Agenda 05/12/2009 Item #16E 6
Agenda item No. 16E6
May 12, 2009
Page 1 of 44
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 March 25, 2009 through
April 21, 2009.
FISCAL IMPACT: The total change to contracts is a deduction of $876.142.70. The total
change to work orders is $21,370.00.
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 1 0 f 1
/-\genda [tern ~~o. 16E6
May 12, 2009
Page 2 of 44
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16E6
Meeting Date:
Report and Ratify Staff-Approved Change Orders and Changes to Work Orders to Board~
Approved Contracts.
5/12/2009 90000 AM
Prepared By
Dic'lO<'i DeLeon
Administr.3tive Assistant
Date
Administrative Services
Purchasing
4/291200912:01 :31 PM
Approved By
Steve Carnell
Purchasing/General Svcs Director
Date
Administrative Services
Purchasing
4/29/20098:30 PM
Approved By
Len Golden Price
Administrative Services Administrator
Date
Administrative Services
Administrative Services Admin.
4!3012Q09 2:52 PM
Appruwd By
OMS Cccrdin:::tor
OMS Coordin..tor
Dete
County Manager's Offi~e
Office of fVlanagem!:'nt & 8udget
4;30/20093:43 PM
Approved By
Jeff KI~tzkow
Count,' Atto~ney
Date
County Attorney
County Attorney Office
5!li2009 10:08 AM
Approved B)'
Laura Davisson
Management & Budget Analyst
Office of Management & Budget
Date
County Manager's Office
5/4/20099:01 AM
Appro\"ed By
Leo E. Ochs, Jr.
Board of County
Commissioners
Deputy County Manager
Date
County Manager's Office
514120095:01 PM
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item 1\)0. "1 'SE6
rv~ay 12, 2009
Pa~le 7 of -'14
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: CO_lie Annex PROJECT'" ~ PROJECT MANAGER: Henry Jones. P.E.
BIOIRFP II: 00-3173 MOD.: 23 Cl>> 19 POlJ:45-100619
DEPARTMENT: Facilities Manaaement CONTRACTORIFIRM NAME: Solll;s Candela DMJM
Original Contract Amount: $ 190,000.00
(Starting Point)
Current BCC Approved Amount: $2,936,994.00
(Last Total Amount ApprOlled by the BeC)
Current Conlrect Amount: $2,978,656.00
(Including All Changes Prior To This Modification)
Change Amount: $3,000.00
Revised ConlractlWorl< Order Amount: $2,981,658.00
(Including This Change Order)
Cumulative Dollar Vslue of Changes 10
this ConlractlWork Order: $2,791,656.00
Ollie of Last BCC Approvsl05l08l2007 Agenda Item #I 16 E 3
Pel cenlage of the change overfunder current contract amount 1.52%
Formula: (Revised Amount I last BCC approved amount)-l
CURRENT COMPLETION DATE (8): ORIGINAL: Multi-phase CURRENT: Muttl-phase
Describe the change(s):
Increase Scope of work is the results of the AHJ's requirements that the permilled and approved NE Electrical Fire Alarm
and Security Plans and Fire Alarm Power and Riser Drawings are to be revised to indicate installation field modifications
by the Contractor.
Specify the reasons for the change(s) ~ 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r. 4. Correction of ElTOrs (Plans, Specifications or Scope of Wor1<) 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:
Installation perma is required prior to final inspection.
This change was requested by: ~ontl1lctor/Consultant II Owner II Using Department r CDES
~Sign Professional IIRegulatory Agency East NaDles Fire r other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes r No
APPROVED B
Date:
1, I 'l.<;,{r,~
:3 /c9 7 loe;
I '
REVIEWED BY:
Date:
By executing this Change Order, the County is not relieving your firm of its obligations to perform work in
a timely and satisfactory manner or any consequences reswlting from falling to do so. Collier County
hereby reserves all legal rights, incfuding, but not limited to, rights to terminate, suspend or elect any
other appropriate course(s) of action should circumstances warrant with regard to the referenced
Contract.
/:...genua item No. 16E6
May 12. 2009
Page B of 44
a
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Wells 34/37 Const. & Plaellne Realaeement PROJECT N: 701582 PROJECT MGR: Oscar P. Martinez. P.E.
BIDIRFP N: 07-4130 MOD N: L POI: 4500100748
WORK ORDER #:-HA-
DEPARTMENT: PUPPMD CONTRACTORIFIRM NAME: Mitchell & Stark
Original Contract Amount: $ 2.634.639.00
(Starting Point)
Current BCC Approved Amount: $ 2.634.639.00
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 2.796.009.23
(Including All Changes Prior To This Modification)
Change Amount: $ 22.254.23
Revised ContracllWork Order Amount: $ 2.818.263.46
(Including This Change Order)
Cumulative Dollar Value 01 Changes to
this ContracllWork Order: $ 183.624.46
Date 01 Last BCC Approval 1019/07
Agenda Item # 100
Percentage of the change over/under current contract amount: 6.97% over
Formula: (Revised Amount 1 Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL:
12/10108
CURRENT:
6/13/09
Describe the changes: Work directive # 1: Substitute 24" 45 dearee elbow with 24'" wve (reauested bv ownerl. Work directive # 2:
Provide SS 8Doofl to extend well caslnas to correct ekwatlons (reaueated bv contractor), Work directive 1# 3~ Re-chlorlnlte 24" line
and .....do bacterloloalcal tests/reauested bv FDEPI. Work directive # 4: Ellmlnata rool mansard at well aile 34 /reaunted bv ownerl.
Work Dlreatlve # 6: Increase elze 01 antenne Dad at _aile 34 lor 60 footantenne rated lor t40 MPH wlnda/reouesled bv ownerl.
Specify the reasons for the change(s): X 1. Planned or Elective X 2. Unforeseen Condltlona 3. Quantity Adjustments
4. Correction 01 Errors (Plans, Specifications or Scope of Work) X 5. Valus Added
X 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: Please refer to business case.
This change was requested by: X Contractor/Consultant X Owner
rI Using Department C COES
rI Design Professional X Regulatory Agency (Specify) FDEP
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: XYes
RECOMMENDED BY:tflrlttAM4;~.b ~;PPROVED BY:
Consult t 6 <<c ~~e
/. / 31/(P/o1
APPROVED BY: tJAt,J1 I' I ~PPROVED BY:
Date
r Other (Specify)
r No
t?J REVIEWED B
3/c:;r;J07
Revised -22-08
j
,/
KQ.JuJ
3
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Immokalee Road Wldenlna US 41 to 1.75 PROJECT #: 66042B
BIDIRFP #: 05-3788 MOD #: Nine 191 POI: 4500101447 WORK ORDER #: NA
DEPARTMENT: TransDortation Enaineerina and ConstnJction and Construction Manaaement
NAME: John Carla. Inc.
CONTRACTORIFIRM
Original Contract Amount;
$ 26.947.099.43
(Starting Point)
Current BCe Approved ..6-mount:
$ 26.947.099.43
(Last Total Amount Approved by the BCC)
$_ 27.477,419.38
(Including All Changes Prior To This Modification)
Current Contract Amount:
Change Amount:
$
o
Revised ContractlWork Order Amount: $ 27.477,419.38
(Including This Change vraet)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $
530.319.95
Date of Last BCe Approval March 8. 2005 .
Agenda Item #
we
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last BCe approved amount)~ 1
.1.968' ( .'11 %
~
CURRENT COMPLETION DATE (5): ORIGINAL: November 18 2007 CURRENT: Februarv 27 2009
Describe the change(s): Needed to add 131 calendar days to contract for final comDletion due to reDair work
needed to be performed on water main valves next to canal which could onlv be done durinll drY season when
water levels were lower. ADDroved bv DeDartment Director Jav Ahmad.
Specify the reasons for the change(s) ('" 1. Planned or Elective r. 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 more may be checked, depending on the nature of the change(s).
Identify all negative Impacts to the project if this change oreler were not processed: Work could not have been
done until water levels were low enouah. Utilities would not acceDt water main svstem until reDair work was
com Dieted.
This change was requested by: Plcontractor/Consultant Pi Owner rI Using Department C CDES
LDesign Professional rlRegulatory Agency (Specify) r Other (Specify)
"
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
P No
REVIEWED BY:
u
,
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Aaenda item No. 16E6 i
- May 12, 2009
P2ge 10 of 44
PROJECTNAME: Blda. "W" Electrical Uparade PROJECT#:52525 PROJECT MANAGER: Robert Fuentes
RFQ #: 09.5188
MOD#:
1
PO#: 45..00105743 WORK ORDER #: N/A
DEPARTMENT: Facilities Mana ement CONTRACTOR/FIRM NAME: Sure Construction Com an
Original Contract Amount:
$ 180.102.00
(Slartlng Point)
$ 180.102.00
(Last Total Amount Approved by the BCe)
$ 180.102.00
(Including All Changes Prior To This ModifiCation)
Current Bee Approved Amount:
Current Contract Amount:
Change Amount:
$ ( 55.102.00)
Revised ContractlWork Order Amount: $ 125.000.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $
( 55.102.00)
Dale of Last BCC Approval N/A Agenda Item # N/A
Percentage of the change over/under current contract amount ~ - 3>0 .5 q "(0
Formula: (Revised Amount I Last BCC approved amount}-1
CURRENT COMPLETION DATE (5): ORIGINAL: TBD
CURRENT:
TBD
Describe the change(s): Direct Purchase of Powerware UPS System Model 9390 $51,796.00
Sales tax Savings is $ 3,306.00.
