Backup Documents 11/12/2024 Item #16C 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 C 7 ,
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 Attorney 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
5,-- 7 Yig d)a-7
4. BCC Office Board of County CH by MB
Commissioners [s] I(1 20
5. Minutes and Records Clerk of Court's Office .D/Ri ��/QM►
ii Iaoa't-
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 Item Number
Agenda
Approved by the BCC I(' 12I Z y 16. G.7
Type of Document(s) I Number of Original
Attached (A/or ij( of d e( Documents Attached I
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 11 It fey and all changes made during /A is not
the meeting have been incorporated in the attar ed document. The County Attorney l an option for
Office has reviewed the changes, if applicable. ` 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 !of(n� n option for
Chairman's signature. JI" isIine.
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
16C 7
•
WORK ORDER/PURCHASE ORDER
Contract 15-6450"Naples Park Infrastructure Improvements"
Contract Expiration Date: October 12, 2035
This Work Order is for professional engineering services for work known as:
Project Name: 103rd & 104th Avenues North Naples Park Public Utilities Renewal — Design and
Construction Administration
Project No: 70120.6.2, 70120.6.3, 60139.7.1, 60139.7.2
The work is specified in the proposal dated September 13, 2024 which is attached hereto and made a
part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced above,
this Work Order/Purchase Order is assigned to: Q. Grady Minor & Associates, P.A.
Scope of Work: As detailed in the attached proposal and the following:
* Task I 103rd Avenue North Infrastructure Identification
* Task II 103rd Avenue North 60%Design
* Task III 103rd Avenue North 90%Design
* Task IV 103rd Avenue North Permitting
* Task V 103rd Avenue North Final Design
* Task VI 103rd Avenue North Bidding
* Task VII 103rd Avenue North Project Management
* Task VIII 103rd Avenue North Grant Assistance
* Task IX 103rd Avenue North Reimbursable
* Task X 103rd Avenue North Construction Administration
* Task XI 104`1' Avenue North Infrastructure identification
* Task XII 104th Avenue North 60% Design
* Task XIII 104`1' Avenue North 90°A) Design
* Task XIV 104`h Avenue North Permitting
* Task XV 104`h Avenue North Final Design
* Task XVI 104`h Avenue North Bidding
* Task XVII 104`h Avenue North Project Management
* Task XVIII 104`h Avenue North Grant Assistance
* Task XIX 104`h Avenue North Reimbursable
* Task XX 104th Avenue North Construction Administration
Schedule of Work: Complete work within 1,500 days from the date of the Notice to Proceed which is
accompanying this Work Order. The Consultant agrees that any Work Order that extends beyond the
expiration date of Agreement# 15-6450 will survive and remain subject to the terms and conditions of
that Agreement until the completion or termination of this Work Order.
Page 1 of 4
16C 7
Compensation: In accordance with the Agreement referenced above, the County will compensate the
Firm in accordance with following method(s): ®Negotiated Lump Sum (NLS) CLump Sum Plus
Reimbursable Costs (LS+RC) Time & Material (T&M) (established hourly rate— Schedule A) _
Cost Plus Fixed Fee(CPFF), as provided in the attached proposal.
Task I $ 35,132.00 (NLS)
Task II $ 50,928.00(NLS)
Task III $ 41,681.00(NLS)
Task IV $ 10,91 1.00(T&M)
Task V $ 24,623.00(NLS)
Task VI $ 4,930.00(T&M)
Task VII $ 9,551.00 (T&M)
Task VIII $ 23,380.00 (T&M)
Task TX $ 2,150.00 (T&M)
Task X $180,533.00(T&M)
Task XI $ 35,132.00 (NLS)
Task XII $ 50,928.00 (NLS)
Task XIII $ 41,681.00 (NLS)
Task XIV $ 10,911.00 (T&M)
Task XV $ 24,623.00(NLS)
Task XVI $ 4,930.00 (T&M)
Task XVII $ 9,551.00 (T&M)
Task XVIII $ 23,380.00 (T&M)
Task XIX $ 2,150.00 (T&M)
Task XX $180,533,00 (T&M)
TOTAL FEE $767,638.00
PREPARED BY: � 09/17/2024
Diana C. Dueri, Project Manager III— PUD EPMD Date KLA 9/17/24
CNdy•gneb by BWe,1Sen•m n
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APPROVED BY:
Benjamin Bullert, Supervisor-PM—PUD EPMD Date
og.wy•Tee by Mtl.-neMeeb°w
ON.E.M°tT•w Alcleen®c°9>munly°.a°.,
McLeanMatthewcN.Ma••°M.nbew,ou•cenM ou•awu•..r'"
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APPROVED BY: °2°"09"1639'0a00
Matthew McLean, Engineering Director—PUD EPMD Date
PentonTimothy
APPROVED BY:
Timothy Penton, Project Manager TT -TMSD Date
Page 2 of 4
16C 7
v F J o h n s s e n b Digitally signed by Johnssen_b
Date:2024.09.23 14:16:07-04'00'
APPROVED BY:
Beth Johnssen, Capital Project Planning Director- TMSD Date
BelloneJoseph Digitally signed by BelloneJoseph
APPROVED BY: Date:2024.10.03 09:46:43-04'00'
Joseph Bel lone, Utilities Finance Director—PUD Fin Ops Date
Digitally signed
ScottTri n ity ate:2024.1 011y16:48 22nity
APPROVED BY:
Trinity Scott,Department Head-TMS Date
BelloneJoseph Digitally
202 sign4.10.e 03d by BelloneJoseph
APPROVED BY:
Dr. George Yilmaz, Department Head-PUD Date
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby
discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or
currently planned interest or activity(financial,contractual,organizational, or otherwise)which relates
to the proposed work; and bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally,the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning
of any actual or potential conflict of interest that arises during the Work Order and/or project duration.
Justin A. Digitally signed by Justin A.
Frederlksen,P.E.
ACCEPTED BY: Frederiksen, P.E. Date:2024.10.03 08:24:51-04'00'
Justin Frederiksen, President Date
(Remainder of page intentionally left blank)
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16C 7
IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or
agent, have executed this Work Order on the date and year first written below.
ATTEST" ` '" , BOARD OF COUNTY COMMISSIONERS
Crystia1 K.: Kinze{,,Clerk of Courts COLLIER COUNTY, FLORIDA
Ey:M ``y,, ~ -/ By:
Dated: Yry .- 1 ate.
Chr all, Chairman
(sEA .) -'
Attest as to Chairman's Q. Grady Minor&Associates, P.A.
signature only
'`= Digitally signed by Justin A.
Justin A. Frederiksen,P.E,
Frederiksen, P.E. ate:2024.10.0308:24:19
By:
•-oa o0
First Witness Signature
Justin Frederiksen, P.E. - President
TType/print signature and titleT
TType/print wi ess nameT
Second , itness
Type/print witness nameT
fp
Appr ved as to Fo and L gali :
�� County Attorney
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Print Name
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