Backup Documents 06/22/2010 Item #16G 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 G 2
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original document's 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 #I 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 throng routing lines # 1 through 44, complete the checklist, and forward to Sue Filson line #5).
Route to Addressee(s)
(List in routing order
Office
Initials
Date
1.
appropriate.
(Initial)
Applica ble)
2.
June 22, 2010
Agenda Item Number
I6G2
3. L r`ir hlurp
' r
4. Jennifer B. White
County Attorney
Number of Original
3
5. Ian Mitchell, BCC Office
Supervisor
Board of County Commissioners
Documents Attached
2 �p
6. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
('rhe 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 die 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
Debbie Brueggeman
Phone Number
(239) 642 -7878 Ext. 35
Contact
appropriate.
(Initial)
Applica ble)
Agenda Date Item was
June 22, 2010
Agenda Item Number
I6G2
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Change Order
Number of Original
3
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
I'. Forms / County Forms/ BCC Forms / Original Documents Routing Slip W W S Original 9.03.04, Revised 1.26.05, Revised 2.24 05, Revised 9. 18.09
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applica ble)
L
Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the 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 Attorney'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
N/A
Office and 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 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 initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
N/A
should be provided to ]an Mithchell 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 6/22/10 (enter date) and all /
changes made during the meeting have been incorporated in the attached document.
The Count Attorney's Office has reviewed the changes, if applicable.
I'. Forms / County Forms/ BCC Forms / Original Documents Routing Slip W W S Original 9.03.04, Revised 1.26.05, Revised 2.24 05, Revised 9. 18.09
16G2
MEMORANDUM
Date: June 25, 2010
To: Debbie Brueggeman, Operations Coordinator
Collier County Airport Authority
From: Ann Jennejohn, Deputy Clerk
Minutes and Records Department
Re: Change Order 3 to Contract #09 -5245 with
DeAngelis Diamond Construction, Inc. for
work at the Marco Island Executive Airport
Attached are two (2) original copies of the document referenced above,
(Item #16G2) approved by the Board of County Commissioners June 22, 2010.
The third original document will be held with the Board's Official Records in
the Minutes & Records Department.
If you have any questions, you may contact me at 252 -8406.
Thank you.
Attachments (2)
CHANGE ORDER
CHANGE ORDER NO. 3
TO: DeAngelis Diamond Construction INC
6635 Willow Park Drive
Naples F134109
DATE: March 2 2010
PROJECT NAME: MKY Apron & Parking Expansion
PROJECT NO.: 46018/46034
Under our AGREEMENT dated August 10, 2009.
CONTRACT NO. 09 -5245
CCAA Date: 8/10/09
Agenda Item: VIII.D
16G2
You hereby are authorized and directed to make the following change(s) in accordance with terms and
conditions of the Agreement: Perform sitework changes per revised plans as specified in Cougar Contracting
Request for Change Order #1. Perform underground changes per revised plans as specified in Cougar
Contracting Request for Change Order #2. Assemble and install master meter as specified in Cougar
Contracting Request for Change Order #3.
Add Sum of:
Original Agreement Amount $ 645.207.63
Sum of previous change orders $ 5,433.00
This Change Order (add) $123.783.00
Present Agreement Amount $774.423.63
The time for completion shall be (increase) by _L calendar days due to this Change Order. Accordingly, the
Contract Time is Two Hundred & Fifty Five (255) calendar days. The substantial completion date is September
3. 20% and the final completion date is October 2, 2010. 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 forth herein, including claims for impact and delay costs.
Accepted: June 22. 2010
CONTRACTOR: DeAngelis
Construction .
By:
ATTESt:
DWIGHT R; ,OROCK, Ct:'12K ..
By:
MbIS'M= _
Jennifer W White
Assistant County Attorney
COLLIETY AIRPORT AUTHORITY,
Project r _
B l-
Robert Tweedie, Airport Manager
CONTRACT SPECIALIST
By: 1
n Wood
COLLIER COUNTY AIRPORT AUTHORITY
OF COLLIER GOUNTY, FLORIDA
By: W -
FRED W. COYLE, CHAIRM
Item #ZJ
Date (Q16 ate