Backup Documents 05/12/2015 Item #16C1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO '� Lo 1
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#I 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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2. Coiernne 77tan PuppMb Cnir. /X/5
3. County Attorney Office County Attorney Office
4. BCC Office Board of County -94
Commissioners / skt31 S-
5. Minutes and Records Clerk of Court's Office
1(41C .3( 0t.,
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 Staff /� �,n ne # Phone Number —(4‘25022-33Contact/ Department C.•O
Agenda Date Item was /� Agenda Item Number ��,,rr J
Approved by the BCC f'l ��/ 4010/5 (i l✓ /4
of Document �G _/Cr. 1,�r Number of Original apetaperiAttached G� r Documents Attached
PO number or account
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)
I. Does the document require the chairman's original signature? S-kcij . Q� trifF S°-KT
2. Does the document need to be sent to another agency for additional signatures? If yes,
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
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's kyr
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
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
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 enter date)and all changes made N/A is not
during the meeting have been incorporated in he attached document. The County /�� ��1 an option for
Attorney's Office has reviewed the changes, if applicable. VVthis 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 ' a -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 11/30/12
1 nte C
Martha S. Vergara
From: Martha S. Vergara
Sent: Thursday, May 14, 2015 10:06 AM
To: Trtan, Corinne
Subject: Work Order& Backup - Quality Enterprises, USA (Contract#14-6213)
Attachments: Corinne Trtan.pdf
Morning Corinne,
Attached for your records is a scanned copy of Item #16C1 from the 5/12/15 BCC Meeting.
Let me know if you need a certified copy.
Thanks,
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.vergaraa,collic:-c'crk.cotn
1
LL j
MEMORANDUM
Date: May 14, 2015
To: Corrine Trtan, Project Manager
Public Utilities Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Work Order & Backup for Contract #14-6213
w/Quality Enterprises, USA
Attached is a scanned copy of the document referenced above, (Item #16C1)
approved by the Board of County Commissioners on Tuesday, May 12, 2015.
The original will be held on file in the Minutes and Record's Department for the
Board's Official Record.
If you have any questions, please feel free to contact me at 252-7240.
Thank you.
Attachment
16 C 1
WORK ORDERIPURCHASE ORDER
Contract 14-6213 "Annual Underground Utility Contractors"
Contract Expiration Date: July 7, 2016
RFQ 14-6213-20
This Work Order is for Utility Contractor services for work known as:
Project Name: Bluebill Avenue Forcemain
Project No: 70044.12.3
The work is specified in the proposal dated March 20, 2015 which is attached hereto and made a part of this
Work Order. In accordance with Terms and Conditions of the Agreement referenced above, this Work
Order/Purchase Order is assigned to: Quality Enterprises USA,Inc.
Scope of Work: As detailed in the attached proposal and the following:
* Task I General
* Task II Wastewater Forcemain
* Task III Environmental
* Task IV Owner Directed Allowance
Schedule of Work: Complete work within 150 days (substantial completion within 120 days) from the date of
the Notice to Proceed which is accompanying this Work Order. The Vendor agrees that any Work Order that
extends beyond the expiration date of Agreement #14-6213 will survive and remain subject to the terms and
conditions of that Agreement until the completion or termination of this Work Order.
Compensation: In accordance with the Agreement referenced above, the County will compensate the Firm in
accordance with following method(s):) ® Negotiated Lump Sum (NLS), Lump Sum Plus Reimbursable
Costs (LS+RC) Time & Material (T&M) (established hourly rate — Schedule A) ❑Cost Plus Fixed Fee
(CPFF), as provided in the attached proposal.
Task I $ 9,972.00 NLS
Task II $ 297,430.30 NLS
Task III $ 3,288.00 NLS
/ Task IV $ 55,000.00 T&M
\\`h
�y TOTAL FEE $ 365,690.30
0 PREPARED BY: f41-4(-44-t..-; /5
Corinne Trtan, Project Manager Date
177, .---APPROVED BY: c� �� 4 `/5
Craig Pa' , n w ipal Ilject Manager Date
Page 1 of 3
an
16C 1
APPROVED BY: ) f / /
At LI' /
Tom Ch elik, PPMD Department Director Date
APPROVED BY: /0 471-1 —0--
Steve Nagy, Wastewater Collections Manager Date
APPROVED BY 171/3--
Beth 2nssen, astewater Director Date
APPROVED BY: - ------� 4/4 2/.5
, \ George Yilmaz, Division Administrator Da e i
By the signature below, the Firm (including employees, officers and/or agents) certifies, and hereby discloses,
that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned
interest or activity(financial, contractual, organizational, or otherwise)which relates to the proposed work; and
bear on whether the Firm has a potential conflict have been fully disclosed.
Additionally, the Firm agrees to notify the Procurement Director, in writing within 48 hours of learning of any
actual or potential conflict of interest that arises during the Work Order and/or project duration.
ACCEPTED BY: Quality Enterprises USA, Inc.
C---�-- `•-.7— /: —
Louis J. Gaudio, Vice President Date
Page 2 of 3
16C j
IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or
agent, have executed this Work Order on the date and year first written below.
ATTEST:ko ; ' F It BOARD OF COUNTY COMMISSIONERS
Dwight P. Brock,•CJ4of Courts COLLIER COUNTY, FLORIDA
By• y.
I MAY
Tim Nance, Chairman s\\-2.V5
Dated: MQ f ( .11.
Attest as to Cha `an s —
signature only. ( EAL)
Quality Enterprises USA, Inc
4 By:
irst Wit/ Louis J. Gaudio, Vice President
Print
-6/4--
Second Witness
Print
ppro -d .s to Fe an Legality:
L
Sc R. Teach, 11-puty County Attorney
Page 3 of 3
Co County
16C1
Administrative Services Division
Purchasing
REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT
#14-6213
"Annual Contract for Underground Utilities &General Contractors"
Date: February 25, 2015
From: Swainson Hall, Procurement Strategist
239-252-8935, Telephone Number
239-252-6334, Fax Number
swainsonhaMcolliergov.net
To: Potential Proposers
Subject: RFQ 14-6213-20 Bluebill Ave Forcemain
As provided in the referenced contract, the Collier County Purchasing Department is soliciting
quotes for the referenced project.
RFQ Due Date: 1:00 PM 3/20/2015
Q&A Deadline: 5:00 PM 3/17/2015
Non-Mandatory 11:00 AM 3/6/2015
Pre-Quote Meeting Procurement Services Conference Room A
Number of Days to Final Completion: 120 days substantial/30 days final/150 total
Scope Provided Yes
Plans and Specs: Yes
Estimated Value $455,218.00
Liquidated Damages: $1,271.50 per day
Payment & Performance Bonds Yes, if project value exceeds $200,000
Direct Material Purchase No
Your quotation response for this project is due no later than the date and time specified above. We
will not accept any quotation responses later than the noted time and date. If your firm is unable to
respond electronically, your quotation must be received in the office of the Purchasing Department at
the above referenced address no later than the time and date specified. We look forward to your
participation in this request for information/quotation process.
Quality Enterprises USA, Inc.
Firm's Complete Legal Name
239-435-7200 239-435-7202
Telephone Number/Fax Number
S1g 11
?---
Vice President
Title
Louis J. Gaudio 3/20/15
Print Name Date
C. Corinne Trtan/Project Manager
1
RFQ 14-6213-20 J
16C1 1
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