Backup Documents 10/14/2014 Item #16C3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO C3
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT P
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#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
924
�J�y//� y
4. BCC Office Board of County -�(j ,61-/
Commissioners tfAi LS/ /0/7/V
5. Minutes and Records Clerk of Court's Office (Or( t((4 Z` PM
PRIMARY CONTACT INFORMATION tor
t(14
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 ^ �p Phone Number
Contact/ Department Pit.��,VP% NC 1C-Y- k Z ` S s3 4
Agenda Date Item was / Agenda Item Number
Approved by the BCC 1O\\‘-sc\ 1 ' '.—
Type of Document ((� Number of Original
Attached ���� u`c .e),( 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?
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 /n
Office and all other parties except the BCC Chairman and the Clerk to the Board /f�'
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 `,/e1kit
signature and initials are required. ‘'il
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.
Al?
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!0•r' .enter date)and all changes made ski hi
during the meeting have been incorporated in the attached document. The County 4� _
Attorney's Office has reviewed the changes, if applicable. �`41
9, Initials of attorney verifying that the attached document is the version approved by th-
BCC, all changes directed by the BCC have been made, and the document is ready foi the
Chairman's signature.
I: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
Martha S. Vergara
From: Martha S. Vergara
Sent: Monday, October 20, 2014 3:20 PM
To: Abbott, Alicia
Subject: Work Order - Contract#14-6213 - Haskins
Attachments: #14-6213 (Haskins-work order).pdf
Alicia,
Attached for your records.
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.vergara(&,eollierclerk.com
1
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RFP#14-6213-5
WORK ORDER/PURCHASE ORDER
Contract 14-6213 "Underground Utility Contractors"
Contract Expiration Date: July 7, 2016 ./ •
This Work Order is for General Utility Contracting services for work known as:
Project Name: RFQ#14-6213-5 Immokalee Road 36" Water Main Pressure Testing
Project No: 70103.5 f
The work is specified in the proposal dated September 17, 2014 which is attached hereto and made^a
part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced
above, Request for Quotation#14-6213-5 and Addendum 1 and 2, this Work Order/Purchase Order is
assigned to: Haskins Inc. ,'
Scope of Work: As detailed in the attached proposal and the following:
* Task I Perform all work as described in the request for proposal,addenda, and as listed on
the quote form /
* Task II Utility Allowance ✓
Schedule of Work: Complete work within 180 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
Y 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 $ 669,710.00 LS
Task VII $ 50,000.00 T&M
TOTAL FEE $ 719,710.00 LS &T&M
git.) PREPARED BY: V.Sk ,rn ( \S 2014
q i Alicia Abbott, Project Manager Date
Planning&Project Management Department
APPROVED BY: ---1i1 9 It Q/ P-/
Mark J. 'ak, P.E.,Principal Project Manager Date
Planning& Project Management Department
Page 1 of 3
16C 3 .-
RFP#14-6213-5
APPROVED BY: 1 (9 I
Steve essner, Wat Director ate ,
APPROVED BY: (/ 7P/y'
To Chmelik, P.E., Director Date
P -•..ing& Project Management Department
' ill ��
APPROVED BY: i .- .;
Jo�:el •, tilif. Us erations Support Director Dat
APPROVED BY: t //9//q
Sw. on Hall, Procurement Strategist Date
APPROVED BY: ? //k
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.
ACCEPTED BY: Haskins Inc.
60/q/i7
N e & Title of Authorized Company Officer Date
an ate.Phe2, e�-frcr
(Remainder of page intentionally left blank)
_ _
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RFP 414-6213-5
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 COLLIE' CO TY, FLORIDA
116 .
