CN-550000-BE227-S0030000.pdf

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

CONTRACT STATUS CHANGE/CHECKLIST

COMPTROLLER

01/08

STATE COMPTROLLER USE:

Info Provider: Angela Haire Received date:

Return to: Angela Haire Approved date:

Mail Station: 3-5-06 Approved by:

Phone # of Info Provider: (386) 943-5317

CONTRACT NUMBER: BE227 SITE/DISTRICT: 5

Total Executed Contract Amount: $ 1,697,000.00 / $ 5,723.00 To date This action

Status Code (choose one) 10 = Executed Contract 4X or 6X = Audit Status (Indicate Year)

20 = In Claims 99 = Post Design Service 50 = Complete/Terminated Contract

Original Contract Amendment (Indicate #) Renewal Addition (Indicate #)

Award Supplemental (Indicate #) 05 Letter of Authorization (Indicate #)

Time Extension Close Contract Other Changes (must include comments)

LETTING DATE: 4/22/2016 AWARD DATE: 6/17/2016

DATE OF CONTRACT EXECUTION (Last Signed Date): 6/30/2016

If last date signed > contract start date you must submit emergency certification (287.059 F.S. (2) 1) or Certificate of noncompliance (287.059 F.S. (2)) or settlement document (CM4(87-88) or CM11 (91-92)).

CONTRACT BEGINNING DATE: 8/28/2016 ENDING DATE: 5/13/2017

SERVICES BEGINNING DATE: 8/28/2016 SERVICES ENDING DATE: 5/13/2017

VENDOR NAME: Collage Design and Construction Group VENDOR NUMBER (FEID/SS): F592143889

PROJECT NUMBER: 430290-1-52-01 PROJECT NUMBER:

PROJECT NUMBER: BE227 PROJECT NUMBER:

CAN THIS CONTRACT BE RENEWED? YES NO SERVICE TYPE:

PAGE NUMBER RENEWAL CLAUSE IN CONTRACT:

Comments:

Executed SA adds $5,723.00.

Certification Statement: I certify that the above information is correct and a true reflection of information contained in the above referenced contract.

Approved by: (Printed or typed) Title:

Approval Signature: Approval Date:

SUPPLEMENTAL AGREEMENT

700-010-45

CONSTRUCTION

04/11

No. 05 Contract No.: BE227 Page 1 of 2

Road No(s). DeBary Parking Lot Expansion Federal Aid Project No(s). N/A

Fin. Proj. ID 430290-1-52-01

This agreement entered into on , such an agreement to be effective on the last date of execution by a party hereto, by and between the State of Florida Department of Transportation, “Department”, and Collage Design and Construction Group, Inc,, “Contractor”, and North American Specialty Insurance Company, “Surety”, the same being supplementary to Contract BE227 by and between the parties aforesaid, dated 06/30/2016, for the construction or improvement of the road(s) and bridge(s) assigned the project number(s) shown above, in Volusia Count(y)(ies) Florida.

(1) See page 2 of this Supplemental Agreement.

Revised Plan Sheet Nos. See page 2 of this Supplemental Agreement.

(2) The quantities to be paid shall be determined as provided in the Standard Specification, Edition of 2016.

The quantities so determined shall be paid at the unit prices stated on the attached sheets.

(3) It is further agreed that this supplemental agreement shall not alter or change in any manner the force and effect of the original Contract No. BE227, including any previous amendments thereto, except insofar as the same is altered and amended by this supplemental agreement.

(4) The Department and the Contractor agree that the contract time adjustment and sum agreed to in the Supplemental Agreement constitute a full and complete settlement of the matters set forth herein, including all direct and indirect costs for equipment, manpower, materials, overhead, profit and delay relating to the issues set forth in the Supplemental Agreement. This settlement is limited to and applies to any claims arising out of or on account of the matters described and set forth in this Supplemental Agreement.