Specify the reasons for the change(s)" 1. Planned or Elective (" 2. Unforeseen Conditions C 3. Quantity
Adjustments () 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: ~
This change was requested by: r1Contractor/Consultant .1 Owner rI Using Department C COES
!:oesign Professional rlRegulatory Agency (Specify) r Other (Specify)
APPROVED
If Yes r N
Date:
3 31
3/.,$ 1109
REVIEWED BY:
Date:
Revised 11.19.2007
PROJECT NAME: Construction loan-COl>eland
PROJECT #; SH07 ~27 PROJECT MANAGER:
t2{d;'r1~<Io{;:J~OErU
IAay 12, ~l
Page l' ,.-' ~,j
~
R. Munoz
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BIDIRFP #:
CSFA #52.901 MOD #: -LPO#: 4500102695 WORK ORDER #:.......!:illL
DEPARTMENT: Housina and Human Services CONTRACTORIFIRM NAME: Housina DeveloDment Corooration of SW Florida
Original Contract Amount:
$ 150.000.00
(starting Point)
$ 150.000.00
(Last Total Amount Approved by the BCC)
$ 150.000.00
(Including All Changes Prior To This Modification)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
$ 0
Revised ContracllWork Order Amount: $ 150.000.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracllWork Order: $ 0
Date of last BCC Approval
07-24-07
Agenda Item # 16D5
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last BCC approved amount)
o
%
CURRENT COMPLETION DATE (8): ORIGINAL: 3-30-2008
CURRENT:
4-30-2009
Describe the change(s): To Drovide a chanl!e in Exhibit A. ScoDe of Services section I. thereby allowinl! the
contract's Work Schedule be adiusted to reflect a chanl!e in the milestone deadline date for the Final
InsDection and CO to ADril 30. 2009. The Budl!e! will remain the same amount of $150.000 for this State
Housinl! Initiatives PartnershiD Droject.
Specify the reasons for the change(s) C 1. Planned or Elective C 2. Unforeseen Conditions r 3. Quantity
Adjustments C 4. Correction of Errors (Plans, Specifications or Scope of Work) C 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 delav in the Droiect
could result in the DOssibility that the SubreciDient is not able to oet a low income individual or household moved
in within a certain timeframe.
This change was requested by: ['/Contractor/Consultant D Owner Pi Using Departmen1 r CDES
rDesign Professional ['/Regulatory Agency (Specify) DOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
j;;- No
This fonn is to be signed and dated~ ~/'
APPROVED BY: Rosa Munoz ff?1. -, Date:
Project Manager ff //
REVIEWED BY: ~1'1 In W~~
C6l1t Specialist '
03-19-09
Date:
1-/-IJ9
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
Agenda Item No. 16E6 &
/J . May J.2, 2009
,Ke ?J2K1 'l/LJJ -Or
ffiJ
PROJECT NAME: Fire Alarm Testing, Inspection PROJECT #: PROJECT MANAGER:_Bernard Cleary_
BID/RFP#: 08-5019_MOD#: 1 po#:~1O~3~SWORKORDER#: ;J/1r
DEPARTMENT:_Facllltltes Management_ CONTRACTOR/FIRM NAME: Clntas Corporation No.2
Original Contract Amount: $ N/A
(Starting Point)
Current BCC Approved Amount: $ N/A
(last Tota' Amount Approved by the BCC)
Current Contract Amount: $ N/A
(Including All Changes Prior To This Modification)
Change Amount: $ N/A
Revised Contracl/Work Order Amount: $ N/A
(Including This Change Order)
Cumulative Dollar Value of Changes to
this Contracl/Work Order: $ N/A
Date of last BCC Approval_3i25/08
Agenda Item # _16E?
-~ Percentage of the change over/under current contract amount_N/A
!"ormu;a: (Revised Amount / last BeC approved amount)-l
%
CURRENT COMPLETION DATE (S): ORIGINAL: NiA
CURRENT:
NiA
Describe the change(s):_ To provide pricing for additional services.
Specify the reasons for the change(s) x 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).
Identify all negative impacts to the project if this change order were not processed: _Additional services are
being called non-bid items and cannot be paid.
This change was requested by: X Contractor/Consultant x Owner n Using Department r CDES
r Design Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: x Yes
r No
APPROVED BY:
Date:
4 -I. () 9
Lj -c? -09
<EViEWED BY:
Date:
Revised 11.19.2007
P,g'2nda :iem No. 16E6
rv18k 12, 2009
R!~EIVEf)
8/lo( 0,
7
~
. CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: ,?CRWTP 20-MGD Wellfield Exoansion
PROJECT #: 708921
PROJECT MANAGER:
Ronald F. Dillard P.E.
BID/RFP #:
06-3992
MOD #: 5
PCl#: 4500071726
WORK ORDER #:
CONTRACTOR/FIRM NAME:
n/a
DEPARTMENT:
PUBLIC UTILITIES ENGINEERING DEPT.
REYNOLDS
(Starting Point)
47.038.450.00
Original Contract Amount:
$
Current BCC Approved Amount:
$ 47.038.450.00
(Last Total Amount Approved by the BCC)
$ 48.393.904.61
(Including All Changes Prior To This Modification)
Current Contract Amount:
Change Amount:
$ 108.395.70
$ 48.502.300.31
(including This Change Order)
Revised Contract/Work Order Amount:
Cumulative Dollar Value of Changes to
this Contract/Work Order: $
1.463.850.31
Date of Last BCC Approval
Julv 25. 2006
Agenda Item #
10 P
Percentage of the change over/under current contract amount
Formula: (Revised Amount / Last BCC approved amount)-!
3.1\
%
CURRENT COMPLETION DATE (S): Substantial Comoletion date for Phase 1 is 03-28-08. Substantial Comoletion for Phase 2 is 07-
02-08. The Final Comoletion date for both Phase 1 and 2 is 11-08-08.
Jloescribe the change(s): This proposed chanQe order addresses work to be performed at the request of the County and
DesiQn EnQineer (Greelev and Hansen) includino the Installation of locklno mechanisms on the well vaults. installino ball
valves on the wellheads for takino drawdown readinos. replacinQ sump pump check valves and installino additional
I dsca in at the SCRWTP. This chan e also addresses work erformed er Count's re uest to re air a ortion of
ords wa .
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) Co 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Bv installinQ 10ckinQ mechanisms on the vaults the County will be able to secure the vaults with County issued cvber
locks. The installation of the Ball valves on the wellheads will allow the Countv welllield staff to take drawdown readinQs
at the wellheads without havinQ to remove threaded caps. ReplacinQ the sump pump ball check valves with flapper check
valves will provide a more efficient water evacuation system for the well vaults. The additionallandscapinQ to be installed
at SCRWTP is necessary to complv with permits previouslv issued for the construction of the wellfield.
Identify all negative impacts to the project if this change order were not processed: If the lockinq mechanisms are
not installed on the vaults the vaults will be accessible to any person who can penetrate the wellsite fencinq. Bv not
installinq the ball valves on the wellheads the Countv well field staff will have to remove a threaded cap every time it is
necessary to measure well drawdown increasinQ the time required to complete this Drocedure. If the sump pump ball
check valves are not reD!aced they will continue to freeze UP causino the sumo Dumps to continually circulate water within
the vault possiblv shorteninQ the life of the sumo Du.Q}Qe themselves. To obtain the necessary land clearino permits for .
the construction of the well sites It was necessary to plant some additional veoetation. Bv not addinq the additional
landscapinQ at the SCRWTP this requirement would not be met.
This change was requested by: I[ Contractor/Consultant X Owner I[ Using Department r CDES
Revised 2-22-08
r Design Professional r1Regulatory Agency (Specify)
rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: P Yes r No
APPROVED BY;
This form is to be signed and dated.
APPROVED BY:
REVIEWED BY;
Revised 2-22-08
Date: :2 - ) I - t'J Cf
Date: Z/Z~/CJ't
Date;5IIVIOi
"\genda Ilern No. 16E6--7
May 12, 2009 {(>
Page 14 of 44 '-
F'
'O~~"'O,"O""'OO""ATI: ~~~~ ~"~~? I"
CHECKLIST FORM 7';/~
PROJECT NAME: COLLIER BOULEVARD CR951 6 Lane IMPROVEMENT US41 to DAVIS PROJECT #: 60001
PROJECT MANAGER: TAD PLUC
BIDIRFP#: 074124 MOD#:-LPO#: 4500099955 WORKORDER#: NA
OEPARTMENT: Transoortation Enalnuerlna and Construction Manaoement CONTRACTOR/FIRM NAME: Better Roads. Inc.
On9inal Contract Amount: $ 24.955.329.69
(Staning Point)
Curr.nt BCC Approved Amount: $ 24,955,329.69
(Last Total Amount Approved by the BCC)
Curr.nt Contract Amount: $ 25.096.347.69
(Including All Changes Prior To This Modification)
Change Amount: $ (445.055.55)
Revised ContractfWork Order Amount: $ 24,651.292.14
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ f304.037.55)
Date of Last BCC Approval
Tllnp- 7.fi. 7.007
Agenda Item # lOR
{JJ~)lj~~. ~/
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last Bee approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: September 29. 2009 _CURRENT: SeDtember 29.2009.
