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Agenda 09/13/2011 Item #16C139/13/2011 Item 16.C.13. EXECUTIVE SUMMARY Recommendation to approve stair's proposed Deduct Change Order No. 2, to Contract No. 10-5441 with Douglas N. Higgins; Inc., for the Isles of Capri Water Main Replacement Phase 1 Project. OBJECTIVE: That the Board of County Commissioners (Board) approve staffs proposed Deduct Change Order No. 2 to Contract No. 10 -5441. CON�1_D,ERADONS. Collier County entered into Contract No. 10 -5441 with Douglas N. Higgins, Inc., on April 29, 2010, in the amount of $1,074,097.00 for construction of the Isles of Capri Water Main Replacement Phase 1. Change Order No. 1 was approved by staff on February 10, 2011, in the amount of $22,301.84 for the removal of asbestos cement pipe, .once' the actual extent of pipe required to be removed was determined. As part of the project, a direct material purchase of piping material was executed by the county. The change order for this material purchase was not previously completed and is included in Change Order No. 2, along with final adjustments to the actual installed quantities. As a result of aggressive project management, these adjustments resulted in a decrease in the overall contract amount of $190,318.51 fora new contract total of $906,080.33; a $168,016.67 decrease from the original contract mount. The county previously processed pay applications and made payments to the contractor of $909,556.35. When taking into account the final quantities and direct material purchase included in Change Order No. 2, an overpayment was made to the contractor. of $3,476.02, which will be reimbursed by the contractor to the county and returned to Water User Fee Capital Fund 412. The previous pay applications also included retainage of $47,871.39, held in escrow, which will be returned to Water User Fee Capital Fund 412. The contractor has signed off on this deduct . change order so that the amounts paid out to complete this project can be reconciled and refunded by the contractor. Staff recommends approval of this Change Order to enable Clerk's Finance to accept reimbursement of the overpayment. FISCAL IMPACT: The fiscal impacts of this action are credits to Water User Fee Capital Fund 412 of $3,476.02 and $47,871.39. , LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County Attorney's Office, is legally sufficient for Board action and only requires a majority vote for approval —SRT. GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this Executive Summary. RECOMMENDATION: Approve staffs proposed deduct Change Order No. 2 to Contract No. 10- 5441; accept reimbursement of $3,476.02 from the contractor to be returned to Water User Packet Page -2464- 9/13/2011 Item 16.0.13. Fee Capital Fund 412; and accept refund of the retainage from the contractor in the amount of $47,871.39 to be returned to Water User Fee Capital Fund 412. Prepared By: Mark J. Sunyak, P.E., Principal Project Manager, Public Utilities Division Attachments: Change Order No.2 Packet Page -2465- 9/13/2011 Item 16.G.13. COLLIER COUNTY Board of County Commissioners Item Number: 16.C.13. Item Summary: Recommendation to approve staff's proposed Deduct Change Order No. 2, to Contract No. 10 -5441 with Douglas N. Higgins, Inc., for the Isles of Capri Water Main Replacement Phase 1 Project. Meeting Date: 9/13/2011 Prepared By a Approved By Name: WardKelsey Title: Manager - Contracts Administration,Purchasing & Ge Date: 8/24/20118:55:44 AM . n Name: HapkeMargie Title: VALUE MISSING Date: 8/24/2011 10:38:39 AM Name: CamellSteve Title: Director - Purchasing/General Services,Purchasing Date: 8/25/2011 7:09:56 AM Name: ChmelikTom Title: Project Manager, Principal,Public Utilities Engine Date: 8/25/2011 1:56:41 PM Name: WidesTom Title: Director- Operations Support - PUD,Utilities Fina Date: 8/25/20113:37:53 PM Name: TeachScott Title: Deputy County Attorney,County Attorney Date: 8/26/20114:41:25 PM Name: YilmazGeorge Title: Director - Wastewater,Wastewater Packet Page -2466- 9/13/2011 Item 16.C.13. Date: 8/28/2011 10:46:48 PM Name: KlatzkowJeff Title: County Attorney, Date: 8/29/20112:18:44 PM Name: UsherSusan Title: Management/Budget Analyst, Senior,Office of Manage Date: 9/620118:07:54 AM Name: IsacksonMark Title: Director -Corp Financial and Mgmt Svs,CMO Date: 9/6/20119:20:39 AM J Packet: Page -2467- 9/13/2011 Item 16.C.13. CHANGE ORDER TO CONTRACT TO: Douglas N. Higgins, Inc. 4485 Enterprise Avenue Naples, FL 34104 Contract No: BCC Date: Agenda Item: Pr4oject Name: Project Number CO #2 Change Order Description: FROM: PUPPMD 3339 Tamiami Trail East, #303 Naples, FL 34112 10 -5441 April 13, 2010 16C1 Isles of Capri Water Main Replacement Phase I 71010.7 June 28, 2011 Final reconciliation of quantities due to conditions discovered in the field during course of construction, Owner direct material purchase of pvc piping and work completed due to owner issued work directives. See Attached. Original agreement amount ...... ............................... ..................$1,074,097.00 Sum of Previous Changes ........................... ..............................$ 22,301.84 This Change Order No. 2 Amount (add or subtract ) ...........................$ (190,318.51) Revised Agreement Amount ....................... ............................... $ 906,080.33 Original contract time in calendar. days .............. ............................230 days Adjusted number of calendar days due to previous changes ...............46 days (time extension letter) This change order adjusted time is .................. ..............................0 days Revised Contract Time in working days ............ ............................276 days Original Notice to Proceed date ....................... ............................May 17, 2010 Completion date based on original contract time ... ............................Jan 2, 2011 Completion date based on time extension letter ..... ....................:.......Feb 17, 2011 Revised completion date due to change order(s) .... ............................Feb 17, 2011 Your 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 said Agreement indicated above, as fully as if the same were repeated in this acceptance. The adjustment, to this Agreement shall constitute a full and final settlement of any and all claims arising out of, or related to, the change set forth herein, including claims for impact and delay costs. FAIsles of Capri I Chg Ord to Wrk Ord 6 -2011 Am Packet Page -2468- 9/13/2011 Item 16.C.13. Change Order Page 2 Prepared by: 449-"f Date: 6 12' Diana C. Dueri, PMP Project Manager Water DMm Recommended by: Date: avid W. Schmitt, P.E. Q. Grady Minor & Associates, P.A. Accepted by: Date: 7 : f Contractor Approved by: "'�'� / Date: ( `� Mark J. Sunyak, P.E-; Principal Project Manager, PUPPMD Approved by: I LOU, Date: i ! To e lik, P. ., rDirector PUPPMD Approved by: Date: Pam libby, .PMP Water Operations Manager r Date: Approved by: 4 ,i7,1 Paul Ntat�tauscH, Director Water Department k' `�' Date: `I�'ti�"`,.'P�'� Approved by:J Tom Wides, Operating Department Director PUD Approved by: Date: Nicole Parker, Contract Specialist Purchasing Department .- �' °'`` - � �`' ��'�- �..--- .�•�..� Approved by: — - _ 0" Date: " f p George Yilmaz, P.E., Administrator PUD G:1 PROJ- ENG\C \CCU74\OSCDocs \O1Bidding- Addenda - COs- Cnrr \Che nrd to Wrk Ord 6- 2011.doc Packet Page -2469- n colle--r County Adrrinistzfive Services Division �\ Purvhasing ® Contract Change Request 9/13/2011 Item 16.C.13. Purchasing Department Change Modification Form ❑ Work Order Modification Contract #: Mod #: 2 PO/Work Order #: Project Name: 10 -5441 Current BCC Approved Amount 4500117689 Isles of Capri Water Main Replacement 4/3/10; 16C1 Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount Phase 1 Project #: Project Manager: Diana Department: PPMD Contractor /Firm Name: 71010.7 Dueri L -15.64%1 Douglas N. Higgins, Inc. Original Contract/Work Order Amount $ 1,074,097.00 4/3/10; 16C1 Original BCC Approval Date; Agenda Item # Current BCC Approved Amount $ 1,074,097.00 4/3/10; 16C1 Last BCC Approval Date; Agenda Item # Current Contract/Work Order Amount $ 1,096,398.84 r obtain from vendor): 0 Dollar Amount of this Change ® Change task(s) ($190,318.51 ) L -15.64%1 Change from Current BCC Approved Amount Revised New Contract/Work Order Total $ 906,080.33 3. Provide explanation why change was not anticipated in original scope of work: Best available information was used in the orginal design but information was limited due to the age of the system and practices in place at the time. Cumulative Changes to the utility ratepayers. ($168,016.67) - 177361/o Change from Current Amount Completion Date, Description of the Task(s) Change, and Rationale for the Change Original notice to proceed Last approved completion date: Revised completion date (includes this completion date: 1/2/2011 2/17/2011 change): 2/17/2011 Number of days added (if Explain why additional days are needed (detailed /specific): N/A extension, must attach current insurance certificate(s) from SAP r obtain from vendor): 0 Add new task(s) ® Change task(s) ❑ Delete task(s) ❑ Other (specify): 1. Provide a detailed and specific explanation of the requested change(s) to the task(s): This request is for the final quantities installed for the project and a decrease for the direct material purchased by the owner. 