Agenda 02/09/2010 Item #16E4
Agenda Item No. 16E4
February 9, 2010
Page 1 of 42
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 beiow the threshoid limits as
referenced above.
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 December 18, 2009,
through January 14, 2010.
FISCAL IMPACT: The total change to contracts is $216,928.18. The total change to work
orders is a net reduction of $5,607.40.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with
this action.
RECOMMENDATION: That the Board of County Cornmissioners 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
Item Number:
Item Summary:
Meeting Dale:
Agenda Item No. 16E4
February 9, 2010
Page 2 of 42
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16E4
Recommendation to ratify staff-approved Change Orders and Changes to Work Orders to
Board-Approved Contracts.
2/9/20109:00:00 AM
Prepared By
Date
Diana Deleon
Administrative Services
Division
Contracts Technician
Purchasing & General Services
1/25/20108:51:36 AM
Date
Approved By
Steve Carnell
Administrative Services
Division
Director ~ PurchasinglGeneral Services
Purchasing & General Services
1/26/2010 8:40 AM
County Attorney
Date
Approved By
Jeff Klatzkow
2/1/201010:35 AM
Date
Approved By
Len Golden Price
Administrative Services
Division
Administrator. Administrative Services
Administrative Services Division
2/1/2010 2:36 PM
Date
Approved By
OMB Coordinator
County Manager's Office
Office of Management & Budget
2/1/2010 3:42 PM
Date
Approved By
Laura Davisson
County Manager's Office
Management & Budget Analyst
Office of Management & BUdget
2/2/20101:15 PM
Date
Approved By
Mark Isackson
Office of Management &
BUdget
Management/Budget Analyst, Senior
Office of Management & Budget
2/2/20102:02 PM
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Agenda Item No. 16E4
February 9, 2010
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Santa Barbara Boulevard from Dav;. Boulevard to CODoer Leaf Lane
PROJECT MANAGER:...I!sI.fl!!l;
PROJECT it.
62081
BIDlRFP II: 06-3583 MOD II: llL-PotI: 4500100461
fJ(~
WORK ORDER #:
DEPARTMENT: TECM CONTRACTORIFIRM NAME: Consul-Tech Constructlon Manaoemenl.lnc.
Original Contract Amount:
~
(Starting Point)
$ :mIi!!!!!t ~ C\, ~ , 11'1. 00
(Last Total Amount ).,pproved by the BCC)
~v
(Induding All Chenges Prior To This Modification)
~V'
$ 3.014 582.41
(Including This Change Order)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount
Revised ContractJWork Order Amount:
Cumulative Dollar Value of Changes to
thle ContractJWork Order:
~
Date of Last BeC Approval Julv 22 2008
Agenda Item #
1682
Percentage of the change over/under current contract amount.JtZl.. %
Formula: (Revlsod Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 12131108
CURRENT:
09l22m
Describe the change(s):
The intent of Change Order # 2 is t. adjust task amounts to balance the existing funds and to provide
additional funds for CEI services t. cemJtlete final estimate and close this project.
Specify the reaaons for the change(s) ~ 1. Planned or Elective C 2. Unforeseen Conditions r; 3. Quantity
Adjustments r. 4. Correction of Errors (Plans, Specifications or Scope of Work) C 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: Without the final inspection
services to complete task necessary to close out the project, the quality of the final product and the schedule of
the project might be jeopardized.
This change wa6 requested by: PlcontractorlConsultant n Owner n Using Department C CDES
CDesign Professional ClRegulatory Agency (Specify) ["Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes. Ri No
Dale: JI-Z't-()CI
Date:~
APPROVED BY:
Agenda Item No. 16E4
February 9, 2010
Page 7 of 42
;J.
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BIDlRFP it. l!H!!I MOD it. 2
DEPARTMENT: Paries & RlIC188tion
PROJECT NAME: ENCPSoccerFleld PROJECT it. _80015_PROJECTMANAGER: TonvRu_
Orlgl.... Contract Amount
Current BCC Approved Amount
Current Contract Amount:
Change Amount:
Revised ContnoctIWork Order Amount:
Cumuletift Dollar Value of Changes to
this c....- Order:
Data of Laat BCC Approval_2124m9
1'0#: 4500106195 WORK ORDER II: ~-- tJ / ~
CONTRACTORIFIRM NAME: Wall S......m of SW Florida ( Pl3 S)
$ _529,364.63
(Starting Point)
$_529,364.83
(last Total Amount Approved by the BCC)
$_555,355.53
(Including All Changes Prior To This Modification)
$_5,100.00
$_560,455.53
(Including This Change Order)
$_31,090.90
Agenda llam # _'60.2_
Pan:en1age of the change o_/under current contract amouRL--5.87 V' %
Formula: (Revised Amount ILasl BCC approved amount)-l
CURRENT COMPLETION DATE (S): ORIGINAL: December 4 2009 CURRENT: Januarv 29. 2010
This change order will: 0 Add a MW Taak for $
. IncreaM Task Number _ by $ 5 100.00
Other
Describe the change(s): This chanl!e order is to snray the weeds. applv slow release fertilizer with Pre-
Emergent Herbicide. ton dress entire soccer field with 6 loads of ton dressin2 and re-ap,plv fertilizer.
Specify the reasons for the change(s) r 1. Planned or Elective 2. Unforeseen Conditions 3. Quantity
Adjustments r 4. Correction of EITOl'S (Plans, Specifications or Scope of Work) X 5. Value Added
6. Schedule Adjusbnents Note: One or more may be checked, depending on the nature of the change(s).
identify aU negallYe Impacts to the project If this change order were not pl'OCM8ed: It is more efI'Iclent and
economicallD make the chana.. now than at a later date.
This change was requested by: r1Contractor/Consultant X Owner
!:oasign Professional r1Regulatory Agency (Specify)
rI Using Department CCDES
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
APPROVED BY: Ton
Se
REVIEWED BY:
Revised 6 18 09
Pee. ,}~ ~o/
II}- /P>/ / ~~Of
Date:
Agenda Item No. 16E4 3
February 9, 2010
Page 8 of 42
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
AliA
. I
PROJECT NAME: Purchase and Deliver Chemical for Public Utilities PROJECT #:
PROJECT MANAGER:_Peter Schalt
WORK ORDER #:
4A
BID/RFP #: 09-5170
MOD #: ~PO#:_10148967
DEPARTMENT:_Public Utilities Division
CONTRACTOR/FIRM NAME:
Allied Universal COl'Doration
Original Contract Amount:
Current BCC Approved Amount:
$ /oJ/A
(Starting Point)
$ iJ fA
(last T otaf Amount Approved by the BCC)
Current Contract Amount:
Change Amount:
$
$ . ~A
(Including I Changes Prior To This Modification)
"'/A
.
$ Nt
(Including Thi Change Order)
Cumulative Dollar Value of Changes to -'/A-
this ContractIWork Order: $,.. JT
Revised ContractlWork Order Amount:
AliA
,
%
Date of Last BCC Approval 7/2812009
Percentage of the change over/under current contract amount
Formula: (Revised Amount 1 Last BCC approved amount)-l
,- SURRENT COMPLETION DATE (S): ORIGINAL:
This change order will: 0 Add a new Task for $
Agenda Item # 16C5
CURRENT:
o Increase Task Number _ by $
other Additional decrease Dercentaae cost for Sodium HVDochlorlte DOr attached Exhibit A2-A
Describe the change(s) Fixina Drice Der exhibit A2-A based additional neaotiations review meetina.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 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: _The County would not
receive the cost saving associated with the new reduced price.
This change was requested by: rlcontractor/Consultant rl Owner r;( Using Department C CDES
LDesign Professional nRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
'"""EVIEWED BY
Revised 6 18 09
r No
Date: (~l7/0~'
O~~i
EXHIBIT A-2 Memorandum of Understanding Amendment #1genda Item No. 16E4 3q
. . .. February 9, 2010
"Purchase and DelIVer Chemicals for Public Utilities" Page 9 of 42
This amendment, dated December 7, 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 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 "A2-A ", Attachment A- Price
Schedule and Exhibit A2-B", Allied Universal Corporation Letter attached to this Amendment and
incorporated herein by reference. This Amendment shall decrease pricing as follows:
The additions to the existing Attachment A - Price Schedule are shown herein by underliniDl!: deletions
are shown by !llriketlH'eughs.
Change: Attachment A, Price Schedule,
Item seventeen (17) Sodium Hypochlorite - ~ decrease to $ 0.680
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Vendor and the County have each, respectively, by an authorized person
or agent, hereunder set their hands and seals on the date(s) indicated below.
Accepted: /11 , 2009
OWNER:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
By:
Pete
By:
By:-----===:::: ~
Dr. George YTIiilaz, PhD', Director
b'~
1
~
CON:Jj2CT SPECIALIST
By: ~ ~(J'i/
Dianna Perryman
Exhibit A2-A February 9: 2010
Page 10 of 42
Attachment A - Price Schedule
No. Company Name Product Description Unit of Bid First Qtr
Measure Negotiated Price New Negotiated
July 09- Prices
Nov D9 Nov 1 2009-
Jan 31 201D
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 Univerul Corp. SD% Sodium Hydroxide W-11 LBS $ D.134 $ D.119
Key Chemical SD% Sodium Hydroxide W-11 LBS $ D.135 $ D.135
3 Alrgas Specialty Products,lne. Ammonia W-l LBS $ D.6DD $ D.6DD
4 Allied Universal Corp. Calcium Hypochlorite W/WW-l LBS $ 1.22S $ 1.225
Brenntag Mid South Calcium Hypochlorite W/WW-l LBS $ 1.3S2 $ 1.352
S Aireas Carbonic Carbon Dioxide W-2 LBS $ D.loo $ D.loo
6 Allied Universal Corp. Chlorine W-3 LBS $ D.176 $ D.229
Brenntag Mid South Chlorine W-3 LBS $ D.241 $ D.241
7 American Water Chemicals Corrosion Inhibitor W-4 LBS $ D.59B $ D.59B
Carus Crop Corrosion Inhibitor W-4 LBS $ D.60S $ 0.60S I
B Polvdyne Emulsion Pofyrner WW-l LBS $ D.960 $ D.960
Carus Crop Emulsion Polymer WW-l LBS $ 1.441 $ 1.441
9 The Dumont Company (nc. Fluoride W-5 LBS $ D.412 $ D.412
lD Chemical Urne Company Lime W-6 LBS $ D.114 $ D.114
11 Carus Crop Liquid P04 W-7 LBS $ D.696 $ 0.696
The Dumont Company Inc. liquid P04 W-7 LBS $ D.745 $ 0.745
12 Brenntag Mid South Muriatic Acid W-B LBS $ 0.151 $ D.151
The Dumont Company Ine. Muriatic Acid W-B LBS $ O.D34 $ D.D34
13 Thatcher Chemical Phosphoric Acid WW-2 GALS $ 15.63D $ 15.630
Brenntac Mid South PhosphOric Acid WW-2 GALS $ 13.642 $ 13.642
14 Polydyne Polymer W-13 LBS $ 1.303 $ 1.3D3
15 American Water Chemicals Scale Inhibitor . W-9 LBS $ D.676 $ 0.676
King Lee Tech Scale Inhibitor W-9 LBS $ 0.695 $ 0.69S
16 POlydyne Sludge Polymer W-l0 LBS $ 1.303 $ 1.303
17 Odyssey Manuf3cturing Sodium Hypochlorite WW-3 GALS $ D.779 $ D.69D
Allied Universal Corp. Sodium Hypochlorite W/WW-2 GALS ~ o iOll $ D.680
18 Sulpfurlc Acid Trading Co Sulfuric Acid W-12 LaS $ 0.047 $ D.047
Transammonia, loe. Sulfuric Acid W-12 LaS $ 0.049 $ 0.049
3b
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda~t'" No. 16E4
o Fe y 9, 201"
f\l.Vl ge 11 of 2lf2
PROJECT MANAGER: Bob Pierce
BID/;.:FP #: 09-5195
M<tD #: 1
PR0.lECT NAME: MI Library. Rose Hall Addition PROJECT #: 54004
PO#:4500106876
WORK ORDER #:_n1a
!:lEPJl.RTMENT: Facilities M mt.
