Agenda 02/10/2009 Item #16E 7
Agenda Item ~jo. 16E7
February 10. 2009
Page 1 of 28
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 XIV. 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 XIV. G, Collier County Purchasing Policy) which are not greater than
10 percent of the current Board Approved amount or $100,000 (whichever is greater). The
Administrative report identifies the percentage changes to contracts or work orders that have
occurred since the prior BCC approved amount which are below the threshold limits as
referenced above.
-
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 15, 2008
through January 16, 2009.
FISCAL IMPACT: The total change to contracts is $67,435.70. The total change to work
orders is $90.561.40.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with
this action.
RECOMMENDATION: That the Board of County Commissioners accepts the enclosed
Administrative Change Orders Report and Administrative Changes to Work Orders Report and
ratifies the listed change orders and changes to work orders
PREPARED BY: Diana De Leon, Contract Technician, Purchasing Department
.--
Page I of 1
Agenda Item No. 16E7
February 10,2009
Page 2 of 28
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
16E7
Item Summary:
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board-
Approved Contracts.
Meeting Date:
2/10/20099.0000 AM
Prepared By
Diana Deleon
Administrative Assistant
D<'Ite
Administrative Services
Purchasing
1/26/20093:31:17 PM
Appro\-'cd By
Steve Carnell
Administrative Services
Purchasing/General Svcs Director
Purchasing
Date
1i26!20Q9 3:37 PM
Appro'\-'ed By
Len Golden Price
Administrative Services Administrator
Date
Administrative Services
Administrative Services Admin.
1127/2009 1 :57 PM
Appro\'ed B)'
Jeff Klatzkow
Assistant County Attorney
Date
County Attorney
County Attorney Office
1/27/20094:53 PM
Approved By
OMB Coordinator
OMS Coordinator
Date
County Manager's Office
Office of Management & Budget
1/28/200910:56 AM
Approved By
Laura Dav!sson
Management & 3udget Analyst
Date
County Manager's Office
Office of Management & Budget
1;30/200911 :04 AM
Appnn,'ed By
James V. Mudd
County Manager
Date
Board of County
Commissioners
County Manager's Office
1/31/20092:49 PM
file:l/C:\AgendaTest\Export\ 123-Februarv%20 1 0.%202009\ 16.%20CONSENT%20AGEND...
2/4/2009
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Aaenda \tem No. 16E?
~ February 10, 2009
r)age 6 of 28
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Vanderbilt Drive Pedestrian Bridges PROJECT #: 600331
PROJECT MANAGER: Jim Zuver
BID/RFP#: ~MOD#:~ PO#: 4500091768 WORKOROER#:
DEPARTMENT: TECM CONTRACTORfFIRM NAME: Thomas Marine Construction, Inc,
Original Contract Amount: $ 607.790.00
(Starting Point)
Current Bee Approved Amount: $ 607,790.00
(last Total Amount Approved by the BCC)
Current Contract Amount: S 607.790.00
(Including All Changes Prior To This ModJfication)
Change Amount: $ 14.489.04)
Revised ContracUWork Order Amount; $ 603.300.96
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ (4.489.04)
Date ofLast BCC Approval 1-15.08 Agenda Item #
Percentage of the change over/under current contract amount_~
Formula: (Revised Amount! Last Bee approved amount).1
1663
%
CURRENT COMPLETION DATE (5): ORIGINAL: December 2,2008
CURRENT:
December 2. 2008
Describe the change(s): There were chanqes to the helical piles, addition of stone for under the pedestrian
bridqes. and addition of picket tvpe raillnq to the project. However. due to reductions in overall plan quantities,
there was a net overall reduction in costs. Please see the Chance Order No.1 Supplemental Information for
details.
Specify the reasons for the change(s) 0 1. Planned or Elective r 2. Unforeseen Conditions II 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) e 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 FOOT criteria for
handrail would not have been met due to the drop off. In addition, this chanqe will be a net reduction in the
contract.
This change was requested by: G Contractor/Consultant . Owner r Using Department (' CDES
t) Design Professional r Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTiATIONS:
r ., -c-/N
res "rJX..... 0
This form is to be signed and dated,
APPROVED BY:..'/' ~~ ttv~<c.---
REVIEWED By:V'~:.::J<..--6~"
on ract Specialist U
Date:
/7-/lei/C"?,"
---- I /
I ~/t~/Of5
D&\-1
~
17..//.,[" 'l<
/ Ic,o-
\'1- IC"! './
Date:
Revised 11.19.2007
~
:13:11 No. -:6E7
February 10, 2009 ('-
Page 7 of 23
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Fence Reoalr
PROJECT It. _PROJECT MANAGER: Vickv Ahmlld
BIDlRFP II:
D8-S062
MODI#: 1
PO#:_ 4500101951
WORK ORDER I#:
DEPARTMENT: Parks & Recreation
CONTRACTORIFIRM NAME: Carter Fence
OrIginal Contract Amount:
Current BeC Approved Amount:
$ _381,500.00
(Starting Point)
$_381.500.00
(Last Total Amount Approved by the BCC)
$_381,500.00
(Including All Changes Prior To This Modifiealion)
Current Contract Amount:
Change Amount
Revioed ContractlWork Order Amount:
$_(32,500.00)
$ 349,000.00
(including This Change Order)
eumulatlve Dollar Value of Changes to
this CoI1\r~ort\ Order:
$_32,000.00
Date of last BCC APfWoval_7.Z2.r;.[
Agend.ltem# _16012
Percentage of the change over/under current completion dale _ (8.~ %
Formula: (Revised Amount / Last BCC approved amount)-l
CURRENT COMPLETION DATE (S): ORIGINAL: March 4, 2009
CURRENT:
March 4. 2009
Describe the change(s): Deduct restock and repair of backstop for Vinevards Community Pari<.
Specify the reasons for the change(s) C i. Planned or Elective { 2. Unforeseen Conditions x 3. Quantity
Mjustmeots,' 4, C;:orre~i'>r! of I;rrors (Plans, Specification. or Scope of Worl<) ," $. VIIl\le Ad(led
6. Schedule Adjustments Note: One or more may be cheeked, depending on the nature Of the change(s).
Identify all _negative !mpacts to the project if this change order were not processed: LllilltiAII feA". a+ ~
baC''',*,Du...19tava~13. ~U/V7Y ?<,)oU1d ;Ja..y mo,e& THHN jlJECES"JA '-.Y
Ie) r!-(}!lI fl/..&rc rHc PI:(tJJt3"d;T
This change was requested by: X Contractor/Consultant Owner ,., Using Department r CDES
Coesign Professional Regulatory Agency (Specify)
X Other (Specify) Purchaslno
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Yes
XNo
I
I
I
This fonn is to be signed and elated. ~} , /'
(' A
APPROVED BY: Vi m d'
Project Ma~nager I '
REVIEWED BY: Lvn Wood M))1 iJ /'07/(
Contract S ~
/7
,
Date:
/c2;;j;b?
