Agenda 01/12/2010 Item #16E 9
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Agenda item No. 16E9
January 12, 2010
Page 1 of 46
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EXECUTIVE SUMMARY
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board-
Approved Contracts.
OBJECTIVE: To enable the Board to oversee the execution of administrative change orders
and changes to work orders, and promote accountability in the use of staff authority.
CONSIDERATIONS: On April 22, 2003, the Board approved a recommendation to implement a
plan to enable changes to BCC-approved contracts (Section XV.C, Collier County Purchasing
Policy) of not greater than 10 percent of the current Board approved amount or $10,000
(whichever is greater) to be authorized by staff. Also included in the report are changes to Work
Orders. These include work orders issued under CCNA Contracts which are less than or equal
to $200,000 (Section VII.C, Collier County Purchasing Policy), and changes to work orders for
all other contracts (Section XV.G, Collier County Purchasing Policy) which are not greater than
10 percent of the current Board Approved amount or $100,000 (whichever is greater). The
Administrative report identifies the percentage changes to contracts or work orders that have
occurred since the prior BCC approved amount which are below the threshold limits as
referenced above.
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The plan calls for staff to submit a monthly report listing these change orders from the previous
reporting period. Enclosed is the monthly report of the Administrative Change Orders and
Administrative Changes to Work Orders. These reports cover period November 21, 2009,
through December 17, 2009.
FISCAL IMPACT: The total change to contracts is $91,708.75. The total change to work
orders is $201 ,600.00.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with
this action.
RECOMMENDATION: That the Board of County Commissioners accepts the enclosed
Administrative Change Orders Report and Administrative Changes to Work Orders Report and
ratifies the listed change orders and changes to work orders
PREPARED BY: Diana De Leon, Contract Technician, Purchasing Department
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Agenda Item No. 16E9
January 12, 2010
Page 2 of 46
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COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16E9
Report and Ratify Staff~Approved Change Orders and Changes to Work Orders to Board-Approved
Contracts.
Meeting Date:
1112120109:00:00 AM
Prepared By
Diana DeLeon Contracts Technician Date
Administrative Services
Division Purchasing & General Services 121221200912:29:57 PM
Approved By
Dianna Perryman Contracts Specialist Date
Administrative Services
Division Purchasing & General Services 121291200912:05 PM
Approved By
Kelsey Ward Manager - Contracts Administration Date
Administrative Services
Division PurchasIng & General Services 121291200912:19 PM
Approved By
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Steve Ca mell Director - Purchasing/General Services Date
Administrative Services
DIvision Purchasing & General Services 12129120092:38 PM
Approved By
Len Golden Price Administrator - Administrative Services Date
Administrative Services
Division Administrative Services Division 12/29/2009 4: 11 PM
Approved By
Jeff Klatzkow County Attorney Date
12130/200911:13 AM
Approved By
OMB Coordinator Date
County Manager's Office Office of Management & Budget 121301200911 :23 AM
Approved By
Laura Davisson Management & Budget Analyst Date
County Manager's Office Office of Management & Budget 1/51201012:37 PM
Approved By
John A. Yonkosky Director. Management and Budget Date
-..~- Office of Management &
Budget Office of Management & Budget 1151201012:40 PM
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Agenda Item No. 16E9
January 12, 2010 I
Page 3 of 46
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Purchase and Deliver Chemical for Public Utilitiee PROJECT #:
PROJECT MANAGER:_Peter Schalt
NfA
BIDIRFP #: 09.5170
MOD #: J
POI:. 10/'1 '1/(P2
WORK ORDER #:
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DEPARTMENT:_Public Utilities Division
CONTRACTORIFIRM NAME:
(Slar1* ~)
(Last T~l:;,ount Approved by the BCC)
CUl'l1lnt Contract Amount: $ N fA
(Including All Changes Prior To This Modificalion)
Change Amount: $ tJ ( f'.
Revised ContracllWork Order Amount: $ N / A
(Including Thik 'Change Order)
Original Contract Amount:
$
Od'lSSey Manufacturing Co.
CUl'l1lnt BCe Approved Amount:
$
Cumulative Dollar Value of Change. to ., If\
tI1l. ContracllWork Order: $ /V p-
Date of Last BCC Approval 7128/2009
Agenda Item # 16C5
Percentage of the change over/under current contract amount
Formula: (Revised Amount 1 Last BCC approved amount).1
,J(A
'k
CURRENT COMPLETION DATE (S): ORIGINAL:
CURRENT:
Thi. change order will: 0 Add a new Task for $
o Increase Task Number
by $
Other Decrease ~rcentage to Sodium Hvpochlorite per ,ttached Exhibit A1~A
Describe the changels) Fixinll.Prlce per exhibit A1-A based on Quarterly review meetin!l,
Spec:lfy the reasons for the changels) r 1. Planned or Elective r 2. Unforesee9 Conditions r 3. Quantity
Adjustments r 4. Correc:tion of Errors (Plans, Specifications or Scope of Work) ry 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the proje<:t if this change order were not processed: _The County would not
reCeive the cost saving associated with the new reduced price.
This change was requested by: r1Contractor/Consuftant rI Owner r.( Using Department r CDeS
Coesign Professional r1Regulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r;7yes
r No
APPROVED BY:
This form is to be signed and dated.
p~ ScJ.al+
Project Manager
Date:
(11.-1 '1 (07
.
/<. Date:
/
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Contract Specialist
APPROVED BY:
Revised 6 18 09
EXHIBIT( 'Memorandum of Understanding Amr' nent # 1
"Purb.....se and Deliver Chemicals for Pnblic Ufiu..es"
Agenda Item No. 16E9
January 12, 2010
Page 4 of 46
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This amendment, dated November 6, 2009 to the referenced Memorandum of Understanding shall be by
and between the parties to the original Memorandum of Understanding "MOU", Odyssey Manufacturing
Co., (to be referred to as "Vendor") and Collier County, Florida, (to be referred to as "County").
Statement of Understanding
RE: MOU # 09-5170 "Purchase and Deliver Chemicals for Public Utilities"
In order to continue the services provided for in the original MOU document referenced above, the
Vendor agrees to amend the above referenced MOU as per Exhibit "A I-A", Attachment A- Price
Schedule attached to this Amendment and incorporated herein by reference. This Amendment shall
increase or decrease pricing as follows:
The additions to the existing Attachment A - Price Schedule are shown herein by underlinin~ deletions
are shown by' .
Change: Attachment A, Price Schedule,
. Item seventeen (17) Sodium Hypochlorite - $0.779 decrease to 1..$0.690
All other terms and conditions of the agreement shall remain in force.
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IN WITNESS WHEREOF, the Vendor and the C01l!1ty have each, respectively, by an authorized person
or agent, hereunder set their hands and seals on the date(s) indicated below.
\ I ( fJ 101
Accepted:
,2009
VENDOR:
Odyssey Manufac
OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By'
M~vl""" 1.'j2"..~'i.
Witness
By:
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By: r~ S~cvl+ 1l,/11-l<l'l
Pete Schalt, Senior Project Manager, PMP
Dated:
1\.\0.0'\
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By:
Paul Mattausc ,
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By: C \, ~ _-- '... _Jr:?-'
Dr. George Yilmaz, PhD, Director
-
Dianna Perryman
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Agenda Item No, 16E9
January 12, 2010
Page 5 of 46
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Exhibit A1-A
Attachment A - Price Schedule
No. Company Name Product Description Unit of Bid FirstQtr
Measure Negotiated Price New Negotiated
July 09a Prices
Nay 09 Noy 1 2009.
. Jan 312010
1 Brenntag Mid South 25% Sodium Hydroxide WW.3 GALS $ 1.343 $ 1.343
Thatcher Chemical 25% Sodium Hydroxide WW.3 GALS $ 1.480 $ 1.480
2 Allied Universal Corp. 50% Sodium Hvdroxide w.n LBS $ 0,13~ $ 0.119
Key Chemical 50% Sodium Hydroxide W.11 LBS $ O,13S $ 0,135
3 Airgas Specialty Products, Inc. Ammonia W-l LB5 $ 0.600 $ 0.600
4 Allied Universal Corp. Calcium Hypochlorite W/WW.1 LBS $ 1.225 $ 1.22S
Brenntag Mid South Calcium Hypochlorite W/WW.l LBS $ 1.352 $ 1.352
5 Airgas Carbonic Carbon Dioxide W.2 LBS $ 0.100 $ 0.100
6 Allied Universal Corp. Chlorine W.3 LB5 $ 0.17. $ 0.229
Brenntag Mid South Chlorine W.3 LB5 $ 0.241 $ 0.241
7 American Water Chemicals Corrosion Inhibitor W-4 LBS $ 0.598 $ 0.598
Carus Crop Corrosion Inhibitor W-4 LB5 $ 0.608 $ 0.608
8 Polydyne Emulsion Polymer WW.l LBS $ 0.960 $ 0.960
Carus Crop Emulsion Polymer WW.l LBS $ 1.441 $ 1.441
9 The Dumont Company Inc. Fluoride W.5 LB5 $ 0.412 $ 0.412
10 Chemical Lime Company lime W.6 LBS $ 0.114 $ 0.114
11 Carus Crop liquid P04 W.7 LBS $ 0.696 $ 0.696
The Dumont Company Inc. Liquid P04 W.7 LBS $ 0.74S $ 0.745
12 Brenntag Mid South Muriatic Acid W.8 LBS $ 0.151 $ 0.151
The Dumont Company Inc. Muriatic Acid W.8 LBS $ 0.034 $ 0.034
13 Thatcher Chemical Phosphoric Acid WW.2 GALS $ 15.630 $ 15.630
Brenntag Mid South Phosphoric Acid WW.Z GALS $ 13.64Z $ 13.642
14 Polydyne Polymer W.13 LBS $ 1.303 $ 1.303
15 American Water Chemicals Scale Inhibitor W.9 LBS $ 0.676 $ 0.676
King lee Tech Scale Inhibitor W.9 LBS $ 0.695 $ 0.695
16 Polydyne Sludge Polymer W.10 LB5 $ 1.303 $ 1.303
17 Odyssey Manufacturing Sodium Hypochlorite WW.3 GALS $ 0.779 $ 0.690
Allied Universal Corp. Sodium Hypochlorite W/WW.2 GALS $ Q,735 $ 0.699
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18 Sulpfuric Acid Trading Co Sulfuric Acid W-12 LB5 $ 0.047 $ 0,047
Transammonia, Inc. Sulfuric Acid w.n LBS $ 0,049 $ 0,049
Agenda Item No. 16E9 2
January 12, 2010
Page 6 of 46
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CONTRACT/WORK ORDER MODIFICATION
CHECKliST FORM
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PROJECT NAIIIE: Purchase and O.lIvar Chemical for Public Utilities PROJECT #:
PROJECT MANAGER:_Patar Schalt
BIDIRFP II: 05-5170
11I00 II: 1
PO#:. f OI'fB9Y;:J
WORK ORDER II:
,J!A-
DEPARTIIIENT'_Publlc Utilities Division CONTRACTOR/FIRM NAME: Allied Unlve",al COl'l1oratlon
Original Contract Amount: $ /Ii T-
(S1arlingp n'if
Current BCC Approved Amount: $ ,., / ~
(Lest Total A;n~unt Approved by the BCC)
Current Contract Amount: S .J / A-
(Including AiiChanges Prior To This Modification)
Changa Amount: $ r1.( A
Revised ContracllWork Order Amount: $ J I A
(Including Thl~ang. Ordlll')
Cumulative Dollar Value of Changes to
this Contract!Work Order: $
tJ IA
I
Data of Last BCC Approval 71rl1Sl2009
Agenda ltam t# 16C5
Percentage oflh. changeoverlunder curntnt contract amount
-. Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
NIA
I
%
CURRENT:
This change order will: 0 Add a new Tssk for $
o Incnta.. Task Number
by$
Other Dec:...,.y and In~e coat for Cl:!lorlne. Sodl!llll Hvdroll!de and S9s!h.m
!!IPochlori!!"p!r allllch,d exhibit A 1..\
Describe the change(s) Flxlns;jJlrice IH!' exhibit Ai"" based on Quarterly review meetln!l:'
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforesee!) Condition. r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications 0' Scope of Work) ry 5. Value Added
(' 6. Schedule Adjustments Note; Ona or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to th, projact If this change order we.. not processed: _The County would not
receive the cost saving associated with the new reduced price.
