Backup Documents 08/26/2025 Item #16F 1 (Absentia 07/22/2025 Item #16F2) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 F 2
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 Re-7 9/y)01-
2. BCC Office Board of County
Commissioners Chairman BS;, 1.D/s/ 11,5
II 11 gyp;pU
3. Minutes and Records Clerk of Court's Office 9/Ski
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 July 22,2025—In Absentia Agenda
was Approved by Item 16.F.2
the BCC Number
Type of Recommendation to ratify administratively Number of
Document approved Change Order No. 2, adding 48 days Original 1
Attached to the Substantial Completion date for Documents
Purchase Order No.4500229441, under Attached
Agreement No.23-8096 with Heatherwood
Construction Company,for the Pelican Bay
New Maintenance Facility,and authorize the
Chairman to sign the attached Change Order.
(Project No. 50211)
PO number or Facilities Division is requesting a completed
account number if 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.
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.
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!
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
8. The document was approved by the BCC on July 22,2025—In Absentia N/A is not
and all changes made during the meeting have been incorporated in the attached / an option for
document. The County Attorney's Office has reviewed the changes, if applicable. OM 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 5�,r' an option for
Chairman's signature. this line.
1 6 F 2
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
16F 2
cc .ii:ler Counts'
Procurement Services Change Order Form
Contract# 23-8096 CO# 02 PO# 4500229441 Project#: 50211
Project Name: Pelican Bay New Maintenance Facility
Contractor/Consultant Name: Heatherwood Construction Company
Select One:❑✓ Contract Modification(Construction or Project Specific) ❑ Work Order Modification
Project Manager Name: Brian Mondgock Division Name: Facilities Management
Original Contract/Work Order Amount $5,340,571.00 12/12/2023 Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $5,340,571.00 12/12/2023 Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $5,340,571.00 4/10/2025 SAP Contract Expiration Date(MASTER)
Dollar Amount of this Change 0.00% Total%Change from Original Amount
Revised Contract/Work Order Total $5,340.571.00 0.00% %Change from Current BCC Approved Amount
Total Cumulative Changes $o.00 o.00 %Change from Current Amount
Notice to Proceed Original NTP 390 Original Final 5/3/2025 Last Final
4/8/2024 7/2112025
Date #of Days Completion Date Approved Date
#of Days Added 48 1 Revised Final Date 9/13/2025 Current Substantial Completion Date 6'27/2025
l (includes this change) Of 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 andior 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: ❑ Add Time; ❑ Add funds; ❑ 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 48 days to the contract extending the substantial completion date to 8/14/2025.
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.
The initial project timeline extension (CO#1) was due to unforeseen utility conflicts and delays outside the
contractor's control. Specifically, an FPL transformer needed to be relocated outside the construction zone,
triggering the need for a new utility easement and redesign of the service lateral.
Once the FPL transformer was relocated, the contractor could safely begin exploratory digging and discovered
various underground conflicts than were not anticipated nor documented in County as-built plans and utility
locates. This required careful exploratory digging and resulted in the redesign of significant portions of the
underground utilities.
4.) Describe the impact if this change is not processed.
Without the time extension, the project would not meet the substantial completion deadline.
Page 1 of 4
Change Order Form(2023_ver.1)
16F 2
Ct 1er County
Procurement Services Change Order Form
_
Contract# 23-8096 CO# 02 PO# 4500229441 Project#: 50211
Project Name: Pelican Bay New Maintenance Facility
Contractor/Consultant Name: Heatherwood Construction Company
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
4 Utilize$214,087.62 of the This change order addresses
Owners Allowance leaving a
balance of$185,912.38 for the additional work required
work directives#2 through#6. 78 468 in work directives#2 through
Adds 78 days to the project.
#6.
Adds 48 s da to An extension was determined necessary
y due to an unforeseen conflict that required
2 the contract. 48 5.1 a new utility easement and the relocation of
the service lateral and major existing
underground conflicts requiring re-designs
resulting in delayed installation.
•
•
❑Check here if additional summary page/s are attached to this Change Order
Page 2 of 4
Change Order Form(2023_ver.1)
I 6 F 2
co rer County Procurement Services Change Order Form
Contract# 23-8096 CO# 02 PO# 4500229441 Project#: 50211
Project Name: Pelican Bay New Maintenance Facility
Contractor/Consultant Name: Heatherwood Construction Company
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.
Mond ockBrian Digitally signed by MondgcckBrian
Prepared by: 9 Date:2025.06.25 16:19:04-04'00' Date:
Signature-Division Project Manager
Brian Mondgock, Project Manager II. Facilities Management
Printed Name
%,47 Digitally signed by Jeff Davidson
Accepted by: = Date: 2025.06.26 09 04:24-04'DO' Date: 6/26/25
Signature-Design/Engineer Professional(if applicable)
Jeff Davidson P.E., President, Davidson Engineering, Inc.
Printed Name/Title/Company Name
Morgan Maguschak Digitally signed by Morgan Maguschak
Accepted by: Date:2025.06.26 12:00:48-04'00' Date:
Signature-Contractor/Consultant/Vendor 1
Morgan Maguschak, CFO, Heatherwood Construction Company
Printed Name/Title/Company Name
Coleman Chad Digitally signed by ColemanChad
Approved by: Date:2025.06.26 13:30:46-04'00' Date:
Signature-Division Director or Designee(Optional)
Chad Coleman, Assistant Division Director, Pelican Bay Services
Printed Name
Delon Brian Digitally signed by Delonyerian
Approved by: Date:2025.06.25 16:05:34-04'00' 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)
16F 2
Colte..r County
Procurement Services Change Order Form
Contract# 23-8096 CO# 2 PO# 4500229441 Project#: 50211
Project Name: Pelican Bay New Maintenance Facility
Contractor/Consultant Name: Heatherwood Construction Company
FOR PROCURMENT USE ONLY
FY 25 CHO Request# 702
BoAd e n Stephanie Digitally signed by Bowe
Date:2025.06.26 14:58:08denSt-0400 phanie
Approved by:
Signature-Procurement Professional Signature/Date
Approved by.
Signature-Procurement Manager/Director(OPTIONAL)
APPROVAL TYPE:
❑ Administrative X Administrative-BCC Report [i BCC Stand-Alone ES (BCC Approval Required)
BCC APPROVAL
ATTEST:
Crystal K.,Kinzelw•cl'ttcp the Circuit Court BOARD OF COUNTY COMMISSIONERS
and CprpOrotler �`•• ? COLLIER COUNTY, FLORIDA
By: mil -'' By
Burt L. Saunders , Chairman
Dated:
Attest as.to (11
signature ly Date: ?3/26 f 25
(SEAL) Agenda# lG ` 2
proved as to rm a d Legality:
puty ounty Attorney
Print Name
Page 4 of 4
Change Order Form(2023_ver.1)