Describe the change(s): Contractor proposed an alternate asphalt mix design using local aggregate. By using locai
aggregate this offers Collier County a cost savings of $480.907.50 with a five year warranty. This change order deletes
the existing asphalt friction course (FC-12.5) at $89.00 per ton and adds a new asphalt friction course mix design (SPFC-
40003) at $70.50 per ton. The request for the service meters came from the lighting department. The relocation of the
pathway at Cracklin Jack's required adding 24" Miter End Sections to maintain drainage.
Specify the reasons for the change(s) r- 1. PI~nned or Elective r 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 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 substitution will save
Collier County $480.907.50 and give Collier County a 5 year warranty on the asphait.
This change was requested by: PlcontractorlConsuitant II Owner II Using Department L CDES
LDesign Professional rlRegulatory Agency (Specify) f7 Other (Specify) Traffic Operations
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
P' No
This form is to be signed and dated.
~'~~O~ IT:-
rojec an r
REVIEWED BY: ~~/
l.Co?tract Specialist .. L_--P
/ (-)
'-../
Date:
$ 113/0
;i' I) ~o9
., /
II,.,',,'
I .
I '
f
Date:
Revised 3-4-09
-
U~.
i
~~
','0' "'J ',n'T' '10 ""6 q
. "::J~d :.~IC :.;:.. r , ... . ,..; '-
f\.tJY 12, 2009
- ~ ~ r A .
I!;) ,)1 C-fl+
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Third Party Administrator for Group Insurance Benefits PROJECT MANAGER:_Allce Toppe_
BID/RFP #: 06.3983_MOD #: 1
PO#:_ 4500102377 WORK ORDER II:
DEPARTMENT:_Rlsk management
CONTRACTOR/FiRM NAME: Meritaln Health, Inc,
Original Contract Amount:
$ N/A
(Starting Point)
Current BCC Approved Amount:
$ N/A
(last T alai Amount Approved by Ih e BCe)
Current Contract Amount:
$ N/A
(Including Ali Changes Prior To This Modification)
Change Amount:
$ NfA
Revised ContractIWork Order Amount: $ N/A
(Including This Change Order)
Cumulative Dollar ValuQ of Changes to
this ContractIWork Order: $ N/A
Oale of last BCC Approva'_9/26/06
Agenda Item # __16El
Percentage of the change over/under current contract amount
Formula: (Revised Amount I last BCC approved amount}-1
N/A
0/.
CURRENT COMPLETION DATE (S): ORIGINAL:
12/3112011
CURRENT:
12/3112011
Describe the change(s):_ _ Add services to assist County in complying with American Recovery and
Reinvestment Act COBRA subsidy requirements pursuant to EXHIBIT B attached hereto,
Specify the reasons for the change{s) xl, Planned or Eiective 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).
Identify all negative Impacts to the project If this change oreler were not processed: _Non-compliance with the
American Recovery and Reinvestment Act. .
This change was requested by: r/Contraclor/Consuitant x Owner rl Using Department C CDES
CDeslgn Professional r1Regulatory Agency (Specify) r Other (SpecIfy)
CONTRACT SPECIALIST PARTiCIPATION IN NEGOTIATIONS: r Yes x No
This form is to be signed and dated.
APPROVED BY: Cl Qt", , \ ~~1<>
REVIEWED BY: Project Man:g:r )? 7 Y:()(~-
con~eCiaiist
V
Date:
l!/d-.loq
Date:
1#09
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
~eRflplOI
,""",. ~ )'
I
I
PROJECT NAME: COLLIER BOULEVARD CR951 6 Lane IMPROVEMENT US41 to DAVIS
PROJECT MANAGER: TAD PLUC
BID/RFP #: 074124 MOD #: --L...PO#: 4500099955 WORK ORDER #: NA
DEPARTMENT: Transoortatlon EnoineerinQ and Construction Manaaement CONTRACTOR/FIRM NAME: Better Roads. Inc.
Original Contract Amount:
$ 24.955.329.69
(Starting Point)
Current BCC Approved Amount:
$ ?h Q",329.69
(Last Total Amount Approved by the BCC)
Current Contract Amount:
$ 24,651.292.14
(Induding All Changes Prior To This Modification)
$ 1558.576.521
Change Amount:
Revised ContractIWork Order Amount: $ 24.092.715.62
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractfWork Order: $
1862.614.071
Date of Last BCCApproval .Tune Ln. 2007
~ge7~5 #
~;-- %
/
10H,
N/
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last Bee approved amount)-1
.
if
CURRENT COMPLETION DATE (S): ORIGINAL: SeDlember 29. 2009 CURRENT: SeDtember 29.2009.
Describe the change(s): Deleting north bound right tum lanes (station 618+60, 637+10, and 670+80). Contractor
performed a time and material for emergency repair on failing roadway at Collier Regional Medical Center (North and
South entrance). Relocation of a water main A RV located in the roadway.
Specify the reasons for the change(s) r. 1. Planned or Elective n 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).
Identify all negative impacts to the project if this change order were not processed: Will not be able to pay
Contractor for the emergency repair work.
This change was requested by: nContractor/Consultant 171 Owner n Using Department 1: COES
LOesign Professional rlRegulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
17 No
This form is to be signed and dated.
3/.2 LJ/VCj
41;jfJ9
.' . I
I
REVIEWED BY:
~~te
I \
L/
I
APPROVED BY:
Date:
Revised 3.17.09
;genda Item No. 16E6 I \
;U.c..d '-IdJ~1i(efr~~
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM tJ '"
PROJECTNAME: Blda."F" Generator & Electrical UDorade PROJECT# ~ PROJECT MANAGER: Robert Fuentes
BID/RFP #: 08-5035
MOO #: 5
PO#: 45'-00094798 WORK ORDER #: N1A
DEPARTMENT: Facilities Management CONTRACTOR/FIRM NAME: Southeastem Communications Servo Inc.
Original Contract Amount:
$ 1.226.635.00
(Starting Point)
$ 1.226.635.00
(Last Tota' Amount Approved by the BCC)
Current BCC Approved Amount:
Current Contract Amount:
$ 902.705.46
(Including Ail Changes Prior To This Modificatian)
$ 10.928.70
$ 913.634.16
(Including This Change Order)
Change Amount:
Revised ContractlWork Order Amount:
Cumulative Dollar Value of Changes to
this ContractIWork O~er:
$ ( 314.403.20\
Date of Last BCC ApprDval 5/13/08 Agenda Item # 10G
Percentage of the change over/under current contract amount (25f~
Formula: (Revised Amount I Last BCe approved amount)~
CURRENT COMPLETION DATE (S): ORIGINAL: TBD
CURRENT:
TBD
Describe the change(s): The generator manufa.cturer didn't have space in their yard to stored the unit, it was
determined that it was better to bring the unit to the complex to.a temporary site until the permanentsite was
completed, thus reducing storage fees and insurance.
Specify the reasons for the change(s) tr 1. Planned or Elective r 2. Unforeseen Condltlons C 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).
Identify all negative impacts to the project if this change order were not processed: This chance Is needed for
the safe storiml of the Generator on a temporary siie. this encompass two (2) additional crane lifts and transoort
to pennanentsite. at present Contractor has not received approved BldQ.. permit.
this change was requested by: "!contractor/Consultant llil Owner n Using Department r CDES
Eoesign Professiolla rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SP
II' Yes
rr
This fonn Is tte s'
APPROVED 8 :
Project Manager
REVIEWED BY: ~f~' ~(~(H~
Con a, Specla 15
I
v
Date:
I
I
,
Date:
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
.?f~~~~t~ ~~~r~ ^'i!
~ R cu '-.
'~ '7, {)C( ,-
PROJECT #: 60074 PROJlCT
PROJECT NAME: 111'" Avenue and 8'" Street Intersection Improvements
MANAGER: John R. Conti
BID/RFP #: 09-5144 MOD #: One (1\ PO#: 4500105379 WORK ORDER #: NA
DEPARTMENT: TransDortation Enaineerlna and Construction Manaaement
Roads. Inc.
CONTRACTOR/FIRM NAME:
Better
Original Contract Amount: $ 148,660.60
(Starting Point)
Current BCC Approved Amount: $ 148.660.60
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 148,660.60
(Including AU Changes Prior To This Modification)
Change Amount: $ 622.18
Revised ContractIWork Order Amount: $ 149.282.78
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 622.18
Date of Last BCC Approval Februarv 10 2009
Agenda Item # 16 B 1
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last Bee approved amount)-1
0.42
%
CURRENT COMPLETION DATE (5): ORIGINAL: To be determined CURRENT: To be delennined
Describe the change(s): The plans listed Pipe material as RCP class II. Collier Countv Transportation reauires
RCP class III.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions f" 3. Quantity
Adjustments (0 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: Class II pipe has failed on
previous proiect. If class II pipe is used mav result in earlv failure and replacement would be needed.
This change was requested by: lIContractor/Consultant Pi Owner n Using Department C CDES
CDesign Professional lIRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
,., No
This form is to be signed and, dated.