2. Provide detailed rationale for the requested change: During the course of construction, minor modifications to the plans were made to address resident concerns and field conditions discovered during the course of construction. 3. Provide explanation why change was not anticipated in original scope of work: Best available information was used in the orginal design but information was limited due to the age of the system and practices in place at the time. 4. Describe the impact if this change is not processed: As this is a cost savings, the impact would be an increase cost to the utility ratepayers. Type of Change / Modification ❑ 1. Planned / Elective ® 2. Unforeseen conditions /circumstance ❑ 3. Quantity or price adjustment ❑ 4. Correction of errors ❑ 5. Value added ❑ 6. Schedule adjustment Change Requested By ❑ Contractor /Consultant I ® Owner I ❑ Using Department ❑ Design Professional I ❑ Regulatory Agency (specify): ❑ Other(specify): Purchasing Professional Participated in Negotiation of Change / Modification: ❑ Yes Z No Approved by (Name and Title): i Date: ( f Reviewed by (Purchasing Professional): r,# �, ¢ ,� �. , Date:�> Revised: 2/2/11 1 Packet Page -2470- 9/13/2011 Item 16.C.13. ISLES OF CAPRI WATERMAIN REPLACEMNT — PHASE 1 CHANGE ORDER NO. 2 SUMMARY OF CHANGE ORDER ITEMS ITEM NO. 1: OWNER PROVIDED PIPE MATERIAL Collier County to provide PVC pipe material for installation by Contractor. This shall include: 5,200 LF of 6" PVC, C90O Pipe 5,620 LF of 12" PVC, C9O0 Pipe Also included is 6% sales tax savings TOTAL DEDUCT: $94,337.46 See Attachment No. 1 ITEM NO. 2: WORK DIRECTIVE CHANGE NO. 1. Miscellaneous pipeline adjustments as field determined. See Attachment No. 2 Item No. 1 — Final Quantities Item No. 2 — Final Quantities Item No. 3 — Final Quantities Item No. 4 — Final Quantities Item No. 5 — Add $968.00 Item No. 6 — Final Quantities TOTAL ADD: $968.00 ITEM NO. 3: WORK DIRECTIVE CHANGE NO. 2. Installation of 6" gate valve in existing main as precaution from unexpected main break due to existing main conditions. Work to be done at night. See Attachment INTO. 3. ADD: $4,369.26 ITEM NO. 4: Final Quantity Reconciliation Provide for final reconciliation of quantities installed on nroiect. See Attachment No. 4. DEDUCT: $101,318.31 TOTAL ADJUSTMENT: ($190,318.51) G:\ PRO7- ENG\C \CCU74\08CDocs \OSBidding- Addenda - COs- Cor\rha„oP.nrdPrw 2rvcd6- 3- ll.doc Packet Page -2471- w ATTACHMENT NO. 1 G:\ PROJ- ENG \C \CCU74 \08CDocs \O1Bidding- Addenda- COs -Cc "" - - ^ - ' Packet Page -2472- 9/13/2011 Item 16.C.13. 9/13/2011 Item 16.C.13. OWNER PROVIDED PIPE MATERIAL TOTAL COUNTY PROVIDED PIPE Invoice Date Size Length Unit Cost Extended 1118104 5/24/10 6" DR 18 5200 $3.79 $19,708.00 12" DR 1% 280 $13.91 $3,894.80 1118104 -1 5/25/10 12" DR 14 280 $17.58 $4,922.40 12" DR 18 40 $13.91 $556.40 12" DR 14 580 $17.58 $10,196.40 1118648 5/26/10 12" DR 18 440 $10.78 $4,743.20 1118108 6/16/10 12" DR 18 4340 $10.78 $46,785.20 1123718 7/30/10 12" DR 14 260 $17.92 $4,659.20 CM 065908 6/1/11 12" DR 18 600 ($10.78) ($6,468.00) $88,997.60 6% Sales tax $5,339.86 $94,337.46 G:\ PROJ- ENG \C\CCU74 \OSCDocs \O1Bidding- Addenda - COs -C '—"""" ,..,,,'.,. -- ---, `ATERIAL.doc Packet Page -2473- eo-N. 9/13/2011 Item 16.C.13. Q. , •. 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MYERS WATERWORKS #127 REMIT TO (NEW ADDRESS) PO Box 100286 ATLANTA, CA 30384 -0286 <L MMY';11 F CAPRI WATERMAIN SEC 32 TS 51 S RANGE 26 EAST NAPLES, FL 34113 rC is* I ! ��'C' E ,l t _L X79 MAY _ 8 LUIU �R -17Pu 3.g� FINANCE DEPT. TO g, OK TO PAY? .Signature Date &--q--(o .nm Nti 1UiH PROX ORIGINAL IMICE A accounts are due WA Payette per the invoiced temp. AN peat due wnowti are subjxt log tnrvfca drays at the nA7d n raW albwed br'r�ta hw ue =k a $ Dtf dOCk unten a*An ka e...w .r.... Dt Packet Page -2476- rut I l TOMSA- GROERNUMBER TAKCODE..L4504 SAL -_ JOB NAME WHSE. WHSE. tNVOTGI?Of{TE B7tTi�1 - 136 136 FLE 117679 082 ISLE OF CAPRI 05/24/10 67337 5200 320 5200 280 DR18PU DR1BP12 6 0900 DRIB PVC GJ BLUE PIPE 12 C900 DR18 PVC GJ BLUE PIPE 3.790 FT 19708.00 860 280 OR14P12 12 0900 DR14 PVC GJ BLUE PIPE 13.910 FT 17.580 FT 3894.80 4922,40 INVOICE SUB -TOTAL 28525.20 rC is* I ! ��'C' E ,l t _L X79 MAY _ 8 LUIU �R -17Pu 3.g� FINANCE DEPT. TO g, OK TO PAY? .Signature Date &--q--(o .nm Nti 1UiH PROX ORIGINAL IMICE A accounts are due WA Payette per the invoiced temp. AN peat due wnowti are subjxt log tnrvfca drays at the nA7d n raW albwed br'r�ta hw ue =k a $ Dtf dOCk unten a*An ka e...w .r.... Dt Packet Page -2476- 9/13/2011 Item 16.C.13. 0: ;'23/2011 10:C'0 Fr,% p 003/003 t�q tt OUR OROEA NQ_ ` - y, UATL BIL NO. FROM; r1aV ynal 6 ipa,,l P&odstjoe, . [no, '} Cr9 West Market Street 2? 721.4. �' °�r?t :r.;i:l.()i:f.o I -. "';:;4 >,24 F +,a(, ;L� Colfax, North Carolina 27285 CuS-. _ r. R0. NO... STOP NO. � NAA4 E' OF CARRIER f'iir TRIP. Pi O;_-.,• „ TRUCK No. DRIVER TRAILER NO. .1.. :001': ?TIC,3 41, SOLD TO SHIP TO; _� —_ t Q; L; :3r >t{J(�TF'hi,t(Jhl�a- 1= '1,.., 1`t /1P�1, »E. L. �- I.'i:i:G0;l:N. Ii (!k'{..E.':1C- .;(71;)::71 2'C1i:35:LT : 3,_. 7<<'!; 3- .:�i:'fij:LY� ?:: "�� "''ai ?�.._ti4 ;7, t3!t�.L it•».r,TE'F: i' %:! ",;) �' ?;s),• ,,Ir>cT i AFIi »ES , 1 -1., .?,, -1:1, 1•.':I . GUANT]TY DESCRIPTION Yy� TOTAL FLLT tVAIQNT .1.... I ,`., X• Q _ 0 r•'r " t;) i i 1, i3 F <1,.. t„ Ic. K n.I 1I• .- ) 0 .4 ::) •I 7 . (. . , 4 0 } �.� &IHmI t¢ asaUmr p pi Nr T►mvr E31...L1!: K,S 20 e . Oti m a "¢ 2 . , . ,... , i ('tfa , !ow mab ousae mA"PmP"a" In„w ; OM K at. n,a b N M' C/ '- a. '. ' 4a t? :L ; f31.., I „) [ K. •.1 .. 53 7 «Tr:w¢ „ rhrlaynrnveRndll r rom mn a to�vm tf " C? .1 7 ,f 13 FC ra (.f L. [.II: It.1 ;:'() 160 00 ': 3 t: 12 El 0 0 MA”. r) tit i1 I- I_ (1N L. Lt B F- _! }� , 77' '000 P" �. nlp„aluo mar � COMMENTti: L TOTAL WEIGHT ,� -� -• ;,� t:: 8 j 'I" ::y. W; J. rAC-i r 1 I_ E: 0P' C:tiITtFt1. l.Jra"!'F�_Ftri�'CeJ CAkPaEf? C0Nt,1("�i•:f.lD11C:.E.:: ,.f:CfitNIY t:if' >r.,• ; ::3E3 C; 1 T r ,I. r? Y` I'� t!. !s; !•: I'f f` U i',• l�; f;; 'i>>: i•.. U c3 i:i I" Y` i) YIl �;} ilY (7 I( i =: i,� it T4 is tl (' .. A Tl.Y �; tl ;;} tl _7 •. 'i !..- ?I .I.:1. .i. t l% /' ' ' [� ..!C+ i ;i ,� J. 3. v e r C,1 r C? ;',i ! a, ;;1 i ;L i :1, C a.:? ' h I - -rib, d ,,,rry Inn,'m na Prrn¢tr Rwmoa 9 fn ,n y h armm aopr mt w he m,mys a, bq Prooflb d,»+'t6M A;.. to THIS SHIPPING ORDER re- 00 lKl*I6ied In, In Ink, to Irdevlp Fvroli, or in RCi:EM1C, cagr Wro IptpY,pa try dlo AryDriL out{er,[M T+>r dmttllat" AAd sarille in endel on vie Cete Cl tttt0e ar pa9 Gtrtbr ('Ca!titor manna a- enmy doutgnatod shove sa'Goaki' and unr ppoe-aon or anUty m poaaaaalM of Vsv PfOCarTIr V 02T this elIJ of Ladlrp) a9lt9e to etrfy ttto prooAfTy 5eadtttvsd alawv fU+v Tromrtn to cs ttz"I ptaoo of 604" Bi Ihs Eeplirwrt7m k,andrlod obmw ;r nn ma rvtno, otherw!aa it dellv¢r to to iDftr ewr!ef an thy temp to 99Id Ceptlnanon. Corder hareby tm,df:Ba d,at tho F106ortyy W to dppamnt p 0 or, Pxt,at,t a9 F101W {tvracma arA toT>mm of Conan;/¢ of Podoipim vnL-nowd�, cut dr¢ P ry IR rna;�. ormdpr,vd, Anil ft w od as 1174=!S0 9lrna 419 rrn,L,at!y nVraod• n¢ to rnd, cArter of all w ony of oaFC Ftw ty over OA or 4Tly p5rt�i; d told Mite to tlea,Nat! xt, s nil es tv ¢onh �m at Any Ames !n!¢rnt»od in all or ar y,of e¢ d ProWtty, that w sty ee m" I) lis ppfidt f.4 UM3pt tnb 6t1J :f tadlnp andt bo aL•Di oa to 04 the teem¢ oDd ow-K%4j a o11nd Unhtum pyn9 c �onkyx R!L' U t.adinq 9ct furls (o) to Unuortn Aa.�yjht C;ssattl�atlun Lr onnn on tln dm¢ ,11 WA IR A MU of r911intar etdpcn9nL yr (t,) h trip App!h„. y" moor aurkr G9a¢illmoon or ntrifi tl !Ales !A e meter C9ttyr chop �rt C !»rohq CeritRaa Tal It IN tamIllar vAln All "w teriro e,W a drdort¢ of rh1t. 6711 of t.mfin ®, flmt„ainB d"aae on B" DaeFt Mxmf i<nd Utvsv a4ifm1h In 1Sn W ar{Rtatlan ot'tsfitY that 9arorn the h'nrte,p'artatan of thin rhlpm.M. Cat'riar twrvby van* to all each tat and eare,Mnwa one! era ru,rrepted fmrmld aalMar and Its realp•,e, - o it cernry /nest trie ADove named mewrWo am FKPoTty tlssAlA+Fd, laaMtxo. PnoknGaC� markod aM W-iw, mid bre in r."f corrdnJon for vanes portltivi M- - MIAp to tho appnG¢o,e rMutatlorm of Vie vetor:mex,1 of •itnnaVerlrillor, �IQNATJgP_ RRit[TC.O.a.tp: (AeRREad) C.