Backup Documents 10/11/2016 Item #16A17 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP' 6 /1 f 17
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 CMQ r 121116
4. BCC Office Board of County �F VVII����
Commissioners /�-7'1
5. Minutes and Records Clerk of Court's Office 12112-116
3;�ern
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 addi'oval or missing information.
Name of Primary Staff Gail Hambrig ,Growth Management Phone Number 252-2966
Contact/Department
Agenda Date Item was 10/11/16 Agenda Item Number 16-A-17
Approved by the BCC
Type of Document Work Order—CB&I Environmental& Number of Original One
Attached Infrastructure Documents Attached
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 CMG
2. Does the document need to be sent to another agency for additional signatures? If yes, CMG
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 CMG
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 CMG
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 CMG
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 CMG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip CMG
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 10/11/16 and all changes made during CMG
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
Chairman's signature. x
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
1 6 A 17
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Tuesday, December 13, 2016 8:23 AM
To: HambrightGail (GailHambright@colliergov.net)
Subject: October 11, 2016 BCC Meeting (#16A17)
Attachments: #16-6629 (CB&I Enviromental Change Order#1).pdf
Good Morning Gail,
A signed copy of Change Order No. 1- (Contract #16-6629)
w/C13&1 Environmental & Infrastructure, Inc. that was approved
by the Board (#16A17) on October 11, 2016 is attached for you.
Thank you!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk to the Value Adjustment Board
Collier County Board Minutes & Records Dept.
239-252-8406 Fax 239-252-8408
1
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Change Order Form
-
®Contract Modification ❑Work Order Modification 0 Amendment
Contracts: 18-6629 Change 1t: 1 Purchase Order*: i 45- 169684 Project*:
195-90033
Contractor/Finn Name: C681 Environmental&Infrastructure, protect Name: 2016 Beech Renotrishm nt
Protect Manager Name-.' .1. McAlpin I Department: Coastal Zone Management
'Original Contract/Work Order Amount $ 111,756.30 812/16 18A10 Original BCC Approval Date;Agenda Item
Current BCC Approved Amount $ 111,756.304 6/7A/18 11.411 Last BCC Approval Date;Agenda Item# I
Current Contract/Work Order Amount $ 111,756.30 6/2812017 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 86,153.50 77 09% Total Change from Original Amount
Revised Contract/Work Order Total i $ 197.909 80 771X9% Change from Current BCC Approved Amount
(Ctmttlalive Changes 3 86,153.50 7709% Change from Current Amount
I Completion Deb.Oesoripgen d the Teeple) Redondo Change,and Redoo fee the Change
Notice to Proceed 8/19/16 Original 1/21/17 Last Approved( 721117 Revised Date 17/21/11 —j
DateCompletion Deb Dab ` (khdudes this things) L—
a of Days Added 0 Select Tasks 0 Add new task(s) 0 Delete WWI 0 Change tasks) ®Otter(see below)
Provide a response to the following 1.)detailed and specific explanation/rationale of the requested onange(s) to the task(s) and/or the
additional days added(if requested).2)why this change was not included in the anginal contract;ano,3.) descnbe the impact if this change
Is not processed Attach additional information from the Design Prolesslonal and/or Contractor/needed
1. This change order is to add County approved grant language and the following services to the above mentioned contract the
i pre-placement beach survey,the post-placement beach survey,survey control parameters and quality aasurancelqualrty
control services from the Engineer of Record to manage sand placement on the beach.The addition of thea@ services will not
increase the overall project costs but rather shift costs from the construction contract to the Engineer of Record contract By
doing this we assure better control and Quality Assurance over these services by County Staff.
2. The change being requested was not Included In the original contract because in previous beach renourishment projects,this
work has always been Included as a task In the construction contract,however,lessons learned from previous truck haul
projects have showed a need for Increased coordination between the Engineer of Record and the survey provider,and greeter
oversight by county staff.At the time of contract award,staff believed that the issuance of a new Work Order to perform the
surveys and quality assurance was the appropnats contacting method to order this work. After consultation with the County
Attorney's office,and out of an abundance of caution to adhere to CCNA laws,staff ie seeking a change order es the original
Engineer of Record contract In the future we will include these services In the Engineer of Record contract The grant
language and forms were not included In the original contract because of an unintentional oversight Please see the
attachment for additional information.
3. It this modification is not processed the survey control dunng construction will need to be solely performed by the contractor.
in the past this has led to placement errors and significant rework that could cost the county additional funds. In addition.
quality control would be been compromised. Performance of this change through the Engineer of Record will provide a level
of Quality Assurance required by ttrs project. If grant language/forms are not Included then possible grant reimbursement will
be forfeited,costing the County thousands of dollars.
Prepared by: 1� Mvi 4.. Dale: 91251/2014
,j/arry rand n.P E Cha(Manager
Acceptance of this Change Order shall constitute a modification to contract i wont order identified above and will be subject to all the same
terms and conditions as contained in the contract I work order indicated above,as fully as if the same were stated in this acceptance The
adjustment,if any to the Contract shall conatiMe a tut and final settlement of any end ms of the Contractor I Vendor/Consultant/
Design Professional arising out;ef pr misted to the change set//fonh harem,induding rms f imps 71"del ema
Approved by: Jt, — Date? J.. Approved �- Date c�lG9/f 40
Amy Pattern Division Director avid S Wilkison.Department Head
cn=adamnorthru I Deets: 9/29/2016
Approved by. p&icollicrgov.net
Adam Northrup,Procurement Professional /
2016.09,29 `.
'00'04-1Q:07:04 `-
Gunge 0
166629-2016 Beach Remote
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IN WITNESS WHEREOF, CB&I Environmental and Infrastructure, Inc. and the County, have
each, respectively, by an authorized person or agent, hereunder set their hands and seals on A.
the date and year first above written. `
BOARD OF COUNTYCOMMISSIONERS
ATTEST COLLIE COUNTY, FLORIDA
Dwight E. Brock, Clerk of Courts
I
By: *� ,AI: ' ►� ' (3f • By -
I Don a Fiala, Chairman
Dated: b ivi
(SEAL)
as to Chairman's
signature only,
CB&I Environmental and Infrastructure,
Inc
First Witness 41111 (
( _ By:iel
tC.YI ' k. e..i .r"` Signature
Type/print witness namet
Thomas P. Pierre, P.E. Director
Se nd Wit tsps
tType/print witness name1
Approve. to Form and Le alit :
iIlO,
` sistant County Attorney ACOP—in
Item#
Agenda O :Ake,
Date `fes
Date ala-1 co
Rec'd
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s, ' :La
Depu"WM/
2
Change Order Si
16-6629-2016 Beach Renounshment
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