/' ... ~ /' -7 r
APPROVED BY: /. .~?--L- r Date:
REVIEWED BY:
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
'" ,"f.#
PROJECT NAME: Call... CoIIlIIy _ -.y ...~_ ~ An.... PROJECT '" _ PROJECT MANAOER:_
-
8lCIRFP II: ~OD II: 37 POt:4liOOCl28WTl45OO10087! WORK ORDER It:
DEPARTMEHT:F"'- CONTRACTORIFIRM NAME: KnIll COn.vuctlon
Orlgl.... Conlnct_
$ '11......-.00
(Slarting Parol)
$311......122.74
(L.aIt TaIIiI Amount Approved by the BCC)
$38.3911.438.45
(lndudIng ~ Cllenges Prior To This _Ibitlvn)
CUrrent BCC ~lJfG." AIftoIMt:
Cu"-~_
c:Mnge Amaunt:
An.... C40.b_ 0I'lI0r Amount:
$(13I,I712D)
$3I,2SJ'.7IUlI
(1ndudIng TIn Cllenge Order)
c.m_ DaI..V"_af~to
th..~ Older:
'17.8'\0.165,25
OIIItaf....IICCApproveI ,lJ/123f.1OO7 AgencIa"*'t# 10 E
P.......;... ofthe-.._cumont_...t_nt -3.12%
Formula: (Revised Amount I Last BCC spprovod amount)-'
CURRENT COMPLETION DATE (S): ORIGINAL: Not BStabllshedCURRENT: Not established
o.crIbe the ~a): ReIm...... _r for d......nce of the bql,*4 smount eIsctrlc:lwlller IllIlIQ8 and non-
...,...
Specify file _ for file ,"'"o-<a) r 1. PIMnecI or EIllcfIve r 2. um-n Cond__ R 3. QUMtIty
~,-* r .. ComctIDn 0/1 EmMlI (PlIns, 8pecIIIceII_ or Sc:oplI of Work) r II. Value Added
r. .. Sc:hIIduIe ~,_A NoIII: One or mo.. may be chec:klld, d.pendlno on file natu.. of the c:hIInge(a).
1d6.41~ all n."aa.. Impec:la to file project If lids cMnge onler _ not pnlc.....d: ContnIc:t amounts would not
be comtCt.
.
,
Thlschangewu ~br: ~u/lant ~ Owner
Coeslgn ProfusIonaJ nRegulMory Agency (SpeCify)
n Using Department
r Other (Specify)
,
r Yes P\NO
r: COES
CONTRACT SPEClAUST PARTICIPATION IN NEOOllATlONS:
APPROVED B .
Date: ~
APPROVED BY:
:~
~
~":
r'.~t;iUd "ern. '"0. .,oWL. I
May 12. 20( .
~!" ~,.. .- '
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: &.nhorwDrtv. BtldD8 Uahtlna & LandllCRD8 Installation
PROJECT#:Lf('J.55~ ~ . PROJECT MANAGER: Pamela Lullch
B1DIRFP II: ~ MOD 1lI~ POIlI: .sG0098683 WORK ORDER Ill:
DEPARTMENT: TraneDortation. ATM DeoL LandscolMt CONTRACTOR/FIRM NAME: E.B. Slmmonde ElecIrIcal. Inc.
OrIginal Contract Amount:
$ 70071.31
(Slatting Point)
$ 70071.31
(last TDleI Amount AppIOVod by the BCC)
$ 70.071.31
(Including All Changes Prior To this Modification)
$ 2.200.00
Cu,",n~ BeC Approved AmDunt:
Current Contract AmDunt
Change Amount
Revleed ContractlWork onIlll' Amount: $ 72.271.31
(Including This Change Order)
Cumulative Dollar Value of Chong.. to
IhIo ContractlWork Order: $
2.200,00
Dale of Laet Bce Approval 7/2212008
Percentage of. the change over/under eurrent contract amount
Formula: (Revised Amount I las' BCC epp<ovod emount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 01/2512009
Agenda Item III 168-3
3.14%
CURRENT:
07131/2009
Describe the changels):
Relocatinrt .s eristinr: Foxtail Palms fi'om East side of Bqyshore to West side of Bavshore: additional time needed to
aCce'" ~M deliverv of 4 banner poles. due to tM mamlfacture,'s D,oduction timeline and extended time fi'ame fa,
de/iverv.
Specify the reaoonetor the change{al r 1. Planned or Elective . 2. UnfDnlHen Contlltione r 3. Quantity Adjuelmenta
r 4. Correction of ErTora (Plana,Speclllcatlona or Scope of Work). 5. Value Added. 8. Schedule Adjualmenta Nole:.
One or m,,", ma, be checked, depending on the netu.. of the chonge(e).
identify .11 n&llatlve Impacta to the project If ~hla change order were no~ proeesaed:
This change was requeated by: .lcontractor/Col1llultan~ rI Owner rI Using Department C CDES
Coeslgn Professional rlRogula~ory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes r No
T~ fonn Is~nd ()~ . '/2 ~ q
APPROVED B '-'
Pamela LUlich, Landscape Operations Managet
. . ~ r.
REVIEWED BY:
Revised I 1.19.2007
I
,
'~rl~I~~ ".... -1('""-~
~.
May 12, 2009 /
Page 22 of 44 / )
. CONIRACTIWORK 6RoeR MODIFICATION
. CHeCKuaT FORM
PROJECT NAME: a....__ ___ PROJECT., IIil1Ill PROJECTIIANAGER: _.-
.1lIRFP I: l!t:I!!Il
MOO I: 11
POf:-~
WORK ORDER I: !!IA
D8'ARTIENT: F -.... --..d. ~ NAME: Kmltc-....At .. - eam__.Inc.
ClrltIIMI~~
......~-
l8Idv "'*'0
ConwIIIIOC ............._tt.
. .......,.f-..
(l.-T..... AnIoon ~ 1IJ"1lCC)
ConwIICannot.w-.t:
,.......,......
(h:Il4.M~PllarTolbis"'" .........
c:a.ng. A.~_L
$11--
.......c-......-IfiJ-'1l. om., ~
,..~..."
(IncbIIv 11* Qlqe 0RI0I)
eum......_ DaIIor_fIII~llI'
.. eo. 1 wr...t. ~
'.LI"'~_
DIltItflll"'BCC~p","': ~ . ._25.2/ICI1' Agenda......2BI
""'_..,. fill.. c:lwIge ....m.ndor_COIIlNct~
F-=~AmounI/lulBCC_~od.......-.t)-1 <I/q (0'1
CURRENT COMPlETION DATE (8): ORIGINAL:.1mIIII CIIRRENT: lIdi
o.crllle lite cIIa~): '---10 AudIo SI. . - IwV_
SpI~"1Ite1l J_fDr....ch.._'(II ~ t.........orElKtlft(" 2.lIIIfDrlI..nCan1llll_ (" 3.Ql.mIIy
~l._"" r 4. CoI....a.... of I!!rr'cn~. 'pla. .IIIllllll or Scope ofWorllJ (" II. V..... AdcIIIct
(" I. Sc:IIecIuIII AdJ...ot..__ Hole: One 01'_....,... cIIcbd, ~ on the naturll of the change(c).
Identify all negatIVe ImpaclII to lh8 pnlject If tIIliI cllange order _ not JHOC..aed:
Thla chanlle _ req_ted by: licontractorlCon8ultllnt Pl OWner rl, Using OepartlMnt C COES
r::o../gn Pro,...lonll rlRlgulltory Agancy (SpecIfY)
r Other (SpecIfY)
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: r Yes r No
This fonn /a to be alg
APPROVED BY:~
p
REVIEWED BY:
Dal9: 4/e. ( D1
~:~
'-..-J
COK1RACT/WORK ORDER IIODIFICATION
CHECKU8T FORM
! ~w.t ('ib~
PROJECT_ Ei._...._ _c.nIIor"~~ECT_Rt: Hank.......
~ t: l!!:BIII 1KIOt: a POI: .~ WORK ORDER t: 8IA
DEPARTIENT: r _0... tMd CONt'RACTORIfIR NAME: Kndt ean.tructIon Cam~.IDC.
I==~-
:::=:~
. (l.- TalII Anaft AppnMlcI by....1lCC)
~~-
$.... '-'8
(IIlc:lId1lM~ PriDrTo lNo ..., ...... ~
a-...-
_c......__0nI0r_
$ " 7ft 711
$ 1.&11731..1'
~ ThIa CI8Ige Clrdel)
~__ofCIIMg-.lIo
....~.~~ 0nIIr:
IrrLr.....1H'to
Da1Io of I..Mt BCC "-'>vE -_ 2!L lIlI07 ...... -. 1KZ
"*..... oftllecMnge __CUINIlt........ :oct........~~ (
FannuIa: ~ _/lMl ace _ovod amaunl)-1 'I ~ 01
CURRENT COMPlEllON DAlE (S): ORIGINAL: D/iIIIllI CURRENT:
o.crtbe the cIIange(.): RKol_ DIIP for ..... Wort<
SpacIfy 1I...un.. for... chaIlga(a) to" 1. PIanMd 01' Ell,"', r z. U,.r...J..,n CoI....... r:s. QualIty
Ad)Mi..... (' ... CoITCtIon 01 Emlra (PIIIna, ,~ I : Inc.uo.. or Scope 01 Woclt) (' 5. Value Added
(' 8. Schad_ Adj..ob._1la Nol8: OM or mono IIIIIY be checked, depending on the IIllture afthe ehaRllllCs).
Identify all negatIVe Impacla to the project If thla change onIer w... not ~...ed: Contract would not beJance.
This chang. wall requested by: I1contractorlCon.ultant Pl Owner n UoIing Department r: CDES
Coealgn ProM.lone' rJRlgUlatory Ag.ncy (Specify)
rother (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes r No
APPROVED BY:
P .