r~rig;nal Contract Amount:
i .
, Cum::>t BCC Approved Amount:
I
Curr.''lt Contract Amount
I
I
i Char,lf.1e Amount:
, RevisF.-d ContractlWork Order Amount:
, Cumu;ative Pollar Yalue of Changes to
I this C imtractlWork Order:
L.__
CONTRACTOR/FIRM NAME: Boran Crai Barber En 81 Consllnc. BCBE
$ 832,170.00
(Starting Point)
$832,170.00
(Last Total Amount Approved by the BCC)
$832,170.00
(Including All Changes Prior To This MOdification)
$~ 17, ~,oq
$~ ~~II.j5''l.C!i
(Including This Change Order)
$~ r 7( '2-~q. 01(
uate d Last BCC Approval 3/24/09 Agenda Item # 16(0)(11)
:>erc,mtage of the change over/under current contract amount..2A'5' % :?. oil :ro
Form"'a: (Revised Amount 1 Last BCC approved amount)-l
CURRENT:Lttll/10
CURF,ENT COMPLETION DATE (S): ORIGINAL: 2/10/10
This change order wili: 0 Add a new Task for $
o Increase Task Number _ by $
Other: Net amount for pending change orders NO.1 through 18.
Describe the changers): See attached summary sheet and backup.
Spec<fy the reasons for the changels) (':0 1. Planned or Elective C. 2. Unforeseen Conditions 0 3. Quantity
Adjustments C 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 tlie changels).
Ider.tify all negative impacts to the project if this change order were not processed: Work authorized by PM by
chan~e directive.
This ~hange was requested by: Dcontractor/Consultant 1::1 Owner PI Using Department !J CDES
LD-,s;gn Professional r1Regulatory Agency (Specify) rOther (Specify)
This form is to be signed and dated.
cm;~'RACT SPECiALIST PARTICIPATION IN NEGOTIATIONS: ~ Yes
[J No
APPHOVED BY: Bob Pierce
Project Manager
Date: 12/21/09
REVIEWED BY: JlJa ~.rf2.---
contr~ftl;,~ci~ .
Date:
;(N (rD
~.
Re\lf.ed 61809
.
Agenda Item No. 16E4
February 9, 2010
Page 12 of 42
t.(q
SUMMARY SHEET
CO#l
I
Pending CO # Description
1 Raise Foundation (Denied -567.77)
2 Revise foundation at existing slab.
3 Change door opener at existing store front.
CD 9/25/09 4 R2 Change existing counter top at circulation desk.
5 Exterior outlets.
6 Rl A!V System (Credit)
CD 9/25/09 7 Ceiling fans at exterior patio.
8 Extend the size of the stage.
CD 9/25/09 9 Change all counter tops to Zodiac Quartz.
10 Replace gutters.
11 Rl Remove projector and use projector paint. (Denied $5,816.65)
12 Mold remediation (Void, not issued)
13 Install track lighting.
14 Remove allowance for removal of poor soil and import of clean fill.
15 Paint ceiling soffits in the existing library.
16 Connect existing duct in library
17 Glass tile in bathroom (Hold at this time)
18 Additional fire darTlper (Hold at this time $2,710.83)
Net CO#l Amount.
Cost
\ $0.00
\ $1,274.S9
J$6,617,n
$1-1,081.16
\$307.58
($\985.06)
$1);149.60
$\94.73
$2,8\8.84
$7,1&{!.74
$~.OO
$0\00
$1,338. 1
($15,410. 0)
$2,766. 4
$442.5'!!
$O.o~
$O.~
$17,i'65.4~111 '2,.'1."\1
"':;;..-
/,29/./4
(,,'0("1.:
/llo'~i
:wf.1.
~71t:..l
1,llll.~
I <t3-<lJ
2,1tlo.1
'=tn?:,
1,32''3.'"
(I S','IIO.C
'Z., j,/..'f.il
'-I1i.~
. 1J
1>>
~iL,VvV
~
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
A~nda Item No. 16E4
fa l'~waw.kW1<J
"r>agE11:J {,(;r.> I
aJt.u
5
PROJECT NAME: Underground Storage Fuel Tanks PROJECT It: nla_ PROJECT MANAGER: Bob Pierce
BIDIRFP #: 09.5237
MOD #: l_PO#: 4500109275_ WORK ORDER #: nla
DEPARTMENT: Facilities M ml. CONTRACTOR/FIRM NAME: Su
Original Contract Amount: $ 447,884.00
(Starting Poinl)
Current BCC Approved Amount: $447,884.00
(last Total Amount Approved by the BCC)
Current Contract Amount: $447,884.00
(Including All Changes Prior To This Modification)
Change Amount: $ (10,839.00)
Revised ContracllWork Order Amount: $437,045.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
..,Is ContracllWork Order: $ (10,839.00)
Date of last BCe Approval_5123109 Agenda Item # _16E2_
Percentage of the change over/under current contract amount_(~2.42)_ %
Formula: (Revised Amount I last BCC epproved amount). 1
CURRENT COMPLETION DATE (S): ORIGINAL: 12/31109_CURRENT: 12131109_
This ~hange order will: 0 Add a new Task for $
o Increase Taek Number _ by $
Other_ Decrease In scope or work
Describe the change{s)U1 lDelete piping from J to tank at K (2) Correct typo on PO
Specify the reasons for the change(s) l!J 1. Planned or Elective 0 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r'6. S~hedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all n~gative impacts to the prajec if this change order were not processed: t',
bDesign Professional nRegulatory Agency (Specify)
r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: eYeS
P: No
This ~~rm is to be Si~d dat)2 ,
APPROVED BY: ~ CUM
Bob Pierce, Project Manager
Date:
/{Y ;f-z/cP j1
, ,
APP~BY:
REVIEWED BY: '~ ))'1
Con1fa cialisl
I
Revised 6 18 09
Date:
W H'tl
Date:
/-//-/0
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
;2 Agen9i!~te No. 16E4
ec!cf; if! ;i~9, 2010
~40f42
~
PROJECT NAME: Underground Storage Fuel Tanks PROJECT #: n1a_ PROJECT MANAGER: Bob Pierce
BIO/RFP #: 09-5237
MOD #: 2_PO#: 4500109275_ WORK ORDER #: nla
DEPARTMENT: Facilities Moml CONTRACTOR/FIRM NAME: Surge Solutions GrouP. Inc.
Original Contract Amount: $ 447,884.00
(Starting Point)
Current BCC Approved Amount: $447,884.00
(Last Total Amount Approved by the BCC)
Curiel1t Contract Amount: $437,045.00
(Including All Changes Prior To This Modification)
Change Amount: $ 21,406.00
Revised ContractIWork Order Amount: $458,451.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $ 10,567.00
Date of Last BCC Approval_5123109 Agenda Item # _16E2_
Percentage of the change over/under currant contract amount_2.36 %
Formula: (Revised Amount I Last BCC approved amount)-l
CURRENT COMPLETION DATE (S): ORIGINAL: 12131/09_CURRENT: 2/2812010
This change order will: x[] Add a new Task for $21,406.00 _ 0 Increase Task Number ~ by $
Other _
Describe the change(s):_Remove extra concrete and rock at Building K.
Specify the reasons for the change(s) ('; 1. Planned or Elective c: 2. Unforeseen Conditions r 3. Quantity
Adjustments (" 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or mOra may be checked, depending on the nature of the change(&).
Identify all negative impacts to the project if this change order were not processed: Werl. ..as alltl,(..i:..v.:l b, Lha
Pr;sj17st Manager by field direeti..e aru:l .....u~l ...as J.61;)oKahod ..;tl. t~8 oeAtNl.....t\,. Clftb. "....1.. ............_ t'!lutwd
This change was requested by: rlcontractor/Consultant r! Owner 171 Using Department L CDES
LDm;lgn Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
P' No
Bo
Date:
(/2/24' t7
APPROVED BY:
- REVIEWED BY:
)t~
Date:
tJ~//D
Revised 6 ) 8 09
CONTRACTIWORK ORDER MODIFICATION
CHECKlIST FORM
Agenda Item No.
February 9,
Page 15
PROJECT€-660421
E4
10
42
7
PROJECT NAME: Imlllnblae Rd. Ph_ n & m n.751mrdaanve tit (".om... RMf ICR.951)
PROJECT MANAGER: IllI>bImun ~
BIDIRFP '" ~ MOO'" Ill'
PO#:~
WORK ORDER.:
DEPARTMENT: T~"'DOrtatiOn. ATM Debt. UndsCllDe CONTRACTORIFIRM NAME: Hannu" unrhu:llDlna Inc.
Original contract Amount 811 83I.Sf
(SlaJ1;ng P'*"l
Current BCe Approved Amount: 816 83B.Y
(laSt Total Amount Approwod by the BeC)
CummtContractAmount: 814858.95
(Including NJ Change$ Prior To This Modtf\aItiOn)
Clw.nge Amount: 4 700 DO
Revised eontractlWork O"*' Amount: S 619 Ii58 91
(Including Thia Change Order)
Cumulatlvll Dollar Valu. of Chang.. to
thlll CoratractlWork Order: ..l& 507 ABl+3.530 DR+4 700 00= 2.722 81
Data of L.aat Bee AppnMIl 03l1D12OO9
Agenda hem. 1&..8-5
Pen:entas- 01 the ctwnge overIund.. cummt contract 8rrtount~y.
