CN-370000-BS135-T7CO1.pdf

ATTACHMENT D – TASK ASSIGNMENT CHANGE ORDER FORM

DEP CONTRACT NO. BS135

Task Assignment Number: ______07____

Date: _____10/27/2020_____

Change Order No.____1____

Contractor Name:

Mott MacDonald Florida, LLC

Contractor Contract Manager: __James Johnson_____________________

Phone: _850-222-0334__________

DEP Contract Manager: ____Genita Alexander _____________

Phone: _850-245-8021____ __

Description of Change (Use Additional Sheets if necessary:

Re- mobilize and conduct visual inspection of earthen embankment; and re-mobilize and conduct underwater inspection of the outlet works and discharge pipe, as per scope of services dated 10/2/2020, revised 10/23/2020.

Deliverable due date changes follow:

Task 1.1.: November 9, 2020 Task 1.2.: December 4, 2020 Task 1.3.: 1st Draft – December 11, 2020 Final report – December 31, 2020

CHANGE IN TASK AMOUNT

Item Fee Schedule Cost Reimbursement

Total

Original Task Amount: $15,032.84 $15,032.84

Task Amount Prior to this Change Order: $15,032.84 $15,032.84 Net Increase/Decrease in Task Amount: $3,464.16 $3,464.16

Task Amount with all Change Orders: $18,497.00 $18,497.00

CHANGE IN TASK TIME

Original Task Completion Date: December 7, 2020

Completion Date Prior to This Change: December 7, 2020

Net Increase/Decrease in Task Period: 24 days Completion Date with all Change Orders: December 31, 2020

CONTRACTOR

FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION

Contract Manager Date Project Manager

Contract Manager

Date

Date

APPROVED:

Cost Center Administrator Date cc: DEP Procurement Section (MS93), Bureau of Finance and Accounting (MS78) – 2 copies Contract No. BS135

16, 2020 11, 2020

18, 2020

Digitally signed by David Skipper DN: cn=David Skipper, c=US, o=Unaffiliated, ou=A01410C0000016FC9EAEA36000089DE, email=david.skipper@mottmac.com Date: 2020.10.27 12:31:45 -05'00'

David Skipper Tracy Woods Digitally signed by Tracy Woods

Date: 2020.10.27 14:59:34 -04'00'

Genita Alexander Digitally signed by Genita Alexander Date: 2020.10.29 15:20:15 -04'00'

Rhonda Massey Digitally signed by Rhonda Massey Date: 2020.11.03 14:01:56 -05'00'

Condition Assessment and Certified Assessment Report for

Lake Larc Dam, Team Effort, Inc., Green Cove Springs, Clay County, FL

SCOPE OF SERVICES

Change Order No.1 (CO1)

Background and Project Description:

The State of Florida Dam Safety Program (FDSP) is administered by the Engineering, Hydrology, and Geology Program in the Division of Water Resource Management, Florida Department of Environmental Protection (FDEP). The Florida National Dam Safety Program Grant for FY2019 has approved the use of grant funds to conduct Condition Assessments for dams in Florida. This proposal is for conducting a Condition Assessment investigation and preparing a Certified Dam Assessment Report for Lake Larc Dam, that is part of the Lake Asbury Impoundments System (Refer to the Figure 1 in Appendix B).

Lake Larc Dam, NID No. FL00152, impounds the south western tributary portion of Asbury Lake, and is located on an unnamed tributary to Asbury Lake to the north west of Lake Asbury South Dam and is owned and operated by Team Effort, Inc (TEI). Refer to Figure 2 in Appendix B. The current work effort is to conduct a Condition Assessment Investigation and prepare a Certified Dam Assessment Report for Lake Larc.

The purpose of this project is to :

1) Conduct a visual inspection of the earthen embankment and an underwater inspection of the outlet works and discharge pipe, to assess the overall condition of Lake Larc Dam and appurtenances, and provide the FDEP and the dam owner with a Certified Condition Assessment Report for the dam.