REVIEWED BY:
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECTNAME:.:}51 ~ RA,..,P PROJECT#;,~I'.1 PROJECTMANAGER:"'u-'1T'~"'l'''''~
P~Gir L.OI SlCP4NSz;z:>N ,....,. ,.-
BIDIRFP#: OP.l.SI':;" MOD#:: ~ P0#:4.;;.../o....95bwoRKORDER#: '-'1/-:::> I '3>b
DEPARTMENT: ,..,~~ -z-,...la ~ONTRACTORlFIRM NAME: Q.. "1-1 rry fO,Jre.u"...~> ....$4~.
Agenda Item No. "16E6
May 12. 2009
Page 24 of c1/1
Original Contract Amount:
$ I :?9:a'l."7'1,b5
, (Starting Phint)
$ f, ";.'\:>..'2.7'1."'5
'(Last Total Amount Approved by the BCC)
$~~, 2-7'1.(05
(neluding An Changes Prior To This Modification)
$ tb? ~/S:~9 fa,}', '77.5: If{)
cJ, t-j s (,...et?~. G.s
(Including This Change Order)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
Revised ConlractlWork Order Amount:
Cumulative Doliar Value of Changes to
this ContractlWork Order: $
.
Date of last BCC Approval 1'"2- r 1(... og
t;:, J" 3/5 ,00
Percentage ofthe change over/under current contrsct amount
Formula: (Revised Amount I Last BCC approved amounl).1
CURRENT COMPLETION DATE (S): ORIGINAl:...9 . 1"2. . c>cJ CURRENT: 10. 1'"2-. 00f
Describe the change(sl: R~cN'E... s><'=Tt::l...lGr I-tUc..\o::- t--'l ~p:>,Ls, nJs1Au....
. .
G~. .p,...~= . '"'Joon Pi::LL Or.ra...-; ~~ ,.o'dOof) Prl=<;, ..J,/c.a,..,r~.
/ '
Specify the reasons for the change(sl C 1. Planned or Elective. 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of WOr1<1 r 5. Value Added
r 6. Schedule Adjustments Note: One or mora may be checked, depending on the nature of the change(sl.
Agenda item #; 10.1>1
451 _%
Identify all negative impacts to the project ifthls change order were not processed: UN::> TAe/...E.
CC:::>t-.iD'C'ftD N-S f'\~ I,) \J c..:0,-..) GiJ H:x::> ~ Qu,u r::ry XN IN ~I::... P~QJuc::r:
This change was requested by: ~ntractor/Consultant r/ Owner r/ Using Department r CDES
rOes/gn Professional rlRegulatory Agency (Specify)
r Other (Specify)
r Yes ~
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This fonn is to be signed and dated.
APPROVED BY: 4.J"'.-::;::-?--":'
ct Manager ....
REVIEWED BY, ~'1 )1A ra/4
Co pecialist
v
n_._. ~ "'~ Q:t
UCUl;:;. ..~.
Date: -i~;ZO -cJ9
,.
"I:
~1
-,,1
~
J
,
,.
m____~_ '.' " J_C~"_~
~;;"7J~~)1~~~ (11
~
: CONTRACTIWORK ORDER MODIFICATION
GfO/..i)er1 ~ c.. p-.!5t.A, ~CKUST FORM
PROJECT NAME: . ,,- c:.-P- ~~ PROJECT fI: ~!oI. I PROJECT MANAGER: .......1 7\ If 9"""'~",.w
BID/!U'P" c.i3~~MOO" 1_ POI:qs-...II>>1:u::, WORKORDERfI: ~ Y;~7g
l)eliI\RTMENT:~...r.ost7U... ::a~ - ~ CONTRACTORIFIRM NAME:~ \Al:cry ~., ~, ~c..
I Orflllnal Contract Amount: S I -:J4 lXooo. ~ 0
(StartinG Point)
$ 11 'l c:>fco.4o
(l.ootT~ Amount Approved by the acC)
$ (!n~g ~~;..~~ To This Modification)
l108o.00
$ 2-@4,h2--0.4D
(Including This Chsng. Order)
CUIlllllt BCe Approved Amount:
cun!Ont Contract Amount:
Change Amount:
$
Revlaed ContraclIWorI< Order Amount:
Cumulallve Dollar Value of Chengeol to ...-7 ' 5' /_", c:>V
lhllContnlctlWork Order: I $ c- Z' i/7V .
,
DatAlofLaelBCCApprovol uz.-.!'2. .06 Agenda Item # Up. t>.Zb
",,':';"ntage oflhe change .-du~ current contrllCl amount t '7. ::; i %
Formuls: (Revised Amount' l.ost ace, approved amount)- 1
CUR.RENT COMPLETION DATE (Sl: rRlG1NAL: 9 . 3>0. cr3 CURRENT: r. ~I. "9
~ribeth8Change(8): I:t-i~(") $"I:!,(. CDl-JC"~. -S--:B-r'i H"""'f"L'l 'Prfs')
r-....~ 6Adt- S~e.i of'- e",1:S~ .BoA'i ~.
,
Specify the reasons for the c~s) r 1. Planned or Elective. 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. ComlctIon ~ Errors (Plans, specmcatlons or Scope or Worle) 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: "5r::te. Cd~ ~
I
,
l;.~t,' s;e:fbse. '~~ D<A1==" -ro ~M>GQ0~ -<J:.,~Pf<e:.~~.
l1Iis cllanO. was requ....d by: hcontnlC:tx>rIConsultant owner n Using Department CeDES
-. , i
CDesl9n Professional nRegu,tOry Agency (Specify) r Other (Specify)
CONTRACT SPECIAUST PARTlbtPATlON IN NEGOTlATlONS: r Yes ~
,
<
Thisfonn is to ~. signed and dated.
.:. I
APPROVED BY:
p
REVIEWED BY:
.
Date: ..;. fro O'f
Date: 1- - J. 0 - tJ f
A~enda item ~~o. 16E6
May 12, 2009
Page 2<3 C)f 44
Iq
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Auditing Services_ PROJECT #: /J ('" PROJECT MANAGER:_Derek Johnssen
BID/RFP#: 07-4152_MOD#: 5 PO#:~ WORKORDER#: I.l(-p<:
DEPARTMENT:_Clerk's Finance CONTRACTOR/FIRM NAME: Ernst & Young
Original Contract Amount: $ _560,000
(Starting Point)
Currant Bce Approved Amount: $_1,239,000
(Last Total Amount Approved by the BCC)
Current Contract Amount: $_1,239,000
(Including All Changes Prior To This Modification)
Change Amount: $_60,000
Revised ContracUWork Order Amount: $_1,299,000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContracUWork Order: $_739,000
Date of Last BCC Approval_6/10108 Agenda Item # _16.J.4
Percentage of the change over/under current contract amount_ 4.Sd'
Formula: (Revised Amount I Last BCC approved amount)-1 I
%
CURRENT COMPLETION DATE (5): ORIGINAL: Continuina
CURRENT:
Describe the change(s):_ To add fees for the adoption of GA5B Statement No. 45 and five extra major program audits
for FY 2008 audit.
Specify the reasons for the change(s) x 1. Planned or Elective 0 2. Unforeseen Conditions C 3. Quantity
Adjustments 0 4. Correction of Errors (Plans, Specifications or Scope of Work) 0 5. Value Added
o 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 Florida
Statutes.
This change was requested by: x Contractor/Consultant x Owner n Using Department 0 CDES
['Design Professional [::iRegulatory Agency (Specify) COther (Specify)
CONTRACT SPECIALlSTP';~PATlON I~ NEGOTIATiONS:
This fonn is to be Sign~ and ~ed.
APPROVED BY: / ~ C--
P~ Manager
REVIEWED BY: ~ m
Co r pecialist
v
Dy
es
x No
Date:
'-I. 2..=> 2--='7
~)~-
Date:
tf-70 -efT
Revised 11.19.2007
';~jen(~a Item ~~o. 16E6
" ~. - .12 2n09
",,,JY, , u' Q
Page 27 of 441 -la.
CHANGE ORDER
CHANGE ORDER NO.
3
CONTRACT NO. 07-4152
BCC Date: _7/24/07
Agenda Item: _16Fl1,
TO: Ernst & Youne.
100 Northeast Third Avenue, #700
Ft. Lauderdale. FL 33301
DATE:
412109
PROJECT NAME:
Auditinl! Services for Collier CountY
Under our AGREEMENT dated _july 24
,2007.
You hereby are authorized and directed to make the following change(s) in accordance with terms and conditions of
the Agreement: Add $18,000 for adoption of GASB No 45 and add $42,000 for five additional major programs at $8,400.00
each.
FOR THE Additive Sum of: _Sixty Thousand Dollars ($60,000.00).
Original Agreement Amount $ 560,000.00
Sum of Previous Changes $ 679.000.00
This Change Order Adds $ 60.000.90
Present Agreement Amount $ 1.299,OOQ.OO
The time for camp letion shall be (increase or decrease) by _ NI A_ calendat days due to this Change Order.