FannuIa: (RevIsed Amount 1 Last BCC oppnM>d omou"'}-l
CURRENT COMPLETION DATE (5): ORIGINAL: Nowarnber D!I 2001 cuRRENT:
Februarv 15 2010
ThlachangeorderwlR: I8l Add.newTukforS~D Inc......T.skNumber_by$_
other
Describe the changa{.):- Describe tbe th...e(.):- The turnl.an~ nlantinv areo k 8" (and aI an an,vle whidr is too narrow to
,;~":~~::::;;::::!:4~ ~ ;:(:;;::;;;~;:t1::ek7=:; ;::::,~":::"IfI= Qr;~ ~':x,~~:;~~d cost tletalU a
i:ii~.A.IOT: ~lnll...270 Jt1 ft 6" Clm!I J CfmCTete Base' 170 sa ft M8dlan PnlH!n flofrStOM.
!!Doslgn _.Ionol nRoguJatoJy Agency (Spsclfy)
rothe, (Spsclfy)
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: rYes r No
Date:
/2-.1/-0'(
Revised 6 18 09
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. E4
February 9. 10
Page 16 42
'6'
PROJECT NAME: Vanderbilt Beach Rd PIta.. 1&IIIAlmort- CR-9S1l PROJECT #I:: G2I1..l
PROJECTMANAGER,~ l
BIClRFP" W.lJll MOD"~ POII,~ WORK ORDER', tJ fC
DEPARTMENT: Tra"'DOrtatfOft. ATM Dent. landscaM CONTRACTORIF1RM NAME: Hannula Lanclllc.Dlna Inc.
Original Contract Amount: 842082.38
(starting PoInt)
Current Bce Approved Amount: &e.2..D82.38
(LallTotal AmaunlApproved by1l1e BCe)
CulTent Contract Amount: &11I428 82
(IncIucing AD Changes Prior To This Modlftcation)
Th. Change AmOUl'lt: 1(1 900 all
Rsviaed C~ctlWork Order Amount: $ 859.328 82
(Including This Change Onlelj
Cumulative Dollar Value of Chang.. to
thIa ContnctlWork Order: 6 36S AS+1D loa 00-17 288-"
Date of Last ace Approvlll 0311012001
Agenda Item .. 16...s.-5
Percentllge of the change overfundar cumlnt contract lImount
FOllTluta: (RevIsad Amount 1l.a8t BCC approvecr.mCXl1l)-1
CURRENT COMPlETION DAlE (S): ORIGIN4!" November OJ 2001
2D!I %
CURRENT:
Februarv 15 2010
Thla change order will: 0 Add. new taak for $~ 0 Increa.. Tak Number _ by .----:.....-..-
otIwr
Describe the ch.nge(B):~ TIu1 new TN'l)pa.vllfl curb is higher than the =itlln~ non-mounlable C1I.Tb anJi if man vl.flble. 17re €Cutinf
non-moul'llabJe curb is"ot visible trom IN! mtl'ance at the fT'lNu TM new curb d: navl!1':f will i~QSf! l'uibllit\l d: i1rmri1IIe the ~af'etl1
oflN! roaJwav. 11re erktinv while flex a/am mav hi! able to be remuved with tlrs iPlr.nmmi v&lhiliN Thir wlll imDroYed the overall
~ar~ &: !lmw oftlrs int#:l'.tectioN.
Concnte AhtJimt With Brick. Pavf!l' /nfi11 far Q Lumn ntm amount 0(1/0 900 00 total hid cost details fa/laws'
MOB Mobiliualon" Mar.. RimtO'R u&tim! Concrete t'TI'itmvle rmJv}. PrentD'f!. Ntfw Sl!DD1'Otor rr~ple nnJ,,} .flmwll new traffic
SeDtValO1' rtriDnvle onlv) -Traffic tenarator refltlt:U tvDe D CllTb with 12" dl!!Jth with 7" reveal to match exbtinv. encadl/p Q 6" slab}
430 Brid: Ptr'H!n 0193'
EDeslgn ProfeeelonaJ r1Regulatory ""ency (Specify)
r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTl4TIQNS: r Yes r No
Y i. to be elgned and deled..
APPROVEDBY:~
Petersen, Project Manager
1?.:- 2. J - bo..
Date: /'
/'-
J
Revised 6 18 09
Agenda Item No. 16E4 CI
February 9,2010 ,
Page 17 of 42
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: 3" Party Admin for Group Ins_ PROJECT #: _NIA_ PROJECT MANAGER:_Alice Toppe_
BIDIRFP': 06-39B3_MOD #: 2_PO#:
DEPARTMENT: Risk Momt
WORK ORDER #:
CONTRACTOR/FIRM NAME:
Meritain
Original Contract Amount:
$ NIA
(Starting Point)
$ NIA
(last Total Amount Approved by the BCC)
$ N/A
(Including All Changes Prior To This Modification)
N/A
Current Bce Approved Amount:
Current Contract Amount:
Change Amount:
Revised ContractlWork Order Amount: $ NlA
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $_NIA
Data ofLast BCC Approva'_9126106 Agenda Item # _16El_
Percentage of the change over/under current contract amount_~ C).ll %
F onnula: (RB\ised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
12131/2011
CURRENT:
12/3112011
This change order will: D Add a new Task for $
D Increase Task Number _ by $
Other
Describe the change(s):Jmendment to establish Administration fee of $3 per employee per month.
Specify the reasons for the change{s)" 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) C 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: _Administration fees would
not be current.
This change was requested by: x Contractor/Consultant rl Owner n Using Department !J. CDES
bDeslgn Professional C1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r.yes
xNo
This form is to be signed and dated.
APPROVED BY: (}.~:, . T ~
Project Manager
Date:
1/ ,,-\1.1<:>10
ljr)d
REVIEWED BY: ...~ iN
Cen1 Specialist
Revised 6 18 09 I
Date:
/ - Jtj-;?(}jO
Agenda Item No. 16E4
February 9, 2010 1 q,
Page 18 of 42
AMENDMENT TO AGREEMENT 06-3983
FOR
THIRD PARTY ADMINISTRATOR FOR GROUP INSURANCE BENEFITS
This Amendment, effective January 1, 2010 ("Effective Date"), amends Agreement 06-3983 for
Third Party Administrator Group Insurance Benems ("Agreemenf'), made and entered into on September
26, 2006, by and between Corporate Benefrt Services of America, Inc. (Consu~ant) and Collier County
("Countyj, as follows:
1. Schedule A
S<(hedu/e A is amended to include the following service as of the Effective Date of this
Amendment:
HRA Administration
$3.00 per employee per month
--=..
In Witness Whereof, the parties have executed this Amendment on the dates set forth below
Meritaln Health, Inc.
Collier County
BY:~ ~.. ~
\\: . -
By: ~.. _ \~ . .
A~ice Toppe, Project Manager
Melissa Elwood
Senior Vice President, Client Relations
BY~ .
a er, Director, Risk Management
By: . ;J
Lyn oncractsSpecialist
Date: 1/1-,,1([1
Date:
q/2J%1
r
Agenda Item No. 16E~O
...... February 9, 2010
Page 19 of 42
CONTRACT/WORK ORDER MODIFICATION
CHECKUST FORM
PROJECT NAME: 3'" Party Admin for Group Ins_ PROJECT #: _N/A_ PROJECT MANAGER:_Alice Toppe_
BIDJRFP II: 06-3983_MOD II: : ~P~: WORK ORDER II:
DEPARTMENT: Risk M mt
CONTRACTOR/FIRM NAME:
Meritain
Original Contract Amount:
$ NJA
(Starting Point)
Current BCC Approved Amount:
$ NJA
(Last Total Amount Approved by the BCC)
$ NJA
(Including All Changes Prior To This Modification)
Change Amount: N/A
Current Contract Amount:
Revised ContractJWork Order Amount: $ NJA
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ConlractJWork Order: $_N/A
Date of Last BCC Approval_9/26/06 Agenda item # _16E1_
Percentage of the change over/under current contract amount---.fllil\: D. 0 %
Formula: (Revised Amount /last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
12/31/2011
CURRENT:
12/31/2011
This change order will: D Add a new Task for $
D Increase Task Number _ by $
Other
Describe the change(s):_Amendment to correct contract name from CBSA to Meritain and clarify termination clause.
Specify the reasons for the changers) x 1. Planned or Elective Co 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 changers).
Identify all negative impacts to the project if this change order were not processed: _Contractor name on contract
would not be correct
This change was requested by: x Contractor/Consullant iii Owner rr USing Department C CDES
Coesign Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r Ves
x No
This form Is to be sl
Date:
'1141 rlr>ln
APPROVED BV:
REVIEWED BY:
Date:
/- Itj-/{)
I
Revised 6 18 09
Agenda Item No. 16E4/0 a.
February 9, 2010
Page 20 of 42
AMENDMENT TO AGREEMENT 06..1983
FOR
THIRD PARTY ADMINISTRATOR FOR GROUP INSURANCE BENEFITS
This Amendment, effective January 1, 2010 ("Effective Date"), amends Agreement 06..1983 for
Third Party Administrator Group Insurance Beneflls ("Agreement"), made and entered Into on September
28, 2006, by and between Corporate Benefll Services of America, Inc. (Consultant) and Collier County
("County"), as follows:
1. Name ChanDe, The name of the Consultant is hereby changed to be Mentaln .Health, Inc,
("Meritaln") (defined to include its affiliates and any entities they acquire). . All references in the
Agreemimt to "Corporate Benefit Services of America, Inc.", "CBSA", or "Consultanf shall be
deemed to mean Mer1tain.
2. Section 9, Tennlnation. Section 9 of the Agreement is deleted in its entirety and is replaced
with the following language;
9. Termination. Should the Consultant be found to have failed to perform his
services in a manner satisfactory to the County as per this Agreement, the County may
terminate said Agreement immediately for cause; further the County may terminate this
Agreement with at least thirty (30) days wrillen notice prior to the end of the current
contract term. The County shall be the sole judge of non-performance.
In Witness Whereof, the parties have executed this Amendment on the dates set forth below
Maritaln Health, Inc.
Collier County
By: ~ <;q 9j~. ,1
BY:~~ ~.
. . .Toppe, Pro~t: ~er
Mefissa Elwood
Senior Vice President, Client Relations
By~
' Director, Risk Management:
By, ~ ~~li;t
1/-- eJ./?-- 0 9
Date: 10 lfi-oIU'7
Date:
J
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Collier Blvd. South ISR.e&11 Jolley Brid"e. Lanclscaae & Irrlaatlon InstlIllatlon
PROJECT II: fiQ!!HJ.