Tasks within the Scope of Work:

Conduct overall Condition Assessment of the dam and provide the required Condition Certification Report for the dam. The work will consist of the following tasks:

Task 1: Complete Condition Assessment and Certified Assessment Report for dam

1.1 CO1 Re-Mobilize and Conduct a site visit trip to Lake Larc dam and conduct visual inspection

1) Meet with TEI representative during the site visit to obtain authorized access and any first-hand existing dam data available to supplement the visual inspection and the condition assessments.

2) Conduct visual inspection of the earthen dam and appurtenances.

3) Prepare a photographic record of the visual observations.

Note: Initial mobilization and site visit began on 10/12/2020, but had to be discontinued because the dam site needed to be cleared to allow the visual inspection of the dam to be safely and properly conducted. Therefore an additional Mobilization and second site visit is necessary.

DELIVERABLES:

1.) Provide e-mail notification to the FDSP at least two days prior to the scheduled site visit for visual inspection and dam condition assessment. The notification should include the date, time, meeting location, and the vendor contact name and phone numbers (office and cell). The e-mail notification should be sent to Tracy.Woods@FloridaFDEP.gov .

2.) Email an electronic version of pertinent documents obtained from the dam owner, including any data relative to original design plans, inspections, maintenance records, etc.

to Tracy Woods.

3.) Email an electronic version of the photographic record and field inspection notes for the dam, to Tracy Woods.

Performance Measure: Deliverables will be reviewed by the Department to confirm that they are complete, accurate, and timely.

1.2 CO1 Re-Mobilize and Conduct under water inspection

1) Inspect the existing 54-inch diameter riser outlet works, drain valve and 24-inch corrugated metal pipe ( CMP) discharge outlet pipe for current condition.

2) Provide underwater video and photographs (water visibility permitting).

3) Document corrosion, deformities, operability of the drain valve and any abnormal conditions of the low-level outlet works.

4) Conduct Remotely Operated Vehicle (ROV) /closed-circuit television (CCTV) pipe crawler underwater and remote sensing of 111-ft 24-inch diameter discharge pipe.

Note: The exploratory dive Mobilization 1 began on 10/12/2020 , but was discontinued because the riser pipe outlet works valve stem was broken and access to the riser pipe at the upstream embankment was restricted due to overgrown vegetation. Therefore an additional Exploratory dive Mobilization is necessary.

DELIVERABLES:

1.) Provide e-mail notification to the FDSP at least two days prior to the scheduled under water inspection of the dam outlet works and low-level outlet conduit. The notification should include the date, time, meeting location, and the vendor contact name and phone numbers (office and cell). The e-mail notification should be sent to Tracy.Woods@FloridaFDEP.gov .

2.) Email an electronic version of the underwater video, and CCTV record of remote sensing of 24 -inch diameter discharge pipe, to Tracy Woods.

Performance Measure: Deliverables will be reviewed by the Department to confirm that they are complete, accurate, and timely.

1.3 Prepare Condition Assessment Report for Lake Larc Dam

1) Prepare Draft Condition Assessment Report for the dam utilizing FDEP templates.

2) Prepare and electronically submit required Final Certified Condition Assessment Report.

mailto:Tracy.Woods@FloridaFDEP.gov mailto:Tracy.Woods@FloridaFDEP.gov

DELIVERABLES:

1) Electronically submit a DRAFT Condition Assessment Report for Lake Larc Dam to Tracy Woods, at FDSP.

2) Once approval of the DRAFT Condition Assessment Report is received from Tracy Woods via email, electronically submit a FINAL electronic version incorporating the responses to FDSP review comments to Tracy Woods.

Performance Measure: Deliverables will be reviewed by the Department to confirm that they are complete, accurate, and timely.