Granted Time this Agreement 00 Days

Net Change in Contract this Agreement: Increase $ 5,723.00 Decrease $ 0.00 No Change

Approved By: Executed By:

(SEAL)

Secretary or Designee Signature Contractor Signature Printed Name Steven P Kramer, PE Printed Name Title Senior Project Engineer Title Date Date

Executed By:

ATTEST

Secretary or Designee Signature Secretary Date Printed Name John E Tyler, PE Title District Construction Engineer Date (SEAL) Surety

Attorney Signature, Department of Transportation, Legal Review BY

Printed Name Florida Licensed Insurance Agent Date Date spinyot

Typewritten Text

Stephen J. Pinyot

Vice President

May 11, 2017

5/11/17

Diane

Seal knmtnah

Text Box

05/15/2017

SUPPLEMENTAL AGREEMENT

700-010-45

CONSTRUCTION

04/11

No. 05 Contract No.: BE227 Road No(s). DeBary Parking Lot Expansion Federal Aid Project No(s). N/A Fin. Proj. ID 430290-1-52-01

(1) (continued):

In consideration for the $ 5,723.00, increase in contract price and zero (0) contract days additional contract time granted to the Contractor, the Department and the Contractor agree that FDOT Contract BE227 is hereby amended to include the following additional work, labor, materials, and equipment:

PLAN REVISION 2:

Revised Plan Sheets: 1, 3B, 42, 43, 44, 50, dated 4/12/2017 and prepared by AECOM Technical Service, Inc., are incorporated into and made a part of the Contract.

ISSUE:

Furnish and install the additional piping, sleeves, valves, and other fittings as necessary for the irrigation system per Plan Revision No 2 dated 4-12-2017.

REASON:

The location of the existing water meter feeding the irrigation is not as shown on the plans, and the existing pipe size shown could not support the required water volumes. This was noted in RFI #4 and #5. The EOR revised the plans to show the correct tie-in location, and revised the irrigation system pipe sizes, lengths, valves and other fittings and appurtenances accordingly.

1 6

23 24

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Valdez

Valdez

Bend

Carson

Banks

High

Coxettters

Florida

Dutchmans

DEBARY

Tower

Orange City

Dirks on D rive

Exit

Exit

Ave.

Rhode Island

C S X

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Benson

Lake Monroe400 t.J oh ns R iv er

92 4156

Pop. 15,559

SANFORD

TO SANFORD

TO

0 1 2

Miles

T-18-S

T-19-S

-3

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JANUSZ WAGNER, P.E.

48985

315 E. ROBINSON ST. SUITE 245

ORLANDO, FL. 32801-1949

CERTIFICATE OF AUTHORIZATION 008115

SUNRAIL PARKING LOT EXPANSION - DEBARY

PROJECT LOCATION

JOE BITAR, P.E.

STATE OF FLORIDA

DEPARTMENT OF TRANSPORTATION

CONTRACT PLANS

HAVE CHANGED DUE TO REPRODUCTION.

NOTE: THE SCALE OF THESE PLANS MAY

P.E. NO.:

ENGINEER OF RECORD:

PLANS PREPARED BY:

SHEET DESCRIPTIONSHEET NO.

TO BE SUBMITTED TO:

NO.

SHEET

YEAR

FISCAL

ROADWAY SHOP DRAWINGS

ROADWAY PLANS

4:48:44 PM \\URSOrlando\Orlando\Projects\CADD\43029015201\roadway\Plan\keysrd01.dgnPrinceK 5/1/2017

FINANCIAL PROJECT ID 430290-1-52-01

VOLUSIA COUNTY (78)

FDOT PROJECT MANAGER: 16

INDEX OF ROADWAY PLANS

STATE ROAD NO. 15/600

BEE LINE

EXPRESSWAY

U

IK

E

PENSACOLA FORT WALTON

BEACH

PANAMA

CITY

CHIPLEY

TALLAHASSEE

JACKSONVILLE

ST AUGUSTINE

GAINESVILLE

OCALA DAYTONA BEACH

DELAND

NEW PORT RICHEY

TAMPA

LAKELAND

MELBOURNE -

COCOA

ORLANDO

BARTOWST PETERSBURG

SARASOTA -

BRADENTON

FT PIERCE

FT MYERS

WEST PALM

BEACH

FT LAUDERDALE

MIAMI

NAPLES

KEY WEST

CITY

LAKE

LENGTH OF PROJECT

ROADWAY

GROSS LENGTH OF PROJECT

NET LENGTH OF PROJECT

BRIDGES

EXCEPTIONS

LINEAR FEET MILES

following web site:

