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Backup Documents 10/28/2025 Item #16B 5
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 B 5 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 1. 2. 3. County Attorney Office County Attorney Office '7,11- 05AS 4. BCC Office Board of County Commissioners Olt1!13 5. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATIO Oft5412.5. 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 Robert White/Transportation Engineering Contact Information 239-252-5762 Contact/Department Agenda Date Item was October 28,2025 Agenda Item Number 16.B.5 Approved by the BCC Type of Document Change Order Number of Original 1 Attached Documents Attached PO number or account N/A 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 original signature STAMP OK N/A Stamp ok 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 RW signed by 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's RW 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 R W 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 RW signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip RW 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! 8. The document was approved by the BCC on 10/28/2025 and all changes made during RW N/A is not the meeting have been incorporated in the attached document. The County an option for 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 L N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the ceIA all option for Chairman's signature. this line. Co ler County _..- ..--.. Procurement Services Change Order Form Contract# 06-4000 Co# 7 Po# 4500184671 Project#: 60168.12 Project Name: Vanderbilt Beach Road Extension Contractor/Consultant Name: CH2M-Jacobs Engineering Select One:❑Contract Modification(Construction or Project Specific) ❑Work Order Modification Project Manager Name: Robert White, P.E. Division Name: Transportation Engineering Original Contract/Work Order Amount $3,901,850.00 12/12/17#11D Original BCC Approval Date;Agenda Item# Current BCC Approved Amount $5,901,545.00 5/14/2024 16.B.8 Last BCC Approval Date;Agenda Item# Current Contract/Work Order Amount $5,901,545.00 4/22/2027 SAP Contract Expiration Date(MASTER) Dollar Amount of this Change $40,990.00 52.30% Total%Change from Original Amount Revised ContractNVork Order Total $5,942,535.00 0.69% %Change from Current BCC Approved Amount Total Cumulative Changes $2,040,685.00 0.69% %Change from Current Amount Notice to Proceed 1/22/2018 Original NTP 825 Original Final 1/21/2023 Last Final 4/22/2027 Date #of Days Completion Date Approved Date #of Days Added 0 Revised Final Date 4/22/2027 Current Substantial Completion Date (includes this change) (if applicable) L 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:❑Add Time;0 Add funds;❑Use of Allowance; ❑Modify/Delete existing Task(s);El Add new Task(s); I]Reallocate funds; 0 Other(must be explained in detail below) 1.)This change order adds $56,350.00 to Task 6 from A4Gen4um nd ent-# ,, Utilities: Services During Construction. Task 6 will be increased by reallocating $11,230.00 from Task 1, $3,000.00 from Task 2, $1,130.00 from Task 4 and increasing funding in the amount of$40,990.00. 2.) N/A 3.) The substantial completion date for roadway and utility construction has been extended due to holidays, weather days and additional work. Additional days and funds were added to the Roadway post-design services in Change Orders 5 & 6. The current request increases funding for post-design services for the Public Utilities portion of the project. The estimated budget for the post-design services for the Public Utilities portion is not adequate while the need for the consultant services continues during utility construction. 4.) Should this change not be processed the Consultant could not provide the professional engineering services required during construction and complete the necessary documents to certify the work and close out the project. Pagel of 4 Change Order Form(2023_ver.1) CA() 5 Ccri "er County Procurement Services Change Order Form Contract# 06-4000 co# 7 PO# 4500184671 Project#: 60168.12 Project Name: Vanderbilt Beach Road Extension Contractor/Consultant Name: CH2M-Jacobs Engineering 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 Add Services and scope Resume project after economic to update the 60%plans crisis, expand project limits and 1 and extend project $3,901,850 1,825 1,825 deliver revised scope in order to limits. meet project capacity. Additional funds Potential cost-saving measures,as well requested to design as avoiding disturbance of recently 2 several Public Utilities and $380,440 0 build Roadway facilities by designing County IT facilities. and building PUD and IT facilities simultaneously with this project. Additional funds requested due to If this change order is not approved,the design changes based on public and commissioner approved changes outcome of extension public on 9/25/18(Item 11.A)and 10/22/19(Item 3 Involvement and $885,345 0 11.F)cannot be completed by the Board of County Commissioners actions to modify design changes consultant Additional funds requested Not processing the change order will due to plan reviews,changes generate additional cost due to future to State Regulatory agencies 4 requirement and additional $499,810 0 construction cost escalation,throw infrastructure requirements