/
1~7/Q!?
Date:
.
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
!\.,-pn___1a Il.;:.,"n 1"0 ~I.;:::;:::~I ""J
,0~1"....l Il_ll \j "v~ 1
A. =~h"'aIfYJOO~ 2 o0:1~n.'9 -
[!L~~~8
...~ RECflVED 111
fc9/I? joY
PROJECT NAME: Rattlesnake Hammock Road PROJECT #: 60169 PROJECT MANAGER: James Zuver
BIDIRFP #: 05-3583 MOD #: 5 (five)
DEPARTMENT: TEeM
PO#: 4500101437
WORK ORDER #:
CONTRACTORlFIRM NAME: Wilson Miller
Original Contract Amount:
$ 2.517.581.00
(Starting Poinl)
$ 2.851.609.53
(Last Total Amount Approved by the Bee)
Current Bce Approved Amount:
Current Contract Amount:
$ 2.851.609.53
(Including All Changes Prior To This Modification)
Change Amount:
$ 23.684.75
$ 2.875294.28
(Including This Change Order)
Revised ContractIWork Order Amount:
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 357.713.28
Date of Last Bee Approval 9f14/2005
Agenda Item # 10B
Percentage of the change over/under current contract amount 83 %
Formula: (Revised Amount I Last Bce approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 02113/08
CURRENT: 12/31/08
Describe the change(s):
To add $23,684.75 to the CEI Support Services contract. The original construction contract has been
extended thirty three (35) additional days via change orders. The anticipated final acceptance date is January 9th
2009 which is over the allowable construction days. This totals an additional 381 construction days from the
allowable construction completion date and therefore an additional 78 days for CEI Services are required to
provide eEl services until 12/31108. $23,684.75 is an estimated amount needed to continue eEl Services for
322 days, from the original CEl completion date of 02113/08, through a projected complction dale of 12/31108.
Specify the reasons for the change(s) r L Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
(;" 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:
terminated on this Droiect due to lack of fundino.
GEl Services would be
This change was requested by: rlContractor/Consultant PI Owner II Using Department C COES
CDesign Professional rJRegulatory Agency (Specify) I Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
Ry
es
IN
o
This form is to be signed and dated.
Revised 11.19.2007
Date /J-.//rO~
o "., :411~i
CONTRACTfWORK ORDER MODIFICATION
CHECKLIST FORM
,L\aenca Ittim No" 1GE?
~" February 10. 2009
Page 9 of 28
.,
PROJECT NAME: NCRWTP Lab Ventilation ImDrovements PROJECT #: 700952 PROJECT MANAGER: Tom Chmelik
BID/RFP #:
06-3946R
MOD #: 2
PO#: 4500079831
WORK ORDER #: NA
DEPARTMENT: PUED
CONTRACTOR/FIRM NAME:
D.N. Hiaains. lnc,
Original Contract Amount:
$
683.000.00
(Starting Point)
.:xr.. (f/c/
;"1.143.1~ /'1?,~ (Jf70.001Y"
(Last Total Amount Approved by the BCC)
Current BGe Approved Amount:
$
Current Contract Amount: $ 741.143.12
(Including All Changes Prior To This Modification)
Change Amount: $ 6.458.55
Revised ContractIWork Order Amount: $ 747,601.67
(Including This Change Order)
Cumulative Dollar Value of Changes t!rD
this ContractIWork Order: $ 64.601.67 ~ t'l _ it!. ~;{,/
Date of Last BCC Approval
3/13/07
Agenda Item #
16.C.3
% over rg-i/
Percentage of the change over/under current contract amount '1 ~ <HfT
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
2/1/08
CURRENT:
1/1/09
Describe the change(s): Add a reinforcing steel structure according to TLC Engineering sketch SSK-1, and required
modifications to existing surroundings.
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: If this change were not carried
out, permitting would be in jeopardy. and a potentially unsafe condition would result.
This change was requested by: ~ontractor/Consultant r! Owner r! Using Department C CDES
CDesign Professional r1Regulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
~ No
APPROVED BY:
Date:
~/$-
\zfnjCf?,
/CA/d.2/0'l
I /
I
!
,
I
Date:
REVIEWED B1'\.
Date:
Revised 2-22-08
,-----"-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda item ~..Jo" 16E7
February 10, 2009
Page 10 of 28
PROJECT NAME: NCRWTP Lab Ventilation Improvements PROJECT #: 700952 PROJECT MANAGER: Tom Chmelik
BID/RFP #:
06.3946R
MOD #: 3
PO#: 4500079831
WORK ORDER #: NA
DEPARTMENT: PUED
CONTRACTOR/FIRM NAME:
D_N. Hiaains Inc.
Original Contract Amount: $ 683.000.00
(Starting Point)
Current BCC Approved Amount: $ HI8!U7 c,R.'3i ()()().D" 11;1/
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 747 .601.67
(Including All Changes Prior To This Modification)
Change Amount: $ 1.766.00
Revised ContractlWork Order Amount: $ 749.367.67
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $
66.367.67 Ii
~
Date of Last BCC Approval
3/13/07
Agenda Item #
16.C.3
Percentage of the change over/under current contract amount Of, 7~ % over ~/
Formula: (Revised Amount I Last BCC approved amount).1
CURRENT COMPLETION DATE (S): ORIGINAL: 2/1/08
CURRENT:
1/1/09
Describe the change(s): Relocate lighting above air handler.
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) X 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: If this change were not carried
out, permitting would be in jeopardy, and a potentially unsafe condition wouid result.
This change was requested by: )lliJ,contractor/Consultant rI Owner rI Using Department r CDES
r Design Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r rv
Yes )f' No
Date: 0(1
APPROVED B Date: \-z.!z ?)O <f,
REVIEWED B'\(' Date: Ia!a~/of
Revised 2-22-08
/~\aend3 Item N'J. 16E7 (
~ February 10, 2009 I./'
Page 11 of 28
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Landscape Maintenance for Parks PROJECT #:
BID/RFP #:
N/A
MOD#:
PO#:_45.102414
PROJECT MANAGER:_Kerry Runyon_
WORK ORDER #:
DEPARTMENT:_Parks & Rec
CONTRACTOR/FIRM NAME: Tech of Collier County, Inc.
