CN-370000-CN205-T7CO1.pdf

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

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Required Signatures: Adobe Signature

FDEP Contract No.: Task Assignment No.: Change Order No.: Project No.:

Project Location: Project Name:

Consultant Name:

Consultant Representative: Phone: Email:

FDEP Contract Manager: Phone: Email:

Description and Justification of Change:

Change in Task Amount:

Item Reimbursement Fixed Fee Total

Original Task Amount:

Task amount including all previous Change Orders:

Net increase/decrease in task amount for this Change Order:

Total Amounts with all Change Orders:

Change in Task Time:

Original Task Execution Date:

Original Task End Date:

Present Task End Date:

Net Change in Days:

New Task End Date:

Approval Signatures:

Budget Representative, FDEP Signature Date

Project Manager, FDEP Signature Date

Contract Manager, FDEP Signature Date

Consultant Signature Date

Contract Authority, FDEP Signature Date

Project # Grant # Org Code Cat/Year Fund Module Object Code EO Amount

29 Digit FLAIR Code: Total:

CN205 TA 07 01 61253

Weeki Wachee Springs State Park Waterslide Engineering Inspections

Ayres Associates, Inc.

Rick Maslyn, CBI 813-318-1577 MaslynR@AyresAssociates.com

Donald Finkbeiner 850-245-2587 Donald.FInkbeiner@FloridaDEP.gov

Provide yearly engineering report on the condition of the waterslides at Weeki Wachee Springs per proposal dated July 20, 2020.

$ 42.72 $ 1,220.14 $ 1,262.86 $ 42.72 $ 1,220.14 $ 1,262.86 $ 128.16 $ 7,254.14 $ 7,382.30 $ 170.88 $ 8,474.28 $ 8,645.16

08/14/2019

07/31/2020

07/31/2020

07/31/2021

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2020.07.22 16:47:33 -04'00'

Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.

Finkbeiner Date: 2020.07.27 21:30:35 -04'00'

Philip Stone P.T. Stone Digitally signed by P.T. Stone Date: 2020.07.28 08:59:17 -04'00'

Hisham Sunna, PE Digitally signed by Hisham N Sunna Date: 2020.07.28 10:25:07 -04'00'

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

Digitally signed by Michael W.

Foster Jr.

Date: 2020.07.28 16:21:08 -04'00'

61253 37504000281 080039/20 000286 U3200 131545 AD $ 7,382.30

$ 7,382.30

July 20, 2020

Don Finkbeiner Construction Project Consultant II Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard, MS 520 Tallahassee, FL 32399

RE: CN205

Weeki Wachee Springs State Park Water Slide Inspection

Dear Mr. Finkbeiner;

For your review, Ayres Associates, has provided a proposal summary and man‐hour documentation for the services tasks identified below:

Schedule:

1. Ayres Associates will provide a scope of work and process of removal of the Thunderbolt slide from the tower. This includes closure of the original entrance to the straight slides. This scope will be completed within (2) weeks of execution of this change order. A shed roof design is needed to cover the pump and electric panels between bents 6 and 7. This will be due by October 16, 2020.

2. Ayres Associates will provide an inspection of the slide tower, Pirates Revenge slide and the Cannonball slide after Labor Day, September 7, 2020 and before October 1, 2020. The report will be due by October 16, 2020 and used as the bidding scope of work.

3. Ayres Associates will provide inspection of slide structure between January 1, 2021 and January 31, 2021 to confirm completion of the repairs. The Affidavit of Compliance and will be completed and forwarded to the Department of Agriculture by February 14, 2021. Department of Agriculture inspection will be completed in the last (2) weeks of February 2021.

The Scope includes:

1. Provide a signed and sealed letter of the process of removal for the Thunderbolt straight slides, closure of the original entrance to the straight slides, and termination of the piping to the slide, to the Department of Agriculture and DEP. Provide a shed roof design between bents 6 and 7 over the pump and electric panels.

DEP will provide a fence enclosure. No other design or permitting is included with this scope.

2. Provide complete inspection of Tower, Pirates Revenge slide, Cannonball slide and structure and provide an inspection report in a pdf and excel format to DEP.

3. Provide a signed and sealed Affidavit of Compliance to the Department of Agriculture and DEP.

Please review the attached Proposal Summary and deliverables.

