Backup Documents 01/14/2014 Item #16B3 ORIGINAL DOCUM ALL ORIGINAL DOCUMENTS SENT TO
L 3
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
(Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The
completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on
the item.)
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the
checklist,and forward to Ian Mitchell(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Jennifer Belpedio County Attorney's Office O l I 1; ) IL{
2. Commissioner Tom Henning Board of County Commissioners
3. Trish Morgan Clerk's Minutes and Records 'q'`
4.
5.
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Ian Mitchell,need to contact staff for additional or missing
information.All original documents needing the BCC Chairman's sign ure are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Bradley Muckel C.rT:k Phone Number 239.867.0027
Contact
Agenda Date Item was January 14,2014 Agenda Item Number 16B3
Approved by the BCC
Type of Document Change Order Form Number of Original 1
Attached Documents Attached
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. 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 by
the Office of the County Attorney. This includes signature pages from ordinances, bsm
resolutions,etc. signed by the County Attorney's Office and signature pages from contracts,
agreements,etc.that have been fully executed by all parties except the BCC Chairman and
Clerk to the Board and possibly State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's bsm--
Office and all other parties except the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval of the bsm
document or the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's bsm
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. bsm
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!
6. Return I (one)fully executed copies to: Please email or call Brad for pick-up
bradleymuckel @colliergov.net 239-867-0027
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I:Forms/County Forms/BCC Forms/Original Documents Routing Slip
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1683
Martha S. Vergara
From: Martha S.Vergara
Sent: Tuesday, January 21, 2014 10:16 AM
To: Muckel, Bradley
Subject: Change Order- Colorado Ave
Attachments: Brad Muckel.pdf
Attached for your records
Martha Vergara, BMR Senior Clerk
Minutes and Records Dept.
Clerk of the Circuit Court
& Value Adjustment Board
Office: (239) 252-7240
Fax: (239) 252-8408
E-mail: martha.vergara @collierclerk.com
1
1683 3
CHANGE ORDER#02 TO WORK ORDER
Agreement for Fixed Term Professional Engineering Services
Contract#09-5262
TO:
Agnoli, Barber & Brundage, Inc. (ABB)
7400 Tamiami Trail North, Suite 200
Naples, FL 34108
239.597.3111
FROM:
Immokalee CRA
750 South Fifth Street
Immokalee, Florida 34142
Re: Engineering Services—Colorado Avenue Stormwater/Sidewalk Improvement Project
PO Date: 02/08/2013 Work Order/Purchase Order# 4500142329
Change Order#2 Notice to Proceed Date: 02/08/2013
Change Order Description:
This change is limited to a performance period extension of 320 days. The NTP is dated
02/05/13. The current end date is 2/4/13. The new completion date is 12/21/14.
Original work order amount $136,725.00
Sum of Previous Changes ..$0.00
This Change Order No. 2 Amount (add or subtract) $0.00
Revised Agreement Amount $136,725.00
Original work order time in calendar days 329 days
Adjusted number of calendar days due to previous change orders .35 days
This change order adjusted time is .320 days
Revised Contract Time in working days 685 days
Original Notice to Proceed date February 5, 2013
Completion date based on original contract time December 31, 2013
Completion date based on Change Letter# 01 February 4, 2014
Revised completion date due to Change Order# 02 December 21, 2014
Your acceptance of this change order shall constitute a modification to the aforementioned
Work Order and will be performed subject to all the same terms and conditions as contained
in said Work Order, as fully as if the same were restated in this acceptance. The adjustment
to this Agreement shall constitute a full and final settlement of any and all claims arising out
of, or related to, the change set forth herein, including claims for impact and delay costs.
16B 3
Change Order No.2
Page 2
to this Agreement shall constitute a full and final settlement of any and all claims arising out
of, or related to, the change set forth herein, including claims for impact and delay costs.
Requested by: Date: 1,)- - 3 / (
Bradley Mikkel, Interim Executive Director-Immokalee CRA
Approved by: / Foie_ Date: 12 " "13
Evelyn Colon, rocurement Strategist
BOARD OF COUNTY COMMISSIONERS
ATTEST OF COLLIER COUNTY, FLORIDA, AS
' ' i1 r+ •., ;: THE GOVERNING BOARD OF THE
D ' ht E.Br lQrlc IMMOKA E CRA
By: _ By:
Deputy Clerk'
r �' '� ' DON A FIALA, Chairman
k
ithairman' .
signature only: 'Pi\■-\
By: amoutia0`44 Agnol, :arber Bru r.
Qo0,,a1ck A,wlco, V. P. By:
Wir SP'
(Witness One Name/Title) 'I
D.ni-1 W B nsa•- Pr-s.•-nt
(Name and Ti
By:
/,dre4. /3-►lessen ark- i4K
(Witness Two Name/Title)
Approved as to Form and Legality:
Assist t County At ey
1/ 15111