This change was requested by: f1contraclor/Consultant rI Owner ry( Using Department r CDES
CDesign Professional r1Regulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
VYes
r No
Thia fonn is to be signed and dated.
APPROVED BY: p~ S~l1-
Project Manager
-
Date: (I 8'{
Date: /I II L II) "l
Contract Specialist
REVIEWED BY:
-
Revised 6 18 09
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Agenda Item No. 16E9 'Zq
,_ . January 12, 2010
EXHIBI? ..1 Memorandum ofUnderstandiug Amr"meut # r Page 7 of 46
"pJ,~..ase and Deliver Chemicals for Public u'L _.ies"
'- -
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This amendment, dated November 1,2009 to the referenced Memorandum of Understanding shall be by
and between the parties to the original Memorandum of Understanding "MOU", Allied Universal
Corporation., (to be referred to as "Vendor") and Collier County, Florida, (to be referred to as "County").
Statement of Understanding
RE: MOU # 09-5170 "Purchase and Deliver ChemicBls for Public Utilities"
In order to continue the services provided for in the original MOU document referenced above, the
Vendor agrees to amend the above referenced MOU as per Exhibit "AI-A", Attachment A- Price
Schedule attached to !his Amendment and incorporated herein by reference. This Amendment shall
increase or decrease pricing as follows:
The additions to !he existing Attachment A - Price Schedule are shown herein by underlining; deletions
are shown by .
Change: Attachment A, Price Schedule,
. Item six (6), Chlorine - $-lhH6 Ib increase to.$ 0.229 lb
. Item two (2) Sodium Hydroxide 50% - ~ decrease to.$ 0.119 lh
. Item seventeen (17) Sodium Hypochlorite -~ decrease to.$ 0.699
All o!her terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, !he Vendor and the County have each, respectively, by an au!horized person
or agent, hereunder set their hands and seals on !he date(s) indicated below.
[II I loq
Accepted:
,2009
By:
Corporation
OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
VENDOR:
Allie
Dated:
)l\\b D
By:
Pete Schalt, Senior Project Manager, PMP
Pili 5cLoJA-
-1't-eop_..-l- J (~'D
Witness / ,
By: --t:-~
By:
Pam Libby, Water Oper i s Manager
DEPARTMENT
~
Paul Mattausch, Direc
By: r - -- .~ ~
Dr. George Yilmaz, PhD, Director
.
Dianna Perryman
.
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Agenda Item No. 16E9
January 12, 2010
Page 8 of 46
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Exhibit A1-A
Attachment A . Price Schedule
No. Company Name Product Description Unit of Bid F1rstQtr
Measure Negotiated Price New Negotiated
July 09- Prices
Nov 09 Nov 1 2009-
Jan 312010
1 Brenntag Mid South 2S% Sodium Hydroxide WW-3 GAlS $ 1.343 $ 1.343
Thatcher Chemical 25% Sodium Hydroxide WW-3 GALS $ 1.480 $ 1.480
Z Allied Universal Corp. 50% Sodium Hydroxide W-11 LBS . g.U4 $ 0.119
Key Chemical SO% Sodium Hydroxide W-11 LBS $ 0.135 $ 0.135
3 Airgas Specialty Products, Inc. Ammonia W.l LBS $ 0.600 $ 0.600
4 Allied Universal Corp. Calcium Hypochlorite W/WW-l LBS $ 1.225 $ 1.225
Brenntag Mid South Caldum Hypochlorite W/WW.l LBS $ 1.352 $ 1.352
5 Alrgas Carbonic Carbon Dioxide W.Z LBS $ 0.100 $ 0.100
6 Allied Universal Corp. Chlorine W-3 LB5 $ g.l~ $ 0.22~
Brenntag Mid South Chlorine W-3 LBS $ 0.241 $ 0.241
7 American Water Chemicals Corrosion Inhibitor W-4 LBS $ 0.598 $ 0.598
Carus Crop Corrosion Inhibitor W-4 LBS $ 0.60B $ 0.608
8 polydyne Emulsion Polymer WW-l LBS $ 0.960 $ 0.960
Carus Crop Emulsion Polymer WW-l LB5 $ 1.441 $ 1.441
9 The Dumont Company Inc. Fluoride W.5 LBS $ 0.412 $ 0.412
10 Chemical Lime Company Lime W-6 LBS $ 0.114 $ 0.114
11 Carus Crop Liquid P04 W-7 LBS $ 0.696 $ 0,696
The Dumont Company Inc. Liquid P04 W-7 LB5 $ 0.745 $ 0.745
12 Branntag Mid South Muriatic Acid W-8 LB5 $ 0.151 $ 0.151
The Dumont Company Inc. Muriatic Acid W-8 LBS $ 0.034 $ 0.034
13 Thatcher Chemical Phosphoric Acid WW-2 GAlS $ IS.630 $ 15,630
Brenntag Mid South. Phosphoric Acid WW-2 GALS $ 13.642 $ 13.642
14 Polydyne Polymer W.13 LBS $ 1.303 $ 1.303
15 American Water Chemicals Scale Inhibitor W.9 LBS $ 0.676 $ 0.676
King lee Tech Scale Inhibitor W.9 LBS $ 0.695 $ 0.69S
16 Polydyne Sludge Polymer W.I0 LBS $ 1.303 $ 1.303
17 Odyssey Manufacturing Sodium Hypochlorite WW.3 GALS $ 0.779
Allied Universal Corp. Sodium Hypochlorite W/WW-2 GALS $ g,7ii $ 0.699
18 Sulpfuric Acid Trading Co Sulfuric Acid W.12 LBS $ 0.047 $ 0.047
Transammonia, Inc. Sulfuric Acid W.12 LBS $ 0.049 $ 0.049
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PROJECT NAME: SAWCC-Shelter for Abused Women & Children, Inc.
MANAGER: Sandra Marrero
Agenda Item No. 16E9 3
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PROJECT
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT #:
Fl14870-6001
BID/RFP #:
Fl14870-6001
MOD#:
2
PO#: N/A
WORK ORDER #: N/A
DEPARTMENT: Housing and Human Services (HHSL CONTRACTOR/FIRM NAME: SAWCC.CoC
Original Contract Amount: $ 113.000
(Starting Point)
Current BCC Approved Amount: $ 113.000
(last Total Amount Approved by the BCC)
Current Contract Amount: $ 113.000
(Including All Changes Prior To This Modification)
Change Amount: $ 0
Revised ContractIWork Order Amount: $ 113,000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 0 .
Date of Last BCC Approval
SeQtember 15, 2009
Agenda Item # 16D17
Percentage of the change over/under current contract amount
Formula: (Revised Amount I last BCC approved amount)-1
o
%
CURRENT COMPLETION DATE ($): ORIGINAL: Og-09--209g
CURRENT:
09-<19--2009
This change order will: 0 Add a new Task for $
D Increase Task Number
by$
Other Will adjust maximum benefit amount and line item amount.
Describe the change(s): To provide a change in Exhibit A, Scope of Services Project Scope (A), to amend
match funds requirements for Supportive Services and Operating Costs. Supportive Services from
$14,125.00 to $15,353.759 (Applicant required cash match at 20%) and Operating Expenses from $18,833.25
to $17,195.00 (Applicant reqnired match at 25%). Total cash match for Supportive Services and Operating
Services will be $32,548.75. This revision will not change the original total budgeted amount for this
Continuum of Care (CoC) project.
Specify the reasons for the change(s)' 1. Planned or Elective' 2. Unforeseen Conditions' 3. Quantity
Adjustments r- 4. Correction of Errors (Plans, Specifications or Scope of Work)' 5. Value Added
'6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: Correct much funds will not be
identified.
This change was requested by: JlContractor/Consultant
rDesign Professional JlRegulatory Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
n Owner
n Using Department C CDES
[8J
rYes
other (Specify)
r No
H&HS
This form is to be signed and dat~
~
APPROVED BY: Sandra Marrero ..-.-.. ~ - Date:
Project nager
10-30-09
APPROVED BY:
REVIEWED BY:
Date: //--;;J-O 5
Date: i:< - ,/ / r;' 'J'
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Agenda Item No. 16E9 if
January 12, 2010
Page 10 of 46
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CONTRACTIWORK ORDER MODIFICATION
CHECKliST FORM
PROJECT NAME:
B1D1RFP II; ~ MOD II; 1
DEPARTMENT: Pa.rb "R!'ll!Hl!2D
PROJECT tI: _80015 PROJECT MANAGER: TOl!1 RubeDo
WORK ORDERtI: ~ !J lit-
,
CONTRACTORIFIRM NAME: SW Flo da f'BS Cc,,,,sf-.
OrIginal ContI'lIct Amount:
$ _529,384.63
(Starting Point)
$ ..... S~"I 3 ".s!. (;, 3
(last Total Amount ;(PProved by the BCC)
$_529,364.63
(including An Chenges Prior To This Modification)
Current BCC Approved Amount:
Current ContnIct Amount:
Change Amount:
$
25,8110.80
RevI8ed ContnIctJWork Order Amount: $_555,355.53
(Including This Ctllmge Order)
Cumulative Dollar VIolue of Chllflgea to
lhilI ContractJWork Order: $_25,890.80
Dlda of Last BCC Approva'
2124,ug
Agenlla 118m # _16D.2
..
Percentllg. of the change overJunder current contrect amount
Fonnula: (Revised Amount I Last BCC approved emount)-1
CURRENT COMPlETION DATE (S): ORIGINAL:
4.91
%
CURRENT: .!!!!.lIIl:I..Z. 2010
Thl. chang. order will: 0 Add a MW Ta.k for $
. Inere... Tuk Number
by $ 25.899J9
Other
Describe the change(I): SocUhe a~, flald In llell of al!!!sll!!!B. add fill .~eed Mura aoccer field. ad.ll
'-nee and gates to ....~ araa. Drov~~!!IsLof ~ I;8laJlcl4' ~ to t!l!I contra,e to .I~
wetland an .. to dll( out to D6l'l1lltPlantlM.
Specify the ....aona for the changa(a) (' 1. Planned or Elec:tlve 2. Unforll..en Conditione 3. Quantity
Adjustments (' 4. Correction of Errora (Plana. Specmcatlona or Scope of Work) X 5. Value Added
X 6. Schedule Adjustments Note: One or mora may be checked, depending on the natura of the changa(s).
Identify aU negative Impacts to the project If this change order wera not procaSaed: It Is mOl'll efIIcIent and
!!,q!)nomi~J to make the chaWl_ now th.n at a later date.
This change was requested by: rlcontractor/Consurtant X Owner
COeslgn Prof....lonal r1ReguJatory Agency (Specify)
rI Using Department C CDES
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
This tonn is to be signed and dated.
Date: /:1-1"'l(0,/
.
fl/lt.- tlale: I f)-.' 10
7
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REVIEWED BY:
Revised 6 1 g 09
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
5
Agenda Item No. 16E9
January 12, 2010
Page 11 of46
PROJECT NAME: Naples Depot Building Restoration PROJECT #: 50401 PROJECT MANAGER: Gary Vincent
BID/RFP #: 06-3929 MOD #: 2 Pot: 4500108848 WORK ORDER II: 8609ft9 '-{ S- 001 03 'if\.( l!
DEPARTMENT: Collier Coun Museum
Original Contract Amount:
CONTRACTORIFIRM NAME: BSSW Architects
$ 87,700
Current BCC Approved Amount:
$ 87,700
Cunent Contract Amount:
$ 87,700
$ 7,300
Change Amount:
Revised ContractlWork Order Amount: $ 95,000
Cumulative Dollar Value of Changes to
this ContractlWork Order: $ 7,300
Date of Last BCC Approval N/A Agenda Item # N/A
Percentage of the change over/under cunent contract amount 8.32%
Formula: (Revised Amount /Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: February 20, 2009 CURRENT: March 10, 2010
This change order will: @ Add a new Task for $7,300 0 Increase Task Number by $
Other
Describe the change(s): 'This change order is for architectural and engineering services required for the
additional work being performed by White General Constructors in the Southern portion of the Depot building,
Work includes documentation for structural repairs, inspections to concrete columns, electrical and lighting
design revisions, and designing an exterior ADA approved access ramp for the Northern portion of the building.
