Backup Documents 02/11/2025 Item #16F 1 ORIGINAL DOCUMENTS CHECKLIST&ROUTING SLIP 1 6 F 1
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 `�
I. County Attorney's Office County Attorney Office411,'^ 0� ‘2--C
2. BCC Office Board of County Commissioners Chairman
654 2/i y 4,
3. Minutes and Records Clerk of Court's Office iO:l
Mis20;"16'
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
addresses above,may need to contact staff for additional or missing information.
Name of Primary Staff Bendisa E.Miller,Facilities Division Phone 239-252-8440
Contact/Department Number Bendisa.Miller@colliercountyfl.gov
Email
Agenda Date Item was February 11,2025 Agenda
Approved by the BCC Item 16.F.
Number
Type of Document Attached Recommendation to approve Change Order No.6, Number of
adding sixty-three days of contract time to Purchase Original
Order No.4500229425 under Agreement No.23-8147 Documents
with Quality Enterprises USA,Inc.,for the"Big Attached
Corkscrew Island Regional Park Phase 2A Access
Road,"and authorize the Chairman to sign the
attached Change Order.(Project No.80039)
PO number or account The Facilities Division is requesting a completed copy
number if the 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)
Does the document require the chairman's original signature? N/A
2. Does the document need to be sent to another agency for additional signatures? If yes,provide the Contact N/A
Information(Name,Agency,Address,Phone)on an attached sheet.
3. The original document has been signed/initialed for legal sufficiency. (All documents to be signed by the
Chairman,except for most letters,must be reviewed and signed by the Office of the County Attorney. BEM
4. All handwritten strikethroughs and revisions have been initialed by the County Attorney's Office and all N/A
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 the BEM
final negotiated contract date,whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and
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's 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 BCC approved the document on February 11,2025,and all changes made during the meeting N/A is not an
have been incorporated in the attached document. The County Attorney's Office has reviewed the e���((1� option for this
changes,if applicable. `�V" line.
•
9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes 1 N/A is not an
directed by the BCC have been made,and the document is ready for the Chairman's signature. (((r4 option for this
line.
l:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16F
Corr County
Procurement Services Change Order Form
Contract# 23-8147 CO# 6 PO# 4500229425 Project#: 80039/70194
Project Name: BCIRP Phase 2A Access Road
Contractor/Consultant Name: Quality Enterprises USA, Inc.
Select One: 0 Contract Modification (Construction or Project Specific) ❑Work Order Modification
Project Manager Name: James Morton Division Name: Facilities Management
Original Contract/Work Order Amount $9,028,810.55 11/14/2023 11C Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $8,181,173.26 5/14/2024 16F3 Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $8,181,173.26 10/9/2024 _ SAP Contract Expiration Date(MASTER)
Dollar Amount of this Change $0.00 -9.39% Total%Change from Original Amount
Revised Contract/Work Order Total $8,181,173.26 o.00% %Change from Current BCC Approved Amount
Total Cumulative Changes -$847,637.29 0.00% %Change from Current Amount
Notice to Proceed 1/22/2024 Original NTP 240 Original Final 9/18/2024 Last Final 12/13/2024
Date #of Days Completion Date Approved Date
#of Days Added 63 Revised Final Date TBD Current Substantial Completion Date 11/13/2024
(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;
❑ Modify/Delete existing Task(s); 0 Add new Task(s); 0 Reallocate funds; 0 Other(must be explained in detail below)
1.) Detail of change/s to be made through this Change Order.
This change order will add 63 days to the contract to account for recent tropical weather events and
cover the remaining time associated with the utilities reconfiguration work not requested in change
order#5. This will also allow for an alignment of the remaining work under the contract with adjacent
projects.
2.) If this Change Order is currently under a Stop Work, please identify the date issued and number of
days remaining or "N/A" if not applicable.
This project is currently on a Stop Work Notice dated 11/14/24 with 29 days remaining.
3.) Explain why this change was not included in the original contract/Work Order.
The increased timeline associated with major weather events and the added utilities scope was not
included in the original project schedule and the opportunity to align the completion of our final asphalt
lift with adjacent work was not apparent at the beginning of the project.
4.) Describe the impact if this change is not processed.
If this change order is not processed the contractor will not have the sufficient amount of time to
complete the project.