BIDlRFP II: !!!::GZI
Agenda Item No. 16E4 I r
February 9, 2010
Page 21 of 42
MOO t: g!
PO#: 4500108123
PROJECT MANAGER: liz De Lean
WORK ORDER III: ..!!!l!
LAPNo~
CONTRACTORIFIRM NAME:.V11a & San LandllCBDln" Inc.
Original Contract Amount:
DEPARTMENT: T",...",,_n. ATM DeDI. Landscaae
$ 441.019.93
(Starting Paint)
$ 441 019.93
(last Total Amount Approved by the BCC)
$ 441.019.93
Oncluding All Changes Prior To This Modification)
Change Amount: $ 11.281 68
RevIeed ContnctlWork Order Amount: $ 452.301.61
(Including Thi. Chonge Order?
CUrrent BeC Approved Amount:
Current CantrIIct Amount:
Cumulative DoII8r Value of Changes to
thI8 ConII1IClIWork Order: $
DatB of L.aet BCC ApproVlll
11281.68
0512812009
Agenda It8m # 16-8-9
Pe....ntage of the change aver/under current contnct amaunt~%
Foonula: (Revised Amount I Last BCC approved amount)-l
CURRENT COMPLETlON DATE (8): ORIGINAL.: December 30. 2009
CURRENT:
o InCl1lB8a Task Number _ by $
This change order will: 0 Add a naw Task ror $
Olhar: Inc..... contract amount by 511.281.68
Aoril 01. 201 0
Describe tha chanlle(s): Modifications had to be done to tha madlans In front of the Boat Ramo dua to a tum lana
that will be In_lied bv Colllar Countv Paries and Rae. Plant rnal8rIal and Irrloatlon oarts had to be chanaed. After
~ chanaaa. FOOT ravlawed tha tum lana Diana for oannlls thav nKIueal8d to add a blka lana .. well. this
caused a chanaa In tha JoIlay Brklaa orald aDaln to ..mova and rel_ the malar that had alreadY bean
Installed and to _ndon and Install a new bore for tha Irrlaatlon chana_. Balow Is the IIal of deductions and
addltlo.. with tha Bid IIna /lam number for reference. Maintenance for tha north lI8Ctlon that haa been comDlatad
has been added.
Bid
It8mIl:
8
10
12
14
17
18
19
20
21
22
23
24
Revised 6 18 09
Q1Y.
39455
-84
.9
-6
-12
-20
-6
21
.5
3
.90
7
UNIT
SF
SY
Ea
Ea
E.
E.
Ea
Ea
Ea
E.
Eo
Ea
DESCRIPTION
UNIT PRICE
O,OB
80.00
255.00
84.04
325.0D
220.00
111.48
99.47
99.47
54.92
30.95
84.B9
Agenda Item No. 16E41f
February 9, 2010' '<.
Page 22 of 42
25 -103 Ea Hamelia NodoIa 'African' 3 I 5.00 II
28 30 Ea II 10.08
'Z7 -2ff1 Ea 3.48
28 -182 Ea I 6.48
31 240 Ea al 3.1ll
33 .148 Ea 3.1ll
34 833 Ea 1...1 3.09
35 -10 Ea 5.18
38 -4832 Ea . Rnanortation blend 3.25
41 ~~\~~=d=~~=~~o~c
314 LF 3.24 51 017.38
43 COntnll Wi", AWG 12 sa ground, solid copper
.a119 LF Inou_ 0.11 """'.09\
44 COntrolWi",AWG 14 sa ground, solid copper
81118 LF InauIatDd 0.09 5737.&4
55 Taro 22D-227-x-5 1.25" aeriee bras Glenoid valve
-2 Ea :'Jo~",:,=:..~=:'IIe2C6 - 404.00 ($808.00\
59 Toro 57lJZ.PRX-12p Toro 570PRJ( ..rfaa 12" high top
_ heada body wIIh In rilIer _'" regulator_ (51,032.00'
-48 Ea X.ftowshut 011_ 21.50
60 In1trol 533 flood bubbl.1'8 adjustable e... _ and
.a Ea I1ldlul 5.88 ""'7.04'
81 -2 Ea Green reftector In8riceI1l 15.00 1$30.
62 152 LF 4"HDPEcIau 150SDRll 22.00 53 344.00
63 4" achedul. 40 P\IC ....... for valve wiring by
.1372 LF dlntctional be", 20.50 ($28.128.00'
8 ChllngirG daocrIpIIon from Rock Bag. to Synthollc
400 Ea _oei FOOT IndalC 102 $0.00
62 530 LF 4" HDPE cIau 150 SDRll 22.00 $11660.00
63 4" achadule 40 P\IC ....... (or valve wiring by
530 LF dll1lClional be", 20.50 $10665.00
New 4" fIlInoo SORll to P\IC ;,.,Jnts
Ilam 2 Ea 189.90 S31ll.60
41 lnigalian malnlin. wIIh Hardo dip lIIlIngo PaIn_
-530 LF Pu""" 522c 3.24 1$1 717.20'
91 ~~~tBr meter per Marco Island Utilitiea 152 500.00'
-1 LS S on coordination connection 2500.00
New
Ilam 1 Ea _ """oval and ",loClltion and ~",>illO axiatino line 5 397.88 55 397.66
22 110 LF Additional SDR11 be", 22.00 $2420.00
41 345 LF Addttlonai Cia.. 200 malnine 3.24 51117.60
New
Itam 103 LF Class 350 m11lnl1ne 10.00 $1030.00
New C.n and ett _ bo", no! boi~ used
Item 1 Ea 1000.00 51000.00
New MaIntenance of completltd North section:
Ilam 13 WIdv Waadino 125.00 $1825.00
New
llam 13 WIdv Trash Removal 75.00 $975.00
New
llam 13 IMIv Irriaation Wet Check 225.00 S2.925.oo
1111$ CHANGE ORDER TOTAL AMOUNT 511 281.18
Specify the rea&ons for the change(s) n 1. Planned or Elective @ 2. Unforeseen Conditions C 3. Quantity
Adjustments 0 4. CorrectIon of Errors (Plans, Specifications or Scope of Work) (1 5. Value Added
tl! 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:
Revised 6 18 09
Agenda Item No. 16E4t I b
February 9. 201 cf
Page 23 of 42
This change was requested by: R'lcontractor/Consultant n Owner l'll Using Department C. CDES
Eloeslgn Prafeeslonal C1Regullltory Agency (Specify) nether (Specify)
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: [J Yes r. No
/""'
REVIEWED BY:
Revised 6 18 09
Date: ~\ \~\ VO
Date: /-/1- 'ft)
Date: ~
I
CONTRACT /WORK ORDER MODIFlCAnON
CHECKLIST FORM
Agenda Item No. 16E4 f ~
February 9, 2010
Page 24 of 42
PROJECT NAME: Immokalee Road s/,,-1anlna PROJECT #: !!!!!1!..- PROJECT MANAGER: Garv R. Pula.MUU
BIDIRfP II: ~ MOD #: --1.-PO#: mL- WORK ORDER II: 11/ ~
DEPARTMENT: TECM CONTRACTORIFIRM NAME: CH2MHin, Inc.
OrIginal Contract Amount:
$ 2.352.928.00
(Sla1ling Point)
$ 3.215841.20
(last Total Amount AppIO\/lld by the BCC)
$ 3.215841.20
(lnduding An Cl&1ges Prior To This Modification)
Change Amount: $' 135 52Il 00
ReviaeclContractIWorkOnlarAmount: $ (I~~~nge'~r)~/) f/P(,,;)]) )eL/'
Cunent BCC Approwd Amount:
Cunent Contract Amount:
CUmulaUve Dollar Value 01 Changee to
this ContracllWOIt< 0reIar: $ 998 538.20 V
Agencllo 118m . '~'
Percentage 0I1he change .....J1Under cunant contract lII1IOunt 4.22 %
Formula: (Revised Amount (Last BCC approved smaunl)-1
Dale oI....t BCC Approval
712lW3 v
CURRENT COMPLETlON PATE (5): ORIGINAL: 71281113
This change order will: 0 Add S IMW.Taak for $
other
CURRENT:
3131NO
181 Increase Task Post Deslon ServIces _ by $ 135 625.00
De8crlbe the change(a):P~ Deslon Services lNlIfanned durlna ~~on to l181'Ye the needs at the DroIsc:t
and followlna ~ to field verII'v dralnaae structures and cermv to South Florida Wm.r Ma..!!l!flemenl
Dlatrlct that the Drolect was built accordlna to the aermltll that _.. laauecl for it: ~n Is atlll needed for
SFWMD to close the aermltll. Documentation at tasles. cost analYsis and D8YroIl backuD Is attached.
Specify the .....ana for the change(s) r. 1. Planned or Elective r 2. Unfol'8SHll Conditions r 3. Quantity
Adjustmenta r 4. Correction at Errors (Plans, SpecIflc:atIons or Scope of Work) r 5. Value Added
r 6. Schedule Adjustmenta Note: One or more may be checked, depending on the natu.. at the change(s).
Identify all negative Impacts to the projsc:t if this change onler _re not processed: If the chanae order we.. not
to be DIOC8lIS8d the certification at the aroIect to SFWMD wiD not haDDeI1. SFWMD would then stoD laaulna ERP
aermltll for our futu.. DIOlects. The consultant would also not be wid for services rendered durina construction.
This change was requested by: P1contractorlConsultant rI Owner PI Using Department C CDES
Eoesign Professional r1Regulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIAUST PARTlCIPAOON IN NEGOTIATIONS: P' Yes r No
APPROVED BY:
Date: /<" .5'" _4>"
Date:
Date: ~
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4
February 9. 2010
Page 28 of 42
PROJECT MANAGER: Bob Pierce
PROJECT NAME: Medical Examiners Interior Alterations PROJECT #52525
BIO/RFP #: 06-3971-$ MOP #:1 PO#:4500109456 WORK ORDER #: 45Do I 0'1 I{::)'(p
DEPARTMENT: Facilities CONTRACTOR/FIRM NAME: Professional Building Systems (PBS)
Original Contract Amount: $ 26,742.00
(Starting Point)
Current BCC Approved Amount: $~ tJ / A
(Last Total Amount Approved by the BCC)
Current Contract Amount: $26,742.00
(Including All Changes Prior To This Modification)
Change Amount: $1,575.00
Revised ContractlWork Order Amount: $28,317.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $1,575.00
Date of Last BCC Approval ~6 II IA Agenda Item # .~3) II I A
Percentage of the change over current contract amount 5.89%
Formula: (Revised Amount 1 Last BCC approved amount)-l
CURRENT COMPLETION PATE (S): ORIGINAL: 11/18/09 CURRENT:2/16/10
This change order will: 0 Add a new Task for $
o Increase Task Number _ by $
Other_ Mitigate concealed mold testing and re-mobilization. Work complete by field directive.