Accordingly, the Contract Time is now _N/A ~ calendar days. The substantial completion date is
_N/A and the final completion date is _N/A Your acceptance of this Change Order shall
constitute a modification to our Agreement and will be performed subject to all the same tenns and conditions as contained in
OUf 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: ~jl ~ () ,2009
CONTRACTOR:
Emst& Young
By:
type n me of authorized signator
_t:PiJ j) ISA"'~
t'x:S( V\l)vE D\Q(c~a~
By:
"C,;:'~'^~;; 1<)J
-------.--.--... --.....---
,--, "" '-' il''':;Hi ,'\lV. '-v
L12Y 12, 2009
Page 28 of 44
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: 20071,,;0.tlon QualllY Master Plan PROJECT #: 72516 PROJECT MANAGER: Phi; Gramataes. PE
LJ5VD(CJA"/7
BID/RFP #: 05-3785 MOD #: 1 PO#: IE 89181 WORK ORDER #: GH-FT-3785-08-03
OEPARTMENT: Plannina and Proiect Manaoement
CONTRACTOR/FIRM NAME: Greelev & Hansen llC
Onginal Contract Amount: $ 149.680.00
(Starting Point)
Current BCC Approved Amount: $ 148 680.00
(Last Total Amount Approved by the BCC)
Current Contract Amount: $ 148.690.00
(Including All Changes Plior To This Modification)
Change Amount: $ 0
Revised ContractIWork Order Amount $ 148.680.00
(Including This Change Order)
Cumulatlv. Dollar Value of Changes to
this ContractIWork Order: $ 0
Date of last BCC Approval 11/27/2007
Agenda Item # 16 C 4
Percentage of the change over/under current contract amount
Formula: (Revised Amounll Last BCC approved amount)-1
0%
,-
CURRENT COMPLETION DATE (S): ORIGINAL: 0913012008
CURRENT: 09130(2010
Describe the change(s): Time extension on Iv
Specify the reasons for the change(s)~. 1. Planned or Elective C 2. Unforeseen Conditions ~ 3. Quantity
Adjustments (\ 4. Correction of Errors (Plans, Specifications or Scope of Work) (j 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 IQ Water Master Plan
would not be completed.
This change was requested by: [jIContractor(Consultant . Owner [jl Using Department G coes
!:Design Professional D!Regulatory Agency (Specify) DOther (Specify)
CONTRACT SPECIALIST PARTICiPATI N IN NEGOTIATIONS: r:: Ves
· No
REVIEWED BY:
Date:
~Zk/O"(
3 /;(7 /fJC!
APPROVED B .
Date:
I
Revised 11.19.2007
,~(~:;! ;"h. i (~_E6 '\
r">'~JY 12 2009 0.
23 ,)[ .c~4
CONTRACTIWORK ORDER MODIFICATION
CHECKUSTFORM
PROJECT NAME: Mar-Good Harbor Park PROJECT It. 80024 PROJECT MANAGER: Tonv Ruberto
BIOIRFP .: 06-3929 MOD #:
1
POI: 4500100196
WORK ORDER': VJL-FT -39~3
DEPARTMENT: Parks & Recreation CONTRACTORIFIRM NAME: VIctor J. Latavlsh. Architect
Original Contract Amount: $ _98,800.00
(starting Point)
Current BCC Approved Amoun!: $ 1J I A
(LastHotal Amount Approved by the Bce)
Cur'rant Contract Amoun!: $ 98,60000
-(InclUding All Changes Prior To This Modification)
Change Amount: $_8,680.00
Revised ContractlWork Order Amount: $ 107.280.00
(Including This Change Order)
Cumulative Dollsr Value of Changes to
this ContractlWork Order: $_8.680.00
I
Date of Last BCC Approval
Agenda Item #
Percentage of the change overlunder current completion date_ 8.60
Formula: (Revised Amount I Last ace epproved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: February 17. 2011
%
CURRENT:
February 17, 2011
Describe the change(s): Additional services for SOP documents for remaining buildings #5. #6. #7. #8 and #10:
additional construction documents for Cistern structure (building #10) and anticiDated additional reimbursable
expenses.
Specify the reasons for the change(s) r 1. Planned or Elective X 2. Unforeseen Conditions 3. Quantity
Adjustments r 4. Correction of Errore (Plans, Specifications or Scope of Worle) X 6. 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:
Chanoes are needed to finalize SOP submittals reouired bv COES.
This change was requested by: X Contractor/Consultant Owner n Using Department r COES
Loesign Professional Regulatory Agency (Specify) Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes X No
This form is to be signed and dated.
Dale: ..) J 2-110 i
1'""". R ~.' ~
\ .vt"l~ -'-~'dLt1. 4v ':" J
t::J
APPROVED BY:
I
fl
11
'.j
~
1\
~
;!
t
ot:\f!C\lllt'::n ov.
. ~....... ''-_ ........... U I.
&;If/
PROJECT NAME: Naples Jaijll>elll!f Raom PROJECT #: 53172 PROJECT MANAGER: John Clements
BIDlRFP II: f)~ -,,7J, r; MOD II: L-POI:4S00098532 WORK ORDER tl:00M-F( 3969.08-11
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
~v/a rl~/~23
~~:~~2
DEPARTMENT: Facilltlea
CONTRACTORIFIRM NAME:Q Gradv Minor
OrigInal Contract Amount:
$_4,700.00
(Starling Point)
$ NJA
(LaSt Total Amount Apprwed by the BCC)
$_4,700.00
(Including All Changes Plior To This Modification)
Current BCC Approved Amount:
Current eo_ Amount:
Change Amount
$_0
Revloed Contrac:llWork Order Amount: $_4,700.00
(Including This Change Order)
Cumulative Dollar Value of Chen_to
~~eo~~rkOmr. $ 0
Date of Last BCe Approval
Agenda Item #
r..""'....... of the change overIunder current conlract amount - 0 - 'l(,
Fonnula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (6): ORIGINAL: 11 / ~ / () J' CURRENT: ~/I. / 0 ')
I I I '7
Describe the change(s): Increase In lime to complete the job as many unforeseen conditions has come up since
slatting the job. 425 days from the original 45 days give for completion.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
A!fjUSlments r 4. Conectlon of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
1- 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: ~ ,1 If 4f :!he....
tMJQ,'~
This change was requested by: r/contractor/Consultant rI Owner rI Using Department C COES
!:Design Professional r1Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIAUST PARTICIPATION IN NEGOTIATIONS: rYes
r No
This ~~Is to be signed and da;,e<jj ~
APP15>VEbBY:~ I ~
oject na er j)
\,J? f )
REVIEWED BY: r:
Date:
Date:
1- /-() 9
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
RJ..9'&!'}.PfY r,'i' 16,l;fo.,
~ r,h1y""21~W
Page 3~ c..J.
PROJECT NAME: Imorovina the Accuracy and Resolution of FDEM Orthoohotos for Collier Counlv and for Additional LiDAR.
Break lines, DTM, contours and Orthoohotos for Additional Portions of Collier Counlv
PROJECT #: None PROJECT MANAGER: Robert Wilev
BID1RFP #: State Contract MOD #: ---!--PO#: 4500102993 WORK ORDER #: Wooloert 08-01
DEPARTMENT: Enaineerina and Environmental Services
CONTRACTOR/FIRM NAME: Wooloert. Inc.
Original Contract Amount:
$ 1.052.259.00
(Starting Point)
Current BCe Approved Amount:
$1.052.259.00
(Last Total Amount Approved by the BCe)
$ 1 052,259.00
(Including All Changes Prior To This Modification)
I
Current Contract Amount:
Change Amount:
$
0.00
Revised ContractlWork Order Amount $ 1.052.259.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWork Order: $ 0.00
~1~W6
Date of Last Bee Approval ~
Agenda Item # Aooroved bv Purchasina Director
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last BGG approved amount)-1
o %
CURRENT COMPLETION DATE (S): ORIGINAL: 9-30-08
CURRENT:
6-19-09
. Describe the change(s):
the State contract
Florida
Specify the reasons for the change(s) 0 1. Planned or Electiye 0 2. Unforeseen Conditions 0 3. Quantity
~justments 0 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: Clerk's office (Finance) will
not Day the invoice.
Time extension of 262 davs to account for work Droduct delivery delavs from other work under
for coastal UDAR maDDinq alono the southwest coast of
This change was requested by: OIContractorlConsultant 01 Owner 01 Using Department 0 COES
bloesign Professional n1Regulatory Agency (Specify) ~ther (Specify) Clerk's office
[j Yes )<f No
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
This form is to be signed and dated.
APPROVED BY. ;;P'vk-~
Project Manager j
REVIEWED BY: ~~ 'k /If-tf.~"
Co ra t eClallst
V
Date:
J- 7-0 '5'
" I
I
~
Date:
j-7-o9
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
;lJiJ?nd!)ll'/I€Ji~~
(;Jl::J of 44 5
PROJECT NAME: Marco Librarv Addition PROJECT #: 54004.1 PROJECT MANAGER:Hank Jones
BIDIRFP #: /)/", -:1 fG~OD #: 1 PO#:4500104649 WORK ORDER #:QGM'F~t% b r
DEPARTMENT:Facilities CONTRACTOR/FIRM NAME:Q Gradv Minor
Original Contract Amount: $ 47,950.00
(Starting Point)
CUlTOnt BCC Approved Amount; $ NIA
(last Total Amount Approved by the BCG)
CUlTOn! Contracl Amount: $ 47,950.00
(InCluding All Changes Prior To This Modification)
Change Amount: $ 0
Revised ContractIWork Order Amount $ 47,950.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 0
Date of Last BCC Approval Agenda Item #
I
I~
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last BCe approved amount)-1
-0-
%
CURRENT COMPLETION DATE (S): ORIGINAL: 2121107CURRENT: 212112010
Describe the change(s):This change order is to extent time only, the project was put on hold due to funding and
now has been restarted.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. auantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 8. 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: We would not be able to pay
the invoices.
