Backup Documents 08/26/2025 Item #16F 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 F Jr'
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#I through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. County Attorney Office County Attorney Office
7eiri
2. BCC Office Board of County lb
Chairman B b Y�/�
/A v�bGt
3. Minutes and Records Clerk of Court's Office 9/5/ 5
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 Sara Schneeberger, Facilities Division Phone 239-252-5013
Staff Contact/ Number Sara.Schneeberger@colliercountyfl.gov
Department Email
Agenda Date Item August 26,2025 Agenda
was Approved by the Item 16.F.5
BCC Number
Type of Document Recommendation to ratify administratively Number of
Attached approved Change Order No. 1 adding 30 Original 1
days to the Substantial Completion date, Documents
utilizing$5,200 of the Owner's Allowance, Attached
and adding$8,115 to the contract for
Purchase Order No.4500237388,under
Agreement No.24-8278 with Capital
Contractors, LLC, for the Hurricane Ian
Repairs-Clam Pass Parking Lot Wall,and
authorize the Chairman to sign the attached
Change Order. (Project No. 50280)
PO number or Facilities Division is requesting a
account number if completed copy
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? N/A
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 legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters,must be reviewed and signed SS
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's 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 SS
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
signature and initials are required.
I: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
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 input into SIRE. 1 6 F F
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 August 26,2025 N/A is not
and all changes made during the meeting have been incorporated in the attached CC,,�� option for
document. The County Attorney's 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 s�/IAb an option for
Chairman's signature. this line.
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05,Revised 1 I/30/12
1 6 F
Go tier County
Procurement Services Change Order Form
Contract# 24-8278 co# 01 PO# 4500237388 Project#: 50280.7.4
Project Name: Hurricane Ian Repairs - Clam Pass Parking Lot Wall
Contractor/Consultant Name: Capital Contractors, LLC
Select One; [j Contract Modification(Construction or Project Specific) ❑Work Order Modification
Project Manager Name: Mike Levy Division Name:rFacilities Management
riginal ContractiWork Order Amount $134,050.00 1/14/2025 16F3 I Original BCC A _ g -
-- -- 9' pproval Date;Agenda Item
Current BCC Approved Amount
5134,950.00 1/14r2025 16F3 Last BCC Approval Date;Agenda Item #
Current Contract/Work Order Amount 134,950.00 7/14/2025
SAP Contract Expiration Date(MASTER)
Dollar Amount of this Change $8,115 00 6.01% Total%Change from Original Amount —1
Revised Contract/Work Order Total o Current
143,065.00 s 01 r %Change from Cu BCC Approved Amount
es
Total Cumulative Chan
.._ 9 $s,lls.00 6.01% %Change from-Curr rent Amount—
N
otice to Proceed 4/25/2025 Original NTP na Ori il Final
Date #of Da s 180 I g 10/22/2025 Last Final 10/22/2025
Y f Completion Date Approved Date
#of Days Added 30 Revised Final Date Current Substantial Completion Date
(includes this change) 11/21/2025
(if applicable) [9/22/2025
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; Q Add funds; 0 Use of Allowance;
❑Modify/Delete existing Task(s); ❑Add new Task(s); ❑ Reallocate funds; ❑Other(must be explained in detail below)
1.) Detail of change/s to be made through this Change Order.
This change order will add 30 days to the project extending the substantial completion date to
10/22/2025.
It will also utilize $5,200 of the Owner's Allowance and increase the project by $8,115 for Work
Directive #1 issued to provide and install a custom swing gate in the existing concrete wall in the Clam
Pass Parking lot.
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.
N/A
3.) Explain why this change was not included in the original contract/Work Order.
During the original inspection of the wall after Hurricane Ian, it appeared that the gate could be
repaired and reused. After further field inspections, it was determined that the gate will need to be
replaced.
4.) Describe the impact if this change is not processed.
If this change order is not processed, the gate will not be operate as intended with the completion of
the project.