Key Personnel

FDEP

Role Name Entity

Project Manager Tracy Woods FDEP

Contract Manager Genita Alexander FDEP

Mott MacDonald

Project Principal David Skipper Mott MacDonald

Senior Project Manager James Johnson Mott MacDonald

Principal Engineer Michael Cox Comak Group

Lead Engineer Brandon Bagoo Comak Group

Lake Larc Dam – Team Effort , Inc

Owner Contact Doug Jones Team Effort, Inc

Project Schedule: CONSULTANT is available to begin work on this project immediately following receipt of an approved Task Order from FDEP. Project completion is approximately 8 weeks thereafter.

Project shall be completed by December 31 , 2020 assuming Notice to Proceed is issued by November

6, 2020. See Appendix A for Delivery Schedule.

Compensation and Method of Payment

Compensation to be paid to the Consultant for providing the services described herein shall be on a fixed-price basis for each task Deliverable. No compensation will be paid for services and/ or tasks that are not performed. The fixed-price compensation for each Deliverable shall be as listed in the detailed Fee Schedule Table. Refer to Appendix A for Payment and Deliverables Schedule Table.

The Consultant will submit invoices to the FDEP for work performed at the completion and acceptance by FDEP of each deliverable. Invoicing will be accompanied by a brief description of the work effort completed, including deliverables achieved, in accordance with the attached Fee Schedule.

Compensation will not be paid for a deliverable until the deliverable has been completed and accepted by the FDEP.

10/2/2020

Johnson, James J Rectangle

Johnson, James J Rectangle

Johnson, James J Text Box 10/27/2020

Appendix A - Payment and Deliverables Schedule

Appendix B - Figures

Appendix A

PAYMENT AND DELIVERABLES SCHEDULE

For all tasks payment shall be made on a fixed-price basis in the fixed amounts specified below for each deliverable following receipt and acceptance by the FDSP in accordance with Contract Terms.

Deliverable Deliverable Description Due Date Total

Payment Amount

Task 1 Complete Condition Assessment and Certified Assessment Report for Lake Larc Dam 12/31/2020

Task 1.1

CO1

Remobilize and Conduct site visit trip to Lake Larc Dam and conduct visual inspection

- Meet on-site with owner, obtain authorized access and first-hand information available for the facility

- Visual examination of earthen embankment

- Prepare photographic record of visual observations Sub Total Visual Inspection

11/16/2020

11/162020 $7,301.26

Task 1.2

CO1

Remobilize and Conduct underwater inspection of dam and appurtenances

- Inspect existing 54-inch riser pipe, drain valve and 24-inch CMP discharge outlet pipe

- Prepare underwater observations video and photographic record

- Document corrosion, deformities, and any abnormal conditions at the low level outlet works

- Underwater remote sensing of 111ft 24-inch discharge pipe using ROV/CCTV Crawler

- Summarize findings of inspection

Sub Total Under Water Inspection

11/16/2020

11/232020

11/23/2020

11/23/2020

12/11/2020

$7,307.14

Task 1.3

Prepare Condition Assessment Report for the dam – 1st Draft

Final Condition Assessment Report and Certified Condition Assessment Report Sub Total Report

12/18/2020

12/31/2020

$3,888.60

CO1 TASK 1 - TOTAL $18,497.00

ENGINEERING SERVICES ESTIMATE

FDEP Dam Safety Program

Lake Larc Dam , TEI - Lake Asbury Dam Impoundments, Green Cove Springs, FL

MM MM MM Comak Comak Comak Comak Comak Comak Comak MM

TASK NAME/ DESCRIPTION PERSONNEL

Project

Principal

Senior Project

Manager

Project

Engineer

Principal

Engineer

Chief

Consulting

Engineer

Lead

Engineer Engineer Technician

Engineering

Assistant CAD

Engineering

Assist. Manhour Totals TOTAL Expenses

SUBTASK

TOTAL TASK TOTAL

HOURLY RATE $240.63 $170.20 $120.01 $218.48 $186.90 $158.88 $109.92 $87.96 $65.71 $87.96 $65.71

Task 1- Complete Condition Assessment and Certified Assessment Report for Lake Larc Dam

1.1 CO1 Remobilize and Conduct site visit trip to Lake Larc Dam and Conduct visual Inspection 12 12 24 $4,528.32 $4,528.32