~ri9inal Contract Amount:
I Current BCC Approved Amount
$_N/A
(Last Total Amount Approved by the BCG)
I
$ _28,518.00
(Starting Point)
Current Contract Amount:
$_28,518.00
(Including ""'11 Changes Prior To This Modification)
Change Amount:
$_-0.
$_28,518.00
(Including This Change Order)
Revised ContractIWork Order Amount:
Cumulative Dollar Value of Changes to
this Contract'Work Order:
$
-n"-
Date of Last Bee Approval_N/A
Agenda Item #
Percentage of the change over/under current contract amount_O
Formula: (Revised Amount I Last BCC approved amount)-l
%
CURRENT COMPLETION DATE (S): ORIGINAL:
9/30109
CURRENT:
9/30/09
Describe the change(s):_ To clarify paragraphs 1 and 2 of the Agreement
Specify the reasons for the changers) x 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction Df ErrDrs (Plans. SpecificatiDns Dr SCDpe Df Work) r 5. Value Added
r 6. Schedule Adjustments NDte: One Dr mDre may be checked, depending Dn the nature Dfthe change(s).
Identify all negative impacts tD the project if this change Drder were nDt prDcessed: _Tech invoices would not be
processed.
This change was requested by: rlContractDr/CDnsultant x Owner rI Using Department C CDES
CDesign Professional rJRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: x Yes
r ND
APPROVED BY:
This fDrm is to be signed and datecY.
,',,/ '
,,..--
Date:
REVIEWED BY:
Date:
,
v
'V\.
I'
Revised 2-22.08
L
Agen::.la Item No. ~i 6E.?
February :0.2009.
Page 12 of 28-1
CHANGE ORDER
CHANGE ORDER NO.
CONTRACT NO. N/A
BCC Ost.: - N/~
Agenda llam: N/A_
TO: " Tech ofColllerCountv, Inc.
39B4 ArnBfd Avenue
Naolas. FL 34104
OATE:
December 11. 2008
PROJECT NAME: landsCBofno Maintenance ServIces
Under our AGREEMENT daled _October 1
.200S.
You hereby are aulholizeci and dlre<:led to make the followlng chango(s) In accordance w\th
teons and oondlUons of the Agr&8msnt:
To dartfy paragraphs 1 and 2 of Ale AgraemeoL Worda &truck. through have been deleted Bnd warda
underlined have been addac:l.
1. The COUNTY hereby engages the CONTRACTOR and the CONTRACTOR hereby agrees to
perform l&lndacapa maintenance !wee! employln.g a maximum or f!v& (5) CONTRACTOR'S
workers: ~for a mlnimum of three and one-half (3.5) hours per day, five (5) days per weal<.
lOr each worker. at the COUNTY parks and olher locations as desIgnated by the COUNTY's
Public Services AdminIstrator Or ner desIgnee.
2. The COmRACTOR shall receive compensatlQn for prov\dlng sald services durtng 1M period of
time set forth above, as rOIlOW6: Sbc donors and 6ewnty,,"\ne cents ($6.79) per hour for up (0 five
(5) workera~ for three and ona-haU' (3.5) hours per ~[~9{k~6r.",tl)I1.!1!!l]1.t!>t..a! ~n]llllt~ - --{ D.le.ted:_.k
for servk;as lmdbr IhI& Agreement not to exceed Twenty-eieht thoUi:;ond fIv8 hundred eIghteen
dollars ($28,618.00) per year.
Your acceptance of thIs Change Order sheill consUlu1c:l a modUlcatlon to our Agroement and will be
periormed GUbJecl to all the samf) telMs and condlllona aa conlalned In our Agreement IndIcated
above, as fufly as If the same were repeated 111 this acceptance.
Ac<:epi,d: ()~ I g'
.2008
CONTRACTOR:
Tech of COUlor CounlYl loa.
OWNSR:
BOARD OF COUNTY COMMISSlONSRS
B;c OF CO)~I:R_~OUNT120R:
Kerl)' Runyon, roJecl Manager
-_.~_._-- --_.._-'_.,._,--~--'",~-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
t';~t'~
HM07-06 ('J,jJ.9!~rV
PROJECT NAME: 2007 HOME Construction/Fire Sprinklers CHDO Set Aside PROJECT #:
PROJECT MANAGER: Rosa Munoz
BID/RFP #:
M07-UC-12-0017 MOD #: -LPO#: 4500101479
WORK ORDER #: N/A
DEPARTMENT:
Housina and Human Services
CONTRACTOR/FIRM NAME: Bip Cvpress Housinp Corporation
Original Contract Amount: $ 250.000
(Starting Point)
Current BCC Approved Amount: $ 250.000
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 250,000
(Including All Changes Prior To This Modification)
Change Amount: $ 0
Revised ContractlWork Order Amount: $ 250.000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $ 0
Date of Last BCC Approval
November 13 2007
Agenda Item # 16028
Percentage of the change over/under current contract amount
Formula: (Revised Amount / Last BCC approved amount).l
o
%
CURRENT COMPLETION DATE (8) ORIGINAL:
6-15.2008
CURRENT:
6-15-2009
Describe the change(s): To provide a time extension of six months to the contract's performance and work
schedule. A Zero dollar chanae was aranted on June 3. 2008 till December 31. 2008. This extension will run
throuah June 15.2009.
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) r 5. Value Added
[gj 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: The delav in the proiect is a
result of numerous permittina and environmental issues. and natural disasters.
This change was requested by: nContractor/Consultant [ZJ Owner n Using Department C CDES
r Design Professional nRegulatory Agency (Specify) I2SJOther (Specify) Developer
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
r No
REVIEWED BY:
12-09.08
Date:
~(30(O.t
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
l\genda Item No, 16E7
February 10. 2009
Page 14 of 28
.,
,,'
PROJECT NAME: Sheriff Fleet Facility PROJECT #: 52009 PROJECT MANAGER: Claude Nesbitt
BIDIRFP #: 02-3422 MOD #: 24. CO 24 PO#:45-00100620
DEPARTMENT: Facilities Manaoement
CONTRACTOR/FIRM NAME: Disnev & Associates. P. A.
