Backup Documents 02/28/2017 Item #16D 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 b
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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
.114-42
4. BCC Office Board of County
Commissioners y- z-ZA
rk
5. Minutes and Records Clerk of Court's Office
'?(NO 2128a7 34*I-k
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 Vicky Ahmad/Faci ties Contact Information 239-252- 037
Contact/ Department Management
Agenda Date Item was February 28,2017 Agenda Item Number 16D7
Approved by the BCC
Type of Document Change Order#1 to Au Miller Pools,LLC Number of Original One
Attached for repairing the Lazy River at the Sun-N- Documents Attached
Fun Lagoon.
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 STAMP OK SRT
2. Does the document need to be sent to another agency for additional signatures? If yes, SRT
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 02/28/2017 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 /' d►
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
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MEMORANDUM
Date: March 2, 2017
To: Vicky Ahmad, Project Manager
Facilities Management
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Change Order #1 to Contract #16-7014R
Au Miller Pools, LLC
Attached for your records is a copy of the document referenced above, (Item #161Y7)
approved by the Board of County Commissioners on Tuesday, February 28, 2017.
The Board's Minutes and Records Department will keep the original as part of the
Board's Official Record.
If you have any questions, please contact me at 252-7240.
Thank you.
Attachment
1 613-7-
Exhibit E:Construction
Change Order Form
Contract#: 16-7014R Change#: 1 Purchase Order#: 4500174865 Project#: 80353
Contractor/Firm Name: AuMiller Pools,LLC Project Name: NCRP Sun—N-Fun Lazy River j]
Project Manager Name: Vicky Ahmad Division Facilities Management Division
Original Contract/Work Order Amount $ 396,271.00 1.15.16, 16.1.11 Original BCC Approval Date;Agenda Item#
Current BCC Approved Amount $ 396,271.00 1.15.16. 16.0.11 Last BCC Approval Date;Agenda Item#
Current Contract/Work Order Amount $ 396,271.00 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 69,642.00 17.57% Total Change from Original Amount
Revised Contract/Work Order Total $ 465,913.00 17.57% Change from Current BCC Approved Amount
Cumulative Changes $ 69,642.00 17.57% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 01/09/17 Original 03/20/17 Last Approved 3/20/2017 Revised Date * See Note
Date Completion Date Date ,..,cludes this change)
#4 Below
#of Days Added 93 days Select Tasks •Add new tasks 0 Delete task(s) 0 Change task(s) 0 Other(see below)
Provide a response to the following:1.)detailed and specific explanation/rationale of the requested change(s)to the task(s)and/or
the additional days added(if requested);2.)why this change was not included in the original contract;and,3.) describe the impact if
this change is not processed. Attach additional information from the Design Professional and/or Contractor if needed.
1. The original scope of work for the Lazy River includes services to make known repairs and resurface the underwater
river surfaces. The resurfacing segment included surface preparation of the existing marcite coating by grinding relief at
its juncture with the waterline tiling and around drains,nozzles, underwater lights,etc. It also included a light, scarifying
of the surface of the existing marcite to ensure adherence of the new pool lining material.
During the surface preparation phase of construction, the contractor discovered many hollow, delaminated areas in the
existing, marcite surface of the Lazy River. To evaluate the extent of the delamination, the contractor went ahead and
systematically tested all areas of the floor and marked the problem areas. The testing revealed that approximately 50%of
the floor surface was hollow sounding indicating delamination.These areas that are no longer bonded to the concrete shell
must be removed prior to the application of the new finish to insure a predictable life for the new surface. The contractor
proposes to remove the loose areas of the existing plaster,then applying cement patching compound to re-level the surface
before resuming the complete resurfacing of the river. In addition to the hollow spots, there are other items discovered
during construction that needs to be repaired. The itemized cost and list of repairs are below:
Item Description Cost
1 Floor hollow spots — remove hollow spots by chipping, the patch and level holes $89,887
with cement.
2 Repair cracks in the wall-grind,epoxy&patch cracked walls. $ 7,968
3 Expansion Joint—reform and pour concrete to damage section of joints. $ 7,061
4 Underwater Light Conduit—Locate and repair light niche and conduit that is broken. $ 4,726
Sub-total Cost $109,642
Project contingencies ($40,000)
Grand Total Cost $69,642.00
2. These repairs were not included in the original scope of work because we didn't know that these repairs
(floor hollow spots, cracks in the wall, expansion joints were not bonded, and a light fixture disconnected
to the main line) are existing until construction started.
3. If this change order is not processed,the pool will be closed as it is not safe for public use.
4. * Completion dates: NEW Substantial Completion Date shall be 5/22/2017; New Final Completion shall
be 6/21/2017.
(Divisions who may require additional signatures may include on separate sheet.)
Revised:10/M2014
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DWIGHT E. BROCK,CLERK
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