1) Meet on-site with Owner representative and obtain access and first-hand information available 1 1 2 $377.36 $377.36

2) Visual examination of earthen embankment above normal pool elevation and document 4 4 8 $1,509.44 $1,509.44

3) Prepare photographic record of the visual observations above normal pool elevation 2 2 2 6 $886.14 $886.14

Subtotal Visual Inspection 19 19 2 40 $7,301.26 $7,301.26

1.2 CO1 Remobilize and Conduct underwater inspection of the dam appurtenances 0 $0.00 $5,900.00 $5,900.00

1) Inspect existing 54-inch Riser pipe , drain valve and 24-inch CMP Dischagre outlet 1 1 $218.48 $218.48

2) Provide underwater video and photographs ( water visibility permitting) 2 2 4 $449.18 $449.18

3) Document corrosion, deformities and abnormal operating conditions of low level outlet works 1 2 3 $290.30 $290.30

4) Underwater Remote sensing of 111linear ft 24-inch discharge pipe using CCTV Tracker 2 2 4 $449.18 $449.18

Subtotal Underwater Inspection 1 5 6 12 1407.14 5,900.00$ $7,307.14

1.4 Prepare Condition Assessment Report for Lake Larc Dam utilizing FDEP Template 0 $0.00 $0.00

1) Prepare Draft Condition Assessment Report using Template for Florida dams & submit electronically 6 2 4 2 14 $2,225.10 $2,225.10

2) Prepare and electronically submit Final Certified Condition Assessment for Lake Larc dam 2 4 2 2 10 $1,663.50 $1,663.50

Subtotal Report preparation 8 6 6 4 0 0 24 3,888.60$ -$ $3,888.60

Task 1- Complete Condition Assessment and Certified Assessment Report for the Dam - Total 8 0 26 0 30 0 0 12 0 0 76 $12,597.00 5,900.00$ $18,497.00 $18,497.00

Notes:

Expenses = Subcontractor Specialty Service for Diver & Remote Sensing of Low level outlet works by

CCTV, provided by Atlantic Pipe Services, Bunnell, FL 32110

Page 1 of 1 Updated: 10/28/2020

Appendix B Figures

Figure 1. Lake Asbury Impoundments

Lake Asbury

Impoundments

Figure 2. DAM ID# FL00152 - Lake Larc Dam

PROPOSAL

Proposal Submitted To: Phone: Date:

Street: Job Name:

City, State, Zip Job Location:

Attn: E-Mail:

Florida’s Commercial Pipeline Cleaning, Inspection and Rehab Specialist

2905 E. Moody Blvd.

Bunnell, Florida 32110

P: (386) 313-9060 info@atlanticpipe.us

Quantity Description UOM Rate Total

TOTAL

25.00% 3'' Debris

25.00% 4'' Debris

20.00% 4'' Debris

20.00% 5'' Debris

20.00% 6'' Debris

20.00% 7'' Debris

15.00% 6'' Debris

15.00% 7'' Debris

10.00% 5'' Debris

10.00% 6'' Debris60" Diameter

In the event the required cleaning is beyond normal Heavy Cleaning, the cleaning will be performed under an hourly rate. Subject to prior client notification and approval.

24" Diameter

30" Diameter

36" Diameter

42" Diameter

48" Diameter

54" Diameter

Heavy Cleaning

Rates

Heavy Cleaning determined by percentage of debris in pipeline

12" Diameter

15" Diameter

18" Diameter

Comak Group, Inc. 561-507-7473

1182 Canyon Way, Suite OFC Lake Larc Dam Inspection

Wellington, FL 33414 Aldersgate St. Green Cove Springs

Michael G. Cox mgcox@comakgroup.com

0920-0815

Exploratory Dive (8 Hour Day Rate)

24" Plug Rental (Per Day)

24" Plug Install

24" Plug Removal

Dewatering of Pipeline. (Daily Pump Rental)

Internal Video Inspection (8 Hour Day Rate)

