Backup Documents 09/08/2015 Item #16C3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 C
TO ACCOMPANY ALL ORIGINAL DOCUMENTS TS 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 iMonda} 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
2.
3. County Attorney Office County Attorney Office
/D)
4. BCC Office Board of County \
Commissioners i\C la\b\kS
5. Minutes and Records Clerk of Court's Office
jofr S Lf:;Ztlfiti
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 ,l Phone Number Z f'Z-( Z
Contact/ Department -SE'i/ • /%i1��CT//lam14-
Agenda Date Item was ? /8/A f`—"-- Agenda Item Number 0
-
y�
Approved by the BCC
Type of Documentxlc`-� Numuer of Original 3
Attached if 'A K o,tb�/2 ` 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? 0�.. �f�a
2. Does the document need to be sent to another agency for additional signatures"? If yes, act?'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 er7)46
by the Office of the County Attorney. "`�
4. All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board N�'
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 di/csignature 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 'j/B/ft(enter date)and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes, if applicable. s line.
9. Initials of attorney verifying that the attached document is the version approved by the N` is not
BCC,all changes directed by the BCC have been made,and the document is ready for e an•ption for
Chairman's signature. to s line.
l: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
16C3
WORK ORDER/PURCHASE ORDER
Contract 14-6213-40 "Annual Underground Utility Contractors"
Contract Expiration Date: July 7, 2016
This Work Order is for utility contractor services for work known as:
Project Name: Lower Tamiami Aquifer Wellfield Improvements
Project No: 70085.16.2
The work is specified in the proposal dated July 21, 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 Perform all work as described in the RFQ and as listed on the quote form
* Task II Allowance
Schedule of Work: Complete work within 270 days from the date of the Notice to Proceed which is
accompanying this Work Order. The Consultant 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), (define which method will be used for which tasks) as provided in the
attached proposal.
Task I $266,712.34 NLS
Task II $ 25000.00 TM
TOTAL FEE $291,712.34
Prepared by: " At41 _l�
s Sivert, " Senior Project Manager, PPMD Date
Page 1 of 3
16C
3
13
APPROVED BY: CX 7/30/11r-
Oscar
/30/1�
Oscar Martinez, P.-.,PPMD ell-m.1 Project Manager Date
APPROVED BY: n j-. y1 l/i
6---
Pam ib , Distributi. ager Date
APPROVED BY: A 7131)1‹
Steve essner, W; •r *hector Dat
71311ir
APPROVED BY: lAILlu�. / 1
Tom C r - ik,P F PPMD Director J Date
APPROVED BY: //VL►f
Swai • , urc asing Procurement Strategist Date
APPROVED BY er
Joe B lone, i tilities Operations Support Director Date
II
APPROVED BY:_ 3 7 Ham--- 1te
George Yilmaz, Public Utilities Administrator Date
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.
(Remainder of page intentionally left blank)
Page 2 of 3
16C3
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: BOARD OF COUNTY COMMISSIONERS
Dwight E. Brock, Clerk of.Courts COLLIER COUNTY, FLORIDA
By: Ii P - '�• By:
Tim Nance, Cairman
Dated: VC,
Attest actN404)
signature only: . Quality Enterprises USA Inc.
)/ By:
First Witness Signature
2ov=1 Czo 117P, 7-(97-/
Ill r ,cue Coll?to TType/print signature and titleT
TType/print witness nameT
econd Wi s
91-41-%
4,L_VALJ
ype/print witness nameT
App ov i as to I d Legality:
- .r 'ounty Attorney
Print Name
Page 3 of 3
ted
16C3
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Schlumberger Water Services USA Inc. Schiumberger
1567 Hayley Lane,Suite 202
Fort Myers,FL 33907
Phone 1 239 481 6494 �,
Fax 1 239 481 6393 k tP SOrViCOS
July 28, 2015
Mr. Tom Sivert, P.E.
Senior Project Manager
Public Utilities Planning & Project Management
3339 Tamiami Trail East, Suite 303
Naples, FL 34112
Re: RFQ 15-14-6213-40 Lower Tamiami Aquifer Wellfield Improvements—Letter of Recommendation
Dear Mr. Sivert:
The bids due on July 21, 2015 for the above referenced project were reviewed by Schlumberger Water
Services USA Inc. (SWS). Each of the three responsive bidders appears to be qualified and properly
equipped to complete the proposed wellhead rehabilitation work.
The low bid of approximately$291,712 was received from Quality Enterprises USA, Inc. The bid tabulation
provided by Quality Enterprises was reviewed by SWS and found to be accurate. The next lowest bid was
received from Mitchell & Stark Construction Company, Inc. Their bid total was $354,125 or approximately
$62,413 higher than the low bid.
Quality Enterprises is the apparent low bidder for the project. It is recommended that Quality Enterprises
be awarded the project based on their previous experience with the County, their pre-approved contractor
status, and by virtue of the fact they are the low bidder on the project.
Please let us know if you have any questions or comments.
Very truly yours,
Wm. Scott Manahan, P.E.
Operations Manager
16C 3
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