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Backup Documents 10/27/2009 Item #16D13 , fI>lY{J'o.. ~ (0 1. \.~ 2. , f,j' 3. it ~ 4. 5. !.\ ~ '" 6. ft #: ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI16 0 1 3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) ROUTING SLIP Complete routing lines # 1 through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the exce tion of the Chairman's si ature, draw a line thrOll TOUtiO'" lines #1 thrall #4, com Jete the checklist, and forward to Executive Mana erOll (line #5). Route to Addressee(s) Office Initials Date (List in Toutin order) 1. PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending Bee approval. Normally the primary contact is the person who created/prepared the executive summary. Primary contact information is needed in the event one of the addressees above need to contact staff for additional or missing information. All original documents needin the Bee Chairman's si ature are to be delivered to the Bee office onl after the Bee has acted to a rove the item.) Name of Primary Staff '~ Phone Number Contact ..L.J , C~ V\,i\ ~ 0 Agenda Date Item was A roved b the BCC Type of Document Attached 2. 3. 4. 5. Executive Manager Board of County Commissioners 6. Minutes and Records Clerk of COurt'S Office /&. D 1:3 C ~ Ov-J0( .Agenda Item Number ~ Number of Original Documents Attached INSTRUCTIONS & CHECKLIST Initial the Yes colwnn or mark "Nt A" in the Not Applicable column, whichever is a TO riate. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chainnan, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully executed by all parties except the BCC Chainnan and Clerk to the Board and ossibl State Officials.) All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other arties exce t the BCC Chairman and the Clerk to the Board The Chairman's signature line date has been entered as the date ofBCC approval ofthe document or the final ne otiated contract date whichever is a licable. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's si nature and initials are re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided to the Executive Mgr. in the Bee office within 24 hours of Bee approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. B aware of your deadlines! The document was approved by the BCC on V 2.1 (enter date) and all changes made during the meeting have been incorporate in the attached document. The Count Attorne 's Office has reviewed the chan es, if a licable. g Yes (Initial Jf2 ~Ij\ ~\~ I: Fonus! County Fonnsl Bee Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 MEMORANDUM Date: November 2, 2009 To: Diana DeLeon Purchasing Department From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Change Order #3 (Contract #08-511) with White General Constructors, Inc., to complete the historical restoration & renovations at the Naples Depot Museum Attached is an original change order, referenced above (Item #16D13) and approved by the Board of County Commissioners on Tuesday, October 27, 2009. The Minutes and Records Department has kept the second original document for the Board's record. If you should have any questions, please contact me at 252-8406. Thank you. Attachment (1) 16D13 Patricia L. Morgan From: Sent: To: Cc: Subject: 16D13 DeLeon Diana [DianaDeLeon@colliergov.net] Wednesday, October 28, 20092:21 PM Patricia L. Morgan; Ian Mitchell; GreeneColleen Vincent, Gary; Jamro, Ron; Judy Lusher BCC Meeting 10/27/09, Agenda Item 16.D.13 Please note that the referenced agenda item's executive summary had the incorrect contract number. The correct contract number should be 08-5114. Please let me know if you have any questions. Thank you, Diana De Leon Contract Technician Collier County Board of County Commissioners Purchasing Dept., Bldg. G 3301 E. Tamiami Trail Naples, FL 34112 (239)252-8375; Fax (239)252-6597 dian adeleon@colliergov.net 08-SIlq... CONTRACT NO. lI8 S 111_ BCC Date: March 24. 2009 Agenda Item: 16.0.8 tJ.6D13 CHANGE ORDER -. CPANGE ORDER NO. , 3 TO: White General Constructors 4680 7th Avenue SW NaDles. FL 34119 DATE: October 8. 2009 PROJECT NAME: Naples Depot Phase 111 PROJECT NO.: 50401 Under our AGREEMENT dated Mav 6. 2009 You hereby are authorized and directed to make the following change(s) in accordance with terms and conditions of the Agreement: Construct indoor ADA accessible ramD: install additional eleclrical conduits: reDlace 11 doors: caint interior walls and floors: install track Iiehtina svstem: Daint the buildina exterior: reDair stucco. soffits and decorative trim: reDair/reDlace window and door seals: uoorade/reolace electrical Danels:reDair electric service to train cars: rewire 5 HVAC units: and other minor reDairs.. FOR THE Additive Sum of: . One-hun.dred-twentv-nine-thousand-eillht-hundred-twentv dollars ($129.820.00). Original Agreement Amount $ 440.000.00 Sum of Previous Changes $ 43.593.00 This Change Order add $ Present Agreement Amount 129.820.00 $____613A13.00 The time for completion shall be increased by ..Q...... calendar days due to this Change Order. Accordingly, the Contract Time is now 260 calendar days. The substantial completion date is FebrulllY 10.2010 and the final completion date is March 8. 20 I O. Your acceptance of this Change Order shall constitute a modification to our Agreement and will be performed subject to all the same terms and conditions as contained in our Agreement indicated above, as fully as if the same were repeated in this acceptance. The adjustment, if any, to the Agreement shall constitute a full and final settlement of any and all claims of the Contractor arising out of or related to the change set forth herein, including claims for impact and delay costs. Accepted: October 8. 2009 CONTRACTOR: WHITE GENERAL CONSTRUCTORS ~ By: Philip Who e. r . , OWNER: BOARD OF CO~COMMISSIONERS OF C "LlER CO , FLORID By: Gary Vin n Project Manager DEP~ENT DIRECTOR . / 13y: _~ .J Ron Jamro DIVI; N AQ~)oR / I ! ~ \.......... !.1 / .I r' ,,/ /"' 1/' ---,),___ By: . l ,</:-, ' CONTRACT SPECIALIST 16013 ~ -// By: Dian~ -~L::n~ '- ~ .. 1., -*-. Date: \ ~a-2Jon:::::l .~.,--..,.-:-\.--~~ ATIEST: ,~~. e~~/jlo . :(' ~ . .......... -l/;t\ Dwight E. Brock, olllrk/;-. ""'-"~' ") . ",', "._,-) . ~1._ ~, -J\/..\. ~ i':n"..{~, ". ';1'...,~ . .,- '>f. ", ' " : BOARD OF COUNTY COMMISSIONERS OF COlllER'ff!::WRID1 _ /J BY: ~ ~ Donna Fiala. Chairman BY: . , ...-;.': Attest Lt. . . <: .f.......,... ",~ Approved"XsTO Fomu"....., .s.' . 4'S~'H~' and Legal Sufficiency~ ......j.. ~"l~ Print Name: (J)1I eEn (Y1 . KyBfffi...Q _ Assistant County Attorney Item # UeD13 Agenda I" \-'''71 ~ Date lU.lklLlT I ~~d l1JJd.RJ Kf Deputy Clerk