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Backup Documents 06/14/2016 Item #16C 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 G 3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS 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 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 1. 2. 3. County Attorney Office County Attorney Office SRT 6-14-16 4. BCC Office Board of County OV" b`j Commissioners ,"'S I —I y—� 5. Minutes and Records Clerk of Court's Office T)410— 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 Oscar Martinez Contact Information 239-252-6214 Contact/ Department Agenda Date Item was June 14,2016 Agenda Item Number 16C3 Approved by the BCC Type of Document a$268,600 work order to Quality Enterprises Number of Original One Attached USA,Inc.,under Request for Quotation 14- Documents Attached 6213-61,for the SRO Wellfteld provements, Project Number 70030. PO number or account n/a 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) 1. Does the document require the chairman's original signature eeds originalsignet rue SRT 2. Does the document need to be sent to another agency for additional signatures 1 T 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 SRT 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 SRT 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 SRT 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 SRT signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip SRT 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 06-14-16 and all changes made during SRT 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 �y 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 MEMORANDUM Date: June 15, 2016 To: Oscar Martinez, Senior Project Manager Public Utilities Engineering From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Work Order/Purchase Order #14-6213-61 — Quality Enterprises USA, Inc. Attached please find one (1) scanned copy of the original of the documentreferenced above, (Agenda Item #16C3) approved by the Collier County Board of County Commissioners on Tuesday, June 14, 2016. The Minutes and Records Department has retained the original document to be kept as part of the Board's Official Records. If you have any questions, please call me at 252-7240. Thank you. 16C3 WORK ORDER/PURCHASE ORDER Contract 14-6213"Underground Utility Contracting" Contract Expiration Date: July 7, 2016 This Work Order is for professional Underground Utility Contracting services for work known as: Project Name: SRO Wellfield Improvements RFQ 14-6213-61 Project No: 70030.4 The work is specified in the proposal dated April 18, 2016 which is attached hereto and made a part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced above and Request for Quotation # 14-6213-61 and Addendum 1, 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 request for quote (RFQ 14-6213-61), Addendum 1, and as listed on the attached quote form. Task II: Allowance. Schedule of Work: Complete work within 210 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 $ 240,600.00 NLS Task II $ 28,000.00 T&M TOTAL FEE $ 268,600.00 NLS & T&M PREPARED BY: c;0, 1-mkik kik\ c` � \�,'' Alicia Abbott, Project Manager Date Plannic•, & Project Management Department APPROVED BY: - % z?///‘ Oscar Martinez, P.E., P •'pal Project Manager Date Planning& Project Management Department451 Page 1of3 1 6 C S APPROVED BY: _ 0. 570,. // •' Pa.- ibby, Water P ,ution Manager Date APPROVED BY: Q' / Steve Messner ater Director Da - J1Z.APPROVED BY: ^� ` 1. Tom C el , P.E., Direc or Date Pl. -1 g roject Management Department 0.3 APPROVED BY: �,, // /6 Jo":el +�•e, ti -s Operations Support Director Date APPROVED BY: .6,-/gC6 S' ain5dn Hal Procurement Strategist to APPROVED BY: j jV�`" i� George Yilmaz, Public Utilities Administrator ` sate 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: Q ' - - ori es USA, Inc. N Na' Title .f Authorized Officer Date Howrd J. Murrell, President (Remainder of page intentionally left blank) ® Page 2 of 3 • .16C 3 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: L �, r By: 412r7m4 ) Donna Fiala, Chairman Dated: - 1.7.• ( ) Attest aile man's Name of Firm: Quality Enterprises USA, Inc.. signature only. By: t, First Witness 'i a' re Howar. 'J M r_ - '4 - 1 Marcie Cohen TType/print signature and titleT TType/print witness nameT Second Witness Larry Benjamin TType/print witness nameT 499) %ved as to Form and Legality: zji1-42 //.444-4- L_ AssiCounty Attorney Depoqy Scop . 02. 7 etc- ti Print Name Page 3 of 3 1 6 0 3 \ ( \ \ \ \ \ \ \ -00 o o co Ln i-i co N i2 o co to 0 2 1- cn 5 5- \ \ � U, § k od .-1 ` ` ° k ` in ," -, k / -J - , , cd 2 e , , , , 1.0 , 113 § k .72 in in � _ u- ) / } \ \ § / § } ( in in in in I 71 to ) 7 ] ) / { uo )re \ ©z , NI , N 00 \ _ { - f , t ! a 0 1— o \ \ \ \ � ;o ( Ob / /j ( iiSrc - 31 2 { / ) \ \ + 6 \ ® � - \ k \ (\ \ \ \ \\ \\ \\ \ \ \ \ \ / 0000 « § - i _ _ _ -}/ HID ; t 32 - : _ j / ) { \ / \ \ E5 \ -7; . - 2 \ \ � � S \ �) j } a } 7 \ 3 ) \ ) § { ) \ k ` 0d ,2 -0 • '' N r , � ko ° )/ 1 6 C Co ler County Administrative Services Department Procurement Services Division REQUEST FOR QUOTATIONS FOR MULTIPLE PROJECTS UNDER CONTRACT #14-6213 "Annual Contract for Underground Utilities &General Contractors" Date: April 4, 2016 From: Swainson Hall, Procurement.Strategist 239-252-8935, Telephone Number 239-252-6597, Fax Number swainsonhallCa�col liergov.net To: Potential Quoters Subject: RFQ 14-6213-61 SRO Wellfield Improvements As provided in the referenced contract, the Collier County Procurement Services Division is soliciting quotes for the referenced project. RFQ Due Date: Monday, April 18, 2016 at 3:00 PM ✓ Q&A Deadline: Thursday, April 14, 2016 at 5:00 PM Non-Mandatory Thursday, April 7, 2016 at 1:30 PM Pre-Quote Meeting SCRWTP- 3851 City Gate Drive, Naples, FL 34117 Number of Days to Final Completion: 180 days to substantial +30 days final= 210 days total Scope Provided Yes (included on the plans) Plans and Specs: Yes Liquidated Damages: $412.00 Payment& Performance Bonds If over$200,000.00 Your quotation response for this project is due no later than the dateand 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. 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