By: A. % ,„ t • i-. I r •
Tom Henning,Ch.•-- an
Dated:.- /Oh(' /
Attu ,IC irmail's.
signature only.' ` Name of Firm: Haskinslnc.
i
)7-NacektedarBY:First1Vitness Signat reg
aSn M V/' -- Secrettt-'
Mabe ' • Type/print signature and titleT
TType/. .nt ness ameT /
/�
Second Witness
Marry Vax a(
TType/print witness nameT
J6oved as/toy Fo n1and Legality:
ii-1( .. l
tant County Attorney
0.tptAVI
Sett 2 —TioteL
Print Name
Page 3 of 3
0
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Colter* copy
Administrative Services Division
Purchasing
REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER
CONTRACTS#14-6213
"Annual Contract for Underground Utilities&General Contractors"
Date: August 21, 2014
From: Swainson Hall, Procurement Strategist
239-252-8935,Telephone Number
239-252-6334, Fax Number
SwainsonHallta'�.colliergov.net
To: Prospective Vendors
Subject: RFQ#14-6213-5-Immokalee Road 36 Water Main Pressure Testing
As provided in the referenced contract, the Collier County Purchasing Department is soliciting
quotes for the referenced project.
RFQ Due Date: 3:00 PM 9/12/14
2:00 PM 8/28/14
Pre-Quote Meeting Purchasing Conference Room B
Q&A Deadline: 5:00 PM 9/5/14
150 days substantial/30 days fina1/180
Number of Days to Final Completion: total
Scope Provided Yes
Plans and Specs: Yes
Estimated Value $688,700.00
Liquidated Damages: $800.00 per day
Payment&Performance Bonds Yes
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.
Haskins Inc.
Firm's Complete Legal Name
239-947-1846/239-947-3857
Telephone um���er
Signa re
Estimator/Secretary
Title
Ryan MacPhee. 9/12/14
Print Name Date
C: Alicia Abbott, Project Manager
RFQ 14-6213-5
1
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��? 7GY'k Email: SwainsonHall@colliergov.net
'�.s[?
sx. Telephone: (239)252-8935
Adnnnistratve Services Down FAX: (239)252-6334
Purchasing
ADDENDUM #1
Memorandum
Date: September 11, 2014
From: Swainson Hall, Procurement Strategist
To: Potential Proposers
Subject: Addendum #1 — 14-6213-5 Immokalee Road 36 Water Main Pressure Testing
The following clarifications are issued as an addendum identifying the following changes for the
referenced solicitation:
CHANGE:
1. Questions and Answers extended to Friday, September 12, 2014 @ 5:00PM
2. Due date extended to Wednesday, September 17, 2014 @ 3:00PM
3. Project Manager provided additional documents that are attached.
If you require additional information please contact me using the above contact information.
c: Alicia Abbot, Project Manager
1
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Cotter" unto, Email: SwainsonHall@colliergov.net
Telephone: (239) 252-8935
Administrative Services Division FAX: (239)252-6334
2 urchasrnq
ADDENDUM #2
Memorandum
Date: September 15, 2014
From: Swainson Hall, Procurement Strategist
To: Potential Proposers
Subject: Addendum #2— 14-6213-5 Immokalee Road 36 Water Main Pressure Testing
The following clarifications are issued as an addendum identifying the following changes for the
referenced solicitation:
CHANGE:
Discussions during pre-Bid Meeting:
• Although a Dewatering Permit is not required (per SFWMD), dewatering may/will be required and
discharge must be routed into a containment system or existing ditch and eventually discharged. If
discharging into Cocohatchee Canal, energy dissipaters and turbidity barriers will be required. SFWMD—
BCB will be monitoring the project on a daily basis. The condition of Slopes, Silt Fence, Turbidity Barriers
etc. will be continuously monitored to ensure proper maintenance.
• During cleaning/flushing process, care should be taken at outlet points to minimize erosion of
existing ditches and canal slopes. (ex. If a box is used, the box should be discharging onto a gravel pad
as opposed to natural ground.)
• The Materials List that has been provided, identifies materials that will be made available to the
Contractor to cut open the existing pipe at locations determined by the Contractor, for the cleaning and
testing of the existing 36"Water Main. The Contractor shall determine their own Methods and Means with
regards to how the cleaning and pressure testing shall be performed. It is anticipated that the cleaning
and pressure testing will be performed in multiple sections as opposed to cleaning and testing the entire
length at one time.
Contractor shall be required to demonstrate that all valves are functional and can be fully opened and
closed. County will require that certain valves are left in the closed position at the end of the project
If you require additional information please contact me using the above contact information.
c: Alicia Abbot, Project Manager
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