Specify the reasons for the change(s) r 1. Planned or Elective X 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: Project could not be
completed.
This change was requested by: X Contractor/Consultant X Owner rI Using Department r CDES
X Design Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALiST PARTICIPATION IN NEGOTIATIONS: rYes
r No
This fonn is to be sign
and dated.
APPROVED BY:
Date:
/2-)i> Iv 7'
. ,
useum Director
REVIEWED BY: .--f)'a ",--rOM:
Co;;-t~-a s~cialist
Date: 12'\0.09
APPROVED
Date: /Z-{(-07
Revised 6 18 09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16(.
January 12, 201'l'i
Page 12 of 46
.- PROJECT NAME: Naples Depot Fire Sprinkler PROJECT #: 50401 PROJECT MANAGER: Gary Vincent
BIDlRFP #: 06-3929 MOD #: 1 PO#: .tf,;"OOC()If2..'OORK ORDER #: ll803929 Llsool Cl~ 2.l(,
DEPARTMENT: Collier Cou Museum CONTRACTOR/FIRM NAME: BSSW Architects
Original Contract Amount: $ 42,770
Current BCC Approved Amount
Current Contract Amount:
$ 42,770
$ 42,770
$ 3,600
Change Amount
RavIaad Contract/Work Order Amount $ 46,370
Cumulative Dollar Value of Changes to
thle Contract/Work Order: $ 3,600
Date of Last BCe Approval N/A Agenda Item # N/A
Percentage of the change over/under current contract amount 8.42%
Fomula: (Revised Amount / Last BeC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: September 30, 2009 CURRENT: March 10. 2010
This change order will: 0 Add a new Task for 181 Increase Architectural & Engineering Fees by $3,600.00
Other
- Describe the change(s): This change order is for architectural and engineering services for the sprinkler system
at the Naples Depot. These changes were required by the City of Naples and include changes to the service
connections and right-of-way site work.
Specify the reasons for the change(s) r 1. Planned or Elective X 2. Unforeseen Conditions r 3. Quantity
Adjustments r: 4. Correction of Errors (Plans, Specifications or Scope of Work) r: 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change order were not processed: Project could not be
completed.
This change was requested by: Contractor/Consultant Owner n Using Department C. CDES
Design Professional X Regulatory Agency (Specify) f!!Y of Naples Fire Inspector r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
r No
This form is to be sig
Date:
/2--;;O/d'j
APPROVED BY:
APPROVED B :
Museu Director /J
REVIEWED BY: ~r/) ~- ~ r t? j./ -
_. Contrac~alist
Date:
r2. ro'o?
Date:
( 2--f!-O<J
Revised 6 18 09
-- "~ ~ .._,,"-_.,....--,.~,
'--->-'"...-".---...-
M'__ ,_____'___' __ _
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No, 16E9 7
January 12, 2010
Page 13 of46
PROJECT NAME: Naples Station Museum Phase IV
BID/RFP #: 09-5242
MOD #: 2
PROJECT #: 50401
4S'tO( 1083 (
PO#:_
PROJECT MANAGER: Gary Vincent
DEPARTMENT: Museum
rBs lO"!,T,,,^<-fcrs
CONTRACTOR/FIRM NAME: Professional Building Systems Inc. of SWF-
WORK ORDER #: N/A
Original Contract Amount:
Current BCC Approved Amount:
$ 98,238.00
$ 107,986.49
Current Contract Amount:
$ 107,986.49
$ 5,481.00
Change Amount:
Revised ContractIWork Order Amount: $113,467.49
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 15,229.49
Date of last BCC Approval: June 9, 2009 Agenda Item # 16014
Percentage of the change over current contract amount: +5dI1o/. i). ~~ '/0
Formula: (Revised Amount I last Bee approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: November 30,2009
CURRENT: March 9, 2010
This change order will: [81 Add a new Task for $5,481.00 0 Increase Task Number
by$
Other: Increase lump sum contract amount by $5,481.00
Describe the change(s): Remove undisclosed ceiling boards in Naples Depot (Rooms 100 & 109E), replace
three decayed ceiling rafters, install 2" x 6" leveling strips to level the ceilings, and install R-30 insulation in the
eeiling in both rooms.
Specify the reasons for the change(sl i- 1. Planned or Elective X 2. Unforeseen Conditions (" 3. Quantity
Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work) (" 5. Value Added
(" 6. Schedule Adjustments Note: One or more may be cheeked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: Renovations to the Naples
Depot Museum could not be completed and it would never open as a Museum.
This change was requested by: X Contractor/Consultant "Owner "Using Department r CDES
25. Design Professional Regulatory Agency (Specify) City of Naples r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: X Yes
-
,. No
This form is to be sig
Date:
Iz./tO/d(
APPROVED BY:
APPROVED
Date:
(?.W'09
REVIEWED BY:
Director
Date:
/;7- (/-0'1
Revised 6 18 09
Agenda Item No. 16E9 -0
January 12, 2010 0 ,
Page 14 of 46
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME:Cc. I"~~ fiJf( PROJECT#: ...OO~". '- PROJECT MANAQER:CLDJ,I'~ ....L
BIDlRFPjJ; OC\-';lc.~D'" 1.-. POII:~-I<>7l7f> WORKORDER'" ~e,..3 "'/!t
DEPARTMENT: ~ Z-t:::I CO"lTRACTORlFlRM NAME: ?-e.S CO,,;) + ~ -lr.-r
OrigInal Contract Amount: '
$ I~ 41,\."'0
(Slartlng Point)
$ I 9.-:J, 41.9 . eX)
(Last Total Amount Approved by the BCC)
$ I~. 4!:J. 00 .
(Indudl/l'g All Changes Pdor To ThiS Modification)
$ l.c.IBd$.~o /'{ ~tJ~.tJS
$ ~,~. 09 /9'7;;{,J I.t!JS
(Including This Change Orde,,' .
Current BCC Approved AmouJrt:
Cunent Contract Amount,
Chlmp Amount:
Revised ConlnlctlWol1c Order Amount:
CumulMive Do..... Value of C","_ to
thl. ContractlWotk Order: $
I~ '10;;(. oS'
-
o.le of Lut BCC Approval ~ - 1 <9 . c.c=t Agenda Item II ~
Percentap of the c","""e o..nunder cu....nt conlnlct iltnount ~ ~ % 9- &:,5" %
FonnuIa: (Revlsllcl Amount I Last BCC epproved emount)-1
CURRENT COMPLETION DATE ~ ORIGINAL: 10. I~. a: CURRENT: .....L1. =3- o. O"f
Thhlchangeordarwlll' ~Addan"'Taakfor$~$. ".. 0 Inero....Task by$
'1402. .oS-
Other
llescrlbeth.change(.):..k.j~'1A-U- ~ ~ol..e;.S,_ 12-t~ ~<;:_ ~ l1-1e~-t.i}
~.r_ S-k>~.lGt . 1:tlSTA-LL~ C&-L~_~. ~-..u-~~
~ 1/ . .
Specify the reason. for the change(8) (" 1. Plannad or Elective. 2. Unforeseen Conditions (" 3. Quentity
Adjustments (" 4. Correction of Errora (Plans, Speclficatfon8 or Scope of Work). 5. Value Added
('. 6. Schedule Adjustments Note: One or more may be checked, depending On the neture of the change(8).
Identify aU negative impacta to the project If this change order were not processed: _~rr-
V~~/ A.bI.D '-lml-<"<'..,p~ vJ"C11I- ~~(".,,~.
This change was requested by: rJcontractor/Con8ultant ~r rI Using Department ~s
Coeslgn ProfessIonal rIRegulatory Agency (Specify)
r Other (Specify)
r ~.
Yes No
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This fonn is to be sIgned and dated.
7
APPROVED BY: ~ --<.: ::;..
Project Ma ger
-.
Date:
11."'5. CPf
It Is lor
,-
,
REVIEWED BY:
~,
rf.
.' \, ~
r yv........."A
Date:
Revised 6-15-09
_ _ _'~''''_<_".__,,'''_'~..c_._
'_"'m__.,~._____,
.._-.,..,.....""._.~._-'''_._-,_...-.._.~. ,--
- .n.__ _
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
~ a)t , E9
Page 1 of 46
'f
.
PROJECT NAME: New Sof\'o!!l& !;;Ity V1ll1L PROJEC1W:l!l!lI!!J.iPROJECTMANAGER: <!\onnl~ Oriel!!
BID/RFP#: ~D':, POll: 46-102444 WORKORDERtI: ,Jjtr
Senrices CONlRACTORlFlRII NAME:Mun
I
.1
Original Contrllct Amount:
"
$ U96.272.DO
(SIarting Point)
$ 2.3~
(Last Total Amount Approved by the Bee)
$~Ie~~fo~~tion)
$ 17.955.00
$ ~.40%.7~
(Including Thi. Change Order)
CUmJnt BCC Approvad Amo...t:
Current Contract Amount:
Change Amount:
Revlsed ContractlWork Onler Amount:
Cumula_ Dollar Value of Changes to
thl" ContracllWork Order:
.
$ 406.4l!Yl1
Date of Last Bee Appro",,1 9l2!!!Z!!-~
Agenda ItIlm # 1689
1I.7~ ~
Percentage of the change over/under current conlnllct amount
Formula: (Revised Amount 1 Last Bee approved ernount)-l
CURRENT COMPLETION DATE (5): ORIGINAL: 11/1108
CURRENT: 2/Z3l1lI
TIlls change order will:
$
I8J Add a new Task for $ 11.l!i.2P
o Increase Talc Number
by
Other
Descrlbethe chenge(s): To add TRansportation Riqht of Way toCDES C:i...tvvi.ey
implementation.
Specify the ..asons for the change(s) C 1. Planned or Elective C 2. Unfu._aen Conditions 0 3. Quantity
Adjustments C 4. CorrectIon of Errors (Plans, Speclflcallons or Scops of Work) 0 5. Value Added
r, 6. Schedule Adjustments Note: One or more may be checked, depending on the natu... of the change(s).
identify all nlNatlve Impacts to the project If this change order we.. not processed: Transporta ti on
Rignt of Way and tDES ~~rrment Wi~g9 ~:
This change was requested by: rJcontractor/Consultsnt ~ Owner 1'1 Using Department G CDES
!:Design Professional r1Regulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: r Yes '" No
This fonn Is to be ~Ign~nd d~~c-'o=>. .. "'\
L Y/ . /~L......,
APPROVED BY", ":??/f'//.1Y ..:z~"~ /
. Pr6Ject Man@g~ / r
APPRO~Y: "C
REVIEWED BY:"
Dale: 9/30109
>L
r
Date:
Dale:
I (J...//6/o9
, .
.~~
-
-
Agenda Item No. 16 9 IV
January 12, 20 0
Page 16 of 6
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME:
PROJECT MAHAGER: llllIl.fIII!uJI
BIDJRFP II: IlY2H MOO II: 2t
DepAftTMI!NT:
PROJECT II:
POtI:~ WORK ORDER II:
COIfTRACTORIFIRM NAME:
Original Cannel Amount:
,
I
,
$ I1tlIHd4
(SO"ting PalnQ
$ .1i.DL14
(LasI T ct81 Amount Approved by the BeC)
S ~
(Irteluding All Chan;ea Prior To Thia Modffic8tion)
ChMg_ Amount: "3..G.QJlSl
RevIMd ConnctlWMk Order Amount:, 8.H.IILU
(Including Thll Chongo Onlor)
.