�A_ANntINT' TITLE BtrIPP'iA L] ST^�.i'YVMa hr•'e''�r'rr'aairaa pay To PAID gy Ina lrrnvm Pgo'U'I 70 6E PAID Rr ' ' COr+4FGN4Q t_ `rf M. 9h1 h-m ewe¢ is d'Pat M Pont; by a CARilr ey waoaf, rho IAA re4UlrU that the C19 or ia,0rra nftell state irtrolfior It Iv'oart7era or WIlmr's weight, . NCrT$— IMi,r.v the rste b dopvt•,1ar„ en uvhie. Ahlppgrs ores requfrpe M ales» apaa!ildai/y fn vrgvttp Te agtoa7 yr dvdaFad •••at;,o of rho prmpeny. .. _ Tmry awnPUR r F4 tMr"RECTLY 01MC'RIBen. national PIPQ €x Plastlos, Inc. 3421 Old Vestal Road Vestal, New York 13850 Porrrtanent PQBI 0113oo tcddra4v of ehippor A.. W A-4-I. a ttra tW 6 yr by apw geoe ct,n v.oraF+ty l: irnby AP»'aliW¢Ib FKa4aQ 6y as anlowr b Da trot vrwaglrw Par e Q)GLfVERY RECEIPT: CAfTIar Ana tona}g ei earlity that the Property dear o0Q ab0aa sy r v 90 at ptr, tl ut!on In good condition and at tho Mrft Gilt forth rirx7ra. !t AI--, Conaignee E3 / Y "/ i - y'1N. L_r� All shortages and/or damages MUst be reported ' `Agont rnjat detain Ana retain Ihls staining to the S !Mer Within GD nays of receipt of goode. Ordor vend mtut stpn ire OrlalrAl Bpt.of LAa n. Packet Page -2477- FERGUSON TI ES, iNC:. . 17323 JEAN STREET FORT MYERS, FL 33912 ,. Please contact with Cluestlogs: 800 - 456 -1488 COUNTY OF COLLIER COLLIER COUNTY BOARD OF CO PO BOX 413016 NAPLES, FL 34101 SHIP I SELCI TAX COD74r,,.l TOMER ORDER WHSE. WHSE. 136 136 FLE 17679 40 40 DR18P1 580 580 pR14P1 ,RMS; NET 1DTN PROX accounts am due and payable per the im'oked forms. All past due a mur .Sts of C046CU 011 inchAW atlomW 6983 If incumd. Fre0i lama as Wo t 082 9/13/2011 Item 16.C.13. / v c", 1118104 -1 5382 1 PLEASE RR TO INVOIC NUMBR W MAK Q PAYMENT AND REITEo: HEH FEI -FT. MYERS WATERWORKS #127 REMIT TO INEW ADDRESS) PO BOX 100286 ATLANTA, GA 30384 -0286 JIMMY ISLE OF CAPRI WATERMAIN SEC 32 TS 51 5 RANGE 26 EAST NAPLES, FL 34113 J-.n W':)L_ JOB NAME .INVOICE DATE 767344 ATCH ISLE OF CAPRI 05/25/10 ID ,ITSee�Bitet�rrr� --e�.� 12 0900 DRIB PVC GJ BLUE PIPE 12 C900 DR14 PVC GJ BLUE PIPE INVOICE SUB -TOTAL 1 `.. r' `. E J. V FINANCE i)EPT, -.'. J "•_�r_c nom• :. "" _. ,. qS- ! 1`7 �`]� To to OK TO PAY? Signature Date Packet Page -2478- 13.910 y F//T 556.40 17.580 VFT 10196.40 10752.80 10,752.80 REVERSE SOE 05/23/2011 10:00 FAX 9/13/2011 Item 16.C.13. C. UU'L /=O FRC)M: national Pipe ,& Pias 4ioS, Inc. OvR V21. 1d0. rl" TE _ \ � '� NO.r 8602 West Market Street a '-7` 3 r� 5/14ti0 254' �{ F AC91i, Colfax, Borth iarollna 2'7235 CURT. P_n, lvcr_ \ STOP NO. F1 36al 911 2P NAME Or CARRIER _ TRIP KO, 'TRUOIt h O_ OR /Yt'FI 7FiAlLEr1 NO. , JUNES - KQTCJR 7 03 sal o To SHIP TO: EEI d •'0136fwA1'ERWa2KS -F�'. NAPLES. v t YF P . O . PDX 9406 HAMPTt1N, VA 2167-0-0406- C -" 1 d3�i- aS3- :33GS1�3�,' —F C�J?1�i1 :9:3 -9Etr A HA PLES , FL 313.13 <7 57) 223--6000 OUANTITr 6coonlPTIONI TOTAL, F£GT WEM147 0 ? 7. 2"OR ?.£3 BLUE K.J ?..O 40. 00 774,3320 `Y"�DVtwfta'rkwwtp�k 0 1 1'2"DR 14 BLUE KJ 20 ' 20, 06! • 4129.1,00 ,D""4"'o` J A J IV OR n I ' OR 14 SLUE KJ 20 'I-C, ?40.00 �.Ipf>� , 200 3 B,nP• wA—y YYnwra! ?I �} 1211 QR 7.4 BLUE KJ 2t5 320100 702-,,600 °•"•""enwaawn d eY vaJm n w.ao.i nv�a, at 0 2 OALLON L.UF3S, 27 —A .000 ^+t+t.a ra smnr vagr m.g� M anima u+bb a, n,1u•r nwro --rsm a, PrepvA.3 C�7MNIFNTS; TOTAL i WEIGHT 1..49.58.220 011N':6EC 32 TS 51 S RANGE 26 FAST rAo. -ISLE OF CAPRI W6Tf'RMATN CARRICR CONVF.NXTNCfi; JShhy QR -JC1l ?J5'- 2."i3 -3g01 /' 39"' 60 —f3219 Carr -iNrr MU%t Pi'OtGc!-C L.n:1d From Omoke Dr�mnge ADY rh;;ius&5 Call. 0 -liver On Q5/1,919.0 1. it'll THIS SHIPPING 08DEPtm�� .b,rh�l>n+,��k�.,�r.�,ah necFn's; TMCi� v 1a aratYkffibro rid aJ"sR+ M .fin m u�a nrao Khs� vw bp^p � .. i W,t.JI'r-0nrw ^mw•�rPy.adM t�K7n�W.<nlvrti+ni•(Sa•rfnt nM �M ppnvrrortQepla,'it yt�DDµptrtulen MruFr.�.rr t�cKn NO Wfatresiro).a.+dd �n e.rry mm proc»• fr auo,evd +ba.o (r[�•Provar`1�wL�wualdem 1 of Mdyl ned9;b6M 1d LLYY.IH a6p e, 11M, IsarnW,swwws t. 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P-9 3 Packet Page -2479- FERGUSON %ENTERPR1SF.S,,ft1*.:;,.... 17323 JEAN STREET FORT MYERS, FL 33912 2 -1 13 f'. 3: 04 Please oontAd with Questions: 800 - 456 -1486 11 oil n1I II III I IIIIs11It I Fella III III IIII 00001537 01 AT 0.357 01 TA 009 FRIDCFDI 000000 COUNTY OF COLLIER COLLIER COUNTY BOARD OF CO PO BOX 413016 NAPLES, FL 34101 t .4—j CQ-13 JOB NAME ISLE OF CAPRI 9/13/2011 Item 16.C.13. 1118648 5382 1 PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO: FEI -FT. MYERS WATERWORKS 1127 REMIT TO (NEW ADDRESS) PO BOX 100286 ATLANTA, GA 30384 -0286 SHIP SELL TAX CODE CUSTOMER OF WHSE. WHSE. 136 136 FLE 14500117679 1 440 440 DR18P12 I RE EIVED I;tl{ 0 2 1410 FINA CE DEPT. 082 12 0900 DR18 PVC GJ BLUE PIPE INVOICE SUB —TOTAL 05/26/10 10.780 FT To a"L _..T�' /d OK TO PAY? Signature .' " .;aEEfi Date__. � =r 67356 nci duin rnuA ORIGINAL INVOICE ��743T0 AJf accounts an due and Dril a pert Imuiced W=, All Past due W*Ulft em Subpctk kwed Cy stria bN pkx "nrdF*It*"""F0BourdDckurk:s Packet Page -2480- WARY PROVISKM: SEE REYERn SID 4743.20 4743.20 --- -' 9/13/2011 Item 16.C.13. .. �• al Z" i. � 31 it rL r� ig 6 to in 7-7 77. r.r. Lu CO Ali �j 4i . ...... . El Ej E, WO 2z V -77 19 it C.Q -.1 E A r, IS ILL JIL Packet Page -2481- /_11 FERGUSON ENTERPRISEIS NC. 17323 JEAN STREET FORT MYERS, FL 33912 �7 its Please oontaot with Questions. pu 800- 456 -1488 Ilr f Jut COUNTY OF COLLIER COLLIER COUNTY BOARD OF CO PO BOX 413016 NAPLES, FL 34101 SHIP SELL TAX CODE CUSTOMER OF WHSE. WHSE. 127 127 fLE 45001174 4780 1 4340 I DR18BP12 :JUN 2 2 2U10 INANCE DEPT, IM M 9/13/2011 Item 16.C.13. _ 1118108 PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO: FE. MYERS WATERWORKS x+127 / S REMIT TO (NEW ADDRESS) PO BOX 100266 j ATLANTA, GA 30384 -0286 JIMMY OF CAPRI NAPLES, FL 34113 NUMBER I SALESMAN JOB NAME INVOICE DATE BATCH 082 JISLE OF CAPRI 1O 06/16/TO 67442 12 C900 DR11 PVC CJ BLUE PIPE i 70.780 FT 46785.20 INVOICE SUS -TOTAL 46785.20 c�(2ti J 0 TO�rt� e. � "2'. ! 01Q.0 PAY. NT Signature ►-a Date 42 -3 (d —1 U �+ n 1 �c:t'f..�2• Z�7Af'.ltt� R.cQ.d ERMS. NET 10TH PROX IGINAL INVOICE 46,785.20 II accounts ate due and payable per the invoiced trans. All past due amounts are subllect W a sorvice Ch a at the maximum role allowed by state law plus wARRANry PROVISIONS. SEE REVERSE SIDI ISIS of collection Including mnoy fees It incurred. Frai9ht terms art FO3 our dot* unless otherwise spa died above. Packet Page -2482- WS.,ca 11 U.1 e 11 Al 11 V•4 z W., OL W Z U 'M g :--r- V J t-i : 3*. Uj Cq r-4 —, 9/13/2011 Item 16.C.13 Ld C.0 Uj cj*i 9/13/2011 Item 16.C.13 OL N w 0 z 0 w cc w e-j tz I-- 9/13/2011 Item 16.C.13 xi U) z uj z i LU I.L. LU 0 0 L) Ld M, —777 al W In, 0 MC, 1=0 Packet Page -2483- LL ui Q. U) a¢ .: w rZ (HOE) -N Lj Lu cc Ul xi U) z uj z i LU I.L. LU 0 0 L) Ld M, —777 al W In, 0 MC, 1=0 Packet Page -2483- LL ui Q. U) a¢ .: w rZ 1-., FERGUSON ENTERPRISES INC. 17323 JEAN STREET FORT MYERS, FL 33912 Pieria Contset with Qurrstions: 800 -456 -1488 COUNTY OF COLLIER COLLIER COUNTY BOARD OF CO PO BOX 413016 NAPLES, FL 34101 SHIP I SELL I TAX CODE CUSTOMER OROEI WHSE. I WHSE. _ 136 1 136 1 FLE 4500114973 260 260 IDA14OP12 ECEIVED AUG U 5 ZULU 'NANCE DEPT. 062 I JOE THOMAS 9/13/2011 Item 16.C.13. 1123718 5382 1 PLEASE REFER TO INVOICE NUMBER WHEN MAKING PAYMENT AND REMIT TO: FEI —FT. MYERS WATERWORKS #127 REMIT TO (NEW ADDRESS) PO BOX 100286 ATLANTA, GA 30364 -0286 H_lS>OJN S APRI JOB NAME 112 0900 DR1� PYG CJ BLUE PIPE INVOICE SUB —TOTAL OK TO PAY? Signature � _ P _ :Rms.. NET IOTH PROX ,.A aaocuMs an duo and paya* par ft 0voiasd firms, All past due amounts are subj►ct to a sareice LOatb 01 colectlon irckxr%V al0 M lass M incurred. Freight temp are FOB Our dock unka s otherwise FINAL INVOICE it the muhvin rate albwed by sttis law plus d ahOw. Packet Page -2484- INVOICE DATE BATCH 07/30/10 67634 17.920 FTT 4659.20 4659.20 REVERSE �D �a FERGUSON /O N ENTERPRISES, INC. FEI -FT. MYERS WATERWORKS #127 17323 JEAN STREET FORT MYERS, FL 33912 Please Contact With Questions: 239 - 433 -0555 9/13/2011 Item 16.C.13. EMAIL DUPLICATE INVOICE Deliver To: SANDRA /COxxzE From: Chad Hankins Comments: Invoice Number Customer Page CM065908 5382 1 Please refer to Invoice Number when making payment and remit to: FEI -FT. MYERS WATERWORKS #127 REMIT TO (NEW ADDRESS) PO BOX 100286 ATLANTA, GA 30384 -0286 Sold To: COUNTY OF COLLIER COLLIER COUNTY BOARD OF CO 3299 TAMIAMI TRAIL E STE 700 ATT: ACCOUNTS PAYABLE Ship To: TOTAL DUE -- -> - 6468.00 Ship Whse Sell Whse Tax Code Customer Order Number Sales Person Job Name Invoice Date Batch 127 127 FLE 4500117679 082 ISLE OF CAPRI 06/01/2011 CM0 Ordered Shipped Item Number Description Unit Price UM Amount 600 600 DR18BP12 12 C900 DR18 PVC GJ BLUE 01 1118108 - 10.780 FT - 6468.00 Cust P0:45001176 I Job Name: ISLE OF CAPRI Invoice Sub -Total - 6468.00 Tax 0.00 ALL ACCOUNTS ARE DUE AND PAYABLE PER THE COND ARE SUBJECT TO A SERVICE CHARGE AT THE MAXIMUM ATTORNEY FEES IF INCURRED. FREIGHT TERMS ARE FC AND CONDITIONS ARE AVAILABLE UPON REQUEST OR C GOVT BUYERS: ALL ITEMS QUOTED ARE OPEN MARKETI Packet Page -2486- TOTAL DUE - - -> - 6468.00 INVOICE. ALL PAST DUE AMOUNTS COSTS OF COLLECTION INCLUDING ECIFIED ABOVE. COMPLETE TERMS 9/13/2011 Item 16.C.13. ATTACHMENT NO. 2 G., TROJ- ENG \C \CCU74 \08CDocs\O1Bidding- Addenda - COs- Ct—^' - - --- ^ ' " Packet Page -2487- n David Schmitt From: Sent: To: Cc: Subject: Attachments: David Schmitt Saturday, July 24, 2010 1:13 PM 'Dereck Moorley'; Brandy Bartolone DueriDiana; 'SextonFred' Isles of Capri Work Directive 2010O724124552765.pdf 9/13/2011 Item 16.C.13. 