Backup Documents 11/18/2014 Item #16A26 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 2 6
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 Office2.‘"Atz-\
4. BCC Office Board of County T11s
Commissioners � Z\ �\5. Minutes and Records Cle f Court's Offi e 47L�et-
eret C2---
PRIMARY CONTACT INFORMATrx_oaTig
N ( (9146
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 Q, I j b ' r -t- Phone Number
Contact/ Department l� Vt
974.6
Agenda Date Item was Agenda Item Number
Approved by the BCC - , t -1 / I a p
Type of DocumentJ ��� art Number of Original
Attached �' �I�C� t 0/ Documents Attached
PO number or account
number if document is i1
to be recorded 1(
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? C�G-
2. Does the document need to be sent to another agency for additional signatures? If yes, \)/P'C
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 0,
4
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 L.1".(r-
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. CT-1 C-
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required. C I'k C-
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. 1J
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/0S/!'.{(enter date)and all changes made
during the meeting have been incorporated in the attached document. The County C 1HG"
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the CAC.
BCC, all changes directed by the BCC have been made,and the document is ready for e
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.2 . , sed 11/30/12
16 A 26
MEMORANDUM
Date: December 10, 2014
To: Gail Hambright, Accountant
Coastal Zone Management
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Change Order #2 — Contract #14-6256
Naples Beach Renourishment
Atkins North American, Inc.
Attached, please find one (1) copy of the document referenced above (Agenda Item
#16A26), approved by the Board of County Commissioners on Tuesday, November
18, 2014.
The original is being kept by the Minutes & Records Department as part of the
Board's Official Records.
If you have any questions, please call 252-7240.
Thank you.
16 A 26
Martha S. Vergara
From: Martha S. Vergara
Sent: Wednesday, December 10, 2014 9:59 AM
To: Hambright, Gail
Subject: Change Order#2 - Naples Beach Renourishment
Attachments: #14-6256 (Change Order#2 -Atkins North American, Inc.).pdf
Gail,
Attached for your records is a scanned copy of the original.
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@collierclerk.com
16A26 2 6
Purchasing Department
Adntirtsbtarue Ser l s OW& Change Modification Form
Purling);
®Contract Change Request ❑Work Order Modification
Contract d: 14- ✓ Change*:2 ✓ PO/Work Order*:45- v,%' Project Name:Naples Beach ./
6258 151465 Renourishment
Project 5:195- Project Manager:Gary Department:CZM Contractor/Firm Name:Atkins North
90038 McAlpin _ e American,Inc.
Original Contract Work Order Amount $ 105,204.00 6/10/14 16A19 Original BCC Approval Date;Agenda Item*
Current BCC Approved Amount $ 105;04.00 6/10114 Last BCC Approval Dale;Agenda Item*
Current Contract/Work Order Amount $ 108,204.09 SAP Contract Expiation Date(Master)
Dollar Amount of this Change $24,648.66 23.43% Total Change from Original Amount
Revised Contract/Work Order Total $129,652.88 23.43% Change from Cunrent•CC Approved Amount
Cumulative Changes $24648.88 _ 23.43% Change from CurrentArnount
Completion Date,Description of the Tasks)Change,and Rationale for the Change
Original completion date:9/8/2014 Last approved completion date: Revised completion date(includes this
1/1/2015 "" change): 03/17/2015
Number of days added: 75 r Each step on the con 4 -. Y'ification checklist form been reviewed prior to me
submitting for approval (this box must be initialed by Project Manager)
®Add new task(s) Change tasks) ■ Delete task(s) [TOther(specify):
1. Provide a detailed and specific explanation of the requested chancels)to the tasktal and/or the additional days
eddied:The change order is for$24,648.68 to cover the expense d post-design services including site inspections,
submittal review, permit compliance submittals and Engineer of Record Services.
2. provide detailed rationale for the nauestsd charms:The County will need the Engineer-of-record services to review
the contractors work, the County's inspection reports,turbidity monitoring,and approve pay requests.