Original Contract Amount:
$ 500,000.00
(Starting Point)
Current BCC Approved Amount:
$1,080,159.73
(Last Total Amount Approved by the BCC)
I Current Contract Amount:
Change Amount:
$1,129,009.73
(Including All Changes Prior To This Modification)
Revised ContractlWork Order Amount:
$22,576.00
$1,151,585.73
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractfWork Order:
$651,585.73
Date of Last BCC Approval 07124/07 Agenda Item # 16 E 2
~rcentage of the change over/under current contract amount 6.61 %
Formula: (Revised Amount 1 Last BCC approved amount).l
CURRENT COMPLETION DATE (S): ORIGINAL: 12/25108 CURRENT: 04125109
Describe the change(s): Extend Architectural and related Engineering Services to concur with the extended
construction schedule
Specify the reasons for the change(s) r 1. Planned or Elective ~ 2. Unforeseen Conditions r 3. Quantity
~<!iustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
LV 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 Architectural and
Engineering Administration available, no changes (permitting or otherwise,) or request for information could be
processed.
This change was requested by: rlContractorlConsultant J71 Owner rI Using Department r CDES
JZJ)esign Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
r No
This form is to be signed and dated.
APPROVED BY: ~ SA V1 ~ \; \-
ProTect Mahager
Date: 0 \ - 010 - ;;l.,ooq
REVIEWED BY:
Date:
/-(p-()f
Revised 1 J .19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
~':'.\!a It;<'m irl."Yl~' <7
:-eD1-lJary 1.6,;2y /
Page I~ ;
PROJECT NAME: 2004 Eden Gardens 55-Units
PROJECT #: CD04-14 PROJECT MANAGER: R. Munoz
BIDIRFP #:
B04-UC-12-0016 MOD #: -LPO#: 4500100065
WORK ORDER #: NIA
DEPARTMENT:
Housina and Human Services
CONTRACTOR/FIRM NAME: Bia Cvpress Housina Comoration
Original Contract Amount: $ 192.000
(starting Point)
Current BCC Approved Amount: $ 192.000
(last Total Amount Approved by the BCC)
Current Contract Amount: $ 192.000
(Including All Changes Prior To This Modification)
Change Amount: $ 0
Revised ContractlWork Order Amount: $ 192.000
(Including This Change Order)
Cumulative Dollar Value of Changes to
th is GontractlWork Order: $ 0
Date of last BCG Approval
Julv 24 2007
Agenda Item # 16011
Percentage of the change over/under current contract amount
Formula: (Revised Amount I last BCC approved amount)-1
o
%
CURRENT COMPLETION DATE (8): ORIGINAL: 6.30.2008
CURRENT:
4-30.2009
Describe the change(s): To provide a time extension on the contract's performance and work schedule. A Zero
dollar chanae was aranted on December 29. 2008 till January 31. 2009. This extension will run throuah April 30.
2009.
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) r 5. Value Added
k;J 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(sJ.
Identify all negative impacts to the project if this change order were not processed: The delav in the proiect is a
result of numerous permittina and environmental issues, and natural disasters.
This change was requested by: r1Contractor/Consultant 0 Owner 171 Using Department r CDES
r Design Professional r1Regulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
r;; No
This form is to be signed and dated. . ./
./ ~
- ~
APPROVED BY: Rosa Munoz 0)/;<.:
Project Manager
REVIEWED BY cont;~~JaI2)7 Y'(~{'-t7{
Date: 12-29-08
Date: / - /l-c 9
Agenda It8m t-Jo, 16E7
February 10,2009
Page 16 of 28
/1 ,
j
-
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Sheriff's Special Operations BuildinQ PROJECT #: 52002
PROJECT MANAGER: Hank Jones
BIDIRFP #: 06-4025
MOD #: 11
PO#: 4500073809
WORKORDER#: N/A
DEPARTMENT: Facilities ManaQement CONTRACTOR/FIRM NAME: Vanderbilt Bav Construction
Original Contract Amount $10.250.269.00
(Starting Point)
Current BCC Approved Amount: $ 10.250.269.00
(Last Total Amount Approved by the BCG)
Current Contract Amount: $ 10.798.631.83
(Including All Changes Prior To This Modification)
Change Amount: $1.575.00
Revised ContractIWork Order Amount:: $ 10,800.206.83
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $ 549.937.83
Date of Last BCC Approval: October 24. 200S
Agenda Item #: 10B
Percentage of the change over/under current contract amount 5.37%
Fonnula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: 3/22/08
CURRENT: 12/31108
Describe the change(s): All additional time and costs (not-to,exceed) associated with chanoes as outlined in: 1) COP #79-
Research. orovide notions and amend the existina Storm Water Pollution Prevention Plan for the oroiect to reaain comoliance with the
NPDES cermit issued bv the Florida DeDartment of Environmental Protection
Specify the reasons for the cbange(sl'~ 1. Planned or Elective ,- 2. Unforeseen Conditions 3. Quantity
Adjustments C. Conection of Errors (plans, Specifications or Scope ofWoli<) r 5, Value Added
,- 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change{s),
Identify all negative impacts to the project if this change order were not processed: Non compliance with FDEP oennit
and reaulations
This change was requested by: CContractor/Consultant C Owner C Using Department C CDES
C Design Professional ri Regulatory Agency (Specify) i Other (Specify)
APPROVED BY/
Han ,I
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
~.
-.. \ "'-.
, rincipal Project Mana~er
) L',fJ l
od, Contract Specialist
I'"
Yes
';j No
REVIEWED BY:
Date:
Ilq(01
Date:
. (7 </
j- I -..(J .
Revised 11.19.2007
Acenja item NO.1 fjE7
~ February 10, 200'1 (
Page 17 01211
I
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: US~orth Water Source Conversion PROJECT #: 163820
PROJECT MANAGER: Bob Petersen
BID/RFP #: 08-5091
MOD #: 02
PO#: 4500101847
WORK ORDER #:
DEPARTMENT: Transportation, A TM Dep!. landscape
CONTRACTORiFIRM NAME: Hannula landscapina. Inc.
Original Contract Amount: $ 51.386.20
(Starting Point)
Current BCC Approved Amount: $ 51 ,386.20
(Last Total Amount Approved by the BGe)
Current Contract Amount: $ 51.386.20
(Including All Changes Prior To This Modification)
Change Amount: $ (-3.180.201
Revised ContractIWork Order Amount: $ 48.206.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ (.3.180.20)
Date of Last BCe Approval
Agenda Item #__
Percentage of the change over/under current contT'3ct amount
Formula: (Revised Amount I Last Bee approved amount).1
-6.19%
CURRENT COMPLETION DATE (5): ORIGINAL:
09/16/2008
CURRENT:
01/07/2009
Describe the changers):
Scope and auantity chan~es were sug~ested hv Design Architect and Proiect Manager.