2010072412455276 5.pdf (2 MB) Please look over and execute. Bring to Progress meeting. This will eventually be turned into a Change Order with other items and Quantity reconciliation. This will help with documentation. I adjusted the one item to reflect relay only. Remember to get me the Redlines up to work we are seeking clearance on. Thanks. - - - -- Original Message---- - From: administrator @gradyminor.com [mailto :administrator @gradyminor.com] Sent: Saturday, July 24, 2010 12:46 PM To: David Schmitt Subject: This E -mail was sent from "RNPElA1AA" (Aficio MP C5000). e'-",,Scan Date: 07.24.2010 12:45:52 ( -0400) Queries to: administrator @gradyminor.com 1 Packet Page -2488- / /�� ovr�l a. WORK DIRECTIVE CHANGE 9/13/2011 Item 16.C.13. PROJECT NAME: Collier County T S uS s U%: G �� M CONTRACT: to- 544 1 CZ eP Lb. a }.dlF �s'►� - 1�� l p rz U.J _ °1 1 ®1 ®m7 CHANGE 2 PO V500 117CO$9 DATE OF ISSUANCE• J vL.y 210 1 -L01 ca EFFECTIVE DATE: .9 u `y 7-C., 114-0 OWNER: Collier County Board of Commissioners CONTRACTOR: to �4 V4 IL,UII.LS ENGINEER: (3 _ C.,2.Avj r-A i" 2 PROJECT #: You are directed to proceed promptly with the following change(s): 4T�rd1 m-Ia. •tPaPsNe.. 4%ofuST1,AeMr �T 5uunj •caara1acr1oLA C&-u' r- toL_ti0V_r%Z-T) Pg2.ecF- A,psu.s- rmtss-t r P�� Uht1Ti Pt21C1�5. SEE P� G+9�4� NO. `L. A„ L I G 14 p-A ka.A r ia L.V v G702LC� �d�USTAAC+.IT �ExL VA1L'f E�4LLCrcS.S'EE �ci"�ca9�� T°1Q• 2• ITS-' -^ kQ. 3 �„LLG.�PssG�•ir Y3EUSTMti�t�) FiH4�1'L S ?ALE YS. 6�K2LG� g7JcJSC�PRC�J� PEvL U1d1i PetGES. SSE 4TTAC�.Ie® t-to, 3: Q'o'st.o, 6.Lo. 4- B. Ltt-m4 t-�.A -' Ar0Ju$T1,att5.Vt- AXT1GU.A•1j1'LLCE �?SNL Ul -IITi' PW2.tCC .SEE b°'y°i'�.L►.s�'D 1-W • 4 If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the changes(s). Method of determining change in Contract Price: Method of determining change in Contract Times: Time & Materials [] �� � a�� . 0 Contractor's records Lump Sum ❑ Engineer's record 1,s ONF_ ❑ Other : ❑ Other Estimated increase (decrease) in Contract Price: Estimated change in Contract.Time: N oKe- '¢o Ss DF-Tz: "IVAF -0 JAAL_ C)UAa 4To9N Recommended By: Approved By: Q La YLb,0y r As a-tuv- CLit.A.L `vt C(;v;A sL�e Packet Page -2489- 02/21/08 8:35 AM 9/13/2011 Item 16.C.13. Q. GRADY FOR & ASSOCIATES, P.A. DATE: J g.,, LV a-Co , 7-UN u Civil Engineers u land Surveyors ® Planners 3800 Via Del Rey PROJECT: T 'SL S 3 Or- C ! P4. �- Bonita Springs, Florida 34134 �\ (239) 947 -1144 ■ Fax (239) 947 -0375 �' Cy a� Email: engineering @gradyminor.com PREPARED BY: 9�aa -s Engineering Certificate of Authorization: EB0005151 _ �l�Mi _I?�R?�?.I..__. 0tl2Akt._� �043g u'6'19 .&II° ._ �C rip— d�._y..Z�i�Cx'r9� _.) i -ilkiG iWIZ44 PZ9t` sdifiae' ABC 11 i I I ,� +>•d. ldAdi9' � it .5 C A. E w F_ 1 "el_ 141 !_ nadps. 1-te� �d*L (�C. P I PG. Cali I I , -_._ i . � I iy �p� ( II}- ® .I1•. _ u! ./_ 4. i _ - e- ��, - -- I q'�r. -� -._` _ ( I r -__ . psi d�'D ! ��i'�.9� � I � i .°9 F✓ Y.J I '1 � � N!� � � •__. � �6J ma � � � V � � .,°" �!' 11 i I ! ! I , U TT CGS L I I I i ! j I i � ; � i I I i I i ... I .i. .....- i. _I _ ....i- .I ....i .. ... ' I I ' I I i I ' 1 1._.__. _ _._..1_._ __.. I I ! ! I 1 , I ! ! j ! j I 1 I i I ' 1 ! ! I ! I I , ! Packet Page -2490- 31Z, 9/13/2011 Item 16.C.13. " A1rrAc"Wr�c David Schi rift" From: David Schmitt Sent: Saturday, May 08, 201011:12 AM To: 'DueriDiana; Dereck Moorley;'Brandy Bartolone'; SextonFred Subject: Isle of Capri Temp Connection at Bridge Attachments: 20100508103933001.pdf 2010050810393300 1.pdf (167 KB)... I looked over what we discussed in field. We had anticipated the tie in near end of job -but it can be done sooner. Attached is sketch of what I would anticipate. I also think we can save the cost of valves(especially since temp in nature) by using the existing. Will need to verify operation. If they do not work perhaps we can utilize some temporary used valves to save $$.The same would go for fittings. Please review and comment. Thanks. -- original Message---- - From: administrator @gradyminor.com [mailto :administrator @gradyminor.com] Sent: Saturday, May 08, 2010 10:40 AM To: David Schmitt Subject: This E-mail was sent from "RNPElA1AA" (Aficio MP C5000). Scan Date: 05.08.2010 10:39:32 ( -0400) Queries to: administrator @gradyminor.com 1 Packet Page -2491- 11�� 1-11.1 N 10-N, 9/13/2011 Item 16.C.13. Q. UFCADX NUNUA M AbbUWAIVO, r-19— DATE:. ti I'S I 10 Civil EngWeers a Land Surveyors m Planners 3800 Via Del Rey PROJECT: JESL=- C)D2 C-A-va ® Pm. L Bonita Springs, Florida 34134 (239) 947-1144 0 Fax (239) 947-0375 Email: engineering@gradyminor.com PREPARED BY: 'Dv-4S Engineering Certificate of Authorization: EB0005151 LJ X do a J Ir X- N I jj 7i VIA— F, ---- - ----- T 4 ------ Packet Page -2492- 15,1 ze) 3 or 3 9/13/2011 Item 16.C.13. Q. GRAD' MMOR & ASSOCIATES, P.A. DATE: 5I-M"a Civil Engineers a Land Surveyors q Planners C *7 PROJECT: ISLr— P-., ia i - 3800 Via Del Rey Bonita Springs, Florida 34134 (239) 947-1144 0 Fax (239) 947-0375 Email: enginecring@gradyminor.com PREPARED BY: 1)'-43 Engineering Certificate of Authorization: EB0005151 T 0 U, W w 4 0 )j'j D W U > > �ij L -W:� Z www-> Uj Ui M W>-:D i > => -j lu cc 0 Uj w —>< w XW >U U1 Uj. Ui i _x 0 Uj ID Z r+1 - M 10 ? 16 Uj C) (n Z . w X Uj -1 rD in. 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ATT4Gv1rAt_ -V3r 'Wo.2 David , ch.Mitt 4- From: David Schmitt Sent: Tuesday, June 08, 2010 7:20 AM To: 'Dereck Moorley'; jimmyn @dnhiggins.com; 'SextonFred'; 'davelaterneau @colliergov.net; 'Brandy Bartolone' Cc: 'D ianaD ueri@colliergov. net; 'matttapley @colliergov.net'; 'joethomas @colliergov.net' Subject: FW: Isles of Capri Change at Capri Blvd. Attachments: 20100608065006209.pdf 2010060806500620 9.pdf (2 MB) For your Use, this shows routing based upon our discussions. - - - -- Original Message---- - From: administrator @gradyminor.com [mailto :administrator @gradyminor.com] Sent: Tuesday, June 08, 2010 6:50 AM To: David Schmitt Subject: This E -mail was sent from "RNPElAlAA" (Aficio MP C5000). Scan Date: 06.08.2010 06:50:06 ( -0400) Queries to: administrator @gradyminor.com 1 Packet Page -2494- -7j -zq ILS lil O a 0 Packet Page -2495- -ZO S off: 4- ' 9/13/2011 Item 16.C.13. i I 1 g I..._.. 6 LMM aEM'Nouvn II.i.NOO *I03 .. 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Packet Page -2503- A rm c,t t----ar W o . 4. 1 tar 4 9/13/2011 Item 16.C.13. 100� David Schmitt From: David Schmitt Sent: Monday, July 12, 2010 7:56 AM To: 'Dereck Moorley'; 'DianaDueri @colliergov.net; jimmyn @dnhiggins.com; Brandy Bartolone; SextonFred; 'davelaterneau @colliergov.net' Subject: isles of Capri Cristobal Adjustment To stay away fro the electric box the 12 x12 x6 tee should be shifted to south and once the main clears the box it should be deflected back to 5 foot off EOP. 110� David Schmitt, P.E. GradyAlinor 3800 Via Del Rey Bonita Springs, FL 34134 Phone - 239.947.1144 Cell - 239.564 -3885 Fax - 239.947.0375 Web - htto: / /www.aradvminor.com Please consider the environment before printing this email DISCLAIMER: This communication from Q. Grady Minor & Associates, P.A., along with any attachments or electronic data is intended only forth addressee(s) named above and may contain information that is confidential, legally privileged or otherwise exempt from disclosure. The recipient agrees and accepts the following conditions: The electronic file /data Is for informational purposes only and is the responsibility of the recipient to reconcile this electronic file /data with the approved and certified "plan of record" along with actual project site conditions. Q. Grady Minor & Associates, P.A. reserves the right to revise, update and improve its electronically stored data without notice and assumes no responsibility due to a virus or damages caused by receiving this email. 