This change was requested by: r!Contractor/Consultant l79- Owner rl Using Department C CDES
COes/gn Professional rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
r No
APPROVED B .
Date: L/! 7 !bi
Date '1/55/0'7
REVIEWED BY:
Revised 11.19.2007
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
MOD #: L PO#: 4500054516
CONTRACTORlFIRM NAME:
Johnson Enaineerina. Inc.
BID/RFP #: 01-3290
DEPARTMENT: TECM
Original Contract Amount: $176.548.00
(Starting Point)
Current BCC Approved Amount: $176.548.00
(Last Total Amount Approved by the BCC)
Current Contract Amount: $176.548.00
(Including All Changes Prior To This Modification)
Change Amount: $0.00
Revised ContracllWork Order Amount: $176.548.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $0.00
fJo.I If 2.Qo ,,-
~nh...r 2':; 2.005
Agenda Item # 16-E-1
Date of Last BCC Approval
Percentage of the change over/under current contract amount
Formula: (Revised Amount I Last Bee approved amount)~ 1
N/A
%
CURRENT COMPLETION DA.TE (S): ORIGINAL: November 7 2005
CU RRENT:
Februarv 26.2010
Describe the change(s): This change order is necessary to add a time extension of 731 days to the previously
revised completion date of February 26, 2008, add a new task to the original scope (Task 2.2: Plan Update),
and transfcr funds in the amount of $1 0,000.00 from Task 3.1 B State Permitting to Task 2.2. The new Task
(2.2) has three subtasks which are described in the attached proposal. Two of these subtasks will be lump sum
as indicated in the proposal. Johnson Engineering, Inc. completed the plans for the FPL Greenway project in
February 2008 at which time it was put on hold. To now start the project again, minor changes are necessary to
the plans along with attendance to a public meeting.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments. 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: If this chanae order is not
processed. we will not be able 10 construct the oroiect with the current plan set.
This change was requested by: r1Contractor/Consultant rI Owner r~Sing Department C CDES
CDesign Professional rJRegulatory Agency (Specify)
r Other (Specify}
CONTRACT SPEC!ALlST PARTICIPATION IN NEGOTIATIONS:
rv(__
, ~o
rill....
.w
APPROVED BY:
This form is to be signed and dated.
A\.
/\!..J
REVIEWED BY:
Date '3 /:3. I / (j 9
_, 'q /
te 4-(( I~~
. I !
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
.L\genda Item I'lo. '16E6 7
May 12. 2009
Page 34 of 44
PROJECT NAME: St Andrews Blvd. Interconnect Stormwater Imcrovement Phase 2
PROJECT#: 51140.1
PROJECT MANAGER: Val Prince
BID/RFP #: 06-3969
MOD #: 1
PO#: 4~OOIDI:tI8'
WORK ORDER #: QGM-FT.3969~8~6
DEPARTMENT: Stonnwater Management Section
CONTRACTOR/FIRM NAME: Q. Gradv Minor & Associates. P.A.
Original Contract Amount:
$ 40.750.00
(starting Point)
Current BCC Approved Amount:
$N.A.
(Las! Total Amount Approved by the BCC)
$ 40.750.00
(Induding All Changes Prior To This Modification)
Current Contract Amount:
Change Amount:
$ 00.000.00
$ 40.750.00
(Including This Change Order)
Revised Contra:ctMfork Order Amount:
Cumulative Dollar Value of Changes to
this ContractfWork Order:
$ 40.750.00
Date of Last BCC Approval: _
Agenda Item # : _
Percentage of the change over/under current contract amount: Q %
Formula: (Revised Amount/Last BCC approved amount)-1
CURRENT COMPLETION DATE (5): ORIGINAL: Feb",arv 25, 2009
CURRENT: July 31. 2009
Describe the change(s): The time Extension is needed to complete ProfesslonalServices as orlail1ally reauested
by the Stonnwater Manaaement Section for the above proiect due to the ori!linal anticipated /Concept to
Completionl schedule bein!llenathened.
Specify the reasons for the change(s):
(' j. Planned or Elective
(K""2. Unforeseen Conditions
C 3. Quantity Adjustments
C 4. Correction of Errors (Plans, Specifications or Scope of Work)
n 5. Value Added,
C 6. Schedule AdjustmentS Note: One or more"may be checked, depending on the nature of the chimge(s).
Identify all negative impacts to the project if this change order were not processed: The Desion Professional
would be delayed In payment.
Revised 11.19.2007
I
~,qenja Item l,j:1. 16E6 ~
- r\12Y ~! 2, 2009 q
Pa'd'2 35 of..:;4
This change was requested by: rlContractor/Consultant r.;;r- Owner CI Using Department C CDES
CDeslgn Professional r1Regulatory Agency (Specify) rOther (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes
n No
APPROVED BY:
REVIEWED BY:
Revised 1 1.19.2007
Dat. ~~,,6';i
ate: I/~Io/
~l
!-
11
I
I
/\genda Item I"(). 15E:~ <g
:"Ir:::y IL, LVu;J
Page 56 of 44
CONTRACTIWORK ORDER MODIFICATION
CHECKUST FORM
(L ,~~~
~(~~ oq
PROJECT NAME: 1-75/lmmokalee Rd Interchange Support Services PROJECT#: 60109.1
ROJECT MANAGER: Michael Gnlene
O'l-411tl .
BIDlRFP #: NIK MOD #: 001 P0fI45-100167 WORK ORDER #: AIM-FT 4198-08-04
DEPARTMENT: Transpor1atlon Planning CONTRACTOR/FIRM NAME: AIM Engineering & Surveying
Original Contract Amount:
$46,_(\.66" 45, 'ft:,() , ()()
- (S1arting Point)
$25,1819.86 'f.5 Lft.O, 0 (}
(Last Total Amoun! /;p/ra:edby the ace)
"'i",~""u.uo 4t:if 4&0.00
(Including All Changes Prior To This Modification)
CUlT8nt BCC Approved Amount:
Current Contract Amount:
Change Amount:
Revised Contract/Wortc: Order Amount:
$ 0.00
$25,iiO"Q 4 '0 ~O, ()()
(Including This Chilng'e Order)
Cumulative Dollar Value of Changes to
lhis ContracllWor1< Order: $ 0.00
Date of Last Bee Approval: N/A, wort order at 25, 460 under existing an annual fixed term contract Agenda Item # N/A
Percentage of the change over/under current contract amount: 0%
Formula: (Revised Amount I Last BCC approvedamoun!}-1 . . J~ I~ J..001 f!.(
CURRENT COMPLETiON DATE (S): ORIGINAL: December 23 2008 CURRENT: reave.tino /. ~90g
Describe the change(s): TIme extension only requested for completion of survey and deliverables
Specify the reasons for the changers) ~ 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- s. Schedule Adjustments Note: One or more may be checked, depending on the nature oftha change{s).
Identify all negative Impecta to the project If this change order were not processed: The consultant will not ba
able to deliver the final ROW maps needed to acquire the final pieces of ROW for the improvements along
Immok8lee Rd for the 1-75 / Immokalee Interchange
This change was requllSled by: r1Contractor/Consultant rI Owner Pl Using Department C CDES
CDlISlgn Professional nRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: ryes
P' No, no negotiations necessary
REVIEWED BY:
Date: '\.1 ''1 \0'\
Date:~
I
I
I Revised 11.19.2007
_ _ ~'..., '1._. '^'~ "1-, ~;~ c: ,C;
.. 1v1~y 1220899 I
.- d':~Ji.;-'37 of 4-+
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: MKY Aaron & Parkina R.elocate Pennittina PROJECT #: 46018 PROJECT MANAGER: Theresa Cook
BID/RFP #: 06.3969
MOD #: 2
~ 4500094174 -
WORK ORDE.R #: OGM-FT-3969.Q8.17
DE.PARTMENT: Airoort Aulhorltv
I Original Conlr.lct Amount
CONTRACTOR/FIRM NAME: a. Gradv Minor & Associate.. P A.
Current CeM Approved Amount:
$ 19730
(S1~utin9 Point)
$ ~tallvoo1jLt:rOYed by the CCM)
Change Amount::
$ 25.100
(Including All Changes Prior To This Modification)
S 8190
Current Contract Amount:
Revised ContractJWork Ordar Amount: $ 33 290
(InclucUng Thl6 Change Order)
Cumulative Dollar Value of Changes to
thl. ContractlWork Order: $ 13 560
Date of L.ast CCM Approval
2/09109
Aaenda ttem # IX. E
,
Percentage of the change over/under curTent contract amount
Formula: (Revised Amount / Last CCM approved amount).1
'3~.(c 3
%
CURRENT COMPLETiON DATE (S): ORIGINAL:
9/15/08
CURRENT:
4/1/10
Describe the changs(&): Chance scope to add Collier Countv oermit for Parkina Exemotlon and adiust schedule
accordinalv.
Speelfy the reasons for the change(s \0 1. Planned or Elective'~ 2. Unforeseen Conditions r 3. Quantity
Adjustments" 4. Correction of Errors (Plans, Specifications or Scope of Work) (0' 5. Value Added r;- 6.
Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identity all negative Impacts to the project If this change order were not processed: CCAA will not be able to
beain construction.
