Backup Documents 08/13/2024 Item #16C 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 C p
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.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2. (Enter your Dept here)
3. County Attorney Office County Attorney Office ?G Q 3��
4. BCC Office Board of County CH by MB
Commissioners [s] (Z3
5. Minutes and Records Clerk of Court's Office '3/)-`
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 Madison Bird Phone Number 2939
Contact/Department
Agenda Date Item was 8/13/24 Agenda Item Number 16C6
Approved by the BCC
Type of Document(s) -Reseritrrturr Number of Original 1
Attached Gunge 0/Jci *2 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. (Initial) Applicable)
1. Does the document require the chairman's signature?(stamped unless otherwise stated) MB
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 legality. (All documents to be signed by MB
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 MB
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 MB
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 MB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is uploaded to the
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_8/13/24_and all changes made /I RYA is not
during the meeting have been incorporated in the attached document. The County ((f (f .7 an option for
Attorney Office has reviewed the changes, if applicable. 7 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 -i'frb an opti
Chairman's signature. this ot
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
6C6
Procurement Services
Co_ iet'County Change Order Form
®Contract Modification ❑Work Order Modification 70120.5.3,
( I
60139.5.3,
Contract#: 22-7982 I Change#:( 2 Purchase Order#:I 4500222454 Project#: 70120.5.4,
I II l 60139.5.4
Contractor/Firm Name: D. N. Hggins Inc. Contract/Project: 105th& 1061°Avenue North Public Utilities
Diana Dueri, PMP ( EPMD
Project Manager Name: Division Name:II
Original Contract/Work Order Amount $ 16,806,410.00 10/25/22;11A Original BCC Approval Date; Agenda Item #
Current BCC Approved Amount $ 16,806,410.00 10/25/22;11A Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 16,806,410.00 5/27/2024 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 16,806,410.00 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 01/02/23 Original 3/27/24 Last Approved 5/26/24 Revised Date 15/28/24
Date Completion Date Date (Includes this change)
#of Days Added 2 Select Tasks ❑Add new task(s) El 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 I 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.
This Change Order is for the addition of 2 days (Rain delays)and the use of$60,800.72 of the project allowances,
as detailed below.
Request for Additional Time Due to Rain Delay
1. This change order requests a contract time extension of two (2)days necessary to complete the project due to
inclement weather on March 22nd and 2316,2024.
2. This change was not included in the original contract as it was not known at the time of the inclement weather
that would negatively impact the contractor's ability to meet the project schedule.
3. If the time extension is not processed, the contractor will not be able to complete the project within the final
completion date at no fault of their own.
This Change DOES NOT change the contract amount. This change increases the amount of days in the contract
by two(2) days.
Work Directive#2—Private Property Tree Replacement
I. The purpose of this change is to install replacement trees that were removed from private property due to the Project
work within the ROW along 105111& I06th Avenue North.
2. The project includes the removal of all trees within the ROW, but does not include trees on private property,
during construction thirteen(13)trees on private property needed to be removed due to the tree's roots extending
into the ROW due to the likelihood of the trees not surviving the root removal/damage.
3. If this change is not processed, without the installation of the trees, the property owners will not be reimbursed
for the trees removed on private property due to the project.
This Change is to use$3,964.00 from the project GENERAL ALLOWANCE for 105th Avenue North and $5,372.00
from the project GENERAL ALLOWANCE for 106th Avenue North.This Change DOES NOT change the contract
time.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin BRPC '6CCES
16C6
Work Directive#3— 10565& 10611 Tamiami Trail North Sanitary Sewer Laterals
1. The purpose of this change is to replace the sewer laterals for 10565 and 10611 Tamiami Trail North. During
construction the Contractor discovered that the existing laterals were deeper than the sanitary main while excavating
in the ROW,therefore the Contractor performed additional work outside the project scope, on private property,to
reconnect the properties to the County's sanitary system with the slopes required per Collier County requirements.
2. The additional work on private property was not included in the original contract as the invert elevation of the
sanitary sewer laterals on private property was not known before construction and the slope of the new sanitary
main required adjustment to meet current Florida Administrative Code and Collier County requirements.
3. If the emergency work was not performed,the sanitary sewer systems(toilets, sinks,showers,etc.)for 10565 and
10611 Tamiami Trail would be unable to operate and could cause property damage and health risks because of the
sanitary sewer backups.