7/12/2010 Packet Page -2504- A,7129 Z .a or 4 David Schmitt 9/13/2011 Item 16.C.13. From: David Schmitt Sent: Friday, June 18, 201012:50 PM To: ' DianaDueri @colliergov.net';'Dereck Moorley; jimmyn @dnhiggins.com;'Brandy Bartolone';- 'SextonFred'; 'davelaterneau @colliergov.net' Subject: FW: Isles of Capri Cristobal and Antigua Attachments: 20100618111821419.pdf UJA 2010061811182141 9.pdf (1 MB) Attached are changes we discussed yesterday following the meeting. - - - -- Original Message---- - From: administrator @gradyminor.com [mailto :administrator @gradyminor.com] Sent: Friday, June 18, 2010 11:18 AM To: David Schmitt Subject: This E -mail was sent from "RNPElAlAA" (Aficio MP C5000). 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Per discussion at yesterday Progress Meeting and subsequent site review of potholing, the following adjustments are to be made. These. adjustments will require approx. 25 feet of pipe to be re -laid. These adjustments will minimize potential AC pipe conflict and its removal. It is noted that in lieu of pipe laying the contractor was requested to do this potholing to verify existing utility locations. As appropriate please provide pricing for this work. - - - -- Original Message---- - From: administrator @gradyminor.com [mailto :administrator @gradyminor.com] Sent: Friday, July 16, 2010 3:01 PM To: David Schmitt Subject: This E -mail was sent from "RNPElAlAA" (Aficio MP C5000). 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Attached are adjustment based on our site meeting. Water Services also discussed. All services in the business area are to be min of 1 -1/2" to accommodate potential changes in use. In residential areas a 1 -1/2" is to be used for double services and 3/4" at single services - - - -- Original Message---- - From: administrator @gradyminor.com [mailto :administrator @gradyminor.com] Sent: Monday, July 19, 2010 2:04 PM To: David Schmitt Subject: This E -mail was sent from "RNPElA1AA" (Aficio MP C5000). Scan Date: 07.19.2010 14:03:58 ( -0400) �� Queries to: administrator @gradyminor.com Packet Page -2514- ? U` 9/13/2011 Item 16.C.13. ............ ....... _......_. `. __— .:. _._ . _...._.......... _... .. _._........ AP 1,11d S , \' • L '33.5'�•I TSVf1NISN0Q:IOH. ! S S 8T `ts 3t`II'�I�J ; 4 yypp I � qq , 1= ., a •�s: 6 �� _-� _____ I- Jg I I ............... '...._. W .. o ..._ .:.. .. s y, yF pgld yp! j[ gi7•n I- �. I I '`ao owS ilb Y6 �� Fb =.'...: ....•.............. w� .... 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Eg 6 `4 .............. . ......... ........... ............. it Q ..... . ....... ........... ............... am WolLyr IML900 Packet Page -2516- 9/13/2011 Item 16.C.13. ATTACHMENT NO.3 G:\ PROD- ENG \C \CCU74 \08CDocs101Bidding- Addenda - COs - Corr \Change Order No. 2.doc Packet Page -2517- v/ Ex 1 V O O 0 P N O e� N N Ca 0. Q � P .i Z v O Packet Page -2518- G'7 O U O F- 9/13/2011 Item 16.C.13. i i LO U o N N oD .s� M C(O r IN B CO r N Co M i0 m O h Efl� EH 4h d� O Lp LS] L!') N O N O Co 0 r (o G1 CmD r N [+') C! �L M .A d.d O Co V! O O. L. U O ` l6 Co r > � L J O N O O' v O i- i- N � _m p CM Cn Z � Q Packet Page -2518- G'7 O U O F- 9/13/2011 Item 16.C.13. i i N U N 0 Y >O O O U O M _I C .0 C� nJ Packet Page -2519- 9/13/2011 Item 16.C.13. 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RENTAL cE TURN INVOE C ustomer Number . 416050 Invoice Date Z 9/08/10 Rental Out 9/07/10 4:00 PM Rental In 9/08/10 4:13 PM Job Location: ISLE OF CAPRI, NAPLES 'Tab Number 19 P.O. Number TBD Ordered By KEN Written By t UR662FG Sales : 5113 N1 DOUGLAS N HIGGINS INC PAYMENT OF $201.20 DUE ON 10/08/10 . . .­_.....1_.. . ....... ... 5 4485 ENTERPRISE AVE 1 PAYMENT OPTIONS: Checl((Mall) - Check(Fax) - Credit Card(Phone) 1 0 NAPLES, FL 34104-7076 BILLING INQUIRIES: Ph# 888-481-2660 Fx# 704-921-6627 jj M RENUTTO: UNITE6 RENTALS (NORTH AMERICA), INC. PO BOX 100711 V ATLANTA, GA 30364-0711 ------------------------------ pgi2rL1'K1[L �ia�eqtt�qn pqp_rqtqn to p 1 payTsrl _!;T:i RENTAL Qty ITEMS: � Equipment Description Minimum Day Week, 4 Week Amount 1 861150 -LIGHT TOWER, TOWABLE SM (LITE) 77.00 77.00 287.00 369.00 77.00 Make: MAGNUM PRO Model: MLT3060 Serial: 062229 Meter out: 4460.40 Meter in: 4464.50 1 861253 -LIGHT TOWER, TOWABLE SM (LITE) 77.00 77.00 287.00 369,00. 77.00 Make: MAGNUM PRO Model: MLT3060 Serial: 062245 Meter out: 1483.00 Meter in: 1487,20 Rental Subtotal: 154.00 SALES/MISCELLANEOUS ITEMS: Qty Item Price Unit of Measure Extended Amt. I ENVIRONMENTAL CHARGE [ENV /MCI] .720 (EA) EACH .72 3 DIESEL [DSL/MCI] 6.200 (EA) EACH 18.60 3 DIESEL 6.200 (EA) EACH 18.60 Sales/Misc Subtotal: 37.92 Agreement: Subtotal: 154.72 Fuel: 37.20 Tax: 9.28 Total: 201.20 THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT, WHICH ARE INCORPORATED HEREIN BY REFERENCE. A COPY OF THE RENTAL A Packet Page -2521- QUEST, Page: 1 J,;!) w j, 4r .... ... . ... THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT, WHICH ARE INCORPORATED HEREIN BY REFERENCE. A COPY OF THE RENTAL A Packet Page -2521- QUEST, Page: 1 mi DOUGLAS N HIGGINS INC 4485 ENTERPRISE AVE NAPLES, FL 34104 -7076 2 9/13/2011 Item 16.C.13. RENTAL AGREEMENT. Customer Number 416050 Agreement Date s 9/07/10 Rental Out 9/07/10 4:00 PM Scheduled In 9/08/10 4:00 PM Job Location: ISLE OF CAPRI, NAPLES Sob Number 19 P.O. Number TBD Ordered By KEN Written By TJR662FG Salesperson 5113 RENTAL STEMS: Qty Emzipment Description Minimum Day Week 4 Week Estimated Amt. 1 861150 *LIGHT TOWER, TOWABLE SM (LITE) 77.00 77.00 287.00 369.00 Make: MAGNUM PRO Model: MLT3060 Serial: 062229 Meter out: 4460.40 1 661253 *LIGHT TOWER, TOWABLE SM (LITE) 77.00 77.00 287.00 369.00 Make: MAGNUM PRO Model: MLT3060 Serial: 062245 Meter out: 1483.00 Rental Subtotals COMMENTS /NOTES: A CLEANING CHARGE WILL APPLY TO EQUIPMENT RETURNED WITH EXCESSIVE DIRT, CONCRETE, AND /OR PAINT. CUSTOMER IS RESPONSIBLE FOR ALL DAMAGE INCLUDING TIRES. THERE WILL BE AN ADDITIONAL CHARGE FOR MISSING KEYS. A FUEL CHARGE WILL BE APPLIED TO ALL UNITS NOT RETURNED FULL OF FUEL ENVIRONMENTAL CHARGE: Thu Item indicated above are subject M an environmental charge which Is designed to mcovorUnged's direct and indirect expenses for the handling, managing and disposing of vrasts pmducts, hazardous related administrative costs. This Is not a government- mandated chargeFUEL• Fuel charges do not include federal, state, or local excise taxes. OPTIONAL RENTAL PROTECTION PLAN NOTICE FOR RENTAL OF A MOTOR VEHICLE: THIS CONTRACT OFFERS, FOR AN ADDITIONAL CHARGE, A DAMAGE WAIVER TO LIMIT YOUR FINANCIAL RESPONSIBILITY FOR DAMAGE TO OR THEFT OF THE MOTOR VEHICLE BEFORE DECIDING WHETHER TO PURCHASE THE DAMAGE WAIVER, YOU MAY WISH TO DETERMINE WHETHER YOUR OWN INSURANCE AFFORDS YOU COVERAGE FOR DAMAGE TO OR THEFT OF THE MOTOR VEHICLE AND THE AMOUNT OF THE DEDUCTIBLE UNDER YOUR OWN INSURANCE COVERAGE THE PURCHASE OF THIS DAMAGE WAIVER IS NOT MANDATORY AND MAY BE WAIVED OR DECLINED. THE RENTAL PROTECTION PLAN IS NOTINSURANCEI The Rental Protection Plan is only available to direct commercial Customers. Upon accepting the oplional R,,l Proleclton PIarL Customer agrees to pay a charge egMR6_ of the rentf charges on Equipment Cusforrrer wants covered by the Ranfal Protection Plan, In mtum, as sot forth in Addendum 1 to the Rental Agreement, United agrees to waive cedain clalme for accldanlal damage to ar theft of such covered Equipment occurring during normal and careful use. Customer remains Ilable for all ogler damages and loss due to theft as set forth in the conditions found in Section 5(8) of Addendum 1 to the Rental Agreement. EAD BEFORE SIGNING: BY SIGNING THIS AGREEMENT, CUSTOMER (1)AGREES TO ALL TERMS AND CONDITIONS ON THE FRONT AND BACI( OF THIS AGREEMENT: (2) ACKNOWLEDGES RECEIPTOF (a) THE EQUIPMENT IN 000 WORKING ORDER, (b) ALL SAFETY BULLETINS, (c) ALL OPERATOR MANUALS AND (d) ALL MANUFACTURER TABULATED DATA SHEETS; AND (3) IS FULLY FAMILIAR WITH: THE OPERATION AND USE OF THE OUIPMENT. X CUSTOMER SIGNATURE DATE CUSTOMER NAME PRINTER UNITED RENTALS REPRESENTATIVEIDELIVERED BY DATE 5/67 A LARGER FONT COPY OF THE TERN - - -- -- - - - ABLE UPUN RtUUto 1. Packet Page -2522- Page: Y � ;tlYIU LIUi L7�131l f.rC�.l� e zcATx 557 XNDOUSTRXALZBOULEVARD NAPLES, FL 34504 Boo- UR- P,ENTS {800 -877 -3687} 239 =643 -5000 239-643-7558 .VAX /°**q- tnitedrentals.com illllilil�illlii�11�11�1181111Q111611fl11�110�1�11 0 4J ISLE OF CAPRI ri ISLE OF CAPRI x:ISLE OF CAPRI @ISLE OF CAPRI NAPLES, FL 34101 �J Office: 239- 774 -3130 Cell: 239- 253 -3522 mi DOUGLAS N HIGGINS INC 4485 ENTERPRISE AVE NAPLES, FL 34104 -7076 2 9/13/2011 Item 16.C.13. RENTAL AGREEMENT. Customer Number 416050 Agreement Date s 9/07/10 Rental Out 9/07/10 4:00 PM Scheduled In 9/08/10 4:00 PM Job Location: ISLE OF CAPRI, NAPLES Sob Number 19 P.O. Number TBD Ordered By KEN Written By TJR662FG Salesperson 5113 RENTAL STEMS: Qty Emzipment Description Minimum Day Week 4 Week Estimated Amt. 1 861150 *LIGHT TOWER, TOWABLE SM (LITE) 77.00 77.00 287.00 369.00 Make: MAGNUM