Page 1 of 4
Change Order Form (2023_ver.1)
i 6 F 5
Collier County
Procurement Services Change Order Form
Contract# 24-8278 co# 01 PO# 4500237388 Project#: 50280.7.4
Project Name: Hurricane Ian Repairs- Clam Pass Parking Lot Wall
Contractor/Consultant Name: Capital Contractors, LLC
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
Adds 30 days to the Issued to provide and install a
project, utilize$5,200 of custom swing gate in the existing
the Owner's Allowance $8,115 30 210 concrete wall in the Clam Pass
and increase the project Parking lot that was originally thought
by$8,115 for WD#1. i to be able to be repaired and reused.
❑ Check here if additional summary page/s are attached to this Change Order
Page 2 of 4
Change Order Form (2023_ver.1)
1 6 F 5
Cofer County
•----v. Procurement Services Change Order Form
Contract# 24-8278 CO# 01 PO# 4500237388 Project#: 50280.7.4
Project Name: Hurricane Ian Repairs - Clam Pass Parking Lot Wall
Contractor/Consultant Name: Capital Contractors, LLC
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.
lev m Digitally signed by levy_m
Prepared by: Y.. Date:2025.07.23 09:39:30-04'00' Date:
Signature-Division Project Manager
Michael Levy, Project Manager II, Facilities Management
Printed Name
Digitally signed by Jonathan Armbruster
Date:2025.07.23 14:12:27-04'00'
Accepted by: Date:
Signature-Design/Engineer Professional (if applicable)
Jonathan Armbruster, Senior VP,Taylor Engineering Inc.
Printed Name/Title/Company Name
Adam N Ahmad Digitally signed by Adam N Ahmad
Accepted by: Date:2025.07.29 12:33:42-04'00' Date:
Signature-Contractor/Consultant/Vendor
Adam Ahmad P.E., AICP, GC, Professional Civil Engineer, Capital Contractors LLC
Printed Name/Title!Company Name
Approved by: Date.
Signature-Division Manager or Designee(Optional)
Printed Name
DelonyBrian Digitally signed by DelonyBrian
Approved by: Date:2025.07.22 14:40:55-04'00' Date:
Signature-Division Director or Designee(Optional)
Brian DeLony P.E., 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)
mil
1 6 F 5
County
Co tier
Procurement Services Change Order Form
-
______ _ .. ,
Contract# 24-8278 CO# 1 PO# 4500237388 Project#: 50280.7.4
Project Name: Hurricane Ian Repairs- Clam Pass Parking Lot Wall
Contractor/Consultant Name: Capital Contractors, LLC
...
, —_ .
FOR PROCURMENT USE ONLY
_
FY 25 CHO Request# 1732
Approved by: GiarimoustasViviana Digitally signed by GiarimoustasViviana
Dale:2025.08 05 17.43:19-04'00'
Signature-Procurement Professional Signature/Date
Approved by._
Signature-Procurement Manager/Director(OPTIONAL)
APPROVAL TYPE:
r.-1 Administrative H Administrative-BCC Report ri BCC Stand-Alone ES (BCC Approval Required)
....
BCC APPROVAL
—
ATTEST:
. ,
....... .
Crystal K. Kinzel, Clerk,d,f,Itia,Circuit Court BOARD OF COUNTY COMMISSIONERS
and Comptrolistr,-'17)", - COLLIER COUNTY, FLORIDA
,. .
- ..•
..
By: . . ... 8y:04441% ,e,trii.
..,., ,
DatedSQ8MbfJ . € Burt Saunders, Chairman
Alb*is .Cheirrna.9's' .
sIgnature only . .. ,•• '
(SEAL) Agenda #.gfs glixks-
proved s to F a/ Legality:
J-Gt.),
uty ounty ttorney
Print Name
Page 4 of 4
Change Order Form(2023_ver.1)
__....imommmimh..
16F 5
Facilities Management
WORK DIRECTIVE CHANGE
Clam Pass Parking Lot Wall
CONTRACT#/PROJECT NAME: 24-8278 CHANGE# 1
DATE OF ISSUANCE: 7/17/25 EFFECTIVE DATE: 7/17/25
OWNER: Collier County Board of Commissioners PROJECT#: 50280.7.4
CONTRACTOR: Capital Contractors ENGINEER/DESIGN PROFESSIONAL: Taylor
Engineering
You are directed to proceed promptly with the following:change(s):
Provide and install a custom swing gate in the existing concrete wall in the Clam Pass Parking lot. Remove and
dispose of existing swing gate. Include all hardware, hinges, and drop rods. Paint to match the existing.