Specify the reasons for the changers) r 1. Planned or Elective X 2. Unforeseen Conditions X 3. Quantity Adjustments
r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added r 6. Schedule Adjustments Note:
One or more may be checked, depending on the nature of the change{s). //J
r n~ocesse tv./
'J" i .
co
I
This change was requested by: r1Contractor/Consultant r[ Owner
reSign Professional rJRegulatory Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
rI Using Department C CDES
r Other (Specify)
r-
Yes
,
r;< No
Date:
I"~-U?
t'o_;
I'
Date:
\-. ~
~
Revised 1].19.2007
PROJECT NAME: Emeraencv Service Center
PROJECT #:
Agenda Item No. 16E7 ( d-
~JPMJJ -
~ RECErVEOU
52160 PROJECT MANAGER: Hank Jones
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BIDIRFP #: 04-3609
MOD #: 11
PO#: 4500030516
WORK ORDER #: NIA
DEPARTMENT: Facilities Manaaement
CONTRACTOR/FIRM NAME: Kraft Construction Comoanv, Inc.
I Original Contract Amount:
$ 38,533,902.00
(Starting Point)
Current BeC Approved Amount:
$ 34,322.150.87
(Last Total Amount Approved by the BCC)
Current Contract Amount:
$ 33,374.382.83
(Including All Changes Prior To This Modification)
Change Amount:
$ 8,564.00
$ 33,382.946.83
(Including This Change Order)
Revised ContractlWork Order Amount:
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 15.150.955.17)
Dale of Last BCC Approval: September 25, 2007 Agenda Item # 16E7
Percentage ofthe change over/under current contract amount .2.74%
Formula: (Revised Amount I Last Bee approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 12/2008 CURRENT: 03/2009
Describe the change(s): Furnish all labor, material, tools and eauipment necessary to furnish and install reauired
electric receptacles for power to 4 additional TV consoles.
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) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
I
Identify all negative impacts to the project if this change order were not processed: W ~ ~ ~P~I
This change was requested by: rlContractor/Consultant PI Owner rt Using Department C CDES
CDesign Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
r No
REVIEWED BY:
Date:
l laiD r
/)3 !c) 9
, .
APPROVED BY:
Date:
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
~' a tarn yr~. ..16El
" . ~kr~/'!~'l/€ ..
~ R~l'fCU8 @
; /I~ lor! l'~
PROJECT NAME:
Golden Gate Pedestrian Bridae
2-
PROJECT #:600501 PROJECT MANAGER: James Zuver
BID/RFP #: 08.6014
MOD#:
PO#: 4600091536
WORK ORDER #:
DEPARTMENT:
TECM
CONTRACTOR/FIRM NAME:
Quality Enterprises USA. Inc.
Original Contract Amount: $ 389.576.20
(Starting Point)
Current Bee Approved Amount: $ 389.576.20
(Last Total.A.mount ,A,pproved by the BCe)
Current Contract Amount: $ 404.540.60
(Including All Changes Prior To This Modification)
Change Amount: $ 17.761.64
Revised ContractIWork Order Amount: $_ 422.302.24
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 32.726.04
Date of Last BCC Approvai
1/15/08
Agenda Item # 1684
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last Bee approved amount)-1
8.4
%
CURRENT COMPLETION DATE (S): ORIGINAL:
December 2, 2008
CURRENT:
December 31. 2008
Describe the change(s): Additional fill and sidewalk was added to ensure the approach slopes met the FDOT and
ADA criteria. Additional sod and fence removal was necessary to prevent erosion and increase safety
respectivelv. There was also a deduction in the amount of chain link fence Installed.
Specify the reasons for the change(s)' 1. Planned or Elective. 2. Unforeseen Conditions . 3. Quantity
Adjustments" 4. Correction of Errors (Plans, Specifications or Scope of Work). 5. Value Added
C 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
This change was requested by: rlContractor/Consultant ~ Owner n Using Department r CDES
CDesign Professional nRegulatory Agency (Specify) r Other (Specify)
I
I
II
I
I
I
Identify all negative impacts to the project if this change order were not processed: Without the additional fill
and sidewalk Quantities. the FDOT and ADA criteria would not have been met. If the criteria were not me~ the
County would not be reimbursed for this LAP project. The additional sod will prevent soil erosion alon the
sidewalk edqes.
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
-NO
This form is to be signed and dated.
cl-'II
APPROVED BY: ..i',:li. <c. :; i'N'<_" Bate:
/Moje t ManagJ!( f} .' /
REViEWEDS(}i'YltrVt/LvlfrnJYJt ,}! Date
Contract Specialist (~)'
/h/0,/
////1)01
f ,
Revised I J.I9.2007
b
I
/\gsnda Item N:J, 16E7 /4'
cebruary ~'O, 2009
-~Fage 2iJ ot 28
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM . ,
\.\''-
~~,~i~CT' NAME:~ ~Yshore 'Drive' Bridae liahtino & Lan~scalJe Installation, ."
PR,OJECT #: PROJECT MANAGER: Pamela lullc" .
'~.':'- I,' ,Ie,' ,. " ' , I',," .
81DIR.FP. #: ~ ' . Mob #: M PO#: 4500098683 WORK ORDER #:
",?r{PA.RTMENT' Tr.n.portaUon"ATM'Deot.l.and~c.pe CONT~CTORIFIRIoI1 N~E: E.8. Slmmonde Eleclrlcal.lnc. >
:"\-;:,i~ '\i~: r _;.; ", .' , ,',." " " , ..,' ." " '-'" ,""<.' ,.'.':'''' ' " ";,+1',;,' ' , , ' " .
.:' ,',' '"..>,~ ',,": ''', -. " " ' " " "~,. , .
~~;fy the reas~ns for the change{s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity Adjuslments
. t 4. Correction 'of Errol"9 (PI.ns, Specifica~ons or Scope of Work) r 5. V.lue Added If. 6. Schedule Adjustmenl>i Note:
On't')r more, msy be checked. depending on the nature of the ch.ng~~s). . ' . " ~ ~ .
'lde~IKi .11 negative.i acts t~ the p j . t ifthis c 'We ord r were not processed: C.cw "
., . 0 .
~ . '
.~:f, ~~',~,.,~, :',', ", ,','':c'", ", .
