Backup Documents 02/28/2012 Item #16A10ORIGINAL DOCUMENTS CHECKLIST A 10
CKLIST & ROUTING�S�P
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception of the Chairman's signature draw a line throu h routin line 441 th u #4
Route to Addressee(s)
(List in routing order
s ro com lete the checklist, and
Office
forward to Sue Filson
Initials
lute #5 .
Date
1.
Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the
Initial
Applicable)
2.
February 28, 2012
Agenda Item Number
16A10
3.
County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the
4. Scott Teach, Deputy County Attorney
County Attorney's Office
Number of Original
2
5. Ian Mitchell, Supervisor
6. Minutes and Records
Board of County Commissioners
Clerk of Court's Office
Documents Attached
3/5 12
315r�Z
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. Normally the primary contact is the person who created/prepared the executive
summary. Primary contact information is needed in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Brandy Otero
Phone Number
(239) 252 -5859
Contact
Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the
Initial
Applicable)
Agenda Date Item was
February 28, 2012
Agenda Item Number
16A10
Approved by the BCC
County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the
Type of Document
2 Change Orders
Number of Original
2
Attached
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Documents Attached
1NQTU1il_T1r%WQ V. &_uVnv■ .0-
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
amatter_numbera /((document number))
I% as
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate.
Yes
N/A (Not
I.
Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the
Initial
Applicable)
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the
County Attomey's Office and signature pages from contracts, agreements, etc. that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's Office and
N/A
all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the document or
N/A
the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and
BO
initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip should be
BO
provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. Some documents are
time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions
are nullified. Be aware of your deadlines!
6.
The document was approved by the BCC on February 28. 2012 and all changes made during
BO
the meeting have been incorporated in the attached document. The County Attorney's Office
has reviewed the changes, if applicable.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
amatter_numbera /((document number))
?6A10
MEMORANDUM
Date: March 7, 2012
To: Brandy Otero, Project Manager
TECM Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Contract #10 -5206 Change Order 5, w /Atkins North America
for CAT Transfer Station Design Services to accommodate
changes based on the Board's direction
Attached is an original copy of the document referenced above, (Item #16A10)
approved by the Board of County Commissioners on Tuesday, February 28, 2012.
The second original will be held on file in the Minutes and Record's Department
for the Board's Official Record.
If you have any questions, please call me at 252 -8406.
Thank you.
Attachment
CHANGE ORDER
CHANGE ORDER NO. 5
TO: Gary T. Wing -, R.A. LEED AP
DATE: 2/10/12
16 A 10
CONTRACT NO. 10 -5206
BCC Date: 2/23/1
Agenda Item: 16B6
PROJECT NAME: Design Services for Collier Area Transit Transfer Station
PROJECT NO.: 33037.1
Under our AGREEMENT dated February 23, 2010
You hereby are authorized and directed to make the following change(s) in accordance with
terms and conditions of the Agreement: Add funding to Task III to allow revision of plans to
accommodate changes to based on Board direction to split the project into a base and alternate.
This will include all required site, architectural, mechanical, Fire Protection/ Plumbing,
structural, and permit changes required for final Bid Documents.
FOR THE (Additive) Sum of: Twenty thousand dollars ($20,000);
Original Agreement Amount $305,495
Sum of Previous Changes $26,200
This Change Order add $20,000
Present Agreement Amount $351,695
The time for completion shall be increased/decreased by 0 calendar days due to this Change Order.
Accordingly, the Contract Time is 797 calendar days. The final completion date is May 13, 2012.
Your acceptance of this Change Order shall constitute a modification to our Agreement and will be
performed subject to all the same terms and conditions as contained in our Agreement indicated above,
as fully as if the same were repeated in this acceptance. The adjustment, if any, to the Agreement shall
constitute a full and final settlement of any and all claims of the Contractor arising out of or related to
the change set f rth her&including claims for impact and delay costs.
Prepared by: Date: oZ
randy Otero, Associate Project Manager 4-1�
Alternative Transportation Modes
Accepted by: Date: D 2 1 Z
Davi E. Long, IVE, Senior Program Manager, Assoc. Vice Presiden
Atkins North America, Inc.
4
Approved by: _
Mi
Approved by:
Approved by:
E.
—Tr— 1,1` Date:
d, i egtor, Alternative Transportation Modes
r✓
Date: Administrator, Growth Management Division
Date:
Rh6Ada Cummings, Procurement rat
Date: -'
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY FLORIDA
Dwight E, BCk;- :Clerk
^f Fred W. Coyle, Chairman
and Legal, Suffie*!' :
Print Name:
County Attorney
16A 10
Item #•
AgeWa
Date
Date