Current Bee Appl'O\ld Amount:
Cumtnt Contract Amount:
CumuEatlw DoIllr Val.... of Chang.. to
thlo eo__art< Onlor: $
Agenda IIIem fI
Percem.g1 ofthl change oYWtundlr CWTent ......b.ct Itnount~%
Fonnule: lRovlood Amount IlMl Bee appnMld amounl)-l
CURRENT COMPLETION DATE (S): ORIGINAL:
Th.changeorderwlll: 181 Add.newTukrar'~D InCNaHT..kNumber
;r"./ 7 il.'O~
iMc...4,,~
CURRENT:
byS
Other
Deecrlbe thl chongl(I):- . I iI I .
CR-9511lJ11ImmQ/(l~ R~s flotBlLof orifJ!J1A/ dB~ to compi$19 thQ
int.~ l.nstsllO .ndco~
Specify the 1'800n. for the change(a) r 1. Pl8nned or Elective r 2. Unfur....n Conditions (: 3. Quantity
4. CornctIon of Eno,. (P...., S_lIIcollo"" or Scope of Work) r 5. Vllvo Add...
NoI8: One or more mIIy be checked, depending on the n .. the
roJecl tr th.. order.a... eel"
"t>..lgn Prof_lonll nRoguJotooy Agency (Specify)
CONTRACT SPEClAUST PARTICIPATION IN NEGOTIATIONS: ryes r No
Thlo Ionn 1010 be oIgnod end d
APPROVED BY:
-
Potersen, Projoct Manager
Date:
/1..- /.-li
J) //5~i
REVIEWED BY:
nds Cumming, Contract Specialist
Revised 6 18 09
._~-~. -....-.-....... --
-_._-.~~, , ,--~"', ,.--.--
-- .._---..._~_..._--"._"....
,-~-_.-
.. ',____"'_.m
Agenda Item No. 16E9 I
~~)enWlJ1W~
, ~~
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Coco~lchee
BIDlRFP #: 07-4153 MOD #: 1
PROJECT#: 111-110409
PROJECT MANAGER: GoO' McAlpin
POIWO#: 45-110019
DEPARTMENT: Coastal Zone Mana
CONTRACTORJFIRM NAME:
PBS&J
Original Contract Amount:
$ 7,699.00
(Starting Point)
$ NIA
(Las! Total Amoum Approved by the BCC)
$ 7.699.00
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Currant Contract Amount
Change Amount:
$ ~-
Revised ConlraclJWort< Order Amount: $ 7.6\19.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWor1< Order: $~-
Dale of Last BCC Approval
NIA
Agenda Item # NIA
Percentage of the change over/under current contract amountJ%
Formula: (Revised Amo,uml Last BCC approved amount)-1
CURRENT COMPLETION DATE (6): ORIGINAL: l!m!.lem~r 10.2009
CURRENT:~~~
1/1/;J.()j(.J
This change order will: 0 Add a new Task for $
o Increa.. Task Number
by$
Other Inc",ase completion date !!v 44 days makin!l completion date Janua.!ll1. 2010
Describe the change(s):_ Due to additional time spent on Clam Bay/Moorings Bay than anticipated.
Cocohatchee River has been pushed back and will require addijional time of 44 days ti!! January I, 20 I 0
Specify the reasons for the change(s) (" 1. Planned or Elective X 2. Unforeseen Conditions (" 3. Quantity
Adjustments (" 4. Correction of Errors (Plans, Specifications or Scope of Work) (" 5. Value Added
(" 6. Schedule Adjustments Note: One or mOre may be cheeked, depending on the nature of the change(s).
Identify all negative impacts to the project If this change order were not processed: Pro~ct will not be able to
be com..eleted.
This change was requested by: XContractor/Consultant rl Owner n Using Department C CDES
Coesign Professional nRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes Tj\NO
Date:
//-15-,17
REVIEWED BY:
r
.
Date:
11-73-C1l
Revised 6 18 09
DEPARTMENT:
'-'7-"1
.
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT II: ~PROJECT MANAGER:~' ~ ,?e11~
PO#:=t1>-I"~ WORKORDER#:~PI-"115t-"I!f_'
CONTRACTORIFIRM NAME: e.. Ln..-r.:r
._"
PROJECT NAME:
BIDIRFP #: ,,:, -"11 '>3 MOD #:
5
Original Contract Amount:
$ ~.;, ':J.::; o. cO
(Starting Point) J
$ '-l.5, .:r-S 6. ",,, jJ Lft
(Last Total Amount Approved by Ule BCC)
$ qg. o'Z--<::>. oc:>
(Including All Changes Prior To This Modification)
$ 9, t; 2-5.01>
$ ~q... e,t-l.;; .0D
(Including This Change Order)
Current acc Approved Amount:
Current Contract Amount:
Change Amount:
Revised ContractIWork Order Amount:
Cumuladve Dollar Value of Changes to
this ContractlWork Order:
$ S;?/,Oq.::.;.oD
-
Dale of Last BCC Approval \ ? . 9-='t-. OT fJ I A Agenda Item #
Percentage of the ~hange over/under current contract amoun~
Formula: (Revised Amount I Laal BCC approved amounl)-1
CURRENT COMPLETION DA TE)ll): ORIGINAL: ~. II. u B
This change order will: IlJ"Add . new Task for ~ -v.;. ci) 0 Increase Task
I
OtherJTlSP..s n ", \ P,
,.J^
%
/t/11 (.
CURRENT: OZ-. IS. 1'0
by$
Descrlbethechange(s):...:p~ICOG_ ~ 5t-I~~\~~<:; I:OR...
I .
I-Ao-IDSC,.f'O->Iilf ~. t:lt.(Z.c:-z:..~.....J S .::..:>~ ~ \W~"I,.:ro n lCJ....Dl;:.. ~b~.
Specify the reasons for the change(s) (' 1. Planned or Elective. 2. Unforeseen Conditions (' 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work). 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If this change order were not processed: LJ ~ ~ 1 ~_
~:j~ I ":>CP""=--r~,,,,- Vtt>L-A'I-...orJ.~ :Q~PrDE.t'?-~ SJ:{E.. ~~
This change was requested by: ~ctor/consultant ~er n Using Department C COES
Loeslgn Professional rlRegulatory Agency (Specify)
her (Specify)
CONTRACT SPECIALiST PARTICIPATION IN NEGOTIATIONS:
r No
This fonn is to be signed and dated.
APPROVED BY: .;; ;, ~ ::::?L-..
Project Manager
)
L
Dale: /1. "Z.?o9
"- REVIEWED BY:
Date:
II -21/-09
,
Revised 6- I 5-09
_..u________.__,.._
> ,-._- ., -.. ,~... -..-,"'.-
--_,_,,---,~"~'_-"-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No, 16E9 3
,1;mIlFlry 12 2QJO
Page 19 of 46
PROJECT NAME: Yl!iggins Pass Iml!!'Qv9m,n~ PROJECT #: 195-90032.1 PROJECT MANAGER: Gary McAl2!.!:l
BIDIRFP 1/: 06-3902 MOD #: LPOIWOI/:45-11 07921 .
DEPARTMENT:Coastal Zone Management.
CONTRACTOR/FIRM NAME: Coastal Pla,!ning & Engineering, Inc.
Original Contract Amount:
$ 160.717.00
(Starting Point)
$ NIA
(Last T olal Amount Approved by the BCC)
$ 160.717.00 .
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
$ 12,000.00
Revised ContractIWork Order Amount: $_ 172.717.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 12.000.00
Date of Last sec Approval N/A Agenda Item 1/ N/A
,
Percentage of the change over/under current contract amount h4"Io '7-<17 'Y"
Formula: (Revised Amounl I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
{- <..( - .;!D (hCURRENT:
7-<f.-'JiJ/b
Describe tha change(s): Taflk 5 will pro,'{jd, Coalital Engineerinll a!lll Ecoloqv S~rvlces needed to make the cas~
for a Critical Erosion Designation.
Specify the reasons for the change(s) X 1. Planned or Elective r 2. Unforeseen Conditions X 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) X 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this work oreler addition were not processed: Without this we will
not be able to qualify for recentl'( announced state inlet fundin!lproILram.
This change was requested by: r Contractor/Consultant P' Owner r Using Department r: CDES
Loesign Professional r Regulatory Agency (Specify)
COther (Specify)
r Yes ~o
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This fonn is to be signed and dated.
APPROVED BY: ~~ !!1-~
G M AI n, P.E.. CZM Director,!
Date:
tt/zt/B1-
/I)} (oq
REVIEWED BY:
Date:
Revised 7-14-09
/2J er;rn~~ftt'I ~ ~j
~e~6 "l
.'<'~
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: 5pg IDvd. Welllr Main
BlDIRFP .: l!8",!!J MOD III: 1 POIW:
DEPAIUMENT: PUPeMD
PROJECTfI: 71~.1. PROJECTIllANAGER'
4$4!l!1ll7&88 WORK ORDER .,...15"'00 10 '7S"ii
CONTRACTOR1FIRM NAME:
Q..lim&!r Minor
Cumtnt BCC App.....d Amount:
s 1J.I1!,gJ
(SlIuti'lg PoInt)
J ~ Amount U:.- by the BCC)
$ 1i.lWlO
(including All Changee PriarTo 111io Modification)
$ 0
Original Contract AlIIoun!:
CUrntnt Con~....t Amount:
Chanll. Amount:
_ ControctJWork om. Amount: J 1.1.I1L1R
(including Thio ChInge Order)
Cum_.. Dollar \11II... of Chang.. to
th. eo_ork Order: .$ 0
0.18 of lat see Approval rJa
Agenchlll8m .
~
Perconlall" of tho chanll" o..r/under cumlnt Conlnl~t _ount
Fonnula: (Revised Amount/laot BCC approved 8""",,")-1
CURRENT COMPLETION DATE (8): ORIGINAL:
O....rlbe the changa(e):_
In I1lYiDfnO an<t_ """1Il!l!ICI C<lnlI/IiOn..
o
'lI.
CURRENT:
Mim<!L~1. 291g
Specify the ...-e for the chenga(a) n 1. P1alli1ed or Elective. 2. Untor".en Conditione c: 3. Quantity
Adj........nllI 0 4. CorrectIOn of ErrolS (Plane, Speclflc:atlone or Scope of Work) 0 5. Value Added
. S. Schedule AdjuRmenlll Note: One or more may be checkad, d....ndlng on the netu.. of the changa(a).
Identify all negative Impacts to .... project If this Chanllll order - e not proc"ssd: .;0.;'-1) f d
/~f..I}]../J1- 6p/ dif)~{,/-t:.,..
This change w.. requested by: lIIcontrac:tor/Co.....,tant [] Owner LI Using Oepamnent !d CDES
tioealgn Professional ORegulatory Agency (Specify) QOther (Specify)
CONTRACT SPECIALIST PAR11ClPATION IN NEGOTIATIONS: · Yes 0 No
I
I
I
TIlle fonn Ie to be 81
Dale: ~?-., fo:t
Date: , \fu;.{~,
Date: 11/3(;/07
. / ~ Pu Baing OeP'!>Vnent .
t,<"0wl <L...- /~~
.
APPROVED BY:
APPROVED BY:
Phil
REVIEWED BY:
, _.,____~_..~x_,~_,..,..
, ,...,....-.-.............
- -'-'~;'-"'- -
'0,._,_
--.-.'--
.
2a~~:~t7,9
u5J
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME:,Roost RO~!tW~
MOD" 1
DEPARTMENT: Plll'PMO
.
PROJECT ~ PROJECT MANAGER: 0"1). C. Qu!d ,
WORK ORDER"
CONTRACTORlFIRM NAME:
Q. Grad.tl!lnor
Original ContlactAmount:
Currant BCC Approved Amount:
Currant Conlnct Amount
Change Amount:
$
~
RavI..d ConlnctJWort< 0nIer Amount: .S ~
(Induding This ch8nge Order)
Cumulall... Dollar V.'ue of Change. to
lid. ContnIctJWort< Order: 1 0
0... at Last ace Approval
nIB
Agenda ...... /I
,
,
I
,
I
Percenlall" of lha chang. owrfuncler c.....nt con....ct omount
Fonnula; (Revised Amount I Last BeC appro.'ed .mounl)-l
CURRENT COMPLETION DATE (5): ORIGINAl:
o
%
CURRENT:
Specify the ....so... for the ch.ngeee) 0 1. PI.MIld or Elective. Z. Unfo.....n Conditione r. 3. Qu.ntIty
AdJuatmenta (') 4. Cornctlon of ErTo... (Pia..., Specifications or Scope of Wor1l) 0 5. Vllue Added
· 6. Schlldule Adjustments Note: One or more may be chacklCl, depending on the ...Iu... of the cha""eee).