Describe the change(s):
Specify the reasons for the change(s) C 1. Planned or Elective @ 2. Unforeseen Conditions C 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) C 5. Value Added
r 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: CO work complete by field
directive.
This change was requested by: r1Contractor/Consultant [;"1 Owner r/ Using Department Q CDES
LDesign Professional rlRegulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 1;7 Yes
C No
This form is to be Sig~da& ,
APPROVED BY: r C?1(./
Bob Pierce, Project Manager
,~EVIEWED BY: ''-. (2'u:4----....cO-R--
Contrac Specialist
Date:
/l-/f/t7/
Date:
i :J./n./o"j
Revi sed 7-14-09
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4 /l
February 9, 2010 'cr
Page 29 of 42
PROJECT NAME: NPDES- Second.rv d.-lnaae ...tem uod.te In GIS PROJECT #: ~
PROJECT MANAGER: Ste.. P.-lIton
BIDlRFP #: 011.391'1 MOD #: ~POtf. </tOOl o'i'i~..., WORK ORDER #: 4500101167
DEPARTMENT: Road M.lnten.ncelSto....-ter Secllon CONTRACTORIFIRM NAME: RWA. InC.
, Original Contract Amount:
S 41.000.00
. (Starting Point)
Currant,BeC Approved Amount:
$. Betaw aDDrov.l.reQulrement
(Lllaj Total Amount Approved by the BCe)
S 49 000.00
(Including All Ch.nges Prior To This Modllicatlon)
S 0.00
S 49.0~0.00
Oncluding Thia Ch.nge Order)
Currant Contract Amount:
CN,.. Amount:
RIivIeed ConliacllWork Order AmQunt:
Cumula_ DC!llar Value r>f Change_ to
thl_ ContractIWork Order:
s 0.00
Date'" Laat BeC ApprC!val. N-A
Agenda Item # N-A
Percentage r>f the change over/under currant contract amount 0.00
Formula: (Revised Amounl I laal BCC apProved amounl)-l
,CURRENT COMPLETION DATE (S): ORIGINAL: 12/31/2001
%
CURRENT: 01/31110
This cNnge order will: 0 Add _ new Tuk fc>r S
o Incrnae Taak Number _ by $.JlJ!!!-
Other: !O-dav lime extension
2,~~.le~t): 3 a time ~ n onl ~ 77}.- -ev:-hf/ma-H; NeM ~ tkrija../ /1J~
~~clfY7(h. ';....ona for e change I 10', 't;iJ~r Elective (", 2. Unforeaeen Conditions (" 3. Quantity
AdJlI8tments r 4, Correction of Errore (Plana, Speclficationa or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, dePending on the nature of the change(a).
identify all negative Impacte to the project If this change order were not procllllSed: The work is to fulfill federal
and lItatiIanvlronmental Dennlt reaulrementa. Failure to camorata could reeult In fines and/or other penaltIes.
Thltl change WR requested by: nCont.-ctorfConsultant n Owner 171 Using Department !: CDES
Coesl9n Professlonal,rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes R' No
APPROVED BY:
Dale: 1'2.. -z.'i -t1 '7
Date:
'o/2o/n 9
ih40
I I '
REVIEWED BY:
Dale:
Revised 7-14-09
, ,- -. .
cONTIW:TJWQRKORDERMOoI,FICAllON',
, . CHECKLIST FoRM
, PROJEcT HAIlE: Work Ord8rlPo4500108034 PrOject Name:FOrest LakesMSTu --Soi1dlsiwePraJilct No. Foo62-
. MalntimlnCeDredgingof Lake No. 8; , ..',
PRO;it!CT~ W\lrkOrderIP04500108034 " '" '., ' '
PROJECTIlANAGER:_DarryI RiChard, RLA, ProjBetM8nagBr. ATM Department
Agenda Item NQ.16E4 '3,
Febr<Jary 9,201.0
Page 30 of 42
, "
. . - . .
, "
BIDIRfp II: Coritract 115-3657 'PrOl~Ma~aement Ovarsiaht SeiviceS...OIUl: ll1l!2mll. ",.
POi:__4S0010803Q~OIU<~II:WDi1t~4500108034' " , ".
. , '. '. . .
DEPAItnIENT: Alii '~'HAME:
eun- BccApprondAmciunt>
S 37.21'
($laI1kIgPoint)
$nIa
,(LalIt TlIlaIA/nountAppnlv.cl by" 8CC) " "
S .37.2'." ',', " , ',",::' .
',' (including AD ChInQes F'rIor To TlIII MocIitlcdari)
,S~", " ' " '
$ 37.211 ' ", " ' "
(Inc::1Uoq TlIII Change ORIel)'
. OIIgInaI~Am_
.'. . --
C:wiwnt c:onioact AinOlint
, $"~
, . ,
0.-;"" SCC AppiovaL....N1A . ," ,'H~~.~A"
~",... ch!InlIe, cMrIundei' current co,dract _' 0% In<! ~l .'
FlliIIUe:, (Re*ed I\IiKlunt/lut ,Bce aPpmved.-.nl)-1,'
\ CURRENT COMPLETION D,ATE (S): OIUGINAL:,Auau.t 3'. _ cill~: ~l!I.2ll10
'."5~~~rThne'to~~.~~-~~k~"'~"~.
ChBilOitla ItlADD,. ONLY.,Ad(lIllO~ tIml!I baa be8h ~neceAary lOt cOI\1pIelioi!ofproj4lc;tllCtlYity petWolk
0rdI;r/P04SOO108034for...w:e.frDm MlIIcoIriI Pirnle; IIW. , ",. . , " . '.. ,
TliileAdjullment due proJectscoptChanges (PerSFWMD ERP PennItR~&:.8ddlilonof 'a.atat fOtmtaIn' by ,
MSTUCoinrnfttae);AdditlOnaI time lidded d"lI8lDblddlng l'ilquiren\enta and contiIiClDr motiIlIzaIIori lIdIedule. "
.~tIie -on. for the cbII..-ca) -1, PIIIJlIMdOi'e..cav.O 2. ~.ul.n ~ ,3. QuantIty
Ad)!IetmeIdsO 4.cOrr.c:tionofEm:lra(p_ SP',~mc,aon.orScOPe~~,'...va""Ack8d" "
o L8Chedule AdJ__ ."....: One Qr_ ~_c:II~;"""'OItb ....ofthe...). ,
!denary allnegatlYelmpacta to tIie ~ect If title ~ Oniiir __ lIot~: , NeiJ8tive imll8Ct wOuld be
that stall' and con~nt would not have additiOnlil ~ ............;.ni furlimiecl COlI'IIlIlllion. " '
. 11* ClMrigew.....q'-tect by: -Cc!IltraCtoI1Con8l!bnt -own" [:rUalng~".....t CeDES
- ~ ProfeRlonal dRegU~Agency IS~) " Oother{8peclfy)
CONTRACT SPECIALIST PAR11c:IPATION IN NEQ011ATION8:
Thll formletoilnlsiJled and daf8d. ','
. 'APPROVED ay:
. 'P
, 0,
, Y..
-f.iO
Da~ ,n."i..-,."f
-Date:~ '
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
~~1~~i~
'f
PROJECT NAME: ImQ",vlnQ the Accuracv and ResQluIlon Qf FDEM OrthoQhQt.... fc>r Collier CQuntv and fc>r AddltlQnal UDAR.
Break lines. DlM. CQntoura and Orthoohotos fQr Additional PQrIlons Qf CQIRer CQuntv
PROJECT #: Nooe PROJECT MANAGER: RQbert Wllev
BIDlRFP #: State Contract MOD #: ~PO#: 4500102993 WORK ORDER #: WOQloert 08-01
DEPARTMENT: Enalneerina and Environmental Services
CONTRACTOR/FIRM NAME: WoolQerl Inc.
Original Contract AmQunt:
S 1.052.259.00
(Starting Point)
$ 1.052.259.00
(Last Total Amount Approved by the BCC)
$ 1 052 259,00
Oncludlng All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract AmQunt:
Change AmQunt:
s
0.00
ReVIsed ContracllWQrk Order Amount: $ 1.052 259.00
(Including This Change Drder)
Cumulalfve DC!llar Value r>f Changes to
this ContracllWork Order: $ 0.00
Date of last BCC Approval 2-7-08
Agenda Item #Aooroved bv Purchaslno Director
Percentage m the change over/under current contract amQunt
Formula: (Revised Amount I last BCC approved amount)-l
CURRENT COMPLETION DATE (S): ORIGINAL: 9-30-08
o %
CURRENT:
1-15-10
Describe the change(s): Time extension of 77 davs to account for work oroducl dellverv delavs from makina
corrections found durina the oAloe reviews bv review contractor. County staff and SFWMD.
Specify the reasons for the change(s) 0 1. Planned or Elective Co 2. Unforeseen Conditions 0 3. Quantity
Adjusbnents 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added
[gJ 6. Schedule Adjusbnents Note: One or more may be cheeked, depending on the nature of the change(s).
(c:y/
ODeslgn Professional D1Regulatory Agency (Specify)
Owner DI Using Department 181 CDES
nOther (Specify) ala,' ,rnr".
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: [J Ves
181 No
This fonn Is to be signed and dated.
APPROVED BY: ~ C ~
Project Manager ?
REVIEWED BY: ~ }77 W ~
o I I Specialisl
Dale:
j-S-JIJ
1-7-/0
'Dale:
Revised 11.19.2007
1
CoNTRACTIWORK ORDEitMODlFlCATION
tHECKUST FORM
f'>JtOJECT NAME: Work Orderl PO 4500108033 ProjllCt Name:Forest lakesMSTU _' Bond lseue Proj!lct No. F-56-
South Woodshlre Ditch ImprC!vements;
PRoJECT II: Work OrderlPO 4500108033 . , . '
PROJECTMANAGER:_Darr'yl Richard, RLA. Project Manager, ATM Department
Agenda Item No, 16E4 S-
February 9, 2010
Page 32 of 42
BIDIRFP II: Contract 05-3657 'ProiecI Manlioement Oversloht Services"MOD II: ~
POI:_ 4500108033_WORK ORDER II: WorIr Order/PO 4500106033
DEPARTMENT: ATaiI De CONTRACTORiFIRM NAMe:
0ttgIMI Cantract Amount:
$3U50
(SIdlg Polnl)
$n/a
(laal TotalA/nountApp/Md by the BCC),
S 31.450 ' " ,
(Inc1udir1l1 All ~hangee Pile" To 'l'hlI r.tocIHlc8tion)
$-~'
Cunent BCC Approved Amount:'
ClIlN(lt c;ontract Amount:
ChIoiioe AmOunt:
R.vI8ed CotdnctIwOlti Orclw Amcxmt:
S 31.450
(11il:Iuding lNs Change 0rdaI)
RECEIVED.
