Backup Documents 10/27/2015 Item #16E2 (Ashbritt) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO nr "'
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Routed by Procurement Services to the Office Initials Date
Following Addressee(s) (In routing order)
1. Risk Management Risk
2. County Attorney Office County Attorney Office
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3. BCC Office Board of County
Commissioners WrX.S% Zct\ S
4. Minutes and Records Clerk of Court's Office
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5. Return to Procurement Services Procurement Services
Division Contact: Diana De Leon
PRIMARY CONTACT INFORMATION
Name of Primary Diana De Leon for Swain P Hall Phone Number 252-8375
Procurement Staff October 27,2015
Contact and Date
Agenda Date Item was October 27,2015 Agenda Item Number 16.E.2
Approved by the BCC
Type of Document Amendment Number of Original 2
Attached Documents Attached
PO number or account N/A Solicitation/Contract 11-5673 Ashbritt
number if document is Number/Company
to be recorded Name
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? DD
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 7-1N
signed by the Chairman,with the exception of most letters,must be reviewed and signed /41\f,..(7./1
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
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 N/A
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 DD
signature and initials are required.
7. In most cases(some contracts are an exception),an electronic copy of the document and DD
this routing slip should be provided to the County Attorney's Office before the item is
input into SIRE.
8. The document was approved by the BCC on the date above and all changes made DD
during the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the 1k to'
Chairman's signature.
MEMORANDUM
Date: October 30, 2015
To: Diana De Leon, Contracts Technician
Purchasing & General Services Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to Contract #11-5673 "Disaster Debris Removal and
Disposal Services"
Contractor: Ashbritt, Inc.
Attached is an original of the contract referenced above, (Item #16E2) approved by the
Board of County Commissioners on Tuesday, October 27, 2015.
An original amendment has been held by the Minutes and Records Department as part
of the Board's Official Record.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
Amendment# 1 to Contract# 1 1-5673 E
EXHIBIT A 1 Contract me 2
"Disaster Debris Removal and Disposal Services"
This amendment,dated Qc-±. a--7to the referenced agreement shall be by and between the
parties to the original Agreement, Ashbritt, Inc. (to be referred to as "Contractor") and Collier County,
Florida,(to be referred to as"Owner").
Statement of Understanding
RE: Contract# 11-5673 Disaster Debris Removal and Disposal Services
In order to continue the services provided for in the original Contract document referenced above, the
Contractor agrees to amend the Contract by extending the term of the contract up to one hundred and
eighty (180) days (November 24, 2015 through May 22, 2016) or until a new contract award is made.
The County reserves the right to extend this contract under the same terms and conditions herewith, upon
approval by the Board of County Commissioners.
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF,the parties have each,respectively,by an authorized person or agent,have
executed this Amendment on the date(s) indicated below.
,rAccepted: R i
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK,`CLERK COLLIER COUNTY, FLORIDA
By: / �A -
Attest as to Giiiiftnanork TIM NANCE,CHAIRMAN
cirinathre only.
Contractor's First Witness CONTRACTO :
AshBritt, c
BY' �,Z.244/L�.
//Ez Lv K&// /47 By:
Print Name
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Print N. e and Title
Contractor's S- end Witness
By: _ • -.....001%
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Print Name
Ap.roved as to Form an. Legality:
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Scott R. Teach,
{ {' Deputy County Attorney