUNTY in developing the
permitting strategy for the project.
• All application and processing fees associated with permitting
activities shall be paid for by the COUNTY directly to each applicable
agency.
■ The COUNTY has also acquired the necessary mitigation credits
needed for the project.
o Scope Activity 8.14.1:NEPA or SEIR Reevaluation
■ The CONSULTANT shall prepare a Natural Resources Evaluation
(NRE)Addendum required by FDOT for approval of the NEPA Re-
evaluation. Task includes coordination with FDOT District 1 and
OEM.
o Scope Activity 8.18: Technical Meetings
• The CONSULTANT shall attend up to two (2)virtual meetings with
USACE and two (2)virtual meetings with the COUNTY by
environmental professional staff. Task includes preparation of meeting
agenda, attendance,and meeting minutes.
o Scope Activity 8.19: Quality Assurance/Quality Control
o Scope Activity 8.20: Supervision
o Scope Activity 8.21: Coordination
PART 3: EXCLUSIONS/ASSUMPTIONS
The following tasks are not included in the Scope of Work for this Change Order:
1. Services other than those specifically listed above.
2. Design analysis and/or plan changes. The CONSULTANT has assumed that the
plans and design documentation previously reviewed by FDEP will be resubmitted
unchanged.
3. Environmental field work and species surveys were conducted under the original
scope of services.No additional field work or species surveys are anticipated.
PART 4: PROJECT SCHEDULE
Modification to Project Schedule
3
13461 Parker Commons Blvd.,Suite 104 I Ft.Myers 33912 I Phone.239.278.5999 I 239.278.1776 I+ry+;:v.4i com tCAO1
16B 4
KISINGER CAMPO
& ASSOCIA `l` .
• Project Schedule duration shall be increased by a total of 365 Calendar Days.
PART 5: COMPENSATION
An estimated budget to be utilized for the above tasks has been established and is shown as
Attachment A—Estimate of Work Effort and Cost. A staff hour estimate for the above
Scope of Services has been prepared for the sole purpose of establishing the maximum upset
limit for this Task Work Order not to exceed$41,558.00.
• The COUNTY will compensate the CONSULTANT a fee of$41,558.00 for Task 4
Final Design plus expenses on a LUMP SUM basis.
Reallocation of unused funds from Task 6- 17. Retaining Walls(Optional Service) and
Task 8—35.49 Water Boring(Optional Service)to Task-4 Final Design are proposed as
follows:
Adjustment(s)by Adjustment(s)due Total Compensation
Tasks/Item Description LS or NTE Original Contract
all previous CO(s) to this CO per Task
1 30%Submittal LS $ 605,759.19 $ 605,759.19
2 60%Submittal LS $ 343,370.49 $ 343,370.49
3 90%Submittal LS $ 196,655.88 $ 196,655.88
4 Final Design LS $ 94,916.90 $ 41,558.00 $ 136,474.90
5 3.8 Post Design Services NTE $ 72,933.16 $ 72,933.16
6 17.Retaining Walls(Optional Service) LS $ 19,199.00 $ (19,199.00) $ -
7 27.10Additional SUE(Optional Service) NTE $ 5,856.00 $ 5,856.00
8 35.49 Water Boring(Optional Service) NTE $ 35,565.06 $ (22,359.00) $ 13,206.06
Project Total: $ 1,374,255.68_$ - $ - $ 1,374,255.68
The hourly rates shown for staff reflect the Rate Schedule agreed upon and match those
approved under Contract 22-7944.
13461 Parker Commons Blvd.,Suite 104 I Ft.Myers 33912 I C i ;n•, 239.278.5999 I 239.278.1.776 I ' .. corn 4 At'j
16B 4
1
a ton ezzzeoeae azaez _i__.QzZ eaeeeeeee.e B 8
m z zt> 6e.. „o o 8 85
e55
88$8 08 2e
88
G Q N ,...
x
o a = m p o 0 e e o 0 0 0 0 o e e o 0 o e o 0 o e o e 0 0 e o 0 0 e n 1
,
<El
ti''m o m
IZaffi e`_.� e X b
ZE E 'c S o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0l 8`��
E l 0 N S "
�0 ~ oLI
GU I
0
U 6 0 0 o a o 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 o 0 0 0 0 0 0 o 0 0 0 o e
N » 0 8� q 2
b Ca
E N xx LL LL LL a
. U 7. 1..
6
0 a. O '_L. E »n a o - w c W 5
•
o .4 '�I as ya a s a--s5 . r y
F '2 » 0 0 0 o O o 0 o O o 0 o a o 0 0 0 0 0 0 0 0 0 0 o e O o o e o 0 0 0 �—g U u� N 41 N N N N N N N N N3i LL� ,� W
t e a o o a o o o. o o o o o o e o o o o o o a a e o a o o o o o o o o o B„ b q jjiijiiifl !
z >m aLL°XX ,§ 9133�� 9 9 g.li ac'`i
p 0 W N N vS N N N S N N N N N N N U' N O[!
U :101
, o o e o 0 0 0 0 o a o 0 0 0 0 0 0 0 0 0 0 0 o a o o e o 0 o e 0 0 0 0 »
N
O
U 0 g
❑ I ,Q� o a o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Q O »a »
0
U.
Y pi, N o 0 0 0 o O O o 0 o O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O o 0 o O »og• o
N g y
C A
oae0oaoeeoe0eooeeeoaeeoaaoeeaaee o
o 0 Lug r
w 6 '" » t a
E Na
y E
W o 0 0 0 0 0 o a o a o 0 0 0 o a o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o $ E i
=• W g 5 1
Q m $ 0 0 0 0 o e a o 0 0 o a o 0 0 0 0 0 o a e o 0 o 0 0 0 0 0 0 0 0 m
Q Z o f ry D
a. g 8 ;
y Zi d o 0 0 0 0 o H o a o 0 0 0 0 0 0 o a O o o 0 0 0 0 0 o a o 0 0 0 0 0 o
N U .§
rn ?!: ' ;, 00o00000000000000000000000000oo00 g.
i S
Eq0 ooeoe00 2 N N N H N E o 0 0 0 0 0 O O o o e o 0 0 0 0 0 0 0 a I
O OU a O r= N z., N
0
a
e �f
r
It E °i t o b$E - E i 4 ..
3 3
a C ..cr � .-dw5 E
m$B lg9r� EmY32 fill. @� Z E ' a,. — 1