PRO Model: MLT3060 Serial: 062229 Meter out: 4460.40 1 661253 *LIGHT TOWER, TOWABLE SM (LITE) 77.00 77.00 287.00 369.00 Make: MAGNUM PRO Model: MLT3060 Serial: 062245 Meter out: 1483.00 Rental Subtotals COMMENTS /NOTES: A CLEANING CHARGE WILL APPLY TO EQUIPMENT RETURNED WITH EXCESSIVE DIRT, CONCRETE, AND /OR PAINT. CUSTOMER IS RESPONSIBLE FOR ALL DAMAGE INCLUDING TIRES. THERE WILL BE AN ADDITIONAL CHARGE FOR MISSING KEYS. A FUEL CHARGE WILL BE APPLIED TO ALL UNITS NOT RETURNED FULL OF FUEL ENVIRONMENTAL CHARGE: Thu Item indicated above are subject M an environmental charge which Is designed to mcovorUnged's direct and indirect expenses for the handling, managing and disposing of vrasts pmducts, hazardous related administrative costs. This Is not a government- mandated chargeFUEL• Fuel charges do not include federal, state, or local excise taxes. OPTIONAL RENTAL PROTECTION PLAN NOTICE FOR RENTAL OF A MOTOR VEHICLE: THIS CONTRACT OFFERS, FOR AN ADDITIONAL CHARGE, A DAMAGE WAIVER TO LIMIT YOUR FINANCIAL RESPONSIBILITY FOR DAMAGE TO OR THEFT OF THE MOTOR VEHICLE BEFORE DECIDING WHETHER TO PURCHASE THE DAMAGE WAIVER, YOU MAY WISH TO DETERMINE WHETHER YOUR OWN INSURANCE AFFORDS YOU COVERAGE FOR DAMAGE TO OR THEFT OF THE MOTOR VEHICLE AND THE AMOUNT OF THE DEDUCTIBLE UNDER YOUR OWN INSURANCE COVERAGE THE PURCHASE OF THIS DAMAGE WAIVER IS NOT MANDATORY AND MAY BE WAIVED OR DECLINED. THE RENTAL PROTECTION PLAN IS NOTINSURANCEI The Rental Protection Plan is only available to direct commercial Customers. Upon accepting the oplional R,,l Proleclton PIarL Customer agrees to pay a charge egMR6_ of the rentf charges on Equipment Cusforrrer wants covered by the Ranfal Protection Plan, In mtum, as sot forth in Addendum 1 to the Rental Agreement, United agrees to waive cedain clalme for accldanlal damage to ar theft of such covered Equipment occurring during normal and careful use. Customer remains Ilable for all ogler damages and loss due to theft as set forth in the conditions found in Section 5(8) of Addendum 1 to the Rental Agreement. EAD BEFORE SIGNING: BY SIGNING THIS AGREEMENT, CUSTOMER (1)AGREES TO ALL TERMS AND CONDITIONS ON THE FRONT AND BACI( OF THIS AGREEMENT: (2) ACKNOWLEDGES RECEIPTOF (a) THE EQUIPMENT IN 000 WORKING ORDER, (b) ALL SAFETY BULLETINS, (c) ALL OPERATOR MANUALS AND (d) ALL MANUFACTURER TABULATED DATA SHEETS; AND (3) IS FULLY FAMILIAR WITH: THE OPERATION AND USE OF THE OUIPMENT. X CUSTOMER SIGNATURE DATE CUSTOMER NAME PRINTER UNITED RENTALS REPRESENTATIVEIDELIVERED BY DATE 5/67 A LARGER FONT COPY OF THE TERN - - -- -- - - - ABLE UPUN RtUUto 1. Packet Page -2522- Page: Y TORN1525 -O74 9/13/2011 Item 16.C.13. U- LIGHT SOWER SAFETY 12/98 Any piece of equipment can be dangerous ii not operated. properly. You are responsible for the safe operation of this equipment. The operator must carefully read and follow any warnings, safety signs and instructions provided with or located on the equipment. Do not remove, defeat, deface or render inoperable any of the safety devices or warnings on this equipment. if any safety devices or warnings have been removed, defeated, defaced or rendered inoperable, DO NOT USE THE EQUIPMENT I I!! If this equipment requires the use of diesel fuel: Diesel engine exhaust and some of its constituents are known to cause cancer, birth defects, and other reproductive harm. 1. This equipment uses high voltage circuits capable of causing serious injury or death. Do not raise in vicinity or overhead power lines. Electrocution could oQcurl 2. Keep hands and clothing away from rotating and moving parts. 3. Light fixtures become very hot during operation. To avoid painful burns, allow fixtures to cool before touching. 4. Always use the proper trailer hitch and the provided safety chain when I towing the light tower to avoid property damage and personal injury. Maximum towing speed for light tower is 45 MPH. off road towing speed is 10 MPH. 5. Place light tower on level, solid ground. G. Use chocks in front of and behind the wheels on the trailer to prevent the tower from roiling. 7. Keep hands and fingers clear of pinch points when raising boom. Loss of digits or extremities can result from careless operation. 8. When raising the tower be sure the boom wiring does not tangle or hang up. 9. Make sure brake is working properly oft the telescoping winch. The winch should lock firmly to avoid tower from falling. 10. Never attempt to move the light tower with the boom in the vertical i position, � 11. Do not attempt to start the engine with any switches or circuit breakers in the "ON's position. 12. To insure safety, locate the shut down system on the unit .prior to starting. 13. If tower has preheater, do not preheat for over 30 seconds. 14. Never use ether or other explosive starting aid in conjunction with the preheat cycle. Packet Page -2523- n /"1 9/13/2011 Item 16.C.13. 15. Never operate the starter for more than 68 seconds. 16. Never shut down the engine with any of the circuit breakers in the "ON" position. 17. Never refuel engine or move unit while it is running. Allow engine to cool down. 18. Never operate in area without adequate ventilation. Carbon Monoxide can kill you. if the person receiving this handout will not be the user of the equipment, forward these instructions to the operator. If there is any doubt as to the operation or safety of the equipment, DO NOT USE!!! CALL US IMMEDIATELY!!! FAILURE TO FOLLOW THESE INSTRUCTIONS COULD RESULT IN INJURY OR DEATH Packet Page -2524- 9/13/2011 Item 16.C.13. INVOICE i RoadSafe Traffic Systems, Inc. 4301 First Ave Invoice Number: R11197518 Road "af Nitro, WV 25143 Invoice Date: 09/15/10 `:: Ph.239 -437 -1333 Page: 1 j Fax305- 633 -5850 Terms Net 30 Days Bill Ship To: D.N. HIGGINS To: ISLES OF CAPRI 4485 ENTERPRISE AVENUE NAPLES, FL 34104 Customer ID C420322 Due Date 10/15/10 P.O. Number DERRICK Our Order No. R01093016 Location Name RoadSafe Traffic Systems, Inc. Salesperson Items Sold Item / Description Date Transaction Quantity Description Unit Price Sale Date Total Price ABC999 -1 MOT EQUIPMENT RENTAL 1A0 MOT EQUIPMENT RENTAL 150.00 09/07/10 150.00 i i i i i I I Y� • 1 i + i 1 f i J i — — - Subtotal: 150.00 Sales Tax: 9.00 Total: 159.00 i ��P�l Packet Page -2525- AOON 9/13/2011 Item 16.C.13. TICKET # 5342543 CC SW Mani geniont - CCLF 3730 WHITE LAKE BLVD Naples,FL 34117 WEIGHTMASTE:R: ALVAROGUTIERREZ USTOMER 9 100591 DOUGLAS N HIGGINS INC CUSTOMER TYPE: PREPAY VEHICLE # F -750 TRAILER It DATE IN. 10!1/10 TIME IN.. 9:46 am DATE OU "I"; '10/1/10 TIME Ol1T; '10;13:17AM .SCALE 1 Gross wit 14,440 lb SCALE 3 Tare wc3t 12,77.0 Ib Netwgt 1,72DIb INBOUND PW Descri -boil 0.1361n H SPECIAL CAT 1 ASBESTOS 1.00 t_A SITE PREP FLAT CHARGE Amount 'TICKET AA4C7UNT $ 336.00 AMOUNT PAID $ 336.00 ACCT BALANCE $ 122181 Packet Page -2526- 10'234 F I_ i� I I. t Ii i LLJ ZF 9/13/2011 Item 16.C.13. I NON - HAZARDOUS WASTE MAMIFEST P•ra rib ^nn9 LASFA`•TASTERV tonal 621 -5noa ;w.w.labeimaster.com Packet Page -2527- Rev, :1:'95 I I i I ®� ^(°ri�.�i ®(��IJ` 1, Generator's US EPA ID No. Manifest DgcamentNd. 2. Page 1 WASTE MANIFEST of 3. Generator's Name and Mailing Address 41,0 y 4. Generator's Phone ( :i 5. Transporter t Company S. US EPA ID Number A. State Transporters ID Ii. Transporter t Phone Name f A, !," - I�t IU 7, Transporter Company Name a. US EPA ID Number C. Slate Transporters ID D. Transporter 2 Phone 9. Designated Facility Name and Site Address 10. US EPA ID Number E. State FaclOty's ID r r ,� J it 1. -, F �(_. F. Facility's Phone . ,� ,3 y r WAST DESCRIIfTION 12. Containers 13. Total 14. Unii No. Type Quantity Wt.Nol. a. (r �C_ G b, E nn A c- R g- o,2 3 Gri d. G. Additional Descriptions for Materials Listed Above H. Handling Codes for Wastes Listed Above 15- Special Handling Instructions and Additional Information 16. GENERATOR'S CERTIFICATION: I hereby certify that the contents of this shipment are fully and accurately described and are In all respects in proper condition for transport The materials described on this manifest are not subject to federal hazardous waste regulations. , Date 2! Printed /typed Name Signature Month Day Year ,R ^- r17. Transporter 1 Acknowledgement of Receipt o1 Materials �� -- Date A. PrinlecUTyped Name Signature Month Day Year N S P' p 10. Transporter 2 Acknowledgement of Receipt of Materials Data T PrinledrrypedName Signature Month Dar, Year E R F 19. Discrepancy Indication Space A C 1 20. Facility Owner or Operator, Certification of recelpt or the waste materials covered by this manifest, except as noted in item 19. L Data T PrintedrTyped Name /J %. Signature Month Day Year P•ra rib ^nn9 LASFA`•TASTERV tonal 621 -5noa ;w.w.labeimaster.com Packet Page -2527- Rev, :1:'95 I I i I ?OON. a 9/13/2011 Item 16.C.13. f3'>;em bIte FKSIDcesU s Cc f �n(A� iM. I�a�e��IIs Laver Range 100 �Ty Requested Disposal Facility f%U`,J`� Profile Number 103233FL Upper Range 100 ® Renewal for Profile Number Waste Approval Expiration Date Wp¢T® MLNhOpN¢M' , r A.iitfasCe G eanemecir Macwty Qsnff0ir naatiosn (euncsse re&Zece bocaEbosa of waste �ecna > atbmaa/ ©rbgunn) Generator Name: Collier County - Public Utilities Department g. Water Reactive? 