If a claim is made that the above change(s)have affected Contract Price or Contract Times any claim for a
Change Order based thereon will involve one or more of the following methods of determining the effect of the
changes(s).
Method of determining change in Contract Price: Method of determining change in Contract Times:
❑ Unit Prices ® Contractor's records
❑ Lump Sum ❑ Engineer's record
® Other T&M not to exceed Cl Other
Estimated increase (decrease) in Contract Price Estimated change in Contract Time:
$ 13,315.00 Increase or decrease by 30 calendar days.
RECOMMENDED: AUTHORIZED:
Digitally signed by Jake
Jake Sydnor Syd Digitally signed by levy_m
Date:2025.07.17 levy CYl Date:2025.07.17
13:02:45-04'00' _ ,,:57:29-04'00'
By: Jake Sydnor,P.E, PMP,Taylor Engineering By: Michael Levy,Project Manager
Engineer Owner's Representative
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CAPITAL CONTRACTORS PO MOD No.1 ESTIMATE
Project Name CC_Clam Pass_Parking_Lot_Wall
"Value,Quality,Responsive" CONTRACT
9010 Strada Steil Ct,Suite 108 DATE: July 16,2025
Naples,Florida,34109 ESTIMATE#: 100911
info@capitalenor,com CC CODE:
PRIORTY: Structural
BILL TO: Request By: Michael Levy
Collier County Request#:
Collier County Board of County Commissioners Email: Mph_ael.L.gvyt5?oolliergguntvfl.aov
3299 Tamiami Trl E Ste 700 Building:
Naples FL 34112-5749 Address: 465 Seagate Dr,Naples,FL 34103
bccapclerk(DcollierclerKcom Description: Provide and Install gate
ITEM MATERIAL DESCRIPTION ORDER UNIT PRICE PER NET VALUE
OUANITY UNIT
10 SUBCON SUBCONTRACTOR 9100.00 EA $1.00 $ 9,100.00
20 PRIME SUBCONTRACTOR-5%MARKUP 455.00 EA $1.00 $ 455.00
30 PRIME Project Management,Work Plan Development,Permit 40.00 HR $94.00 $ 3,760.00
Requirements,Project Oversight
TOTAL $ 13,315.00
SUBCONTRACTORS:
NUMBER SUBCONTRACTOR COST
001 Carter Fence $ 9,100.00
$ 9,100.00
Double Swing Gate
Style:Custom
Frame-2"x 4"Rec Tube
01 Powder Coated Tan
Gate Attached to Existing Concrete Fence
Opening:12'WIDE
Latch:Drop Rod With Hasp
Capital Contractors,LLC is a General Contracting Firm located in Naples,Florida.Our office,located at 9010 Strada Steil Ct,Suite 108,Naples Florida,34109,will be
responsible for delivering this project.Mr.Adam Ahmad,PE,AICP,GC will be our point of contact.He can be reached at(239)273-8894 and/or
adam.ahmad@capitalengr.com.Thank you for your confidence and consideration of the Capital Contractors,LLC Team.
THANK YOU FOR THE OPPORTUNITY!