Identify all negallve Impacts to the project If this change order _re not proc..lld:
This ch.nge w.. requeated by: ~onlncIOrlCo..ultant 01 Owner L'I Using Department !:; COES
[;088lgn Profeselonal ['IRegulatoJy Agency (Specify)
DQlher (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: . Yes C No
This fonn Ie to be .Ig
Dale:
II h..s lOCI
APPROVED BY:
Q
REVIEWED BY;
Dale:
Oale:_lIfzS/C1"l
1/ / .3tJ/O f
. .
APPROVED BY:
1
Co I
Revised 2-22-08
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E9 ~
January 12, 2010
Page 22 of 46
.,-"
PROJECT NAMe: !-lvinllSton Road IQ ASR PROJECT #: 74032 PROJECT MANAGeR: Alicia Abbott
~7Z;;-
BIDIRFP #: 05-3785 MOD #: 1 PO#: 4500101776 tl!revlouslY 4500095634l WORK ORDER #: CAE-FT -3lW5-08.o~
DePARTMeNT: Plan
CONTRACTOR/FIRM NAME: Carollo E.!!Sin"I$, In(Q
Original Contract Amount:
$ 112,4&)
(Starting Point)
$ (La~tal Amount Approved by the BCC)
Current Contract Amount: $~
~ncIuding All Changes Prior To This Modification)
-
Current BCC Approved Amount:
Change Amount: $0.00
Revised ContractlWork Order Amount: $~O
(Including This Change Order)
Cumulstlve Dollar Value of Changn to
\hI. ConlnlctIWork Order: $0.00
.'
~\~
Agenda Item #
Date of Last BCC Approval
,~
Percentage of the change over/under cumont contract amount
fo<mula: (Revised Amount/ Last BCC approved amounl)-1
CURRENT COMPLeTION DATE (5): ORIGINAL: Julv 15. 200'
This change order will: 0 Add a new Task for $
o %
CURRENT: July ~3. ;m1,O
o Incre.... Task Number
by $
Other: Provide edditional time to the work order.
.
De ch s: dd additional time to the work order to acquire permilling approval to begin cycle testing of the
Livingston Road AqUifer Storage & Recovery Well.
Specify the reasons for the change(s) ('" 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r. 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s}.
Identify all negative Impacts to the project If this change order were not processed: The negative impact would be
that the project would remain incomplete and unable to realize the intended benefit of a functional Aquifer Storage &
Recovery System.
This change was requested by: "'lcontractor/Consultant rl Owner rI Using Department r CDES
Loeslgn Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
F7 No
This fonn is to be signed and dated.
-
Date:
, -l. -()
\I11.s1~
/1/ ;I~19
. '/ I
APPROVED BY:
Date:
Date:
antract Specialist
Revised 7-]4-09
. _ _'~___.~~__"""",.__.._.____m<._
-.,..~.,._-_..
-"------"----~._-
-__0______------
Agenda Item No. 16E9
--------"-.,-.-- --------- -JafitJflFYA2~201 01-1
Page 23'of 46 f
CONlRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Dovii ll2Wevanllntmection Improvomonlo ot Shodowlawn Drive PROJECT #: WOl6
PROJECT MANAGER:
BIDlRFP #: l!2:ll2l MOD': 2
PO#: ~ WORKORDER': ~
DEPARTMENT:
OrtglMI ContnlctAmount
CONTRACTOR/FIRM NAME: 0
..rn.mM
~ ,J /A
Inc
Current BCC Appro-..d Amount:
C........t C.ntro.. Amount: ~80.8S3.34
Change Amount: (Addl ID1.2li
Revised ContractJWork Order Amount: H..1.llI.J.Q
Cumulattw Dollar Value of Changes to
lhl.~ctJW.rk~ $2.399.J6
Dataofl...atApplVval Sepyit~4:2.009 AgendaltBm# NlA
Percentageofl:hechangeundercunwntcontractamount ~ ' hf<; /'"0
Formula: (ReVlS8d Amount I Last Bee approved amoumr1
CURRENT COMPlETION DATE (8): ORIGINAL: Pocombcr S. 20Qi CURRENT: _DocemI1llLlO. 2009
Thia change order wfll: l'8l Add. new Task for IDi.26 0 Increase Task Numb8r by .
other I
"
Describe the chaaz:e(s); The contract called for installation olone (I) new pull and junction box. forty (40) linoar foot of
2" conduitl( 2-PVC pipe), 3 Loop assembly (F&/) (Typo A), and I Loop assembly (F&I) (TypoF) a10ns Davia
Boulevard.. During a field meetmg. it was discovcrod that if the project was to be constructed per pJans. the loop
connections will be spliced. In order to avoid splicing th.e loop. It was decided that new conduits be instaUed by way of
directional bore under Shadowiawn Dnve to be used for eastbound left turn lane loop dctew1ur into Shadowlawn Drive
North. As a resui~ the following pay items were increased:
Increased existing quantities by adding One loop assembly (Type Fl, and two pullboxos.
The change(8) 0 1. Planned or Elective ~ Unforwseen CSHTditior18 wi Quantity Adjustments 0 4.
Correction of Erro... (Plans, Specifications or Scope of Wortc) G'" 5. Value Added
o 6. Schedule Adjusvnentl Note: One or mora may be checked, depending on the nature of the ehange{s).
Identify all negative impacts to the project tf this change order were not processed. The traffic segna! will not
function effectlvefy.
This change Watll requested by: DIcontractorJConsuttant DI Owner
I:I.Oesl9n Professional DIRegulatory Agency (Specify)
~ng Department
Q CDES
DO/her (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes r;; No
This fonn is to be signed a~ dated.
APPROVED BY: &=-'~
1<: yankadau Kom. Project Manager TEeM
Date: /d 3/"1
REVIEWED BY:
Date:
0ate: I ~ 3, Or
o;.da Rembert -Cummings, Contract Specialist ~a iii-Department
(
Revised 6 18 09
Aqenda Item No. 16E9
~c!d. J~WJ.\C
'1u~d ilt./<J ,&&d
~
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME: ,Elldq.,j=" Gln...lDr W..1!J5ncIOJure PROJECTtI:52SZ!. PROJECT MANAGER: Robert FU9n~
BIDIRFP #: 06-3971 MOD #: 1
PO#:45001093611 WORK ORDER #: ~ 'IS'0tlIOq3S'l
CONTRACTORIFIRM NAME: Su..ty Construction Co.
DEPARTMENT: Facilities Management
Original Contract Amount
$ 146.500.00
(Starting Point)
$ 1,!6MO':00 N I A
(Last Total Amount Approved by the BCC)
$ 14MOO.OO
(Including All Changes Prior To This Modification)
J ~...J/~/, .y 7
$ .~ /t/CJ h~/. '1-'1
(Including This Change Order) .
Current BCC Approved Amount
Current Contract Amount:
, Changa Amount:
, ,
Ravlsed ContractlWork Order Amount:
Cumul_ Dollar Value of Chang_ to
!hIe ContractlWork Order: S
.~ .&/0/. '11
Date of Laet BCC Approval NIA Agenda Item # N1A
Percenlllge of the change oyer/under current contract amount Jll{ 1.\:+ O( C
Formula: (Revised Amount 1 Last BCC approved amount)-' . .
",-
CURRENT COMPLETION DATE (5): ORIGINAL:
11122109
CURRENT:
1/24119
Describe the change(s): Installation of three (3) additional electrical condul1s for futunl tie In of Bldg. "B" to
Bldg."F" main generator avoidIng digging area reducing cost.
Specify the reesons for the change(s} C 1. Planned or Elective r. 2. Unforeseen Conditione 0 3. Quantity
~ustmen1s r. 4. Correction of EnoI'8 (Plens, Specifications or Scope of Work) ~ 5. Value Added
" 6. Schedule AdJustmen1s Note: aile or more may be checked, depending on the natunlof the change(s}.
Identify all negative impacts to the project if this change order were not processed:.Jll1iF
., . '1 ' ,?, ,
. . , '"uZ, . .' ,> .. . . .' .z......, .'
dt...J. . hA.. t"U,vt II-- tv1t ~ Cj.-U a..: :.I"JLC'-e.'1/-<....e-I,,<.~~
This change requested'by:rlcOntractor/Ctmsultant Iii Owner n Using Department C. CDES
~ign Professional LIRegulatory Agency (Specify)
CONTRACT SPECI ST PARt CIPATION
LOther (Specify)
~es L No
This fonn is to b sign d
APPROVED B .
Date:
REVIEWED BY:
Date: Ir2/~f
-'
Revised 1 ] .19.2007
,. _""~H"___ ....___...
...,--.....-.,."'. ""~.,,,.,
~
CONTRACTJWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Miscellaneous Improvements to COum:...J':'OUlovard (CpR. 9S 1.) find Crvst.&llakc Drive PROJECT #:
~
PROJECT MANAGER:
BIDJRFP tt: 22:lliZ MOD #: ..J
DEPARTMENT:
Original Contract Amount:
pO#: ~ WORK ORDER': ~
CONTRACTOR/FIRM NAME:
_$)9.695.85
Current Bee Approved Amount:
~Q /oJ/A
Current ConmctAmount: J.39.69S.8~
Chon"" Amount: (Add) $3.45Q,QQ
Revt..d ContrilctIWork Ordw Amount: $43.145.85
Cumulative Dollar Value of Changes to
"'Ie C.nb'acliWork Order. S3.450,QO
Date of last Approval OctOber 14, 2009 Agttnda Item II ~
Percentage of the change under curr.nt contract amount 8.69%
Formula: (R8\o1sed Amount I Last Bee approved amount).1
CURRENT COMPLETION DATE (S): ORIGINAl.: December 7. 2009 CURRENT: December l..8....2.009
This change order will: ['gI Add. new Task for $3.450.011 0 Increase Task Number by $
Other Added pay items and adjU~lTJlntl~
Describe the change(s): The plans called for installation of guardrail on the .proJect Underground utilities were marked
and identified d~y at the location of the guardrail posts. In orc1er to avoid driving the standarct guardnil posts into the
utility, special encasement of the guardrail posts were needed to resolve the conflict.
Other activities 1nc1uded removal of eXlstmg pavement markings by water blasting. After water blasting, some aggregates
in the pavement were exposed making the appearance looking aWkward. The Cl)'Stal Lakes Development requested that
the intersection be seal coated to cstablisb unfonned surface and appearance.
The change(s) n 1. Planned or Elective ~ Unforeseen Coru:Utlona ~ QuanUty Adjustments 0 4.
Correction of Errors (Plans. Specifications or Scope of Work) G-5. Value Added
cz..-&. Schedule Adjustments Nate: One or more may be checked, depending on the nature of the change(s).
Identify an negaUve Impacts to the project jf this change order we", not processed: If the changed order was not
process:ed, the guardrail will not be installed because of the conflict.
This change was requested by: I:l:ontractor/Consultant ~ner 0 Using Department [l COES
D0891gn ProfesslonallJlRegulatory Agency (Specify)
DOther (Specify)
[j Yes ~
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Thls form is to be signed and dated.
~~
.
