Modification Order #1 - Immokalee Apts
CONTRACTJWORK ORDER MODFICATION
CHECKLIST FORM
PROJECT NAME: Imr1)okal.. AD1lI. PROJECT" DR 05-08 PROJECT MANAGER: Usa Olen
B1D1RFPt#.....!ilA-MOD': ...LPOI 4500101972 WORK ORDER#> NlA
DEPARTMENT: Houtllna and Human 8eryic:e8 CONTRACTORIFIAII NAME: Gftr. Imm. SauIh8IcIe Front Pon:bComr Inc.
Original Contnlct Amount:
$ 500.000
(Starting Point)
$ 500.000
(Last Total Amount Approved by the BCC)
$ 500.000
(Including All Changes Prior To This Modlftcatlon)
$ 00.00
,....- S 00 J ()O 0
(Including This Charige Order)
Cunent sec Approved Amount:
CUl'1'8nt Contract Amount
Change Amount
A4JylHd Contraet1Work Order Amount:
Cumulative Dollar Value of Changee to
this ContractlWorl( Order:
$ 00.00
Date of Last acc Approval 6124/2008
Agenda Item t# 16018
Percentage of tilt change overtunder current contract Imotmt
Formula: (Revised Amount I Last BCC approved am0lR)--1
CURRENT COMPLETION DATE (S): ORIGINAl.: JuIY:'1. 2D09 CURRENT: December 31.. 2009
this change order will: 0 Add II new Tuk for S 0 Inc...... T_k Number by $
o %
cu.,.
Dlecribe the cbIInge(e): Clarify contract d.-criDtion. amend WDI'Il echedulelnclude and
acIMtv dJIMMY coaIL
Specify the reasons for the change(s) c: 1. Planned or Elective r 2. Unfores..n Conditions r 3. Quantity
Adjustmenta r: 4. Comtc:tlon of Errors (Pllnl, SpecJftcatlon8 or Scope of Work) r: 5. Value Added
('" 6. Schedule Adjustments Note: One or mo1'8 may be checked, depending on the nature of the change(s).
Identify all negBtive Impacts to the project jf this change order were not proceuecl:
'fJ"t";- ~ ./JUtr k. .a4-&,1, !he. ~~hZcd1
This c:han was ntq~ by: rk:ontnlctDrfCoMUltllnt~ n UsIng 0epar1ment r CDES
Coesign Prof_lonal nRegulatory Agency (Specify) r Other (Specify) Mutual
CONTRACT SPECIALIST PARTICIPATION IN IEGOTlAnONS: r Yes X No
Th18 fonn Is to be .Ign~an~:
APPROVED BY: ~ .........
A~ \JII:~ Project Manager
nr~Oy~Y: '
REVIEWED BY: 4')rJ '1:t) M-i
Contr 9l' peaallst
I
\.
Date:
Ah~t
, I
Date:
~/~~/09
,
Date:
. .- .;.
:--.
EXHIBIT A-I Cantract Amendment far Subrecipient Agreement
Flarida Administrative Cade 9B8&06-1 CFDA# 14.228
"Greater lmmakalee Sauthside Front Parch Cammunity, Inc."
This amendment, dated .1 I (, 2009 to' the referenced
agreement shall be by and betw n the parties to' the ariginal Agreement, Greater
Immakalee Sauthside Front Pore Community, Inc. (to' be referred to' as Subrecipient)
and COllier CO'unty, a political subdivisiO'n of the state of Flarida, (to' be referred to' as
"Caunty").
Statement of Undentanding
RE: Cantract Flarida Administrative Code 9BER06-1 #14.228 "Greater lmmakalee
Sauthside Front Porch Cammunity, Ine".
In arder to' continue the services provided fur in the O'riginal Agreement dacument
referenced above, the Sub-Recipient agrees to' amend the above referenced Agreement as
follows:
Nate: Words stntel( through have been deleted. Wards underlined have been added.
Contract Project DeKription: Amend Completion date in Sectian A page 17 af23 as
fallaws
Final campletian date far funded activity shall be nO' later than July 31, 2009 December
31. 2009.
Contract Project Description: Amend NOTE 1 an page 17 af23 as fallaws
NOTE 1: The SUBRECIPIENT shall submit its bid package and drawings/specificatians
to' fffiS and obtain a letter of apprO'val priar to' bidding the constructiO'n wO'rk The fiual
number of uma to be ~-tftt!St-be--repefteB to the RH.S staff as !100ft es-tfte
Uetet'ffiiftatieft-i5-tMd.e if it tkmlf9 f~R\ the fH'.~ ~~
Budget: Front Porch autlined in item B an page 18 af 23 shauld also include;
ActivilY delivery ~ associa1~ w.iltJ me I1TQj~ 8J defined in Tecbnicql Memorandum
ODf3Q..:ijCD-08-J issued th).m the Flotjdl. D~l1rtment afCom.munity Affairs dated July
J---2008
EXHIBIT A-I Contract Amendment for Subrecipient Agreement
Florida Administrative Code 9BER06-1 CFDA#14.228
"Greater Immokalee Southside Front Porch Community, Inc."
Page 2 of3
Work Scbedule: Amend Work Schedule outlin6d in item F on page 18 of 23
NOTE: Work schedules arc incff~ me PIVJT8fl1lDPWJgrUw MWtPll1en1S oDly and..M
mQb.. .,Q UlM.Jn HQUSING AND HUMAN SERVICES as general' target 80al$ rat,per
than strict performan~ req.uirements.
IN WITNESS WHEREOF, the Sub-Recipient and the Owner have each, respectively, by
an authorized person or agent, hereunder set their hands and seals on the date(s) indicated
below.
All other tenns and conditions of the agreement shall remain in force.
Aco<pled:~ 2009
SUBRECIPIENT:
Greater Immokalee Front
Porch Community Inc.
Owner:
By
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
WI
PROJECT );,OORDINATOR
"-/< ,.,~'~'
By .::;1:[:~- (y..u 10.~.
Lisa Oien
IA
Name and Title
J-.\ -"f'
EXlDBIT A-I Contract Amendment for Subrecipienl Agreement
Florida Administrative Code 9BER06-1 CFDA# 14.228
"Greater Immokalee Southside Front Porch Community, Inc,"
Page 3 of3
o ION;t.O~I~~TOR
I;' ;, , "".-1
B I .' ~ ,k'/; ( " "A/,~' ,..."
~' ,'v'\J.-'lh~"' _~i
Marla Ramsey (
CONTRACT SPEClALiS"r 1
By: ~'" " 7)1 't,,/~
.. Wood
I