DEe 282009
'l'ranspor~a~i~n
ATM Dept. '
~ DoIW Value r>fChIongee II>
lhIeCOnlNOllWork,Order: '
$ -CI:'
0... oU.aet Bee ApprovaJ_N1A Agenda llem fI_N1A
~,ofthe ~overfundeio cunwntOO/llraCt~O%lncl c:lIIInO..\
For\!IUa: OR8'Ilaed Amount I Last ace, aPProved 8ftlDUnl)-1. '
'!'his chIona. * will: Add Tln\ell>, Work .0rdIir;0t1gIna/ c.traCt_ 80 dap..........dcllim.DcADDj; RevIRd
~~IaHl.!lm. ,", . '. , " " .,,', , " '.,
0eacItbe the change(.): ", . ' ,
ch~e is to ADD TIME ONLY. Additional time ,has been deemed necessary for completioi1 of project activity per Work
OrderlPO 45O(l108033 for services from Malcolm Pimle. 111<:;,. ' ,
TllTle Adjustment due projectsecjuence change p8r MSTU, Commiiiee request. Additional time also added lQ allOW fer
coi11p1etionofWoodshlre Wall Project (cUrrentlY out fa( bid). '. '. .,,', ,',',
Speclry the....o.., fOf' the ';"anll8(.) _1, Planned or Elective 0 2.U~ CondIiIcInlJ 3. ~
~ 0' 4. Col'l'8Ctlon of Errora (Pia... ~n. or, SCope qtWork), ,.5; V;'" Addtd
o 6.. Sch.ctule AdJuatm8nta Nota: One or more lIlaJ' be ch8ckecf. depeDding oil the natUr. of the cllalige(a),
identify .. negatlvelmpllc:ta tcJ the project If, tIlle cIIangt. ordervrera ~~: Neaative ImDilcl would be
that staff and consultant would not have additional tfme~ for DroIect ~Dletion. ,"',
ThIe C1111ige _ requested by:, · CoritnlctDl1CoilaultAnt . Owner,
.~n ~lon.1 ORegul.tcJry Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IIiI N~GOT1AtJoNS:
Th.. fIIrm Ie lobe _"'n&dud dated.
APPROVED BY:
P I
APPROVED BY:
Con
Dyes
IiNi),
Revised 618 09
Dale:
n '2.1..09,
fd-~'/C/}
/. I /-,
Date:
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
, PROJECT ..a..... Worl< OrderIPO 4500106941; Project F-55 MIl" 0ver1ay FDnI8llakoia EIIvd.;
, PROJECT #: Work OrderIP04500106941 .', ,
PROJECT MANAGER:_PanyI Rlc:tlard. RLA, Project Manegsr,ATM Department
BID/RI'P': contiBd 05-3857 'Prolecl M8na<1smsnt OVenliaIJl-"IIOO #: Q1JQnIl
POI: 45001_1 WORK ORDER" Work 0nIeI1P0 MIIlOt_1 '
oEPARTIIEHT: ATM De CONTftACTOR/FlR NAME:
Agenda Item No. 16E4
February 9, 2010 f:,
Page 33 of 42
CUIIlulSllYe Dollar V_usr>f ChIong8S to
thIs~Order:
$ .0..
0t1gInaI Contract AmOunt:
$ 25.520
(StaIting POInl)
S nla
(\Mt Total Amount AppIlW8d by the BCC)
S. 28'.120
(IncIudiilg AI Chengea Prior To Thle~)
$;...0.. '
S 25.520
(Including ThIs CIIsnge Order)'
CurrantBCC Approved Amount:
CunwntCol$aCt Amount:
~ AmC>Unt:
IleYt8ed ContractIWcirk Order Amount:
a.ta of LMt BCC ApproWI_N1A
Agenda....... _NlA' '
Percentager>f the cMnge over/UnCIer culNnt, oantract _aunt 0% (00 -~
Formula: ORevieed Amounll Lut Bee epprlMld8l1lOUlll)-1
CURRENT COMPLETION DATE(S):ORJGINAL:.hiIv 20. _CURRENT: e "'--..-.. _,
Thle change order WIll: 'Add n.... to Work, 0nIer; ~ c;ontnoct _ 10 .... thIj ......'.... 2:1JIIrI.IADD); Revleed
Contractperlod 1e1J1.l!m ... ," ."
Deecllbe,the.~): , . " ',' " , .
Due to delay in project caused by bidding schedule, imd contractor's~MiIabiIitysc:hedule.
Change ~ to ADD nME ONLY. Additional time ill necessary for compleliIxt of project activityperWoit(
OrclerlPO 4500106941 for serviCes frorri Malcolm Pimie, Inc.
8pM:Ify the ~ for the cIIIInge(e) .t. Planned or, ElectIve 0 2. U~nCondItloIl8 3. QUantIty
Adjuatmenta 0 4. Correction of Enore (P". Specltlc:atIolI8 or 8copeonvortc).,...V.kaeAddecl
o S. Schedllle AdJ....... NoW:, One ormoN maY be checlcect; cIefJ8IldlnO-tht ~oIthe ctuinge(.);
identify .n negative npecta to the p~1f thlech8nge order ~ not pro cuae4:, Neaative imoact wouldbe '
that staff and consultant would riot have addilionaI time n~ for orqject ~; , ,
Thle change... reqUMted by: .Contr8lctorfConeuJtant- Owner' [] u.lng DepertinentCCD~
- Deelgn PrarweIonel ClRegUtatDry AIlency (Specify), r:Jother(SpecIfy),' ,
D ves' . -No'
CONTRACT SPEClAUST PART1ClPAnON IN NEGOTlA11ONS:
Thr. fOnn Ie to be ..Red and dllta4.
APPROVED BV:
". I,~.), ~k.,,~...,',.
Date: ~ ~ I '{J
l
. . ..
CONTRACTIWORJ( ORoER,IioOIFICATION
~cKusTFOJtM, .
DIIn...... NAft, Work OrderlPO 4500108347; FOrest Lakes MsTu - Bond Issue PrOiect No< F-57 ~ Drainage SYstem
Mapping. & Adjustments . ' ,"'. '
PRD.IECTI#: WoIk OF\l8rlPO 45001083047 , , ,.... .,' , " '
PROilECT~~Clerryl RIchard. RlA. ProjeI::t MIRlIII8r. ATM ~
Ag~,:rl:::! Itorl) f\1,.., 1F:t=Ll 7
' February g, 2010
Pag" 34 Qf 42
. . . ,
.. . -. . .
81D1fUlP I: COntract ~7 "PmiBd.MlriilaernMt Owl..""" ~"ItD01: ~
POI: 4500108347 WORKOftDmtI:, Wml<~450010l1347.,' "
DEP~: ATMOe C~NAIIE:,
$ 4i.700.tJo
(SlIaIlIng Poinf),
" nhi
(LaitToteIAriiou!1t AplilWBdbylh!fBCC) ..'.
$ :.ca.7IIiI.oo " ,',' '.' ", " " ' ,
' (lilciudIng AI ChInge8 PIlOr Tcilliia r..todIIcMIon)
CONTRACrSPECIAuST PARTICIPATION IN NEOOnATlC)Ns: '
Thlt fonn It to lIeailJned and datad;
'; APPROVED BY:
DlIte: ,/"'4&'0/{,
Date:'.~q
."'~l
RECEIVED
DEC2 82009 '
'_-0.
. . . .
$41.700.00 ' . ',. "
(Including ~.Change Order), ,.'
$ ;0..
. 'l'ran$por:ta~.I."'~
. ... .
0eIie of Lwt BCc APpIovIL,,-NlA , ......1lenI# ~WA
~oflhechsnge DV8IfunderCUi'Nntcontrac:timount 0% (nC! .........)
Fonnuta:(RewlaedAmount/LaatBCCIJlPl'OV8d~1 .', " ,,'., '.', "".",
CURRENTCOMP~ONDATE (8): 0RIGIfW.: Howm'-'1.2OOICU~'~,:at: 21110 ' , , ,
11da. ....orc..rwlU:' Add tJinetO Work 0nIw;.OrigIMI'~_1211"" tiita.......~); ~
~C::'.t":;,' '" ,',",'.' ',' ,.",,' '"
Change late Aop nME ONLY. Adcflllonal time * been deemedrteCeaaryforCClmplelfon of proj8c::t ac:tivit)t
perWork()iderJP04500108347tOr~fr9mMalcotmPirnle.InC; ',,' ,.' , .','. ' . " '
Time AdjuStment due to addltional.timitrequliement per el'tangeirequited bySFWMD ERP Pennltand
coordit1ation with staff on GIS Formatford8ta. . ' " ,'.'.'.' "", ,
.SP8!=Ify tile __for the ~.) .,. l'fimnHor ~?2.Ui1fo..... CimdltlolML
AdJ.... (5 4.eon.ction of error. (Pia., 8pecIfIcations or Scope Df~.L v..u. Added '. ' '
0, I. Schedule AdJUIItIMnta NDt8: Ona Or 11IO'" may~ c:liai:ked,~ QlJthe I!IIfure of~ ~a);
IcIentIfy aU neDattve-'lmpec. to u., proJaCt.lflhlia ch.....Order ware. notp~:, ,NeaativeimDact Would ~'
thatstaft' andconBultant would ~ hal/(l a~onai time ~"'''v forDRiied Comllletic!!!. ' ,
ThIa changeWur&qUeatad by: .~l!ltiInt . OwJ1er CCDES
' · ~n~.r O~lilatory AlJenCy (8pecJfy)
v
CONTRACTJWORK ORDeR MODIFICATION'
CHECKUSTFOIUI '
PRoJECT NAME' Wak OrderIPO 45OOO9ll5lIll (old PO 4500093126); VandeI1lift ae8ch MSilJ ~ FPL Projecl GenenllConaultlilll
SeIviC88;" , , .