'p.,'gi,ijal Contract Amount:,! ' '
j,t~,;'H'~I':" ,':."," ',I '_,.-,., , ':"
cu'm;nl acc' Approved Amount:. "
I:',' ,~", "". !"," ',,' " :- : ,:"",
'"':".:.~ ~:'~" . "/' :..- : ",' ." I',
..,.~iirre[lt Contract Amo'unt: ::
$ 70.071.31 .
(Starting Point) ,
"
$ 70.071,31
{Last Total Amount Approved by the acC),"_'"
$' 70.071.31 .
(Including All Changes Prior To Th',s MOdification)" .
$ 0.00
.
chang,'Amount,.
; -. ~,. ',:, ~' , ,.', ;:' " 0
Revised ContractIWork Order' ,Amount:
$ 70.071.31
(tndluding This Change Order)
. .
~ " ",'
C~rnt~tlv., Dollar Value iiCh~~g8S to
tIl.l. ContracllWori< Order:
.f;\~,"4. !""
$ 0,00
~,~--'-'::-'." ," . , "- ~ -
,Dl!b> of La~l Bee Approval 712212008
.. ~;~--.~~~- ':,'. .i' ,;' ,.', ',.,'.,
Pem.r~g. of the change over/under current contract amount
" FO!T!1ula: (Revised Amount / Lasl BCC approved amount)-1
_>,€'" ~', ," ":.," ;' I,' ", " ,;' "',;
CURRENT COMPLETION DATE (5): ORIGINAL: 0112~I2009
Agendeltem # '16B-3
Q}l
;: ,-, 'i',~~
CURRENT: 'r ' 0312612009
. ".r,;, :j',":" ,_"
. .' Describe the change(s): . ..'
, '" ' ' "
~ Possible cliimfle in scooe oflandl:capinf! material
Deliverv dat: extension needed for delaved deliverv on/fiN /Joles,
Thlii'change was requ'esled by:.~onlractorlConsultanl rJ Owner n Using Department C. CDES
-''to,','. _
CDesign Professional r1Regulatory Agency (Specify)
, . ,j-; - ""
r: Other (Specify)
.
'CON,TRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r, Yes · 'No
.
, Th,iS .form is to be Signid and dated. /""'} r ,_-".
.. /' ,/. .~ I
.c . -"I ,r' . p,r~
'A?PROVEDSV, r~~
. P la Lulich. Lardscape Operations Manager
Date: 0 i~ 9.
, ' / /
Date: / f ? IftL
. REVIEWED BY::
Revi~edl1.19.2007
;"
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
/i.gDnda item !\Jo. 1~4:
February 10. 2utl9
Page 21 of 28
PROJECT NAME: Palm River Estates Unit 4 N/S Stonnwater Improvements
PROJECT #: 511411
PROJECT MANAGER: Val Prince
BID/RFP #: 08-5052
MOD #: 2
PO#: 4500097298
WORK ORDER #: N.A.
DEPARTMENT: Stormwater CONTRACTOR/FIRM NAME: Dave Foot Environmental Construction, Inc.
Original Contract Amount: $ 354.763.25
(Starting Point)
Current BCC Approved Amount: $354.763.25
(Last Total Amount Approved oy the Bee}
Current Contract Amount: $ 363.838.25
(Including All Changes Prior To This Modification)
Change Amount: $ 25.219.00
Revised ContractIWork Order Amount:
$ 3B9.057.25
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 34.294.00
Date of Last BCC Approval July 24, 2007 & June 10. 200B
"'"
Agenda Item # 16 B
-. Percentage of the change over/under current contract amount ~% 1./. b 7 %
Formula: (Revised Amount I Last Bee approved amount)~1
CURRENT COMPLETION DATE (S): ORIGINAL: Stonnwater Segment - 12/23/0B CURRENT: Storm water _ 01113/09
Park Entry Segment -12/23/0B Park Entry _ 01/13/09
Describe the change(s):
1. Add Paver Work "" Provide additional Pavers'" $3.750,00 & Clear & Grub at North End alJowina for LandsC3Dina of Easement to the
East::: $2.740,00:
2. Add Vinvl Coated Fence = $1,012,50:
3. AddiHonal Clear & Grub. Gradina & Sod Work East Side of Channel = $10,964.00.
4. Extension of time.:::: Zero Cost:
5. Additional Clearina & GrubbinQ. Shaoino & Soddioo alooo West Side of Channel.:::: $6.752.50.
Specify' the reasons for the change(s} r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantitv
Adiustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: Incomplete sidewalk to Park,
Delay in neighborhood scheduled improvements, Dissatisfaction to area residents
This change was requested by: rlContractor/Consultant PI Owner rI Using Department C CDES
r'Design Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
,
Yes
'"'
j..... No
APPROVED BY:
Date:
L,:A/t.:. r
I /11:'/ tJ9
( ,
REVIEWED BY: A$JIl '(ft;i11:JfVo
Contract Specialist (
Revised 11.19.2007 ,
Date:
I"-OHO
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N e e e ,
" N . . . . . .
0 0 0; 0> " 0 0; . " . 0; 0> U
.~ ~ .~ ~ ~ ~ ro
E . ~ 0 . 0> .
~ 0 0 > > > > "
z 0' 0 0 0 ~ 0 ,0 0 ~ 0 ~
item N~. 16'=.7
Fsbrcary 10. 2009
Page 23 of 23
CONTRACTfWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Collier County Landfill Scalehouse PROJECT #. 59005
PROJECT MANAGER:_Dayne Atkinson_
BID/RFP #: 06.3916
MOD #: ~PO#:~ 4500081753
WORK ORDER #: ICTSCADA-EMA-3916-07-08_
DEPARTMENT: PUED
CONTRACTOR/FIRM NAME: EMA
r~riginal Contract ;~:~nt:
I Current BCC Approved Amount:
I
I
$ 25,394.61
(Starting Point)
$ 25,394.61
(Last Total Amount Approved by the BCC)
Current Contract Amount:
$ 25,394.61
(Including All Changes Prior To This Modification)
Change Amount:
$ 1,570
Revised ContractlWork Order Amount:
$ 26,964.61
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracUWork Order: $
1,570
----.J
Date of Last BCC Approval
Agenda Item #
Percentage of the change overfunder current contract amount
Formula: (Revised Amount / Last BCe approved amount)-1
6, '!