Del.: /)../<;[01
APPROVED BY:
A. Nyankadau Korti, Project Manager TEeM
APPROVED BY: Dat.:
,
Dal"B,ath?n. P .E.. Prio "pal Projec &nager, TEeM
REVlEWEDBY: A';"'- 1/, _ t " hh'vl/v'\j~ Dato: I
~ond8. Rembert -Cummings, Contract Specialist Pth:;.....- _ partment
fJ9
I
Revised 6 18 09
-- '....--.-.--.-.---------.--.....----..--...----......----.._--.---,- ._~-.------.,-
_________..__ _.____.'.__._...__'''n_..___._.____
-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
,-
PROJECT NAME: Bayahore l2rjve1T\lOmaa"o!l.J2r. StQ""~l8r Im"rovement Prole
MANAGER: B...n~~ro ;u:- ,
. ow- , 'f70010m I
BIDIRFP #: -NftIr MOD #~PO#: __ W6RK ORDER #:!ilGM - FT -3~69.o6.ot
eONTRACTORIFIRM NAME:
Minor
DEPARTMENT: oad Mainl8nanceJSto
Original Contract Amount: $ 5~.250.00
(Starting Point)
Current BCe Approved Amount: $ N/A
(lest Total Amount Approved by the BeC)
Current Contract Amount: $ 55.250.00
(Induding All Changes Prior To This Modification)
Change Amount: $ 1)
,
RevIaed ContntctlWork Order Amount: $55.259.00
(Including This Chenge Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $0
Dal8 of L.aat BCC Approval_N1A Agenda ltam # _N1A
'10
Percentage of the change overfunder current contract amount_O
Formula: (Revised Amount I Lest BCC approved emount).l
_ CURRENT COMPLETION DATE (5): ORIGINAL: .1.1l1.ml!LCURRENT: .1112\1109
Thla change ordarwlll: 0 Add a n_ Taak for $ 0 Inc",... Taak Number by $
Other AqllJlme. '
Describe the change(s): Ad\! 60 additional day~.
Specify the reasons for the change(s) r 1. Plenned or Elective X 2. Unforeseen Conditions r. 3. Quantity
Adjustments r: 4. Correction of Errors (Plans, Specifications Dr Scope of Work) C 5. Value Added
r 8. Schedule Adjustments Note: One or more may be checked, depending on the nature orthe change(s).
Identify all negative impacts to the proJact If this change order were not processed: Compensation to the design
profassional is required and will complicate/delay final project close out.
.
This change was requested by: Dlcontractor/ConsultantX Qwner L.l Using Department [j CDES
X Design Profsssional CIRegulatory Agency (Specify) nOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r:: Ves X No
-
Date:
9- ~,CC;
This fonn is to be
APPROVED BV:
Date: I d-l
11.. " '"..
Date:
APPROVED BV:
REVIEWED BV: I
Contract Specialist
Revised 6 1809
---
, '-,-,~"._,..~,-"..."._...,..,._.....,,-
__ "__''''_'_TC'..'.__.,_'ff''''
........_0.
.
Agenda Item No. 16E91(
Jd"udr y 12, 2010
(~IlM7 \ -~~6
CONTRACTIWORK ORDER MODIFICATION .
CHECKLIST FORM r", r-""
PROJECT#:~' ~/; Df
Ro.V' p{9
,
.
.
PROJECT NAME: I
PROJECT MANAGER: John Podczerwlnsky
BIDIRFP .: 08-3875
MOD': 1 POt: 4500108278
- -
WORK ORDER ',_(Same .. POIt)
DEPARTMENT: Tnuus r18tlon Plannln
CONTRACTORJFJRM NAME:
Original Contract Amount:
$ ~.085.oo
(Starting Point)
$ 27 M!l:Oo jJ /:A
(LairiOtBiAmountApProved by the BCC)
$ 27,0115.00
(Including All Changes PrIor To Thla ModlftcaUon)
Change Amount: $ 2.860.00
RevIsed ContractJWork Order Amount $ 28,715.00
(Including This Change Order)
CUINnl BCC Approved Amount
Cummt Contracl Amount:
Cumulative Dollar Value of Changu to
lit.. Contr8cIIWorl< Order: S 2,850.00
Dale of Last BeC Approval
nla
Agenda 118m #
nla
l'Iln:entllge of the change over/under currenl conlracl amount
Formula: (Revlsed Amounll Last Bce approved amounl)-l
CURRENT COMPLETlON DATE (8): ORIGINAL: 10/15109
Thle chang. order will: 0 Add. n_ T_k for $
I
9.79
%
CURRENT: -lillil1ll
181 Inc...... Teak Number
3...aod II
by~
Olhar
The th i e I nfo tionl ev In e elo me
2U!ll1l revill~UM a,mendmelJja In_lhe ~J?!! of ~ Y/l11 !JJ1lU!1Ye to I!1ll
~licvJlW~ llCh~ to b~ ad~ resolllllllLLJD 2010.
Theim f' an e are 0 I on
C9m~ g~te 1$ necessarv. Q.UUhe nElCess~ of ~ lQbe IllWltmrevlsad
~e ImpaOl.ed lr!!m'sect/ODs. MC! reQulaloO!Jjeadllnes are lropacted bv Ihis chanSE.
T finan lith e 0 v I su s/failure of the roO I nol ua' sin me Is
~l'Bve..nllve measure 10 avoid ~serve safe and eWYe tumln$l mD~!lnl! al
i(lmrsect/ons; and as a means 10 ~!'rve roadway service volumE! CI!llllclty f.l.OSI. ~of this ~
Ihl! f!r!!!LPollcv Is mos!J1reva!!lnl in Ibe additional delallthal is lent to each lolers~Q~
amendm.m!l!!.lJ.e. \he.!lollcv w1U now blll!l!llllca.llli..to Ih!illolersecllons thai are ch~
Wtthou Is cha 'I r ss m m t a the affeclBd Inter 0 e an
r{lsutt In n!!lli!.tlve COllll.8QY.!l.nC'i's,ln the futlJre 1~~o1liUlrtv,l!WlIV location. site tumlng m~
evenl.!l9.ch so far as 10 <;ream the need for additional !Bnd a!;llulsttlon to accommodate County IntQ{ll~19n Jml!ro~ments.
Revised 61809
.-,
Agenda Item No. 16E9
January 12, 2010
8 f46
.
-
I
Specify the I'f'",oone for the change(e) [11. Planned or Elective X 2. Unfc.._.een Conditione C 3. QulUltlty
AdJuetment. C 4. Col'l'llCtJon of Errore (PI_. Spec/flcetlone or Scope of Work) X ll. V.III Added
C 8. Schedule Adjustments Note: One or more may be checked, depending on the nature of the chlUlge(e).
Identify all negative Impacts to the project If tllla changs ordar _re not proc I ..<<I: If the change Is not
processed. then the final resolution that will be created from this project could expose the County to
unanticipated costs for right of way acquisition, Intersection design and construction. and legal fees associated
with each. Potential benefits to public health and safety may not be addressed as concisely as necessary
without the additional analysis.
Thle chIUIgs WIll requeeted by: I1contrac:tor/Consultant X Owner n Uelng Department [! CDES
eo..lgn Profeselon. nRegulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
.~~~
Thle fonn Ie to be sign
APPROVED BY:
~ecl Manager
Date: //-/7 -?J
APPROVED BY:
Date:
REVIEWED BY:
Date: /'1..-1-0~
-
Revised 6 18 09
._.,-,..-
. ..--....---.- ....'-~,.~.,-,. .--.
--, -'.~'---'.'."-"'-
-,_'_.._".._._~."-"~"'-'-"-
Agenda Item No. 16Eii r
I )i3~JY,):2, 2010
,0:t'tt / '-'-I ,J'~~1'9 of 46
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Ele~ En\l.ineerimJor Evelll!.ade, T-Hangm PROJECT #: ~PROJECT MANAGER: ~ble BrueQllema!l
BIDJRFP#: 06-3969 MOD#: 2 PO#:~102882 WORKORDER#:_QGM-FT.3~16
DEPARTMENT: Aim!!!l.A!!lborilv
CONTRACTOR/FIRM NAME:...Q, G!llclY Minor & Assoclajg. P.A.
Original Contnlot Amount:
Current Contnlot Amount
$ 32.900
(Slatting Point)
$~ c....
(Last Total Amount Approved by the CCM)
$ 32,900
(Including All Changes Prior To This Modification)
S 5,000
S 37,900
(Including This Change Order)
CUmlnt CCAA Approved Amount:
Change Amount:
Revleed ConlractJWork Order Amount
Cumuletlve DoDar Value of Changes to
thla Con1racllWork Ordar:
S 5,000
Date of Last CCAA Approval
5/12108
Agenda Item # VIII,S.
-&.2't'15'. 4 %
f "
Percentage of the change overlunder current contract amount
Formula: (Revised Amount, Last CeM approved amoun~ 01
CURRENT COMPLETION DATE (5): ORIGINAL:
CURRENT:
2/28/10
This change order will: tg] Add a new Taaks for .$5,000 0 Increase Task Number by S
Other: Elden\! ~ule by 120 days
Describe the change(a): Change SCOPll to add !!fllParation of electrical service ~ermittin~ in~ns an!:!
!Qiust schedule accordin~
Specify the reasons for the change(s) (" 1. Planned or Elective (" 2. Unforeseen Conditions (" 3. Quantity
Adjustments (" 4. Correction of Errors (Plans, Specifications or Scope of Work) r- 5. Vaiue Added r- 6.
Schsdule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the projsct if this change order were not processed: CeM will be unable to
provide electrical services to T -hall!lar building,. .
This change was requested by: ncontractor/Consultant E: Owner rr Using Department C COES
rOeslgn Professional C Regulatory Agency (Specify)
r other (Specify)
P No
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
This fonn is to be signed and dated.
. (,~
Date: /.J2/1"/0:1
.
APPROVED B :
reject Manager
?c)?,c-i
Date:
/4<5'/0 7
REVIEWED BY:
//
,
Revised 11.19.2007
.
.
Agenda Item No. 16E9
Janu~!y" ~ 201f12
(~"'" w;.1> 1I ~ }'7 POOT( Y of W
.
.
-<
CONTRACTIWORK ORDER MODIFlCAnON
CHECKLIST FORM
PROJECT NAME:
PROJECT MANAGER: John PocIc:z8rwInaky
PROJECT #: ...&1U
BlDlRFP #: llHULMOD #:
POI: ~
WORK ORDER #:.1Sama as PO#)
1
DEPAR11IENT: Trana rtatlon Pllonnln CONTRACTORIFJRM NAME:
$87,1124.00
(Starting Polnt)
~ NIp..
, (Last Total Amount Approved by the BCC)
Cummt Contract Amount: $87.824.00
(Including All Changes P~orTo TIlle Modification)
Ortllllllll Contract Amount:
Cumnt Bee Approwd Amount:
Chene- Amount: $8.550.00
RevIsed ContractlWork Order Amount: $88,474.00
(Including TIlle Change Order)
CumuJatlVll Dollar V.lue of Changes to
this ContnctIWorl< Order: $8.550.00
DaliI of Leat ace ApplOVlll_nlSI Agenda It8m # _nlSI_
- Percent8ge of the change overlundar cumnt COntrBctlllllllUnt 9.72 %
FonnuISl: (RevIsed Amount IlJIst BCC Slpproved lI/tIount)-1
CURRENT COMPLETION DATE (8): ORIGINAL:
J.tm.ilDrv 25. 2OU!
TIlla chSInll'l order will: 0 Add a n_ Task for $
Other
181 Ino...... Task Number _flVll (eL by $_8,550.00_
nla
With c e the r . I n most n of Service b
Q2!!lI to challe~ (DCA. FDOTLas, well as the gene!3llPubllc: (_cants for coQculTl:lnc:v
reservation).
.-
h ro els
~re used In th!l; analysis that has bee"~~ bva lalllr ver:silm
Revised 6 18 09
- ... '-'-~--'-'.~"""-
-._.^~.-..._--~._.__."
-..-"
--'.-.-_._~._~---"'."--
.
.
-
.
Agenda Item No. 16E9
January 12, 2010
Page 31 of 46
SpllClfy the reasons for the change(s) r:I 1. Planned or E1dve X 2. Unfo,..,een Conditions C 3. Quantity
~uatments C 4. Correction of Errors (PI_, SpeclflcaIIons or Scope of Work) C II. Value Added
C 8. Schedule AdJustmenl8 Note: One or more may be checked. depending on the natura of the change(s).
Identify all negatlw Impac18 to the proJBc:t If this change order were not pl"OC1lssed:
I I
this change was requllllted by: r1comractorfConeultant X Owner n Uelng Deparbnent W CDES
Coealgn Prof..slonal nRegulatory Agency (Spac/fy)
r Other (Spaclfy)
(continued on next pIIf1e)
(continued from previous ptIgff)
. CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
this fann Is to be sign
APPROVED BY:
/I-f'j-I"A
Date: ::.....l-
APPROVED BY:
Date:
~
ntract Specialist
I~
o
REVIEWED BY: (.