. PROJECT jJ; WOIl< OrderlPO 4500098568 (Old PO 4500(93126);
PROJECT IWWJER:~DarTYl Richard; RLA. Project Manager. ATM,Deparbnent
BIIlIRl'P iii Contract 05-3657 'project ManaGement o-.iahl Servloes'MOD I: l!1JQ/ml
POI: 45OOO9ll5lIll. . . WORK ORDER" ',Work OnIerlPO 4500098566
Agenda Item No, 16E4
February 9, 2010 ',7
Page 35 of 42 ~
DEPARTMENT: ATM De
CONTRACTORIFIRII NAME:
$ 40.000.00
(StarlIng PoInt)
0t1gInaI Contract Amount:
Ciinwnt 8CC Approwd Amount:
$ nla
(last ToI8l Amclunl Approwed by the BCC)
eun..nt Contract Amount: $ 40.000.00 ,
(IndudIrog AD CIlqM PriorToThis McdllcIdlon),
Change AMount: '_-4-
RevfeeclCOntrac:1IWork Order Amount: S 40.000.00
(IIIc:tudIrlQThis ChIonge 0!deI) "
RECEIVED
DEC21 2009 '
TrBnBport9.tion
ATM Dept.
CIlllllllSllv8 Dol.... Value r>f Changes to
thIe ConIm:lMork ~ S ,,..
DIlle of Lsat1lCC APPn>vat_N/A
Agends...... JA
~ r>fthe ""--.....-Iunder ~_8IIICIlInt 0% {no_
FormUa: (Revlaed Amount I Lat Bee approved 1IIIIClW1l}-1
CURRENT COMPLETION DATE (S); 0RlG1~ AIlI!114. 2001 ClIRRE!NT: - '. r 3' ~
ThIlt change order will: Add TIme tD Wort< Order; OrIgInal Contract _ .. -. thIe .......... ilIt.IIm(ADD); RewlMcI
Contract psIlod..... . ,. . " ,
o.crtbe, the c:fuinp(a):
Chango is to ADDnME ONLY. Ackfltionalliri1ehas been ~,~, for,CQlTi~ of projeCt activity
perWorkOrder/P04500098566(oIcIP04500093126);forservlcll8from~ J>imIe;lnc. .. ,..". ".'. ,
Adjustment in completion date due.to adjusted time-line for receipt of FPl Jirelirriina,ydesign and adjustment in
numberofMSTUMeetiilgsduringfl8calyear2009. ' ,,' ,
~,the __ for the chall(l4l(a,e1. Planned or ElectlYe 0 2.U~"nConclItlona 3.ClU1mtIty'
Adjuatmenta 0 4, CorrectIon DfEn'Dre (PlaDS.S~or Scope of Work) ...Value Added
o 6. Schedule Adjuatmenta Note: One or mort ftIlIy be chKbd. depending On the nMar. DftM challll8<a),
ldenUfy.aII,negative Impacts to the, ~ If th" cha. 0"* -1k;It. PIOCMMd: ~ imoact would be '
thatBtaffandconsultanlwouldritlt~add~timenec:eilS..,for~~;. , ".., , ,
Th" chanQe WR reqll88tad by: - ContractortConsUltant - Owner ' 0 uslng~ 0 CDES
· o.IgnProfwaIonal ORegllllltory Agency (Specify)
r:loth.r (~)
CONTRACT SPECIALIST PARTlCIPA110N IN NEGOTIATIONS: 0 Yes - Na
Th" fonn .. to be signed and
APPROVED BY;
: ,:;;/ti)
APPROVED BY:
Revised 6 18 09
l" .
.-
CONTRACTIWORK ORDER IIODIFICA_
.' CHECI<LIST FO"
PRo.Jl!CT NAIIE:Wen OrdarIP0450010s0ee; Vand4.blll Bead, MSTlJ:;' Ph_ One 1'r8Iltri-v Design ~ ~
PROJECTlJ: WoI1c OrderlPO.csoo10S0E16, ' , ". , . , , ' ., '. ' ,
'PROJECTIIWWHR:_DsnyI Richerd.~. Prc>ject Manaeer. ATM 0epertrnenI .
Agenda Item No. 16E4 ~
February 9,2010
Page 36 of42
. ' 44.700.00 '
(S18rlIng Point)
, 'l'i-I!napor~iltlon
, A..TM Dept.
." '"
' BlDlRFPlJ: C_ 05.3e57 ~ ManaallfiHlrll ClWnIIahlSenriCllll"llOO #: ll1lQnt}
POI:_45001Q5l1116_ WORK ORDER II: Work 0rdiM1P0 .aG1DflO88 ' ,
DEPARTII!NT: ATII Cofmw:TORIPNtMIWIi!:
$ 44.701.00 " ,
(Inc:IudIliQ AIICh8ngeePrlor To lliIs MlldlfIC!!dIan} ','
" S_.o-
S 44.700.00
(IndI.!dIng 1bIs CIIMge 0I!IIr) ,
'S ..0.
, o.t-~LMtIlCC..4pp._t_...J~A , .......1leon.~NI...
, ~ofti.""""'cMlfundwCUlnlltoont_hmouritll%(oo~1 ,
, ,_ Fll/mlIIlI: (Revlred Amount I Lest BCC appI'IMCllllnOlll'lt}o1
CURREKr COMPLETION ,DATE (S): ORIGINAL: .......... 2OOlIcuRMIfTI~Iw_ 2lI:JII'.'
, , ,
, -n..... ....w1i1: Add TlriletQ WorkOntei;~ conlnlct_ tllli ....__...... .D1..JIUJ(AbO); ~
COntiIlctperliodlalZ1Jllla ' , ',.'. '., .,' ., ' '. ,'"
. ,
Deeclfbethe c:IIaRg.(a): . '. ," .', , ' ,
Change is to ADD TIME ONLY; Additional lime has been ,<<*med, niJcesurjfor' C(IriipIelion of proje(;t ad:ivity "
per Waik 0rderIP0 4500105066; for S!lrvlces from MaIOolnl Piri1ie; Inc. ',.. " , " ' ". ,'.,. , ,
DeIIl" iil DrDieCt eomoletkln'!lue tOlldlul!ted ~ fOr i8ceiilt d f'PL.~, deIlqJ1l1ind oi-i-aOina "
revislolislncoOrdi~~FPl~n~' " .. . ..,'.' .' ",
'.~tIle rM80M fDi' th4t~.) -i., ......... ~ ElKtlve 0 2, ~ cOndltlana
~ p... CorreC:tionafl!rroJa (PllIns, S...;.tIciIdIo.. or aco,;.ofwO.k); .-e. Value Added
o e, SChed.... AclJlIStmenl:8 N*:Onaor more..,.be c:IIeckedi~,!NI tM nature oftlle cIIa"lle(a).
,~ a1. II8fIIItIft ~.tO the~ If thJa change or..: _lnoC",&i'.*'d:NeaatiYeim~'\VOiI1d be "
tJl8t staff and consu~nt would not have acfditI9naJtirne ~1ifv lor IlniiBc:t t:oIrmletion.:' , ' '.
no.. ehlina- wu ...;q""by: .. Contrac:tortConHitant · oWne.; ,0' U8hog tlepr.rtllo8!~ Q~E8
· ~~, OReglllatoly AgenCy (Specliy) Clot,Mr,(Spel:Ifyf"
OYes '..No
co.Ni'RAciSPEClAUST !"ARTICJI"ATIO", INNEGOTJATloNS:
lJIlirfollll18to IIt.JgIled and ~
APP,ROVED BY:
, P
Date: l~ -i.'-ot
DaI8:lJ/$I,ky', .
APF'ROvED ,BY:'
Agenda Item No, 16E4
reuruClry ::l, LV IV
Page 37 of 42
If)
CONTRACT/WORK ORDER MODIFtCAnON
CHECKUST FORM
PROJECT NAME: Worl< Order #45001 04739 - Radio RPad Median & Irrigation Renovation Phase liB
PROJECT#: Waok OrderlPO 4500104739
PROJECT,IIANAG. ERLOanyI Richard,. . RLA. Project. Man. aw. ATM De~nt
BlDIRFP I: #08-5080 LandMllDA Archltliolul'lll ServiCH .contract MOD t:-IfJII~" .-.. Oi i.~1I ._.... .1_11__ -'"-~I"
POI: 4500104739 WORK ORDER #: 'Work9J'del1PO 4500104739 '
DEPARTMENT: ATM De CONTRACTOR/FJRM NAME! '
0t1gInaI ContractAmount:
, 22.185.00
(SlertIng Paint)
Current BCC Approved AmQunt:
, nla
(\.all TotaJAmount Appnwed by the Bee)
Current Contract Amount:
$ 22.185.00
Oncludlng All Chsngea Pri!ll' To lliI8 ModIfication)
'_00-
S 22.185.00
(Including Thls Change Order)
C~Amount:
Re!IIeed ContractIWork Ordw Amount:
CumUlallw DoIIw VlIIUe r>f ChIonges to
this ConhclIWorkOrder:
$ -0.
Date r>f u..t BCC ApprovaI~A AQenda.llem 11 _N1A
Percentage 01 the chIonge over1under current contnact amount 0% 100 chIonC!el
Formula: (Revi&ed Amount I LaslBCC BJlllIllV8damounl)-l
CURRENT COMPLETION DATE (S): ORJOINAL:J.....IO ZOot CURRENT: _ 31 21110
Thla change CIrdar will: Add n- to Work Order; 0rlgIna/ ConlriIc:t... t<40 days, ............ 'Z8ro Dollar Change (com)
added 26 days to'ciontract; this ~adds ~ADO perCOl2); RwIMd Conhct perk>d ia ~
DescrIbe tile ch~): ' "
Change is lP .MWlJ!I!= ~I~L r., , ,
Additional time Is necessary to allow.for proJectCQrnpleliDn based on origlllal project $COpe.
Delay in project completion due lP (1) TECMCurblng Project Tll'Il8-llne acijuslment, (2) Plan review and approval for Ra-N
Permit (sighl-line review for Ra-N Pennlt); (3) Project Bidding time-me. BCC Awwd. Conlnicl approvaVexecution time line
a,f!er BCC Approval (approvals required: Risk Management, LegaI'Pun:h8slng Dept.)
Specify the __ for the change(a) et. Planned or ElectIve 02. U~n Condltlona 3. Quantity
AdJI!8tmenta 0 4. Correctlon of error. (Plane, S~ or SCope of. Work) es. Value Added
o ,8. ScIIedtlIe Adjustments Nota: OIIe or more may be checkaci. dapandlng on the nature of the change(s).
identify aJI.negatlve Impecta to the proJectlfthltl chane. arder ~notp_.ed: Neaative imoact would be
thatstaff at'ldconsultant would not have additional time necessarv for oroiecI comoletion.