This Change is to use $46,198.08 from the project SEWER ALLOWANCE for 106th Avenue North. This Change
DOES NOT change the contract time.
Work Directive#4—868 106th Private Property Storm Adjustment
1. While excavating in the right-of-way, the Contractor discovered an existing 12" PVC stormwater pipe from the
property at 868 106th Avenue North extending into the right-of-way under the existing sidewalk. Upon further
investigation, it was discovered that the pipe connects to an outfall structure on private property, and the pipe is
shown on the property's original SDP and therefore must remain.The outfall pipe needs to be extended to 2 feet past
the sidewalk to meet current ADA regulations and an additional yard drain added to collect the stormwater from the
outfall pipe.
2. The existing 12" PVC storm outfall was buried with a sidewalk over it and was discovered during the restoration
phase of the right-of-way.
3. If this emergency work is not processed and the private property outfall is not restored, the stormwater from the
outfall at 868 106th Avenue North will not be able to drain per the approved permitted plans and could cause
potential flooding damage to the property in the event of a heavy rainstorm.
This Change is to use$5,266.64 from the project STORM ALLOWANCE for 106th Avenue North.This Change DOES
NOT change the contract time.
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet) PROCUREMENT USE ONLY
Admln RVC
16C6
105'h Avenue North
Beginning General Allowance $140,000.00
Allowance Draw WD#2 $3,964.00
Remaining General Allowance $136,036.00
Beginning Water Allowance $100,000.00
Remaining Water Allowance $100,000.00
Beginning Wastewater Allowance $200,000.00
Remaining Wastewater Allowance $200,000.00
Beginning Stormwater Allowance $150,000.00
Remaining Stormwater Allowance $150,000.00
106th Avenue North
Beginning General Allowance $140,000.00
Allowance Draw WD#2 $5,372.00
Remaining General Allowance $136,628.00
Beginning Water Allowance $100,000.00
Remaining Water Allowance $100,000.00
Beginning Wastewater Allowance $200,000.00
Allowance Draw WD#3 $46,198.08
Remaining Wastewater Allowance $153,801.92
Beginning Stormwater Allowance $150,000.00
Allowance Draw WD#4 $5,266.64
Remaining Stormwater Allowance $144,733.36
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Adman RPC Sec ES--,1
16C
Prepared by: Date: 4/22/2024
Diana Dueri,PMP Project Manager Ill,EPMD
ES 4/22/24
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.
Y./
7
Accepted by: L/ Date: ZZ l!,�L
Mike L N. ggins,Inc
Accepted by: / !' ' Date: 4/22/2024
Justin Frederiksen,P.E.—Q.Grady Minor&Associates,P.A.
BullertBenjamin
Approved by: °�• .n a mr� Date:
Ben Bullert,P.E., Principal Project Manager,EPMD
Ge411Y scd M'NLLcanMalelax
ApprovedMcLean Matthew : o�°: o : ai° ��.KKK.,
pp by: as 202404D1e2e01-OG Date:
Matt McLean, P.E., Director EPMD
ZimmermanBecca Digitally signed by ZimmermanBecca
Approved by: Date: 2024.05.07 15:46:25-04'00' Date:
(Procurement Professional)
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin BCC
c!cc
16 C6 I
ATTEST: BOARD OF COUNTY COMMISSIONERS
CrystalK.Kinzel,Clerk of Courts COLLIER TY, FLORIDA
&Compfroger
By: t,LA.yt" By:
Attest as to i;nau man s is Hall,Chairman
Dated -23 ',ZI4' signature only
(SE L)
Ap to form and leg lity:
By:
Sco R.Teach
Deputy County Attorney
16 C6
Change Order/Amendment Summary
COST TIME
CO# AMD# Description Days New Justification
Additive(+) Deductive(-) Added Amount
This CO adds 46 Days Days are added for delays in work
1 1to the Contract's N/A N/A 46 496 due to utility conflicts,material
Substantial and Final acquisition,and unforeseen
dates inclement weather.
This CO adds 2 Days to Days were added for delays due to
the Contract's Final weather,installation of replacement
date and authorizes the trees on private property,and
2 2 use of contract N/A N/A 2 498
allowance for work emergency work for sanitary sewer
necessary as a result of installation and stormwater
WDs 2,3&4 drainage.
4 — —
Revised:01/14/2021 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin RCP '8CTE: