Backup Documents 12/11/2018 Item #16C 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP le 6C 7
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 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 through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office Sri
4. BCC Office Board of County S �,
Commissioners ��� / z-V \X\
5. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
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,may need to contact staff for additional or missing information.
Name of Primary Staff —j"hip lCIL 0iP't)2) Phone Number 03-LS 4/.5
Contact/ Department `/�
Agenda Date Item was /2 /y// '/ Agenda Item Number /� G
Approved by the BCC / !
Type of DocumentNumber of Original
Attached rJJ00 Ocr Cie r Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature?
2. Does the document need to be sent to another agency for additional signatures? If yes, >A
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. / 1
3. Original document has been signed/initialed for legal sufficiency. (All documents to be et,(tr r cN
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's lA
Office and all other parties except the BCC Chairman and the Clerk to the Board /
5. 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.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required. 1)147
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. N/A
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!
8. The document was approved by the BCC on /001.' and all changes made during
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the �
BCC,all changes directed by the BCC have been made,and the document is ready for the F /
/
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
1 6 C
MEMORANDUM
Date: December 17, 2018
To: John Eick, Senior Project Manager
Public Utilities Engineering & Project Mgmt.
From: Martha Vergara, Senior Deputy Clerk
Minutes & Records Department
Re: Work Order/Purchase Order for Contract #16-6663
"Roadway Contractors"
Contractor: Bonness, Inc.
Attached is a copy of the document as referenced above, (Item #16C7) approved by
Board of County Commissioners on Tuesday, December 11, 2018.
The original is being kept by the Board's Minutes and Records Department as part of the
Board's Official Records.
If you need anything further, please feel free to contact me at 252-7240.
Thank you.
Attachment
16C7
WORK ORDER/PCHASE ORDER
Contract 16-6663 " oadway Con tors"
Contract Expiration Date: March 2q,2019
This Work Order is for construction services for work known as:
Project Name:Pelican Marsh IQ Pump Station Site Improverpts Project IN‘: 70166.4
The work is specified in the quotation dated August 10, 2048 which is attached hereto and made a
part of this Work Order. In accordance with Terms and Conditions of the Agreement referenced
above,this Work Order/Purchase Order is assigned to: Bonness Inc/
Scope of Work: As detailed in the attached proposal and the following:
* Task 1 Site Improvements
* Task 2 Owner-Directed Work for Unforeseen Conditions
Schedule of Work: Complete work within 120 days from the date of the Notice to Proceed which is
accompanying this Work Order. The Consultant agrees that any Work Order that extends beyond the
expiration date of Agreement# 16-6663 will survive and remain subject to the terms and conditions
of that Agreement until the completion or termination of this Work Order.
Compensation: In accordance with the Agreement referenced/above,the County will compensate the
Firm in accordance with following method(s): ®Negotiated Lump Sum (NLS) ❑Lump Sum Plus
Reimbursable Costs(LS+RC) MTime& Material (T&M) (established hourly rate—Schedule A) El
Cost Plus Fixed Fee(CPFF),as provided in the attached proposal.
Task 1 $230,909.00(NLS)
Task 2 $ 15,000.00_(TBD)
TOTAL FEE $245,909.00
PREPARED BY: �• I.A„.
lu 9,2 S"// -
fH. Eick,P.E., Senior Project Manager Date
Engineering and Project Management Department
Foie-
rf
APPROVED BY: coat. /d /t�
Craig Pajer,P.E., Principal roject Manager Date
Engineering and Project Management Department
iC4"4APPROVED BY: ,4 1 /��jg
To hmelik,Director Date
Enineering and Project Management Department
Page 1 of 3 `\/ ��
16C 7
APPROVED BY: -. J 1Ddill/.d-
Beth 3ohns``s�n--��
,D' ctor,In-Ground Services
) ,..._4/7, .s......._
APPROVED BY: ibiltSeig''
Joe Bellone,Director,Utilities Operations Support
APPROVED BY: eoq �6y J3/'' it
g
G. r a Yilmaz,Public Utilities Department Head Date
By the signature below,the Firm (including employees, officers and/or agents) certifies, and hereby
discloses,that,to the best of their knowledge and belief,all relevant facts concerning past,present,or
currently planned interest or activity (financial, contractual, organizational, or otherwise) which
relates to the proposed work; and bear on whether the Firm has a potential conflict have been fully
disclosed.
Additionally, the Firm agrees to notify the Procurement Director, in writing within 48 hours of
learning of any actual or potential conflict of interest that arises during the Work Order and/or project
duration.
ACCEPTED BY: Bonness Inc.
g‘
V.�? 4-4" tl.s 9/2.1/ }$
Name&T. Authorized Officer Date
(Remainder of page intentionally left blank)
Page 2 of 3
16C ?
IN WITNESS WHEREOF,the parties hereto,have each,respectively,by an authorized person or
agent,have executed this Work Order on the date and year first written below.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K.Kinzel Clerk of the Circuit
Court&Comptroller COLLIER r • ,FLO , /-
\ ,ice
By: ! l` �-.=. ___ By: , 17, 117/5
: 1111 l
dy Solis, Chairman
Dated:= �( wi loe i'
c� aL
Attest tas o�Ch3M114
s n ute On!y. °`'''
Bonness, Inc.
' By: /it.
First Witness 4Ik Signa' '
}401-MljaA (24): TType/print signature and title
TTyp- print witness nameT
't
Sec Ind Witness
LoY .le.'
TType/print witness nameT
Ap rovedf trm d gality:
acp�County Attorney
_
Print ame
Page 3 of 3
16C 7
1900 Seward Avenue www.Bonnesslnc.com
BONNESS
S Naples, FL 34109 info;;a•Bonnessinc.eonl
PAvarao • SITEWORK . UNDERGROUND TEL(239)597=6221 FL#CUC1224797
FAx(239)597-7416 FL#CBC059904
Proposal 8/10/2018
Submitted To: Collier County Public Utilities Engineering Estimate Number: 113612018
Department
Address: 3301 East Tamiami Trail, Bldg. H Bid Title: Pelican Marsh IQ Pump Station Site
Improvements
Naples, FL 34112 USA
Project Location: Pelican Marsh Blvd
Contact: John H. Eick, P.E. Project City,State: Naples, FL
Phone: (239) 732-2597 Fax: (239) 530-5378 Engineer/Architect: Stantec Consulting Services Inc.
Thank You for Considering Bonness Inc.
'Item # Item Description Estimated Quantity Unit Unit Price Total Price I
01 PELICAN MARSH IQ PS-SITE IMPROVEMENTS 1.00 LS $230,909.00 $230,909.00
BID ITEM 1
02 OWNER DIRECTED ALLOWANCE 1.00 LS $15,000.00 $15,000.00
Total Bid Price: $245,909.00
Notes: •BID FORM
Payment Terms: Payment due within 30 days of date of invoice, regardless of when payment is made by Owner
ACCEPTED: CONFIRMED:
The above prices, specifications and conditions are satisfactory Bonness Inc.
and hereby accepted.
Buyer
Authorized
Signature: Signature:
Date of Acceptance: Estimator: Ruan Hill/Dave Martin
8/10/2018 2:08:09 PM Page 1 of 1