•
Page 1 of 1
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- 7713/4.ff
Wcew.ca rter-fener.coni
3490 Shea matter Street yr�� (JJ(�C��/
Naples,F1..34117 •
Estimate i1G4235
(239)353-4102
1 OMPAku'1 ,teee. Date Created:Wed Jul 9,2025
phil@carter-fence,com
For ALL Your Fencing Needs
Customer Point of Contact Service Location
Billing Address'
Capital Consulting Solutions Fntznel Saint L.ouis 455 Seagate Dr
9010 Strada Steil Cl Fritznel.SaintLouis ca Italen r,comNape ,Seagate 1
Naples,FL 34109-4363 P a Naples,FL 34103-2413 Naples,FL 341034413
954-668-8717
Item(s)
Qty Name
Description
1 Mobilization:Collier County
1 Custom Gate 8'H x 12'W Double Swing Gate
Style:Custom
Frame-2"x 4"Rec Tube
Powder Coated Tan
Gate Attached to Existing Concrete Fence
Opening:12'WOE
Latch:Drop Rod With Hasp
IF THERE IS AN OPTION LISTED ON THE PROPOSAL,PLEASE SIGN YOUR INITIALS NEXT TO THE LINE ITEM TOTAL:59,100,00
TO CONFIRM YOU WOULD LIKE TO PROCEED WITH THIS OPTION
Estimate Notes
Signature
Date
Print Name:
For all customers we require a 50%deposit from you before any installation dale can be given.If a Contract or Purchase Order is provided(lien
50%deposit is not required.Payment Methods Accepted:Cash,Check or Credit Card.If you would like to make a payment on an website using a credit card,please go to the following link.
Imps..'"carie•-fer•co.comwansacbon-fornr(Please note:A 3%convenience fee will apply)
Introducing to you our new FIVE YEAR WARRANTY!We stand behind our workmanship by offering this to you
a4'
Thank you for your business.We look forward to working with you!
Terms and Conditions
BY SIGNING OR GIVING WRITTEN CONSENT TO MOVE FORWARD W1T1 THIS CON TRACT.WE(1)AGREE TO PAY FOR THE SERVICES •
NOTED ABOVE AND ALL THE SERVICES HERETOFORE OR IIEREAFTER PURCHASED OR ORDERED FROM YOU TOGETHER.CARTER
FENCE CO.INC.WARRANTS THE FENCE AGAINST DEFECTS IN MATERIALS FOR A PERIOD OF ONE YEAR AND WORKMANSHIP FOR A
PERIOD OF FIVE YEARS FROM THE DATE OF COMPLETED INSTALLATION.IF ANY DEFECT EXISTS AND IS REPORTED TO CARTER FENCE
CO.INC.WITHIN ONE YEAR,CARTER FENCE WILL REPAIR OR REPLACE ANY DEFECT WITHOUT CHARGE DURING NORMAL WORKING
HOURS.IF ANY DEFECT EXISTS AND IS REPORTED ON POOR WORKMANSHIP,CARTER FENCE WILL REPAIR AND REPLACE ANY DEFECT
WITHOUT CHARGE DURING NORMAL WORKING HOURS.BUYER AUTHORIZES WORK TO COMMENCE AND AGREES TO PAY PRICE
DESCRIBED.IF ADDITIONAL MATERIALS OR LABOR IS PERFORMED THERE WILL BE ADDITIONAL CHARGES ON FINAL INVOICE.IF WE
QUOTED YOU MORE MATERIAL THAN NEEDED,WE WILL DEDUCT THIS ON YOUR FINAL INVOICE,PAYMENT IS DUE UPON COMPLETION
OF WORK.IF PAYMENT IS DELNQUENT AFTER 10 DAYS,A 1.5%MONTHLY FINANCE CHARGE IMLL BE BILLED ON THE BALANCE DUE.ALL.
COSTS INCURRED TO COLLECT A DELINQUENT ACCOUNT WILL BE ADDED TO THE BALANCE DUE AND ARE THE RESPONSIBILITY OF THE
OWNER.CUSTOMER HEREBY ASSUMES FULL RESPONSIBILITY FOR LOCATING FENCES LINES AND ALL UNDERGROUND CABLES,LINES,
Created with 1nHeIDDesk
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AND PIPES.CARTER FENCE CO.INC.IS NOT RESPONSIBLE FOR DAMAGES TO UNDERGROUND UTILITIES NOT IDENTIFIED BY O'M4ER.