Date:
Revised 6 18 09
Agenda Item f'loLj<6E9
January /12/201 0
Page 32 of 46
--
CONTRAC1:IWORK ORDER MODIFICATION
CHECKLIST FORM .
PROJECT NAME: !!!!lInon. PC/n.d Dr. lItonnwll.m.Jm2r\!vement PrQI!!l& PROJECT #: $10071 PROJECT MANAGER: Brandl(
2t!!2 , 3'tkC\ . ,
B1D1RFP II: ~OD II: LPot/: iIOO' 0$421 WORK ORDER ",
DEPARTMENT: stormwater CONTRACTOR/FIRM NAME: q. Grady Minor
,
Original Contract Amount: $ ~o.5!iO.OO
(Starting Point)
Current BCC ApprOved Amount: $ N1A
(last Total Amount Approved by the BCC)
,
Current Contract Amount: $ 4Q.~~Q.QO
(Includ'1I1ll All Chsnges PrIor To This Modlfl<:;ltion)
Ch.ng. Amount: $ 0
Revlaed ContraCt/Work Order Amount:, $iJI.5!iO.OO
(Including This Change Order)
Cumulative DoII.r Value of Chang.. to
thla ContractIWork Order: $!I
Date of Last BCe ApprovaLN/A ' Agenda Item" _N/A
i
I
l<'''+
. Percentage of the change over/under current contract .mount....O
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: .!!L171Q9' CURRENT: 1.1130109
%
This change order will:. 0 Add a new T.'" for $
Other Add time.
o ,Increaae Task Number
by$
Describe the change(s): Add 105 additional day'!"
.
Specify the ....aSona for the change(a) () 1. Planned or Elective X 2. Unfol'll8eenCondltlona C 3. QUantity
Adjustments (":, 4. Correction of Errors (Plana, Specifications or Scope of Work) C' 5. Value Added
(":, 6. Schedule Adjustmenta Nota: One or more may be checked, depending on the natu.... of the change(e).,
Identify all negative Impacta to the project If thle change order we.... not processed: Compensation to the design
professional Is required and will complicate/delay final project close out
Thle change waS requested by: D1c:ontractor/Consultant X Owner 11 Using Department 0 CDES
X Design ProfessIonal r:1Regulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes X No
REVIEWED BY:
Date:I~~O ~
D<]
, APPROVED BY:
Date:
,"".
Date:
/8 /1 'C
Revised 6 18 09
"-"---"-.-"'..--"
-- -"'-"'-'"~'.,'----"_.'-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E9
January' 12, 201.0.1)
pa~~~ps~
IIJ,
,
.
.
NAM : Forest Lakes MSTU Bond Pro ect .53 PR C . 0
PROJECT MANAGER: Darryl Richard, RLA, Proiect Mana\l~r, ATM Department
o 4-s0004~Sb2.(~-\0)
.
BIDJRFP II: 05-3657 MOD II: l!!1!!!:l!LPO#:~ WORK ORDER II: MP-FT -36~H)8-04
DEPARTMENT: ATM Deel CONTRACTORIFIRM NAME: Malcolm P1mle Inc
Original Contract Amount: $ 88,500
(Starting Point)
CUlTSnt BCC Approved Amount: $ nla
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 88.509
(Including All Changes Prior To This Modification)
Change Amount: $ 67,550
RevIeed ContraclfWorl< Order Amount: $ 156,050
(Including This Change Order)
Cumulative Dollar Valua of Chang.. to
lhla ContractlWorl< Order: $ 67,550
Date of Last BCC Approval
NJA
Agenda IIBm # _NJA
PercenIBge of the change over/under cUlTSnt contract emount 76,33 %
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAl: Jun, 12, 2009 CURRENT: ~ 5"~ (~ 20ro
This change order will: I8J Add a new Task for $67 ,550
o Increase Task Number _ by $_
other
Describe the change(s):_ADD: Task 100 - Biddin Asslsstance nd Task 200 - Construction Ins ect n for a
totalfumlHlum amount of$67.550,M't n7>/-"'."S2-</. ',p/(/ r; ):)t!/'IJ1' requlrL/I7f?/'l ;.
Specify the reasons for the change(s) e t Planned or Elective ~. Unforeseen ~ndltlons e 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) es. Value Added
r 6. Schedule Adjustments. Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project If this change order were not processed: Negative impact would be that
the Q[Qject (Forest LaJ<es MSTU Bond Project F-S3) would not benefit from consultant services that are necessary in order
to expedite contractor grocurement and ensure the County receives the most competitive price for construction of the
project.
This change was requested by: nContractor/Consultant . Owner n Using Department i CDES
n Design Professional r1Regulatory Agency (Specify)
rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Ves - No
This fonn is to be signed and date
/
APPROVED BY: Date:
P(Ojec~ Manag , arryVRichard
1I "1/
APPROVED BY: L(l17 . v1' ' __Date:
Contract Specialist, Rh da Cumming~'.;: ,
.' (
,
,
,
Revised 6 18 09
.
Agenda Ilem No. 16E9 / It:'
January 12, 2010
Page 34 of 46
CONTRACTIWORK ORDER MODIFICATION
CHECKl.IST FORM
,
PROJECT#:52525 PROJECT MANAGER: Robert F~!!l!!I
PO#:~ WORKORDER#i ~ "S"Coto<l35'f
PROJECTNAME: I
BIDlRFP #i 06-3971 MOD #: 2
DEPARTMENT: Facilities Management CONTRACTORIFIRM NAME: Surety Conatruclion Co.
Original Contract Amount $ --146.$00.00
(Starting Point)
Current BCC Approvecl Amount $-!l!6
(Last Total Amount Approved by the BCC)
$ U!l.G01.4Z
(Including All Changes Prior To This Mocllfication)
Chang. Amount J 5,611J!
Revia.c1 ContractIWork Orcltlr Amount: $ 1 ~.t~~
(Including This Changa Oreler)
Current Contract Amount
, '
Cumulative Doll... Value of Changee to
thla ContractlWork OreIer: $
8.782.61
Da18 of Last BCC Approval--1HA-
Agencla 118m # NtA
P.rcentage of th. change """r/uncler current contract amount,8 3. fo;;
Formula: (Revised Amount I Last BCC approved amount)-l
.,"';'
CURRENT COMPLETION DATE (S): ORIGINAl.: 11122109
CURRENT:
, 1124110
Describe the change(s): Installation of curbs and pad was not included In original design, this will enhance
future landscaping and water drainage, painting the exterior wall with Tex-Cote Instead of regular smooth texture
will enhance the finish of the pre-ca,st walls and last longer.
Specify the reasons for the change(s) Jl: 1. Planned or Elective C 2. Unforeseen Conditione ('; 3. Qusntity
Adjustments (", .. Correction of Errors (Plans, Speclf'lC8tions or Scope of Work) J1t 5. Vslue Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
.
Identify all negative Impacts to the project If this change order were not processed: ~
'fJh~rL-f !p-f(J.(JA/ Il/.-.C'f ha (IQJ-ryJieitl/ bRilt/1J:I/Jdd+ (1&~.
This change was requested by: r1Contractor/Consultant l5? Owner rI Using Department !: CDES
1f6eslgn Professional r Other (Specify)
CONTRACT SPECIAU
EGOTIATIONS:
)Ges
rNo
This fonn Is to be s
APPROVED BY:
Date:
()----If~ 1
1~-/t/-tJ9
REVIEWED BY:
Dale:
--
Revised 11.19.2007
-- .-..- - _.,,~_.-
, , ..~-.~,._._. .~, ..
--~--,.~
"
"
CONTRACTIWORK ORDER MOOlFICATION
CHECKLIST FORM
Agenda Item No.
January 12,
Page 35
E9 11
10
46
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
,,,..v.1
PROJECT It. ~ PROJECT MANAGER: fB!D.l.!lIImI
WORK ORDER':
PROJECT NAME:
BIDlRFP#: ~
MOD#:Jli
PClf:.JH21JllIGI
DEPARTMENT: JransDOrCdon. A~ Larvt.ca~
CONTRACTORIFIRM NAME:
Ortglnal Contract Amount
$ ~1..Z!R.R.O
(S1arting Point)
$~ iV/A-
(last Total AmoW1l?pprDY8d by tho BCe)
L...JLWJI!I
(lnaudlng All Cheng_ Prior To This Modification)
$ <YIUO
L....U.DQJ!O
(Including ThI. Chango ordo~
Current Bee Approved Amount:
Cunent Contract Amount:
Change Amount
Revlaed ContractlWork Order Amount:
Cumulative Dollar Value of Changea to
this ContractlWork Order:
Data of 18st Bee Approval Agenda Item .
Percenmgeofthllchangeovertu dercunentcuoll:..iCtamount ~% 7.t.!J.f'Ye.
Fonnula: (Revised Amount I Last Bee appl'DVl8C1 amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: _1212512001
CURRENT:
D1/lI5IliDIll
Describe the change(s): Ihe realltllt is warr.aml.inee revislolll ~ans were ma4t..l&t.1he oroiect..... lwantIIlu!J wen
rtauested.l. ~Dndltlon to .--..lvl.1!!' the ri,bt .fWIIY DM"IIlft, n. f.IIIR!dB" reGlt- ",ere ml4LUll:leGee.. Jo.--iilUl to laltllmJhe ....
revisions.
1) On 04120109: Meetinllt A 1M Nr tb. Wed coat'erenC<e room to Review pia.. ror RSB wltk TrafIir: Opentiona; Robm Repster.
Bob Petenea, PI" Lulidt. and Michael McGee
2) On 04/2.7109: Meetib& With r.. Lulldl at McGee" Auocl.... office to dl:tc:l,lu FOOT Itud.rdI for RSH.
3) On 04130I09: Do ute project .e61" nYlew ....1.. bore aad .alallne Iocadoal buod apon ....buHt utility piau pnn,idllll b)'
Fred Sextoll; Fred Sn:ton, Dale Haa..'" Bob Petene. aDd Mlehael MeGee
4) On 05I0SI09: Meedalat Mr. Fed""a omc:e to rmew RSH alpOlae staadarda; rani Lulleh, Bob PeteneG , Robert R.el:lIter, Norm..
Feder, J. Amad, Mr. TUftoa a.d Michael Mc:Goe
5) Between 05lO!109-05l17J09 Mc:Gea'& ..........1.. redesiped lbe landKape and lrriptia. pl..a baed upoa .....tI..o review
commellu..d apdated a...ilt utlHty lalorma60D provided. McGee" Auoc:lata ae.t" aetI ahlp. ......... piau tG Bob
Pehll"lOa, CD'a to Char" Abbott frolll tIae Clerk olibe CJI'CtlIt Co.rt ofIIea, e.alled PDP"I to HaIUl." aDd plotted 1 tel: .tplaal
(45 aheets) 011 Osn&'09.
The jUHlfic:ation for tbeae additiollal daira lemea is baaed apon Ul. filet tllat die 100% plul provided by MdiM" AIsoclata were
reviewed aad approved endllll the desip partioa o( our cwlDtnc:tcd aervtces. nariac the pl'tljec:t c:outnac:tioa while prov1dlaC COllltnet
ad..latstratiolllervic:. thelltillty and mined review by Tndftc operatiou renlted ill our ollke Ilavill.. to prepare rwiIed. pia.. for the
project to continue.. c:ontnc:ted. 3.11lnar LandlCl:pe Dealp aad 4.1 flDaI I, .lp60D desip
PrinolpaV Senior LA. 32 Hill. @$110IHr.
Landscape Architect 0 Hrs. @$ 751Hr.
CADrroch 16 Hrs. @$ 601Hr, ,
Administrative 0 Hill. @$ 45/Hr,
Clerical 0 Hill. @$ 4OiHr,
Total:
$ 3,520.00
$ 0.00
$ 960,00
$ 0,00
J Q.Ol!