away of redundant infrastructure,and disruption of the traveling public Add time to reflect prior Time needed for Consultant to changes, permitting 5 process and construction 00 00 1,140 2,965 complete"Task V duration estimate. Post-Design Services" of the Agreement Additional funds and Funding and time needed for 6 time requested for $234,100.00 330 3,295 Consultant to complete'Task V- Post-Design services Post Design Services"of the Agreement. Additional funds Funding needed for Consultant to requested for Utilities complete"Task 6 Services 7 Task 6 Services $40,990.00 0 During Construction"of the During Construction Agreement ❑Check here if additional summary page/s are attached to this Change Order Page 2 of 4 Change Order Form(2023_ver.1) 1 6B 5 Colter County Procurement Services Change Order Form Contract# 06-4000 CO#7 Po# 4500184671 Project#: 60168.12 Project Name: Vanderbilt Beach Road Extension Contractor/Consultant Name: CH2M-Jacobs Engineering 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. • WhiteRobert Digitally signed by WhiteRobert Prepared by: Date:2025.08.27 11:42:10-04'00' Date:_ Signature-Division Project Manager Robert White, P.E., Project Manager III,Transportation Engineering Printed Name Ellen B Patterson Digitally signed by Ellen B Patterson Accepted by: Date:2025.08.29 13:58:45-04'00' Date: Signature-Design/Engineer Professional(if applicable) Ellen Patterson, Executive Director of Operations/Sr.Vice President,Jacobs Engineering Group Printed Name/Title/Company Name Accepted by: Date: Signature-Contractor/ConsultantNendor Printed Name/Title/Company Name D.v f•..Yr.Y>w�clwm w,pr.CH•YdM Wfw.WGYn/W..Ow Approved by: McLeanMatthew ono` ar Date: D.r ns1n , 11 m.4 Signature-Division Manager or Designee(Optional) Matthew McLean,P.E.,Director Public Utilities Engineering KLA 9/4/25 Printed Name AhmadJayDigitally signed by AhmadJay Approved by: Date:2025.08.28 07:34:12-04'00' Date: Signature-Division Director or Designee(Optional) Jay Ahmad, P.E., Director Transportation Engineering Printed Name __)- Digitally signed by 7 Sconnily ScottTrinity Date:ttT2025.09.05 Approved by: 12:58:23-04'00' Date: Signature-Division Administrator or Designee(Optional) Trinity Scott, Department Head,Transportation Management Services Printed Name Page 3 of 4 Change Order Form(2023_ver.1) 6B 5 Cofer County Procurement Services Change Order Form Contract# 06-4000 co#7 PO# 4500184671 Project#: 60168.12 Project Name: Vanderbilt Beach Road Extension Contractor/Consultant Name: CH2M-Jacobs Engineering FOR PROCURMENT USE ONLY FY25 CHO Request# 763 H a n d I eyJ e S S i c a Digitally signed by Handleylessica Approved by: C,1 Date:2025.09.19 10:0610 04'00' Signature-Procurement Professional Signature/Date Approved by: Signature-Procurement Manager/Director(OPTIONAL) APPROVAL TYPE: ❑ Administrative ❑ Administrative-BCC Report IV BCC Stand-Alone ES (BCC Approval Required) BCC APPROVAL ATTEST: Crystal K. Kinzpl.) er4c'of the Circuit Court BOARD OF COUNTY COMMISSIONERS and Comptroller., COLLIER COUNTY, FLORIDA By: By: Dated:CAM% Burt L. Saunders, Chairman Most as to Chai11nan 5 signature only (SEAL) Agenda# 16.45 10/eg pprov2e s o m d Legality: Deput ounty Attorney Print Name Page 4 of 4 Change Order Form(2023_ver.1) 6g 5 a2441 Jacobs August 7, 2025 Mr. Robert White, PE,PMP Project Manager III-Roadway and Bridge Project Management 2885 South Horseshoe Drive Naples,FL 34104 Subject: VANDERBILT BEACH ROAD EXTENSION (Collier Boulevard to 16t"Street NE) Contract 06-4000-P.O. 450(1184671 Request for Additional Funding for Post Design Services Dear Mr.White, The purpose of this letter is to request that JACOBS Contract(Contract 06-4000)with Collier County for the above-mentioned project be amended to provide: • Additional Post Design Services Budget: Utilities—Water The current Utilities Services During Construction Budget is approximately 96.49%expended thru May 30,2025. The current Contract expires 4/22/27 (Change Order No. 6) Based on anticipated post design services required,the remaining budget will not be sufficient to provide the required Post Design Services for the remainder of the project. Therefore,by this letter,JACOBS is requesting that the County: • Increase Utilities: Services During Construction(Addendum No.2 Task 6) Budget by $56,350.00 for Water related facilities. • Reduce Addendum No. 2 Task(s) 1,2 and 4 Time and Materials Budgets by a total of $15,360.00 (See Attached Fee Sheet for breakdown) Resulting in a total increase in Contract Amount= $40,990.00 At this time,JACOBS is not requesting an adjustment to the staff rates listed in Contract. The required services will be performed on a Time and Materials basis and invoiced monthly. Please let me know if you require any additional information related to the above request. Regards, Bill Gramer,P.E., AICP Jacobs Vice President Transportation b B 5 ri 1- \ \ N \ E. / , ( E ; a a \ /( 24o , E ° e & i) 2 / _ ? ,rn 9$ , 7 § .° § / & . § ) ) ° § , ,4 • f ; _ )\ 4 ~ " 2 �� d2 ° ° \ � §/ \� ' \ \ ) > §� -- 2 r Gam ) / ' ! I- § S U ] !i! U 2- k ) ° § °°0 {) \ k \ ©< _ ` : 2 : 7 j \ / < !% - _ `6X2 r 7a s { ) ) § \ J § R e _ _ - , . . 2 ( F ( \ ^ \ 7 a & ! •ƒ g 77 \ E. � ) � ` 0 \ ) K { § § [ ¥ \ ) @ k \ Z. k k ) d § Q i ; u to ' R ) d ) U k V) \ & m m 5 ! ! a / ) / \ Ei g t { \ % ) / G \ 0)x ! # k ] ) q: �o •. ) » a U & 2m3G [ GU > a 7 a I- < < < e