3. Provide explanation why chance was not anticipated in orloinel scow of work The original contract was
specifically for design,permitting,plans,specifications and development of procurement documents. At the time it was
not known what specific post design services would be required.
4. Dsacr,)lje the Imoect If this change is not erocspsed;Atkins will not be able to provide post-design and engineer of
record services through construction.
• Type of Change I Modification
E. 1.Planned/Elective 2.Unforeseen conditions/circumstance 3.Quantity or price adjustment
4.Correction of error(s) all 5.Value added 0 6.Schedule adjustment
Change Requested By
Contractor/Consultant ❑Owner Using Department
_ Design Professional TJ Regulatory Agency(specify): Other(a.= ):
Purchasing Professional Participated in Negotiation of Change/Modification: Yes ►5 No
Approved by: Date: 1v Jyy j1Y
Gary McAlpin, Hager1141
Reviewed by: Date: r L,1.1 /5/
Adam Northrup, Procurement Strategist's Nary
-------
Reviled:5/16/12
1
16 A 26 .
CHANGE ORDER
CHANGE ORDER NO.2 CONTRACT NO. 14-6256
BCC Date:06/10/14
Agenda item: 16A1$
TO: Atkins North American, Inc.
4030 West Boy Scout Blvd
Tampa,Florida 33607
DATE: 10/22/2014
PROJECT NAME:Naples Beach Renourishment
PROJECT NO.: 195-90038
Under our AGREEMENT dated June 10th,2014
You hereby are authorized and directed to make the following changes) in accordance with
terms and conditions of the Agreement: Provide scope and fees for Post Design Services.
FOR THE Additive Sum of:STwenty Four Thousand. Six Hundred and Forty-Eight Dollars and Sixly-
Eitrht Cents(S24,648.68);.
Original Agreement Amount S105.204.00 ""
Sum of Previous Changes SO
This Change Order add 524,648.68 �
Present Agreement Amount SI 29.852.68
The time for completion shall be increased by 31 calendar days due to this Change Order.
Accordingly, the Contract Time is now 265calendar days. The substantial completion date is
03/06/2015 and the final completion date is 03/17/2015. 'our acceptance of this Change Order shall
constitute a modification to our Agreement and will be performed subject to all the same terms and
conditions as contained in our Agreement indicated above,as fully as if the same were repeated in this
acceptance. The adjustment,if any,to the Agreement shall constitute a full and final settlement of any
and all claims of the Contractor arising out of or related to the change set forth herein,including claims
for impact and delay costs.
1
16A26
., „ , , ,
IN WITNFS$14itEKEOF,the Contractor and the County have each,respectively,by an authonzed person or
agent,hereunder set their'hands and seals on the date(s)indicated below.
Accepted: 1 1 '%C3 20 14
T• r OWNER: 7
' ' : 1A. t. v`--- A .0-__/ BOARD OF a LINTY •<.4 MMlSSIONERS
iii' COLLI••' •ttLINTY '4 ARITA
i B • .,L_ ' 11u.
signature only. Torn Henning, hairman
ONTRACTOR: f
Atkins N rth America,Inc. . / By: Ill&„
trryMcAlpi.� 4, I < 1° Z4/Pi, '.E., Proj-, Manager
By: t 6(1.,4e'l .i..„ . 1. VI/L.
Bryan FlynnyDesign Professional(2.14-b - �E' • ENT D�� """"'` `„� /D/mZ,��/
Amy Parte n
Contra r First itnss
LAI..) * �- . Co+tic. t)IV1SIONA. IN1 .I'RA JR -(6-10 •2:1'Type/print witness name /'...) t0'
/yyl By „,/`// Nick Casatangt ida
Contractor Second Witness
(1/q h/Xr.,, 37 ` hu,7-' PROCU�tE ,TE )
Type print witness name /'
,{____/- T-D___
Adam'Northrup r-p
prl form and le `ty:
stant County Attorney
2
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