%
CURRENT COMPLETION DATE (S): ORIGINAL: _3L24/08 ___.CURRENT:
3/24/09
Describe the change(s): Additional cables needed to complete data communication with the new weather
station and H2S monitorinQ system f$15701
Specify the reasons for the change(s) r 1. Planned or Elective (- 2. Unforeseen Conditions r 3. Quantity
Adjustments i- 4. Correction of Errors (Plans, Specifications or Scope of Work) r. 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed:
system installation would not have been able to be completed.
The monitorinQ
This change was requested by: IIContractor/Consultant PI Owner II Using Department r CDES
rDesign Professional IIRegulatory Agency (Specify) '-Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r-
Yes
r-
No
This form is to
il~te J;)JiE,/D B
APPROVED BY
"'"0"';;)( / ..-j
.. 17' A j Lf::. -
REVIEWED ---: '~YJ,//LCX!,,/ / --K;f~
Contract SpeciahS{ ('
v
Date:
/ //'D
Date (?;/c3-~O
Revised 2-22.08
L~r((i~ ~Jo.16E7
- Fmnn[~7100'llOV
IIlcl'ege 2,/UJl1s
,1
v
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: CD.JJ~ '?AoZ-\<.
BID/RFP #: 'I i - '-I1.,1MOD #: :;
DEPARTMENT: C 2-"1
S~ PROJECT It. q OO.:;.<:t ., PROJECT MANAGER: o..-rNrt'e... "'>~
P01I:.,JS-lOO'Z-18wORKORDER#:-G/ .-t'5~UC-;"~- 153-
o -cJI
CONTRACTOR/FIRM NAME:~~ ~~.ac....;s-w.-:
Current BCC Approved Amount:
$
~ iSD. 0'0
(Starting Point)
A 5,. ISD. DO
(Last Total Amount Approved by the BCC)
7,q 07-0.00
(Including All e'hanges Prior To This Modification)
$ 0/Soo.00
$ ~. CS2.D. 00
(Including This hange Order)
$
Original Contract Amount:
$
Current Contract Amount:
Change Amount:
Revised ContractlWork Order Amount:
Cumulative OollarValue of Changes to
thi. ContractlWork Order:
$
~.fIO.C)U
/
Date of Laat BCC Approval I 1- .0/.0 7
Agenda Item #
Percentage of the change over/under current contract amount '&..Ii %
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: ru. { (. oB CURRENT: (p. 3>0. oq
Describethechange(s): f(ovmF_ 1~I>CAl- F'~5LV<-\'1' ~E:~
"S~u::.+:.-S TO ~f.b<>.,jrp, r...,~A-L PLAN" ld-z:n+ I ~H-n:>-l, ~<;'"_
Specify the reasons for the change(s) r 1. Planned or Elective. 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: G-,c:l:S ~. SDf'
'P~SS [Arl..L &E REJ~b-C> '&'1 C.DGS D'-1.e. To Lee- vCOLA-nr:>t-.l~_
This change was requested by: ~ractor/consultant II Owner n Using Department ~ES
Coesign Professional nRegulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
-NO
This fonn is to be signed and dated.
APPROVED BY: ~~
Project ger
Date:
I.':; .oJ
REVIEWED BY:
Date:
/ --(;- of'
,ism i'~o. "ICE?
Fsbrusry 10, 2009
Page 25 of 23
-::0
CONTRACTIWORK ORDER MODIFICATION
, _ I CHECKLIST FORM
~V~~ ~+J..ad
PROJECT NAME: f>A.o=-Jt;"RE.=:NE PROJECT It P/:X=>/i:=. I PROJECT MANAGER: ~T' ~~
BID/RFPtI: o1-0.:fiMODtI: ~ PO#: 4S.IW-z.Z;Z. WORKORDER#: :J>=.-ff- 19 ~e.. ~/.53- OJ'" -02-
DEPARTMENT: L. 2.l>1 CONTRACTOR/FIRM NAME: ~SCVJ ~~Ip'PI"::J,
Original Contract Amount:
$ ce~ q CO. 00
(Starting Pint)
6~qoo. 00
(Last Total Amount Approved by the BCC)
'iq, C;oB. 'UJ
(Including All Changes Prior To This MOdification)
~/ 50/. .c:j-v
$ <17,t.{r;,,<1. bo
(Including This Change Order)
$
.
Current BCC Approved Amount:
Current Contract Amount:
$
Change Amount:
$
Revised Contract/Work Order Amount:
Cumulative Dollar Value of Changes to $ ("2;:;._ r- /' r::i ~ / 0
thia ContractlWork Order: <... :::> ""=.1- ""
Date of Last BCe Approval l O. Z-& .cr-r Agenda Item #
Percentage of the change over/under current contrad amount_ 7~ 2 ~ %
Fonnula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 1"L .'Z-j.bl!;
CURRENT: ~ . ;?l7. CCf
Describe the change(s): ?~oyroeo.. ADo-c:r.<z:>.lA1- ~ cc.AL- Res~.J.I.' ~. \"l..o.I'~
M~~. Mt> r~D.=4Ifrtn.l W~ (~'o.S1j -S"TkW R:>;l.. ~0I.l~=_
Specify the reasons for the change(s) (' 1. Planned or Elective. 2. Unforeseen Conditions r 3. Quantity
Adjustments (' 4. Correction of Errors (Plans, Specifications or Scope of Work} r 5. Value Added
C 6. Schedule Adjustments Note: One or more may be checked, depending on the nature ofthe change(s).
Identify all negative impacts to the project if this change order were not processed: ~ c-u~e.Jt"
K""'"?~ ?~$S l<<lOJW> H-t.--E. ?~~ Re..::r~ Do",,- Ib :Pc4o,t
f1eoa=.Du~e: Y.D:::>L.A.TXP>-lS t:>~~~ ~ ~e.5 P\...AN,.Jt'1'J6f ?R.~e:s. I
This change was requested by: lIcontractor/Consultant n Owner n Using Department . CDES
Ibesign Professional IIRegulatory Agency (Specify)
rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
-NO
This fonn is to be signed and dated.
APPROVED BY: ~
Project ger
REVIEWED BY: ~.' I > 71 Yt /~-tl-l
C nt a Specialist
Date: I.'.i;. O'J
Date: / - C; .' {)P
I
III C :;rr79lJllrJ, iiiaJ q
j(' P~ge 26 of 28
Revised ContractJWork Order Amount
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
I-IvAC- PROJECT#: IV/A PROJECT MANAGER: 301.'\1 CLu.,~NI5
. ,
L PO#: 'fS--/oJ97? WORKORDER#: 4,f- /0;" i'?3
frn ~"t4 7EJolr.JJC;;NTRACTORlFIRM NAME: H S A .
