CN-370000-CN205-T7CO2.pdf

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

Required Signatures: Adobe Signature

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

CN205 TA07 02 61253

Project Location: Project Name:

Weeki Wachee Springs State Park Waterslide Engineering Inspections Consultant Name:

Ayres Associates, Inc.

Consultant Representative: Phone: Email:

Rick Maslyn, CBI 813-318-1577 MaslynR@,AyresAssociates.com FDEP Contract Manager: Phone: Email:

Donald Finkbeiner 850-245-2587 Donald.Fink be iner(a),FloridaD EP . gov Description and Justification of Change:

Provide yearly engineering report on the condition of the watersides at Weeki Wachee Springs per proposal dated July l, 2021 .

Ch anxem as . Ti kA t moun:

Item Reimbursement Fixed Fee Total Original Task Amount: $ 42.72 $ 1 220.14 $ 1.262.86 Task amount including all previous Change Orders: $ 170.88 $ 8 474.28 $ 8,645.16 Net increase/decrease in task amount for this Change Order: $ 85.44 $ 2 440.28 $2,525.72 Total Amounts with all Change Orders: $ 256.32 $10914.56 $ 11.170.88

Ch anxem as ime: . Ti kT:

Original Task Execution Date: 8/14/2019

Original Task End Date: 7/31/2020

Present Task End Date: 7/31/2021

Net Change in Days: 365

New Task End Date: 7/31/2022

Approval Signatures:

Greg Turral Budget Representative, FDEP Signature Date

Donald Finkbeiner Project Manager, FDEP Signature Date

Alyssa Skehan Contract Manager, FDEP Signature Date

Hi sham S unna, PE Consultant Signature Date

Michael W. Foster Jr., P.E.

Contract Authority, FDEP Signature Date

Project# Grant# On? Code / Cat/Year.1 Fund/ Module Object Code EO Amount

29 Digit FLAIR Code: Total: $ 0.00

(Revised 9-26-2018) Page I of I

080039/22

Gregory Turral Digitally signed by Gregory Turral Date: 2021.07.26 11:24:31 -04'00'

Donald J.

Finkbeiner

Digitally signed by Donald J.

Finkbeiner Date: 2021.07.26 11:28:59 -04'00'

Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.07.26 11:36:31 -04'00'

Hisham N Sunna

Digitally signed by Hisham N Sunna Date: 2021.07.26 12:58:42 -04'00'

Michael W.

Foster Jr.

Digitally signed by Michael W.

Foster Jr.

Date: 2021.07.29 08:36:00 -04'00'

37504000281 40800161253 U3200 131500 PF 2525.72

Wiman_A Cross-Out

Wiman_A Text Box waterslides

July 1, 2021

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, Task Assignment Number 07, Change Order 02

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 an inspection of the slide tower, Pirates Revenge slide and the Cannonball slide between October 25, 2021, and November 5, 2021. The report will be due by November 12, 2021 and used as the bidding scope of work.

2. Ayres Associates will provide inspection of slide structure between January 31, 2022, and February 4, 2022, to confirm completion of the repairs. The Affidavit of Compliance and will be completed and forwarded to the Department of Agriculture by February 18, 2022. Department of Agriculture inspection will be completed in the last (2) weeks of February 2022.

The Scope includes:

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

2. 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 07, Change Order 02

Task 1: 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.

Deliverable:

• 1 – 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 an Excel Spreadsheet of repair recommendations, submitted by November 12, 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 1 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

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 18 days. Between October 25, 2021, and November 5, 2021.

The report will be due by November 12, 2021.

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 documentation/confirmation of contractor repairs.

Deliverable:

• 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 18, 2022.

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

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 2: (Fixed Price Cost + Reimbursable)

Project Schedule:

Activity Duration (Calendar Days) Subtask 2 19 days. Between January 31, 2022, and February 4, 2022, to confirm completion of the repairs. The Affidavit of Compliance and will be completed and forwarded to the Department of Agriculture by February 18, 2022.

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable Subtask 1 $1,220.14 $42.72 Subtask 2 $1,220.14 $42.72

Total Fixed Price Cost: $2,440.28 Total Reimbursable Cost: $85.44

Overall Total Cost: $2,525.72 Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified.

(Please do not alter this language)