HR

EA

EA

EA

EA

EA

$1,600.00

$150.00

$550.00

$550.00

$250.00

$1,600.00

$1,600.00

$150.00

$550.00

$550.00

$250.00

$1,600.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$4,700.00

PROPOSAL

Proposal Submitted To: Phone: Date:

Street: Job Name:

City, State, Zip Job Location:

Attn: E-Mail:

Florida’s Commercial Pipeline Cleaning, Inspection and Rehab Specialist

2905 E. Moody Blvd.

Bunnell, Florida 32110 P: (386) 313-9060 info@atlanticpipe.us

Quantity Description UOM Rate Total

TOTAL

25.00% 3'' Debris 25.00% 4'' Debris 20.00% 4'' Debris 20.00% 5'' Debris 20.00% 6'' Debris 20.00% 7'' Debris 15.00% 6'' Debris 15.00% 7'' Debris 10.00% 5'' Debris 10.00% 6'' Debris60" Diameter

In the event the required cleaning is beyond normal Heavy Cleaning, the cleaning will be performed under an hourly rate. Subject to prior client notification and approval.

24" Diameter 30" Diameter 36" Diameter 42" Diameter 48" Diameter 54" Diameter

Heavy Cleaning Rates

Heavy Cleaning determined by percentage of debris in pipeline 12" Diameter 15" Diameter 18" Diameter

Comak Group, Inc. 561-507-7473 1182 Canyon Way, Suite OFC Lake Larc Dam Inspection

Wellington, FL 33414 Aldersgate St. Green Cove Springs Michael G. Cox mgcox@comakgroup.com

0920-0815

6 Exploratory Dive (6 Hour Mobilization)

Additional Mobilization.

HR $200.00 $1,200.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$1,200.00

Customer Responsibilities Qualifications

APS Representative

Signature Date

Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted.

You are authorized to do the work specified. Payment will be made as outlined above.

Client Representative:

Signature Date

Florida’s Commercial Pipeline Cleaning, Inspection and Rehab Specialist

2905 E. Moody Blvd.

Bunnell, Florida 32110 P: (386) 313-9060 info@atlanticpipe.us

Our Proposal includes Labor, Material, Equipment, and Workmanship necessary to perform all work on the Lake Larc Dam as requested by Comak Group.

Additional mobilization Exploratory Dive ( 6 Hour Mobilization) to supplement initial Mobilization 1, which was discontinued due to broken valve operating mechanism and riser pipe access restrictions.

Gage Hutson Digitally signed by Gage Hutson Date: 2020.10.26 11:13:52 -04'00'

ATLANTIC PIPE SERVICES, LLC

STANDARD TERMS & CONDITIONS OF BUSINESS

COMPANY: Atlantic Pipe Services, LLC, a Florida Limited Liability Company, whose address 1420 Martin Luther King Jr. Blvd, Sanford, Florida, 32771 (Hereinafter referred to as "APS")

CUSTOMER: Any corporation, company, organization, agent or individual entering into a written agreement with APS for the provision of services or materials or any other business dealing, for which payment is agreed with or becomes due and payable to APS (hereinafter referred to as "Customer")

PROPOSAL & QUOTATION: All proposals or quotations provided by APS must be in writing and signed by an authorized representative of the company to be valid and any such proposal or quotation is valid for acceptance within 30 days of the respective proposal date, unless agreed otherwise in writing.

PAYMENT TERMS: Payment of all invoices is due within 30 days from the invoice date, unless terms are agreed otherwise, in writing from APS. Any Dispute or query regarding the invoiced amount must be communicated in writing within 10 days (objection period) from the invoice date and customer will be deemed to have accepted the invoice as delivered and all services /work standards relating thereto, unless objected to in writing within the objection period. Customer agrees that no retainage will held for all services performed.

