CN-370000-CN202-T8CO2.pdf

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Attached to
Master Agreement FL|CN202|9b407d6bfa6024fb9fbbd1ce9e29e157
Contract number
CN202
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form (Change Order #2) issued by the Florida Department of Environmental Protection (FDEP) under Contract CN202, Task Assignment #8. The change order modifies an existing contract with Michael Baker International, a consulting firm based in Tallahassee, Florida, for design and engineering services related to the Hillsborough River State Park campsite improvement project. The contract manager for FDEP is Mae Roth, and the consultant representative is Matt Johnson. The change order was approved on December 8, 2016, with a project end date of May 31, 2017.

The change order adds $21,438.79 in compensation to expand the scope of work to include additional Rivers Edge campsites requiring survey, environmental assessment, and FEMA permitting services. The revised scope consists of six subtasks: (1) Field Wetland Delineation and General Wildlife Survey ($2,723.19), (2) Field Survey Services ($7,110.00), (3) Data Processing and Survey Updates ($3,150.00), (4) 60% Re-Submittal Layout and Design Review ($2,215.64), and (5) FEMA Floodway Report ($6,239.96). The total fixed price cost is $21,084.04 with reimbursable costs of $354.75, bringing the cumulative task amount to $96,950.79. Payment will be made upon FDEP approval of deliverables for each subtask. The project schedule encompasses 43 calendar days across all subtasks, with final schedule dates to be coordinated with FDEP.

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Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

Required Signatures: Adobe Signature

FDEP CN202 Contract No.: I 08 Task Assignment No.: 02 Change Order No.: I 60939 Project No.

Project Location: Project Name: Hillsborough River SP Improve Campsites Consultant Name: Michael Baker International Consultant Representative: Phone: Email: Matt Johnson 850-701-2326 matt.johnson@mbakerintl.com FDEP Contract Manager: Phone: Email: Mae Roth 850-245-2781 mae.roth@dep.state.tl. us Description and Justification of Change:

Change order to add additional Rivers Edge campsites to scope, provide survey, environmental and FEMA permitting services per the attached proposal dated December 02, 2016.

Item Original Task Amount:

anxe in as Ch . T. kA mount:

Reimbursement

$ 3.597.00 Task amount including all previous Change Orders: $ 3.597.00 Net increase/decrease in task amount for this Change Order: $ 354.75 Total Amounts with all Change Orders: $ 3.951.75 anf(e in as ime: Ch . T. k r.·

Original Task Execution Date: 11512016

Original Task End Date: 5/31/2017

Present Task End Date: 5/31/2017

Net Change in Days: 0

New Task End Date: 5/31/2017

Approval Signatures:

Fixed Fee Total

$ 54.594.15 $ 58.191.15 $ 71.915.00 $ 75.512.00 $ 21.084.04 $ 21.438.79 $ 92.999.04 $ 96.950.79

Diane Langston Dl'ane Langston Digitally signed by Diane Langston Date: 2016.12.05 15:44:27 -05'00' 12/5/2016

Budget Representative, FDEP Theresa Carron Project Manager, FDEP Mae Roth Contract Manager, FDEP Michael Schwier, P .E.

Consultant Michael W. Foster Jr., P.E.

Contract Authority, FDEP

Pro_ject # Grant# OrgCode

60939 NA 37504015037

29 Die:it FLAIR Code:

000 - 012 (Effective 5-19-2016)

Signature Carron T

Signature Mae Roth

Signature ac1w1� Signature &1 Signature

Cat/Year Fund 080039/15 131001

Digitally signed by Carron_ T Date: 2016.12.06 08:21:21 -05'00'

Digitally signed by Mae Roth Date: 2016.12.07 09:04:04 -05'00'

I am approving this document

2016.12.08 14:40: 13-05'00'

Date 12/6/2016

Date 12/7/2016

Date 12/08/2016

Date , Date

Module ObiectCode EO Amount

U3200 131500 GK $21,438.79

Total: $21,438.79

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