This change was requested by: rIContractor/Consultant ~ Owner n Using Department ~ COES
CD.slgn Professional C. Regulatory Agency (Specify)
r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
r
Yes
1'1 No
APPROVED BY:
Date:
'-/. I,*-- 09
t/--It -/J 9
REVIEWED BY:
Date:
Revised 11.19.2007
I
1-
. ;; ~_,~ I ~
,~c
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME:!J1/11J<r)!stfiAJb ~ ~~JECT #: S~O()+1 PROJECT MANAGER: 5:,& e~
BID/RFP #:01-32'<10 MOD #: d1~O#:~t)OIO~ORK ORDER #:~~trl-Fr-"-o2-
DEPARTMENT: F'ACIt..\T1~ CONTRACTOR/FIRM NAME: cp ~ m'NIIR
May 12, 2009
Page 3f!i(f.4
10
Original Contract Amount:
$ 4-7,9G;.oo
(Starting Paint)
$ +7~OO tJ/A-
(La.;t7r cfta'i'A;,,~~nt Approved by lh~ BCC)
$ t~z'~~(c~~es Prior To This Modification)
S 4.5'00,00
s ~2.+5bjOO
(Includlng This Change Order)
Current BCC Approved Amount:
Current Contract Amount:
Change Amount:
Revised ContracllWork Order Amount:
Cumulative Dollar Value of Changes to
this ContractJWork Order: S
tsoo.oo
Dale of Last BCC Approval
Agenda Item #
Percentage of the change over/under current contract amount ',]8 %
Formula: (Revised Amount I Last BCC approved amount)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 1/':1..1/07 CURRENT: .,. Ils/IP
Describe the change(s): ()/(/6IN ~ fkJ:rtlRr to ~ PosrFoNtrJ) APrlffl. /!e1::Jtnllllr-- tl1?$' 1/415 CO IS
~ IJDlJI11D II "" REVlelAJ oF' ffiIUf\~ lTIoseU m ~~N,4-rt~"1 /II' PMFS I &PbN it- l1PA-rNlRtr.tt-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) 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:
/llF I'a;;~Nt'L) 116A-"/'
fi:,~ t.(,.,u...
This change was requested by: r1Contractor/Consultant ~ Owner r/ Using Department C CDES
!:oeslgn Professionai rlRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: rYes R No
Dale:
+//6/"9
<{/7,10'7
REVIEWED BY:
Date:
Revised 11.19.2007
PROJECT KAME: lASIP Lelv MInOl' auu.J1 WMt
PROJECT MANAGER: R.B. Cox
PROJECT"': 51101.1.2
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
BIDlRFP ill:
DEPARTMENT:
011-3944 MOO ill:
1 POll: 45.101218 WORK ORDER ill: RWA-FT-3944-ll8-12
ROIId Malnt J StormWllter
CONTRActOR/FIRM NAME:
RWA Con.utllna IRC
I Original Contract Amount:
Cumon! BeC Al'proved Amount:
CuMnl Contract Amount:
$ 188.500
(Starting Point) . , I
$ 1l18:Slio N f-A
(Laat Total Am6unt ApplOlled by the BCC)
$ 186.500
(Including All Changes Prior To This Modiflcatlon)
Change Amount
$ no dollar chang_
Re_ ContractIWor1< Order Amount $ 186.500
(Including This Change Order)
Cumulative 0011..- Value of Changn to
thla ContractIWork Order: $ 0
Data of I.aat BeC Approval
NIA
Agonda ltam ill
NtA
Percentage of the change overlunder cummt contract amount
Formula: (Revised Amount I Laot BCC approved omount).l
CURRENT COMPLETiON DATE (S): ORIGINAL: Feb 26 2009 CURRENT: ADrlI15 2009 PROPOSED: Cae 31 2010
o
%
Describe the change{e):_deslre 10 add lime to echedula to amnd to .nd of 2008. More Urn. Ie n.eded
b.caue. eom. .nvlronm.ntlllleeuas have prea.ntad th.meelves and ea.ement I property acqulaltlon Ie IIk.1y to
Involve more tlm.-consumlng docum.ntatlon d.v.lopm.nt.
Specify th. rea.on. for the changa(.) r 1. Plann.d or Elecllv. Co'. 2. Unfor....n Conditione r 3. Quantity
AdJuetmanta r 4. Correcllon of Errore (Plana. Sp.clflcatlona or Scope of Work) ("' 5. Valu. Added
(' 6. Schedul. AdJuetmenta Not.: On. or rhore may be check.d, d.p.ndlng on the nature of th. change(e).
Id.ntlfy all n.gatlv. Impacta to th. proj.ct If thla chang. ord.r w.re not processed:
could not pav th. coneultant for r.malnlno workll
this chang. waa requ.sted by: r:lcontractorlConeultant r.:1 Owner n Uelng Department C CoES
COeelgn Prolee810nal r1R.gulatory Agency (Specify) COther (SpecIfy)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Ves F7 No
REVIEWED BV:
Date: 4Ir7 /d"f
Date: ~bllor
i
APPROVED BY:
II
I
\J
Revised 11.19.2007
CONTRACTIWORK ORDER MODIFICATION
CHECkLIST FORM
Agenda Item No. 16E6
Ib-d ;;/0211!t~o~r~1~
aii<J
PROJECT NAME: EnvirpnmentBI Services for IMM PROJECt #: N/A
PROJECT MANAGER: Theresa Cook
BID/RFP /I: 07-4168
MOD II:
POI: 4500102447
WORK ORDER t:
PAS.IT "'168-08-04
DEPARTMENT: AlrnOI1 Authoritv
CONTRACTOR/FIRM NAME: Passarella & Associates Inc.
OrIgl",,1 Contract Amount:
f 4.000
(StEuting Point)
Current CCAA Approved Amount:
$ 4.000
(Last Total Amount Approved by the CCAA)
$ 4000
(Indudlng All Changes PriorTo This Modification)
S (2000)
CUrT8nt Contract Amount
Change Amount:
R.vi.edContracUWork Order Amount $ 2.000
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractlWorl< Order: $ (2000l
Date of Laat CCAA Approval
1 0106108
Agenda Item # IX C.
( - 5;;\ "I.
'-t
Percentage of the change over/under current connet amount
Formula; (Revised Amount I last CCM approved amouot}-1
CURRENT COMPLETION DATE (5): ORIGINAL: 913D12OO9
CURRENT:
9/3012009
Describe the change(al: Reduce budoetlO reflect decreased level of actlvltv.
Specify the reaaons for the change(s) (' 1. Planned or Elective (;' 2. Unforeseen Conditions (;' 3. Quantity
Adjustments r 4. Correction of ElTors (Plans, SpeCifications or Scope of Work) (" 5. Value Added
r 6. Sclledule Adjustments Note, One or more may b. checkad, depending on the nature of the change(s).
Identify all negative Impacts to the project If thle change order were not prucessed: Funds necessary for Marco
Airoort miticationoermit reaulrementwill be unavailable.
Thla change was requested by: PConir1!ctor/Conaultant !r OWner n UsIng Department C COES
!:oeslgn Proieaalonel c: Regulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS,
!! Ves r No
REVIEWED BV:
Oat.: 'f-z. 0 . T;) '1
APPROVED BV:
Date: Lf - .:11-0'7
.!
,~
..,
Revised II .19.2007
P"\oenja Item No.1 i.3E6
rv'lay' 1 L, LUU~
iU-ul 'I/:tct'l:(J+ 10f 44
dfiJ
(~
CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: . Envimnmental Services (or MKV PROJECT #: N/A
PROJECT MANAGER: Ther.... Cook
BIDIRFP n: 07-4168
MDD#:
PO#: 4500102448
WORK ORDER #:
PAS.FT -4168.Q8-05
DEPARTMENT: Airoort Authorttv
CONTRACTORIFIRM NAME: Passarella & Associates 100
CUlT8nt Contract Amount
$ 4000
(Starting PoInt)
$ 4000
(Last Total Amount Approved by the CC,.d"AJ
$ 4000
(Including All Changes Prior To This Modification)
$ 2000
Original Contract Amount
Currant CCAA Approved Amount:
Change Amount:
Revised ContractIWork Order Amount $ B 000
(Including This Change Order)
Cumulative Collar Value of Changes to
this ContractlWork Order: $ 2 000
Date of Last CCAA Approval
10106108
Agenda Item # IX D.
Percentage of the changlt over/under current contract amount
Formula: (Revised Amount I Last CeM approW'ed amount}-1
50
%
CURRENT COMPLETION DATE (5): ORIGINAL: 913012009
CURRENT:
913012009
De"cribe the change,s): Increase budaet due to unanticioated comoHancelssues associated with the off-site mitiaation
areas at Rookerv Bav National Estuarine Research Reserve.
Specify the reasons for the change(s) r 1. Planned or Elactive 1> 2. Unforeseen Conditions r- 3. Quantity
AdJustmenl$ r 4. Correction of Errol1I (Plans, Speciflcations or Scope of Workl r. 5. Value Added
r 6. Schedule Ad]ustmentsNote: One or more may be checked, depending on the n.ture of the chenge(s).
identify all negative Impecta to the project if this change order were not processed: Marco Island Executive
Airoort mltlaation will not be 'in comollance with cermit reaulrements.
This ch.nge was requested by: "'lcontractor/Consultant !! Owner n Using Department !: CDES
Coeslgn Profeesion.1 !! Regulatory Agency (Specify) FDEP r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
'1 Ves r No
APPROVED BY:
Date: '1- Zo' D'1
REVIEWED BY:
Date: d-rJ/- 0 9
Revised 11.19.2007
~~
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