For Design Standards click on the "Design Standards" link at the click on the "Specifications" link at the following web site:

For the Standard Specifications for Road and Bridge Construction

GOVERNING STANDARDS AND SPECIFICATIONS:

http://www.dot.state.fl.us/rddesign/

F

LO

ID

'S

PROPOSED PARKING LOT

T-18-S

T-19-S

1-

-W city orange

N/A N/A

Contract Documents.

Specifications for Road and Bridge Construction, as amended by revised Index Drawings as appended herein, and 2016 Standard

Florida Department of Transportation, 2016 Design Standards and

DEBARY

AECOM TECHNICAL SERVICES, INC.

VENDOR NO. F952661922

315 E. ROBINSON ST. SUITE 245

ORLANDO, FL. 32801-1949

JANUSZ WAGNER, P.E.

PH (407) 422-0353, FAX (407) 423-2695

http://www.dot.state.fl.us/programmanagement/

H

L

D

G

CONSTRUCTION CONTRACT NO.

REVISIONS

BE227

1, 3A, 15A, 16A, 22A, 32, 33A, 37, 39, 40, 44, 48, 49, 50, 50A, & 52

2 1, 3B, 42, 43, 44, 50

1 2

53 LIGHTING LIGHT POLE FOUNDATION DETAIL

52 LIGHTING PANEL SCHEDULE

51 LIGHTING ELECTRICAL DETAILS

49 - 50A LIGHTING PLANS

48 LIGHTING NOTES & LEGEND

47 LIGHTING TABULATION OF QUANTITIES

45 - 46 IRRIGATION DETAILS

43 - 44 IRRIGATION PLANS

42 IRRIGATION LEGEND

41 IRRIGATION NOTES

39 - 40 LANDSCAPE PLANS

38 LANDSCAPE NOTES AND DETAILS

37 LANDSCAPE TABULATION OF QUANTITIES

34 - 36 WAYFINDING SIGN DETAILS

32 - 33A SIGNING & PAVEMENT MARKING PLANS

TABULATION OF QUANTITIES

31 SIGNING & PAVEMENT MARKING

30 TEMPORARY TRAFFIC CONTROL DETAILS

28 - 29 STORMWATER POLLUTION PREVENTION PLAN

27 SOIL PROFILES

26 BORING LOCATION MAP

25 SOIL SURVEY

24 DRAINAGE DETAILS

23 DRAINAGE STRUCTURES

22 - 22A DRAINAGE PLAN AND UTILITY ADJUSTMENTS

17 - 21 SPECIAL DETAILS

16 - 16A PROPOSED GRADING PLAN

14 - 15A PROPOSED SITE PLAN

13 PROJECT LAYOUT

12 OPTIONAL MATERIALS SYSTEMS

11 SUMMARY OF DRAINAGE STRUCTURES

10 EXISTING DRAINAGE SUMMARY

9 DRAINAGE MAP

8 PROJECT NETWORK CONTROL

7 EXISTING SITE PLAN

SQ-1 - SQ-5 SUMMARY OF QUANTITIES

6 TYPICAL SECTIONS

CIVIL GENERAL NOTES5

4 SUMMARY OF PAY ITEMS

2 - 3B SIGNATURE SHEET

1 KEY SHEET

DESCRIPTIONDATE

10/26/16

KEY SHEET REVISIONS

CONTRACT NUMBER

ADDED CONSTRUCTION

04/12/17 ADDED SIGNATURE SHEET

5/9/2017PrinceK O:\Projects\CADD\43029015201\roadway\Plan\SIGNRD01_rev2.dgn2:52:53 PM

430290-1-52-01 VOLUSIA N/A

ROAD NO. FINANCIAL PROJECT IDCOUNTY

DATE DESCRIPTION

SHEETSTATE OF FLORIDA

SIGNATURE SHEET

ON THE ELECTRONIC DOCUMENT.