Sincerely, Rick Maslyn, CBI Supervisor‐ Structural Inspection 813.318.1577 8875 Hidden River Parkway, Suite 200 Tampa, FL 33637

Project Description

Weeki Wachee Springs State Park

CN205, Task Assignment Number 08

Task 1: Design and Removal Process.

Description: Provide a removal process for Thunderbolt straight slide, closure to the original slide entrance and termination of slide piping. Provide shed roof design for water slide equipment between existing Bents 6 & 7.

Deliverable:

1 – Signed and sealed letter for Thunderbolt removal process will be delivered electronically in pdf format, along with specifications for closure of slide entrance and piping. Signed and sealed plans and specifications will be delivered electronically in pdf format for the shed roof.

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 1

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

Ayres Associates Project Manager 150.34 9 1,353.06

Ayres Associates Sr. Structural Engineer (PE) 144.20 24 3,460.80

Ayres Associates Structural Inspector (CBI) 100.89 0 0

Reimbursable Cost: (if applicable – provide for each task in which reimbursables are required)

Postage $0

Printing $0

Overnight Travel (if applicable)

$0

Mileage (@ $0.445 per mile) Provide the calculation and number for trips and provide total estimated cost 48 mile trip from office to park and back (96 miles)

Reimbursable Total Cost $42.72

Total for Subtask 1: (Fixed Price Cost + Reimbursable)

Project Schedule:

Activity Duration (Calendar Days)

Subtask 1 The signed and sealed letter will be provided within (2) weeks of execution of this change order. The shed roof design will be due by October 16, 2020.

Task 2: Slide Inspection and Report Deliverable

Description: Perform field inspection of Weeki Wachee Springs State Park Water Slide Tower, Pirate’s Revenge Slide and

Cannonball Slide and provide inspection report to be used as basis for contractor bid repairs.

2 – Inspect structure and provide one pdf, 8 ½ x 11, report deliverable to include list of defects, corrective actions taken since the prior inspection, and repair recommendations with photos and slide layout sketches. Report will also include a signed and sealed Affidavit of Compliance and an Excel Spreadsheet of repair recommendations, submitted by February 14, 2020

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 2

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

Ayres Associates Project Manager 150.34 1.5 225.51

Ayres Associates Sr. Structural Engineer (PE) 144.20 2 288.40

Ayres Associates Structural Inspector (CBI) 100.89 7 706.23

Printing $0

Overnight Travel (if applicable)

$0

Mileage (@ $0.445 per mile) Provide the calculation and number for trips and provide total estimated cost 48 mile trip from office to park and back (96 miles)

Subtask 2 23 days. After Labor Day, September 7, 2020 and before October 1, 2020. The report will be due by October 16, 2020.

Task 3: Slide Inspection and Report Deliverable

Description: Perform field inspection of Weeki Wachee Springs State Park Water Slide Tower, Pirate’s Revenge Slide and

Cannonball Slide and provide inspection report to be used as basis for documentation/confirmation of contractor repairs.

3 – Inspect structure and provide one pdf, 8 ½ x 11, report deliverable to include list of defects, corrective actions taken since the prior inspection, and repair recommendations with photos and slide layout sketches. Report will also include a signed and sealed Affidavit of Compliance and an Excel Spreadsheet of repair recommendations, submitted by February 14, 2021.

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 3

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

Ayres Associates Project Manager 150.34 1.5 225.51

Ayres Associates Sr. Structural Engineer (PE) 144.20 2 288.40

Ayres Associates Structural Inspector (CBI) 100.89 7 706.23

Printing $0

Overnight Travel (if applicable)

$0

Mileage (@ $0.445 per mile) Provide the calculation and number for trips and provide total estimated cost 48 mile trip from office to park and back (96 miles)

Subtask 3 31 days. Between January 1, 2021 and January 31, 2021.The Affidavit of Compliance and will be completed and forwarded to the Department of Agriculture by February 14, 2021.

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable

Subtask 1 $4,813.86 $42.72

Subtask 2 $1,220.14 $42.72

Subtask 3 $1,220.14 $42.72

Total Fixed Price Cost: $7,254.14

Total Reimbursable Cost: $128.16

Overall Total Cost: $7,382.30

Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified. (Please do not alter this language)