$ 7, (;, DO ' 0 0
(Starling Point)
$ (Last TO::: L:rrt Approved by the BCG)
$ ,,{..,OO,O'O
(IncludIng All Changes Prior To This Modification)
$ 8)5""00 , 0 0
$ //2 /00
(InclUding1l.is Change Order)
PROJECT NAME: r - (
BIDIRFP #: 0 (" - 3 q 7CMOD #:
DEPARTMENT: FAc., i...,liii
Original Contract Amount
Current BCC Approved Amount:
Cunent Contract Amount:
Change Amount
Cumulative Dollar Value of Changes to
this ContractJWork Order: $
'is) S-O\). 0 0
Date of Last BCC Approval NJ It Agenda Item # ~/ 14
Percentageoflhechangeoverlundercurrentconlractamount / / /, 8'1 %
Formula: (Revised Amount! Last BCC approved amount).l
CURRENT COMPLETION DATE (S): ORIGINAL: ffi..fJ:, 17, dODl CURRENT: 1/
I
Oescribethe change{s): CO""pLfJ( Hi/tile.. t: VI'tLu I4TiA-.. ();:. C-l lAX Cou.<..T.,,,,
Specify the re!,s9/1S for the change(s) r 1. Planned or Elective.~ Unforeseen Conditions r 3. Quantity
Adjustments y.- 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: C U sTo r>- (" So w I"LL
"
No! HAM.. f{\ofr.... c'IT\71\.tR. of AI~ -)(",,{JfATv.--- !1N{) A/A QUftL,T1
'/
This change was requested by: r1ContractorlConsultant pf Owner n Using Department C CDES
Loeslgn Professional rrRegulalory Agency (Specify)
IOther (Specify)
CONTRACT SPECIALIST PARTICI
r
Yes
YNO
Th is form is to be si
APPROVED BY:
Date'
REVIEWED BY:
Date:
j-9-{)9
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
/'.oenda item [\lo. 16E7
~ ;:8br~ary 1 0, 2008:'"~-
Page 27 of 2B-'
PROJECT NAME: SCRWTP Wellfield Exoansion portion of the Wellfield Reliabilitv Improvements and Expansion Proaram
PROJECT #: 70892 PROJECT MANAGER: Ronald F. ~illard
BIDIRFP #: 04-3593 MOD #: --L PO#: 4500101578
DEPARTMENT: PUED
WORK ORDER #: 04.01
CONTRACTORlFIRM NAME: Camp Dresser & McKee, Inc.
Original Contract Amount:
$ 4.999.218
(Starting Pomt)
Current Bee Approved Amount:
$ 4.999.218
(Last Total Amount Approved by the BCC)
Current Contract Amount:
$ 5.137.681
(including All Changes Prior To This Modification)
Change Amount:
$ 61.430
$ 5.199.111
(Including This Change Order)
j
Revised ContractIWork Order Amount:
Cumulative Dollar Value of Changes to
this ContractIWork Order:
$ 199.893
Date of Last BCC Approval 6.8.04 Agenda Item # 10 D
(.2e-
Percentage of the change over/under current contract amount ,4:{1 %
Formula; (Revised Amount Il..ast Bee approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 12-18.06 CURRENT: 2-15-09
Describe the change(s): Provide enqtneerinq services beyond the completion date identified in the enqineerinq services
aqreement and previous chanoe orders. Prepare olans and permit modifications for improved wet weather access.
Provide enqineerinq services related to motor failures. The first and third of these three tasks will be funded by liquidated
damaoes withheld from the construction contract
Specify the reasons for the change(s) r 1. Planned or Elective r. 2. Unforeseen Conditions r 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) (0" 5. Value Added
'" 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: The desiqn enqineer would not
provide enqineerinq services throuqh completion of the proiect for access improvements, or for review of motor failure
issues.
This change was requested by: rlContractorlConsultant II Owner PI Using Department C CDES
FDesign Professional rlRegulatory Agency (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r Other (Specify)
P' r
Yes No
This form is to be signed and dated.
APPROVED BY:
Date'
I :2 -.!f.~
APPROVED BY
Date:
12 1\ \ /09-
.
REVIEWED B
Oate-
I-/~-cq
Revised 2.22.08
item ~~o" i6E?
"-'be >',ry 10 ?Ooj'
,:-",u~. ',__ ~
Page 28 of 23
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Marco Breakwater & Groins Evaluation PROJECT#: 195-90500.1 PROJECT MANAGER:~
MeA/Din
BIDIRFP #:
06-3902 MOD #: 1
PO#: 45-102105
WORK ORDER #: 45-102105
DEPARTMENT: Coastal Zone ManaQement
CONTRACTOR/FIRM NAME: Humiston & Moore
! Original Contract Amount:
I
$
7,525.00
(Starting Point)
rJtflr
(Last T tai Amount Approved by the BCG)
Current Bee Approved Amount:
$
I Current Contract Amount: $ 7 525_00
(Including All Changes Prior To This Modification)
Change Amount: $ 6.000.00
Revised ContracUWork Order Amount: $ 13.525.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracliWork Order: $ 6,000.00
Date of Last BCC Approval
N/A
Agenda Item # NIA
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last Bee approved amount)~ 1
7971'(.
CURRENT COMPLETION DATE (S): ORIGINAL:
5/9/09
CURRENT:
5/9/09
Describe the change(s):Task 1: Prepare response to Joe Chesler who is Coordinatina the FEMA application for
fundina for South Marco Proiect: revise drawinQ for additional breakwater, research material costs, prepare
spreadsheet and submit. Prepare response to follow up auestions from FEMA per discussion with Ken Humiston
12-19-08 additional budQet of $6,000
Specify the reasons for the change(s) r 1. Planned or Elective" 2. Unforeseen Conditions r 3. Quantity
.AdjOstments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed:
sent to FEMA for fundina and Questions have been asked. this Work Order will
application.
Application has been
facilitate FEMA to fund
This change was requested by: PContractor/Consultant r Owner r Using Department C CDES
CDesign Professional r Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
.-
I
Yes
.-
I
No
APPROVED BY:
This form is to be signed and dated.
9rf~ Ml~
Ga(yMcAlp n, eZM Dire tor
'. /J
.,/
Date:
I /,t!uo1
I I
REVIEWED BY
Date:
(-/<I-v l'
Lyn Wo
Revised 2-22.08