THE SIGNATURE MUST BE VERIFIED

NOT CONSIDERED SIGNED AND SEALED.

PRINTED COPIES OF THIS DOCUMENT ARE

CERTIFICATE OF AUTHORIZATION NO. 008115

PH (407) 422-0353 FAX (407) 423-2695

ORLANDO, FL 32801-1949

315 E. ROBINSON STREET, SUITE 245

P.E. LICENSE NO. 48985

JANUSZ WAGNER

STATE OF

No 48985

NI

NE LANOI

ESNECI

DIROL

RENGAW ZSU

AJ

JANUSZ WAGNER, P.E. NO. 48985

SIGNED AND SEALED BY:

THIS ITEM HAS BEEN DIGITALLY

THE FOLLOWING SHEETS IN ACCORDANCE WITH RULE 61G15-23.004, F.A.C.

THE ABOVE NAMED PROFESSIONAL ENGINEER SHALL BE RESPONSIBLE FOR

SHEET NO. SHEET DESCRIPTION

THE FOLLOWING SHEETS IN ACCORDANCE WITH RULE 61G15-23.004, F.A.C.

THE ABOVE NAMED PROFESSIONAL ENGINEER SHALL BE RESPONSIBLE FOR

MICHAEL SCHULTE, L.A. NO 6666683

CERTIFICATE OF AUTHORIZATION NO. LC26000395

TAMPA, FL 33607-1462

7650 W. COURTNEY CAMPBELL CSWY, SUITE 700

TI

HCRA EPAC

TL

UHCS LEAH

CI

No 6666683

THE FOLLOWING SHEETS IN ACCORDANCE WITH RULE 61G10-11.011, F.A.C.

THE ABOVE NAMED LANDSCAPE ARCHITECT SHALL BE RESPONSIBLE FOR

SHEET NO. SHEET DESCRIPTION SHEET NO. SHEET DESCRIPTION

10/26/16 RIGHT IN/RIGHT OUT 1

3B SIGNATURE SHEET

1 KEY SHEET

IRRIGATION PLANS43-44

IRRIGATION LEGEND42

SIGNATURE SHEET3B

2 04/12/17 RFI REVISIONS

No 50764

NI

NE LANOI

DASUOM XEL

ALEX MOUSADI, P.E. NO. 50764

50 LIGHTING PLANS REVISION 2 ONLY

3B SIGNATURE SHEET

$DATE$$USER$ $FILE$$TIME$

IC

T H

IA

R E C O R

IS

E T I

LE

T R O

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IG

IT

A

LL

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-1 1.0

F .A .C

04/12/17 IRRIGATION POINT OF CONNECTION

AN

ATE

SR 15/600 (US 17-92)

(PER FDOT R/W MAP

SEC. 79040-2544)

17.3

17.4

17.0

22.8

19.1

17.8

13.0

27.8

26.6

17.8

19.8 21.8

12.4

AT

IN

-A

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2)

T H

R E C O R

E T I

T R O

A

LL

E

E

F .A

SR 15/600 (US 17-92)(PER FDOT R/W MAPSEC. 79040-2544)

20.8

29.6

31.0

IN

-A

E I R

IO

LA

1)

T H

R E C O R

E T I

T R O

A

LL

E

E

F .A

10/20/16 RIGHT IN/RIGHT OUT

5/9/2017PrinceK O:\Projects\CADD\43029015201\lighting\planlt02_rev2.dgn10:55:50 AM

SHEETSTATE OF FLORIDA

PH (407) 422-0353 FAX (407) 423-2695

P.E. LICENSE NO. 50764

ALEX MOUSADI

5 6 7

POT STA. 7+10.00

POINT 2

POT STA. 15+08.88

POINT 4

10 40

Feet

SA2

LS11

LS11 LS11

LS9

LS9 LS9

LS8

LS12

LS13

LS7

LS7 LS6

SHEET NOTES:

SEE NOTE 3

UTILITY YARD

LS6, LS7 TO

SEE NOTE 4

SEE NOTES 4 & 5

SEE NOTE 4

LS11 ON SHEET (1)

END OF NEW CIRCUIT

RELOCATE POLE TO

LIGHTING PLAN (2)

SA1

10/24/16 1 LIGHT POLE RELOCATION PER RFI 001

6. REFER TO PANEL SCHEDULE TO REVISED BREAKER SIZES FOR CIRCUITS LS8 AND LS9.

CONDUIT AS SHOWN ON THE PLANS.