Page 1 of 4
Change Order Form(2023_ver.1)
16F 1
Corr County
Procurement Services Change Order Form
Contract# 23-8147 CO# 6 PO# 4500229425 Project#: 80039/70194
Project Name: BCIRP Phase 2A Access Road
Contractor/Consultant Name: Quality Enterprises USA, Inc.
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
DMP of drainage To provide a cost savings to
1
and utility
$(1,380,557.99) the Countyin the amount of
materials. $78,144.78.
Adds 21 days and uses To abandon the existing irrigation well.
allowance for WD#2. If the existing irrigation well on the
2 $397,565.55-$14,780.00 21 261 property would remain, it would be in
=$382,785.55 the way of the road construction and
the project could not be completed.
Reduce the To adjust quantities due to a
3 contract amount by $(36,422.00) revision to the plans and a
$36,422.00 change in field conditions.
Adds 5 days and uses If this Change Order is not processed,the
allowance for WD#3. wrong conduit will be installed for the Fiber
4 $382,785.55 5 266 Cable installation along Big Corkscrew Drive
which needs to meet the CCIT Construction
$31,747.75 = Standards. The PVC conduit would need to
$351,037.80 be replaced and would delay the project.
Adds 53 days and If the utilities termination is not reconfigured
prior to the proposed signalized intersection
5 $569,342.70 to the $569,342.70 53 319 project it will cause more disruption to the
contract for WD#5. traffic on Oil Well Road,additional costs to
the County and potential for delays to the
overall program.
Adds 63 days to Account for recent tropical weather events
and cover the remaining time associated
6 the contract time. 63 382 with the utilities reconfiguration and
alignment of the remaining work under the
contract with adjacent projects.
❑ Check here if additional summary page/s are attached to this Change Order
Page 2 of 4
Change Order Form(2023_ver.1)
f,w
16F 1
Cor County
Procurement Services Change Order Form
Contract# 23-8147 CO# 6 PO# 4500229425 Project#: 80039/70194
Project Name: BCIRP Phase 2A Access Road
Contractor/Consultant Name: Quality Enterprises USA, Inc.
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.myflorida.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.
BaroneTonyDigitally signed by BaroneTony
Prepared by: Date:2024.12.11 17:03:12-05'00' _ Date:
Signature-Division Project Manager
Tony Barone, PMP Principal Project Manager, Facilities Management
Printed Name
Digitally signed by Michael J. Delate,P.E.
Accepted by: mom. Date:2024.12.13 12:59:23-05'00' Date:
Signature-Design/Engineer Professional (if applicable)
Michael Delate, PE, Q. Grady Minor&Associates, P.A.
Printed Name/Title/Company Name
Lou Gaudio Digitally signed by Lou Gaudio
Accepted by: Date:2024.12.14 14:34:18-05'00' Date:
Signature-Contractor/ConsultantNendor
Louis J. Gaudio, Vice President, Quality Enterprises USA, Inc.
Printed Name/Title/Company Name
Approved by: Date:
Signature-Division Manager or Designee(Optional)
Printed Name
DelonyBrian Digitally signed by DelonyBrian
Approved by: Y Date:2024.12.13 12.03:42-05'00' Date:
Signature-Division Director or Designee(Optional)
Brian DeLony, PE, Division Director, Facilities Management
Printed Name
Approved by. Date:
Signature-Division Administrator or Designee (Optional)
Printed Name
Page 3 of 4
Change Order Form(2023_ver.1)
1 6F 1
Cs.., miter County
Procurement Services Change Order Form
Contract# 23-8147 CO# 6 PO# 4500229425 Project#: 80039/70194
Project Name: BCIRP Phase 2A Access Road •
Contractor/Consultant Name: Quality Enterprises USA, Inc.
FOR PROCURMENT USE ONLY
FY 25 CHO Request# 541
Z i m m e rm a n B e cca Digitally signed by ZimmermanBecca
Approved by: [� Date: 2025.01.13 08:50:08 -05'00'
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, dfeKeiSf,;he Circuit Court BOARD OF COUNTY COMMISSIONERS
and Comptroller 'A COLLIER COUNTY, FLORIDA
By: By: Ag,i,Ceoyst.04—.
Dated: Burt Saunders, Chairman
Attest aStc;r f�airm n's
signet only
(SEAL) Agenda # IGFI 2./lI/2 5
rove as to Fe a Leg ity:
at
Deput County Attorney
Print Name
Page 4 of 4 \
Change Order Form(2023_ver.1)