$ 4,480.00
Specify the reason. for the change(a) r- 1. Planned or Electtve" 2. Unforeseen Condldons r 3. Quantity
Adjustments r 4. Correction of Erro.. (Plans. Specifications or Scope of Work) r 5. Value Added
(" 6. Schedule AdJustmenw Note: One or more may be checked, depending on the na re 0 . ch
all .-g pacl:a,. p . ct If is han order we not processed:
ThEa change was request
y: P1ContractorlConsultant r] Owner PI Using Department CeDeS
l!oeslgn Professional rJRegutatory Agency (Specify)
r OIl1.r (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
r No
Thill fonn is to be .Ignod and dated. n ~
APPROVED B~' C) ~
arnels Lulich, Landscape Operations Manager
APPROVED BY,
Date:
.~
Date:
REVIEWED BY:
Revised 6 18 09
.
Agenda Item No. 16E~1
January 12, 201lJ
Page 36 of 46
.
.
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
,-
PROJECT NAME: f!l1!!!S Connections 5CRWTP
PROJECT MANAGER: Dlall!Jlueri
PROJECT#: 70892.2.5
.
4500 Ic<#r, So
~
BIDlRFP #: OS-5011
MOD #: j
PO#: 4500104650
WORK ORDER #:
DEPARTMENT: PUBUC UTlUTlES ENGINEERING OW'.
CONTRACTOR/FIRM NAME: P.N. HIGGINS. INC.
Original Contract Amount:
$
.
(Starting Point)
88.500.00
Current Contract Amount:
(Last Total Amount Approved by the BCC)
$ 88.~.og
(Including All Changes Prior To This Modification) .
NlA
Current BeC Approved Amount:
$
Change Amount: $
Revised ContractlWork Order Amount: $
(Including This Change Order)
7~.784.q
167.~.~
Cumulative Dollar Value of Changes to
thla ContractlWork Order: $
78.764.Q
Date 01 Last BCC Approval nla
Agenda Item #
nla
~'._.
Percentage of the change over/under currant contract amount
Formula: (Revised Amount I Last BCC approved amount)-l
89.0
%
CURRENT COMPLETION DATE (5): ORIGINAl: 05-28-09 CURRENT:
12-21-99
This change order will: X Add a new Task for $ 78.764.43 [!!:I Increase Task Number
Other
by_
Describe the changels):
-.
Materials and labor neclilssary to avoid a verti!tl!1 conflict b!llwe~n an exisli'l9 16-inl(h ductile iron gravity fed backYt!!s~
l!iQeline and .~posed 3Q-inch dUl<.lile iron sand se(1ilrator inlet ~ the SCRWTP, Alter excava\!Dg the sand
~!Irator I!iI!.Elline lie-in area II W!ls discovered the elevation of the existi!]Q 16-inch Qipeline would not !I11oW the 3Q-lnc:h
sand s.eWilrator inl~t QiQi!!!l to be installed as desi!l!led, As a resutt of !!1e (;9nfiicl. Work Directive No. 1 was issued on
Mav 5. 2009 to raise the existing 36cinch HDee and 3Q-inch PVC transmission mains at l!!lu>9in! ot lie in to the sepa[;,tor
to allow the sand !'Bl1arator inlet I!iI1in9 to pass OVQr Ibe existing IS-inch backwash line. The orillinal amount of Work
Directive No.1 was $34,017.18.
"-
The contractor was unable to raise thlil 30-inl<h and 39-inch transmission mains due to potential conflic:ts with !fle adja!;;!!nt
~ owner tQ the I2lant if larger eqyjpment was delivered to Ihe site. Work authorized on Work Directive No. 1 was
tenminated at that point. Thlil amount sOlilIlt under Work Directive NO.1 prior to tenmination of the Y<<lrk was $17.479.00,
As a re~ylt of the inabiiitY 10 lift the tran$mis~ion mains as llli1Posed under Work Directive Nb. 1, an alternate aQProach
was developed and authorjzed under Work Directive No, 2 to re-route the existinll 16" backwash I2lI2i!Jll west a~lilnd
the 30-inch stainless sleel sand separator inle~1 piece to avoid the vertical conflict ofthlil two Wl!B1ines. W9tt
Directive No, 2 was issued on May 22. 2Q09 and ipcludes the wor!l associllted with the d,!!fiection of the IS-inch J2iPelin!!
and !Idditi..Qnj!1 restoo;.ation costs for the area. The total amount jluth9.rized in Work Directive NO.2 was $,47,766.64.
AdditionaLtime was reqUired to allow lor procurement of materials and !;ChlildulinQ...Qf.partia.llreatment plant shutdoW(ls to
pl1rform the work. The work was completed i~ June 2QQ9.
Revised 7-14-09
..----
~--~
-,...",-~,. "-
"--._,,,'.-
-.-...-"............-..
.
Agenda Item No, 16E9
Followin com letion of the w rk the Contractor infonned the Coun that the actual cost to com ~fJ' ry 12 201 r
Worx Directive NO.2 was $74,604.12. Ie, $27,037.58 more than the Work Direcliye ~o. 2 amQynl Following a series of
meetin,gs. the County issued a letter to the Contractor on September 23. 2009 stating that since the Contractor had not
ob~ined written al2proval from the County for the costs exceeding the Work Directive No. 2 amount, the County wa~
under no oblig!!lion to ~~ agditional costs; but ttls!\.1Il' user department was willinQ..to spl~ the cost of the additional
work, thereby payina an additional $13,518.79.
In addition to the additional time reQui~9 \0 complete ~hysical work. additional time is also included to account for the
time required to nE!92lii!te and .l!rocess the final chanae order as dll!!Cribed above.
Therefore, U;le to\B1 amount of this change order is as follo~.;
. Work Directive NO.1.
. Work Directive No.2-
. Additional Co~ts 10 Work Qirecliye No, 2 -
. TOTAL.
$17,479.00 (amount spent prior to tennination ofWD#1 work)
$47,766.64
$13,518.79 (per County letter of September 23, 2009l
$78,764.43
,
Specify the reasons for the change(s) 0 1. Planned or Elective .. 2. Unforeseen Conditions 0 3. Quantity
Adjustments . 4. Correction of Errors (Plans, Specifications or Scope of Work) Co 5. Value Added
. 8. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If this change order were not processed: JLthis chanQ!;! order were not
processed, the l!iInd se'parator inle1J2il!i!!.q could not be installed and the sand sell.@rator wQ\!IQ not be able ~
into service. Without the 5epat:l!1Qr.in service ther", WOUld not be anv additional protection for the cartridge filters from
sand and debris)n thl1 influent raw water.
This change was requested by: EilcontractorlConsultant n Owner CI Using Department D. COES
!:Deslgn Professional CIRegulatory Agency (Speclfyl COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: f;;J Yes
[" No
This tonn Is to be signed and dated.
REVIEWED BY;
.
APPROVED BY;
Date:
Ie.. / ~/Oq
APPROVED BY:
Date l1.../gJO"(
Date:
1;;>/:;-)b7
Dianna Perryman, Contra
Revised 7-14-09
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No, 16E9
January 12, 201~ 7
Page 38 of 46 G
-, PROJECT NAME: Sand SeQ!rator Prolect for North & South County Regional Treatment Plants
PROJECT#: 71052
PROJECT MANAGER: Diana Duerl
BID/RFP #:
07-4187 MOD #: 1
POll: 4500101745
WORK ORDER #:
nla
DEPARTMENT: PUBLIC UTILITIES PLANNING & PROJECT MANAGEMENT DEPT. CONTRACTOR/FIRM NAME: D.N. HIGGINS.
INC.
Original Contract Amount:
$
(Starting Point)
1.442,800.00
Current BCC Approved Amount:
$
1,442,800.0Q
Current Contract Amount:
(Last Total Amount Approved by the BCC)
$ 1,442.800.00
(Including All Changes Prior To This Modification)
$ 10,449.71
Change Amount:
Revised ContractIWork Order Amount: $
(Including This Change Order)
1,453,249.71
Cumulative Dollar Value of Changes to
this ContractIWork Order: $
10,449.71
.. Date of Last BCC Approval
11.13-07
Agenda Item #
10A
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last BCC approved amount)- 1
0.72 %
CURRENT COMPLETION DATE (S): ORIGINAL: 06-0B-09 CURRENT:
12.21.09
This change order will: X Add a new Task for $_10,449.71_ Increase Task Number by_
Other
Describe the change(s): The Illi1posed change order addres?es the following items:
a. Relocation of an existing 1 Y.-inch diameter sanitary force main located at SCRWTP, The force main needs to be
relocated to iilllow for the installation of the sand separator settling tank and lift station. This change order also
addresses a time extension of 50 'days to be al2Rlied to final completion due to delays in the obtaining building
permits and conflict associated with the sand separator it!Ql!!g tie-in at SCRWTP, The time extension of 50 days
is reflected in the cont~~ctor~attached schedule.
b. Relocation of an existing 3-inch diameter stainless steel Qjpe connection on the reverse osmosis wellfield 20-inch
transmission line for the existing transmission line surge tank.
c. Purchase price of a non-returnable 18' x 4' ductile iron tal2l2in9 sleeve that could not be used on the ~ect for its
intended use. A stainless steel tal2l2in9 sleeve was purchased for this aQplication based on differing site
conditions,
d. Purchase price of a non-returnable 20" flexible coupling that was not used on the J2!:Qject for its intended use of
making connecting a new NCWRTP venturi flowmeter into an existing 20" raw water transmissiof1 main.
e. Additional time to allow for interconnectinQ...J;liQing from existing water transmission mains to and from the sand
gwarator inlet and outlet to be installed under a separate construction work order; and for additional time reQuired
to troubleshoot and correct various items during startup and testing to reach substantial and final com'p1etion..
,"
Revised 7-14-09
__'_"'_.._.___m_
~..-..~--_., - -,~~,,'--'--"
--..--..------.--
--'.---"'-'-
.
Agenda Item No, 16E9
January 12, 2010
Page 39 of 46
"
Specify the reasons for the change(s) 0 1. Planned or Elective . 2. Unforeseen Conditions C 3. Quantity
Adjustments . 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added
. 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed:
a, By not relocating the 1 Yo-inch diameter sanitary force main the .Q[QPosed location for the sand separator settling
tank and lift station would have to shift to the east creating additional conflicts with the existinll roadway that
provides access to the southem end of the plant J2[QPertv including the injection wells and IlliI receiving station. If
the time extension were not granted the actual completion date of the contract would exceed the original
completion date due to factors outside of the contractors control.
b. The relocation of the 3-inch surge tank p.iQ!ng connection allowed room to install the new 20-inch transmission line
flowmeter, The flowmeter is required for measurinQ and reporting of total raw water flow to the reverse osmosis
treatment system. as well as for monitoring and control of the reverse osmosis process and its related chemical
feed systems, Without taking this action. the flowmeter could not be installed and the benefits of total raw water
meterinq to the reverse osmosis treatment process (process control. more efficient control of pretreatment
chemical feed) would be lost.
c, If this change order were not processed, the blowdown lllilliJg connection could not be instl!llled and the SCRWTP
sand separator could not be placed into service, Since the sand separator will be in service for brackish water.
the only blowdown discharge option is to the SCRWTP concentrate disposal wells throuqh the 1 B" force main
discussed above.
d. If this change order were not processed, the raw water transmission main would not have been fully restrained
1!Qainst potential fluctuations in pjpeline pressure,
e, Additional time for interconnectin1l..Jl.iQlrlg under separate construction work order, as separator startup and testing
could not commence until interconnectinCl.Jllilli!g was installed; following startup. additional time was required to
troubleshoot and correct various eQ!!jpment items to achieve substantial completion.
This change was requested by: P'IContractor/Consultant CI Owner 1'"'1 Using Department C. CDES
LOesign Professional CIRegulatory Agency (Specify) I'"'Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
P' No
This form is to be signed and dated.
REVIEWED BY;
.
APPROVED BY;
Date;
_, 2./rI/Cff
APPROVED BY;
Date:
\ z/,,{o,
I ~~/() 7
Date:
ianna Perryma . Contract
Revised 7-14-09
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