Thla change _ requested by: · Contrac:tortConsultant . Owner 0, Using Department C CDES
-DeaIgn Profaalonal ORegulatory Agenc!y (Specify)
DOther (Specify)
CONTRACT SPECIALIST PARnCIPATION IN NEGOTIATIONS: 0 Yes - No
Thla fOrm .. to be signed and dated
APPROVED BY:
P
APPROVED BY: '
Dale:
OI/PI-/:J.O/fI
.' II
,/rp/:MIO
I (
./
Dale:
Revised 6 18 09
l
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
A>lendA Item No 1 RF4
February 9, 2010
Page 38 of 42
1/
BIDIRFP II: 06-3971 MOD #:
PROJECTNAME: Elks L"dCIB Structural MC!dlficall"n& PROJECT#:52013.4 PROJECT MANAGER: Robert Fuentes
PO#: 4500113081 WORK ORDER #: -lI6 9911 ","5~o 113017 \
DEPARTMENT: Facil/tJes Management CONTRACTOR/FIRM NAME: Surety Construcllon Co.
Original Contract Am"unt:, $ 84.167 00 '
(Starting Poinl)
Currant BCC Approved Amount: S--!!l!
(Laal T"tal Amount Approved by the BCC)
Currant C"ntract Amount:
$ 84.967.00
(Including All Changes Prior To This Modification)
ChanIieAm"unt: S IS~7. (,,0
Revised C"ntracllW"rk Order Amount: $_ 1t, $'..5 t../. GO
Oncluding This Change Order)
Cumulativa D"'lar Value r>f Changes to
thla ContracllWork Order: S_ ~ 17. 14(}
Data "f Last BCC Approval NIA Agenda Item # NJA
Percentage r>f the change "lI8r/under currant c"nlract amount -L f.fl()
Formula: (Revised Amounll Last BCC approvedamount)-1 '
CURRENT COMPLETION DATE (S): ORIGINAL: 1112109 CURRENT:
1/31/10
Describe the change(s): During more Inspections of the floor In the Elks Lodge more stress cracks were found
beyond the original scope thus Increasing the amount of linear teet of epoxy injection.
Specify the reasons for the change(s) r- 1. Planned or Elective. 2. Unforeseen Conditions r- 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work). 5. Va,lue Added
(' 6. Schedule Adjustmenta- 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: if these cracks are not filled
In with eDDXV the cracks will continue to expand reducinQ the Intaaritv of the concrete.
This change was requested by: rJcontractor/Consultant III Owner n UsIng Department C CDES
""Ign Professional rJRegulatory Agency (Specify) rOther (Specify)
.. Yes r No
DD#
Date: ~/ ~l,t>
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No, 16E4
February 9,2010
Page 39 of 42
Id.
PROJECT NAME: NCWRF Headworks Imorovemenls PROJECT #: 73968 PROJECT MANAGER: Tom Chmelik
BID/RFP#: 08-5011 MOD#:-L--PO#: 4500109356 WORKORDER#: W5bOioq~~
DEPARTMENT: PPMD
CONTRACTOR/FIRM NAME:
Milchell and Sla'" Inc
Original C"ntract Amount:
$ 26.350,00
(Slartin9 Point)
$ A ,.;fA
(Last Total Amount Approved by the BCC)
Currenl BCC Approved Amount:
Current Contract Amount:
26.350.00
(Includin9 All Changes Prior To This Modification)
Change Amount:
s
-13,450.00
Revised C"ntractIWork Order Amount: S 12 900
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $
-13,450.00
Dale of last BCC Approval
NA
Agenda llem #
NA
Percentage of the change over/under current contract amount
Formula: (Revised Amount/last BCC approved amount)-1
-51,01 % under
CURRENT COMPLETION DATE (S): ORIGINAL:
12/18109
CURRENT:
12/18/09
This change order will: 0 Add a new Task for $
o Increase Task Number _ by $
!8J Other_ Omit a Task for $ 13.450.00
Describe the change(s): O~it Task 1 from the original work order, If- Wa! d e.-lerh1tnec;{, ht t'I.. /'I'l~_..1.
tomor-ehUSlvt. a.PPrrx:tL-h',Vti$ heed.e.dw 1'15fft II Jn4-lno/< ~ -lfi"t.sh bd5~,
Specify the re'asons for the cfjahge(s) (" 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments (" 4. Correction of Errors (Plans, Specifications or Scope of Work) Co' 5. Value Added
C 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:
$13,450 would continue to be encumbered, but not be able to be used for any other projects,
This change was requested by: r1Contractor/Consultant 171 Owner rI Using Department C CDES
LDesign Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: P" Yes
r No
APPROVED BY: Date: Iz/U/W
/
APPROVED BY: Date: \ 7../1.. 9,/CFf.
REVIEWED BY: Date: JJ5/IO
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
CONTRACTIWORK ORDER MODIFICATION
CHECKUSTFORM
Agenda Item No,
February 9,
Page 40
~6 '.3
42
PROJECT ~fj~n!es.alvd South fSR 951\ PROJECT #: i2aL1 PROJECT MANAGER: bm...I.uIIm
BlDlRFP#:~ MODI:.....m... POM:~ WORKORDERlJ: no.MA~B14-07.17
DEPARTMENT: TraneDOrtltfon ATM Oem. LandSCIIM CONTRACTORlFIRM NAME: M=Gee & Aaaoclatea
Original Contract Amount:
27 090 DO
(SlaT1lng Point)
77~A
(Cist Total Approved by the BCC)
_ecc _dAm""""
Ct.ITent Contract Amount:
Change Amount:
RavfHd ContracWlork Order Amount:
37 902.50
(Including All Changes Prior To This ModtflcaUon)
. 680 00
$ 42511250
(Including This Change Onle~
CUrnutattw DollllrVIIlue at Changes to
"* ContractlWork Order: .
9370 00+1..401l2.5D+4.88D Do-15A92.50
Dolo of Lal ace App.....
Aganda Item #
P8n:entage ofth. change owrfunar cunent contract.mount n.n %
Formula; (Revised Amount I Last Bee approved Bmount)~ 1
CURRENT COMPLETION DATE (8): ORIGINAL: 1113D12001 CURRENT:
D5I3OI2D10
TaskS 6.1 CODtrad Admildstntioo"
PrtncipaU Senior LA
Landscape Archilecl
CADlTech
Administrative
Clerical
36Hrs,
OHrs.
OHrs,
o Hrs.
1B Hrs.
@$110IHr,
@$ 75JHr,
@$ 60IHr,
@$ 45lHr,
@$ 401Hr,
EPeslgn Professional J7IRogulatory Agency (Specify) FOOT
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Ves r No
3, Quantlly
Dale: \\5l,,, .'
Date: '/- 1-/0
Dale: /- ~--o. 1-0
Date:~
Agenda Item No, 16E4 I~
February 9,.2010
P~~~Vr 42
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: NCWRF Relocale Biowav PROJECT #: 73968 PROJECT MANAGER: Tom Chmelik
05- YlilS" ,I "1 >l'~ "
BIDIRFP#: -NP: MOD #: L--PO#: 4500103422 WORKORDER#~OO~..;,..",
DEPARTMENT: PUPPMD
Original CQntract Amount:
$
CONTRACTORIFIRM NAME:
Hole-Monies
125.430,00
(Starting Point)
NA
(laal Total Amount Approved by lha BCC)
125.430.00
(Including All Changes Prior To This Modification)
o
Current BCC Approved Amount:
$
Current Contract AmQunt:
$
Change AmQunt:
$
Revised ContracllWQrk Order AmQunt: $ 125.430.00
(Including This Change Order)
Cumulative DC!IIar Value C)f Changes to
this ContractlWork Order: $ 0
Dale of last BCC Approval NA Agenda Ilem #
Percentage of the change over/under current contract amount C).OMlr
Formula: (Revised Amount I Lasl BCC approved amounl)-l
CURRENT COMPLETION DATE (S): ORIGINAL:
6/18/09
Thia change order will: 0 Add a new Task fQr $
Other Increase lime
NA
% over
:2!2.f!1 0
.21;!6109
CURRENT:
o Increase Task Number _ by S
Describe the change(sl: Time extension only to allow for coordination with operational and budgetary constraints.
Specify the reasons for the change(s). 1. Planned or Elective a 2. Unforeseen Conditions a 3. Quantity
Adjustments a 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 Iml'8cts to the project ifthls change order were not processed: Time extension only. lh~ \>Jerk..
U)Cu.U.. V\o-\- be. c:.c\'V\pl-e.-\-'d.. a.c.cord.,"'!'--tv plClt'l
This change was requested by: Olcontractor/Consultant 01 Owner 01 Using Department Q CDES
!i6esign ProfessIonal OIRegulalory Agency (Specify) Oother (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: 0 Yes
APPROVED BY:
~ No
Date:~
Date: \ 112./ \0
Date: ,II;;J.. / I(()
t
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E4
February 9, 2010
Page 42 of 42
I~
PROJECT NAME: Basin Planning GMdon River Pr<>Iect
MANAGER: Maraa.-t BlahQQ
BID/RFP II: ~-3fI5,1 MOD II: .!.....-PO#: 4500109811
PROJECT #:
51005
PROJECT
WORK ORDER #:
-NIl<- 45'M/0Ct"X11
DEPARlMENT: StQnnwa
CONTRACTOR/FIRM NAME: M I 1m Plml In
Original CQntract AmQunt:
$ 28.350.00
(Slarting Polnl)
$iP.3it:'OO " / po.
(last Total AmoLI.! Approved by the BCC)
$28350,00
(Including All Changes PriQr To This Modification)
Current BCe Approved AmC!unt:
Current ConlnIct AmQunt:
Change Amount:
Revised ContracllWork Order Amount
$0
$28.350.00
(Including This Change Order)
CumulaliWl Dollar Value Qf Changes to
this ContractlWork Order:
$0
Date r>f last BCC ApprC!Y81 N/A
Agenda Item # N/A
Percentage r>fthe change Qver/under current cQntract amount 1>IIf( 0.0 %
Formula: (Revised Amount I last BCC approved amount}-l .
CURRENT COMPLETION DATE (S): ORIGINAL: 01/0712010
This change Qrder will: 0 Add a new Task fc>r S
Other
CURRENT:
06/0112010
o Increase Task Number _ by S
Identify all negative Impacts to the project if this change order were not processed: If the chanQe order is not
aDD/'Dved. the orolect will not be comDleted with the best efflclencv In mind.
This change was requested by: P"lcontractor/Consultant n Owner rj Using Department !: COES
Coesign Professional rJRegulatory Agency (Specify) r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
r No
This tonn Is to be signed and dated.
REVIEWED BY:
Date:
///4/0
I
11;1/;0
I /
APPROVED BY:
Date:
j- 7 -jC'
Date:
Revised 6 18 09