0 Yes d No If Yes, Describe: h. Free Liquid Range ( %): to & NA(solid) i, pH Range: ❑ g2 ❑ 2.1 -12.4 ❑X12.5 2. Site Address: 4370 Mercantile Avenue 7. Email Address: 1. Liquid Ftash Point: ❑ < 140 °F ❑ y 140 °F & NA(sotid) ❑ Actual: 3. City /ZIP: Naples, 34104 8. Phone: 239 - 252.4218 9. FAX: jJ 4. State: FL 10. NAICS Code: N/A J 5, County, Collier County 11. Generator USEPA ID ft. N/A 6. Contact Name/Titte: Diana Quad 12. State ID11 (if applicable): N/A 6. l I I S. Caast'ocnner Qwdorrmaelomt ❑ smnnae as mbaove P. 0. Number: - 1. Customer Narne: Douclas N. Higgins, Inc. 6. Phone: 2397743130 FAX; 239 -774 -4268 2, billing Address: 4485 Enterprise Avenue 7. Transporter Name; Douglas N. Higgtns 3. City, State and ZIP; Naples, FL 34104 8. Transporter TD N (if appi.): 4. Contact Name: Dereck Moorley 9. Transporter Address: 4466 Enterprise Ave, f 5. Contact Email: dmoorley0cinhigains.com 10. City, State and ZIP: Naples, Fl 34104 f{ i el C.Urande stroatrm BanEmrnetaLsaan 1. DESCRIPTION a. Common Waste Name: Friable Asbestos conlaining material (uncontaminated) State Waste Code(s): b. Describe Process Generating Waste or Source of Contamination: Removal of regulated, friable asbestos containing materials from demolition /dismantling or remediation activities. Does not include clean -up wastes, such as soil, that are contaminated with asbestos. c, ypica o or (s): Any ancl,all Laver Range 100 d. Strong Odor? 0 Yes Cd No Describe: Upper Range 100 e. Physical State at 70 °F: d Solid ❑ Liquid U Powder ® Semi -Solid or Sludge f. Layers? ❑ Single layer Q Multi- layer G9 NA g. Water Reactive? 0 Yes d No If Yes, Describe: h. Free Liquid Range ( %): to & NA(solid) i, pH Range: ❑ g2 ❑ 2.1 -12.4 ❑X12.5 d.14A(sotid) ®Actual- 1. Liquid Ftash Point: ❑ < 140 °F ❑ y 140 °F & NA(sotid) ❑ Actual: k, Flammable Solid: ❑ Yes GI No L Piivsical Constituents: Iist all cnnctifm ntc of wac +a a+-a - fo c„n n_unm_ Im....,1 n ono! _N ❑ Other: M /c.... ncL J\ Constituents (rota[ romposftion Most he> inns') 1, Demoiition debris, asbestos Laver Range 100 Unit of measure % Upper Range 100 Unit of Aicasure % 2. 3. 4. 5. 6. Z. t.) IIM/ iItUUUANIlITUhINASitANUSihll 'PINOINFORMATION a. 6 Event ❑ Base /Ongoing (Check One) b. Estimated Annual Quantity: 16 El Tons ❑ Cubic Yards ❑ Drums ❑ Gallons Id Other (specify); ft. C. Shipping Frequency: Units per 0 Month 0 Quarter ❑ Year 16 One Time ❑ DHier d. Is this a 1I.5. Department of Transportation (USDOT) Hazardous Materiat? (If yes, answer e) 16 Yes 0 No e, USDOT Shipping Description (if applicable): aQ Asbestos, Class 9, NA2212, PG111 3. SAFETY REQUIREMENTS (Handling, PPE, etc,): Respirator -air purifyinq v✓ith HEF'A cartridge as required by landfill policy. '2007 Waste Kanagemont, Inc, Page 1 of 2 Packet Page -2528- May 2007 9/13/2011 Item 16.C.13. Tvi:mbEeAsbesVos C®nCtntsauzaa„d vl".1 m(ereiatts Escpwcss RowaFave^s W MR MANLOCCCINT IJ1_ &leexcn &�r<mav SRaRnns REa11E?TSaa r•.fiePStAr ��resr.!�nwanaa,hrr ,+.avn, c.a1 1. Is this a USEPA (40 CFR Part 261)/State hazardous waste? If yes, contact your sales representative. Dyes d No 2. Is this waste included in one or more of categories below (Check an that apply)? If yes, attach supporting documentation. ❑ Yes 6 No ❑ Delisted Hazardous Waste ❑ Excluded Wastes Under 40 CFR 261.4 ❑ Treated Hazardous Waste Debris 0 Treated Characteristic Hazardous Waste 3. Is the waste from a Federal (40 CFR 300, Appendix B) or state mandated clean -up? If yes, see instructions. ❑ Yes d No 4. Does the waste represented by this waste profile sheet contain radioactive material? ❑ Yes L4 No a. If yes, is disposal regulated by the Nuclear Regulatory.Commission? ❑ Yes ❑ No b. If yes, is disposal regulated by a State Agency for radioactive waste /NORM? ❑ Yes ❑ No 5. Does the waste represented by this waste profile sheet contain concentrations of regulated Polychlorinated Biphenyls (PCBs)? ❑ Yes U No a. If yes, is disposal regulated under TSCA? ❑ Yes ❑ No 6. Does the waste contain untreated, regulated, medical or infectious waste? ❑ Yes C4 No 7. Does the waste contain asbestos? d Yes ❑ No If Yes, d Friable ❑ Non Friable S. Is this profile for remediation waste from a facility that is a major source of Hazardous Air Pollutants (Site Remediation NESHAP, 40 CFR 63 subpart GGGGG)? ❑ Yes 66 No If yes, does the waste contain <500 ppmw VOHAPs at the point of determination? Q. Yes ❑ No C. GeEaeeato>Y Cement icatioet (Please gaol ousel ce.6a&y by sligmaanere lballavm) By signing this Generator's Waste Profile Sheet, I hereby certify that all: 1. Information submitted in this profile and all attached documents contain true and accurate descriptions of the waste material, 2. Relevant information within the possession of the Generator regarding known orsuspected hazards pertaining to this waste has been disclosed to WM /the Contractor; 3, Analytical data attached pertaining to the profiled waste was derived from testing a representative sample in accordance with 40 CFR 261.20(c) or equivalent rules; and 4. Changes that occur in the character of the waste (i.e. changes in the process or new analytical) will be identified by the Generator and disclosed to WM (and the Contractor if applicable) prior to providing the waste to WM (and the Contractor if applicable). 5. Check all that apply: ❑ Attached analyticaL pertains to the waste. Identify laboratory & sample ID ##'s and parameters tested: V Pages: ❑ Only the analyses identified on the attachment pertain to the waste (identify by laboratory & sample ID ll's and parameters tested). Attachment h: ❑ Additional information necessary to characterize the profiled waste has been attached (other than analytical). Indicate the number of attached pages; I am an agent signing on behalf of the Generator, and the delegation of authority to me from the Generator for this signature is available upon request. ❑ By Generator process knowledge, the fbRovring waste is not a listed waste and is below all TCLP regulatory limits. Certification Signature: Title: Project Manager _ Company Name: Douglas N, Higgins Name (Print)- Dereck Moorley Date: TOR Wn7 USE ON &V Management Method: U Landfill Q Bioremediation Approval Decision: Q Approved El Not Approved © Non - hazardous solidification Q Other: Waste Approval Expiration Date: Management facility Precautions, Special Handling Procedures or Limitation Cl Shall not contain free liquid on approval:. taeall , ra and labeling requirements per NESHAPsndUSDOTA Wt 9Shipment must be scheduled into disposal facility Shipping Record must accompany every load. D Approval Number must accompany each shipment www.epa.gavlasbestos ❑ Waste Manifest must accompany load WM Authorization Name / Title: M- Date:. 5ta4a Anthrir4s_2#.inn (if Rercuircadl! Date: `2007 waste Management, Inc. Page 2 of 2 May 2007 i 3 i Packet Page -2529- N i i 1 I 3 t I i i i I i i i 1110� 9/13/2011 Item 16.C.13. ����� M wa 0 .......... Requested Disposal Facility _Naples Landrlll Profile plumber 103233FL Waste Approval Expiration Date 03/31/2011 12.009 Waste Manag meni. Inc. Page 7 of 1 All 2009 Packet Page -2530- 9/13/2011 Item 16.C.13. I .i WORK DIRECTIVE CHANGE PROJIE+CTNAMEtCollferCounty 11;, es Or- CA4al WM CONTRACT:Io -.5441 $�PLCtCEM�FtT— NKArBL✓ �. 990l a ♦ t� `110104� CHANGE. DATE 0V ISSUANCE., s cr?'! . 3, 2eS q EFFECTWE DATE: VGVT, �;, 2v 1 O OWNER. Collier County Board of Commissioners PRO,IIs CT #: CONTRACTOR: ENGINEEM V- 14- M1CtGt�45 4tttar�y'rAluult f�aia� . You are directed to proceed pronilrtly with the following change(s): CL," Go,m Vaaor'C= 014 Cxt�'i: �r4 'PAC. Mbasi �f1' ST/>,TtO► -� 4 C10 eC�►�YZI IsLti1p) WOkjv, 15 TO 15M CU1vSP4�T�H7 A,r F4tty'K•r To 1til iwtmtmC tnztzkyP-"tt%q -r'c Ctlsz"oM%�25, 'v4Vv+E 1S tapalr -at% P(- AKHP-0 , 0U't'P e ba,NV t•1.5 Ite-p , sLrLV� �,i2ao t K11t4. .ac v PU ►tT1a� � G01SLn UMe);PeCTLY tFb tLi COST Wtt.L t14LLUP15, S LAGQ � 'TS i2tArL,1~1C?�71Pn1�i�Lt", tl�LSar�ir a� i tic CH t Gtda ? sr3� Poazra V1` uat- r so uucce . If a olaim is made that the above change(s) have affected Contract Pride or Contract Tithes any claim for a Change Order based thereon will involve one or inoro of the following methods ofdetermining the effect of the changes(s). Method of determining changa in Contract Prlce; Method of determining change in Contract Times; K Time & Materials Contractor's records F1 Lump Sum tngineer's.record 0 Other: F-1 Other Estimated mcreas decrease) in Contract Price: Estimated chatmgo in Contract.Ti7ne: Nowt �� i= tz tti el? e� Y _ ►,� z xzc ww 1 k-A"ri or f. �.._ — — - Reeontmended By: Gt2-. p r t-Aog tt BbSt3o�. Apprroved By: k&ZZIZA Cot c.AF —,?, 46v1'&'rz'&1d Cr3 02/21/08 8:35 AM - i Packet Page -2531- I 9/13/2011 Item 16.C.13. Packet Page -2532- 9/13/2011 Item 16.C.13. ATTACHMENT NO.4 n G:\ PROD- GNG \C \CCU74 \08CDocs \O1Biddine Addenda- COs -Cor -- - Packet Page -2533- Z O Q J O U z O U W rY Z Q C� J Q _z LL r L?