REMEDIES FOR NON-PAYMENT: All sums not paid when due will bear interest at the rate of 1.5% per month from due date until paid or the maximum legal rate permitted by law, whichever is less. In the event of legal action being deemed necessary to enforce payment, APS shall be entitled to all costs of collection, including a reasonable attorney's fee. In addition, if the customer fails to make payment to APS as herein provided, then APS may stop work without prejudice to any other remedy it may have. The parties further agree that in the event of any controversy arising between them, then in such event, the State Courts of Seminole County, Florida, shall be the forum in which the parties agree to try and have heard any matters of litigation arising out of such controversies.

WARRANTIES: All workmanship and materials are guaranteed against defects in workmanship for a period of one year from the date of substantial completion of the project. This warranty is in lieu of all other warranties, expressed or implied, including any warranties of merchantability of fitness for a particular purpose. APS will not be responsible for damage to its work by other parties or normal wear and tear. Any repair work necessitated by caused damage will be considered as an order for extra work.

INDEPENDENT CONTRACTOR: Both APS and the customer agree that APS will act as an independent contractor in the performance of its duties under this contract. Accordingly, APS shall be responsible for payment of all taxes, including Federal, State, and local taxes arising out of APS's activities, including by way of illustration but not limitation, Federal and State income tax, social security tax, Unemployment Insurance taxes, and any other taxes.

UNFORESEEN OCCURRENCE: In the event that any unforeseen occurrences or conditions are encountered after the work has commenced and which APS judge, at their sole discretion, to significantly affect or may affect the services, the risk involved in providing the services or there being a material change to the proposed or quoted scope of services, APS may a) Immediately cease work without liability to the customer, or b) renegotiate with customer to change the scope of work with price adjustment or change order, or c) Apply downtime /hourly or day rates until occurrence or condition is resolved to the satisfaction of APS.

DOWNTIME/STOPPAGES/ADDITIONAL WORK: In the event that APS is unable to work or encounter stoppages due to circumstances beyond their control or unforeseen circumstances or occurrences, particularly any underground structure problems causing delay or stoppage of work or in the event of any work being required beyond the quoted scope of work, then an hourly or daily rate will be charged, subject to prior customer notification in writing from

APS.

PROJECT ESTIMATES: APS may from time to time provide written estimates of projected timescale or hours for a particular project at customer request, however, this in no way binds APS to a final timescale for the services to be provided. The actual hours will be determined by specific site requirements and operational demands, which cannot be wholly determined due to the nature of the services provided by APS.

CUSTOMER PURCHASE ORDERS: In the event that the customer chooses to issue a purchase order, whether verbal or in writing, such purchase order shall be governed by APS Standard Terms & Conditions of Business as detailed herein and any such client agreement cannot change the payment terms under any circumstances unless specifically agreed to in writing APS and such agreement being authorized and signed by the owner or director of APS. In the event of any inconsistency between the APS terms and conditions as detailed herein and the terms of a service order, the APS terms and conditions shall prevail.

In any event, settlement of all APS correctly submitted invoices must be made within 30 days from invoice date, irrespective of customer having received payment from their respective customer.

CONTRACT ACCEPTANCE: In the event that the client fails to sign acceptance of an APS proposal or quotation, due to oversight by either or both parties or any other reason and the services are commenced or completed on the clients written or verbal instruction due to emergency, urgency or some other reason, then these terms and conditions will be deemed to have been accepted by the client as if such proposal or quotation had been signed.

CUSTOMER RESPOSIBILITIES: The customer will normally provide the following services, at no cost to APS for the duration of the project, unless agreed otherwise in writing by APS, a)Approved dumpsite and disposal for all materials to be removed from site of work, b) Access and exposure of all structures for APS personnel and equipment without delay, c) All temporary site facilities including suitable storage space for equipment, d)Any special permits and/or licenses, without delay, e) Supply and access to all water required for the project with meter if applicable. f)Work areas prepared and accessible, without delay, to enable the services to be provided, g) Authorized representative of the customer at the site of work, at all times services are being performed and with authority to accept the services as completed and / or hours worked and h) Location and exposure of all manholes in the project area.

Atlantic Pipe Additional Mobilzation 0926 2020