NEW 3#10 AWG LIGHTING CONDUCTORS SERVICING CIRCUIT LS7 AND EXTEND CIRCUIT IN NEW

5. CONTRACTOR TO INTERCEPT EXISTING CONDUIT AT BASE OF EXISTING LIGHT POLE AND CONNECT

CONDITION.

NEW 1 1/4" CONDUIT(S). DIRECTIONAL BORE AS REQUIRED AND RESTORE SITE TO EXISTING

4. CONTRACTOR TO INTERCEPT EXISTING CONDUIT(S) AT BASE OF EXISTING LIGHT POLE AND CONNECT

INSTALL NEW 3#8 AWG LIGHTING CONDUCTORS FOR CIRCUIT LS6 IN EXISTING CONDUIT.

FROM THE LAST POLE ON THE CIRCUIT TO THE UTILITY YARD LIGHTING LOAD CENTER AND

3. CONTRACTOR TO REMOVE EXISTING 3#10 AWG LIGHTING CONDUCTORS SERVICING CIRCUIT LS6

LIGHTING CONDUCTORS FOR CIRCUIT LS8 AND 3#4 FOR CIRCUIT LS9.

2. CONTRACTOR TO INSTALL 1-2" PVC CONDUIT USING DIRECTIONAL BORE TO CARRY NEW 3#2 AWG

AND INSTALL NEW 3#8 AWG LIGHTING CONDUCTORS IN EXISTING CONDUIT.

1. CONTRACTOR TO REMOVE EXISTING 3#10 AWG LIGHTING CONDUCTORS SERVICING CIRCUIT LS8

SEE NOTE 1

LS8, LS9 TO

LS11 TO

SEE NOTE 2

INTO UNDERGROUND ENCLOSURE.

INTERCEPT AND TIE CONDUIT

EXCAVATE AROUND LIGHT POLE

2 ELECTRICAL CONDUIT PER RFI 0024/12/17

SEC. 79040-2544)

(PER FDOT R/W MAP

SR 15/600 (US 17-92)

2017-05-11T10:02:03-0400

Stephen J Pinyot

2017-05-11T10:03:26-0400

Brian A Walsh

2017-05-15T07:05:22-0400

Steven P Kramer

2017-05-15T11:19:00-0400

James R Mahler

2017-05-15T11:20:56-0400

Jennifer L Smith

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

BE227

3/7/2017

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 3/7/2017

Action: Supplemental

Organization Code: 55052000531

Expansion Option: A3

Object Code: 134036

Amount: $5,723.00

Financial Project: 43029015201

Work Activity (FCT): 200

CFDA:

Fiscal Year: 2017

Budget Entity: 55100100

Category/Category Year: 088774/17

Amendment ID: S003

Sequence: 00

User Assigned ID: SA 05

Enc Line (6s)/Status: 0004/04

Total Amount: $5,723.00

Contract: BE227

Contract Type: B1 - OTHER CONTRACTUAL SERVICE (OTHER CS)

Vendor Name: COLLAGE DESIGN & CONSTRUCTION G

Vendor ID: F592143889006

Beginning Date of This Agreement: 06/30/2016

Ending Date of This Agreement: 03/07/2017

Contract Total/Budgetary Ceiling: ct = $1,755,291.45

Method of Procurement: B - REQUEST FOR PROPOSAL (287.057,F.S.)

Description: DeBary SunRail Parking Lot Expansion

Page1 of 1

To: Angela.Haire@dot.state.fl.us