�o Z U EO CD tea` z U C= O U O U CO tl C E U OS fL N C C6 Q Lo U 0 m N E M z U N O �1 9/13/2011 Item 16.C.13. Packet Page -2534- ._i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Q t- 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69690 Cfl69W 0W 06i}0000 N 000069- 0 N CD t 6AC>M I` CD 001-069.0690 N r- CO LO N 1l- X06969- Z M T r O N'qr M b O r E9 r 1 N r r W MM 691 M ce) O 69 L) K} 69 69 bg 69 69 6� 69 69 69 to 64 69 t- ❑ Q F' O O O O O O O O N O _ p O O Ly ti p p 0 _ M O^ O r 0 O 0 O {� O OTT ,� x O 0 O 0 O 0 Ly O O O O O^ O Cy O O O O Q O O o O r O I— N M _0 "CM T "r O O T CO "r "T O "O r D T V O 0 p 0 0 0 0 0 0 0 0 0 0 p 0 p 0 o o 0 O 0 CD 0 p p o 0 0 0 0 p 0 o 0 p 0 0 0 0 Cl 0 0 0 0 0 o o p p 0 0 0 p 0 0 0 0 0 0 0 o 0 p J J a o 0 0 0 0 p 0 p 0 p 0 69 0 O 4 O 0 Ln 0 OD 'r CA 0 O 0 69 0 0 0 0 0 0 0 0 0 69- 0 69 0 69 0 O 0 O 0 O 0 0 0 0 0 0 0 69 0 O 0 O 0 O 0 O 0 O a 0 O 0 00 �- N f� CD M r CD N t` N lO N N O �1 O i� N M C) M O CI tt r CD CO CD O N OC V O N O r r M �,, T 6- 69 69 O 69 69 O — 'I 69 M H} Fg r 69 69 69 H? N 69 Efl 6-J-69- 69 69 d di N E9 Eg 69 69 N Z Z r O O N N LO 'aO O r C N M Cr) O r O N r N Cr) C 00 a =y / C O O O o O 0 O 0 O p O O O 0 O p O O O o O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O O O p O 0 p O o 0 0 0 0 0 0 p 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CA O O CD T O O O M LO N o O 0 1- 0 O p M 0 O 0 I' 0 O 0 Ln 0 N 0 0 0 'q- 0 � O M O CD O M O CD O ;3, 1- M 0 O 0 1- O V O LO O I- Z O 00 r- CV O N M cr 00 O M V CD N CM N t- T r r69- Lii r CD 00 0 0 N �- ❑ � r fg 6-i M 69 69 r M Cl) 69 T 69 69 r N 69 69 69 6f} 61) 69 69 69 d 69 N 69 6Fi 69 69 Q y} 6F} r N 69 Eg 69 E9 69- 691 69 W a JW C) 0 p 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cl 0 0 0 0 0 o 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 Cl 0 o 0 0 0 o 0 V 0000LO (DCD Li0l-0000000000000o0000000 a 0 0 0 O N M N 69 d d M O O O O O O O O O O O O M O O 0 0 0 0 0 > 69 CA 69 69 T 69 69 d9 Cfi E9 N 69 M 69 (D 69' CU 69 M tC) N CD C' ';i' CA E9 I- 69 r 69 Co 69 i� 69 M M 69 LO N M N CD 69 LO I- ❑ 00 00 N �- r r t- LLf `� r 69 69 69- 69 69 69 69 E9 69Pr 69 69 J Z 69 69 ❑ ❑ W _t= Cl) (1) Q U) LL LL LL LL LL LL LL LL Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q V)= J J W J J J J J J J J J W W W W W W W W W W W W W W W W W W W W Z T T Ly r O 0 0 0 O O O O T O M O M T r T T r OD O O N r M (A T r a N LO CO I� r~ r T r T r r r �D V C O 00 j ¢ > > _ Ljj D" (n Cn LL N m 0- U 0 0 LO LO O= Q Q 4) O M E a C O 0 r r N O O' O �JJUUUm J J J C E> Z N` F- o U U �- �- �- — N m O m— N ctf cis U m U ¢ e L- LCOd N .� U . U F- v ,� a� is �a m U U a� a� .r H E c a' = m � Co S 'S 2 d Q » > N N � V o � ca � M cts � -`0 o o V. cti N c U U U 0-2 � °? �� U 00 x x a� a� m O �> O= W "O O- U v _ CL IL IL a. D-❑ M 0 C7 C D CSI (D � T o T E 07 -- W ❑ O N O L_ d O f!i CD _ OD O r CV r CV r - (D O T N- r CV - CD - 00 O r CV r X CD X 00 O r x N` r Q Q N d O m CV `) LL M. f LL LL W r N M C}' LO CD I- w O O r r r N r M r r LO r 0 T I-- r O T O r O N r N N N M N Ct N LO N CD N^ — M N M N O M T Cl) N C'M Packet Page -2534- r L. .Q O 7 r- Z � •N O E a Z U N C O i Z O Q J O U Z O U W l— Z Q O Q r Z fn LL cB c N L) U (B Q O ry C (6 f0 U O m W 6 E O Z U O O 9/13/2011 Item 16.C.13. Packet Page -2535- J 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0w 0 LO 0 0 0 Q O O O O O O O O 0 0 0 0 0 0 0 0 0 0 CO 0 0 0 0 0 0 M OR V O O O O I- O O O I 0 0 0 (D CO O N 0 0 0 0 0 0 0 0 0 o0 (D co O V -'f ti-;1- O N O O O 63 63 O M A N M W M O T 0 0 0 0 0 00 V V d' M V 61), M O M (O M O O O Zr- LO r- M M V 64 T 64 L[) Lf� O N N N V 63 O L1j M, N 6c} V C N ti T I` (O r N O N T M (D M 1, V O W 64 6<> 6V9 � 63 64 64 63 64 63 63 69 63 a0 63 CO M N 64 r M 69 64 N 64 N 69 } M Q F" Z 0 O 0 O r- T 0 O 0 O T N M O O O O nj O O M (D V r v v N r� O O N O O (M N O .. T M O O O V t- O OO O 6 N N M CO N O Op 00 00 O O" .. O V" .. M O r" r N LO 00 OT O N T 00 M M r r CY �N .�� d vLO � p 000 0 0 0 0 0 O000 0 0 0 0 00000000000000000 0 0 0 0 0 0 0 O O O N O O O O O O LONCDL000O P') T V O 0 Cl 0 JJ Q 0 O 0 O 0 O v 0 0 0 It Cl O N 0 0 0 0 0 0 0 M O CO IT (V O (O IT N V O OD 6 0 M 00 V O (O O R CO O N M (0 CO (D I- 6% T M 69. 63 63 63 63 64 63 r+ V V (O LO LO O LO Cl) CD Cl) O 63 63 _j Q O N - r N V L6 00 (4 O cr� CO r. (D O) 00 06 CO O M rl r 63 N O 00 Cr; 1,- 00 r 00 LLB 63 F- 64 69, 63 63 63 "T � 63 64 64 d3 6'3 63 C%l 63 T(f} V} � L 64 Z J Z T N V T "T O N O 0 0 O O O O O N Nr) O CO C) IT CO O (O O O V LO (0 M r" T O D) N Q= N O N O 0 O CO O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 0 0 LO x 0 0 0 0 0 6 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 F 0 O 0 N 0 T CO T O V O T L.[) (M LO V 0 O 0 V 0 00 0 O 0) N 0 N 0 N 0 V 0 00 O S N T O N O CO O 0 O 0 LO r O V LO 0 0 O 0 O L/) r- 0 M 0 V 0 (O Z N 63 r 63 N 64 V 63 V 69 � V W T 0 63 (O (f} V 63 V 63 - 63 r r r 69 Ln M 00 r- r M O691 O r_ (D L[) 63 N N N O (fl 63 63 63 69 63 69 63 69- 64 N 63 r 64 V 64 63 CO 64 (fl 63 63 63 r- wQ w 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 u 0 0 0 0 0 0 J O O O O O O O O O O O O O O O O O O V O O O O O O N O O C) 0 0 0 QV 0 0000C )0C)M(0LO0o) 000000T0(D00000 M 'IT riOtiCO 'IT (0 > 0 00 M T CO CO V V T T T (M O O CO O O 64 N r 63 63 O N 64 N N 63 N N N p Q. E' d) N O - r- 63 63 r 6% M 63 V 63 64 64 69 63 69-4- 64 N 63 M 63 V 63 M N 1- 63 63 T (A 64 Eft 63 0-0-69 W 63 6% 63 63 J Z p W 0 ZQQQLLLLQQQQLLLLLLQQQQQ W W W J J W W W W J J J W W W W W QLLLLLLLL W J LLU)LL }i-? }LL U- = } F- F- r r CO Ln O CV In O M Cl LO O 0 Cl 0 0 0 (M (D V r N N 0 0 0 0 0 0 0 0 0 T Cl 00 0 0 0 0 U) 0 0 0 0 0 0 0 0 Q V V V V r T M Cl) r CO O r L!) O CO M (O CY U X L11 N L) N CL 0) N U O O SZ (B 0 c4 � (0 (Q '� O J UJ > .0 ? U O U Q (TE a) >�� Q) >O E U U Q D U U U p (B ?j N O U_ Z U N� 0 0) N Q) O w- 0 O fl a) .L O E O> N CV Cc) O N O "' U C c L fn N +•• N N Cu N 7 to 0 L11 3 0) ❑. SZ d N Q �..' N O E Y r r Z r T W O d Q) Q 0 0 X 0 O 0( „�, 0 a 'D -6 �a N O IL U U >a ._ c > O A c� N N fB O g N cu 0 v v cOOcACnr7] > N >� �: N QQQ= U O E _O r L L L nL LL N ... c cc G cc G N- T (D U> n>n LL- CL __ O C � N/ LL > •C 0 j 'L .> ;O_� Ui JCL �ND/- LL LJ.. U U C CO t�0 0 M r N (V M �I O CD O o >> Q N N N >> to U U _ iV = Q? 07 N in ,O N C W pILILLLrCli c6 .0 c0 O L O V T r N V M M X W X W X LL1UW O X N X W N X WQQC�C7U� =p -0 p -0 O �- O �- O i- O Q'�' O N f6 O �'QUQC7U Q W O D to f>0 L C O N �'tl' N WM M V M U) (M M M I'- M M M M M 0— V V N V M V V V l.0 V (O V ti V M W O T N M V In O I` ao O O N 112" Packet Page -2535- T L; 4 a) L = ❑ o � Z � o � tl Z U ro C O U Z O g O U Z O U W F- F- Z Q nit Q r Z U) L cII IL C Q) a) U (B N lY C ca Q tv U O N (a Z W O a_ PacketPage -2536- 9/13/2011 Item 16.C.13. J O O o o 1- O o 0 0 0 0 0 0 0 0 0 r Q o 0 0 0 r 0 o CO o 0 0 0 0 0 0 0 M H O O N O CO 0 0 CD 0 0 0 M o o 0 0 06 H O F- Lf) 00 00 0 r-- O o O T Eg(R6969f)q,69T E9 6.j-064)- U7 0 00 T M LU � � 64 69 61 69 T N ~ F-O ^(00o N OOOOOOOO Q Z O t O o 0 0 0 0 0 0 0 0 T =T----C) O O CD O O O (D O H O" Ci � J O 0000TooT000�n0000co o 0 0 1I- 0 0 0 0 o o o 0 0 0 0 CA L{ J 0 0 0 0 CD CD CD M N O CD N 0 0 0 0 M J JF- Q 63 69 69 69 T NOOU)MNtiNti Co O N U) v O O N 64 O M 69 1-- ti QO NNr6" 6}(6L6 .: F- O 64 6- 6} 69 63 � ti y z T 69 CA E9 J F-- N Z0000pNLO000pN° � � C[) 0) LO 0) COOOTO T Q N 0 0 0 0 0 0 0 0 0 0 0 0 0 0U� 0 0 0 0 0 0 0 0 Lq 0 o 0 0 0 0 0 0 0 0 O w N 0 0 C� Cl N N O O 1- O O O O h- U) 00 00 O ti O 0 O 0 tC) 00 0 O 0 N U) U7 M It N 0 I, 00 T N ti� 0 0 CA 0 N M O z Z N N 69 Ch 6} Lr) 64 �- O N 69 �- 6'T 691 C4 L r 64 � V O6} 0 r 6S 64 fA 63 64 6. 6i O C T Q � = w 0 0 0 0 0 0 0 0 0 0 0 0 0 coo J U M 0 0 o U) t1' N T N N CO U) U*l 0 0 O Q 00 N 00 N N M O CO 6.696)-Cfl O CD r- N to T 64 O 64E96969O N v c- O CD 00 a. U0j LLJ " J Z O LU ~ LL LL U- Q >- LL LL LL LL LL LL LL LL LL V) U) L)= = J J J LLJ U) J -j J J _J J J J J _) _! F�- 0 0 0 0 0 O ZO(Da) Q `- N�tiCON��CD�rr T `- N U7 O) t1) LO CY m ? O (C O M O CcUU' -� UtYo in p} Q t= t Qc p„ M M CO _00 0 =D�U� o Z () � (3) U a) � c° Ui o o= Q M O M a. (a CL m Cl M -a g g O o __ O 0U)U)`t U) U Cif >(nCOU)U) ��N a a) > a) > a) >a)- ZOCD�N O O O OMU)U) 0 U) 0 E 0 E O E V= C Q E oL C1 E 0 LLJ 0 a) w a) Cr_ a) w O U Q N Q a) F- a) F- a) F- W==== F- 0) F- a) F- a) F- N F- 0 i- 0 0 O U) O U) WU7 0 Ll- M M O CO (fl CO O O T N ti M ti ti M CO ti I- ff O7 � O o) O O F PacketPage -2536- 9/13/2011 Item 16.C.13.