ESTIMATES ARE ONLY VALID FOR 10 DAYS AFTER THE DATE THEY ARE CREATED.CARTER FENCE CO.INC.REQUIRES 4e HOURS FOR
ANY CANCELLATION OR RESCHEDULING PRIOR TO THE INSTALLATION DATE THAT IS GIVEN VIA EMAIL.PLEASE NOTE A$500 FEE WILL
BE ADDED TO THE FINAL INVOICE IF THESE TERMS ARE NOT MET.
Right to Images of the Work&Project.Client grants to Carter Fence,its agents,employees,and assigns,without compensation or consideration to client,the right to lake,use,and publish
photographs,videos,and other media(images)of the work and project areas prior to,during and at the completion of the work and project with due respect to the client's privacy.The
client's identity shall remain confidential.The client agrees that Images may be used on social media sites,websites and promotional use.Carter Fence shall be named and credited in any
descriptions of the Images of the work or project are published.
III �
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ANi)CON(RA(•11',(, At 1 1 I I I.,N'i I I I1 S C)h Fouts(;N(OI Y1 HIES OF(ON( ERN P1(Oltt131 ED
FO'estise July I, 2021,pursuant to 187 Mu I ti. Florida Statutes, when a contract is executed, renewed,or extended between a
nongovernmental entity and a governmental wily, the nongovcrnntentat entity most provide the governmental crony with an
allidasit signed by an officer or a representative of the nongovernmental entity under penalty of perjury atteettn); that the
nongovernmental entity does not use coercion fit labor or services.
IT fleet e January 1.2024,a governmental entity may not accept a hid on,a proposal for,or a reply to,or enter into.a contract wnh
an entity which would grant the entity access to an individual's personal identifying information unless the entity provider the
government with an affidavit signed by an officer or representative under penalty of perjury attesting that the entity discs nr+t mace
any,of the following criteria: (a)the entity is owned by the government of a Ibrcign country of concern:(b/the,gcvernrimnt of a
foreign country of concern has a controlling interest in the entity;or(cI the entity is organized under the laws of or has tt,principal
place of business in a foreign country of concern.
Effective July i,2025,when an entity extends or renews a contract with a governmental entity which would grant the entity access
to an individual's personal identifying information,the entity must provide the governmental entity with an affidavit signed by an
officer or representative of the entity under penalty of perjury attesting that the entity does not meet any of the criteria in paragraphs,
(2)(a)-(c),§287.138.Florida Statutes.
Nongovernmental Entity's Name: Capital Contrators LLC _ _... _.._.
Address: _.-- �_...___.__.___ ...._._._.._.._._......._..._.....__.
9010 Strada Stele Ct Suite 108,Naples Florida
Phone Number:
239.273.8894
Authorized Representative's Name: Adam Ahmad
Authorized Representative's Title: Managing Member
Email Address: Adam.Ahmad@capitalengr.com
I Adam Ahmed (Name of Authorized Representative), as authorized representative attest under
penalty of perjury that Capital Contractors LLC (Name of Nongovernmental Entity) does not: (l t use
coercion for labor or services as defined in§787.06,Florida Statutes,and(2)the nongovernmental entity is not(a)owned by
a government of a foreign country of concern,(b)that a foreign country of concern does not have a controlling interest in the
entity,and (c)-that the entity is not organized underlie laws of or has its principal place of business in a foreign country of
concern,all as prohibited under§287.138,Florida Statutes.
Under penalty of perjury,I declare that I have read the foregoing Affidavit and that the facts stated in it arc true.
Adam N Ahmad a„ '»,;,,;u;, 7r29n025
(Signature of authorized representative) Date
STATE OF Fionda
COUNTY OF C6il fe r'
Swint to(or affirmed)and subscribed before me,by means of lgphysical presence or 0 online notarization this
day of_.yAX.1 2025 ,by, _ rts_(NameofAfliant),who produced his Florida Driver's License as
identification.
—Notary Public e'er Pus, VICTOR NGUYEN
ommisslon;HN 185787
1 b�13�L _ � . cXplras OcioD,r 13,2425
Commission Expires � tr„,& ral46.4 134at "'ww
Personally Known )It Produced Identification r]
Type of Identification Produced: